Documentation of Evidence-Based Psychotherapy and Care Quality for PTSD in the Department of Veterans Affairs

  • Rebecca K. Sripada
  • Kipling M. Bohnert
  • Dara Ganoczy
  • Paul N. Pfeiffer
Original Article


This study measured the prevalence of evidence-based psychotherapy (EBP) templated notes in VA and tested the hypothesis that template use would be associated with care quality for posttraumatic stress disorder (PTSD). Across 130 facilities, an average of 3.6% of patients with a PTSD diagnosis received at least one EBP template in 2015. Among patients receiving psychotherapy for PTSD, an average of 8.5% received an EBP template. In adjusted models, facility-level EBP template use was associated with a greater proportion of PTSD-diagnosed patients treated in specialty clinics, greater facility-level rates of diagnostic assessment, and greater facility-level rates of psychotherapy adequacy.


Posttraumatic stress disorder EBP Evidence-based treatment Template VA Veteran 



Dr. Sripada is supported by Career Development Award (CDA) 15–251, IK2 HX-002095-01 from the United States (U.S.) Department of Veterans Affairs Health Services R&D (HSRD) Service. Dr. Bohnert is supported by CDA 11–245, IK2 HX-002095-01 from the HSRD Service.

Compliance with Ethical Standards

Conflict of interest

All the authors declare that they have no conflict of interest.

Informed Consent

The VA Ann Arbor Healthcare System Institutional Review Board approved this study and granted a waiver of informed consent for access to protected health information.

Research Involving Human and Animals Participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2017

Authors and Affiliations

  1. 1.VA Center for Clinical Management ResearchAnn ArborUSA
  2. 2.VA Ann Arbor Health Care SystemAnn ArborUSA
  3. 3.University of Michigan Department of PsychiatryAnn ArborUSA

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