scholarly journals Stepped-Care Approaches to Posttraumatic Stress Disorder: Sharpening Tools for the Clinician’s Toolbox

2017 ◽  
Vol 13 (2) ◽  
pp. 142 ◽  
Author(s):  
Jeffrey A. Cigrang ◽  
Alan L. Peterson
Keyword(s):  
Stress Disorder ◽  
Research Literature ◽  
Stepped Care ◽  
Current Status ◽  
Traumatic Experiences ◽  
Evidence Based ◽  
Care Model ◽  
Evidence Based Treatment ◽  
Potential Value ◽  
Care Models

<p> Austern (2017) presents three composite Veteran case studies using Written Exposure Therapy (WET; Sloan, Lee, Litwack, Sawyer, &amp; Marx, 2013) as a first-level intervention in a larger stepped-care model for PTSD.  The relatively minimalist WET intervention may be appealing to Veterans with PTSD who have opted not to seek out more time and therapist-intensive treatments.  In addition, writing has been used effectively in other protocols as a method of achieving exposure to memories of traumatic experiences.  Austern’s three cases demonstrate a range of success in using WET to engage Veterans in evidence-based treatment and reduce suffering associated with PTSD.  We comment on the current status of the research literature on stepped-care models for PTSD, the potential value of incorporating Motivational Interviewing principles and specific homework tasks into these efforts, and the promise that abbreviated interventions and stepped-care approaches may hold for helping clinicians manage their clinical caseloads and avoid burnout.</p><p> </p>

Dissemination and Implementation of Evidence-Based Psychological Interventions

2015 ◽  
Author(s):  
R. Kathryn McHugh ◽  
David H. Barlow
Keyword(s):  
Stepped Care ◽  
Current Status ◽  
Psychological Interventions ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Future Directions ◽  
Research And Practice ◽  
Dissemination And Implementation Science ◽  
Care Models ◽  
Standardization Of Procedures

Chapter 13 explores the current status of research and future directions for the dissemination and implementation of evidence-based psychological interventions, including further emphasis on dissemination and implementation science, standardization of procedures for outcomes assessment, better collaboration between research and practice, transdiagnostic treatments, stepped-care models, integration of mental health care in primary care, and use of information technology.

Use of Evidence-Based Treatment for Posttraumatic Stress Disorder in Army Behavioral Healthcare

Psychiatry ◽  
2013 ◽  
Vol 76 (4) ◽  
pp. 336-348 ◽  
Author(s):  
Joshua E. Wilk ◽  
Joyce C. West ◽  
Farifteh F. Duffy ◽  
Richard K. Herrell ◽  
Donald S. Rae ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Evidence Based ◽  
Evidence Based Treatment ◽  
Behavioral Healthcare

Reducing suicidal ideation through evidence-based treatment for posttraumatic stress disorder

2016 ◽  
Vol 80 ◽  
pp. 59-63 ◽  
Author(s):  
Keith S. Cox ◽  
Emily R. Mouilso ◽  
Margaret R. Venners ◽  
Mahrie E. Defever ◽  
Leticia Duvivier ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Suicidal Ideation ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Evidence Based ◽  
Evidence Based Treatment

Treatment of posttraumatic stress disorder at the end-of-life: Application of the stepwise psychosocial palliative care model

2013 ◽  
Vol 12 (3) ◽  
pp. 233-243 ◽  
Author(s):  
David B. Feldman ◽  
Kristen H. Sorocco ◽  
Kristi L. Bratkovich
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Palliative Care ◽  
Posttraumatic Stress ◽  
End Of Life ◽  
Stress Disorder ◽  
Evidence Based ◽  
Care Model ◽  
New Approach ◽  
Behavioral Techniques ◽  
Complex Settings

AbstractObjectives:Feldman (2011) has proposed a new approach to the treatment of posttraumatic stress disorder (PTSD) in individuals at the end-of-life known as Stepwise Psychosocial Palliative Care (SPPC). This approach helps to compensate for the disadvantages of existing PTSD interventions with regard to treating patients with life-limiting and terminal illnesses by employing a palliative care philosophy. The model relies on cognitive and behavioral techniques drawn from evidence-based approaches to PTSD, deploying them in a stage-wise manner designed to allow for interventions to track with patents’ needs and prognoses. Because this model is relatively new, we seek to explore issues related to its implementation in the complex settings in which providers encounter patients at the end-of-life. We also seek to provide concrete guidance to providers regarding the management of PTSD at the end-of-life in diverse palliative care settings.Methods:We examine three specific cases in which the SPPC model was utilized, highlighting particular treatment challenges and strategies. These case studies provide information regarding the SPPC model's application to patients in two distinct palliative care settings—a palliative care consult team and an inpatient palliative care unit.Results:The SPPC model's stage-wise approach allows for its flexible use given a variety of constraints related to setting and patient issues.Significance of results:The SPPC model provides an alternative to existing psychosocial treatments for PTSD that may be more appropriate for patients at the end of life.

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