Treatment of military-related post-traumatic stress disorder: challenges, innovations, and the way forward

David Forbes; David Pedlar; Amy B. Adler; Clare Bennett; Richard Bryant; Walter Busuttil; John Cooper; Mark C. Creamer; Nicola T. Fear; Neil Greenberg; Alexandra Heber; Mark Hinton; Mal Hopwood; Rakesh Jetly; Ellie Lawrence-Wood; Alexander McFarlane; Olivia Metcalf; Meaghan O’Donnell; Andrea Phelps; J. Don Richardson; Nicole Sadler; Paula P. Schnurr; Marie-Louise Sharp; James M. Thompson; Robert J. Ursano; Miranda Van Hooff; Darryl Wade; Simon Wessely

doi:10.1080/09540261.2019.1595545

Treatment of military-related post-traumatic stress disorder: challenges, innovations, and the way forward

David Forbes^*, David Pedlar, Amy B. Adler, Clare Bennett, Richard Bryant, Walter Busuttil, John Cooper, Mark C. Creamer, Nicola T. Fear, Neil Greenberg, Alexandra Heber, Mark Hinton, Mal Hopwood, Rakesh Jetly, Ellie Lawrence-Wood, Alexander McFarlane, Olivia Metcalf, Meaghan O’Donnell, Andrea Phelps, J. Don RichardsonNicole Sadler, Paula P. Schnurr, Marie-Louise Sharp, James M. Thompson, Robert J. Ursano, Miranda Van Hooff, Darryl Wade, Simon Wessely

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

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Abstract

Post-traumatic stress disorder (PTSD) is one of the common mental disorders in military and veteran populations. Considerable research and clinical opinion has been focused on understanding the relationship between PTSD and military service and the implications for prevention, treatment, and management. This paper examines factors associated with the development of PTSD in this population, considers issues relating to engagement in treatment, and discusses the empirical support for best practice evidence-based treatment. The paper goes on to explore the challenges in those areas, with particular reference to treatment engagement and barriers to care, as well as treatment non-response. The final section addresses innovative solutions to these challenges through improvements in agreed terminology and definitions, strategies to increase engagement, early identification approaches, understanding predictors of treatment outcome, and innovations in treatment. Treatment innovations include enhancing existing treatments, emerging non-trauma-focused interventions, novel pharmacotherapy, personalized medicine approaches, advancing functional outcomes, family intervention and support, and attention to physical health.

Original language	English
Pages (from-to)	95-110
Number of pages	16
Journal	International Review of Psychiatry
Volume	31
Issue number	1
Early online date	2 May 2019
DOIs	https://doi.org/10.1080/09540261.2019.1595545
Publication status	Published - May 2019

Keywords

military
PTSD
trauma
treatment
veteran

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1080/09540261.2019.1595545

Treatment of military-related_FORBES_Accepted11March2019Publishedonline2May2019_GREEN AAMAccepted author manuscript, 287 KB

Cite this

Forbes, D., Pedlar, D., Adler, A. B., Bennett, C., Bryant, R., Busuttil, W., Cooper, J., Creamer, M. C., Fear, N. T., Greenberg, N., Heber, A., Hinton, M., Hopwood, M., Jetly, R., Lawrence-Wood, E., McFarlane, A., Metcalf, O., O’Donnell, M., Phelps, A., ... Wessely, S. (2019). Treatment of military-related post-traumatic stress disorder: challenges, innovations, and the way forward. International Review of Psychiatry, 31(1), 95-110. https://doi.org/10.1080/09540261.2019.1595545

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title = "Treatment of military-related post-traumatic stress disorder: challenges, innovations, and the way forward",

abstract = "Post-traumatic stress disorder (PTSD) is one of the common mental disorders in military and veteran populations. Considerable research and clinical opinion has been focused on understanding the relationship between PTSD and military service and the implications for prevention, treatment, and management. This paper examines factors associated with the development of PTSD in this population, considers issues relating to engagement in treatment, and discusses the empirical support for best practice evidence-based treatment. The paper goes on to explore the challenges in those areas, with particular reference to treatment engagement and barriers to care, as well as treatment non-response. The final section addresses innovative solutions to these challenges through improvements in agreed terminology and definitions, strategies to increase engagement, early identification approaches, understanding predictors of treatment outcome, and innovations in treatment. Treatment innovations include enhancing existing treatments, emerging non-trauma-focused interventions, novel pharmacotherapy, personalized medicine approaches, advancing functional outcomes, family intervention and support, and attention to physical health.",

keywords = "military, PTSD, trauma, treatment, veteran",

author = "David Forbes and David Pedlar and Adler, {Amy B.} and Clare Bennett and Richard Bryant and Walter Busuttil and John Cooper and Creamer, {Mark C.} and Fear, {Nicola T.} and Neil Greenberg and Alexandra Heber and Mark Hinton and Mal Hopwood and Rakesh Jetly and Ellie Lawrence-Wood and Alexander McFarlane and Olivia Metcalf and Meaghan O{\textquoteright}Donnell and Andrea Phelps and Richardson, {J. Don} and Nicole Sadler and Schnurr, {Paula P.} and Marie-Louise Sharp and Thompson, {James M.} and Ursano, {Robert J.} and Hooff, {Miranda Van} and Darryl Wade and Simon Wessely",

year = "2019",

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doi = "10.1080/09540261.2019.1595545",

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Forbes, D, Pedlar, D, Adler, AB, Bennett, C, Bryant, R, Busuttil, W, Cooper, J, Creamer, MC, Fear, NT , Greenberg, N, Heber, A, Hinton, M, Hopwood, M, Jetly, R, Lawrence-Wood, E, McFarlane, A, Metcalf, O, O’Donnell, M, Phelps, A, Richardson, JD, Sadler, N, Schnurr, PP, Sharp, M-L, Thompson, JM, Ursano, RJ, Hooff, MV, Wade, D & Wessely, S 2019, 'Treatment of military-related post-traumatic stress disorder: challenges, innovations, and the way forward', International Review of Psychiatry, vol. 31, no. 1, pp. 95-110. https://doi.org/10.1080/09540261.2019.1595545

TY - JOUR

T1 - Treatment of military-related post-traumatic stress disorder

T2 - challenges, innovations, and the way forward

AU - Forbes, David

AU - Pedlar, David

AU - Adler, Amy B.

AU - Bennett, Clare

AU - Bryant, Richard

AU - Busuttil, Walter

AU - Cooper, John

AU - Creamer, Mark C.

AU - Fear, Nicola T.

AU - Greenberg, Neil

AU - Heber, Alexandra

AU - Hinton, Mark

AU - Hopwood, Mal

AU - Jetly, Rakesh

AU - Lawrence-Wood, Ellie

AU - McFarlane, Alexander

AU - Metcalf, Olivia

AU - O’Donnell, Meaghan

AU - Phelps, Andrea

AU - Richardson, J. Don

AU - Sadler, Nicole

AU - Schnurr, Paula P.

AU - Sharp, Marie-Louise

AU - Thompson, James M.

AU - Ursano, Robert J.

AU - Hooff, Miranda Van

AU - Wade, Darryl

AU - Wessely, Simon

PY - 2019/5

Y1 - 2019/5

N2 - Post-traumatic stress disorder (PTSD) is one of the common mental disorders in military and veteran populations. Considerable research and clinical opinion has been focused on understanding the relationship between PTSD and military service and the implications for prevention, treatment, and management. This paper examines factors associated with the development of PTSD in this population, considers issues relating to engagement in treatment, and discusses the empirical support for best practice evidence-based treatment. The paper goes on to explore the challenges in those areas, with particular reference to treatment engagement and barriers to care, as well as treatment non-response. The final section addresses innovative solutions to these challenges through improvements in agreed terminology and definitions, strategies to increase engagement, early identification approaches, understanding predictors of treatment outcome, and innovations in treatment. Treatment innovations include enhancing existing treatments, emerging non-trauma-focused interventions, novel pharmacotherapy, personalized medicine approaches, advancing functional outcomes, family intervention and support, and attention to physical health.

AB - Post-traumatic stress disorder (PTSD) is one of the common mental disorders in military and veteran populations. Considerable research and clinical opinion has been focused on understanding the relationship between PTSD and military service and the implications for prevention, treatment, and management. This paper examines factors associated with the development of PTSD in this population, considers issues relating to engagement in treatment, and discusses the empirical support for best practice evidence-based treatment. The paper goes on to explore the challenges in those areas, with particular reference to treatment engagement and barriers to care, as well as treatment non-response. The final section addresses innovative solutions to these challenges through improvements in agreed terminology and definitions, strategies to increase engagement, early identification approaches, understanding predictors of treatment outcome, and innovations in treatment. Treatment innovations include enhancing existing treatments, emerging non-trauma-focused interventions, novel pharmacotherapy, personalized medicine approaches, advancing functional outcomes, family intervention and support, and attention to physical health.

KW - military

KW - PTSD

KW - trauma

KW - treatment

KW - veteran

U2 - 10.1080/09540261.2019.1595545

DO - 10.1080/09540261.2019.1595545

M3 - Review article

C2 - 31043106

AN - SCOPUS:85067245507

SN - 0954-0261

VL - 31

SP - 95

EP - 110

JO - International Review of Psychiatry

JF - International Review of Psychiatry

IS - 1

ER -

Treatment of military-related post-traumatic stress disorder: challenges, innovations, and the way forward

Abstract

Keywords

UN SDGs

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