Less than 1% of respondents reported using functional assessment scales for PTSD

How Do We Know If Someone Has PTSD?
Posted by Mark Thompson Thursday, October 6, 2011

Post-traumatic stress disorder is one of the most troubling legacies of our wars in Afghanistan and Iraq. Hundreds of thousands of troops and their families are affected. How do we ensure the help – both medical and financial – is going to those who need it? Well, that requires, one would think, a uniform yardstick so folks working for the Department of Veterans Affairs can separate the deserving from the rest.

But according to a new paper in the Journal of Traumatic Stress, that's not the case:

One hundred thirty-eight Veterans Affairs mental health professionals completed a 128-item Posttraumatic Stress Disorder (PTSD) Practice Inventory that asked about their practices and attitudes related to disability assessment of PTSD. Results indicate strikingly wide variation in the attitudes and practices of clinicians conducting disability assessments for PTSD. In a high percentage of cases, these attitudes and practices conflict with best-practice guidelines. Specifically, 59% of clinicians reported rarely or never using testing, and only 17% indicated routinely using standardized clinical interviews. Less than 1% of respondents reported using functional assessment scales.

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