John C Fortney, Suparna Rajan, Jessica A Chen, Sarah B Campbell, John P Nolan, Edwin Wong, George Sayre, Valentina Petrova, Carol E Simons, Heather S Reisinger, Paula P Schnurr
An effectiveness trial found that telemedicine collaborative care for posttraumatic stress disorder (PTSD) significantly increased engagement in trauma-focused psychotherapy (TFP) and improved PTSD symptoms. However, in a subsequent implementation trial, very few veterans enrolled in collaborative care initiated TFP. We conducted a mixed-methods evaluation to determine why veterans did not initiate TFP in the implementation trial. After conducting chart reviews of 1,071 veterans with PTSD enrolled in collaborative care, patients were categorized into four mutually exclusive TFP groups: TFP not discussed; TFP discussed, declined; TFP discussed, did not decline; and TFP initiated...
June 27, 2023: Journal of Traumatic Stress