ARTICLESCognitive-Behavioral Treatment for PTSD Among People with Severe Mental Illness: A Proposed Treatment ModelFRUEH, B. CHRISTOPHER PhD; BUCKLEY, TODD C. PhD; CUSACK, KAREN J. PhD; KIMBLE, MATTHEW O. PhD; GRUBAUGH, ANOUK L. PhD; TURNER, SAMUEL M. PhD; KEANE, TERENCE M. PhD Author Information FRUEH: Medical University of South Carolina and Veterans Affairs Medical Center, Charleston; BUCKLEY and KEANE: National Center for PTSD, Veterans Affairs Boston Healthcare System, and Boston University School of Medicine; CUSACK: South Carolina Department of Mental Health; KIMBLE: National Center for PTSD, Veterans Affairs Boston Healthcare System, and Boston University School of Medicine, and University of Wales, Bangor; GRUBAUGH: Medical University of South Carolina; TURNER: University of Maryland at College Park. Please send correspondence and reprint requests to: B. Christopher Frueh, PhD, Mental Health Service (116), Veterans Affairs Medical Center, 109 Bee Street, Charleston, SC, 29401-5799. This work was supported in part by grants MH065248 and MH01660 from the National Institute of Mental Health to Dr. Frueh. Journal of Psychiatric Practice: January 2004 - Volume 10 - Issue 1 - p 26-38 Buy Abstract The lifetime prevalence of posttraumatic stress disorder (PTSD) is about 8%–14% in the general population, and trauma victimization (51%–98%) and PTSD (up to 42%) are even more prevalent among persons treated within public-sector mental health clinics. Despite this, individuals with PTSD and severe mental illness (SMI) who are treated within the public sector tend to receive inadequate mental health services. In addition, treatments for PTSD for this population remain undeveloped, with virtually no available empirical treatment outcome data to guide clinicians. We propose a model for a comprehensive, multicomponent cognitive-behavioral treatment program for this target population that includes elements of consumer education, anxiety management training, social skills training, exposure therapy, “homework” assignments, and long-term follow-up care. Special considerations for public-sector consumers with PTSD and SMI are addressed, as are directions for future research. Copyright © 2004 Wolters Kluwer Health, Inc. All rights reserved.