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Post-Traumatic Stress Disorders: HELP
Articles by Kathleen Sherrieb
Based on 4 articles published since 2010
(Why 4 articles?)

Between 2010 and 2020, Kathleen Sherrieb wrote the following 4 articles about Stress Disorders, Post-Traumatic.
+ Citations + Abstracts
1 Review The burden of disaster: part II. applying interventions across the child's social ecology. 2012

Pfefferbaum, Rose L / Jacobs, Anne K / Noffsinger, Mary A / Pfefferbaum, Betty / Sherrieb, Kathleen / Norris, Fran H. ·Phoenix Community College and Terrorism and Disaster Center University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73126-0901, USA. ·Int J Emerg Ment Health · Pubmed #23894798.

ABSTRACT: This second of two articles describes the application of disaster mental health interventions within the context of the childs social ecology consisting of the Micro-, Meso-, Exo-, and Macrosystems. Microsystem interventions involving parents, siblings, and close friends include family preparedness planning andpractice, psychoeducation, role modeling, emotional support, and redirection. Mesosystem interventions provided by schools and faith-based organizations include safety and support, assessment, referral, and counseling. Exosystem interventions include those provided through community-based mental health programs, healthcare organizations, the workplace, the media, local volunteer disaster organizations, and other local organizations. Efforts to build community resilience to disasters are likely to have influence through the Exosystem. The Macrosystem - including the laws, history, cultural and subcultural characteristics, and economic and social conditions that underlie the other systems - affects the child indirectly through public policies and disaster programs and services that become available in the child's Exosystem in the aftermath of a disaster The social ecology paradigm, described more fully in a companion article (Noffsinger Pfefferbaum, Pfefferbaum, Sherrieb, & Norris,2012), emphasizes relationships among systems and can guide the development and delivery of services embedded in naturally-occurring structures in the child's environment.

2 Article Use of Guideline-Recommended Treatments for PTSD Among Community-Based Providers in Texas and Vermont: Implications for the Veterans Choice Program. 2019

Finley, Erin P / Mader, Michael / Haro, Elizabeth K / Noël, Polly H / Bernardy, Nancy / Rosen, Craig S / Bollinger, Mary / Garcia, Hector A / Sherrieb, Kathleen / Pugh, Mary Jo V. ·South Texas Veterans Health Care System, 7400 Merton Minter Blvd., San Antonio, TX, 78229-4404, USA. finleye@uthscsa.edu. · University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA. finleye@uthscsa.edu. · University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA. · South Texas Veterans Health Care System, 7400 Merton Minter Blvd., San Antonio, TX, 78229-4404, USA. · VA National Center for PTSD, White River Junction, VT, 05009, USA. · Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, 03755, USA. · National Center for PTSD Dissemination and Training Division, Menlo Park, CA, 94025, USA. · Stanford University School of Medicine, Stanford, CA, 94305, USA. · Valley Coastal Bend Veterans Health Care System, Harlingon, 78550, TX, USA. ·J Behav Health Serv Res · Pubmed #29748747.

ABSTRACT: Implementation of the Veterans Choice Program (VCP) allows Veterans to receive care paid for by the Department of Veterans Affairs (VA) in community settings. However, the quality of that care is unknown, particularly for complex conditions such as posttraumatic stress disorder (PTSD). A cross-sectional survey was conducted of 668 community primary care and mental health providers in Texas and Vermont to describe use of guideline-recommended treatments (GRTs) for PTSD. Relatively, few providers reported using guideline-recommended psychotherapy or prescribing practices. More than half of psychotherapists reported the use of at least one guideline-recommended psychotherapy for PTSD, but fewer reported the use of core treatment components, prior training in the GRT(s) they use, or adherence to a treatment manual. Suboptimal prescribing for PTSD patients was reported more commonly than optimal prescribing. Findings raise critical questions regarding how to ensure veterans seeking PTSD care in community settings receive psychotherapy and/or prescribing consistent with clinical practice guidelines.

3 Article Cultivating change door to door: Educational outreach to improve prescribing practices in rural veterans with posttraumatic stress disorder. 2017

Montaño, Macgregor / Bernardy, Nancy C / Sherrieb, Kathleen. ·a Veterans Affairs Medical Center, White River Junction , Vermont , USA. · b National Center for PTSD , Veteran Affairs Medical Center, White River Junction , Vermont , USA. · c Department of Psychiatry , Geisel School of Medicine at Dartmouth , Hanover , New Hampshire , USA. · d Department of Sociology , Dartmouth College , Hanover , New Hampshire , USA. ·Subst Abus · Pubmed #28277828.

ABSTRACT: BACKGROUND: Clinical guidelines for the management of posttraumatic stress disorder (PTSD) recommend against the use of benzodiazepines. Benzodiazepines and PTSD are both associated with addiction-related risks. The Department of Veterans Affairs (VA) prescribing trends show continued use of benzodiazepines and polysedative use in veterans with PTSD, particularly in rural areas. The authors examine the use of an educational intervention to improve pharmacologic management of veterans with PTSD in rural clinics. METHODS: The VA Academic Detailing Service Informatics Toolset provides prescribing, demographic and risk factor data for veterans with PTSD treated at the White River Junction VA Medical Center (WRJ VA) and affiliated rural clinics in Vermont and New Hampshire. Individualized academic detailing visits were provided to clinicians identified by the informatics tool with the aim of increasing guideline-concordant care. Other educational efforts included traditional, didactic group education on evidence-based PTSD care and the development and dissemination of educational materials for clinicians and patients. Prescribing trends of benzodiazepines, off-label atypical antipsychotics, and prazosin were collected quarterly for 3 years (October 1, 2013, to September 30, 2016). RESULTS: Prescribing rates of benzodiazepines during the educational intervention decreased from 13% to 9.3%. Use of off-label atypical antipsychotics, a class of medications not recommended for PTSD, stayed relatively flat at about 10%. Prescribing of prazosin, a medication recommended for treatment of trauma nightmares, increased from 9.8% to 14.3%. CONCLUSIONS: Academic detailing and other educational programming appear to be effective for addressing gaps and lag in quality PTSD care and are associated with a positive trend of decreased benzodiazepine use. Efforts will continue, now with added focus on concurrent use of benzodiazepines and opioids and the use of off-label atypical antipsychotics in rural veterans with PTSD.

4 Article Community Clinicians and the Veterans Choice Program for PTSD Care: Understanding Provider Interest During Early Implementation. 2017

Finley, Erin P / Noël, Polly H / Mader, Michael / Haro, Elizabeth / Bernardy, Nancy / Rosen, Craig S / Bollinger, Mary / Garcia, Hector / Sherrieb, Kathleen / Pugh, Mary Jo V. ·*South Texas Veterans Health Care System †University of Texas Health Science Center at San Antonio, San Antonio, TX ‡VA National Center for PTSD, White River Junction, VT §Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH ∥National Center for PTSD Dissemination & Training Division, Palo Alto ¶Stanford University School of Medicine, Stanford, CA #Valley Coastal Bend Veterans Health Care System, Harlingen, TX. ·Med Care · Pubmed #28146035.

ABSTRACT: BACKGROUND: In 2014, the Department of Veterans Affairs (VA) implemented the Veterans Choice Program (VCP) to provide reimbursement for community-based care to eligible veterans. Inadequate networks of participating providers may impact the utility of VCP for veterans with posttraumatic stress disorder (PTSD), a complex condition occurring at lower frequency among civilians. OBJECTIVES: To compare characteristics and attitudes of community-based primary care and mental health providers reporting interest or no interest in VCP participation during early implementation; and to examine perceptions and experiences of VCP among "early adopters." RESEARCH DESIGN: Cross-sectional surveys with 2 samples: a stratified random sample of mental health and primary care prescribers and psychotherapists drawn from state licensing boards (Community Sample); and a stratified random sample of prescribers and psychotherapists identified as VCP-authorized providers (VCP-Authorized). SUBJECTS: Five hundred fifty-three respondents in the Community Sample and 115 in the VCP-Authorized (total, n=668; 21.1% response). MEASURES: Surveys assessed provider and practice characteristics, attitudes to VA and VCP, and experiences and satisfaction with the VCP; an open-ended survey item assessed providers' reasons for interest or lack of interest in VCP participation. RESULTS: Few providers reported VCP participation during this period. Interest in VCP participation was associated across provider groups with factors including being a veteran and receiving VA reimbursement; currently providing treatment for PTSD was associated with interest in VCP participation among psychotherapists, but not prescribers. CONCLUSIONS: Developing networks of VCP providers to serve Veterans with PTSD is likely to require targeting more receptive provider groups, reducing barriers to participation, and more effectively communicating the value of VCP participation to providers.