National Academies Press: OpenBook

Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence (2008)

Chapter: Appendix F: Agenda for Public Meeting Held by the Committee on Treatment of PTSD

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Suggested Citation:"Appendix F: Agenda for Public Meeting Held by the Committee on Treatment of PTSD." Institute of Medicine. 2008. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence. Washington, DC: The National Academies Press. doi: 10.17226/11955.
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Page 199
Suggested Citation:"Appendix F: Agenda for Public Meeting Held by the Committee on Treatment of PTSD." Institute of Medicine. 2008. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence. Washington, DC: The National Academies Press. doi: 10.17226/11955.
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Page 200
Suggested Citation:"Appendix F: Agenda for Public Meeting Held by the Committee on Treatment of PTSD." Institute of Medicine. 2008. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence. Washington, DC: The National Academies Press. doi: 10.17226/11955.
×
Page 201
Suggested Citation:"Appendix F: Agenda for Public Meeting Held by the Committee on Treatment of PTSD." Institute of Medicine. 2008. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence. Washington, DC: The National Academies Press. doi: 10.17226/11955.
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Page 202

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Appendix F Agenda for Public Meeting Held by the Committee on Treatment of PTSD PUBLIC MEETING Tuesday, January 16, 2007 National Academy of Sciences Building 2101 Constitution Ave, NW Washington, DC 10:00 am Welcome, Opening Remarks and Introduction Alfred O. Berg, Committee Chair 10:10–10:20 am Charge to the Committee Joseph Francis Acting Deputy Chief Research and Development Officer Department of Veterans Affairs 10:20–10:30 am Committee Questions 10:30–11:00 am Treatment of PTSD in VA Facilities and Programs Readjustment Counseling Services Alfonso Batres, Chief Officer Department of Veterans Affairs 199

200 TREATMENT OF POSTTRAUMATIC STRESS DISORDER Mental Health Services Antonette Zeiss, Deputy Chief Department of Veterans Affairs 11:00–11:20 am Committee Questions 11:20–11:25 am Comment from the Veterans’ Disability Benefits Commission Commissioner Rick Surratt Veterans’ Disability Benefits Commission 11:25–11:30 am Committee Questions 11:30 am–12:00 pm State of the Research— Pharmacotherapy Jonathan Davidson, Professor Department of Psychiatry and Behavioral Sciences Duke University Medical Center 12:00–12:15 pm Committee Questions 12:15–12:45 pm State of the Research—Psychotherapy Rachel Yehuda, Professor Department of Psychiatry Director, Traumatic Stress Studies Division Mount Sinai School of Medicine and Bronx Veterans Affairs Medical Center 12:45–1:00 pm Committee Questions 1:00–2:00 pm Lunch 2:00–2:20 pm Clinical Perspectives Douglas Zatzick, Associate Professor Department of Psychiatry and Behavioral Science University of Washington School of Medicine 2:20–2:35 pm Committee Questions

APPENDIX F 201 2:35–2:55 pm Treating PTSD in Veterans: Challenges and Opportunities Robert Ursano, Professor and Chair Department of Psychiatry Director, Center for the Study of Traumatic Stress Uniformed Services University of Health Sciences 2:55–3:10 pm Committee Questions 3:10–3:30 pm Public Comment 3:30 pm Adjourn

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Mental disorders, including posttraumatic stress disorder (PTSD), constitute an important health care need of veterans, especially those recently separated from service. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence takes a systematic look the efficacy of pharmacologic and psychological treatment modalities for PTSD on behalf of the Department of Veterans Affairs. By reviewing existing studies in order to draw conclusions about the strength of evidence on several types of treatment, the Committee on the Treatment of Posttraumatic Stress Disorder found that many of these studies were faulty in design and performance, and that relatively few of these studies have been conducted in populations of veterans, despite suggestions that civilian and veteran populations respond differently to various types of treatment. The committee also notes that the evidence is scarce on the acceptability, efficacy, or generalizability of treatment in ethnic and cultural minorities, as few studies stratified results by ethnic background.

Despite challenges in the consistency, quality, and depth of research, the committee found the evidence sufficient to conclude the efficacy of exposure therapies in treating PTSD. The committee found the evidence inadequate to determine efficacy of different types of pharmacotherapies, of three different psychotherapy modalities, and of psychotherapy delivered in group formats. The committee also made eight critical recommendations, some in response to the VA's questions related to recovery and the length and timing of PTSD treatment, and others addressing research methodology, gaps in evidence and funding issues.

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