Disseminating Evidence-Based Practices for Adults with PTSD and Severe Mental Illness in Public-Sector Mental Health Agencies

Autor/inn/en	Frueh, B. Christopher; Grubaugh, Anouk L.; Cusack, Karen J.; Elhai, Jon D.
Titel	Disseminating Evidence-Based Practices for Adults with PTSD and Severe Mental Illness in Public-Sector Mental Health Agencies
Quelle	In: Behavior Modification, 33 (2009) 1, S.66-81 (16 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-4455
DOI	10.1177/0145445508322619
Schlagwörter	Posttraumatic Stress Disorder; Mental Disorders; Mental Health; Accountability; Severe Disabilities; Adults; Symptoms (Individual Disorders); Health Services; Psychosis; Information Dissemination; Cognitive Restructuring; Behavior Modification; Counseling Techniques; Access to Health Care; Program Development; Supervision; Peer Evaluation; Clinics; South Carolina + Suchen Sie Ihr Suchwort? Mental illness; Geisteskrankheit; Psychohygiene; Verantwortung; Severe disability; Schwerbehinderung; Psychiatrische Symptomatik; Health service; Gesundheitsdienst; Gesundheitswesen; Psychose; Informationsverbreitung; Behaviour modification; Verhaltensänderung; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Programmplanung
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. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10