10/29/2020 Grand Rounds

Sarah Valentine, PhD
Assistant Professor in Psychiatry, BU Chobanian & Avedisian School of Medicine
Clinical Psychologist, Boston Medical Center

Posttraumatic stress disorder (PTSD) treatment delivery by peer specialist providers could increase access to and engagement with PTSD treatment in low resource settings. We conducted a pilot study to test the feasibility, acceptability, and initial effectiveness of a peer‐delivered, brief cognitive‐behavioral therapy for PTSD. This presentation will synthesize a series of papers from this project that focused on 1) main outcomes pertaining feasibility, acceptability, and effectiveness of the intervention; 2) our stakeholder-engaged process for tailoring a brief cognitive behavioral therapy for peer delivery; and 3) our approach to consultation and training to support fidelity to the intervention. This presentation will illustrate the importance of community-based participatory research strategies in ensuring that interventions are culturally valid and scientifically sound. The discussion will focus on how lessons learned from this project can inform tailoring of interventions to various settings, provider types, and patient populations.

Learning Objectives:

1. Describe how hybrid implementation-effectiveness studies differ from traditional clinical trials

2. Discuss various strategies for increasing access to and quality of care for posttraumatic stress disorder

3. Discuss the advantages and potential disadvantages of expanding the mental health workforce to having peers deliver brief cognitive behavioral support