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Measurement Strategies for Evidence-Based Psychotherapy for Posttraumatic Stress Disorder Delivery: Trends and Associations with Patient-Reported Outcomes

Authors
  • Shiner, Brian1, 2, 3
  • Westgate, Christine Leonard1
  • Gui, Jiang2
  • Cornelius, Sarah1
  • Maguen, Shira E.4, 5
  • Watts, Bradley V.2, 6
  • Schnurr, Paula P.2, 3
  • 1 White River Junction VA Medical Center, 215 North Main Street, White River Junction, VT, USA , White River Junction (United States)
  • 2 Geisel School of Medicine at Dartmouth, Hanover, NH, USA , Hanover (United States)
  • 3 National Center for PTSD Executive Division, White River Junction, VT, USA , White River Junction (United States)
  • 4 San Francisco VA Medical Center, San Francisco, CA, USA , San Francisco (United States)
  • 5 University of California, San Francisco, CA, USA , San Francisco (United States)
  • 6 VA Office of Systems Redesign and Improvement, Washington, DC, USA , Washington (United States)
Type
Published Article
Journal
Administration and Policy in Mental Health and Mental Health Services Research
Publisher
Springer US
Publication Date
Dec 18, 2019
Volume
47
Issue
3
Pages
451–467
Identifiers
DOI: 10.1007/s10488-019-01004-2
Source
Springer Nature
Keywords
License
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Abstract

We sought to develop a quality standard for the delivery of psychotherapy for posttraumatic stress disorder (PTSD) that is both consistent with the underlying evidence supporting psychotherapy as a treatment for PTSD and associated with the best levels of symptom improvement. We quantified psychotherapy receipt during the initial year of PTSD treatment in a 10-year national cohort of Department of Veterans Affairs (VA) users who completed patient-reported outcome measurement as part of routine practice. We added progressively stringent measurement requirements. The most stringent requirement was associated with superior outcomes. Quality of psychotherapy for PTSD in the VA improved over time.

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