Pages in this set

Page 1

Preview of page 1
Issue date: March 2005


Quick reference guide


Post-traumatic stress disorder
(PTSD)
The management of PTSD in adults and
children in primary and secondary care




Clinical Guideline 26
Developed by the National Collaborating Centre for Mental Health

Page 2

Preview of page 2
Ordering information
Copies of this quick reference guide can be obtained from the NICE website at
www.nice.org.uk/CG026quickrefguide or from the NHS Response Line by telephoning
0870 1555 455 and quoting reference number N0848.
Information for the public on the guideline (`Post-traumatic stress disorder (PTSD): the
treatment of PTSD in adults…

Page 3

Preview of page 3
Contents




Contents
Patient-centred care 2

Grading of the recommendations 2

Key priorities for implementation 3

Post-traumatic stress disorder (PTSD) 5

Recognition 6
Recognition in primary care and general hospital settings 6
Specific recognition issues for children and young people 7

Screening 8
Screening after a major disaster 8
Screening refugees…

Page 4

Preview of page 4
Grading of the recommendations/Patient-centred care



Patient-centred care
Treatment and care should take into account patients' individual needs and
preferences. Good communication is essential, supported by evidence-based
information, to allow patients to reach informed decisions about their care.
Carers and relatives should have the chance to be involved in discussions
unless…

Page 5

Preview of page 5
Key priorities for implementation
Key priorities for implementation

The following recommendations have been identified as priorities for
implementation.


Initial response to trauma
· For individuals who have experienced a traumatic event the systematic
provision to that individual alone of brief, single-session interventions
(often referred to as debriefing) that focus on…

Page 6

Preview of page 6
Key priorities for implementation



Children and young people
· Trauma-focused CBT should be offered to older children with severe
post-traumatic symptoms or with severe PTSD in the first month after the
traumatic event.


· Children and young people with PTSD, including those who have been
sexually abused, should be offered…

Page 7

Preview of page 7
Post-traumatic stress disorder (PTSD)




Post-traumatic stress disorder (PTSD)
PTSD can develop in people of any age following a stressful
event or situation of an exceptionally threatening or catastrophic nature.
PTSD does not usually develop following generally upsetting situations such
as divorce, loss of job, or failing an exam.
Up to…

Page 8

Preview of page 8
Recognition



Recognition
Recognition in primary care and general hospital settings

Symptoms typically associated with PTSD are as follows:

· re-experiencing ­ flashbacks, nightmares, repetitive and distressing intrusive
images or sensory impressions; in children, these symptoms may include: re-
enacting the experience, repetitive play or frightening dreams without
recognisable content

·…

Page 9

Preview of page 9
Recognition
Specific recognition issues for children and young people

· Do not rely solely on information from the parent/guardian in any
assessment for PTSD ­ ask the child or young person separately and directly
about PTSD symptoms. GPP

· Consider asking children and/or their parents/guardians about sleep
disturbance or significant…

Page 10

Preview of page 10
Screening



Screening

Screening after a major disaster
· Those coordinating the disaster plan should consider using a brief screening
instrument for PTSD 1 month after the event for individuals at high risk of
developing PTSD following a major disaster. GC


Screening refugees and asylum seekers
· Those managing refugee programmes…

Comments

No comments have yet been made

Similar Psychology resources:

See all Psychology resources »See all resources »