How do they relate the application and effectiveness of the CPT with their social lives following their return from service?

Prospectus: The Effectiveness of CPT in Treating Young Iraq War Veterans Diagnosed with PTSD
Order Description
Prospectus: The Effectiveness of CPT in Treating Young Iraq War Veterans Diagnosed with PTSD
Anthony Ukaha
Doctor of Human Services
Walden University
A00158659 Quarter Based
Prospectus: The Effectiveness of CPT in Treating Young Iraq War Veterans Diagnosed with PTSD
Problem Statement
The number of veterans in the USA suffering from post-traumatic stress disorder (PTSD) persists in being a serious problem in the national health statistics.
Particular health measures exist for PTSD intervention but as veterans continue returning from the wars in Afghanistan and Iraq the incidences of veteran suicide
persist (Zarembo 2014). Statistical reports have indicated a jump in the number of young veterans aged between 18 to 29 years committing suicide with the number
having gone from 88 in 2009 to 152 in 2011 (Zarembo 2014). This increase represents about 44% change in suicide rate based on data from the Veterans Health
Administration. This trend is despite the fact that the overall rates of suicide among veterans have remained unchanged remaining at about 22 veterans a day implying
that the rates of suicide for older veterans have diminished significantly (Hudenko Homaifar & Wortzel 2016). With such trends it becomes plausible that the
existing interventions for PTSD are ineffective among younger veterans and compels the need for more fitting treatment for this population. The prominence of veteran
suicide becomes clearer with comparative statistics for the general population. Veterans only comprise 7% of the population of the USA and yet 18% of all the suicides
in the country are committed by this minor group. The number translates to about 7400 veterans annually according to figures from the US Department of Veteran Affairs
(Hudenko Homaifar & Wortzel 2016). It is possible that these numbers may be higher according to public debates on the reporting of suicides.
The rate of veteran suicide has especially increased post 9/11 suggesting the intersection of the experiences of war and the conditions at home in deteriorating the
quality of mental health among the veterans (U.S. Department of Veterans Affairs 2016). The younger veterans are especially vulnerable to PTSD owing to their having
to seek employment and make homes after they leave the service and barely seeking health care (Zarembo 2014). In an attempt to combat the rate of veteran suicide the
US Department of Veteran Affairs applies two primary interventions: prolonged exposure and cognitive processing therapy (CPT) (U.S. Department of Veterans Affairs
2016). While these statistics persist one must note that there already exist interventions for PTSD among veterans. However the viability of current approaches to
treating PTSD and traumatic brain injury remains a matter of contention. Arguments indicate that the use of CPT is only effective for the reduction of symptoms and not
necessarily to treat PTSD (Bares 2015). Several studies have undertaken to assess the viability of CPT as an intervention for PTSD among war veterans with most of
them revealing positive findings (Chard Schumm McIlvain Bailey & Parkinson 2011; Eftekhari et al. 2013; Monson et al. 2012). Nevertheless the persistence of
PTSD occurrence and adverse effects such as veteran suicide suggests the need for specificity in the assessment. There have been minimal studies that focus on the
interventions for PTSD among young veterans from the war in Iraq and Afghanistan (Kehle-Forbes & Polusny 2014). The specific focus is required with regards to the
nature of their experiences of war as well as their age group and the factors that could possibly diminish or compound the value of an intervention. This study
therefore proposes to fill the research gap from a dual perspective. Primarily it focuses on the effectiveness of CPT as an intervention for PTSD in a specific
population the veterans of the Iraq and Afghanistan wars. It also focuses on the younger veteran population owing to the fact that their suicide rates have been on
the increase despite the existence of evidence-based interventions in practice.
This research purposes to explore the effectiveness of CPT programs as interventions for PTSD among veterans of the wars in Iraq and Afghanistan. The programs are
expected to address the traumatic experiences and outcomes of the soldiers from the war and significantly reduce if not eliminate the symptoms of PTSD. While the
rates of overall suicide among veterans have remained consistent internal trends have indicated a decrease in suicides for older veterans while the younger ones have
experienced an increase. This trend is especially visible in the wars post 9/11 especially the wars in Afghanistan and Iraq. The study approach will primarily be
qualitative and will utilize the case study method for its exploration on the treatment of Iraq War soldiers diagnosed with PTSD and participating in a CPT program.
Interviews will be conducted among the participants of the program every session in order to gauge what impacts the program has on reducing trauma. Moreover interview
questionnaires will help in collecting first-hand information from clinicians involved in treatment of patients with PTSD. Following the implementation of this
research it is expected that clear trends in the alleviation of symptoms will be visible as indicators of effectiveness. In situations where such signs are not
perceived there will be additional attempts to understand the possible shortcomings of this approach especially among the younger veterans.
Previous research and practice has elaborated the occurrence of PTSD among war veterans as well as the application of CPT as an intervention. The development of PTSD
is induced by a terrifying experience or ordeal whereby one either undergoes physical harm or the threat of physical harm (U.S. Department of Veterans Affairs 2016).
The experiences induce the need to develop strategies for which to cope with the persistent feelings of imminent threat which potentially diminishes the mental health
of the individual. Veteran health has been especially instrumental in highlighting the occurrence of PTSD and the need for interventions against it. Exposure to
environments of death threats to their lives and the constant sound of war are all factors contributing to PTSD among veterans. Their coping habits will often tend
to the negative including indulgence in drug abuse or engagement in violent behavior (Hudenko Homaifar & Wortzel 2016). There remains a strong possibility that the
CPT intervention is no longer viable due to differences in the nature of current wars as well as the surrounding socio-economic conditions in the USA (Zarembo 2014).
Regardless the research is significant in the attempt to create an understanding among practitioners in the medical and psychiatric fields for the most appropriate
interventions and the possible requirement for change in current treatments. This study will help in the analysis of the effectiveness of CPT the most widely used
method of treatment in treating patients with PTSD. This research will help to bridge the gap involving various cases of extreme effects of PTSD and the
effectiveness of CPT in treating PTSD patients. Unlike previous research it objectively focuses on the provision of quality mental health care among young veterans
and responds to the change in trends surrounding veteran mental health issues.
This research is unique since it addresses the under-researched area involving why most young veteran soldiers commit suicide and others engage in extreme violent
behaviors even as the trend reduces in older veterans. The US Department of Veteran Affairs reports high occurrences of alcohol and tobacco abuse among veterans
while other reports indicate about 9% of prison inmates being veterans of war (U.S. Department of Veterans Affairs 2016). The results of this research will play a
major role in providing insight on proper processes of treating PTSD patients. The current processes will be put to test to establish their overall effectiveness with
impact statements from the participants themselves as primary bases. The research could also lead into a different approach to treatment of PTSD in a more effective
manner. Since CPT is the most widely used method of treatment of patients suffering from PSTD an analysis on the outcomes and mechanisms of the program viewed from
the perspective of the participants will help to enhance its value in mental health care. Ultimately any improvements that can be identified surrounding the program
will facilitate the achievement of better mental health outcomes as well as overall improvement in the quality of life for young veterans of war.
The study bases on selected articles that have explored the application of CPT and prolonged exposure therapy as intervention for PTSD in war veterans. The nature of
these articles is outlined below:
1. Morland Hynes Mackintosh Resick and Chard (2011) Morland et al. (2014) and Fortney et al. (2015) provided randomized control trials on group cognitive
processing therapy delivery through video teleconferencing for PTSD veteran patients assessing for effectiveness against the delivery of the same in person. Both
approaches deemed equally effective
2. Wanner Long & Teng (2010) addressed the multi-component treatment of posttraumatic nightmares (PTNMs) which may lead to increased levels of PTSD symptoms in war
3. Steenkamp Litz Hoge & Marmar (2015) conducted a review of randomized control clinical trials on the efficacy of psychotherapies for PTSD in military and veteran
4. Walter Dickstein Barnes & Chard (2014) and Chard Schumm McIlvain Bailey & Parkinson (2011) compared the effectiveness of CPT to CPT-C in treating patients
with PTSD or Traumatic Brain Injury (TBI); but the study yielded no significant…