title: Implementation outcomes of military provider training in cognitive processing therapy and prolonged exposure therapy for post-traumatic stress disorder.
abstract: Between 2006 and 2012, the Department of Defense trained thousands of military mental health providers in the use of evidence-based treatments for post-traumatic stress disorder. Most providers were trained in multiday workshops that focused on the use of Cognitive Processing Therapy and Prolonged Exposure. This study is a follow-up evaluation of the implementation practices of 103 Air Force mental health providers. A survey was administered online to workshop participants; 34.2% of participants responded. Findings on treatment implementation with the providers indicated that a majority of respondents found the trainings valuable and were interested in using the treatments, yet they reported a lack of time in their clinic appointment structure to support their use. Insufficient supervision was also cited as a barrier to treatment use. Results suggest the need to improve strategies for implementing evidence-based practices with providers to enhance clinical outcomes in military settings.
authors.affiliation: Department of Psychiatry, The University of Texas Health Science Center at San Antonio, 7550 IH-10 West, Suite 1325, San Antonio, TX 78229, USA.
authors.forename: Elisa V
authors.initials: EV
authors.lastname: Borah
authors.forename: Edward C
authors.initials: EC
authors.lastname: Wright
authors.forename: D Allen
authors.initials: DA
authors.lastname: Donahue
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Cedillos
authors.forename: David S
authors.initials: DS
authors.lastname: Riggs
authors.forename: William C
authors.initials: WC
authors.lastname: Isler
authors.forename: Alan L
authors.initials: AL
authors.lastname: Peterson
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D015928:Cognitive Behavioral Therapy / Q000193:education; D019317:Evidence-Based Medicine; D006801:Humans; D007171:Implosive Therapy / Q000193:education; D008875:Middle Aged; D008889:Military Personnel; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D014481:United States