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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

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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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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: Grubaugh, Anouk L.
Knapp, Rebecca G.
Frueh, B. Christopher
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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Unrecognized Trauma and PTSD among Public Mental Health Consumers with Chronic and Severe Mental Illness

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