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The Journal of Behavioral Health Services & Research
Published in: The Journal of Behavioral Health Services & Research 1/2016

01-01-2016

Clinician Documentation on Receipt of Trauma-Focused Evidence-Based Psychotherapies in a VA PTSD Clinic

Authors: Mary W. Lu, MD, Jane M. Plagge, PsyD, Mary C. Marsiglio, MSc, Steven K. Dobscha, MD

Published in: The Journal of Behavioral Health Services & Research | Issue 1/2016

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Abstract

The U.S. Department of Veterans Affairs (VA) is implementing two trauma-focused, evidence-based psychotherapies (TF-EBPs) for posttraumatic stress disorder (PTSD): cognitive processing therapy and prolonged exposure therapy (PE). Veterans with PTSD often do not receive these treatments, and little is known about the reasons veterans may not receive TF-EBPs. The aim of this qualitative study was to summarize clinician-reported reasons in medical records for nonreceipt of TF-EBPs. All veterans (N = 63) identified through PTSD screening who were newly engaged in mental health care and received individual evaluations in a PTSD specialty clinic in fiscal year 2008 were included in the sample. Content analysis of electronic medical records revealed multiple potential reasons for nonreceipt of TF-EBPs including referral to other PTSD treatments, other clinical priorities, poor engagement in care, practical barriers, negative beliefs, and receipt of care in other settings. Eight veterans (13 %) initiated TF-EBPs. Further interventions to promote engagement in PTSD treatment are warranted.
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Metadata
Title
Clinician Documentation on Receipt of Trauma-Focused Evidence-Based Psychotherapies in a VA PTSD Clinic
Authors
Mary W. Lu, MD
Jane M. Plagge, PsyD
Mary C. Marsiglio, MSc
Steven K. Dobscha, MD
Publication date
01-01-2016
Publisher
Springer US
Published in
The Journal of Behavioral Health Services & Research / Issue 1/2016
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-013-9372-9

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