Home > Clinicians' perceptions for indicating and contra-indicating integrated treatment for SUD and comorbid PTSD, a vignette study.

Nass, Germa Catherina Maria and van Rens, Leon Willem and Dijkstra, Boukje Arnolda Gerdina . (2019) Clinicians' perceptions for indicating and contra-indicating integrated treatment for SUD and comorbid PTSD, a vignette study. Substance Abuse Treatment, Prevention, and Policy, 14 (1)

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC63816...

BACKGROUND Posttraumatic Stress Disorder (PTSD) is more common in patients with Substance Use Disorder (SUD) than in the general population. Although international guidelines recommend integrated treatment clinicians are still hesitant in offering integrated treatment and more concrete recommendations are needed. This study aims to contribute to a practice-based guideline through the exploration of practice-based decision criteria to determine the indication and treatment of SUD and PTSD.

METHODS: A vignette study to explore the views of experienced clinicians on the treatment of SUD and PTSD.

RESULTS: Thirty-one experienced clinicians working in Dutch addiction care facilities filled in 15 vignettes resulting in 465 scored vignettes. Respondents did not report any contra-indications for integrated treatment and the perceived relationship between SUD and PTSD was found to be an important factor in the indication of integrated treatment.

CONCLUSIONS: For integrated treatment to be offered to all eligible patients more training and schooling in trauma treatment and comorbid psychopathology is needed for all disciplines involved. Inpatient treatment options are necessary when patients need external support due to psychiatric or physical vulnerabilities. Further research into the effect of the relationship between SUD and PTSD on treatment execution and effectiveness is needed and can contribute to future treatment guidelines.


Item Type:Evidence resource
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder, AOD disorder harm reduction
Date:19 February 2019
Page Range:p. 7
Volume:14
Number:1
EndNote:View
Subjects:F Concepts in psychology > Psychological stress
G Health and disease > State of health > Mental health
G Health and disease > Substance related disorder > Substance related mental disorder
HJ Treatment method > Substance disorder treatment method
J Health care, prevention and rehabilitation > Patient care management
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
J Health care, prevention and rehabilitation > Care by type of problem > Mental health care
T Demographic characteristics > Doctor
VA Geographic area > Europe > Netherlands

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