TY - JOUR
T1 - Evaluating a Community-Based Training Program for Evidence-Based Treatments for PTSD Using the RE-AIM Framework
AU - Dondanville, Katherine A.
AU - Fina, Brooke A.
AU - Straud, Casey L.
AU - Tyler, Hannah
AU - Jacoby, Vanessa
AU - Blount, Tabatha H.
AU - Moring, John C
AU - Blankenship, Abby E.
AU - Finley Garcia, Erin
N1 - Funding Information:
Funding for this project was made possible by the Bob Woodruff Foundation. The views expressed in this article are solely those of the authors and do not reflect an endorsement by or the official policy of the Department of Veterans Affairs or the U.S. Government
Publisher Copyright:
© 2021 American Psychological Association
PY - 2021
Y1 - 2021
N2 - Community mental health providers increasingly serve veterans with posttraumatic stress disorder (PTSD). However, recent surveys find that less than 20% of community providers are adequately trained to implement evidence-based treatments (EBTs) for PTSD. Since 2017, the STRONG STAR Training Initiative (SSTI) model has adapted traditional learning collaboratives aimed at increasing availability of EBTs for PTSD in community settings. This study reports on STRONG STAR program evaluation using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to assess dissemination and implementation outcomes. Between January 2018 and January 2020, 280 mental health providers from 25 states participated. Providers initiating EBTs for PTSD with 930 patients, reaching 29% who had PTSD among their caseload. Overall, 238 of patients who initiated EBT completed treatment. Patients who completed treatment demonstrated a 32.51-point decrease, t(237) = 25.27, p <.001, in PTSD symptom severity and an 8.73-point decrease, t(231) = 19.95, p <.001, in depression symptom severity following treatment. High rates of SSTI providers continued implementing EBT for PTSD at 6 months (cognitive processing therapy [CPT]: 95%; prolonged exposure [PE]: 72%) and 1-year (CPT: 87%; PE:77%) posttraining, similar to outcomes reported by community and Department of Veterans Affairs providers. In reporting on the first evaluation of a National Training Program for community-based mental health providers, we look ahead to continued work in refining scalable models for building provider competence in delivery of EBTs
AB - Community mental health providers increasingly serve veterans with posttraumatic stress disorder (PTSD). However, recent surveys find that less than 20% of community providers are adequately trained to implement evidence-based treatments (EBTs) for PTSD. Since 2017, the STRONG STAR Training Initiative (SSTI) model has adapted traditional learning collaboratives aimed at increasing availability of EBTs for PTSD in community settings. This study reports on STRONG STAR program evaluation using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to assess dissemination and implementation outcomes. Between January 2018 and January 2020, 280 mental health providers from 25 states participated. Providers initiating EBTs for PTSD with 930 patients, reaching 29% who had PTSD among their caseload. Overall, 238 of patients who initiated EBT completed treatment. Patients who completed treatment demonstrated a 32.51-point decrease, t(237) = 25.27, p <.001, in PTSD symptom severity and an 8.73-point decrease, t(231) = 19.95, p <.001, in depression symptom severity following treatment. High rates of SSTI providers continued implementing EBT for PTSD at 6 months (cognitive processing therapy [CPT]: 95%; prolonged exposure [PE]: 72%) and 1-year (CPT: 87%; PE:77%) posttraining, similar to outcomes reported by community and Department of Veterans Affairs providers. In reporting on the first evaluation of a National Training Program for community-based mental health providers, we look ahead to continued work in refining scalable models for building provider competence in delivery of EBTs
KW - evidence-based psychotherapy
KW - implementation strategies
KW - program evaluation
KW - PTSD
KW - RE-AIM
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U2 - 10.1037/ser0000567
DO - 10.1037/ser0000567
M3 - Article
C2 - 34694841
AN - SCOPUS:85119297799
JO - Psychological Services
JF - Psychological Services
SN - 1541-1559
ER -