Paraprofessional Intervention Utilizing a Cognitive Processing Therapy Protocol

Plouffe, Keith A.

doi:10.1177/1534650106291415

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…In addition to the written exposure component, we included behavioural homework to help patients counteract behavioural avoidance. Such homework does not disagree with the rationale behind CPT and has been added before [49]. …”

Section: Methodsmentioning

confidence: 99%

A Randomized Controlled Clinical Trial of Dialogical Exposure Therapy versus Cognitive Processing Therapy for Adult Outpatients Suffering from PTSD after Type I Trauma in Adulthood

Butollo

Karl²,

König³

et al. 2015

Psychother Psychosom

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Background: Although there are effective treatments for posttraumatic stress disorder (PTSD), there is little research on treatments with non-cognitive-behavioural backgrounds, such as gestalt therapy. We tested an integrative gestalt-derived intervention, dialogical exposure therapy (DET), against an established cognitive-behavioural treatment (cognitive processing therapy, CPT) for possible differential effects in terms of symptomatic outcome and drop-out rates. Methods: We randomized 141 treatment-seeking individuals with a diagnosis of PTSD to receive either DET or CPT. Therapy length in both treatments was flexible with a maximum duration of 24 sessions. Results: Dropout rates were 12.2% in DET and 14.9% in CPT. Patients in both conditions achieved significant and large reductions in PTSD symptoms (Impact of Event Scale - Revised; Hedges' g = 1.14 for DET and d = 1.57 for CPT) which were largely stable at the 6-month follow-up. At the posttreatment assessment, CPT performed statistically better than DET on symptom and cognition measures. For several outcome measures, younger patients profited better from CPT than older ones, while there was no age effect for DET. Conclusions: Our results indicate that DET merits further research and may be an alternative to established treatments for PTSD. It remains to be seen whether DET confers advantages in areas of functioning beyond PTSD symptoms.

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Section: Methodsmentioning

confidence: 99%

A Randomized Controlled Clinical Trial of Dialogical Exposure Therapy versus Cognitive Processing Therapy for Adult Outpatients Suffering from PTSD after Type I Trauma in Adulthood

Butollo

Karl²,

König³

et al. 2015

Psychother Psychosom

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“…The fact that rural settings are nearly four times as likely as urban settings to be providing counseling through a non-degreed counselor, suggests that one such strategy would be identifying effective trauma treatments that can be implemented without a college education or with only a bachelor's degree. Both CPT and EMDR have developed modified versions of these interventions that have been used by paraprofessionals to effectively treat PTSD and related trauma symptoms (Bass et al, 2013;Jarero, Amaya, Givaudan, & Miranda, 2013;Plouffe, 2007).…”

Section: Discussionmentioning

confidence: 99%

Assessing Receptivity to Empirically Supported Treatments in Rape Crisis Centers

Edmond¹,

Schrag²

2017

ASW

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Keywords: Trauma; evidence-based practice; PTSD; rape; rape crisis centersSexual violence, including child sexual abuse, rape, sexual assault, and threat of sexual assault, is a serious and widespread problem in the United States. Data from the National Intimate Partner and Sexual Violence Survey find that nearly 1 in 2 women and 1 in 5 men have experienced sexual violence other than rape, while 1 in 5 women and 1 in 71 men have experienced rape in their lifetime (Black et al., 2011). Survivors of sexual violence face serious mental health consequences including PTSD, depression, anxiety, and substance abuse (Jordan, Campbell, & Follingstad, 2010).Although there is a strong evidence base for the effectiveness of several interventions at reducing trauma-induced PTSD, depression, and anxiety in survivors of sexual violence, there is low utilization of these interventions in Rape Crisis Centers (RCCs; Edmond, 2004;Edmond, Lawrence, & Voth Schrag, 2016). RCC counselors indicate they have limited familiarity with, knowledge about, or training in key evidence-based treatments (Edmond, 2004;Edmond et al., 2016). This is not unique to RCCs. Broadly speaking, there is an underutilization of evidence-based treatments in mental health service sectors. Numerous barriers to adoption of evidence-based treatments have been identified including: attitudes about evidence-based practice, intervention characteristics, costs, and access to training, supervision, and consultation (Aarons, 2004;Barnett et al., 2017;Beidas, Edmunds, Marcus & Kendall, 2012;Dorsey et al., 2017; Ragavan, 2012). In order to promote the use of effective treatments for PTSD in RCCs, the current study sought to assess RCC counselors' attitudes towards Evidence-Based Practices (EBPs) in general (i.e., how they feel about movement towards the use of EBPs), understand counselors' perceptions of specific Empirically Supported Treatments (ESTs) for PTSD, and evaluate any differences in attitudes and perceptions based on agency location (urban/rural) and counselor educational attainment.

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Paraprofessional Intervention Utilizing a Cognitive Processing Therapy Protocol

Cited by 2 publications

References 15 publications

A Randomized Controlled Clinical Trial of Dialogical Exposure Therapy versus Cognitive Processing Therapy for Adult Outpatients Suffering from PTSD after Type I Trauma in Adulthood

A Randomized Controlled Clinical Trial of Dialogical Exposure Therapy versus Cognitive Processing Therapy for Adult Outpatients Suffering from PTSD after Type I Trauma in Adulthood

Assessing Receptivity to Empirically Supported Treatments in Rape Crisis Centers

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