Name
Who Says You Can't Treat Trauma in Integrated Primary Care? A Primer on PTSD and Primary Care
Description

Traumatic personal experiences are a major contributing factor to many of the common symptoms of anxiety, depression, sleeplessness, and substance use seen in primary care. This presentation provides guidance on how trauma can be compassionately assessed, discussed, and treated within primary care. Recent developments in empirical evidence support focused, brief interventions to help reduce PTSD and trauma symptoms in the primary care setting, and an overview on these approaches will be highlighted, as well as avenues to appropriate training.

Speakers
Travis Cos PhD, Behavioral Health Consultant, Veterans Affairs Medical Center, Philadelphia, PA
Lucy Gleysteen MSW, LCSW, Behavioral Health Consultant, Mazzoni Center,
Ana Bridges PhD, Professor & Director of Clinical Training, University of Arkansas, Fayetteville, Arkansas
Travis Cos
Content Level
All Audience
Tags
Behavioral Medicine Topics such as insomnia or medication adherence, Innovations, Technical assistance
Session Type
Concurrent
SIG or Committee
Primary Care Behavioral Health (PCBH)
Objective 1
Identify different types of trauma experiences that regularly emerge in primary care, including identity-based stress/trauma and moral injury
Objective 2
Discuss different approaches for single-session trauma care, a primary care episode of care, or, as needed, speciality referral
Objective 3
Relate material to a case example to help inform future decision-making in clinic-based trauma care
Content Reference 1

Rauch, S. A., Venners, M. R., Ragin, C., Ruhe, G., Lamp, K. E., Burton, M., ... & Cigrang, J. A. (2023). Treatment of posttraumatic stress disorder with prolonged exposure for primary care (PE-PC): Effectiveness and patient and therapist factors related to symptom change and retention. Psychological services, 20(4), 745.

Content Reference 2

Possemato, K., Johnson, E., Barrie, K., Ghaus, S., Noronha, D., Wade, M., ... & Kuhn, E. (2023). A randomized clinical trial of clinician-supported PTSD coach in VA primary care patients. Journal of general internal medicine, 38(Suppl 3), 905-912. https://doi.org/10.1007/s11606-023-08130-6

Content Reference 3

Meredith, L. S., Wong, E., Osilla, K. C., Sanders, M., Tebeka, M. G., Han, B., ... & Carton, T. W. (2022). Trauma-informed collaborative care for African American primary care patients in federally qualified health centers: A pilot randomized trial. Medical care, 60(3), 232-239.

Content Reference 4

Eghaneyan, B. H., Killian, M. O., & Sanchez, K. (2023). The integration of behavioral health and primary care for Hispanic/Latino patients with depression and comorbid PTSD. The Journal of Behavioral Health Services & Research, 50(1), 95-107.

Content Reference 5

Wang, Clarice, et al. (2003). Mitigating the health effects of systemic racism: Evaluation of the Race-Based Stress and Trauma Empowerment intervention. Contemporary clinical trials 127, 107118.