title: A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs.
abstract: This study examines the implementation of two evidence-based psychotherapies, Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT), in the Department of Veterans Affairs residential Posttraumatic Stress Disorder treatment programs. Two hundred and one providers from 38 programs completed an online survey concerning implementation of PE delivered on an individual basis and CPT delivered in individual and group formats. For PE, a supportive organizational context (dedicated time and resources, and incentives and mandates) and overall positive view of the treatment were related to its implementation. For both group and individual CPT, only the supportive organizational context was significantly associated with outcome. Implications for implementation efforts are discussed.
authors.affiliation: Yale School of Medicine, NEPEC/182, 950 Campbell Avenue, West Haven, CT, 06516, USA, joan.cook@yale.edu.
authors.forename: Joan M
authors.initials: JM
authors.lastname: Cook
authors.forename: Stephanie
authors.initials: S
authors.lastname: Dinnen
authors.forename: Richard
authors.initials: R
authors.lastname: Thompson
authors.forename: Josef
authors.initials: J
authors.lastname: Ruzek
authors.forename: James C
authors.initials: JC
authors.lastname: Coyne
authors.forename: Paula P
authors.initials: PP
authors.lastname: Schnurr
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D055317:Evidence-Based Practice; D005163:Factor Analysis, Statistical; D006801:Humans; D007171:Implosive Therapy / Q000379:methods*; D015279:Organizational Culture; D015397:Program Evaluation / Q000379:methods*; D012114:Residential Treatment / Q000458:organization & administration*; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration