Cited by 7Clinical practice guidelines implementationPosttraumatic Stress Disorder ResearchMental Health Treatment and Access

Delivering Clinical Practice Guideline–Concordant Care for PTSD and Major Depression in Military Treatment Facilities

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Hepner, Kimberly, Farris, Coreen, Farmer, Carrie, Iyiewuare, Praise, Tanielian, Terri, Wilks, Asa, Robbins, Michael, Paddock, Susan +1 more·2018·RAND Health Quarterly

Abstract

This report provides an overview of the psychological health workforce at military treatment facilities (MTFs), examines the extent to which care is consistent with clinical practice guidelines, and identifies facilitators and barriers to providing this care. This report offers a comprehensive assessment of providers' perspectives on their capacity to deliver care for PTSD and depression. Strategies to improve care in MTFs are described.

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  • Pharmacotherapy and behavioral therapy may be inaccessible for certain service members due to operational training or mission requirements, access to care within the Military Health System, fear of deployment limitation, and potential removal from the military.

    “Furthermore, pharmacotherapy and behavioral therapy may be inaccessible for certain SMs due to operational training/mission requirements, access to care within the MHS, fear of deployment limitation, and even potential removal from the military (14, 15).”

    From Adaptive trial for the treatment of depressive symptoms associated with concussion using accelerated intermittent theta burst stimulation (ADEPT): rationale, design and methods (2025) · cites this paper as [15]

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Cited by

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Authors
Hepner, K., Farris, C., Farmer, C., Iyiewuare, P., Tanielian, T., Wilks, A., Robbins, M., Paddock, S., & Pincus, H.
Venue
RAND Health Quarterly
Published
2018
Volume
7
Issue
3
ISSN
2162-8254 (ISSN-L)
OpenAlex
W4238416817
Cited by
7
References
6
Citations by year
2026: 2 · 2024: 1 · 2021: 1 · 2020: 1 · 2019: 2
FWCI
0.77
Type
journal article
Language
en
Open access
Locations
  • Rand health quarterly (publishedVersion)
  • RAND Corporation eBooks (publishedVersion)
Funders
  • Office of the Secretary of Defense
  • Defense Health Agency
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
post-traumatic stress disorder, major depressive disorder, guideline adherence, military treatment facilities, barriers to care, facilitators of care, military mental health services

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