Clinician's Corner: Telemental Health and PTSD

StressPoints
Despite the substantial growth in evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD), such as cognitive processing therapy (CPT; Resick, Monson, & Chard, 2017), and prolonged exposure (PE; Foa, Hembree, & Rothbaum, 2007) therapy, and the high demand for such services (Kilpatrick et al., 2013), critical barriers continue to prevent patients from accessing and engaging in these interventions (Maguen et al., 2019; Sripada et al., 2018).
Death Notification, Grief, and Posttraumatic Stress: Implications for COVID-19 Deaths
Human Remains, Grief, and Posttraumatic Stress in Bereaved Family Members Fourteen Years after September 11, 2001, a forthcoming manuscript in the Journal of Traumatic Stress describes the mental health effects on 9/11-bereaved family members after being notified (often multiple times) that remains of their loved ones were identified. The recent, novel coronavirus (COVID-19) outbreak presents new and different challenges associated with death notification.
Death Notification: Challenges for Health Care Providers and Other Professionals
Although the phrase,
death is a part of life, is commonly stated, discussions about death and informing those who are impacted by it remain uncomfortable topics for professionals. Recently, researchers at the Center for the Study of Traumatic Stress created an informational guide titled
Notifying Family Members After Unexpected Deaths: Guidelines for Healthcare Providers that is readily available online:
How to Predict and Mitigate Risk of Evacuation of US Service Members from Deployed Settings for Behavioral Health Reasons
Acute behavioral health crises are one of the leading causes of medical evacuation from combat operations for American service members (Williams, Stahlman, & Oh, 2017), and evacuees with psychiatric disorders are less likely to return to duty (Cohen, et al., 2010). We set out to determine variables that may help predict which service members are more likely to be medically evacuated from theater for behavioral health concerns.
LGBT Service Members Report More Sexual Assault, Sexual Harassment and Stalking than their Cisgender Heterosexual Peers
In the United States military, approximately 1 in 16 service members identifies as lesbian, gay, bisexual (LGB), or transgender (Meadows et al., 2018). Military environments marked by sexual prejudice and discrimination can create an atmosphere where acts of sexual harassment and assault are normalized (Castro et al., 2015; Hunter, 2007; Sadler et al., 2003). Understanding the burden of sexual and stalking victimization among LGBT service members is crucial for military leaders, as well as clinicians and researchers working to promote and protect LGBT service members’ well-being.