CPT in Rape Crisis Centers

Tonya Edmond, Principal Investigator

Washington University in St. Louis

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The STRONG STAR Training Initiative is partnering with Dr. Tonya Edmond at Washington University on this research project. Dr. Edmond is studying different methods to train counselors in rape crisis centers to implement Cognitive Processing Therapy (CPT). Dr. Edmond is comparing "No Training, Workshop + Consultation" to the STRONG STAR Training Initiative Learning Community training model. Dr. Dondanville and the Training Initiative team are collaborating on providing CPT Trainings, CPT Consultation and Organizational Consultation and support.

STRONG STAR Texas Training Initiative


The STRONG STAR Training Initiative launched in 2017 through a grant from the Texas Health and Human Services through its Texas Veterans + Family Alliance Grant Program and a grant from the Bob Woodruff Foundation. The Texas Training Initiative's goal was to disseminate evidence-based treatments (EBTs) for PTSD to veteran-serving community providers across the state of Texas through comprehensive competency-building Learning Communities. In one year, the Training Initiative hosted nine Learning Communities in Austin, San Antonio, Dallas, Houston, Corpus Christi, and San Marcos, training over 250 mental health providers in Cognitive Processing Therapy and Prolonged Exposure. Providers participated in pre-workshop learning, a two-day in-person workshop, weekly group telephone consultation, and a provider portal with online resources for implementing EBTs, videos, webinars, and client-tracking tools. Over the course of the one-year project, providers implemented EBTs for PTSD with 579 veterans, service members, veteran/military family members, and civilians with PTSD. Providers submitted de-identified client outcome data. PTSD symptoms (PCL-5) and depression symptoms (PHQ-9) were assessed for clients before treatment, during treatment, and post-treatment. Clients reported moderate levels of PTSD symptoms (M = 55.5) and moderate to severe depression symptoms (M =18.5) prior to starting treatment. After completing EBT for PTSD, clients reported significant changes in PTSD symptoms (M = 29.9) and depression symptoms (M =10.6).

STRONG STAR National Training Initiative


In 2017, we received funding from the Bob Woodruff Foundation to expand the Training Initiative from Texas to nationwide. The Training Initiative hosted regional Learning Communities in New York, Florida, Washington, Illinois, Colorado, and Texas, training over 200 veteran-serving mental health providers from 23 states (Alaska, Arizona, California, Colorado, Connecticut, Delaware, Florida, Illinois, Indiana, Massachusetts, Michigan, Montana, North Carolina, New Jersey, New Mexico, New York, Ohio, Oklahoma, Rhode Island, Texas, Virginia, Washington, and Wisconsin) and one TRICARE provider in the United Kingdom. Providers are continuing to implement EBTs with their clients, and data collection is ongoing.

STRONG STAR Training Initiative


Through a grant from the Bob Woodruff Foundation, we are able to continue implementing Learning Communities for EBTs for PTSD. Mental health providers who are treating veterans and military service members in community settings (non-federal facilities) are eligible to apply to upcoming Learning Communities.

STRONG STAR Training Initiative for Veteran Suicide Risk Prevention


In 2018, we received funding from the Texas Veterans + Family Alliance Grant Program to expand the Training Initiative to include training for the state’s veteran-serving mental health providers in the Crisis Response Plan (CRP), an evidence-based intervention for suicide risk prevention. Utilizing the model of comprehensive competency-building Learning Communities, the Training Initiative hosted six Learning Communities in Austin, San Antonio, Dallas, Houston, and San Angelo and trained over 175 mental health providers in CRP for suicide risk prevention. Providers participated in pre-workshop learning; a one-day, in-person workshop; weekly group telephone consultation; and our Provider Portal with online resources including videos, webinars, and client tracking tools. Currently, providers are enrolled in the CRP Learning Communities and receiving expert consultation. Provider and patient outcome data also is being collected. Evaluation for this project is anticipated to be completed in early 2020.