• Home

  • Documents

  • PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women...
15
PTSD and Women’s Mental Health Services Natara Garovoy, Ph.D., M.P.H. July 28, 2010 Washington, D.C.

PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

PTSD and Women’s

Mental Health Services

Natara Garovoy, Ph.D., M.P.H.

July 28, 2010

Washington, D.C.

Page 2: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

• Present rates and risk factors for PTSD

among female veterans

• Identify unique mental health needs for this

population

• Describe services built to meet these needs

Objectives

Page 3: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

• 20% of female veterans who served in Iraq

and Afghanistan have been diagnosed with

PTSD

• 27% of female Vietnam Veterans have been

diagnosed with PTSD

Rates of PTSD

Page 4: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

• Deployment

– Serve in combat support roles

– Exposure to unpredictable warfare

• Military sexual trauma

• Exposure to multiple traumas

– Military sexual trauma and combat trauma

• Interpersonal violence

– Domestic violence

• Lack of social support

– Isolation

– Family strain

Risk Factors for Developing PTSD

Page 5: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

• Women may be more likely to present specific

PTSD symptoms

– Psychological reactivity to trauma cues

– Startle response

– Restricted affect

– Depression

– Avoidance of trauma cues

• Women may be more likely to present with

specific co-morbidities

– Depression

– Panic

– Eating disorders

– Somatic complaints

Unique Presentation

Page 6: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

• Women may be more likely to seek treatment

• Women may be more likely to develop chronic

PTSD

• Women may have slower recoveries

• Psychotherapy and Pharmacotherapy

– Cognitive-behavioral therapies

• Prolonged exposure (PE)

• cognitive processing (CPT)

– Family therapy

– Selective serotonin reuptake inhibitors

(SSRI's)

• Sertraline (Zoloft) and paroxetine (Paxil)

Course and Treatment

Page 7: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

Women’s Prevention, Outreach & Education Center (WPOEC)

Page 8: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

An interdisciplinary center for women veterans

providing outreach, education, mental health

promotion, comprehensive screening and

assessment, and intensive outpatient mental

health in a building dedicated to women's

mental health services

WPOEC Mission

Page 9: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

Stepped Care Service Model Levels I - III

Intensive

Mental

Health

Page 10: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

• Increase access to care for women veterans

– Referral assistance

– Toll free line: 1-888-4HER-1VA

– Email: [email protected]

• Develop and disseminate women’s mental

health program & educational materials

– Outreach events

– Outreach committee

Outreach & Education

Page 11: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

Outreach to Women Veterans

Page 12: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

• Gender-tailored screening

• Gender- tailored health promotion materials

– Stress Management

– Smoking Cessation

• Violence Prevention

– Systematic screening for interpersonal violence

– Safety planning and connection to community

resources

Early Detection & Risk Reduction

Page 13: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

• Comprehensive assessment

• Interdisciplinary team meetings

• Individualized treatment plans

• Case management

– Chronic PTSD

• Medication management

• Evidenced-based therapy

– Individual and group

• Multiple modalities

– Treat co-occurring disorders

• Collaborative care

Intensive Outpatient Mental Health

Page 14: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

Treatment Environment

Page 15: PTSD and Women’s · Unique Presentation • Women may be more likely to seek treatment • Women may be more likely to develop chronic ... –Systematic screening for interpersonal

• Gender-sensitive

– Assessment and intervention

• Increase access

– Proactive approach

– Flexible services to meet treatment needs

(e.g., target avoidance symptoms)

• Collaboration to facilitate all 3 levels of care

– Outreach services (level I)

– Women’s health psychology (level II)

– Specialty mental health care (level III)

• Privacy and safety

– Treatment environment

Conclusion: Unique Service Needs


Women and Dementia A Marginalised Majority · 8 Not only are women more likely to have Alzheimer’s disease or another form of dementia, they are also more likely to be caregivers

Women and Dementia A Marginalised Majority · 8 Not only are women more likely to have Alzheimer’s disease or another form of dementia, they are also more likely to be caregivers

Documents
Crossovers in Botswana: Women Entrepreneurs Who Operate …...Women in Sub-Saharan Africa are also more likely than women of any other region to work as entrepreneurs and are more

Crossovers in Botswana: Women Entrepreneurs Who Operate …...Women in Sub-Saharan Africa are also more likely than women of any other region to work as entrepreneurs and are more

Documents
Women and Money and Money.pdf · 2019. 7. 11. · Women are more likely to take career breaks for caregiving. The U.S. Department of Labor reports that more women than men take time

Women and Money and Money.pdf · 2019. 7. 11. · Women are more likely to take career breaks for caregiving. The U.S. Department of Labor reports that more women than men take time

Documents
Colinton Courier - michelagoregion.org.au · women in bushfire situations. “Women are more likely to evacuate but not without their children … in an assessment of bushfire casualties:

Colinton Courier - michelagoregion.org.au · women in bushfire situations. “Women are more likely to evacuate but not without their children … in an assessment of bushfire casualties:

Documents
Health & Social Justice: Understanding Social Determinants ... · • Non-Hispanic Black women are more than twice as likely as non-Hispanic White women to lose an infant within the

Health & Social Justice: Understanding Social Determinants ... · • Non-Hispanic Black women are more than twice as likely as non-Hispanic White women to lose an infant within the

Documents
More likely than not*

More likely than not*

Documents
CONSUMER SECURITY RISKS SURVEY 2016 · Men are more likely to watch videos/movies online than women (58% vs 54%) and men are also more likely to spend time gaming (45% vs 37%). However,

CONSUMER SECURITY RISKS SURVEY 2016 · Men are more likely to watch videos/movies online than women (58% vs 54%) and men are also more likely to spend time gaming (45% vs 37%). However,

Documents
Daniel Snyder Henry Yoo. American women are more likely to do physically demanding labor than Korean women

Daniel Snyder Henry Yoo. American women are more likely to do physically demanding labor than Korean women

Documents
DISCRIMINATION IN AMERICA: EXPERIENCES AND ......Black women and Native women are more likely than white women to perceive frequent discrimination happening to other women in their

DISCRIMINATION IN AMERICA: EXPERIENCES AND ......Black women and Native women are more likely than white women to perceive frequent discrimination happening to other women in their

Documents
Impactonomics - Merrill Lynch · • Women are more likely to never have substantive interactions with senior leaders about their work. • 35% of women experience sexual harassment

Impactonomics - Merrill Lynch · • Women are more likely to never have substantive interactions with senior leaders about their work. • 35% of women experience sexual harassment

Documents
Are Religious Women More Likely to Have Breast Cancer Screening

Are Religious Women More Likely to Have Breast Cancer Screening

Documents
Illuminating Enlightening Women about Uterine Cancer...2017/01/28  · 7. White women are somewhat more likely to get uterine cancer, but black women are more likely to die from it

Illuminating Enlightening Women about Uterine Cancer...2017/01/28  · 7. White women are somewhat more likely to get uterine cancer, but black women are more likely to die from it

Documents
CARDIOVASCULAR DISEASE PREVENTION IN WOMEN...• Women are somewhat more likely than men to experience other heart attack symptoms, including: – Unusual upper body pain or discomfort

CARDIOVASCULAR DISEASE PREVENTION IN WOMEN...• Women are somewhat more likely than men to experience other heart attack symptoms, including: – Unusual upper body pain or discomfort

Documents
Global Entrepreneurship Monitor 2011 WOMEN’S REPORT · Profile of Women Entrepreneurs •More likely to run consumer oriented businesses –Men show more balance among consumer,

Global Entrepreneurship Monitor 2011 WOMEN’S REPORT · Profile of Women Entrepreneurs •More likely to run consumer oriented businesses –Men show more balance among consumer,

Documents
Women-Led Firms and Venture Capital Investment …...women-led ventures for all years, but a slight increase in investments occurred between 1995-1998. Women-led ventures more likely

Women-Led Firms and Venture Capital Investment …...women-led ventures for all years, but a slight increase in investments occurred between 1995-1998. Women-led ventures more likely

Documents
SkillWorks ICT Report Proof4Skill-works.org/documents/SkillWorksICTReportProofweb.pdfindicates that more male ICT workers have no degree compared to women, yet appear to be more likely

SkillWorks ICT Report Proof4Skill-works.org/documents/SkillWorksICTReportProofweb.pdfindicates that more male ICT workers have no degree compared to women, yet appear to be more likely

Documents
Crossovers in Botswana: Women Entrepreneurs Who Operate in ...documents.worldbank.org/curated/en/... · Women in Sub-Saharan Africa are also more likely than women of any other region

Crossovers in Botswana: Women Entrepreneurs Who Operate in ...documents.worldbank.org/curated/en/... · Women in Sub-Saharan Africa are also more likely than women of any other region

Documents
Food waste avoidance benchmark study - … · Food waste benchmark questionnaire 73 ... • frozen food, ... Women were more likely to identify that they prefer to have more food

Food waste avoidance benchmark study - … · Food waste benchmark questionnaire 73 ... • frozen food, ... Women were more likely to identify that they prefer to have more food

Documents
Women and Graduate Management Education (2012) - … · Women and Graduate Management Education (2012) ... Women (39%) were slightly more likely than men ... Women in Business Jobs

Women and Graduate Management Education (2012) - … · Women and Graduate Management Education (2012) ... Women (39%) were slightly more likely than men ... Women in Business Jobs

Documents
I’ve broken my hip! - shfa.scot.nhs.uk · • A condition called ‘osteoporosis’ can weaken bones, meaning that they break more easily. • It’s more likely to happen to women

I’ve broken my hip! - shfa.scot.nhs.uk · • A condition called ‘osteoporosis’ can weaken bones, meaning that they break more easily. • It’s more likely to happen to women

Documents
MythsFacts Men are more likely to have heart disease Heart disease is the #1 killer of men and women; 50,000 more women than men die of

MythsFacts Men are more likely to have heart disease Heart disease is the #1 killer of men and women; 50,000 more women than men die of

Documents
Breast Cancer - School of Nursing Breast Cancer.pdf · breast cancer than are African-American women but African-American women are more likely to die of breast cancer. •In women

Breast Cancer - School of Nursing Breast Cancer.pdf · breast cancer than are African-American women but African-American women are more likely to die of breast cancer. •In women

Documents
Women and the Economy - researchbriefings.files.parliament.uk · Women are more likely t han men to be working part-time. 41% of women in employment were working part-time in 2018,

Women and the Economy - researchbriefings.files.parliament.uk · Women are more likely t han men to be working part-time. 41% of women in employment were working part-time in 2018,

Documents
why women.qxp Layout 1 03/02/2017 15:43 Page 1 … › Portals › 0 › Documents › Women › ...3 Women received into prison • Women in prison are more likely than men to be

why women.qxp Layout 1 03/02/2017 15:43 Page 1 … › Portals › 0 › Documents › Women › ...3 Women received into prison • Women in prison are more likely than men to be

Documents
Embouchure Assistive Device€¦ · three times more likely to strike pregnant women than those not with child [4], and four times more likely in diabetic patients than in the general

Embouchure Assistive Device€¦ · three times more likely to strike pregnant women than those not with child [4], and four times more likely in diabetic patients than in the general

Documents
Women Entrepreneurship Study - Final Reportdocuments.worldbank.org/curated/en/2904515652501… · Web viewWomen in Sub-Saharan Africa are also more likely than women of any other

Women Entrepreneurship Study - Final Reportdocuments.worldbank.org/curated/en/2904515652501… · Web viewWomen in Sub-Saharan Africa are also more likely than women of any other

Documents
The C.A.R. Women's Initiative - car.org · EXECUTIVE SUMMARY METHODOLOGY a. Men continue to be much more likely to be broker-owners than women. b. Although women are more likely to

The C.A.R. Women's Initiative - car.org · EXECUTIVE SUMMARY METHODOLOGY a. Men continue to be much more likely to be broker-owners than women. b. Although women are more likely to

Documents
Women and girls in Sportivate - Sport England · Women and girls in Sportivate Are women and girls more likely to be sustained in team sports or individual sports and activities within

Women and girls in Sportivate - Sport England · Women and girls in Sportivate Are women and girls more likely to be sustained in team sports or individual sports and activities within

Documents
Women Voters and Trade Protectionism in the Interwar Years · survey evidence from the interwar years suggests that women were more likely to hold protectionist attitudes than men,

Women Voters and Trade Protectionism in the Interwar Years · survey evidence from the interwar years suggests that women were more likely to hold protectionist attitudes than men,

Documents
Accounting Principals Survey Media Deck€¦ · • Women are more inclined than men to cut down on nonessential shopping (39% vs. 28%). • Men are more likely than women to increase

Accounting Principals Survey Media Deck€¦ · • Women are more inclined than men to cut down on nonessential shopping (39% vs. 28%). • Men are more likely than women to increase

Documents