VA Puget Sound Health Care System Innovations in Health Care of OIF/OEF Veterans Outreach Service Delivery Model Treatment Approaches Research. Joint VA/DoD Task Force Recommendations Adopt a Public Health Approach. Proactive case-finding through outreach
VA Puget Sound Health Care System Innovations in Health Care of OIF/OEF VeteransOutreachService Delivery ModelTreatment ApproachesResearch
Primary medical care
Mental health screening/triage
TBI assessment &
VA PTSD Programs
PTSD Clinical Teams
women's' Trauma Team
PTSD Inpatient Unit
Affiliated Mental Health Programs
General Mental Health
State Dept. Veterans Affairs
29 contract therapists
Collaborative and Coordinated Care
Deployment Health ClinicIntegrated Care for Combat Veterans
Integrated mental health and medical care
Preventive/health promotion based care
Family involvement in care
Brief CBT interventions
Vocational rehabilitation consultation
Referrals to inpatient/outpatient mental health services (PTSD, substance abuse, general mental health services) or specialty medical clinics within the VA Medical System
Raskind, MA et al., Am J Psychiatry 160:371-373, 2003.
Raskind et al. Biol. Psychiatry 2007; 61: 928-934
Open trial of 11 PTSD patients1
Jackupak, Robeerts, Maerrtell, Mulick, Michael, Reed, Balsam, Yoshimoto, McFall. A pilot study of behavioral activation for veterans with PTSD. J Trauma Stress 2006; 19: 387-391.
Integrated Care versus the Usual Standard of VA Care for Smoking Cessation in PTSD A Randomized Clinical TrialMcFall, M., et al. Improving Smoking Quit Rates for Patients with PTSD. Am J. Psychiatry 162:1311-1319
To compare the effectiveness of brief Integrated Care (IC) versus VA’s Usual Standard of Care (USC) for nicotine dependence in veterans undergoing mental health treatment for PTSD.
a Six weekly sessions (20 minutes each) plus discretionary follow-up visits.
GEE Analysis Results: Odds Ratio = 5.23, p < .0014
Practice-Based IC for Smoking Cessation: An Open Clinical TrialMcFall, M. et al. Integrating Tobacco Cessation Treatment into Mental Health Carefor PTSD. American Journal of Addictions 2006; 15: 336-344.