Improving PTSD/substance abuse treatment in the VA: a survey of providers.
We surveyed 205 Veterans Affairs (VA) staff on treatment of posttraumatic stress disorder (PTSD), substance use disorder (SUD), and the combination (PTSD/SUD). The survey was anonymous and VA-wide. PTSD/SUD was perceived as more difficult to treat than either disorder alone; gratification in the work was stronger than difficulty (for PTSD, SUD, and PTSD/SUD); and difficulty and gratification appeared separate constructs. Respondents endorsed views that represent expert treatment for the comorbidity; however, there was also endorsement of "myths." Thus, there is a need for more training, policy clarifications, service integration, and adaptations for veterans returning from Iraq and Afghanistan. Limitations are described.
Najavits
Lisa M
LM
VA Boston Healthcare System, Boston University School of Medicine, Boston, Massachusetts, USA. Lisa.Najavits@va.gov
Norman
Sonya B
SB
Kivlahan
Daniel
D
Kosten
Thomas R
TR
D001291:Attitude of Health Personnel; D003625:Data Collection; D017831:Diagnosis, Dual (Psychiatry); D006801:Humans; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D013313:Stress Disorders, Post-Traumatic / Q000150:complications / Q000628:therapy*; D019966:Substance-Related Disorders / Q000150:complications / Q000628:therapy*; D014481:United States; D014493:United States Department of Veterans Affairs