Combat veterans and survivors of violence, natural disasters, and terrorism have often experienced disturbing events that may lead to psychological trauma and post-traumatic stress disorder (PTSD). RAND research has evaluated the delivery of post-deployment mental health care to combat veterans, examined the treatment capacity of health care systems in response to PTSD, and estimated the costs of providing quality mental health care to all affected individuals.
This paper describes the conceptual framework and research design of a national evaluation of the quality of mental healthcare provided to veterans by the Veterans Health Administration, and present results on the reported availability of evidence-based practices.
A majority of primary care patients with anxiety disorders have more than one type. All are disabling, but focusing on just one is inadequate because impairment is greater for those who have multiple anxiety disorders.
The authors reviewed 29 studies that provide prevalence estimates of posttraumatic stress disorder (PTSD) among service members previously deployed to Operations Enduring and Iraqi Freedom and their non-U.S. military counterparts. Combat exposure is the only correlate consistently associated with PTSD.
Despite recent efforts to increase access to appropriate mental health care for veterans returning from conflicts in Iraq and Afghanistan, many challenges remain. These include veterans' reluctance to seek care, insufficient mental health workforce capacity and competency in evidence-based practice, and inadequate systems support for improving care. These broad challenges must be addressed across the Veterans Health Administration, the Department of Defense, and community-based care. Policy reform will require federal leadership to engage health plans, professional organizations, states, and local communities in strategies to improve veterans' access to high-quality services.
Project Fleur-de-lis[TM] (PFDL) was established to provide a tiered approach to triage and treat children experiencing trauma symptoms after Hurricane Katrina.
The authors explored the level of violence exposure and trauma symptoms in Latino youth and the relationship of these factors with English language fluency.
This study describes preliminary data from a pilot study of a new program, Support for Students Exposed to Trauma, adapted from the Cognitive Behavioral Intervention for Trauma in Schools program.
Describes primary care clinician's (PCC's) reported recognition and management of Posttraumatic stress disorder (PTSD) and identify how system factors affect the likelihood of performing clinical actions with regard to patients with PTSD or PTSD treatment proclivity.
Examines the relative influence of patient-related factors and physician referral on mental health service utilization among patients after a traumatic physical injury.
This study, one of the first to examine ethnic disparities in PTSD symptoms among adult injury survivors, found that Hispanics reported higher levels of intensified sensory and cognitive symptoms than non-Hispanics.
Cross-lagged relationships between posttraumatic distress symptoms and physical functioning are reciprocally related following traumatic injury. Interventions targeting physical recovery may influence subsequent mental health, and vice versa.
Interpretation of ethnic differences in PTSD is predicated on demonstration that differences are not due to measurement bias.
Latino patients with post-traumatic stress disorder (PTSD) often report feeling sad, anxious, nervous, or fearful. Most expressed their desire to receive mental health treatment and preferred psychotherapy over psychotropic medications.
This chapter briefly highlights the context for treating child traumatic stress in school settings, reviews the literature supporting treatment approaches in schools, offers a description of techniques used, and identifies empirical support for the reviewed school-based treatment or intervention programs for child traumatic stress.
This study estimated the prevalence of psychopathology at a three-month follow-up among persons seeking emergency relief services after a wildfire.
PTSD is more common among depressed primary care patients than previously thought.
Despite high rates of comorbidity, research has typically focused on the independent impact of PTSD and depression symptoms in people living with HIV.
Psychological trauma is associated with poor physical health.
Present results suggest that the presence of depressive symptoms may be responsible for the observed impact of PTSD on people living with HIV (PLWH).
This study explored the relationship of injury and posttraumatic stress symptoms in victims of the 1995 terrorist bombing in Oklahoma City.