Advances in PTSD Treatment Delivery: Review of Findings and Clinical Considerations for the Use of Telehealth Interventi
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PTSD (SK Creech and LM Sippel, Section Editors)
Advances in PTSD Treatment Delivery: Review of Findings and Clinical Considerations for the Use of Telehealth Interventions for PTSD Leslie A. Morland, Psy.D.1,2,3,* Stephanie Y. Wells, Ph.D.4,5 Lisa H. Glassman, Ph.D.1 Carolyn J. Greene, Ph.D.6,7 Julia E. Hoffman, Psy.D.8 Craig S. Rosen, Ph.D.9,10 Address *,1 VA San Diego Healthcare System, 3375 La Jolla Village Drive, San Diego, CA, USA Email: [email protected] 2 University of California, San Diego, San Diego, USA 3 Pacific Island Division, National Center for PTSD, Honolulu, HI, USA 4 Durham VA Health Care System, Durham, NC, USA 5 VISN 6 Mid-Atlantic MIRECC, Durham, NC, USA 6 Department of Veterans Affairs Healthcare System, Little Rock, AR, USA 7 University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA 8 Behavioral Health Strategy, Livongo Health, Inc, Silicon Valley, CA, USA 9 Dissemination & Training Division, National Center for PTSD, Palo Alto, CA, USA 10 Stanford University School of Medicine, Palo Alto, CA, USA
* This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2020
This article is part of the Topical Collection on PTSD Keywords PTSD I Telehealth I Technology I Videoconferencing
Abstract Purpose of review Effective treatments for posttraumatic stress disorder (PTSD) remain underutilized and individuals with PTSD often have difficulty accessing care. Telehealth, particularly clinical videoconferencing (CVT), can overcome barriers to treatment and increase access to care for individuals with PTSD. The purpose of this review is to summarize the literature on the delivery of PTSD treatments through office-based and
PTSD (SK Creech and LM Sippel, Section Editors) home-based videoconferencing, and outline areas for future research. Recent findings Evidence-based PTSD treatments delivered through office-based and home-based CVT have been studied in pilot studies, non-randomized trials, and randomized clinical trials. The studies have consistently demonstrated feasibility and acceptability of these modalities as well as significant reduction in PTSD symptoms, non-inferior outcomes, and comparable dropout rates when compared with traditional face-to-face office-based care. Finally, it has been shown that using CVT does not compromise the therapeutic process. Summary Office-based and home-based CVT can be used to deliver PTSD treatments while retaining efficacy and therapeutic process. The use of these modalities can increase the number of individuals that can access efficacious PTSD care.
Introduction Nearly 90% of American adults will experience a potentially traumatic event in their lives. And while not all trauma survivors will end up meeting the criteria for posttraumatic stress disorder (PTSD), we know that all will be impacted—at least temporarily—by the surprise, fear, helplessness, and horror that accompanies abnormal events like these. Those people who develop a chronic PTSD experience poorer quality of life, impai
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