Rates and predictors of referral for individual psychotherapy, group psychotherapy, and medications among Iraq and Afghanistan veterans with PTSD.

This study examined rates of referral for medication, individual psychotherapy, and group psychotherapy within a Veterans Affairs (VA) posttraumatic stress disorder (PTSD) specialty mental health clinic. Participants were 388 Iraq and Afghanistan veterans who were referred for PTSD treatment followi...

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Published in:Journal of Behavioral Health Services & Research Vol. 41; no. 2; pp. 99 - 110
Main Authors: Mott, Juliette M, Barrera, Terri L, Hernandez, Caitlin, Graham, David P, Teng, Ellen J
Format: research Journal Article
Published: Springer Nature Apr2014
Online Access:View this record in EBSCOhost
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      dt: Apr2014
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      pub: Springer Nature
      place: New York, New York
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        atl: Rates and predictors of referral for individual psychotherapy, group psychotherapy, and medications among Iraq and Afghanistan veterans with PTSD.
      aug:
        au:
          Mott, Juliette M
          Barrera, Terri L
          Hernandez, Caitlin
          Graham, David P
          Teng, Ellen J
        affil: VA HSR&D Houston Center of Excellence, Houston, TX, USA, juliette.mott@va.gov.
      sug:
        subj:
          Antianxiety Agents Therapeutic Use
          Psychotherapy
          Psychotherapy, Group
          Referral and Consultation Statistics and Numerical Data
          Stress Disorders, Post-Traumatic Therapy
          Veterans Psychosocial Factors
          Adult
          Female
          Human
          Male
          Mental Health Services
          Middle Age
          Patient Attitudes
          Stress Disorders, Post-Traumatic Drug Therapy
          Stress Disorders, Post-Traumatic Psychosocial Factors
          United States
          United States Department of Veterans Affairs
          Young Adult
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: This study examined rates of referral for medication, individual psychotherapy, and group psychotherapy within a Veterans Affairs (VA) posttraumatic stress disorder (PTSD) specialty mental health clinic. Participants were 388 Iraq and Afghanistan veterans who were referred for PTSD treatment following a mental health evaluation required for all new VA enrollees. The majority of the sample was referred for medication (79 %), with comparatively fewer referrals for individual (39 %) or group psychotherapy (24 %). Forty percent of participants were referred for combined medication and psychotherapy. Patient demographic and clinical characteristics were examined to determine whether these variables predicted referral type. Female veterans and those with lower clinician ratings of overall functioning were more likely to be referred for individual therapy. Group psychotherapy referrals were more common in veterans who were older, unemployed, identified as an ethnic minority, and had a comorbid anxiety disorder. There were no significant predictors of medication referral.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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