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Implementation of Prolonged Exposure in the Army: Is Consultation Necessary for Effective Dissemination

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Technical Report,30 Sep 2012,29 Sep 2013

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University of Pennsylvania Philadelphia United States

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Prolonged exposure PE therapy for PTSD has many characteristics that render it an excellent candidate for dissemination it is effective with a wide range of PTSD sufferers, it is relatively easy to learn and deliver, and it is preferred by patients over some other treatments. Research indicates that case consultation after participation in a workshop plays an important role in training mental health professionals to successfully implementing EBTs. However, consultation requires a greater investment of resources than a one-time workshop. Thus, it is critical to determine whether consultation increases the success of disseminating and implementing PE services in routine clinical care. This study will examine how we can successfully disseminate and implement EBTs for PTSD in the Army by comparing two PE training models Standard PE training workshop only and Extended PE training workshop plus consultation. Approximately 35 mental health therapists in each of three medium- to large-sized domestic Army installations will be randomly assigned to either implement Standard PE training or Extended PE training. We hypothesize that compared to Standard training, the Extended PE training will lead to 1 Greater frequency and higher quality of PE delivery and 2 Superior patient response to treatment 3 Higher provider self-efficacy and positive attitudes towards PE.

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