title: Treating Veterans and Military Families: Evidence Based Practices and Training Needs Among Community Clinicians.
abstract: Little is known about the capacity of community providers to provide military informed evidence based services for posttraumatic stress disorder (PTSD). We conducted a regional, web-based survey of 352 community mental health care providers that sought to identify clinical practices, training needs, and predictors of evidence based treatment (EBT) use for PTSD. Overall, 49 % of providers indicated they seldom or never use a validated PTSD screening instrument. Familiarity with EBTs, specifically prolonged exposure (PE; χ2(4) = 14.68, p < .01) and cognitive processing therapy (CPT; χ2(4) = 4.55, p < .05), differed by provider type. Of providers who received training in PE or CPT (N = 121), 75 % reported using treatment in their practice, which was associated with having received clinical supervision (χ2(1) = 20.16, p < .001). Widely disseminated trainings in empirically supported PTSD assessment and treatment, and implementation of case supervision in community settings are needed.
authors.affiliation: Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, 101 Merrimac Street, Boston, MA, 02114, USA. lrichards3@mgh.harvard.edu.|Harvard Medical School, Boston, MA, USA. lrichards3@mgh.harvard.edu.
authors.forename: Lauren K
authors.initials: LK
authors.lastname: Richards
authors.affiliation: Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, 101 Merrimac Street, Boston, MA, 02114, USA.|Harvard Medical School, Boston, MA, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Bui
authors.affiliation: Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, 101 Merrimac Street, Boston, MA, 02114, USA.|Harvard Medical School, Boston, MA, USA.
authors.forename: Meredith
authors.initials: M
authors.lastname: Charney
authors.affiliation: Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, 101 Merrimac Street, Boston, MA, 02114, USA.
authors.forename: Katherine Clair
authors.initials: KC
authors.lastname: Hayes
authors.affiliation: Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, 101 Merrimac Street, Boston, MA, 02114, USA.
authors.forename: Allison L
authors.initials: AL
authors.lastname: Baier
authors.affiliation: Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, 101 Merrimac Street, Boston, MA, 02114, USA.|Harvard Medical School, Boston, MA, USA.
authors.forename: Paula K
authors.initials: PK
authors.lastname: Rauch
authors.affiliation: Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, 101 Merrimac Street, Boston, MA, 02114, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Allard
authors.affiliation: Home Base, A Red Sox Foundation and Massachusetts General Hospital Program, 101 Merrimac Street, Boston, MA, 02114, USA.|Harvard Medical School, Boston, MA, USA.
authors.forename: Naomi M
authors.initials: NM
authors.lastname: Simon
mesh_terms: D003153:Community Health Services; D055317:Evidence-Based Practice; D006282:Health Personnel / Q000193:education*; D006801:Humans; D066067:Military Family / Q000523:psychology*; D009511:New England; D011795:Surveys and Questionnaires; D014481:United States; D014728:Veterans / Q000523:psychology*
keywords: Community provider; Dissemination; Evidence based treatment; Implementation