A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs

Joan M. Cook; Stephanie Dinnen; Richard Thompson; Josef Ruzek; James C. Coyne; Paula P. Schnurr

doi:10.1007/s10488-014-0590-0

A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs

Joan M. Cook^*, Stephanie Dinnen, Richard Thompson, Josef Ruzek, James C. Coyne, Paula P. Schnurr

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

31 Citations (Scopus)

Abstract

This study examines the implementation of two evidence-based psychotherapies, Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT), in the Department of Veterans Affairs residential Posttraumatic Stress Disorder treatment programs. Two hundred and one providers from 38 programs completed an online survey concerning implementation of PE delivered on an individual basis and CPT delivered in individual and group formats. For PE, a supportive organizational context (dedicated time and resources, and incentives and mandates) and overall positive view of the treatment were related to its implementation. For both group and individual CPT, only the supportive organizational context was significantly associated with outcome. Implications for implementation efforts are discussed.

Original language	English
Pages (from-to)	462-473
Number of pages	12
Journal	Administration and Policy in Mental Health
Volume	42
Issue number	4
DOIs	https://doi.org/10.1007/s10488-014-0590-0
Publication status	Published - Jul-2015
Externally published	Yes

Keywords

Implementation
Evidence-based Practice
Posttraumatic stress disorder
POSTTRAUMATIC-STRESS-DISORDER
MENTAL-HEALTH-SERVICES
PROLONGED EXPOSURE
CONTEXT MATTERS
VETERANS
THERAPY
CARE
PSYCHOTHERAPISTS
DISSEMINATION
ATTITUDES

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title = "A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs",

abstract = "This study examines the implementation of two evidence-based psychotherapies, Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT), in the Department of Veterans Affairs residential Posttraumatic Stress Disorder treatment programs. Two hundred and one providers from 38 programs completed an online survey concerning implementation of PE delivered on an individual basis and CPT delivered in individual and group formats. For PE, a supportive organizational context (dedicated time and resources, and incentives and mandates) and overall positive view of the treatment were related to its implementation. For both group and individual CPT, only the supportive organizational context was significantly associated with outcome. Implications for implementation efforts are discussed.",

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author = "Cook, {Joan M.} and Stephanie Dinnen and Richard Thompson and Josef Ruzek and Coyne, {James C.} and Schnurr, {Paula P.}",

year = "2015",

month = jul,

doi = "10.1007/s10488-014-0590-0",

language = "English",

volume = "42",

pages = "462--473",

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T1 - A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs

AU - Cook, Joan M.

AU - Dinnen, Stephanie

AU - Thompson, Richard

AU - Ruzek, Josef

AU - Coyne, James C.

AU - Schnurr, Paula P.

PY - 2015/7

Y1 - 2015/7

N2 - This study examines the implementation of two evidence-based psychotherapies, Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT), in the Department of Veterans Affairs residential Posttraumatic Stress Disorder treatment programs. Two hundred and one providers from 38 programs completed an online survey concerning implementation of PE delivered on an individual basis and CPT delivered in individual and group formats. For PE, a supportive organizational context (dedicated time and resources, and incentives and mandates) and overall positive view of the treatment were related to its implementation. For both group and individual CPT, only the supportive organizational context was significantly associated with outcome. Implications for implementation efforts are discussed.

AB - This study examines the implementation of two evidence-based psychotherapies, Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT), in the Department of Veterans Affairs residential Posttraumatic Stress Disorder treatment programs. Two hundred and one providers from 38 programs completed an online survey concerning implementation of PE delivered on an individual basis and CPT delivered in individual and group formats. For PE, a supportive organizational context (dedicated time and resources, and incentives and mandates) and overall positive view of the treatment were related to its implementation. For both group and individual CPT, only the supportive organizational context was significantly associated with outcome. Implications for implementation efforts are discussed.

KW - Implementation

KW - Evidence-based Practice

KW - Posttraumatic stress disorder

KW - POSTTRAUMATIC-STRESS-DISORDER

KW - MENTAL-HEALTH-SERVICES

KW - PROLONGED EXPOSURE

KW - CONTEXT MATTERS

KW - VETERANS

KW - THERAPY

KW - CARE

KW - PSYCHOTHERAPISTS

KW - DISSEMINATION

KW - ATTITUDES

U2 - 10.1007/s10488-014-0590-0

DO - 10.1007/s10488-014-0590-0

M3 - Article

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VL - 42

SP - 462

EP - 473

JO - Administration and Policy in Mental Health

JF - Administration and Policy in Mental Health

IS - 4

ER -

A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs

Abstract

Keywords

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