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Behav. Sci. 2014, 4(4), 410-422; doi:10.3390/bs4040410

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

1
Department of Psychiatry, Geisel School of Medicine at Dartmouth, 1 Rope Ferry Road, Hanover, NH 03755, USA
2
Dartmouth Trauma Interventions Research Center, One Medical Center Dr., Lebanon, NH 03756, USA
3
National Center for Posttraumatic Stress Disorder, Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, USA
4
Department of Management and Marketing, College of Management, University of Massachusetts, Boston, 100 Morrissey Boulevard, Boston, MA 02125, USA
5
Center for Comprehensive Access & Delivery Research and Evaluation, Iowa City VA Health Care System, Mailstop 152, 601 Hwy 6 West, Iowa City, IA 52246, USA
6
Department of Pharmacology & Toxicology, Geisel School of Medicine at Dartmouth, 1 Rope Ferry Road, Hanover, NH 03755, USA
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Received: 21 August 2014 / Revised: 20 September 2014 / Accepted: 8 October 2014 / Published: 21 October 2014
View Full-Text   |   Download PDF [107 KB, uploaded 21 October 2014]

Abstract

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. View Full-Text
Keywords: evidence-based practice; posttraumatic stress disorder (PTSD); pharmacology; implementation barriers; clinical practice guidelines; Veteran’s Affairs evidence-based practice; posttraumatic stress disorder (PTSD); pharmacology; implementation barriers; clinical practice guidelines; Veteran’s Affairs
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Barnett, E.R.; Bernardy, N.C.; Jenkyn, A.B.; Parker, L.E.; Lund, B.C.; Alexander, B.; Friedman, M.J. Prescribing Clinicians’ Perspectives on Evidence-Based Psychotherapy for Posttraumatic Stress Disorder. Behav. Sci. 2014, 4, 410-422.

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