Primary Care Treatment Integrating Motivation and Exposure (PC-TIME)
Stress Disorders, Post-Traumatic, Alcohol-Related Disorders
About this trial
This is an interventional treatment trial for Stress Disorders, Post-Traumatic
Eligibility Criteria
Inclusion Criteria:
- A score of 8-25 for men, 6-25 for women on the AUDIT and have past month drinking (i.e., have not quit drinking over the last month)
- Score ≥30 on the PTSD Checklist-5 (PCL-5) and report a traumatic event on the Criterion A screener
Exclusion Criteria:
- Score of a 26 or higher on the AUDIT
- gross cognitive impairment as assessed by the Mini Mental Status Exam
- current symptoms of mania or psychosis
- currently in need of detox services
- Have had a suicide attempt in the last two months or a current intent to commit suicide as assessed on the P4 Screener. (Patients with recent suicide attempts or intent may be enrolled following receipt of suicide prevention services)
- Are currently receiving psychotherapy for heavy drinking or PTSD outside of PC within the last 2 months
- Have started or changed the dose of a psychotropic medication for heavy drinking or PTSD in the last two months that was prescribed outside of VA PC
- Have a preference to be directly referred to VA specialty care for heavy drinking or PTSD.
Sites / Locations
- Buffalo VA Medical Center
- Syracuse Veterans Affairs Medical Center
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
PC-TIME
PC-TAU
PC-TIME consists of meeting with a behavioral health provider for 5, 30-minute sessions that will be delivered over the course of 8 weeks (spaced about 1-2 weeks apart). PC-TIME sessions integrate two effective treatments: motivational enhancement therapy approaches and brief Prolonged Exposure.
Primary Care - treatment as usual. Participants in PC-TAU will be referred to the PCMHI mental health provider within their primary care team, and will receive whichever care or intervention is typically provided. PCMHI in VA consists of licensed, independent providers (typically psychologists or clinical social workers) providing brief assessment and interventions to veterans and consultation to other members of the PC team.