Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions.

摘要

This project addresses the need for research on service delivery approaches for Service Members with combat-related physical or psychiatric symptoms, including Posttraumatic Stress Disorder (PTSD) and/or post-concussive symptoms. As a primary care encounter, the post-deployment health reassessment (PDHRA) process is critical to force health protection efforts. The project will develop and test the effectiveness of a sharply focused training and feedback intervention designed to increase Service member reports of behavioral health concerns and Service member acceptance of a referral for further assessment. The project has two aims. (1) Determine key elements of and short term impact of training programs for deployment related assessments. (2) Evaluate the effectiveness of a targeted training and feedback program on primary care provider s interview and clinical communication patterns related to Service member behavioral health condition identification and referrals. To accomplish these aims, a training workshop that incorporates experiential learning strategies and evidence-supported characteristics of high quality communication training programs will be piloted at 3 sites with an estimated total of 20 providers.