Barriers to assessment and treatment of posttraumatic stress disorder and other trauma-related problems in people with severe mental illness: Clinician perspectives
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作者:
Salyers, MP
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机构:Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46202 USA
Salyers, MP
Evans, LJ
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机构:Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46202 USA
Evans, LJ
Bond, GR
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机构:Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46202 USA
Bond, GR
Meyer, PS
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机构:Indiana Univ Purdue Univ, Dept Psychol, Indianapolis, IN 46202 USA
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
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.