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Long and Short Duration Inpatient Treatment Programs for the Treatment of Post-Traumatic Stress Disorder: A Review of the Comparative Effectiveness and Guidelines

Last updated: September 7, 2016
Project Number: RC0807-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the comparative clinical effectiveness of long- versus short-term inpatient treatment programs for patients with post-traumatic stress disorder, with or without comorbid substance-related and addictive disorder?
  2. What is the comparative clinical effectiveness of inpatient versus outpatient treatment programs for patients with post-traumatic stress disorder, with or without comorbid substance-related and addictive disorder?
  3. What are the evidence-based guidelines regarding inpatient treatment programs for patients with post-traumatic stress disorder, with or without comorbid substance-related and addictive disorder?

Key Message

Data from one RCT on a small number of patients suffering traumatic injuries showed that symptoms of depression, anxiety and PTSD were reduced in more patients starting one year after trauma in the long-term group (inpatient treatment further extended into outpatient care) compared to the short-term group (inpatient treatment only). This difference between short- and long-term groups was not statistically significant. There was no evidence found on the comparative clinical effectiveness of long- versus short-term inpatient treatment programs for patients with post-traumatic stress disorder, with or without comorbid substance-related and addictive disorder. No evidence-based guidelines regarding inpatient treatment programs for PTSD were identified.