PTSD – Clinical Practice Guideline for Management of Post Traumatic Stress CE Course

PTSD – Clinical Practice Guideline for Management of Post Traumatic Stress CE Course – Online CE Course

PTSD – Clinical Practice Guideline for Management of Post Traumatic Stress CE Course Description, Objectives, and Outline:

Course Description:

This 2010 VA/DoD Post-Traumatic Stress Guideline Update builds on the VA/DoD Clinical Practice Guideline for the Management of Post-Traumatic Stress published in 2004. The goal of this update is to integrate the results of recent research and update the recommendations of the original guideline to reflect the current knowledge of effective treatment interventions.

Course Objectives:

1. Identify at least two dynamics of PTSD, ASD, or other related trauma disorders.
2. Discuss at least two appropriate treatment interventions.
3. List at least three potential services and interventions.
4. Explain at least two legal and ethical issues related to trauma work.
5. Describe at least two specialized needs of combat veterans.

Course Outline:

1. PRIMARY PREVENTION
   1. Education and Training to Foster Resilience
2. POPULATIONS AT-RISK FOR DEVELOPING PTSD
   1. Person Exposed to Trauma
3. SECONDARY PREVENTION
   1. Screen for PTSD Symptoms
   2. Are Trauma-Related Symptoms Present?
   3. Educate About Additional Care If Needed; Provide Contact Information
4. MODULE A: ACUTE STRESS REACTION (ASR) and PREVENTION OF POST-TRAUMATIC STRESS DISORDER (PTSD)
5. MODULE A: ALGORITHM
6. MODULE A: ANNOTATIONS
   1. ASSESSMENT & TRIAGE
      1. Trauma Exposure (within the past 30 days)
      2. Assess Briefly Based on General Appearance and Behavior
      3. Unstable, Dangerous to Self or Others, or Need for Urgent Medical Attention
      4. Ensure Basic Physical Needs Are Met
      5. Person has Trauma-Related Symptoms, Significant Impaired Function, or Diagnosis of ASD
      6. Assess Medical and Functional Status
      7. Assess Pre-Existing Psychiatric and Medical Conditions
      8. Assess Risk Factors for Developing ASD/PTSD
   2. TREATMENT
      1. Provide Education and Normalization / Expectancy of Recovery
      2. Initiate Brief Intervention
      3. Acute Symptom Management
      4. Facilitate Spiritual Support
      5. Facilitate Social Support
   3. RE-ASSESSMENT
      1. Reassess Symptoms and Function
   4. FOLLOW-UP
      1. Persistent (>1 Month) or Worsening Symptoms, Significant Functional Impairment, or High Risk for Development of PTSD.
      2. Monitor and Follow-Up
7. MODULE B: ALGORITHM
8. MODULE B: ANNOTATIONS
   1. ASSESSMENT
      1. Assessment of Stress Related Symptoms
      2. Assessment of Trauma Exposure
      3. Assessment of Dangerousness to Self or Others
      4. Obtain Medical History, Physical Examination, Laboratory Tests and Psychosocial Assessment
      5. Assessment of Function, Duty/Work Responsibilities and Patient’s Fitness (In Relation To Military Operations)
      6. Assessment of Risk/Protective Factors
   2. TRIAGE
      1. Diagnosis of PTSD or Clinical Significant Symptoms Suggestive of PTSD?
      2. Assess for Co-Occurring Disorders
      3. Educate Patient and Family
      4. Determine Optimal Setting for Management of PTSD and Co-Occurring Disorders
      5. Management of PTSD with Co-morbidity
      6. Management of Concurrent PTSD and Substance Use Disorder
      7. The Role of the Primary Care Practitioner
   3. TREATMENT
      1. IInitiate Treatment Using Effective Interventions for PTSD
      2. Facilitate Spiritual Support
      3. Facilitate Social Support
   4. RE-ASSESSMENT
      1. Assess Response to Treatment
      2. Follow-Up

Instructors: Nicole Hiltibran, MA, LMFT; Julie Campbell, Phd

Author: Department of Veteran Affairs, Department of Defense

The Department of Veterans Affairs (VA) and The Department of Defense (DoD) guidelines are based on the best information available at the time of publication. They are designed to provide information and assist in decision-making. They are not intended to define a standard of care and should not be  construed as one. Also, they should not be interpreted as prescribing an exclusive course of management.

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