Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration.


Journal Article

Unlike the post-Vietnam era, effective, specialized treatments for posttraumatic stress disorder (PTSD) now exist, although these treatments have not been widely available in clinical settings. The U.S. Department of Veterans Affairs (VA) is nationally disseminating 2 evidence-based psychotherapies for PTSD throughout the VA health care system. The VA has developed national initiatives to train mental health staff in the delivery of Cognitive Processing Therapy (CPT) and Prolonged Exposure therapy (PE) and has implemented a variety of strategies to promote local implementation. In this article, the authors examine VA's national CPT and PE training initiatives and report initial patient, therapist, and system-level program evaluation results. Key issues, lessons learned, and next steps for maximizing impact and sustainability are also addressed.

Full Text

Duke Authors

Cited Authors

  • Karlin, BE; Ruzek, JI; Chard, KM; Eftekhari, A; Monson, CM; Hembree, EA; Resick, PA; Foa, EB

Published Date

  • December 2010

Published In

Volume / Issue

  • 23 / 6

Start / End Page

  • 663 - 673

PubMed ID

  • 21171126

Pubmed Central ID

  • 21171126

Electronic International Standard Serial Number (EISSN)

  • 1573-6598

Digital Object Identifier (DOI)

  • 10.1002/jts.20588


  • eng

Conference Location

  • United States