Developing a Multimodal Intervention for Individuals With PTSD and Hazardous Alcohol Use in Federally Qualified Health Centers

Summary

This project will test the effectiveness of a stepped-care talk therapy model for patients with PTSD and Hazardous Alcohol use (HAU). Specifically, the researchers are testing whether beginning with one type of therapy is better than beginning with another type of therapy, and whether moving to a different therapy after five sessions is more helpful than staying with the same therapy, depending on how well it is working.

Description

Eligibility

Age range

18+ years

Sex

All

Healthy volunteers

No

Interventions

• Behavioral
  Written Exposure Therapy (WET)

  WET is a five-session, evidence-based PTSD protocol that can be delivered in as little as 30 minutes.18 Treatment consists of structured writing assignments about the trauma in session, with the support of a clinician. WET does not contain between-session assignments.

• Behavioral
  Clinician Supported PTSD Coach App (CS-PTSD)

  CS-PTSD Coach combines the free-to-use PTSD Coach mobile app with clinician support, which has been shown to increase app engagement and lead to greater reductions in PTSD symptom severity.16,22 CS-PTSD Coach will consist of five 30-minute sessions in which therapists work with patients to personalize PTSD Coach's psychoeducational and self-management components.

• Behavioral
  Phone follow up

  Phone follow-up, which will occur 2- and 4-weeks after session 5.

• Behavioral
  Primary Care Treatment Integrating Motivation and Exposure (PC-TIME)

  PC-TIME consists of five 30-minute sessions, with daily homework assigned between sessions.

Locations (2)