First-line PTSD treatments are effective but most people with PTSD will never access one of these interventions or complete an episode of care. Most of these first line treatments are provided in specialty mental health alone and require 8 to 15 sessions for an adequate dose. Providing an effective, brief version of Prolonged Exposure (PE), a first line PTSD intervention, in primary care reduces barriers to care and increases access. Processing Emotions in Primary Care (PE-PC) is a brief version of PE that includes four to eight, 30-minute visits provided by an embedded behavioral health consultant (BHC) in the PC setting. PEPC has demonstrated effectiveness in veterans, military services members, and civilians with PTSD with about half of patients who initiate showing response with a clinically significant reduction in PTSD. This workshop will provide the full didactic portion of training in the PEPC model for BHCs and other mental health clinicians embedded in the primary care or integrated care setting. The training will include discussion of the elements of the PEPC model: written memory approach and processing, brief in vivo (taking your life back from PTSD), and psychoeducation. Didactic will cover emotional processing theory as applied to this brief PTSD model. Trainers will include video review, roleplays and discussion as tools to train attendees in how to provide PEPC to a variety of patient presentations. Trainees will be directed how to access consultation groups required if they intended to receive provider status in PEPC.
Full Day – 6 hours, 6 CEs
9am-12pm – morning session
12pm-1pm - Lunch on your own
1pm-4pm – afternoon session
Cigrang, J., Rauch, S.A.M., Mintz, J., Brundige, A., Mitchell, J., Najera, E., et al. (2017). Moving Effective Treatment for Posttraumatic Stress Disorder to Primary Care: A Randomized Controlled Trial with Active Duty Military. Families, Systems, & Health 35(4), 450-462. doi:10.1037/fsh0000315
Sripada RK, Walters HM, Ganoczy D, Avallone KM, Cigrang JA, Rauch SAM. Feasibility and Acceptability of Prolonged Exposure in Primary Care (PE-PC) for Posttraumatic Stress Disorder in Federally Qualified Health Centers: A Pilot Study. Adm Policy Ment Health. 2022 Sep;49(5):722-734. doi: 10.1007/s10488-022-01195-1. Epub 2022 Apr 20. PMID: 35445362; PMCID: PMC9020756.
Ogbeide SA, Knight C, Young A, George D, Houston B, Wicoff M, Johnson-Esparza Y, Gibson-Lopez G. Current Practices in Clinical Supervision in Primary Care. J Clin Psychol Med Settings. 2024 Jun;31(2):316-328. doi: 10.1007/s10880-023-10001-5. Epub 2024 Feb 12. PMID: 38347384.
Rauch, S. A. M., Wilson, C. K., Jungerman, J., Bollini, A., & Eilender, P. (2022). Implementation of Prolonged Exposure for PTSD: Pilot Program of PE for Primary Care in VA. Cognitive and Behavioral Practice, 29(2), 259-266. doi:https://doi.org/10.1016/j.cbpra.2020.09.004
Rauch, S., & Foa, E. (2006). Emotional Processing Theory (EPT) and Exposure Therapy for PTSD. Journal of Contemporary Psychotherapy: On the Cutting Edge of Modern Developments in Psychotherapy, 36(2), 61–65. https://doi.org/10.1007/s10879-006-9008-y