Long and short duration inpatient treatment programs for the treatment of post-traumatic stress disorder a review of the comparative effectiveness and guidelines

There are usually four levels of care for patients with mental illness: inpatient hospitalization (24-hour care in a structured setting, usually for patients who are severely depressed, traumatized, or suicidal), residential treatment (similar to inpatient hospitalization but in a more home-like env...

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Bibliographic Details
Corporate Authors: Canadian Agency for Drugs and Technologies in Health, Canadian Agency for Drugs and Technologies in Health Rapid Response Service
Format: eBook
Language:English
Published: Ottawa (ON) Canadian Agency for Drugs and Technologies in Health 2016, 07 September 2016
Series:Rapid response report : summary with critical appraisal
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Description
Summary:There are usually four levels of care for patients with mental illness: inpatient hospitalization (24-hour care in a structured setting, usually for patients who are severely depressed, traumatized, or suicidal), residential treatment (similar to inpatient hospitalization but in a more home-like environment, medical staff not available on a 24-hour basis, for residents who are declared medically stable), partial hospitalization (day treatment, for patients who need structured treatment program but do not need 24-hour supervision), or outpatient treatment. There remains uncertainty about the effective durations for treatment, and benefits of more resource-intensive inpatient treatment versus outpatient programs.
Post-traumatic stress disorder (PTSD) is a complex somatic, affective, and behavioral effect of psychosocial trauma, characterized by intrusive thoughts, nightmares and flashbacks of past traumatic events, hypervigilance, sleep disturbances leading to considerable social, and interpersonal dysfunction. Over 76% of Canadians have reported exposure to a significant stress event; the lifetime prevalence of PTSD in Canada has been estimated to be 9.2%. The 2013 Canadian Forces Mental Health Survey provides an estimate for the presence of PTSD in serving personnel; of 8200 Canadian Armed Forces personnel surveyed, 11.1% of Regular Forces personnel met criteria for PTSD at some point in their life, with 5.3% having met the diagnostic criteria in the time of the survey or over the previous year. Patients can be treated for PTSD in numerous services, programs, and settings, for varying durations.
This Rapid Response report aims to review the comparative clinical effectiveness of long- (over 90 days) versus short-term (28 to 45 days) inpatient treatment programs, and the comparative clinical effectiveness of inpatient versus outpatient treatment programs for patients with PTSD. Evidence-based guidelines regarding inpatient treatment programs for patients with PTSD will also be examined
Item Description:"CADTH Rapid Response Service."
Physical Description:1 PDF file (11 pages) illustration