Disseminating evidence-based practices for adults with PTSD and severe mental illness in public-sector mental health agencies

B. Christopher Frueh, Anouk L. Grubaugh, Karen J. Cusack, Jon D. Elhai

Research output: Contribution to journalArticle

26 Scopus citations

Abstract

Posttraumatic stress disorder (PTSD) remains largely untreated among adults with severe mental illnesses (SMI). The treatment of psychotic symptoms usually takes precedence in the care of adults with SMI. Such oversight is problematic in that PTSD in SMI populations is common (19%-43%), contributes a significant illness burden, and hinders mental health care. Yet few public-sector mental health agencies routinely provide specialized services for PTSD. The purpose of the article is to describe strategies and efforts to disseminate trauma-focused empirically based practices in a public-sector mental health system. Identified challenges include limited resources and commitment; knowledge deficits, attitudes, and biases; and limited practice accountability at provider, facility, and system levels. Proposed strategies for overcoming these challenges are to set clear goals, nurture broad-based organizational commitment and key stakeholder involvement, implement specialty training efforts to provide information and change attitudes, provide ongoing supervision, conduct fidelity monitoring, and ensure accountability to the extent possible.

Original languageEnglish (US)
Pages (from-to)66-81
Number of pages16
JournalBehavior Modification
Volume33
Issue number1
DOIs
StatePublished - Jan 2009
Externally publishedYes

Keywords

  • Cognitive-behavioral therapy
  • Dissemination
  • Empirically based practices
  • PTSD
  • Severe mental illness

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Clinical Psychology
  • Arts and Humanities (miscellaneous)

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