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Posttraumatic Stress Disorder

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Combat veterans and survivors of violence, natural disasters, and terrorism have often experienced disturbing events that may lead to psychological trauma and posttraumatic 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.

Essay
Therapeutic Use of Psychedelics in Treating PTSD and Depression Among Veterans
Clinical trials have shown that psychedelics can have a positive effect on mental health conditions like PTSD or depression for some people. Enthusiasm for these treatments has grown among veterans and providers who work with military populations. The VA should invest in research and provide guidance on psychedelics.
Nov 8, 2023
Essay
Trauma Takes a Toll in the U.S. Intelligence Community
For people in the intelligence community, the risk of experiencing a variety of traumas is very real. Agencies should look more closely at their workforces to better understand the traumas their analysts face and what they can do to help.
Sep 6, 2023

Explore Posttraumatic Stress Disorder

Commentary
Improving Behavioral Health Care in the Military Health System
What can be done to ensure service members have timely and equitable access to high-quality behavioral health care?
Nov 16, 2023
Tool
CLARO Implementation Manual: Strategies and Supports for Successful Implementation of the CLARO Intervention
This manual describes how to implement the Collaboration Leading to Addiction Treatment and Recovery from Other Stresses (CLARO) intervention, which adapts the Collaborative Care Model for adults with opioid use disorder and depression and/or PTSD.
Nov 13, 2023
Journal Article
Veteran Journeys: Creating an Opera Based on Research, Clinical, and Personal Experiences
RAND researcher Kenneth Wells shares his story in the form of an opera, Veteran Journeys, to encourage others to find a path to integrating clinical, personal, and creative experiences, to share meaningful stories of how people survive and thrive.
Oct 4, 2023
Journal Article
Integration of Arts and Health Sciences in Developing an Opera on Veteran Resilience and Recovery
This case study illustrates how research data informed an opera on Veteran recovery. To engage a broad audience and address stigma, accessible composition techniques (melody, harmony) were used.
Oct 4, 2023
Journal Article
Impact of Veteran Journeys Opera on Audience Member Attitudes Related to Veterans With Posttraumatic Stress or Unstable Housing
This study evaluated a streaming opera?s effects on measures of audience engagement important to Veterans? recovery from posttraumatic stress and unstable housing.
Oct 4, 2023
Report
Using Quality Measures and Measurement-Based Care to Improve Behavioral Health Care for Veterans and Service Members
Using quality measures and measurement-based care can help community-based organizations that provide behavioral health (BH) care to veterans and service members ensure that their BH care is high-quality and effective.
Sep 12, 2023
Journal Article
Findings from an Organizational Context Survey to Inform the Implementation of a Collaborative Care Study for Co-occurring Disorders
This study surveyed primary care and behavioral health staff from 13 clinics implementing a collaborative care intervention for opioid use disorders co-occurring with PTSD and/or depression as part of a multisite randomized controlled trial.
Aug 17, 2023
Journal Article
Design of CLARO+ (Collaboration Leading to Addiction Treatment and Recovery from Other Stresses, Plus): A Randomized Trial of Collaborative Care to Decrease Overdose and Suicide Risk Among Patients with Co-Occurring Disorders
We build upon a model of collaborative care in which care coordinators deliver preventative measures to high-risk patients and coordinate care with the patients' care team, to increase MOUD retention and decrease risk of suicide and overdose.
Aug 17, 2023
Blog
Unidentified Aerial Phenomena, Neurodiversity, Russia's 'Forever War': RAND Weekly Recap
This weekly recap focuses on public reports of unidentified aerial phenomena, neurodiversity and national security, Ukraine's path to victory, and more.
Jul 28, 2023
Journal Article
Aging and Emotional Well-Being After Disasters: Vulnerability and Resilience
We investigated age differences in well-being among U.S. Gulf Coast-residing adults. Older age was associated with fewer depression and PTSD symptoms, and this association was stronger for those who experienced hurricane-related adversities.
Jul 21, 2023
Essay
A Promising New Program Treats Co-Occurring Mental Health and Opioid Use Disorders
People who have an opioid use disorder and either clinical depression or PTSD are hard to reach, hard to treat, and hard to hold onto. A new collaborative care model called CLARO aims to help patients who otherwise might disappear into the cracks of the U.S. health care system.
Jul 3, 2023
Commentary
State and Local Policy Is Changing for Psychedelics. What Will the Feds Do?
Psychedelics are attracting interest as a treatment for some mental health conditions. In response, some states and cities are changing their laws and policies on the supply and use of these mind-altering substances. But like cannabis, most psychedelics are federally prohibited—raising some tough questions for the federal government.
Jun 12, 2023
Journal Article
Stress-induced Changes in Autonomic Reactivity Vary with Adolescent Violence Exposure and Resting-state Functional Connectivity
Exposure to violence during childhood can lead to functional changes in brain regions. This study examined whether changes in autonomic responses varied with whole brain resting-state functional connectivity as a function of violence exposure.
May 18, 2023
Blog
RAND Turns 75: A Look Through the Decades At World-Changing Research
From anticipating the Space Age in the 1940s to studying gun policy and COVID-19 responses in the 2020s, RAND is celebrating 75 years of research that has made a difference.
May 8, 2023
Commentary
The Ripples of War Are Only Beginning to Spread. Is America Ready?
There are now more than 1.9 million U.S. veterans of the wars in Iraq and Afghanistan. More than 50,000 were physically injured and around 15 percent have experienced PTSD. Perhaps all were exposed to burn pits and other toxins. What are the long-term impacts of the wars on those who fought them?
Mar 23, 2023
Tool
CLARO Intervention User Manual: A Guide for Care Teams and Individual Practitioners
The Collaboration Leading to Addiction Treatment and Recovery from Other Stresses research study advances collaborative care treatment for patients who have opioid use disorder with major depressive disorder and/or posttraumatic stress disorder.
Mar 10, 2023
Journal Article
Collaboration Leading to Addiction Treatment and Recovery from Other Stresses (CLARO): Process of Adapting Collaborative Care for Co-Occurring Opioid Use and Mental Disorders
To address a treatment and quality gap, RAND researchers adapted collaborative care for co-occurring opioid use disorder and mental health disorders.
Mar 10, 2023
Journal Article
Design of CLARO (Collaboration Leading to Addiction Treatment and Recovery from Other Stresses): A Randomized Trial of Collaborative Care for Opioid Use Disorder and Co-Occurring Depression And/Or Posttraumatic Stress Disorder
This article describes the CLARO collaborative care for co-occurring disorders intervention and clinical trial.
Mar 10, 2023

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RAND Topic:
Posttraumatic Stress Disorder

Research conducted by

Researcher Spotlight

Nicole K. Eberhart

Senior Behavioral Scientist

Nicole Eberhart (she/her) is a senior behavioral scientist at RAND, a professor of policy analysis at the Pardee RAND Graduate School, and a clinical psychologist. Her research focuses primarily on mental health and wellbeing. More specifically, her work focuses on evaluation of behavioral…
Lisa S. Meredith

Senior Behavioral Scientist

Lisa Meredith is a senior behavioral scientist at RAND and a professor at the Pardee RAND Graduate School. Her research addresses collaborative care for depression and post-traumatic stress disorder (PTSD), and co-occurring opioid use disorder (OUD) co-occurring with mental health disorders. She…

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