Telephone Monitoring and Support For Veterans with Chronic Posttraumatic Stress Disorder: A Pilot Study
Dropout from outpatient mental health treatment may contribute to high rates of relapse and rehospitalization among veterans with chronic posttraumatic stress disorder (PTSD). In a quasi-experimental cohort study, 87 male and 17 female veterans discharging from residential PTSD treatment received either standard referral to outpatient care (N = 77) or standard referrals supplemented by biweekly telephone calls (N = 27). Telephone monitoring and support was feasible and acceptable to 85% of clients. Compared to prior patient cohorts, clients receiving telephone support were twice as likely (88% vs. 43%) to complete an outpatient visit within 1 month of discharge and reported higher satisfaction with care.
Keywordsposttraumatic stress disorder veterans
- Dietrich, A.J., Oxman, T.E., Williams, J.W. Jr., Schulberg, H.C., Bruce, M.L., Lee, P.W., Barry, S., Raue, P.J., Lefever, J.J., Heo, M., Rost, K., Kroenke, K., Gerrity, M., & Nutting, P.A. (2004) Re-engineering systems for the treatment of depression in primary care: Cluster randomised controlled trial. BMJ, 32, 602. CrossRefGoogle Scholar
- Fontana A., Rosenheck R., Spencer H., Gray, S. (2003). The long journey home XI. Treatment of posttraumatic stress disorder in the Department of Veterans Affairs: Fiscal year 2002 service delivery and performance. Northeast Program Evaluation Center, Department of Veterans Affairs, West Haven, CTGoogle Scholar
- Hilton M. E., Maisto S. A., Conigliaro J., McNiel M., Kraemer K., Kelley M. E., Conigliaro R., Samet J. H., Larson M. J., Savetsky J., Winter M., Sullivan L. M., Saitz R., Weisner C., Mertens J., Parthasarathy S., Moore C., Hunkeler E., Hu T. W., Selby J., Stout R. L., Zywiak W., Rubin A., Zwick W., Shepard D. (2003). Improving alcoholism treatment across the spectrum of services. Alcoholism Clinical and Experimental Research 25:128–135CrossRefGoogle Scholar
- McKay J. R., Lynch K. G., Shepard D. S., Ratichek S., Morrison R., Koppenhaver J., Pettinati H. M. (2004). The effectiveness of telephone-based continuing care in the clinical management of alcohol and cocaine use disorders: 12 month outcomes. Journal of Consulting and Clinical Psychology 72:967–979PubMedCrossRefGoogle Scholar