Cook Joan M, Dinnen Stephanie, Simiola Vanessa, Bernardy Nancy, Rosenheck Robert, Hoff Rani
Yale School of Medicine and National Center for PTSD, West Haven, Connecticut.
Yale School of Medicine.
Traumatology (Tallahass Fla). 2014;20(1):43-49. doi: 10.1037/h0099379.
Thirty-eight U.S. Department of Veterans Affairs's (VA) residential treatment programs for posttraumatic stress disorder took part in a formative evaluation of their programmatic services, including perceptions of effective treatment. From July 2008 through March 2011, face-to-face qualitative interviews were conducted with over 250 VA residential staff. A wide variety of perceived effective treatment elements were noted. The most frequently mentioned elements were evidence-based treatments, frequency and intensity of milieu, staff cohesion, varied programming, and individualized treatment. Implications for VA managers and policy-makers as well as non-VA health care systems and health care providers are discussed.
美国退伍军人事务部(VA)的38个创伤后应激障碍住院治疗项目参与了对其项目服务的形成性评估,包括对有效治疗的看法。从2008年7月到2011年3月,对250多名VA住院工作人员进行了面对面的定性访谈。记录了各种各样被认为有效的治疗要素。最常被提及的要素是循证治疗、环境的频率和强度、员工凝聚力、多样化的项目安排以及个性化治疗。文中还讨论了对VA管理人员和政策制定者以及非VA医疗系统和医疗服务提供者的启示。