TY - JOUR
T1 - Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness
AU - Frueh, B. Christopher
AU - Cusack, Karen J.
AU - Grubaugh, Anouk L.
AU - Sauvageot, Julie A.
AU - Wells, Christopher
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2006/7
Y1 - 2006/7
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=33745861364&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745861364&partnerID=8YFLogxK
U2 - 10.1176/ps.2006.57.7.1027
DO - 10.1176/ps.2006.57.7.1027
M3 - Article
C2 - 16816289
AN - SCOPUS:33745861364
SN - 1075-2730
VL - 57
SP - 1027
EP - 1031
JO - Psychiatric Services
JF - Psychiatric Services
IS - 7
ER -