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A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs

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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.

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Acknowledgments

This project described was supported by Award Number RC1 MH088454 from the National Institute of Mental Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health or the National Institutes of Health.

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Authors and Affiliations

  1. Yale School of Medicine, NEPEC/182, 950 Campbell Avenue, West Haven, CT, 06516, USA

    Joan M. Cook & Stephanie Dinnen

  2. National Center for PTSD, White River Junction, VT, USA

    Josef Ruzek & Paula P. Schnurr

  3. University of Illinois at Chicago, Chicago, USA

    Richard Thompson

  4. University of Pennsylvania, Philadelphia, USA

    James C. Coyne

  5. Dartmouth Medical School, Hanover, USA

    Paula P. Schnurr

  6. National Center for PTSD, West Haven, CT, USA

    Joan M. Cook

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  1. Joan M. Cook
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  2. Stephanie Dinnen
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  3. Richard Thompson
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  4. Josef Ruzek
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  5. James C. Coyne
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  6. Paula P. Schnurr
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Correspondence to Joan M. Cook.

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Cook, J.M., Dinnen, S., Thompson, R. et al. A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs. Adm Policy Ment Health 42, 462–473 (2015). https://doi.org/10.1007/s10488-014-0590-0

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