Journal of Rehabilitation Research & Development (JRRD)

Quick Links

  • Health Programs
  • Protect your health
  • Learn more: A-Z Health
Veterans Crisis Line Badge
 

JRRD at a Glance


Review of VA/DOD Clinical Practice Guideline on management of acute stress and interventions to prevent posttraumatic stress disorder

William P. Nash, MD; Patricia J. Watson, PhD

Figure 1. National Research Council-Institute of Medicine mental health intervention framework.

This article summarizes the revised Department of Veterans Affairs/Department of Defense Clinical Practice Guideline (CPG) for the management of posttraumatic stress and the prevention of posttraumatic stress disorder. The revised CPG includes screening and early interventions for early stress states, like acute stress reaction, combat operational stress reaction, and acute stress disorder. The article aims to help providers work with veterans in a way that is consistent with the CPG–s evidence-based or evidence-informed recommendations. For instance, the CPG advises that treatments in the first 4 days after a potentially traumatic event should focus on safety; basic needs; and physical, emotional, and social resources. Further medical and psychiatric assessment and brief, trauma-focused cognitive- behavioral therapy are necessary if the veteran–s distress or inability to function continues or gets worse after 2 days or becomes an acute stress disorder. Medicine and self-calming techniques are recommended for symptoms like insomnia and hyperarousal. Follow-up monitoring and rescreening are recommended for at least 6 months. Four successful Federal programs illustrating these principles are also described.

Volume 49 Number 5, 2012
   Pages 637 — 648


View HTML  ¦  View PDF  ¦  Contents Vol. 49, No. 5
This article and any supplementary material should be cited as follows:
Nash WP, Watson PJ. Review of VA/DOD Clinical Practice Guideline on management of acute stress and interventions to prevent posttraumatic stress disorder. J Rehabil Res Dev. 2012;49(5):637–48.
http://dx.doi.org/10.1682/JRRD.2011.10.0194

Last Reviewed or Updated  Wednesday, July 18, 2012 9:09 AM

Valid HTML 4.01 Transitional