Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions
Annual rept. 30 September 2012-29 September 2013
VANDERBILT UNIV NASHVILLE TN
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This project addresses the need for research on service delivery approaches for Service Members with combat-related physical or psychiatric symptoms, including Posttraumatic Stress Disorder PTSD andor post-concussive symptoms. As a primary care encounter, the post-deployment health reassessment PDHRA process is critical to force health protection efforts. The project will develop and test the efficacy of a focused training and feedback intervention for health care providers designed to increase Service member reports of behavioral health concerns and Service member acceptance of a referral for further assessment. The project has two goals. 1 Develop an evidence-based training program for providers who deliver deployment related assessments. 2 Evaluate the feasibility and efficacy of a targeted training and feedback program on primary care provider interviews and clinical communication patterns related to Service member behavioral health condition identification and referrals. To accomplish these aims, a training workshop that incorporates experiential learning strategies and evidence-supported characteristics of high quality communication training programs was piloted at 4 sites, reaching 23 providers. Multi-method and multi-reporter data include survey data Service members and providers, program manager interviews, and electronic health data. Preliminary analyses indicate positive impact of the workshop a rated as acceptable and feasible by participating providers b increased providers patient-centered communication skills and expected behaviors during PDHRA interview as rated by Service members c increased providers identification of BH concerns in context of PDHRA encounters where Service members anonymously reported BH concerns and d affected PDHRA provider documentation, with more concerns and One Source referrals yet fewer medical referrals. Further analyses, including covariates, are planned for year five.
- Medicine and Medical Research