abstract: 'Posttraumatic stress disorder (PTSD) is a common problem in primary

  care. Although effective treatments are available, little is known about

  whether such treatments are effective within the context of Federally

  Qualified Health Centers (FQHCs) that serve as national ``safety

  nets{''''} for providing primary care for low income and underinsured

  patients. The Violence and Stress Assessment (ViStA) study is the first

  randomized controlled trial (RCT) to test the impact of a care

  management intervention for treating PTSD in FQHCs. To develop a PTSD

  management intervention appropriate for lower resource FQHCs and the

  predominantly Latino patients they serve, formative work was conducted

  through a collaborative effort between researchers and an FQHC

  practice-based research network. This article describes how FQHC

  stakeholders were convened to review, assess, and prioritize

  evidence-based strategies for addressing patient, clinician, and

  system-level barriers to care. This multi-component care management

  intervention incorporates diagnosis with feedback, patient education and

  activation; navigation and linkage to community resources; clinician

  education and medication guidance; and structured cross-disciplinary

  communication and continuity of care, all facilitated by care managers

  with FQHC experience. We also describe the evaluation design of this

  five-year RCT and the characteristics of the 404 English or Spanish

  speaking patients enrolled in the study and randomized to either the

  intervention or to usual care. Patients are assessed at baseline, six

  months, and 12 months to examine intervention effectiveness on PTSD,

  other mental health symptoms, health-related quality-of-life, health

  care service use; and perceived barriers to care and satisfaction with

  care. (C) 2014 Elsevier Inc. All rights reserved.'
affiliation: 'Meredith, LS (Corresponding Author), RAND Corp, 1776 Main St,M3W, Santa
  Monica, CA 90407 USA.

  Meredith, Lisa S.; Eisenman, David P.; Wong, Eunice C.; Han, Bing, RAND Corp, Santa
  Monica, CA 90407 USA.

  Meredith, Lisa S., VA HSR\&D Ctr Study Healthcare Provider Behav, North Hills, CA
  91343 USA.

  Eisenman, David P., Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div
  Gen Internal Med \& Hlth Serv Res, Los Angeles, CA 90095 USA.

  Green, Bonnie L.; Kaltman, Stacey, Georgetown Univ, Sch Med, Dept Psychiat, Washington,
  DC 20007 USA.

  Cassells, Andrea; Tobin, Jonathan N., Clin Directors Network, New York, NY 10018
  USA.

  Tobin, Jonathan N., Yeshiva Univ, Albert Einstein Coll Med, Dept Epidemiol \& Populat
  Hlth, Bronx, NY 10461 USA.

  Tobin, Jonathan N., Rockefeller Univ, Ctr Clin \& Translat Sci, New York, NY 10065
  USA.'
author: Meredith, Lisa S. and Eisenman, David P. and Green, Bonnie L. and Kaltman,
  Stacey and Wong, Eunice C. and Han, Bing and Cassells, Andrea and Tobin, Jonathan
  N.
author-email: lisa\_meredith@rand.org
author_list:
- family: Meredith
  given: Lisa S.
- family: Eisenman
  given: David P.
- family: Green
  given: Bonnie L.
- family: Kaltman
  given: Stacey
- family: Wong
  given: Eunice C.
- family: Han
  given: Bing
- family: Cassells
  given: Andrea
- family: Tobin
  given: Jonathan N.
da: '2023-09-28'
doi: 10.1016/j.cct.2014.04.005
eissn: 1559-2030
files: []
issn: 1551-7144
journal: CONTEMPORARY CLINICAL TRIALS
keywords: 'Post-traumatic stress disorder; Care management; Safety net Federally

  Qualified Health Centers (FQHCs); Hispanic/Latino; Primary care;

  Integrating primary care and mental health'
keywords-plus: 'NATIONAL COMORBIDITY SURVEY; QUALITY IMPROVEMENT PROGRAMS;

  CONNOR-DAVIDSON RESILIENCE; INTIMATE PARTNER VIOLENCE; ABUSE

  SCREENING-TEST; SCALE CD-RISC; ANXIETY DISORDERS; PSYCHIATRIC-DISORDERS;

  SOCIAL-CONSEQUENCES; DRUG-ABUSE'
language: English
month: JUL
number: '2'
number-of-cited-references: '99'
orcid-numbers: 'Tobin, Jonathan/0000-0003-4722-539X

  Kaltman, Stacey/0000-0002-5805-5536'
pages: 163-172
papis_id: 51ebcab0c04968c379ae0cb47b2c38c2
ref: Meredith2014designviolence
researcherid-numbers: 'Tobin, Jonathan N./R-2413-2019

  '
times-cited: '12'
title: 'Design of the Violence and Stress Assessment (ViStA) study: A randomized controlled
  trial of care management for PTSD among predominantly Latino patients in safety
  net health centers'
type: Article
unique-id: WOS:000340301400002
usage-count-last-180-days: '0'
usage-count-since-2013: '28'
volume: '38'
web-of-science-categories: Medicine, Research \& Experimental; Pharmacology \& Pharmacy
year: '2014'