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Journal of Clinical Psychology in Medical Settings

Erschienen in:

11.02.2020 | Psychotherapy

Comparisons Between Patients Diagnosed with PTSD in Primary Care Versus Mental Health Care in Five Large Civilian Health Care Systems

verfasst von: Joan M. Cook, John E. Zeber, Vanessa Simiola, Rebecca Rossom, Jeffrey F. Scherrer, Ashli A. Owen-Smith, Brian K. Ahmedani, Kiumars Zolfaghari, Laurel A. Copeland

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 2/2021

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Abstract

Posttraumatic stress disorder (PTSD) is a serious mental health disorder that may not be adequately detected or treated in primary care (PC). The purpose of this study was to compare the clinical characteristics and health care utilization of PTSD patients diagnosed in PC versus in specialty mental health care (MHC) across five large, civilian, not-for-profit healthcare systems. Electronic claims and medical record data on patients treated during 2014 were analyzed. Treatment was considered in terms of initiation and dose (i.e., psychotherapy sessions; pharmacotherapy—prescription psychotropics). Of 5256 patients aged 15–88 with a diagnosis of PTSD, 84.4% were diagnosed by a MHC provider. Patients diagnosed by MHC providers had 4 times the rate of and more enduring psychotherapy than those diagnosed by PC providers. Receipt of psychotropics varied by provider type, with generally higher prescription fill levels for patients in MHC. Strategies to better align patient needs with access and treatment modality in PC settings are needed.

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Titel: Comparisons Between Patients Diagnosed with PTSD in Primary Care Versus Mental Health Care in Five Large Civilian Health Care Systems
verfasst von: Joan M. Cook
John E. Zeber
Vanessa Simiola
Rebecca Rossom
Jeffrey F. Scherrer
Ashli A. Owen-Smith
Brian K. Ahmedani
Kiumars Zolfaghari
Laurel A. Copeland
Publikationsdatum: 11.02.2020
Verlag: Springer US
Schlagwörter: Psychotherapy
Care
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 2/2021
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-020-09706-8

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