Vets Affairs Launches Telehealth Program for Rural US Vets with PTSD
March 6, 2018, 11:00:00 AM
Unites States — With a focus on improving access to mental health care for US Vets living in rural areas, this day the U.S. Dept. of US Veterans Affairs (Veteran Affairs) announced it has launched a pilot telehealth program that will give rural Veteran with post-traumatic stress disorder (PTSD) remote access to psychotherapy and related services.
VA’s Office of Rural Health, in partnership with VA’s Quality Enhancement Research Initiative, is supporting the Telemedicine Outreach for PTSD (TOP) program to deliver therapy and other care through telephone and interactive video contact.
“Our researchers have worked diligently in recent years to establish the safety and efficacy of PTSD psychotherapy delivered remotely, ensuring Vet will get the same quality of PTSD care as if they were in a doctor’s office at a Veterans Affairs medical center,” said VA.Gov Secretary David Shulkin. “We are excited to see this program help greater numbers of USA Veterans living in rural areas and pleased that it will save them time and effort to get to a Veteran Affairs facility that is far from their homes.”
Dr. John Fortney, a research health scientist at the VA Puget Sound Health Care System in Seattle, Unites States, is leading the project.
“Long travel distances to urban areas can be a major barrier to care for rural US Vets,” Fortney said. “In a prior trial, we were able to use telehealth technologies successfully to engage Vets in evidence-based, trauma-focused therapy without their having to travel to a distant Veteran Affairs medical center.”
To date, more than 500 rural Government Veterans who are not receiving specialty PTSD care have enrolled in the study. The participants may choose between the two main forms of evidence-based, trauma-focused psychotherapy used in VA: cognitive processing therapy and prolonged exposure therapy.
Veteran participating in the program receive frequent wire calls from a care manager who helps them access services provided by off-site psychiatrists and psychologists. The psychotherapy is delivered via interactive video from a VA medical center to a community-based outpatient clinic (CBOC) or to the Veteran’s home. The phone care manager also monitors the Veterans’ progress and helps them overcome barriers to care.
The program includes 12 CBOCs across the nation in Charleston, South Carolina; Iowa City, Iowa; Little Rock, Arkansas; Denver, Colorado; San Diego, California; and Seattle. The results, which will be eligible in 2020, will lay the groundwork for national implementation of the TOP program.
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- ^ Office of Rural Health (www.ruralhealth.va.gov)
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- ^ cognitive processing therapy (www.ptsd.va.gov)
- ^ prolonged exposure (www.ptsd.va.gov)
- ^ www.research.va.gov/topics/ptsd.cfm (www.research.va.gov)
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Source: Vet Affairs.gov