PMID- 25405394
OWN - NLM
STAT- MEDLINE
DCOM- 20161109
LR  - 20181113
IS  - 1556-3669 (Electronic)
IS  - 1530-5627 (Print)
IS  - 1530-5627 (Linking)
VI  - 21
IP  - 1
DP  - 2015 Jan
TI  - A pilot trial of telephone-based collaborative care management for PTSD among 
      Iraq/Afghanistan war veterans.
PG  - 42-7
LID - 10.1089/tmj.2013.0337 [doi]
AB  - BACKGROUND: Collaborative care and care management are cornerstones of Primary 
      Care-Mental Health Integration (PC-MHI) and have been shown to reduce depressive 
      symptoms. Historically, the standard of Veterans Affairs (VA) collaborative care 
      was referring patients with posttraumatic stress disorder (PTSD) to specialty 
      care. Although referral to evidence-based specialty care is ideal, many veterans 
      with PTSD do not receive such care. To address this issue and reduce barriers to 
      care, VA currently recommends veterans with PTSD be offered treatment within 
      PC-MHI as an alternative. The current project outlines a pilot implementation of 
      an established telephone-based collaborative care model-Translating Initiatives 
      for Depression into Effective Solutions (TIDES)-adapted for Iraq/Afghanistan War 
      veterans with PTSD symptoms (TIDES/PTSD) seen in a postdeployment primary care 
      clinic. MATERIALS AND METHODS: Structured medical record extraction and 
      qualitative data collection procedures were used to evaluate acceptability, 
      feasibility, and outcomes. RESULTS: Most participants (n=17) were male (94.1%) 
      and white (70.6%). Average age was 31.2 (standard deviation=6.4) years. 
      TIDES/PTSD was successfully implemented within PC-MHI and was acceptable to 
      patients and staff. Additionally, the total number of care manager calls was 
      positively correlated with number of psychiatry visits (r=0.63, p<0.05) and 
      amount of reduction in PTSD symptoms (r=0.66, p<0.05). Overall, participants in 
      the pilot reported a significant reduction in PTSD symptoms over the course of 
      the treatment (t=2.87, p=0.01). CONCLUSIONS: TIDES can be successfully adapted 
      and implemented for use among Iraq/Afghanistan veterans with PTSD. Further work 
      is needed to test the effectiveness and implementation of this model in other 
      sites and among veterans of other eras.
FAU - Hoerster, Katherine D
AU  - Hoerster KD
AD  - 1 Seattle Division, Mental Health Service, VA Puget Sound Healthcare System , 
      Seattle, Washington.
FAU - Jakupcak, Matthew
AU  - Jakupcak M
FAU - Stephenson, Kyle R
AU  - Stephenson KR
FAU - Fickel, Jacqueline J
AU  - Fickel JJ
FAU - Simons, Carol E
AU  - Simons CE
FAU - Hedeen, Ashley
AU  - Hedeen A
FAU - Dwight-Johnson, Megan
AU  - Dwight-Johnson M
FAU - Whealin, Julia M
AU  - Whealin JM
FAU - Chaney, Edmund
AU  - Chaney E
FAU - Felker, Bradford L
AU  - Felker BL
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20141118
PL  - United States
TA  - Telemed J E Health
JT  - Telemedicine journal and e-health : the official journal of the American 
      Telemedicine Association
JID - 100959949
RN  - 0 (Antipsychotic Agents)
SB  - IM
MH  - Adult
MH  - Afghan Campaign 2001-
MH  - Antipsychotic Agents/therapeutic use
MH  - Cooperative Behavior
MH  - Female
MH  - Health Services Accessibility
MH  - Humans
MH  - Iraq War, 2003-2011
MH  - Male
MH  - Patient Education as Topic
MH  - Patient Satisfaction
MH  - Primary Health Care/*organization & administration
MH  - Remote Consultation/*organization & administration
MH  - Self Care
MH  - Stress Disorders, Post-Traumatic/*therapy
MH  - Telephone
MH  - United States
MH  - *Veterans
PMC - PMC4298146
OTO - NOTNLM
OT  - collaborative care
OT  - posttraumatic stress disorder
OT  - primary care mental health
OT  - veterans
EDAT- 2014/11/19 06:00
MHDA- 2016/11/10 06:00
PMCR- 2016/01/01
CRDT- 2014/11/19 06:00
PHST- 2014/11/19 06:00 [entrez]
PHST- 2014/11/19 06:00 [pubmed]
PHST- 2016/11/10 06:00 [medline]
PHST- 2016/01/01 00:00 [pmc-release]
AID - 10.1089/tmj.2013.0337 [pii]
AID - 10.1089/tmj.2013.0337 [doi]
PST - ppublish
SO  - Telemed J E Health. 2015 Jan;21(1):42-7. doi: 10.1089/tmj.2013.0337. Epub 2014 
      Nov 18.