title: "Transcend": initial outcomes from a posttraumatic stress disorder/substance abuse treatment program.
abstract: This paper describes the development of a comprehensive treatment program for combat veterans diagnosed with posttraumatic stress disorder (PTSD) and substance abuse (SA). Outcome data are presented on 46 male patients who completed treatment between 1996 and 1998. The treatment approach, defined by a detailed manual, integrates elements of cognitive-behavioral skills training, constructivist theory approaches, SA relapse prevention strategies, and peer social support into a group-focused program. The Clinician-Administered PTSD Scale (CAPS) and the Addiction Severity Index (ASI) were used to assess treatment effectiveness at discharge and 6- and 12-month follow-up. Significant symptom changes revealed on CAPS and ASI scores at discharge and follow-up are analyzed. Discussion focuses on hypotheses regarding treatment effectiveness, study limitations, and suggestions for further research.
authors.affiliation: Louis Stokes Cleveland Veterans Affairs Medical Center, Ohio 44141, USA. beverly.donovan@med.va.gov
authors.forename: B
authors.initials: B
authors.lastname: Donovan
authors.forename: E
authors.initials: E
authors.lastname: Padin-Rivera
authors.forename: S
authors.initials: S
authors.lastname: Kowaliw
mesh_terms: D015897:Comorbidity; D003191:Comprehensive Health Care / Q000592:standards*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D015397:Program Evaluation; D013313:Stress Disorders, Post-Traumatic / Q000150:complications / Q000453:epidemiology / Q000534:rehabilitation*; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology / Q000534:rehabilitation*; D016896:Treatment Outcome; D014728:Veterans / Q000523:psychology*