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A survey of PTSD screening and referral practices in VA addiction treatment programs
(Une enquête sur le repérage et l'orientation thérapeutique proposée pour des troubles de stress post traumatique dans le cadre des programmes de traitement pour vétérans de l'armée)
Auteur(s) :
H. E. YOUNG ;
C. S. ROSEN ;
J. W. FINNEY
Article en page(s) :
p.313-319
Refs biblio. :
33
Domaine :
Plusieurs produits / Several products
Langue(s) :
Anglais
Thésaurus mots-clés
DEPISTAGE
;
STRESS
;
COMORBIDITE
;
PRISE EN CHARGE
;
ENQUETE
;
ARMEE
;
TRAUMATISME
Note générale :
Journal of Substance Abuse Treatment, 2005, 28, (4), 313-319, tabl. ; graph.
Résumé :
Veterans with posttraumatic stress disorder (PTSD) and substance use disorders (SUDS) demonstrate worse outcomes following treatment for SUDS than do veterans with SUDs only, and so PTSD treatment may enhance SUD outcomes for patients. A survey of current practice patterns in VA SUD treatment programs was undertaken to determine their concurrence with emerging practice guidelines for the assessment and treatment of SUD--PTSD comorbidity. Clinicians in outpatient SUD clinics and/or inpatient SUD programs were surveyed in six VA medical centers in 1999 and 2001 (respondents n = 57 and n = 39, respectively). Although one half to two thirds of clinicians working with SUD patients routinely screen for trauma exposure and PTSD, few assessments are systematically conducted using validated measures. Routine referrals to PTSD specialty and dual-diagnosis programs and to veterans' centers are made by between 35% and 60% of providers across inpatient and outpatient settings. Implications for improvement of clinical outcomes are discussed. (Editor's abstract.)
Affiliation :
National Center for PTSD, VA Palo Alto Health Care System, Menlo Park, CA 94025.
Etats-Unis. United States.
Etats-Unis. United States.
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