Therapist rotation: a novel approach for implementation of trauma-focused treatment in post-traumatic stress disorder. Issue 1 (1st January 2018)

• Record Type: Journal Article
• Authors: Van Minnen, Agnes; Hendriks, Lotte; Kleine, Rianne De; Hendriks, Gert-Jan; Verhagen, Marije; De Jongh, Ad
• Is Part Of: European journal of psychotraumatology. Volume 9:Issue 1(2018)
• Publication Date: 2018-01-01
• Subjects: Therapeutic relationship -- trauma-focused treatment -- intensive treatment -- therapist rotation -- prolonged exposure -- eye movement desensitization and reprocessing -- dissemination -- implementation; Relación terapéutica -- tratamiento focalizado en el trauma -- tratamiento intensivo -- rotación de terapeutas -- Exposición Prolongada -- EMDR -- diseminación -- implementación; 治疗关系 -- 以创伤为中心的疗法 -- 强化治疗 -- 治疗师轮换 -- 延长暴露 -- EMDR -- 传播 -- 实施; In therapist rotation, trauma-focused treatment (TFT) is provided by more two or more therapists, who rotate. This study presents a promising new model to enhance implementation of TFT. The model helps therapists to apply TFT more often. Patients experience adequate therapist relationships.; Post-traumatic stress disorder -- Periodicals; Stress Disorders, Post-Traumatic; Post-traumatic stress disorder; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 616.8521
• DOI: 10.1080/20008198.2018.1492836
• Languages: English
• ISSNs: 2000-8198

Abstract

ABSTRACT: Background : Trauma-focused treatments (TFTs) for patients with post-traumatic stress disorder (PTSD) are highly effective, yet underused by therapists.Objective : To describe a new way of implementing (adequate use of) TFTs, using a therapist rotation model in which one patient is treated by several therapists.Method : In this article, we will present two examples of working with therapist rotation teams in two treatment settings for TFT of PTSD patients. We explore the experiences with this model from both a therapist and a patient perspective.Results : Our findings were promising in that they suggested that this novel approach reduced the therapists' fear of providing TFT to PTSD patients, increased perceived readiness for TFT, and decreased avoidance behaviour within TFT sessions, possibly leading to better implementation of TFT. In addition, the therapeutic relationship as rated by patients was good, even by patients with insecure attachment styles.Conclusions : We suggest that therapist rotation is a promising novel approach to improve implementation of TFT for PTSD.