supporting providers treating veterans with ptsd: national … presentat… · 26 ptsd coach •...
TRANSCRIPT
Supporting Providers Treating Veterans with PTSD: National Center for PTSD Consultation Program and Resources
Elissa McCarthy, PhD
PTSD Consultation Program
National Center for PTSD
860-462-9260
September 15, 2017
1. Overview of PTSD Consultation Program
2. Resources
• For Veterans
• For family members
• For Providers
3. Questions
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Agenda
Divisions of the National Center for PTSD
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Not all Veterans get their healthcare in VA
Busy? Overwhelmed?
Questions about PTSD?
Can’t find what you’re
looking for?
We can help!
(866) 948-7880
www.ptsd.va.gov/consult
PTSD Consultation Program for providers who treat Veterans
About the Consultants
Experienced senior psychologists, psychiatrists, social workers, pharmacists, and other
health professionals who treat Veterans with PTSD
Available to consult on everything from your toughest cases to general PTSD questions
Ask about:
Evidence-based treatment
Medications
Clinical management
Resources
Assessment
Referrals
Collaborating with VA on Veterans’ care
Developing a PTSD treatment program
Available Resources - www.ptsd.va.gov/consult
Free continuing education
Videos, educational
handouts, and manuals
PTSD-related publications
PTSD and trauma assessment and screening tools
Mobile apps, and more
WWW.PTSD.VA.GOV
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All resources are free and publicly available.
Unless otherwise noted, you
can find them at www.ptsd.va.gov.
Resources for Veterans
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• Crisis help • Videos • PTSD Treatment Decision Aid • Phone apps • Print materials
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Veterans Crisis Line
800-273-8255 (then press 1) or send a text message to 838255
24 HOURS A DAY, 7 DAYS A WEEK
Make the Connection
Animated Whiteboard Videos
• Series of animated “whiteboard” videos that explain PTSD and treatment options.
• Short (~3 minute), engaging videos that are easily shared via email or Facebook.
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www.ptsd.va.gov/public/materials/videos/index.asp
A new online tool to help patients
learn about and compare
evidence-based PTSD treatments
www.ptsd.va.gov/decisionaid
Example
personalized
summary
PTSD Treatment Decision Aid: www.ptsd.va.gov/decisionaid
Clinician’s User Guide: www.ptsd.va.gov/apps/decisionaid/resources/
PTSDDecisionAid_providerguide.pdf
Printable flyers/handouts: www.ptsd.va.gov/professional/treatment/pdf/
decisionaid_flyer.pdf
https://www.ptsd.va.gov/professional/treatme
nt/pdf/decisionaid_rackcard.pdf
Mobile Apps
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• NCPTSD has partnered with a number of organizations to develop a variety of mobile apps.
• Apps are focused on PTSD, related health problems (e.g., insomnia, alcohol use, etc.), or general well-being.
• There are apps for patients, providers, and for use with patient-provider dyads.
www.ptsd.va.gov/public/materials/apps/index.asp
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PTSD Coach
• PTSD Coach mobile app – more than 275,000 downloads in 98 countries.
• App provides: – Education about PTSD and PTSD
treatment – A self-assessment tool – Portable skills to address acute
symptoms – Direct connection to crisis support
• Used as stand-alone education and symptom management tool, or with face-to-face care.
• Tools are easily accessible when they are needed most.
www.ptsd.va.gov/public/materials/apps/PTSDCoach.asp
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PTSD Coach Online
• PTSD Coach Online offers an expanded suite of 17 tools to help manage symptoms (e.g., problem solving, challenging cognitions).
• Users can choose a tool based upon a current problem or a full list of tools.
• Video instructions from “coaches” are available for each tool.
www.ptsd.va.gov/apps/ptsdcoachonline/default.htm
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PTSD Basics
• Understanding PTSD and PTSD Treatment is a 16-page booklet that explains basic information about:
– What is PTSD?
– What can cause PTSD?
– What are the symptoms of PTSD?
– What do I do if I have symptoms?
– How do I know if I have PTSD?
– Why get treatment for PTSD?
– Common questions about treatment
– What happens during PTSD treatment?
– How do I choose a mental health provider?
– Where can I go to get help? www.ptsd.va.gov/public/understanding_ptsd/booklet.pdf
Resources for Family Members
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• Phone app • Coaching into Care • Website
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PTSD Family Coach (Phone App)
• PTSD Family Coach is for family members of those living with PTSD.
• App provides: – Education about PTSD and self-care – Information to help take care of
your relationship and children – Resources to help a loved one get
treatment for PTSD – Tools to manage stress and build
social networks – Tracking for stress level over time
www.ptsd.va.gov/public/materials/apps/PTSDFamilyCoach.asp
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Coaching into Care
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Information about Supporting Those in Treatment
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Online Information
www.ptsd.va.gov/public/family/index.asp
More resources online: • PTSD Treatment for Couples • Resources for Children • New resources coming soon
o Whiteboard video: Caring for Someone with PTSD
o Whiteboard video: Self-care When Someone You Love Has PTSD
o “Understanding” booklet for family
Resources for Providers
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• Continuing education • Assessment tools • Toolkits • Publications • Database • Consultation Program
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Continuing Education Courses
• Over 50 hours of web-based courses for professionals.
• All courses are free.
• Most offer continuing education for multiple disciplines.
Available to Anyone For VA Staff
www.ptsd.va.gov/professional/continuing_ed/index.asp
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PTSD Assessment
• We provide information on a variety of assessment tools for trauma and PTSD.
• We also offer online courses about best practices.
• Most NCPTSD authored measures are available for direct download by qualified mental health professionals on our website.
CAPS-5 training
This course provides instruction on administration and scoring of the CAPS-5.
• Interactive
• Includes video of experts conducting assessments, providing tips and sharing advanced interview skills
https://www.ptsd.va.gov/professional/continuing_ed/caps5_clinician_training.asp
Managing Anger: A Treatment for those with PTSD
• Barbara Niles, PhD; Leslie Morland, PhD; Alex MacDonald, PhD; Patricia Watson, PhD
• Learn how to provide anger management group treatment for those who have PTSD
• Consists of 12 modules covering the strategies used in each session of group treatment.
– Objectives:
1. Prepare providers to administer a 12-session anger management group treatment.
2. Review examples, expert tips, and supporting materials for the most effective administration of anger management group principles and goals.
3. Develop provider skills to help those with PTSD learn more effective ways to manage anger.
VetChange (www.vetchange.org)
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• VetChange is a self-management program designed for Veterans and active duty Servicemembers who are concerned about their drinking.
• This tool helps users learn skills to manage drinking and other problems that can happen after deployment (e.g., PTSD symptoms, anger, trouble sleeping).
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Toolkits
Special sections of our website containing information and resources collected together with particular groups and professions in mind.
Community Provider Clergy Campus
Veterans Employment Police Officer Provider Self-Care
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PILOTS Database
• The Published International Literature on Traumatic Stress (PILOTS) Database is an electronic index to the worldwide literature on trauma and PTSD.
• Currently, PILOTS has close to 55,000 searchable citations (e.g., articles, book chapters, dissertations).
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Trauma and PTSD: Stay Up-To-Date
• Summaries of the most current research, news and resources on trauma and PTSD delivered to your inbox
• All of our publications are free e-subscriptions
www.ptsd.va.gov/about/subscribe.asp
PTSD Consultation Program Lecture Series
• Monthly one-hour webinar for providers
• Free continuing education credits
• Register and sign up for notifications at www.ptsd.va.gov/consult
UPCOMING TOPICS HAVE INCLUDED
September 20, 2017
The 2017 Revised Clinical Practice Guideline for PTSD: Recommendations for Psychotherapy
Jessica Hamblen, PhD
October 18, 2017 The 2017 Revised Clinical Practice Guideline for PTSD: Recommendations for Medications
Matthew Friedman, MD, PhD
November 15, 2017
The 2017 Revised Clinical Practice Guideline for PTSD: Why it matters for Primary Care Providers and What Resources are Available
Andrew Pomerantz, MD and Nancy Bernardy, PhD
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Learning about Military Culture
NCPTSD: VA Community Provider
Toolkit
•Military Culture Competence
•Military Culture resources
Center for Deployment Psychology
•15 things you want to know
• Invisible wound of war
•DoD overview
•Military laws and regulation
•Office vs enlisted
• Service Branch
•Etc.
PsychArmor: Military Culture School for
Everyone
•Patricia Watson, PhD PTSD 101: Military Culture and PTSD
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Cognitive Processing Therapy Manual: Resick, Monson & Chard, 2017. https://cptforptsd.com/
Education
• National Center for PTSD (NCPTSD) has many educational products and resources related to PTSD treatment (www.ptsd.va.gov)
• Education on Cognitive Processing Therapy: http://www.ptsd.va.gov/public/treatment/therapy-med/cognitive_processing_therapy.asp
• PTSD 101 : Treatment Interventions: Cognitive Processing Therapy:
http://www.ptsd.va.gov/professional/continuing_ed/cpt.asp
• CPT coach: free mobile App:
http://www.ptsd.va.gov/public/materials/apps/cpt_mobileapp_public.asp
• Medical University of South Carolina (MUSC) CPTWeb: https://cpt.musc.edu/
Training
• Center for Deployment Psychology (CDP): http://deploymentpsych.org/content/serving-our-veterans-behavioral-health-certificate-program
– They offer on-line (via second life) and in-person trainings
– There is a 75-minute overview course on CPT: http://deploymentpsych.org/online-courses/cpt
– CDP also has post-training consultation
• Star Behavioral Health
– Trains providers in various states. You can also contact the states closest to you and see how they can assist you with options that may be available to you. http://www.starproviders.org/
• PsychArmor
– http://psycharmor.org/healthcare-providers/
– Learning path is only available to designated choice network providers through TriWest Healthcare Alliance and VA providers
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Prolonged Exposure Manual: Foa, Hembree & Rothbaum, 2007
Education
• National Center for PTSD (NCPTSD) has many educational products and resources related to PTSD treatment (www.ptsd.va.gov)
• Education on Prolonged Exposure: http://www.ptsd.va.gov/public/treatment/therapy-med/prolonged-exposure-therapy.asp
• PTSD 101 : Treatment Interventions: Prolonged Exposure http://www.ptsd.va.gov/professional/continuing_ed/prolonged_exposure.asp
• PE coach: free mobile App: http://www.ptsd.va.gov/professional/materials/apps/pe_coach_mobile_app.asp
• Medical University of South Carolina (MUSC) PEWeb: http://pe.musc.edu/
Training
• University of Pennsylvania: Center for the Treatment and Study of Anxiety
– http://www.med.upenn.edu/ctsa/workshops_ptsd.html?4
• Center for Deployment Psychology (CDP):
– http://deploymentpsych.org/content/serving-our-veterans-behavioral-health-certificate-program
– They offer on-line (via second life) and in-person trainings
– There is a 75-minute overview course on PE
– CDP also has post-training consultation
• Star Behavioral Health
– Trains providers in various states. You can also contact the states closest to you and see how they can assist you with options that may be available to you. http://www.starproviders.org/
• PsychArmor
– http://psycharmor.org/healthcare-providers/
– Learning path is only available to designated choice network providers through TriWest Healthcare Alliance and VA providers
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EMDR Manual: Shapiro, 2011; new edition coming 12/26/2017
Education
• National Center for PTSD (NCPTSD) has many educational products and resources related to PTSD treatment (www.ptsd.va.gov)
• Education on EMDR https://www.ptsd.va.gov/public/treatment/therapy-med/emdr-for-ptsd.asp
• PTSD 101 : Eye Movement Desensitization and Reprocessing (EMDR) & Stress Inoculation Training (SIT).* Please note this class was done in 2012, which is before the updated VA/DoD Clinical Practice Guidelines were released in 2017.= https://www.ptsd.va.gov/professional/continuing_ed/emdr.asp
Training
• EMDR Institute
– http://www.emdr.com/
• EMDR International Association http://www.emdria.org/
– Provides training, workshops and webinars in the United States to licensed mental health processionals
• EMDR Humanitarian Assistance Programs https://www.emdrhap.org/content/
– This U.S.-based organization provides low-cost and pr bono trainings for non-profit organizations and treatment
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Questions?
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We are available any time to answer your
questions about Veterans and PTSD
[email protected] or 866-948-7880
www.ptsd.va.gov/consult