Hien, D. A., Morgan-López, A. A., Saavedra, L. M., Ruglass, L. M., Ye, A., López-Castro, T., Fitzpatrick, S., Killeen, T. K., Norman, S. B., Ebrahimi, C. T., & Back, S. E. (2023). Project Harmony: A meta-analysis with individual patient data on behavioral and pharmacologic trials for comorbid posttraumatic stress and alcohol or other drug use […] » Read More
Toolkit Type: PTSD Toolkit
Request Treatment Manual
UVM CORA can provide rural treatment providers with physical copies of the PTSD treatment manuals below. Click here to submit a request for these materials. Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences – Therapist Guide (2nd Edition) – by Foa et al., Oxford Academic. This therapist guide to prolonged exposure (PE) treatment […] » Read More
Research Regarding the Treatment of PTSD in Individuals with SUD
Evidence-based interventions for PTSD are time-intensive and require training to deliver. However, recent studies suggest that the results are well worth the effort. For individuals with co-occurring PTSD and SUD, trauma-focused treatments such as PE and CPT are consistently more likely to lead to improvements by the end of treatment.1 For example, a recent study […] » Read More
Introduction to Treatment Manuals
Manualized trauma-focused therapy is the first-line treatment for posttraumatic stress disorder (PTSD). VA/DoD Clinical Practice Guidelines – Management of Posttraumatic Stress Disorder and Acute Stress Disorder 2023 recommend Prolonged Exposure Therapy (PE), Cognitive Processing Therapy (CPT), and Eye Movement Desensitization and Reprocessing (EMDR) as the most effective treatments for PTSD. In addition, Concurrent Treatment of […] » Read More
Descriptions of Trainings & Application for Reimbursement
University of Vermont Center on Rural Addiction (UVM CORA) aims to support mental health professionals who are providing care to people with OUD in HRSA-designated rural counties by covering the costs associated with taking one of the five trainings (described below) in evidence-based psychotherapies for posttraumatic stress disorder (PTSD). We have included an application (linked […] » Read More
Introduction to Training Opportunities
Several training opportunities are available for treatment providers who are interested in learning how to deliver evidence-based posttraumatic stress disorder (PTSD) assessments and interventions. The U.S. Department of Veterans Affairs (VA) offers a free online course for providers who are interested in learning about the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5), which is the gold-standard […] » Read More
Information for Providers about OUD, MOUD, and Opioid Overdose Prevention
SAMHSA: Opioid Overdose SAMHSA: Opioid Overdose Reversal Medications SAMHSA: Buprenorphine SAMHSA: Methadone » Read More
Information for Providers Delivering Care to People with PTSD in Rural Communities
Rural healthcare providers who treat people with PTSD face unique challenges. By recognizing the challenges and benefits specific to rural healthcare, you may be better equipped to adapt your own practice, reduce barriers to care, and provide more effective treatment to people with PTSD. Below we provide information and resources that may be particularly helpful […] » Read More
Educational Materials for Patients and Families of People with Co-Occurring PTSD and SUD
In addition to educational materials about PTSD generally, it may be helpful to provide patients with educational materials with specific information about the co-occurrence of PTSD and SUDs. Below, we provide links to resources that are accessible and easy-to-understand for patients and families of people with PTSD. These resources provide definitions of substance use problems, […] » Read More
Information for Providers about the Co-Occurrence of PTSD and Other SUDs
In addition to OUD, it is well-established that PTSD often co-occurs with other SUDs. This co-occurrence is associated with a worse, more costly, and more complex clinical course than either disorder alone. The resources provided below are intended for treatment providers who are interested in learning more about the co-occurrence of PTSD and other SUDs. […] » Read More
Information for Providers about the Co-Occurrence of PTSD and OUD
The U.S. opioid crisis continues as opioid-related overdose deaths and health costs have reached staggering levels. There is growing recognition that co-occurring mental health conditions such as PTSD are associated with adverse opioid-related outcomes. The resources provided below are geared toward medications for opioid use disorder (MOUD) and mental health treatment providers. They provide an […] » Read More
How are Stress and Trauma Related to Substance Use?
Adverse childhood experiences and trauma are associated with substance use. Physical and sexual violence, child abuse or neglect, and family or social conflict are related to an increased risk for developing a substance use disorder. Below, we provide links to resources for providers as well as patients who are interested in better understanding the connection […] » Read More
Educational Materials for Patients and Families of People with PTSD
Educational materials can be provided to all patients who are experiencing trauma-related difficulties. Below, we provide links to resources that are accessible and easy-to-understand for patients and families of people with PTSD. These resources provide an overview of the signs and symptoms, risk factors, and treatment options for PTSD and may be useful for facilitating […] » Read More
PTSD Clinical Practice Guidelines
Below we provide links to two of the most recent guidelines for the assessment, prevention, and treatment of PTSD in adults. Both guidelines have been updated recently and offer specific recommendations for treating PTSD with co-occurring conditions (e.g., substance use disorders). These guidelines are based on systematic reviews of the scientific evidence. VA/DoD Clinical Practice […] » Read More
Introduction to Educational Resources
Below, we provide links to information and educational resources on a variety of topics related to posttraumatic stress disorder (PTSD) and the co-occurrence of PTSD and opioid use disorder (OUD) and other substance use disorders. We also provide information and tools that may be particularly helpful for providers and staff in rural communities who are […] » Read More
References
Mills, K. L., Lynskey, M., Teesson, M., Ross, J., & Darke, S. (2005). Post-traumatic stress disorder among people with heroin dependence in the Australian Treatment Outcome Study (ATOS): Prevalence and correlates. Drug and Alcohol Dependence, 77(3), 243–249. Mills, K. L., Teesson, M., Ross, J., & Peters, L. (2006). Trauma, PTSD, and substance use disorders: Findings […] » Read More
Introduction
Overview of Posttraumatic Stress Disorder and Opioid Use Disorder Posttraumatic stress disorder (PTSD) is a mental health condition that can develop after a person experiences or witnesses a distressing or dangerous life event such as sexual or physical assault, an accident, or other severe events. Symptoms typically appear within three months of the event and […] » Read More
Introduction to Assessment of Trauma & PTSD
Assessment of traumatic experiences, posttraumatic stress disorder (PTSD) symptoms, and PTSD diagnosis is best accomplished using validated measures. Below, we provide information on a variety of measures that can be used to screen for traumatic life experiences, assess PTSD symptoms, or assign a PTSD diagnosis. We also provide information and training opportunities related to assessment […] » Read More
About This Toolkit
Why is it Important to Be Aware of Trauma and PTSD in MOUD Treatment Settings?
There are several reasons why it is important for MOUD providers to assess patients for a history of traumatic experiences and PTSD. Buprenorphine and methadone treatment providers may be the first or only point of contact with the healthcare system for individuals with co-occurring OUD and PTSD. Most individuals with co-occurring OUD and PTSD do […] » Read More
Assessment of Trauma & PTSD
Measures of Traumatic Experiences, PTSD Symptoms, and PTSD Diagnosis
View Table Measures of Traumatic Experiences, PTSD Symptoms, and PTSD Diagnosis Table Measures of Traumatic Experiences, PTSD Symptoms, and PTSD DiagnosisUse left/right scroll to view all columns. Sections are announced as group headers. The first column is the row header (measure name). Measures of Traumatic Experiences, PTSD Symptoms, and PTSD Diagnosis – scroll horizontally if […] » Read More
Treatment Manuals
Guidelines for Choosing a Measure
Do you want to assess traumatic experiences, PTSD symptoms or PTSD diagnosis? The purpose of a trauma experience measure such as the LEC-5 is to identify what traumatic events an individual has experienced. In contrast, the other PTSD measures (above) may be used to determine whether the person has PTSD symptoms related to one of […] » Read More
Training Opportunities
PTSD Assessment and Referral for MOUD Providers
MOUD providers can increase the chances of improved health outcomes for their patients by following these steps: 1. Screen for PTSD MOUD providers can use a screening questionnaire to ask about trauma-related symptoms. You can ask the patient to complete the screening questionnaire prior to their appointment. Completed screens can be collected and reviewed by […] » Read More
Educational Resources
References
Jones, C. M., & McCance-Katz, E. F. (2019). Co-occurring substance use and mental disorders among adults with opioid use disorder. Drug and Alcohol Dependence, 197, 78–82. Santo, T., Jr, Campbell, G., Gisev, N., Martino-Burke, D., Wilson, J., Colledge-Frisby, S., Clark, B., Tran, L. T., & Degenhardt, L. (2022). Prevalence of mental disorders among people with […] » Read More
