Massed treatment of posttraumatic stress disorder, traumatic brain injury, and co-occurring conditions: the Home Base intensive outpatient program for military veterans and service members

The two-week Home Base Intensive Clinical Program (ICP) provides treatment to veterans and active duty service members suffering from primary diagnoses of posttraumatic stress disorder (PTSD), traumatic brain injury (TBI), anxiety, or depression. First launched in 2015, this paper provides a program...

Full description

Saved in:

Bibliographic Details
Published in:	Frontiers in psychiatry Vol. 15; p. 1387186
Main Authors:	Harward, Laura K., Lento, René M., Teer, Andrew, Samph, Stephanie, Parmenter, Megan E., Bonvie, Joseph, Magee, Charlotte, Brenner, Lauren, Picard, Kaitlin, Sanders, Wesley, Tinney, William Joseph, Andrew, Cyrielle, Covitz, Jessica, Echevarria, Katrina, Vanderweit, Ryan, Maggiolo, Nicolette S., Tanev, Kaloyan S.
Format:	Journal Article
Language:	English
Published:	Frontiers Media S.A 30-10-2024
Subjects:	intensive outpatient program massed treatment military military mental health Psychiatry PTSD - posttraumatic stress disorder veteran mental health
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	The two-week Home Base Intensive Clinical Program (ICP) provides treatment to veterans and active duty service members suffering from primary diagnoses of posttraumatic stress disorder (PTSD), traumatic brain injury (TBI), anxiety, or depression. First launched in 2015, this paper provides a programmatic update, including new treatment components implemented since inception, and examines outcomes for all participants who entered the program from September 2015 to July 2024 ( n = 2561). The Home Base ICP provides a massed care approach through daily individual Prolonged Exposure, Cognitive Processing Therapy, Unified Protocol, or cognitive rehabilitation, along with groups targeting coping skills. Participants entering the program are provided with core group programming, as well as individualized therapy sessions tailored to their unique needs and symptom presentation. Supplemental dual recovery support is also available for all participants with co-occurring substance use or behavioral addiction concerns. Participants' support people receive education, support, and case management services. Participants have a multidisciplinary team comprising therapists, psychopharmacology providers, case managers, nurses, and wellness providers. Results demonstrate that program participants exhibited statistically significant reductions in PTSD symptoms (Cohen's d = 0.80), depression ( d = 0.68), post-concussion symptoms ( d = 0.71), and increased satisfaction in social roles (d = -0.65). Completion rate was 94.60% ( n = 2422), suggesting that the Home Base ICP is a well-received and effective model of care for veterans and service members.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Alan L. Peterson, The University of Texas Health Science Center at San Antonio, United States Reviewed by: Rüdiger Christoph Pryss, Julius Maximilian University of Würzburg, Germany Margaret Harvey, University of Massachusetts Medical School, United States Edited by: Fengyu Zhang, Global Clinical and Translational Research Institute, United States
ISSN:	1664-0640 1664-0640
DOI:	10.3389/fpsyt.2024.1387186