期刊
JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE
卷 19, 期 -, 页码 57-63出版社
ELSEVIER
DOI: 10.1016/j.jcbs.2020.12.001
关键词
Veterans; Intensive outpatient program; Process-based cognitive behavioral therapy; Multi-disciplinary intervention; Post-traumatic stress disorder; Complex trauma
The program evaluation investigated the effectiveness of a 10-day, group-based recovery-oriented intensive outpatient program offered at a VA Psychosocial Rehabilitation and Recovery Center in South Texas. Results showed that a process-based cognitive-behavioral approach combined with interventions from other recovery-oriented disciplines can be effective in treating veterans with complex trauma histories who meet criteria for more than one psychiatric diagnosis, leading to a significant decrease in symptoms of depression, anxiety, and post-traumatic stress from pre- to post-treatment.
The purpose of this program evaluation was to investigate the effectiveness of a 10-day, group-based recovery-oriented intensive outpatient program (RIOP) offered at a VA Psychosocial Rehabilitation and Recovery Center in South Texas. The RIOP utilizes a multidisciplinary approach to treatment of veterans with acute mental health concerns, bridging cognitive-behavioral processes delivered in group format with other disciplinary approaches (e.g., recreation therapy, Chaplain services). The sample for this program evaluation consisted of 112 veterans who completed the RIOP during a twelve-month period. Ninety veterans (80.4%) had two or more recorded psychiatric diagnoses, and twenty-seven veterans had three or more recorded psychiatric diagnoses (24%). Eighty-five veterans were diagnosed with post-traumatic stress disorder (PTSD) or adjustment disorder (75.9%); seventy-two with major depressive disorder (64.3%); fifty-three (47.3%) with a borderline personality disorder and/or documented clinically significant cluster A or B personality traits; twenty-eight with an anxiety disorder (25%); twenty-one with a bipolar disorder (18.8%); and seven with a psychotic disorder (6.3%). Results indicated a statistically significant decrease in symptoms of depression, anxiety, and post-traumatic stress between pre- and post-treatment. Change in symptoms from baseline to post-treatment was not significantly correlated with age or number of psychiatric diagnoses. The results of the program evaluation suggest that a process-based cognitive-behavioral approach in combination with interventions from other recovery-oriented disciplines (delivered via group modality) can be an effective transdiagnostic treatment for veterans with complex trauma histories who meet criteria for more than one psychiatric diagnosis.
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