Telephone Monitoring and Support For Veterans with Chronic Posttraumatic Stress Disorder: A Pilot Study

National Center for Posttraumatic Stress Disorder, Clinical Laboratory and Education Division, VA Palo Alto Health Care System, 3801 Miranda Ave., Palo Alto, CA 94304-1207, USA.
Community Mental Health Journal (Impact Factor: 1.03). 11/2006; 42(5):501-8. DOI: 10.1007/s10597-006-9047-6
Source: PubMed


Dropout from outpatient mental health treatment may contribute to high rates of relapse and rehospitalization among veterans with chronic posttraumatic stress disorder (PTSD). In a quasi-experimental cohort study, 87 male and 17 female veterans discharging from residential PTSD treatment received either standard referral to outpatient care (N = 77) or standard referrals supplemented by biweekly telephone calls (N = 27). Telephone monitoring and support was feasible and acceptable to 85% of clients. Compared to prior patient cohorts, clients receiving telephone support were twice as likely (88% vs. 43%) to complete an outpatient visit within 1 month of discharge and reported higher satisfaction with care.

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    • "Cell phones are now used by 90% of American adults [15], and one-third of SMs not willing to seek in-person counseling services report willingness to engage in technologybased services [16]. Telephone-based healthcare interventions often result in high satisfaction [16] [17] as well as efficacy [18] [19] [20] [21]. "
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    ABSTRACT: Military service members (SMs) and veterans who sustain mild traumatic brain injuries (mTBI) during combat deployments often have co-morbid conditions but are reluctant to seek out therapy in medical or mental health settings. Efficacious methods of intervention that are patient-centered and adaptable to a mobile and often difficult-to-reach population would be useful in improving quality of life. This article describes a new protocol developed as part of a randomized clinical trial of a telephone-mediated program for SMs with mTBI. The 12-session program combines problem solving training (PST) with embedded modules targeting depression, anxiety, insomnia, and headache. The rationale and development of this behavioral intervention for implementation with persons with multiple co-morbidities is described along with the proposed analysis of results. In particular, we provide details regarding the creation of a treatment that is manualized yet flexible enough to address a wide variety of problems and symptoms within a standard framework. The methods involved in enrolling and retaining an often hard-to-study population are also highlighted. Copyright © 2014 Elsevier Inc. All rights reserved.
    Contemporary Clinical Trials 11/2014; 40C:54-62. DOI:10.1016/j.cct.2014.11.001 · 1.94 Impact Factor
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    • "According to the British NICE clinical guideline it is recommended to use a brief screening instrument for PTSD routinely one month post-trauma [6]. In smaller populations affected by a disaster, telephone monitoring seems to be a viable approach for coming into contact with PTSD patients in order to encourage them to seek out treatment [7]. However, a routine screening could easily be stretched to its limits in terms of expert resources, costs and effort. "
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    Croatian Medical Journal 01/2009; 49(6):763-71. DOI:10.3325/cmj.2008.49.763 · 1.31 Impact Factor
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