Treating Veterans and Military Families: Evidence Based Practices and Training Needs Among Community Clinicians

Community Ment Health J. 2017 Feb;53(2):215-223. doi: 10.1007/s10597-016-0013-7. Epub 2016 May 7.

Abstract

Little is known about the capacity of community providers to provide military informed evidence based services for posttraumatic stress disorder (PTSD). We conducted a regional, web-based survey of 352 community mental health care providers that sought to identify clinical practices, training needs, and predictors of evidence based treatment (EBT) use for PTSD. Overall, 49 % of providers indicated they seldom or never use a validated PTSD screening instrument. Familiarity with EBTs, specifically prolonged exposure (PE; χ2(4) = 14.68, p < .01) and cognitive processing therapy (CPT; χ2(4) = 4.55, p < .05), differed by provider type. Of providers who received training in PE or CPT (N = 121), 75 % reported using treatment in their practice, which was associated with having received clinical supervision (χ2 (1) = 20.16, p < .001). Widely disseminated trainings in empirically supported PTSD assessment and treatment, and implementation of case supervision in community settings are needed.

Keywords: Community provider; Dissemination; Evidence based treatment; Implementation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Community Health Services*
  • Evidence-Based Practice*
  • Health Personnel / education*
  • Humans
  • Military Family / psychology*
  • New England
  • Surveys and Questionnaires
  • United States
  • Veterans / psychology*