Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness.

Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness. Research Abstract Details 

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Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness. Abstract Text:

B Christopher Frueh,Karen J Cusack,Anouk L Grubaugh,Julie A Sauvageot,Christopher Wells,

OBJECTIVE: As an intermediate step in the development of a cognitive-behavioral posttraumatic stress disorder (PTSD) treatment program for persons with severe mental illness, a focus group gathered feedback from clinicians and clinical supervisors within a public-sector mental health system. METHODS: Five qualitative focus group discussions were held with 33 clinicians and clinical supervisors within a state-funded community mental health center system. RESULTS: Clinicians perceived trauma to be a significant adverse factor in the lives of their mental health services consumers, were reluctant to address trauma with them, and yet believed that cognitive-behavioral treatments for PTSD may be effective and appropriate for them. Clinicians also offered practical suggestions to improve the feasibility and acceptability of the proposed cognitive-behavioral treatment program. Examples include creating gender-specific treatment groups; ensuring that trust and rapport with clients are established before the discussion of traumatic experiences; developing careful safety precautions for clients, especially for the exposure therapy component; preparing for the possibility that some consumers will lack the cognitive ability to understand treatment; and collaborating with other care providers to ensure optimal integration with other aspects of care and minimize clinic disruptions. CONCLUSIONS: These findings provide information relevant to the development and implementation of PTSD interventions for patients with severe mental illness treated in public-sector settings.

Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness. Publishing Authors By Initials

BC Frueh,KJ Cusack,AL Grubaugh,JA Sauvageot,C Wells,

For similar diagnosis: prognosis: treatment outcome research abstracts see: diagnosis: prognosis: treatment outcome research

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Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Psychiatric services (Washington, D.C.)

VOLUME: 57

Page Numbers: 1027-31

Journal Abbreviation:

ISSN: 1075-2730

DAY: 3

MONTH: Jul

YEAR: 2006

Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness. Information

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LANGUAGE: eng

NlmUniqueID: 9502838

Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness. Keywords Mesh Terms:

KEYWORDS: Treatment Outcome

MESH TERMS: therapy

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Grant and Affiliation Information for Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness.

AFFILIATION: Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President Street, P.O. Box 250861, Charleston, South Carolina 29425, USA. fruehbc@musc.edu

Country: United States

AGENCY: United States NIMH

GRANT: MH-01660

ACRONYM: MH

MEDLINETA: Psychiatr Serv

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