Appendix 2:
Raw and Weighted Covariates for Comparisons of Quality Standards for Patients Receiving 8 or More Sessions of Evidence-Based Psychotherapy for PTSD and Aligned PCL Measurement, FY 2008–2013
| Raw Data | Weighted Data | |||||||
|---|---|---|---|---|---|---|---|---|
| Patient Characteristics, N | (A) 8 n=303 | (B) 8 ST n=549 | (C) 8 14W ST n=1,200 | p value | (A) 8 n=303 | (B) 8 ST n=549 | (C) 8 14W ST n=1,200 | p value |
| Baseline PCL, M (SD) | 64.9 (9.9) | 63.2 (9.6) | 63.5 (9.8) | 0.041 | 64.2 (11.0) | 63.6 (10.1) | 63.6 (10.0) | 0.735 |
| Days Between Baseline PCL and Session 1, M (SD) | 2.4 (15.5) | 6.9 (23.0) | 0.8 (6.0) | <0.001 | 3.1 (22.7) | 2.8 (10.4) | 1.1 (8.1) | 0.002 |
| Days Between Follow-Up PCL and Session 8 M (SD) | 0.2 (5.8) | −1.9 (13.7) | 0.3 (5.8) | <0.001 | 0.2 (7.0) | −0.4 (7.3) | 0.2 (6.4) | 0.230 |
| Fiscal years 2008–2009 | 5.3 (16) | 7.7 (42) | 5.7 (68) | 0.220 | 6.3 (16) | 7.2 (42) | 6.1 (68) | 0.678 |
| Fiscal years 2010–2011 | 37.3 (113) | 35.5 (195) | 39.4 (473) | 0.284 | 36.3 (113) | 36.1 (195) | 39.1 (473) | 0.468 |
| Fiscal years 2012–2013 | 57.4 (174) | 56.8 (312) | 54.9 (659) | 0.625 | 57.4 (174) | 56.6 (312) | 54.9 (659) | 0.683 |
| Age, M (SD) | 47.2 (14.6) | 42.8 (14.7) | 45.8 (15.5) | <0.001 | 46.3 (16.4) | 16.3 (44.6) | 45.4 (15.4) | 0.326 |
| Women, % (n) | 9.6 (29) | 14.6 (80) | 14.5 (174) | 0.070 | 13.6 (29) | 14.4 (80) | 14.3 (174) | 0.963 |
| Married, % (n) | 68.6 (208) | 60.3 (331) | 62.4 (749) | 0.050 | 68.1 (208) | 61.8 (331) | 62.5 (749) | 0.252 |
| White Non-Hispanic, % (n) | 48.2 (146) | 62.7 (344) | 65.8 (789) | <0.001 | 55.3 (146) | 62.0 (344) | 63.8 (789) | 0.053 |
| OEF/OIF/OND Veteran, % (n) | 46.9 (142) | 55.2 (303) | 49.0 (588) | 0.024 | 48.8 (142) | 49.0 (303) | 50.2 (588) | 0.877 |
| Rural, % (n) | 32.3 (98) | 33.2 (182) | 30.8 (369) | 0.580 | 30.5 (98) | 33.6 (182) | 30.5 (369) | 0.462 |
| Combat Exposure, % (n) | 28.7 (87) | 27.0 (148) | 26.6 (319) | 0.757 | 30.2 (87) | 25.7 (148) | 27.0 (319) | 0.466 |
| Sexual Trauma while in Military, % (n) | 9.2 (28) | 12.4 (68) | 15.1 (181) | 0.020 | 12.8 (28) | 12.3 (68) | 14.8 (181) | 0.358 |
| VA Disability Level 70% or Greater, % (n) | 65.3 (198) | 62.7 (344) | 57.8 (694) | 0.023 | 62.1 (198) | 61.8 (344) | 58.5 (694) | 0.337 |
| Charleson Comorbidity Index 1 or greater, % (n) | 15.8 (48) | 10.2 (56) | 12.4 (149) | 0.056 | 14.8 (48) | 11.1 (56) | 11.9 (149) | 0.355 |
| Psychotic Disorders, % (n) | 1.0 (3) | 1.6 (9) | 1.6 (19) | 0.721 | 0.4 (3) | 1.5 (9) | 1.6 (19) | 0.133 |
| Bipolar Mood Disorders, % (n) | 3.6 (11) | 3.1 (17) | 3.5 (42) | 0.888 | 5.3 (11) | 3.0 (17) | 3.5 (42) | 0.382 |
| Depressive Mood Disorders, % (n) | 68.3 (207) | 71.6 (393) | 71.3 (855) | 0.555 | 68.6 (207) | 72.1 (393) | 71.5 (855) | 0.610 |
| Non-PTSD Anxiety Disorders, % (n) | 43.6 (132) | 41.3 (227) | 40.2 (482) | 0.550 | 42.1 (132) | 40.1 (227) | 40.0 (482) | 0.833 |
| Traumatic Brain Injury, % (n) | 17.2 (52) | 22.8 (125) | 17.0 (204) | 0.013 | 17.8 (52) | 20.7 (125) | 17.6 (204) | 0.291 |
| Alcohol Use Disorders, % (n) | 28.4 (86) | 27.0 (148) | 25.8 (310) | 0.643 | 24.8 (86) | 27.9 (148) | 25.8 (310) | 0.594 |
| Opioid Use Disorders, % (n) | 2.3 (7) | 2.0 (11) | 2.0 (24) | 0.940 | 1.6 (7) | 2.0 (11) | 2.0 (24) | 0.901 |
| Other Drug Use Disorders, % (n) | 14.9 (45) | 13.8 (76) | 13.5 (162) | 0.830 | 12.1 (45) | 13.0 (76) | 13.3 (162) | 0.863 |
| Adequate Trial of Evidence-Based Antidepressant for PTSD, % (n) | 41.3 (125) | 33.2 (182) | 32.0 (384) | 0.009 | 37.3 (125) | 33.0 (182) | 32.5 (384) | 0.363 |
| PTSD Outpatient Clinical Team Use (540 or 561), % (n) | 84.5 (256) | 71.2 (391) | 68.3 (820) | <0.001 | 78.3 (256) | 71.8 (391) | 70.4 (820) | 0.098 |
| Outpatient Mental Health Visits, M (SD) | 31.7 (16.3) | 27.6 (14.2) | 26.9 (14.4) | <0.001 | 29.0 (15.5) | 27.7 (15.3) | 27.3 (14.8) | 0.228 |
| Outpatient Substance Abuse Visits, M (SD) | 5.3 (13.9) | 3.8 (15.3) | 4.1 (11.9) | 0.256 | 3.6 (9.8) | 3.9 (16.7) | 4.1 (12.0) | 0.804 |
| Outpatient Primary Care Visits, M (SD) | 3.8 (3.5) | 3.1 (2.5) | 3.2 (3.1) | 0.005 | 3.3 (3.2) | 3.2 (2.9) | 3.2 (3.2) | 0.752 |
| Emergency Department Visit for Psychiatric Indication, % (n) | 8.3 (25) | 7.1 (39) | 8.5 (102) | 0.607 | 6.9 (25) | 7.1 (39) | 8.5 (102) | 0.510 |
| Acute Mental Health Inpatient Admission, % (n) | 6.3 (19) | 7.8 (43) | 6.6 (79) | 0.572 | 5.0 (19) | 7.5 (43) | 6.5 (79) | 0.426 |
| Residential PTSD Admission, % (n) | 15.8 (48) | 7.5 (41) | 7.0 (84) | <0.001 | 9.8 (48) | 8.2 (41) | 7.6 (84) | 0.432 |
| Residential Substance Abuse Admission, % (n) | 4.6 (14) | 1.1 (6) | 2.2 (26) | 0.004 | 2.4 (14) | 1.1 (6) | 2.2 (26) | 0.241 |
| Primary Therapist Characteristics, where known | ||||||||
| Age, M (SD) | 44.1 (12.3) | 43.3 (11.0) | 43.5 (10.9) | 0.664 | 43.1 (14.3) | 43.7 (12.9) | 43.4 (12.6) | 0.861 |
| Women, % (n) | 44.2 (134) | 60.5 (332) | 55.0 (660) | <0.001 | 64.7 (134) | 68.5 (332) | 68.5 (660) | 0.540 |
| Psychologist, % (n) | 65.7 (199) | 67.8 (372) | 64.0 (768) | 0.327 | 69.9 (199) | 66.5 (372) | 65.2 (768) | 0.395 |
| Social Worker, % (n) | 24.1 (73) | 27.0 (148) | 30.6 (367) | 0.046 | 25.2 (73) | 28.0 (148) | 29.5 (367) | 0.410 |
| Nurse, % (n) | 0.3 (1) | 1.1 (6) | 1.6 (19) | 0.199 | 0.2 (1) | 1.3 (6) | 1.5 (19) | 0.102 |
| Psychiatrist, % (n) | 0.7 (2) | 1.1 (6) | 0.8 (9) | 0.720 | 0.7 (2) | 1.2 (6) | 0.8 (9) | 0.683 |
| Other, % (n) | 9.2 (28) | 3.1 (17) | 2.9 (35) | <0.001 | 4.1 (28) | 3.0 (17) | 3.0 (35) | 0.510 |
| Prescribing Privileges, % (n) | 5.6 (17) | 7.8 (43) | 7.9 (95) | 0.379 | 6.5 (17) | 7.7 (43) | 7.7 (95) | 0.813 |
| Percentage of time in PTSD Service, M (SD) | 72.0 (33.7) | 57.5 (38.0) | 55.2 (39.2) | <0.001 | 63.8 (45.6) | 58.7 (41.2) | 57.9 (38.5) | 0.111 |
| Percentage of time in Substance Abuse Service, M (SD) | 3.4 (13.2) | 3.2 (10.7) | 3.7 (13.5) | 0.736 | 2.6 (9.5) | 3.0 (12.0) | 3.5 (12.3) | 0.338 |
| Percentage of time in PTSD-Substance Abuse Service, M (SD) | 1.1 (6.3) | 1.0 (6.5) | 0.8 (5.4) | 0.505 | 0.8 (4.0) | 0.8 (5.6) | 0.8 (6) | 0.973 |
| Percentage of time in General Mental Health Service, M (SD) | 17.5 (27.8) | 29.1 (33.8) | 31.2 (35.3) | <0.001 | 24.8 (41.4) | 28.6 (35.9) | 29.2 (34.0) | 0.245 |
| Percentage of time in Integrated Care Service, M (SD) | 3.5 (12.6) | 5.8 (17.4) | 5.3 (16.2) | 0.120 | 4.5 (17.5) | 5.5 (17.2) | 5.0 (15.8) | 0.735 |
Note. PTSD=Posttraumatic Stress Disorder, PCL=PTSD Checklist, 8=eight sessions of evidence-based psychotherapy (EBP), 8 ST=eight sessions of EBP with the same the same psychotherapist, 8 14W S=eight sessions with the same therapist within 14 weeks, OEF/OIF/OND=Operations Enduring Freedom/Iraqi Freedom/New Dawn