VHA providers' knowledge and perceptions about the diagnosis and treatment of obsessive-compulsive disorder and related symptoms

作者：Stanley Melinda A^*; McIngvale Elizabeth; Barrera Terri L; Amspoker Amber B; Lindsay Jan A; Kauth Michael R; Smith Tracey L; Van Kirk Nathaniel; Teng Ellen

来源：Journal of Obsessive-Compulsive and Related Disorders, 2017, 12: 58-63.

DOI：10.1016/j.jocrd.2016.12.004

• Obsessive-compulsive disorder
• Mental health
• Veterans
• Care survey
• health
• Evidence-based practice

National Veterans Health Administration (VHA) data suggest that Veterans with obsessive-compulsive disorder (OCD) are often unrecognized and poorly treated. We investigated the experience of VHA mental health providers in treating Veterans with OCD and related disorders and perceptions of available resources. Psychiatrists, psychologists, social workers and nurses were invited through email distribution lists to complete an anonymous 25-question survey through www.surveymonkey.com from 10/20/14 to 12/19/14. Questions pertained to experience and knowledge of treating Veterans with OCD and related disorders, such as body dysmorphic disorder, hoarding disorder, trichotillomania and excoriation disorder. Of 166 completers, 81 (49%) had seen 10 or fewer Veterans with OCD and related disorders at the VHA, and 147 (88%) were seeing 10 or fewer of these patients at survey completion. Only 38 (23%) had received specialized training in treating these patients. Participant-recommended treatments for these conditions did not correspond with evidence-based practice: only 47% recommended exposure and response prevention. Most reported insufficient assessment and treatment resources for Veterans with OCD. Many VHA mental health providers lack sufficient knowledge and expertise in diagnosing and treating OCD and related disorders. Additional resources need to be developed to facilitate improved care for Veterans with OCD and related disorders:

• 出版日期2017-1