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Cited by 120Posttraumatic Stress Disorder ResearchChild Abuse and TraumaMigration, Health and Trauma

Unrecognized Trauma and PTSD among Public Mental Health Consumers with Chronic and Severe Mental Illness

Cusack, Karen J., Grubaugh, Anouk L., Knapp, Rebecca G., Frueh, B. Christopher·2006·Community Mental Health Journal
DOI 10.1007/s10597-006-9049-4
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Abstract

Lifetime prevalence of traumatic events and current PTSD was assessed among 142 mental health consumers with serious mental illness served by a psychosocial rehabilitation day program. Lifetime exposure to trauma was high (87%). The rate of PTSD based on the PTSD Checklist (PCL) was also high (19-30% depending on different scoring criteria). Overall, the PCL had strong internal reliability for this sample. Documentation of trauma and PTSD was exceptionally low in medical records. Results suggest that trauma and PTSD are significantly overlooked in the public mental health system. Improved recognition of trauma and PTSD are needed in order to provide meaningful services to this highly vulnerable population.

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Crossref · 10.1007/s10597-006-9049-4

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  • Reviews to date have grouped psychological therapies together based on similar theoretical underpinnings and overlapping techniques.

    “Reviews to date have grouped psychological therapies together based on similar theoretical underpinnings and overlapping techniques.”

    From Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis (2020) · cites this paper as Cusack et al., 2006

  • Previous systematic reviews have converged on the general finding that psychological therapies are effective for the treatment of PTSD.

    “Previous systematic reviews have converged on the general finding that psychological therapies are effective for the treatment of PTSD (Bisson, Roberts, Andrew, Cooper, & Lewis, 2013; Bradley, Greene, Russ, Dutra, & Westen, 2005, Cusack, Grubaugh, Knapp, & Frueh, 2006; Jonas et al., 2013, Watts et al., 2013).”

    From Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis (2020) · cites this paper as Cusack et al., 2006

  • A broad distinction has been made between therapies that focus on the traumatic event and those that aim to reduce traumatic stress symptoms without directly targeting the trauma memory or related thoughts, with the strongest evidence for the effect of those with a trauma-focus.

    “A broad distinction has been made between therapies that focus on the traumatic event and those that aim to reduce traumatic stress symptoms without directly targeting the trauma memory or related thoughts, with the strongest evidence for the effect of those with a trauma-focus (Bisson et al., 2013; Bradley et al., 2005; Cusack et al., 2006; Jonas et al., 2013).”

    From Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis (2020) · cites this paper as Cusack et al., 2006

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Authors
Cusack, K. J., Grubaugh, A. L., Knapp, R. G., & Frueh, B. C.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • Medical University of South Carolina (US)
Corresponding author
Cusack, Karen J.
ORCID
Venue
Community Mental Health Journal
Publisher
Springer Science and Business Media LLC
Published
2006-07-26
Volume
42
Issue
5
Pages
487-500
ISSN
  • 0010-3853 (ISSN-L)
  • 1573-2789
DOI
10.1007/s10597-006-9049-4
OpenAlex
W2020600504
Cited by
120
References
53
Citations by year
2026: 4 · 2025: 3 · 2024: 6 · 2023: 8 · 2022: 5 · 2021: 8 · 2020: 9 · 2019: 6 · 2018: 5 · 2017: 7 · 2016: 9 · 2015: 9 · 2014: 6 · 2013: 6 · 2012: 4
FWCI
4.43
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Community Mental Health Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
post-traumatic stress disorder, lifetime trauma exposure, severe mental illness, chronic mental illness, psychosocial rehabilitation, PTSD Checklist, internal consistency, clinical documentation, public mental health services
MeSH terms
Adult, Mental Disorders, Chronic Disease, Community Mental Health Centers, Female, Humans, Male, Medical Audit, Middle Aged, Severity of Illness Index, Stress Disorders, Post-Traumatic, United States, Wounds and Injuries

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