Peer support in an outpatient program for veterans with posttraumatic stress disorder: Translating participant experiences into a recovery model.

2019 ◽  
Vol 16 (3) ◽  
pp. 415-424 ◽  
Author(s):  
Anusha Kumar ◽  
Kathryn J. Azevedo ◽  
Adam Factor ◽  
Elon Hailu ◽  
Jeremy Ramirez ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Peer Support ◽  
Stress Disorder ◽  
Recovery Model ◽  
Outpatient Program

scholarly journals Veterans' Perspectives on Benefits and Drawbacks of Peer Support for Posttraumatic Stress Disorder

2015 ◽  
Vol 180 (8) ◽  
pp. 851-856 ◽  
Author(s):  
Natalie E. Hundt ◽  
Andrew Robinson ◽  
Jennifer Arney ◽  
Melinda A. Stanley ◽  
Jeffrey A. Cully
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Peer Support ◽  
Stress Disorder

scholarly journals A Cross-sectional Study of Mental Health, Posttraumatic Stress Symptoms and Post Exposure Changes in Norwegian Ambulance Personnel

2021 ◽  
Author(s):  
Bjørn Ole Reid ◽  
Lars Eide Næss-Pleym ◽  
Karin Elvenes Bakkelund ◽  
Jostein Dale ◽  
Oddvar Uleberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Peer Support ◽  
Personal Growth ◽  
Stress Disorder ◽  
Posttraumatic Stress Symptoms ◽  
Ambulance Personnel ◽  
Cross Sectional ◽  
Stress Symptoms

Abstract Background Posttraumatic Stress Disorder (PTSD) has been shown to be elevated among first responders (Emergency Medical Services, fire service, police force) compared to the general population. Examining the prevalence of mental health issues in a work force with an elevated occupational risk is fundamental towards ensuring their wellbeing and implementing safeguard measures. The goal of this study is therefore to report the prevalence of depression, anxiety, posttraumatic development, and PTSD in Norwegian ambulance personnel. Methods This study is a cross-sectional, anonymous, web-based survey (Questback®), performed among operative personnel employed in the Emergency Medical Services in the Regional Health Trust of Central Norway between 18. February and 9. April 2021. The study was sent to 1052 eligible participants. Questions reported demographic data, a traumatic events exposure index, Patient Health Questionnaire-9 (Depression), Generalized Anxiety Disorder-7 scale, Posttraumatic symptom scale (PTSD) and Posttraumatic change scale. Results The response rate in this study was 45.5 % (n=479/1052). The mean age of respondents was 37.1 years (std. 11.1) and 52.8 % (n=253) were male. Of the respondents, 80.6% (n=386) were married or had a partner, and 91.6% (n=439) reported having access to a peer support programme, with 34.9% (n=167) reporting that they had utilized peer support. In this study, 5 % (n=24) showed a prevalence of manifest posttraumatic stress disorder symptoms, while 8.6 % (n=41) reported moderate to severe depression and 2.9 % (n=14) presented moderate to severe symptoms of general anxiety. Of the respondents, 77.2 % (n=370) reported personal growth because of their work experiences. Conclusions This study indicates that Norwegian ambulance personnel report a prevalence of posttraumatic stress symptoms and depression, which is slightly higher for men, and lower for the female proportion in this study, when compared to an adult Norwegian population. The vast majority of respondents reported personal growth because of their work experience, and both the degree of peer support and having a partner seem to influence levels of posttraumatic stress and -development.

scholarly journals Incorporating peer support during in vivo exposure to reverse dropout from prolonged exposure therapy for posttraumatic stress disorder: Clinical outcomes

2017 ◽  
Vol 52 (4-6) ◽  
pp. 366-380 ◽  
Author(s):  
Melba A Hernandez-Tejada ◽  
Stephanie Hamski ◽  
David Sánchez-Carracedo
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Peer Support ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Effective Means ◽  
Home Based ◽  
Prolonged Exposure Therapy ◽  
Evidence Based Treatments

Objective Prolonged exposure is characterized by reported dropout rates ranging from 25% to 40%. This premature attrition is also observed in other evidence-based treatments for posttraumatic stress disorder. While home-based telehealth delivery of prolonged exposure resolves logistical barriers to care such as travel time and cost, dropout appears unaffected. A previous study on dropouts from prolonged exposure delivered via telehealth found that Veterans, particularly those receiving care via telehealth, reported problems with in vivo exposure and that having a peer to offer support during in vivo exposure assignments might have prevented their attrition from treatment. Methods The present pilot study treatment was designed in a manner consistent with the aforementioned Veteran suggestions, specifically to involve peers offering verbal support and encouragement during in vivo exposure homework. Such a treatment modification might be particularly useful for those receiving care via telehealth, given increased difficulties with exposure reported when this treatment delivery modality is used. It was hypothesized that dropouts would agree to reengage in treatment with a peer and would subsequently evince improvement in posttraumatic stress disorder and depression scores as a result of this treatment reengagement. Results Of 82 dropouts from prolonged exposure, 29 reentered treatment when offered peer support during exposure (12 in telehealth and 17 in person). Conclusion Treatment reentry was effective insofar as indices of both posttraumatic stress disorder and depression were significantly reduced in both telehealth and in person groups, indicating that using peers in this way may be an effective means by which to return Veterans to care, and ultimately reduce symptomatology.

The effect of peer support groups on family adaptation from the perspective of wives of war veterans with posttraumatic stress disorder

2017 ◽  
Vol 34 (6) ◽  
pp. 547-554 ◽  
Author(s):  
Seyyed Abolfazl Vagharseyyedin ◽  
Mojtaba Gholami ◽  
Morteza Hajihoseini ◽  
Aliakbar Esmaeili
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Peer Support ◽  
Support Groups ◽  
Stress Disorder ◽  
Family Adaptation ◽  
War Veterans

Prolonged Exposure for PTSD in Intensive Outpatient Programs (PE-IOP)

2020 ◽  
Author(s):  
Sheila A.M. Rauch ◽  
Barbara Olasov Rothbaum ◽  
Erin R. Smith ◽  
Edna B. Foa
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Patient Population ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Traumatic Experiences ◽  
Model Of Care ◽  
Intrusive Memories ◽  
Outpatient Program ◽  
Intensive Outpatient

Trauma can leave a lasting impact on survivors. Some survivors are haunted by intrusive memories; avoid people, places, and situations related to the trauma; and feel constantly on edge due to posttraumatic stress disorder (PTSD) and related posttrauma reactions. Effective treatment can help survivors suffering with PTSD to process the trauma and no longer feel haunted by traumatic experiences from their past. Prolonged exposure (PE) therapy is a highly effective, flexible, individualized psychotherapy that reduces the symptoms of PTSD. PE is the most widely studied treatment for PTSD, with more than 100 studies showing its efficacy and effectiveness in PTSD and comorbid patient populations affected by single-incident and multiple-incident traumas of all types (e.g., combat, sexual assault, etc.). This manual presents a PE protocol for use in residential and massed programs to provide an innovative new model of care that provides excellent retention and transformational symptom outcomes. Providers are presented with the elements of the PE protocol along with all the logistics for how to provide PE in an intensive outpatient program. Variations and considerations for implementation are presented to allow providers designing programs to consider what best fits their patient population and setting. Patient and provider forms are included for use.

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