Telephone Monitoring and Support After Discharge From Residential PTSD Treatment: A Randomized Controlled Trial

Psychiatric services (Washington, D.C.) (Impact Factor: 2.41). 11/2012; 64(1). DOI: 10.1176/
Source: PubMed


This study assessed whether adding a telephone care management protocol to usual aftercare improved the outcomes of veterans in the year after they were discharged from residential treatment for posttraumatic stress disorder (PTSD).

In a multisite randomized controlled trial, 837 veterans entering residential PTSD treatment were assigned to receive either standard outpatient aftercare (N=425) or standard aftercare plus biweekly telephone monitoring and support (N=412) for three months after discharge. Symptoms of PTSD and depression, violence, substance use, and quality of life were assessed by self-report questionnaires at intake, discharge, and four and 12 months postdischarge. Treatment utilization was determined from the Department of Veterans Affairs administrative data.

Telephone case monitors reached 355 participants (86%) by phone at least once and provided an average of 4.5 of the six calls planned. Participants in the telephone care and treatment-as-usual groups showed similar outcomes on all clinical measures. Time to rehospitalization did not differ by condition. In contrast with prior studies reporting poor treatment attendance among veterans, participants in both telephone monitoring and treatment as usual completed a mental health visit an average of once every ten days in the year after discharge. Many participants had continuing problems despite high utilization of outpatient care.

Telephone care management had little incremental value for patients who were already high utilizers of mental health services. Telephone care management could potentially be beneficial in settings where patients experience greater barriers to engaging with outpatient mental health care after discharge from inpatient treatment.

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Available from: Richard R Owen, Sep 08, 2015
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    • "Although follow-up care research represents a critical area of research, research to date has not been encouraging. For instance, telephone monitoring and support of veterans after discharge from a residential PTSD treatment program did not show improved mental or behavioral health outcomes compared to veterans who not receive follow-up care management (Rosen et al., 2013). In a recently completed review and meta-analysis of remission from PTSD without specific treatment, involving 42 studies with 81,642 participants, it was found that the remission rate was 51.7% 5 months following the trauma compared to 36.9% remission rate beyond 5 months after the trauma, indicating that early treatment is essential for improved prognosis (Morina, Wicherts, Lobbrecht, & Priebe, 2014). "
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