ArticleFederal practitioner : for the health care professionals of the VA, DoD, and PHS2025
Process Improvement for Engaging With Trauma-Focused Evidence-Based Psychotherapy for PTSD.
Article in Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
9 authors.
Funding
Abstract
Background: Initiation rates of trauma-focused evidence-based psychotherapy (TF-EBP) for posttraumatic stress disorder (PTSD) remain low despite large-scale dissemination efforts in the US Department of Veterans Affairs (VA). Through semistructured qualitative interviews, this study examined veterans' recommendations for process improvement in engaging in TF-EBP and mental health care. Methods: A qualitative analysis was conducted as part of a larger mixed-methods study. Thirty veterans who recently initiated TF-EBP were recruited to complete a semistructured qualitative interview about their experience. Rapid qualitative analysis procedures were used to analyze all interview content and identify themes focused on veteran experiences relevant to process improvement in TF-EBP and mental health care. Results: Seven themes were identified: (1) veterans had a poor understanding of VA mental health care; (2) stigma remains a barrier to engaging in mental health treatment; (3) veterans emphasized the importance of therapy fundamentals (eg, rapport, flexibility) throughout their care; (4) shared decision-making was valued when used to select TF-EBP; (5) respect for preferences in treatment selection was associated with a positive outlook on TF-EBP; (6) veterans wanted clinicians to ask about relevant cultural identities early in their assessment/treatment; and (7) acknowledging culture and using culturally relevant examples strengthened TF-EBP engagement. Conclusions: Veterans identified 3 areas for continued process improvement: (1) providing information about the diverse range of mental health care services at the VA and the implications of this continuum of care; (2) consideration of veteran preferences in treatment decision-making, including the importance of perceived choice; and (3) incorporating cultural assessment and cultural responsiveness into case conceptualization and treatment.
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Registered trials
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