title: Unrecognized trauma and PTSD among public mental health consumers with chronic and severe mental illness.
abstract: Lifetime prevalence of traumatic events and current PTSD was assessed among 142 mental health consumers with serious mental illness served by a psychosocial rehabilitation day program. Lifetime exposure to trauma was high (87%). The rate of PTSD based on the PTSD Checklist (PCL) was also high (19-30% depending on different scoring criteria). Overall, the PCL had strong internal reliability for this sample. Documentation of trauma and PTSD was exceptionally low in medical records. Results suggest that trauma and PTSD are significantly overlooked in the public mental health system. Improved recognition of trauma and PTSD are needed in order to provide meaningful services to this highly vulnerable population.
authors.affiliation: Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Martin Luther King, Chapel Hill, NC 27599-7590, USA. kcusack@schsr.unc.edu
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Cusack
authors.forename: Anouk L
authors.initials: AL
authors.lastname: Grubaugh
authors.forename: Rebecca G
authors.initials: RG
authors.lastname: Knapp
authors.forename: B Christopher
authors.initials: BC
authors.lastname: Frueh
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003155:Community Mental Health Centers; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D001523:Mental Disorders; D008875:Middle Aged; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology*