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passages: RESPECT-PTSD : re-engineering systems for the primary care treatment of PTSD , a randomized controlled trial . BACKGROUND Although collaborative care is effective for treating depression and other mental disorders in primary care , there have been no randomized trials of collaborative care specifically for patients with Posttraumatic stress disorder ( PTSD ) . OBJECTIVE To compare a collaborative approach , the Three Component Model ( 3CM ) , with usual care for treating PTSD in primary care . DESIGN The study was a two-arm , parallel randomized clinical trial . PTSD patients were recruited from five primary care clinics at four Veterans Affairs healthcare facilities and randomized to receive usual care or usual care plus 3CM . Blinded assessors collected data at baseline and 3-month and 6-month follow-up . PARTICIPANTS Participants were 195 Veterans . Their average age was 45 years , 91 % were male , 58 % were white , 40 % served in Iraq or Afghanistan , and 42 % served in Vietnam . INTERVENTION All participants received usual care . Participants assigned to 3CM also received telephone care management . Care managers received supervision from a psychiatrist . MAIN MEASURES PTSD symptom severity was the primary outcome . Depression , functioning , perceived quality of care , utilization , and costs were secondary outcomes . KEY RESULTS There were no differences between 3CM and usual care in symptoms or functioning . Participants assigned to 3CM were more likely to have a mental health visit , fill an antidepressant prescription , and have adequate antidepressant refills . 3CM participants also had more mental health visits and higher outpatient pharmacy costs . CONCLUSIONS Results suggest the need for careful examination of the way that collaborative care models are implemented for treating PTSD , and for additional supports to encourage primary care providers to manage PTSD .
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entities: Intervention_Psychological
entities: Three Component Model ( 3CM )
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entities: Intervention_Control
entities: usual care
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entities: Intervention_Control
entities: usual care
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entities: Intervention_Control
entities: usual care
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entities: Intervention_Psychological
entities: 3CM
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entities: Intervention_Control
entities: usual care
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entities: Intervention_Psychological
entities: 3CM
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entities: Intervention_Other
entities: telephone care management
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entities: Intervention_Control
entities: .
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entities: Intervention_Psychological
entities: 3CM
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entities: Intervention_Psychological
entities: 3CM
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entities: Outcome_Physical
entities: PTSD symptom severity
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entities: Outcome_Mental
entities: Depression
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entities: Outcome_Mental
entities: functioning
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entities: Outcome_Other
entities: perceived quality of care
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entities: Outcome_Other
entities: utilization
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entities: Outcome_Other
entities: costs
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entities: Outcome_Physical
entities: symptoms
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entities: Outcome_Physical
entities: functioning .
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entities: Outcome_Other
entities: mental health visit
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entities: Outcome_Mental
entities: ,
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entities: Outcome_Other
entities: fill an antidepressant prescription
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entities: Outcome_Other
entities: adequate antidepressant refills .
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entities: Outcome_Other
entities: mental health visits
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entities: Outcome_Other
entities: outpatient pharmacy costs
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entities: Outcome_Physical
entities: .
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entities: Participant_Condition
entities: PTSD
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entities: Participant_Condition
entities: patients with Posttraumatic stress disorder ( PTSD ) .
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entities: Participant_Condition
entities: PTSD
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entities: Participant_Condition
entities: five primary care clinics at four Veterans Affairs healthcare facilities
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entities: Participant_Sample-size
entities: 195
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entities: Participant_Condition
entities: Veterans
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entities: Participant_Age
entities: average age was 45 years
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entities: Participant_Age
entities: 91 % were
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entities: Participant_Sex
entities: male