Supporting Providers Treating Veterans with PTSD: National Center for PTSD Consultation Program and Resources

Elissa McCarthy, PhD

PTSD Consultation Program

National Center for PTSD

Elissa.mccarthy@va.gov

860-462-9260

September 15, 2017

1. Overview of PTSD Consultation Program

2. Resources

• For Veterans

• For family members

• For Providers

3. Questions

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Agenda

Divisions of the National Center for PTSD

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Not all Veterans get their healthcare in VA

Busy? Overwhelmed?

Questions about PTSD?

Can’t find what you’re

looking for?

We can help!

PTSDconsult@va.gov

(866) 948-7880

www.ptsd.va.gov/consult

PTSD Consultation Program for providers who treat Veterans

About the Consultants

Experienced senior psychologists, psychiatrists, social workers, pharmacists, and other

health professionals who treat Veterans with PTSD

Available to consult on everything from your toughest cases to general PTSD questions

Ask about:

Evidence-based treatment

Medications

Clinical management

Resources

Assessment

Referrals

Collaborating with VA on Veterans’ care

Developing a PTSD treatment program

Available Resources - www.ptsd.va.gov/consult

Free continuing education

Videos, educational

handouts, and manuals

PTSD-related publications

PTSD and trauma assessment and screening tools

Mobile apps, and more

WWW.PTSD.VA.GOV

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All resources are free and publicly available.

Unless otherwise noted, you

can find them at www.ptsd.va.gov.

Resources for Veterans

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• Crisis help • Videos • PTSD Treatment Decision Aid • Phone apps • Print materials

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Veterans Crisis Line

800-273-8255 (then press 1) or send a text message to 838255

24 HOURS A DAY, 7 DAYS A WEEK

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AboutFace Video Gallery

www.ptsd.va.gov/aboutface

Make the Connection

Animated Whiteboard Videos

• Series of animated “whiteboard” videos that explain PTSD and treatment options.

• Short (~3 minute), engaging videos that are easily shared via email or Facebook.

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www.ptsd.va.gov/public/materials/videos/index.asp

A new online tool to help patients

learn about and compare

evidence-based PTSD treatments

www.ptsd.va.gov/decisionaid

Example

personalized

summary

PTSD Treatment Decision Aid: www.ptsd.va.gov/decisionaid

Clinician’s User Guide: www.ptsd.va.gov/apps/decisionaid/resources/

PTSDDecisionAid_providerguide.pdf

Printable flyers/handouts: www.ptsd.va.gov/professional/treatment/pdf/

decisionaid_flyer.pdf

https://www.ptsd.va.gov/professional/treatme

nt/pdf/decisionaid_rackcard.pdf

Mobile Apps

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• NCPTSD has partnered with a number of organizations to develop a variety of mobile apps.

• Apps are focused on PTSD, related health problems (e.g., insomnia, alcohol use, etc.), or general well-being.

• There are apps for patients, providers, and for use with patient-provider dyads.

www.ptsd.va.gov/public/materials/apps/index.asp

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PTSD Coach

• PTSD Coach mobile app – more than 275,000 downloads in 98 countries.

• App provides: – Education about PTSD and PTSD

treatment – A self-assessment tool – Portable skills to address acute

symptoms – Direct connection to crisis support

• Used as stand-alone education and symptom management tool, or with face-to-face care.

• Tools are easily accessible when they are needed most.

www.ptsd.va.gov/public/materials/apps/PTSDCoach.asp

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PTSD Coach Online

• PTSD Coach Online offers an expanded suite of 17 tools to help manage symptoms (e.g., problem solving, challenging cognitions).

• Users can choose a tool based upon a current problem or a full list of tools.

• Video instructions from “coaches” are available for each tool.

www.ptsd.va.gov/apps/ptsdcoachonline/default.htm

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PTSD Basics

• Understanding PTSD and PTSD Treatment is a 16-page booklet that explains basic information about:

– What is PTSD?

– What can cause PTSD?

– What are the symptoms of PTSD?

– What do I do if I have symptoms?

– How do I know if I have PTSD?

– Why get treatment for PTSD?

– Common questions about treatment

– What happens during PTSD treatment?

– How do I choose a mental health provider?

– Where can I go to get help? www.ptsd.va.gov/public/understanding_ptsd/booklet.pdf

Resources for Family Members

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• Phone app • Coaching into Care • Website

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PTSD Family Coach (Phone App)

• PTSD Family Coach is for family members of those living with PTSD.

• App provides: – Education about PTSD and self-care – Information to help take care of

your relationship and children – Resources to help a loved one get

treatment for PTSD – Tools to manage stress and build

social networks – Tracking for stress level over time

www.ptsd.va.gov/public/materials/apps/PTSDFamilyCoach.asp

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Coaching into Care

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Information about Supporting Those in Treatment

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Online Information

www.ptsd.va.gov/public/family/index.asp

More resources online: • PTSD Treatment for Couples • Resources for Children • New resources coming soon

o Whiteboard video: Caring for Someone with PTSD

o Whiteboard video: Self-care When Someone You Love Has PTSD

o “Understanding” booklet for family

Resources for Providers

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• Continuing education • Assessment tools • Toolkits • Publications • Database • Consultation Program

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Continuing Education Courses

• Over 50 hours of web-based courses for professionals.

• All courses are free.

• Most offer continuing education for multiple disciplines.

Available to Anyone For VA Staff

www.ptsd.va.gov/professional/continuing_ed/index.asp

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PTSD Assessment

• We provide information on a variety of assessment tools for trauma and PTSD.

• We also offer online courses about best practices.

• Most NCPTSD authored measures are available for direct download by qualified mental health professionals on our website.

CAPS-5 training

This course provides instruction on administration and scoring of the CAPS-5.

• Interactive

• Includes video of experts conducting assessments, providing tips and sharing advanced interview skills

https://www.ptsd.va.gov/professional/continuing_ed/caps5_clinician_training.asp

Managing Anger: A Treatment for those with PTSD

• Barbara Niles, PhD; Leslie Morland, PhD; Alex MacDonald, PhD; Patricia Watson, PhD

• Learn how to provide anger management group treatment for those who have PTSD

• Consists of 12 modules covering the strategies used in each session of group treatment.

– Objectives:

1. Prepare providers to administer a 12-session anger management group treatment.

2. Review examples, expert tips, and supporting materials for the most effective administration of anger management group principles and goals.

3. Develop provider skills to help those with PTSD learn more effective ways to manage anger.

VetChange (www.vetchange.org)

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• VetChange is a self-management program designed for Veterans and active duty Servicemembers who are concerned about their drinking.

• This tool helps users learn skills to manage drinking and other problems that can happen after deployment (e.g., PTSD symptoms, anger, trouble sleeping).

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Toolkits

Special sections of our website containing information and resources collected together with particular groups and professions in mind.

Community Provider Clergy Campus

Veterans Employment Police Officer Provider Self-Care

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PILOTS Database

• The Published International Literature on Traumatic Stress (PILOTS) Database is an electronic index to the worldwide literature on trauma and PTSD.

• Currently, PILOTS has close to 55,000 searchable citations (e.g., articles, book chapters, dissertations).

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Trauma and PTSD: Stay Up-To-Date

• Summaries of the most current research, news and resources on trauma and PTSD delivered to your inbox

• All of our publications are free e-subscriptions

www.ptsd.va.gov/about/subscribe.asp

PTSD Consultation Program Lecture Series

• Monthly one-hour webinar for providers

• Free continuing education credits

• Register and sign up for notifications at www.ptsd.va.gov/consult

UPCOMING TOPICS HAVE INCLUDED

September 20, 2017

The 2017 Revised Clinical Practice Guideline for PTSD: Recommendations for Psychotherapy

Jessica Hamblen, PhD

October 18, 2017 The 2017 Revised Clinical Practice Guideline for PTSD: Recommendations for Medications

Matthew Friedman, MD, PhD

November 15, 2017

The 2017 Revised Clinical Practice Guideline for PTSD: Why it matters for Primary Care Providers and What Resources are Available

Andrew Pomerantz, MD and Nancy Bernardy, PhD

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Learning about Military Culture

NCPTSD: VA Community Provider

Toolkit

•Military Culture Competence

•Military Culture resources

Center for Deployment Psychology

•15 things you want to know

• Invisible wound of war

•DoD overview

•Military laws and regulation

•Office vs enlisted

• Service Branch

•Etc.

PsychArmor: Military Culture School for

Everyone

•Patricia Watson, PhD PTSD 101: Military Culture and PTSD

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Cognitive Processing Therapy Manual: Resick, Monson & Chard, 2017. https://cptforptsd.com/

Education

• National Center for PTSD (NCPTSD) has many educational products and resources related to PTSD treatment (www.ptsd.va.gov)

• Education on Cognitive Processing Therapy: http://www.ptsd.va.gov/public/treatment/therapy-med/cognitive_processing_therapy.asp

• PTSD 101 : Treatment Interventions: Cognitive Processing Therapy:

http://www.ptsd.va.gov/professional/continuing_ed/cpt.asp

• CPT coach: free mobile App:

http://www.ptsd.va.gov/public/materials/apps/cpt_mobileapp_public.asp

• Medical University of South Carolina (MUSC) CPTWeb: https://cpt.musc.edu/

Training

• Center for Deployment Psychology (CDP): http://deploymentpsych.org/content/serving-our-veterans-behavioral-health-certificate-program

– They offer on-line (via second life) and in-person trainings

– There is a 75-minute overview course on CPT: http://deploymentpsych.org/online-courses/cpt

– CDP also has post-training consultation

• Star Behavioral Health

– Trains providers in various states. You can also contact the states closest to you and see how they can assist you with options that may be available to you. http://www.starproviders.org/

• PsychArmor

– http://psycharmor.org/healthcare-providers/

– Learning path is only available to designated choice network providers through TriWest Healthcare Alliance and VA providers

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Prolonged Exposure Manual: Foa, Hembree & Rothbaum, 2007

Education

• National Center for PTSD (NCPTSD) has many educational products and resources related to PTSD treatment (www.ptsd.va.gov)

• Education on Prolonged Exposure: http://www.ptsd.va.gov/public/treatment/therapy-med/prolonged-exposure-therapy.asp

• PTSD 101 : Treatment Interventions: Prolonged Exposure http://www.ptsd.va.gov/professional/continuing_ed/prolonged_exposure.asp

• PE coach: free mobile App: http://www.ptsd.va.gov/professional/materials/apps/pe_coach_mobile_app.asp

• Medical University of South Carolina (MUSC) PEWeb: http://pe.musc.edu/

Training

• University of Pennsylvania: Center for the Treatment and Study of Anxiety

– http://www.med.upenn.edu/ctsa/workshops_ptsd.html?4

• Center for Deployment Psychology (CDP):

– http://deploymentpsych.org/content/serving-our-veterans-behavioral-health-certificate-program

– They offer on-line (via second life) and in-person trainings

– There is a 75-minute overview course on PE

– CDP also has post-training consultation

• Star Behavioral Health

– Trains providers in various states. You can also contact the states closest to you and see how they can assist you with options that may be available to you. http://www.starproviders.org/

• PsychArmor

– http://psycharmor.org/healthcare-providers/

– Learning path is only available to designated choice network providers through TriWest Healthcare Alliance and VA providers

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EMDR Manual: Shapiro, 2011; new edition coming 12/26/2017

Education

• National Center for PTSD (NCPTSD) has many educational products and resources related to PTSD treatment (www.ptsd.va.gov)

• Education on EMDR https://www.ptsd.va.gov/public/treatment/therapy-med/emdr-for-ptsd.asp

• PTSD 101 : Eye Movement Desensitization and Reprocessing (EMDR) & Stress Inoculation Training (SIT).* Please note this class was done in 2012, which is before the updated VA/DoD Clinical Practice Guidelines were released in 2017.= https://www.ptsd.va.gov/professional/continuing_ed/emdr.asp

Training

• EMDR Institute

– http://www.emdr.com/

• EMDR International Association http://www.emdria.org/

– Provides training, workshops and webinars in the United States to licensed mental health processionals

• EMDR Humanitarian Assistance Programs https://www.emdrhap.org/content/

– This U.S.-based organization provides low-cost and pr bono trainings for non-profit organizations and treatment

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Questions?

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We are available any time to answer your

questions about Veterans and PTSD

PTSDconsult@va.gov or 866-948-7880

www.ptsd.va.gov/consult