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Engagement in Psychotherapy Improves Outcomes for Veterans
Journal of Psychosocial Nursing and Mental Health Services
|January 3, 2019
Summary
Psychiatric-mental health nurse practitioner residents improved patient outcomes using measurement-based care (MBC). Veterans in psychotherapy showed greater improvements in depression and anxiety symptoms.
Area of Science:
- Psychiatry
- Nursing
- Mental Health
Background:
- Established a psychiatric-mental health nurse practitioner (PMHNP) residency and Resident Continuity Clinic (RCC) through a partnership between BVAMC and UAB School of Nursing.
- PMHNP residents in the RCC provide evidence-based care utilizing measurement-based care (MBC) to enhance patient outcomes and recovery.
- The project was deemed a quality improvement initiative by the BVAMC Institutional Review Board.
Purpose of the Study:
- To evaluate the effectiveness of measurement-based care (MBC) in a psychiatric-mental health nurse practitioner (PMHNP) residency program.
- To assess patient outcomes, including depression, anxiety, trauma, and alcohol use, using the Patient Stress Questionnaire (PSQ).
- To explore the impact of psychotherapy and other clinical variables on patient recovery.
Main Methods:
- PMHNP residents administered the Patient Stress Questionnaire (PSQ), a MBC tool incorporating four validated screening instruments.
- The PSQ measured behavioral health symptoms related to depression, anxiety, trauma, and alcohol use.
- Retrospective analysis of PSQ scores and clinical variables (illicit substance use, psychotherapy, psychotropic medications) using descriptive statistics and nonparametric tests.
Main Results:
- Statistically significant improvements were observed in patient depression and anxiety symptoms.
- Patients participating in psychotherapy demonstrated superior improvement across all PSQ screening measures compared to those not in therapy.
- Analysis highlighted the positive impact of psychotherapy engagement on overall patient outcomes.
Conclusions:
- Measurement-based care (MBC) is a valuable approach in psychiatric settings, enhancing patient care and outcomes.
- Engaging Veterans in psychotherapy is crucial for improving mental health recovery and treatment effectiveness.
- The PMHNP residency and RCC model effectively delivers evidence-based, outcome-informed psychiatric care.
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