Cognitive-Behavioral Treatment for PTSD among People with Severe Mental Illness: A Proposed Treatment Model

B. Christopher Frueh, Todd C. Buckley, Karen J. Cusack, Matthew O. Kimble, Anouk L. Grubaugh, Samuel M. Turner, Terence M. Keane

Research output: Contribution to journalReview article

38 Scopus citations

Abstract

The lifetime prevalence of posttraumatic stress disorder (PTSD) is about 8%-14% in the general population, and trauma victimization (51%-98%) and PTSD (up to 42%) are even more prevalent among persons treated within public-sector mental health clinics. Despite this, individuals with PTSD and severe mental illness (SMI) who are treated within the public sector tend to receive inadequate mental health services. In addition, treatments for PTSD for this population remain undeveloped, with virtually no available empirical treatment outcome data to guide clinicians We propose a model for a comprehensive, multicomponent cognitive-behavioral treatment program for this target population that includes elements of consumer education, anxiety management training, social skills training, exposure therapy, "homework" assignments, and long-term follow-up care. Special considerations for public-sector consumers with PTSD and SMI are addressed, as are directions for future research.

Original languageEnglish (US)
Pages (from-to)26-38
Number of pages13
JournalJournal of Psychiatric Practice
Volume10
Issue number1
DOIs
StatePublished - Jan 2004
Externally publishedYes

Keywords

  • Cognitive-behavioral therapy
  • Exposure therapy
  • Posstraumatic stress disorder (PTSD)
  • Public-sector consumers
  • Severe mental illness (SMI)
  • Social skills training

ASJC Scopus subject areas

  • Psychiatry and Mental health

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