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Summary of Results

Health Topic:   Mental health and behavioural conditions
Guidance:   Post-traumatic stress disorder (PTSD)
Description:   The summary of the published clinical guideline on Post-traumatic stress disorder (PTSD). It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Elhers A et al (2009) Low recognition of post-traumatic stress disorder in primary care London Journal of Primary Care 1: 36-42

Description: Questionnaires were sent to 720 GPs practising in the geographical area served by the South London and Maudsley NHS Trust in November 2006. One hundred and twenty nine returned the questionnaire . The main finding of the survey was that the majority of GPs underestimated the prevalence of PTSD among their patients compared to what is known from epidemiological data. Most PTSD patients seen in GP surgeries currently do not receive or are not referred for NICE recommended psychological treatments.

Practice appears not to be in line with guidance Local

North East Public Health Observatory (2010) Improving Access to Psychological Therapies. A review of the progress made by sites in the first roll-out year.

Description: The Observatory received datasets from 32 sites. Of the 41,724 patients who had terminated their contact episodes, 95% received some treatment. Of those treated, 61% received some low intensity treatment, 46% some high intensity treatment, and 19% both. 38% of patients finished treatment episodes by being judged to have completed treatment. The authors found that the reported number of treatment sessions per patient were low in comparison to NICE recommendations.

Doubts about or mixed impact in practice Regional

Middleton E et al (2011) Post-traumatic stress disorder (PTSD) treatment experience in Bedford East - audit and reaudit Psychiatria Danubia 2011; Vol. 23, Suppl. 1, pp 104-109. Conference

Description: This audit evaluated treatment of PTSD in patients at Bedford East Mental Health Team to examine psychological and pharmacological treatments used compared with data collected in 2008. In total 64 patients were identified, increasing from 26 patients in 2008. Results found a range of agents including antidepressants, mood stabilisers and antipsychotic agents are used, many of which are outside NICE guidelines. In 2010, only 20% of patients were receiving or had completed psychological therapy.

Doubts about or mixed impact in practice Local

Murphy, D. et al (2013) A survey of specialized traumatic stress services in the United Kingdom Journal of Psychiatric and Mental Health Nursing, 2013, 20, 433-441

Description: This survey assessed the nature and scope of services available In UK specialist trauma services and the range of available therapeutic approaches delivered. Thirteen organisations responded to the survey of which ten were NHS organisations. Total number of referrals to UK specialist services in the last 12 months was reported as 2041, with an average of 157. Cognitive behavioural therapy was most common offered in line with NICE guidance, but other therapies were also available in some centres.

Doubts about or mixed impact in practice National

This page was last updated: 01 January 2013

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.