Community-Based Outpatient Clinics (CBOCs) provide primary-care-based mental health services to rural veterans who live long distances from Veterans Affairs (VA) hospitals. Characterizing the composition of usual care will highlight the need and potential strategies to improve access to and engagement in evidence-based psychotherapy for posttraumatic stress disorder (PTSD).Veterans (N = 132) with PTSD recruited from 5 large- (5,000-10,000 patients) and 6 medium-sized (1,500-4,999) CBOCs were enrolled in the usual care arm of a randomized control trial for a PTSD collaborative care study. Chart review procedures classified all mental health encounters during the 1-year study period into 10 mutually exclusive categories (7 psychotherapy and 3 medication management).Seventy-two percent of participants received at least 1 medication management encounter with 30

作者：Kathleen M, Grubbs；John C, Fortney；Tim, Kimbrell；Jeffrey M, Pyne；Teresa, Hudson；Dean, Robinson；William Mark, Moore；Paul, Custer；Ronald, Schneider；Paula P, Schnurr

来源：The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association 2017 年 33卷 3期