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In addition, the NCPTSD, which reports to OMHS, has developed invaluable approaches to mentoring and training VA's mental health providers.
Combat and Operational Stress First Aid (COSFA) is a flexible, modular approach to indicated prevention in military units and was developed through a collaboration between the Navy, Marine Corps, and NCPTSD by modifying PFA for use in the military and other organizations having pre-existing social structures that include clearly defined leadership, cohesive subunits with high levels of social engagement, and a network of available support .
Skills for Psychological Recovery (SPR) was developed by the NCPTSD and NCTSN as a skills-based intervention to assist individuals with moderate levels of distress in the weeks and months postdisaster.
Abbreviations: ASD = acute stress disorder; ASR = acute stress reaction; CBT = cognitive-behavioral therapy; COSFA = Combat and Operational Stress First Aid; COSR = combat and operational stress reaction; CPG = Clinical Practice Guideline; DOD = Department of Defense; DSM = Diagnostic and Statistical Manual of Mental Disorders; DSM-IV = DSM, 4th Edition; FOCUS = Families Overcoming Under Stress; ICD-10 = International Classification of Diseases, 10th Edition; IOM = Institute of Medicine; NCPTSD = National Center for PTSD; NCTSN = National Child Traumatic Stress Network; NRC = National Research Council; PD = psychological debriefing; PFA = psychological first aid; PTSD = posttraumatic stress disorder; SPR = Skills for Psychological Recovery; VA = Department of Veterans Affairs.
The National Center for PTSD (NCPTSD) has worked within the VA's Office of Mental Health Services to meet the demands of increasingly complex clinical presentations in which PTSD is often accompanied by comorbid diagnoses (such as depression, SUD, and traumatic brain injury [TBI]) and co-occurring problems (such as insomnia, pain, and aggressive behavior).
The last special issue on PTSD in JRRD was edited by our NCPTSD colleague, Dr.
Abbreviations: CPT = cognitive processing therapy, DOD = Department of Defense, mTBI = mild traumatic brain injury, NCPTSD = National Center for Posttraumatic Stress Disorder, OEF = Operation Enduring Freedom, OIF = Operation Iraqi Freedom, PE = prolonged exposure, PNS = Polytrauma Network Site, PTSD = posttraumatic stress disorder, QI = quality improvement, RAP = Rapid Assessment Process, TBI = traumatic brain injury, VA = Department of Veterans Affairs, VAMC = VA medical center, VISN = Veterans Integrated Service Network.
Within the VA, the National Center for PTSD (NCPTSD) is currently leading national rollouts of cognitive processing therapy (CPT) and prolonged exposure (PE), the most effective evidence-based psychotherapies for PTSD.
We developed this project in collaboration with the VA Department of Physical Medicine and Rehabilitation and the NCPTSD as a quality improvement (QI) project to meet the need for information to improve practice for veterans with mTBI/PTSD.
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