Cargando…

Prescribing Clinicians’ Perspectives on Evidence-Based Psychotherapy for Posttraumatic Stress Disorder

Evidence-based psychotherapies (EBP) for Posttraumatic Stress Disorder are not utilized to their full extent within the Department of Veterans Affairs (VA). VA provides care to many persons with PTSD and has been in the forefront of clinical practice guidelines and EBP training and dissemination. Ye...

Descripción completa

Detalles Bibliográficos
Autores principales: Barnett, Erin R., Bernardy, Nancy C., Jenkyn, Aaron B., Parker, Louise E., Lund, Brian C., Alexander, Bruce, Friedman, Matthew J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287697/
https://www.ncbi.nlm.nih.gov/pubmed/25431445
http://dx.doi.org/10.3390/bs4040410
_version_ 1782351834857340928
author Barnett, Erin R.
Bernardy, Nancy C.
Jenkyn, Aaron B.
Parker, Louise E.
Lund, Brian C.
Alexander, Bruce
Friedman, Matthew J.
author_facet Barnett, Erin R.
Bernardy, Nancy C.
Jenkyn, Aaron B.
Parker, Louise E.
Lund, Brian C.
Alexander, Bruce
Friedman, Matthew J.
author_sort Barnett, Erin R.
collection PubMed
description Evidence-based psychotherapies (EBP) for Posttraumatic Stress Disorder are not utilized to their full extent within the Department of Veterans Affairs (VA). VA provides care to many persons with PTSD and has been in the forefront of clinical practice guidelines and EBP training and dissemination. Yet VA continues to find EBP implementation difficult. Veterans with PTSD often initially present to prescribing clinicians, who then help make care decisions. It is therefore critical that these clinicians correctly screen and triage appropriate mental health care. The purpose of this study was to assess VA prescribing clinicians’ knowledge, perceptions, and referral behaviors related to EBPs for PTSD and to identify facilitators and barriers to implementing EBPs within VA. We conducted qualitative interviews with 26 VA prescribing clinicians. Limited access to EBPs was the most commonly noted barrier. The clinicians we interviewed also held specific beliefs and behaviors that may delay or deter EBPs. Strategies to improve utilization also emerged. Findings suggest the need for increased access to EBPs, training to optimize the role of prescribing clinicians in helping Veterans with PTSD make appropriate care decisions, and specific organizational changes to facilitate access and effective referral systems for EBPs.
format Online
Article
Text
id pubmed-4287697
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-42876972015-01-14 Prescribing Clinicians’ Perspectives on Evidence-Based Psychotherapy for Posttraumatic Stress Disorder Barnett, Erin R. Bernardy, Nancy C. Jenkyn, Aaron B. Parker, Louise E. Lund, Brian C. Alexander, Bruce Friedman, Matthew J. Behav Sci (Basel) Article Evidence-based psychotherapies (EBP) for Posttraumatic Stress Disorder are not utilized to their full extent within the Department of Veterans Affairs (VA). VA provides care to many persons with PTSD and has been in the forefront of clinical practice guidelines and EBP training and dissemination. Yet VA continues to find EBP implementation difficult. Veterans with PTSD often initially present to prescribing clinicians, who then help make care decisions. It is therefore critical that these clinicians correctly screen and triage appropriate mental health care. The purpose of this study was to assess VA prescribing clinicians’ knowledge, perceptions, and referral behaviors related to EBPs for PTSD and to identify facilitators and barriers to implementing EBPs within VA. We conducted qualitative interviews with 26 VA prescribing clinicians. Limited access to EBPs was the most commonly noted barrier. The clinicians we interviewed also held specific beliefs and behaviors that may delay or deter EBPs. Strategies to improve utilization also emerged. Findings suggest the need for increased access to EBPs, training to optimize the role of prescribing clinicians in helping Veterans with PTSD make appropriate care decisions, and specific organizational changes to facilitate access and effective referral systems for EBPs. MDPI 2014-10-21 /pmc/articles/PMC4287697/ /pubmed/25431445 http://dx.doi.org/10.3390/bs4040410 Text en © 2014 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Barnett, Erin R.
Bernardy, Nancy C.
Jenkyn, Aaron B.
Parker, Louise E.
Lund, Brian C.
Alexander, Bruce
Friedman, Matthew J.
Prescribing Clinicians’ Perspectives on Evidence-Based Psychotherapy for Posttraumatic Stress Disorder
title Prescribing Clinicians’ Perspectives on Evidence-Based Psychotherapy for Posttraumatic Stress Disorder
title_full Prescribing Clinicians’ Perspectives on Evidence-Based Psychotherapy for Posttraumatic Stress Disorder
title_fullStr Prescribing Clinicians’ Perspectives on Evidence-Based Psychotherapy for Posttraumatic Stress Disorder
title_full_unstemmed Prescribing Clinicians’ Perspectives on Evidence-Based Psychotherapy for Posttraumatic Stress Disorder
title_short Prescribing Clinicians’ Perspectives on Evidence-Based Psychotherapy for Posttraumatic Stress Disorder
title_sort prescribing clinicians’ perspectives on evidence-based psychotherapy for posttraumatic stress disorder
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287697/
https://www.ncbi.nlm.nih.gov/pubmed/25431445
http://dx.doi.org/10.3390/bs4040410
work_keys_str_mv AT barnetterinr prescribingcliniciansperspectivesonevidencebasedpsychotherapyforposttraumaticstressdisorder
AT bernardynancyc prescribingcliniciansperspectivesonevidencebasedpsychotherapyforposttraumaticstressdisorder
AT jenkynaaronb prescribingcliniciansperspectivesonevidencebasedpsychotherapyforposttraumaticstressdisorder
AT parkerlouisee prescribingcliniciansperspectivesonevidencebasedpsychotherapyforposttraumaticstressdisorder
AT lundbrianc prescribingcliniciansperspectivesonevidencebasedpsychotherapyforposttraumaticstressdisorder
AT alexanderbruce prescribingcliniciansperspectivesonevidencebasedpsychotherapyforposttraumaticstressdisorder
AT friedmanmatthewj prescribingcliniciansperspectivesonevidencebasedpsychotherapyforposttraumaticstressdisorder