دورية أكاديمية
Factors Associated With Increased Substance Use Disorder Care in VA PTSD Specialty Outpatient Treatment.
| العنوان: | Factors Associated With Increased Substance Use Disorder Care in VA PTSD Specialty Outpatient Treatment. |
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| المؤلفون: | Tiet QQ; California School of Professional Psychology, Alliant International University, San Francisco Bay Area, CA, USA.; National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA., Davis L; Kaiser Permanente Rancho Cordova Medical Center, Rancho Cordova, CA, USA., Rosen C; National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA.; Stanford University School of Medicine, Stanford, CA, USA., Norman SB; National Center for PTSD, White River Junction, VT, USA.; University of California San Diego School of Medicine, San Diego, CA, USA., Leyva YE; National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA, USA., Duong H; Kaiser Permanente San Leandro Medical Center, San Leandro, CA, USA. |
| المصدر: | Journal of dual diagnosis [J Dual Diagn] 2024 Jul-Sep; Vol. 20 (3), pp. 223-235. Date of Electronic Publication: 2024 May 06. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Haworth Medical Press Country of Publication: United States NLM ID: 101197457 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-4271 (Electronic) Linking ISSN: 15504271 NLM ISO Abbreviation: J Dual Diagn Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Binghamton, NY : Haworth Medical Press, c2004- |
| مواضيع طبية MeSH: | Stress Disorders, Post-Traumatic*/therapy , Stress Disorders, Post-Traumatic*/epidemiology , Substance-Related Disorders*/therapy , Substance-Related Disorders*/epidemiology , United States Department of Veterans Affairs*/statistics & numerical data , Ambulatory Care*/statistics & numerical data, Humans ; United States/epidemiology ; Veterans/statistics & numerical data ; Diagnosis, Dual (Psychiatry) ; Ambulatory Care Facilities/statistics & numerical data ; Health Services Accessibility/statistics & numerical data |
| مستخلص: | Objective: Substance use disorders (SUDs) commonly co-occur with posttraumatic stress disorder (PTSD). Understanding PTSD clinics that serve higher percentages of patients with PTSD/SUD is crucial for improving SUD care in clinics with lower percentages of such patients. This study examined the differences between Veterans Affairs (VA) PTSD treatment sites with higher percentages ("High%") and lower percentages ("Low%") of patients with PTSD/SUD as well as exploring the roles of the PTSD/SUD specialists. Methods: The study collected quantitative and qualitative data from 18 clinic directors and 21 specialists from 33 VA PTSD specialty outpatient clinics from 2014 to 2016. The clinics were chosen from the top and bottom quartiles based on two criteria: (1) the percentage of patients with PTSD/SUD and (2) the percentage of patients with PTSD/SUD who completed at least three SUD visits within the first month of their SUD treatment. The interviews sought to identify distinguishing characteristics between the High% and Low% clinics in terms of treatment access and practices for patients with PTSD/SUD. Results: More of the High% clinics reported providing evidence-based, patient-centered, and integrated/concurrent PTSD/SUD treatment and had staff members with more up-to-date knowledge and skills than the Low% clinics. We also found the roles of the PTSD/SUD specialists were demanding and confusing, leading to high turnover rates. Conclusions: The two groups of PTSD clinics differed in three key factors: Resources, knowledge and skills of staff members, and local policies. Future research should focus on addressing resource limitations, knowledge gaps, and local policy disparities in Low% clinics. By emulating the practices of High% clinics, VA PTSD clinics can improve SUD care for patients with PTSD/SUD. |
| فهرسة مساهمة: | Keywords: PTSD; comorbidity; qualitative study; quality improvement; substance use disorder; treatment; veterans |
| تواريخ الأحداث: | Date Created: 20240506 Date Completed: 20240627 Latest Revision: 20240627 |
| رمز التحديث: | 20240627 |
| DOI: | 10.1080/15504263.2024.2348105 |
| PMID: | 38710212 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1550-4271 |
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| DOI: | 10.1080/15504263.2024.2348105 |