LITERATURE REVIEW : Approximately 7 pages- Topic is in yellow
What in the purpose of your evaluation? To assess the effectiveness of the Trauma Recovery Program at the Department of Veterans Affairs- they only treat PTSD
What is the evaluation question(s) guiding your project? The Trauma Recovery Program at the VA Medical Center aims to address PTSD through Cognitive Behavioral Therapy(CBT), Solution Focused Brief Therapy(SFBT), Accelerated Resolution Therapy(ART), and Eye Movement Desensitization and Reprocessing(EMDR). Find 6 -8 sources of literature from scholarly journals, peer reviewed literature
o What type of evaluation are you proposing (formative, process, outcome, etc.)? Needs assessment
A needs assessment is a process for determining the needs, otherwise known as “gaps,” between current and desired outcomes. When used properly, this assessment provides valuable insight into your team’s processes and highlights areas for efficiency improvements.
Provide a thorough discussions of peer-reviewed literature relevant to the proposed
evaluation. Include all sections below.
a. Problem theory: What are the underlying causes of the problem that are addressed by
the program? PTSD
Acknowledge other underlying causes, but focus on those relevant to the
program. This section describes *why* the problem occurs.
b. Change theory: How can the specific problem theory described above be changed?
How do changes occur to produce the desired outcome? Focus specifically on change
theory(ies) addressed by the program. This section describes *how* the program
attempts to address the problem theory described above.
c. Other evaluations. What other evaluations, if any, have been done on the program/
practice?
d. Evidence quality. Assess the methodological quality of the evidence. Discuss the
breadth of studies and their methodological rigor. How strong is the evidence supporting
your intervention? What populations have been included in the research?
Note: This section is primary in demonstrating your ability to contextualize the
evidence-based practices available in your area, identifying both the strengths and
limitations of this evidence on effective or promising practices as well as appraising
the extent of evidence supporting the practices at your agency.
e. Social justice perspective on the evidence. Consider the evidence related to your
program from a social justice lens. Take into consideration issues of power, privilege,
and oppression when analyzing the literature.
INTEGRATION OF THE EVIDENCE WITH PROGRAM AND CLIENT
CHARACTERISTICS AND NEEDS
How is the information identified in the literature linked to the program/ practice you
are evaluating? How does the evidence found relate to the services provided to your clients?
How does evidence in the literature fit with program resources, goals, and theoretical
orientation of the agency and/ or other contexts?
Describe how clients’ values and preferences
may fit or contrast with the evidence in the literature. To what extent does the program use
approaches supported by the literature?
Consider issues of power, privilege, and oppression with regard to program
CLIENTS
Veterans of the United States Military who are diagnosed with PTSD.
PROBLEMS & ASSETS
The Trauma Recovery Program at the VA Medical Center aims to address PTSD
through Cognitive Behavioral Therapy(CBT), Solution Focused Brief Therapy(SFBT), Accelerated Resolution Therapy(ART), and Eye Movement Desensitization and Reprocessing(EMDR).
THEORY OF THE PROBLEM
PTSD affects many veterans who encounter traumatic events while in service, whether combat or otherwise in instances such as military sexual trauma. These traumatic events while in service can lead to PTSD symptoms like hyper-vigilance, nightmares, anxiety, depression, and intrusive thoughts to name a few.
THEORY OF CHANGE
One of the many goals of the Trauma Recovery Program(TRP) is that it aims to identify and challenge patterns of negative thoughts and behaviors through different forms of treatment. TRP focuses on identifying problems and building solutions to enhance overall health.
ACTIVITIES
A therapist collaboratively works with an individual to help identify problematic thoughts and behaviors and challenge them by developing an adaptive coping strategy
RESOURCES
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Cognitive restructuring techniques may be used to examine irrational and distorted thoughts and replace them with realistic thoughts. Cognitive Processing Therapy, the sue of scaling questions, miracle questions, etc. Main therapy to consist of EMDR, ART,SFBT,CBT.
SHORT-TERM OUTCOMES
Reducing problematic emotions, behaviors, and trauma vividness
LONG-TERM OUTCOMES
Develop habits and coping strategies to improve the quality of life and well-being of veterans