A Comprehensive Approach in Dissemination of Evidence-Based Care for PTSD
Annual rept. 1 Sep 2008-31 Aug 2009
AMERICAN PSYCHIATRIC INSTITUTE FOR RESEARCH AND EDUCATION ARLINGTON VA
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The purpose of this study is to pilot test practice improvement approaches for management of PTSD in military behavioral health treatment settings. This project also targets depression, which is highly comorbid with PTSD. Key evidence-based recommendations from the US Departments of Veterans Affairs and Defense VADoD Clinical Practice Guideline for the Management of PTSD and 3 other major practice guidelines were identified by a team of PTSD experts convened by APIRE. The PTSD Checklist-Civilian Version PCL-C and 9-item Patient Health Questionnaire PHQ-9 were selected as screening, diagnosis and severity monitoring instruments for PTSD and depression, respectively. Performance Improvement in Practice PIP tools to inform evidence-based assessment and management of PTSD and depression have been developed and published. APIRE will recruit 20 mental health providers and their key clinical staff from selected MTFs for three interactive CME sessions, modeled after the Institute for Healthcare Improvement Breakthrough Series collaborative methodology. Participants will use the PIP tools to evaluate their practices capacity to provide evidence-based care and identify potential gaps in the assessment and treatment of PTSD and depression, and explore strategies to implement the PCL-C and PHQ-9 for routine screening and management of PTSD and depression. We are currently compiling required documentation for MEDCOM authorization for brief site visits of potential demonstration sites.
- Medicine and Medical Research
- Stress Physiology