TY - JOUR
AU - K. A. Buckheit
AU - E. Barden
AU - R. Shaw
AU - K. Possemato
AU - N. R. Mastroleo
AU - S. A. M. Rauch
A1 - 
AB - Symptoms of posttraumatic stress disorder (PTSD) and hazardous alcohol use are highly comorbid. Research on integrated interventions to address PTSD symptoms and hazardous alcohol use concurrently has demonstrated efficacy, yet integrated treatments are underutilized. Both patient (e.g., stigma, scheduling/logistics) and clinician (e.g., concern about symptom exacerbation and/or treatment dropout) barriers may impede utilization of integrated interventions among those with comorbid PTSD symptoms and hazardous alcohol use. Primary care behavioral health models (PCBH), in which embedded behavioral health providers deliver treatment to individuals with mild or moderate behavioral health symptoms in primary care, may help address treatment barriers by offering accessible behavioral health interventions in a destigmatizing setting. This paper presents two case examples from a randomized controlled trial testing the efficacy of an integrated intervention for PTSD symptoms and hazardous alcohol use developed for and delivered in primary care. Outcome data and session-by-session content for two participants are included, along with discussion of barriers encountered during the course of treatment. Clinician-suggested strategies for navigating barriers to facilitate utilization of integrated interventions for PTSD symptoms and hazardous alcohol use are also discussed.
AD - VA Center for Integrated Healthcare, Syracuse VA Medical Center. VA Center for Integrated Healthcare, Syracuse VA Medical Center and Binghamton University. VA Center for Integrated Healthcare, Western NY VA Healthcare Systems and University at Buffalo (SUNY).;Binghamton University.;Mental Health Service Line, Atlanta VA Healthcare System and Emory University School of Medicine.
AN - 37745164
BT - Cogn Behav Pract
C5 - Healthcare Disparities; Opioids & Substance; Education & Workforce
CP - 3
DA - Aug
DO - 10.1016/j.cbpra.2022.02.020
DP - NLM
ET - 20220404
IS - 3
JF - Cogn Behav Pract
LA - eng
N2 - Symptoms of posttraumatic stress disorder (PTSD) and hazardous alcohol use are highly comorbid. Research on integrated interventions to address PTSD symptoms and hazardous alcohol use concurrently has demonstrated efficacy, yet integrated treatments are underutilized. Both patient (e.g., stigma, scheduling/logistics) and clinician (e.g., concern about symptom exacerbation and/or treatment dropout) barriers may impede utilization of integrated interventions among those with comorbid PTSD symptoms and hazardous alcohol use. Primary care behavioral health models (PCBH), in which embedded behavioral health providers deliver treatment to individuals with mild or moderate behavioral health symptoms in primary care, may help address treatment barriers by offering accessible behavioral health interventions in a destigmatizing setting. This paper presents two case examples from a randomized controlled trial testing the efficacy of an integrated intervention for PTSD symptoms and hazardous alcohol use developed for and delivered in primary care. Outcome data and session-by-session content for two participants are included, along with discussion of barriers encountered during the course of treatment. Clinician-suggested strategies for navigating barriers to facilitate utilization of integrated interventions for PTSD symptoms and hazardous alcohol use are also discussed.
PY - 2023
SN - 1077-7229 (Print);1077-7229
SP - 551
EP - 563+
ST - Primary Care Treatment Integrating Motivation and Exposure for PTSD Symptoms and Hazardous Alcohol Use: A Case Series
T1 - Primary Care Treatment Integrating Motivation and Exposure for PTSD Symptoms and Hazardous Alcohol Use: A Case Series
T2 - Cogn Behav Pract
TI - Primary Care Treatment Integrating Motivation and Exposure for PTSD Symptoms and Hazardous Alcohol Use: A Case Series
U1 - Healthcare Disparities; Opioids & Substance; Education & Workforce
U3 - 10.1016/j.cbpra.2022.02.020
VL - 30
VO - 1077-7229 (Print);1077-7229
Y1 - 2023
ER -