Introduction A small group of four people were given the task of finding an answerable question regarding veterans and or PTSD. The group as a whole decided to focus on OIF and OEF veterans with PTSD and substance abuse disorders. This paper will cover the processes of coming to the consensus of which veterans would be the focus, as well as how the answerable question was agreed upon. Also to be covered is the evidence used, how it was found, and the rigor and merit of a study regarding the issue of group work with such a population. The answerable question is: How effective is the Seeking Safety counseling model for group treatment at reducing intrusive symptoms of co-occurring post traumatic stress disorder (PTSD) and substance use disorder …show more content…
Acceptable evidence is assessed into six categories and listed from strongest to weakest. “The strongest evidence is integrative or secondary studies based on research and the lowest is opinions of a single authority based on clinical expertise with out experimentation/research (Leeman, G., Dana, 2014).” “An evidence based group worker should draw from multiple acceptable evidence as listed by Macgowan and their needs to be a balance (video). “ Safety Seeking group therapy for the treatment of trauma is the most rigorously studied treatment thus far for PTSD/SUD (Hien, 2013, p. 440).” Though not of the studies have been specific to veterans, no previous studies were done on OIF/OEF veterans, there are studies regarding the veteran population and SS for PTSD/SUD. That being said the study reviewed would be of the highest rigor as it is a secondary study with a slightly different …show more content…
Najaviatis, n.a.).” “Seeking Safety has been tested with co-occurring disorders samples of women, men, and adolescent girls, included clients in outpatient and residential settings, low-income urban women, incarcerated women, and veterans both men and women (NREPP SAMSAH'S Ntional Registry of Evidence-based Programs and Practices , 2015).” The above information came from varies sources and rating them on Macgowan’s hierarchical scale varies for each, original study, and
The articles published by AMSUS, the society of Federal Health professionals; Group Therapy Among OEF/OIF Veterans: Treatment Barriers and Preferences, and Perceived Stigma and Barriers to Mental Health Care Utilization Among OEF-OIF Veterans, published by the American Psychiatric Association, both explored ambivalence along with the perceived stigma of seeking help, especially amongst those suffering from PTSD.
In this particular article, five authors collaborated and discussed the recent innovations in the PTSD treatment field such as new technologies and family/spouse therapy, where veterans who are diagnosed go through therapy sessions with a family member or spouse instead of alone. This article is extremely credible because it has five authors that are all in the medical field.
Using the Google Scholar search engine, the phrase “OIF OEF veterans struggle for care” yielded 2100 articles between the years 2000 to 2016. Of the 2100 articles, only 2 articles supported the current research topic. Using the phrase “OIF OEF veterans’ barriers for not seeking treatment” yielded 3,180 results. Specifiers such as changing the years from 2008 to 2016 and adding citations and patents yielded 2960 articles. Amongst the 2960 articles, 5 articles were selected following screening. These articles were considered relevant to the current research topic. Of the 9,277 articles yielded in the overall research, 9 articles were used in conducting research supporting the barriers that OIF/OEF veterans face when seeking treatment for PTSD
The mission statement of the VA Social Workers is to eliminate significant barriers to clients in need and offer interventions for veterans and families. It is accomplished by developing and maintaining integrated, in-depth programs in patient care, research, and education (Hoffer, Elizabeth. F., Dekle, Judith. Ward., & Sheets, Carol., 2014). Its proposed 11 percent to 20 percent of Iraq, Afghanistan veterans as well as 30 percent of Vietnam vets encounter (PTSD) posttraumatic stress disorder traumatic incidents like combat can lead to PTSD, military sexual trauma of military service member, and veterans may possibly deal with depression, anxiety in addition to other mental health concerns. Vets distress from these mental health and cognitive
Post-Traumatic Stress Disorder is defined by the National Institute of Mental Health as a “disorder that develops in some people who have seen or lived through a shocking, scary, or dangerous events”. This being one of the titles strapped on to most returning veterans from war is an issue that is heavily debated and relevant to future war veterans. There is no known cure for this disorder and can be destructive to one who has it. This report will be going over 1) A brief history of Post-Traumatic Stress Disorder 2) Why does Post-Traumatic Stress Disorder pertain to Vietnam veterans specifically how the veterans helped PTSD be what it is today 3) Some evidence from other sources that
Article Citation: Bernhardt, A. (2009). Rising to the challenge of treating OEF/OIF veterans with co‐occurring PTSD and substance abuse. Smith College Studies in Social Work, 79(3-4), 344-367.
In today 's society, there is a great deal of research and practice about evidence based practice. Most of this is highly sought upon in the field of psychology, where evidence and decision making is key to accomplishing new ideas of treatments for people who retain psychiatric problems. The meaning of evidence-based practice in psychology is that it involves making very educated and supported decisions based on punctilious, unambiguous, and astute evidence (Rousseau & Gunia, 2016). With evidence-based practice, it assists in raising and deriving the issue of what evidence really is, the strength of the evidence, and how practitioners can improve the quality of their evidence (Rousseau & Gunia, 2016). Evidence is a major factor because it may either enhance or hinder the practitioner 's ability to make decisions and construct their practices on patients (Rousseau & Gunia, 2016). Evidence-based practice began in the 1980 's with the goal to combine the practices of scientific evidence with physician education and clinical practice. The issue with this was that medical schools did not have the ability to teach their own specific approaches to clinical problems (Rousseau & Gunia, 2016). As an effect to this cause, three main issues quickly arose about the effectiveness and quality of evidence-based practice. First, since other fields were advancing growth in
Cook, Walser, Kane, and Woody (2006) did a study that had a goal of getting clinicians to accept Seeking Safety and evaluate its efficacy when treating veterans, in hopes of bridging the gap of parallel services at the VA to treat comorbid SUD-PTSD. This study reinforced the old ways of "cannot teach an old dog new tricks" because of how difficult it is to influence clinician behavior in routine medical care. A more passive approach was taken via a daylong interactive staff training in Seeking Safety, where clinicians were informally surveyed on their willingness to co-lead groups with the study. Four therapists volunteered. And thus, four Seeking Safety groups were formed with 25 veteran volunteers whom had comorbid SUD-PTSD. Of those, 18
A frequent therapeutic option for mildly to moderately affected PTSD patients is group therapy, although empirical support for this is sparse. In such a setting, the PTSD patient can discuss traumatic memories, PTSD symptoms, and functional deficits with others who have had similar experiences. This approach has been most successful with war Veterans, rape/incest victims, and natural disaster survivors. It is important that therapeutic goals be realistic because, in some cases, PTSD is a chronic, complex (e.g., with many comorbid diagnoses and symptoms), and severely debilitating psychiatric disorder that does not always respond to current available treatments. Resick, Nishith, and Griffin (2003) have shown however, that very good outcomes
Lunney, Schnurr and Cook, (2014) compared the severity of PTSD symptoms in treatment-seeking older and younger U.S. veterans with PTSD. The study uses a wide number of participants, which provides credibility to the research and can be relied upon on information regarding the effective treatment of PTSD. The researchers
Today, hundreds of thousands of service men and women and recent military veterans have seen combat. Many have been shot at, seen their buddies killed, or witnessed death up close. These are types of events that can lead to Post- Traumatic Stress Disorder ("Post Traumatic Stress Disorder PTSD: A Growing Epidemic. “) Anyone that has gone through a traumatic event can be diagnosed with PTSD but research shows, military men and women are more susceptible to having PTSD (PTSD: A Growing Epidemic.) And, with little help from the US, many Veterans do not get the help they need or get treated for PTSD. Military men and women begin to
Two studies analyzed the efficacy of group- based exposure therapy. Ready et al. (2012) held three groups of ten participants with primarily war related induced PTSD. (Ready et al., 2012). Castillo et al. (2012) study treated 77 woman veterans with primarily sexual abuse related PTSD. All patients were selected from local VA clinics in the southern United States. DiMauro performed a meta- analysis on 26 studies, with an average gruop size of 5 participants, to determine the efficacy of exposure therapy in treating PTSD (DiMauro, 2014). All studies
PTSD is formally known as Post- traumatic Stress Disorder. It can be a very self harming and hurtful disorder. In an article by Melinda Smith, M.A., Lawrence Robinson, and Jeanne Segal they say PTSD is caused by traumatic events that threatened your safety or made you feel helpless. Other causes for PTSD are war, rape, kidnapping, and assault, sudden death of a loved one and much more. Everyone can be get PTSD and it is not just focused on war vets. Based on the U.S. Department of Veterans Affair they state that 8% of the U.S. population will have PTSD at some point in their lives, they also state that 10% of women are more to get it then 4%. There are many different symptoms of PTSD and once they are acknowledged there are ways to treat
Seeking Safety provides clients with psychoeducation and teaches them to use adaptive coping skills to manage the symptoms of their disorders and associated consequences and the demands of recovery from these disorders (Boden et al., 2014). Seeking Safety is an evidence-based, present-focused therapy that is designed to help clients explore links between PTSD and substance use without having clients explore into specific details regarding their experience of PTSD. This intervention will help combat veterans achieve safety in their relationships, thinking, behavior and emotions. It can also be conducted in a group, or on an individual
Posttraumatic stress disorder (PTSD) is a widespread disorder that affects certain individuals psychologically, behaviorally, and emotionally following the experience of a traumatic event (Lee et al., 2005, p. 135). However, because of inconsistencies regarding the percentage of individuals who experience PTSD and the percentage of individuals who subsequently develop PTSD, researchers hypothesize that both biological and environmental factors contribute to the development of PTSD (Wolf et al. 2010, p. 328). In order gain a better understanding of this disorder and to discover contributing and predicative factors which contribute to the development of PTSD, this paper analyses the historical context and prevalence of PTSD, the