scholarly journals Assessing Receptivity to Empirically Supported Treatments in Rape Crisis Centers

2017 ◽  
Vol 18 (2) ◽  
pp. 611-629 ◽  
Author(s):  
Tonya Elaine Edmond ◽  
Rachel Voth Schrag
Keyword(s):  
Cognitive Processing ◽  
Service Sector ◽  
Prolonged Exposure ◽  
Cognitive Processing Therapy ◽  
Dissemination And Implementation ◽  
Trauma Symptoms ◽  
Empirically Supported Treatments ◽  
Empirically Supported ◽  
Rape Crisis Center ◽  
Rape Crisis

Survivors of sexual violence are at risk for PTSD, depression, and anxiety. There are several empirically supported treatments (EST) that are effective for addressing these trauma symptoms; however, uptake of these ESTs among Rape Crisis Center (RCC) counselors is low. This research project sought to determine counselors’ attitudes toward evidence-based practices (EBPs); their perceptions of the intervention characteristics of three specific ESTs: Prolonged Exposure (PE), Cognitive Processing Therapy (CPT) and Eye Movement Desensitization and Reprocessing Therapy; and differences in attitudes and perceptions based on agency setting (urban/rural) and counselor education. The Consolidated Framework for Advancing Implementation Science (CFIR) was used to construct a web-based survey to send to all RCCs in Texas (n=83) resulting in an overall agency response rate of 72% (n=60) and responses from 76 counselors. Counselors’ attitudes towards EBP and perspectives on specific ESTs suggest that dissemination and implementation efforts are needed within the RCC service sector to advance the uptake of CPT, EMDR and PE.

Cognitive behavioral treatments for posttraumatic stress disorder: Empirical foundation and new directions

CNS Spectrums ◽  
2013 ◽  
Vol 18 (2) ◽  
pp. 73-81 ◽  
Author(s):  
Ellen M. Koucky ◽  
Benjamin D. Dickstein ◽  
Kathleen M. Chard
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Cognitive Processing ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Cognitive Processing Therapy ◽  
Empirically Supported ◽  
Behavioral Treatments

Cognitive-behavioral therapy (CBT) is currently the most empirically supported intervention for posttraumatic stress disorder (PTSD) and includes both specific manualized treatments (e.g., cognitive processing therapy, prolonged exposure) and less standardized applications. As CBT for PTSD has become increasingly popular, more advanced questions have emerged regarding its use, including how existing treatments might be enhanced. In the current review, we aimed to discover recent trends in the CBT for PTSD literature by applying rigorous search criteria to peer-reviewed articles published from 2009 to 2012. Results of the 14 studies that were identified are discussed, and future directions for research are suggested.

Dissemination and Implementation of Evidence-Based Interventions for Adults with PTSD

2020 ◽  
Author(s):  
Heidi La Bash ◽  
Shannon Wiltsey Stirman
Keyword(s):  
Cognitive Processing ◽  
Cultural Context ◽  
Prolonged Exposure ◽  
Empirical Support ◽  
The Body ◽  
Cognitive Processing Therapy ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Initial Stage ◽  
Active Implementation

This chapter reviews current efforts to disseminate and implement evidence-based interventions (EBIs) for adult posttraumatic stress disorder (PTSD), like cognitive processing therapy and prolonged exposure. As the body of empirical support for EBIs has been amassed and best practices identified, concerted efforts are being made to integrate EBIs for PTSD into behavioral health organizations. However, implementation is a complex, multi-faceted process, with a range of factors that can benefit or hinder efforts to diffuse an innovation. Working through each stage of implementation, these factors are reviewed from the initial stage of a needs assessment, through the preparation, active implementation, and finally sustained delivery stages. Factors discussed include those related to the broader sociopolitical and cultural context, the organization, the individuals providing and receiving treatment, as well as those specific to the characteristics of the intervention. Strategies to address these barriers and to amplify the effects of factors that facilitate implementation are also discussed. Finally, the chapter discusses future directions and remaining pressing issues for the field.

Introduction and Overview

2021 ◽  
pp. 1-16
Author(s):  
Frederic N. Busch ◽  
Barbara L. Milrod ◽  
Cory K. Chen ◽  
Meriamne B. Singer
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Cognitive Processing ◽  
Prolonged Exposure ◽  
Psychodynamic Therapy ◽  
Veterans Administration ◽  
Cognitive Processing Therapy ◽  
Persistent Symptoms ◽  
Prolonged Exposure Therapy ◽  
Trauma Processing ◽  
Multiple Traumas

This chapter provides an introduction to efficacious treatments for posttraumatic stress disorder (PTSD). Despite efficacy of these treatments, many patients do not respond to them or experience persistent symptoms. Efficacious psychotherapies for PTSD used at the Veterans Administration (VA), including prolonged exposure therapy and cognitive processing therapy, are described. While these treatments can be helpful, many patients are avoidant of trauma processing and homework. Furthermore, both treatments tend to focus on one central trauma, to which exposure exercises are targeted, whereas most Veterans experience multiple traumas. An overview of the development and framework of trauma-focused psychodynamic psychotherapy (TFPP), a PTSD-symptom focused brief psychodynamic therapy, is presented. A brief background of psychoanalytic and psychodynamic literature and thinking about trauma is provided to further frame the place of TFPP

Empirically Supported Psychological Treatments: Cognitive Processing Therapy

2012 ◽  
pp. 438-448
Author(s):  
Kathleen M. Chard ◽  
Jennifer Schuster Wachen ◽  
Patricia A. Resick
Keyword(s):  
Mental Health ◽  
Cognitive Processing ◽  
Treatment Effectiveness ◽  
Future Research ◽  
Cognitive Processing Therapy ◽  
Institute Of Medicine ◽  
Psychological Treatments ◽  
Empirically Supported ◽  
Health Related ◽  
Underlying Mechanisms

Cognitive Processing Therapy (CPT) has been recognized by the Institute of Medicine (2007) as one of the most effective treatments for PTSD. This chapter provides a brief overview of the CPT session content, the underlying mechanisms of the therapy, a review of the empirically based literature outlining the treatment effectiveness, limitations of the therapy, and areas of future research. In addition, the authors discuss the utility of the various versions of CPT, including cognitive only (CPT-C), group, individual, and combination. Further the research supporting the effectiveness of CPT for treating PTSD related to a variety of traumas, (e.g., combat, child abuse, and rape) and the significant impact CPT can have in areas of mental health related to PTSD (e.g., anger, guilt, social functioning) are described.

Which patients initiate cognitive processing therapy and prolonged exposure in department of veterans affairs PTSD clinics?

2019 ◽  
Vol 62 ◽  
pp. 53-60 ◽  
Author(s):  
Craig S. Rosen ◽  
Nancy C. Bernardy ◽  
Kathleen M. Chard ◽  
Barbara Clothier ◽  
Joan M. Cook ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Prolonged Exposure ◽  
Veterans Affairs ◽  
Cognitive Processing Therapy ◽  
Department Of Veterans Affairs

Comparing PTSD treatment retention among survivors of military sexual trauma utilizing clinical video technology and in-person approaches

2019 ◽  
Vol 26 (7-8) ◽  
pp. 443-451 ◽  
Author(s):  
Lisa M Valentine ◽  
Shannon D Donofry ◽  
Rachel B Broman ◽  
Erin R Smith ◽  
Sheila AM Rauch ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Sexual Trauma ◽  
Prolonged Exposure ◽  
Cognitive Processing Therapy ◽  
Military Sexual Trauma ◽  
Health Administration ◽  
Video Technology ◽  
Post Traumatic Stress ◽  
Ptsd Treatment ◽  
Delivery Format

Introduction Interventions such as Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) have demonstrated efficacy for the treatment of post-traumatic stress disorder (PTSD) following military sexual trauma (MST). However, MST survivors report a number of logistical and social barriers that impede treatment engagement. In an effort to address these barriers, the Veterans Health Administration offers remote delivery of services using clinical video technology (CVT). Evidence suggests PE and CPT can be delivered effectively via CVT. However, it is unclear whether rates of veteran retention in PTSD treatment for MST delivered remotely is comparable to in-person delivery in standard care. Methods Data were drawn from veterans ( N = 171, 18.1% CVT-enrolled) with PTSD following MST who were engaged in either PE or CPT delivered either via CVT or in person. Veterans chose their preferred treatment modality and delivery format in collaboration with providers. Data were analysed to evaluate full completion (FP) of the protocol and completion of a minimally adequate care (MAC) number of sessions. Results FP treatment completion rates did not differ significantly by treatment delivery format. When evaluating receipt of MAC care, CVT utilizers were significantly less likely to complete. Kaplan–Meier analyses of both survival periods detected significant differences in attrition speed, with the CVT group having higher per-session attrition earlier in treatment. Discussion Disengagement from CVT-delivered treatment generally coincided with early imaginal exposures and writing of trauma narratives. CVT providers may have to take special care to develop rapport and problem-solve anticipated barriers to completion to retain survivors in effective trauma-focused interventions.

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