Barriers to assessment and treatment of posttraumatic stress disorder and other trauma-related problems in people with severe mental illness: Clinician perspectives

被引:60
作者
Salyers, MP
Evans, LJ
Bond, GR
Meyer, PS
机构
[1] Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46202 USA
[2] Louisiana State Univ, Ctr Hlth Sci, Dept Publ Hlth & Prevent Med, Baton Rouge, LA 70803 USA
关键词
PTSD; trauma; barriers; training;
D O I
10.1023/B:COMH.0000015215.45696.5f
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We conducted a state-wide survey of 251 clinicians serving people with severe mental illness (SMI) in community support programs, to identify barriers to the diagnosis and treatment of PTSD and other trauma-related problems. Most clinicians did not feel competent to effectively treat these problems. Competence/confidence and belief in utility of intervention were positively related to the percentage of clients with whom trauma and PTSD had been discussed, documented in charts, and addressed directly in treatment. Clinicians need training that develops skills and knowledge as well as conveys the value of addressing PTSD and other trauma-related problems in people with SMI.
引用
收藏
页码:17 / 31
页数:15
相关论文
共 28 条
  • [11] Physical and sexual assault history in women with serious mental illness: Prevalence, correlates, treatment, and future research directions
    Goodman, LA
    Rosenberg, SD
    Mueser, KT
    Drake, RE
    [J]. SCHIZOPHRENIA BULLETIN, 1997, 23 (04) : 685 - 696
  • [12] The relationship between violence dimensions and symptom severity among homeless, mentally ill women
    Goodman, LA
    Dutton, MA
    Harris, M
    [J]. JOURNAL OF TRAUMATIC STRESS, 1997, 10 (01) : 51 - 70
  • [13] Recent victimization in women and men with severe mental illness: Prevalence and correlates
    Goodman, LA
    Salyers, MP
    Mueser, KT
    Rosenberg, SD
    Swartz, M
    Essock, SM
    Osher, FC
    Butterfield, MI
    Swanson, J
    [J]. JOURNAL OF TRAUMATIC STRESS, 2001, 14 (04) : 615 - 632
  • [14] Hidalgo RB, 2000, J CLIN PSYCHIAT, V61, P5
  • [15] A METAANALYSIS OF THE RELATIONSHIP OF CHILD SEXUAL ABUSE TO ADULT PSYCHOLOGICAL ADJUSTMENT
    JUMPER, SA
    [J]. CHILD ABUSE & NEGLECT, 1995, 19 (06) : 715 - 728
  • [16] POSTTRAUMATIC-STRESS-DISORDER IN THE NATIONAL COMORBIDITY SURVEY
    KESSLER, RC
    SONNEGA, A
    BROMET, E
    HUGHES, M
    NELSON, CB
    [J]. ARCHIVES OF GENERAL PSYCHIATRY, 1995, 52 (12) : 1048 - 1060
  • [17] Trauma and posttraumatic stress disorder in severe mental illness
    Mueser, KT
    Goodman, LB
    Trumbetta, SL
    Rosenberg, SD
    Osher, FC
    Vidaver, R
    Auciello, P
    Foy, DW
    [J]. JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1998, 66 (03) : 493 - 499
  • [18] Trauma, PTSD, and the course of severe mental illness: an interactive model
    Mueser, KT
    Rosenberg, SD
    Goodman, LA
    Trumbetta, SL
    [J]. SCHIZOPHRENIA RESEARCH, 2002, 53 (1-2) : 123 - 143
  • [19] Psychometric evaluation of trauma and posttraumatic stress disorder assessments in persons with severe mental illness
    Mueser, KT
    Rosenberg, SD
    Fox, L
    Salyers, MP
    Ford, JD
    Carty, P
    [J]. PSYCHOLOGICAL ASSESSMENT, 2001, 13 (01) : 110 - 117
  • [20] Najavits LM, 1997, AM J ADDICTION, V6, P273