An Intensive Outpatient Program for Veterans With Posttraumatic Stress Disorder and Traumatic Brain Injury |
| |
Authors: | Margaret M. Harvey Timothy J. Petersen Julia C. Sager Nita J. Makhija-Graham Edward C. Wright Erika L. Clark Lauren M. Laifer Lauren K. Richards Louis K. Chow Louisa G. Sylvia René M. Lento Laura K. Harward Joan Clowes Valerie Brathwaite Laura K. Lakin Noah D. Silverberg Grant L. Iverson Eric Bui Naomi M. Simon |
| |
Affiliation: | Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston, Harvard Medical School, and University of Massachusetts Medical School;Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston, and Harvard Medical School;Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston;Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston, and Harvard Medical School;Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston;Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston, and Harvard Medical School;Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston;University of British Columbia;Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston, Harvard Medical School, and Spaulding Rehabilitation Hospital, Charlestown, MA;Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston, and Harvard Medical School;Home Base, a Red Sox Foundation and Massachusetts General Hospital Program, Boston, and Harvard Medical School, and NYU Langone Health |
| |
Abstract: | Post-9/11 service members may return from military service with a complicated set of symptoms and conditions, such as posttraumatic stress disorder (PTSD), depression, substance misuse, and traumatic brain injury (TBI), that interfere with reintegration and impair functioning. Although evidence-based treatments that facilitate recovery exist, their successful delivery at a sufficient dose is limited. Barriers to accessing treatment combined with challenges compiling a comprehensive treatment team further delay delivery of effective evidence-based care for PTSD, TBI, and co-occurring mental health conditions. This paper describes the development of a comprehensive, multidisciplinary, 2-week intensive day program for post-9/11 veterans with complex mental health concerns. The treatment program combines skill building groups, family education, and integrative health approaches with evidence-based individual PTSD or TBI care. Initial results from the first 132 participants were notable for a 97% completion rate, as well as statistically significant and clinically meaningful reductions in PTSD, neurobehavioral, and depression symptom severity for the 107 veterans who completed the PTSD track and the 21 who completed the TBI track. These data suggest the intensive program approach is an effective, well-tolerated model of treatment for post-9/11 veterans with PTSD and/or TBI. Future controlled studies should examine the effectiveness of this intensive model compared to standard evidence-based therapy delivery, as well as longitudinal outcomes. |
| |
Keywords: | posttraumatic stress traumatic brain injury intensive treatment veteran service member |
本文献已被 ScienceDirect 等数据库收录! |
|