A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression
This article was originally published as: Dames, S., Kryskow, P., & Watler, C. (2022). A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression. Frontiers in Psychiatry, 12, 1-7. https://do...
Published in: | Frontiers in Psychiatry |
---|---|
Main Authors: | , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Frontiers
2022
|
Subjects: | |
Online Access: | https://doi.org/10.3389/fpsyt.2021.803279 https://doi.org/10.25316/IR-17112 https://viurrspace.ca/handle/10613/25308 |
id |
ftviurr:oai:viurrspace.ca:10613/25308 |
---|---|
record_format |
openpolar |
institution |
Open Polar |
collection |
VIURRSpace (Royal Roads University and Vancouver Island University) |
op_collection_id |
ftviurr |
language |
English |
topic |
Ketamine Post-traumatic stress disorder--Treatment Psychotherapy Medical personnel--Mental health |
spellingShingle |
Ketamine Post-traumatic stress disorder--Treatment Psychotherapy Medical personnel--Mental health Dames, Shannon Kryskow, Pamela Watler, Crosbie A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression |
topic_facet |
Ketamine Post-traumatic stress disorder--Treatment Psychotherapy Medical personnel--Mental health |
description |
This article was originally published as: Dames, S., Kryskow, P., & Watler, C. (2022). A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression. Frontiers in Psychiatry, 12, 1-7. https://doi.org/10.3389/fpsyt.2021.803279 Amid an international pandemic and a worsening mental health crisis, ketamine-assisted therapy is emerging as a promising solution for those deemed “treatment resistant.” Post-traumatic stress disorder (PTSD) and depression are on the rise, with accelerating direct (e.g., burden of suffering) and indirect (e.g., disability/role impairment and impact on family) costs. Psychedelic-assisted therapies show significant promise in the treatment of a number of clinically challenging conditions, including depression, anxiety, PTSD, addiction, and end-of-life distress. Ketamine is currently the only safe, effective and legal widely available psychedelic-like medicine. To address the echo pandemic of health care provider distress, a multi-disciplinary team was charged with developing a ketamine-assisted psychotherapy program, delivered in a community of practice (CoP) group model and evaluated in a quality improvement framework. Program evaluation occurred through mixed methods. Quantitative mental health assessments included the PHQ-9 for depression, the PCL-5 for PTSD, GAD-7 for generalized anxiety disorder (GAD), and B-IPF for work/life functionality. Participant narrative feedback was collected to evaluate outcomes and for quality improvement purposes. Mean mental health scores were collected across three cohorts, totaling 94 patients. The mean aggregate scores of participants meeting the mental health assessment cut-off criteria (screening positive) were analyzed to assess clinical significance. Mean aggregate results comparing baseline vs. outcome measures (measured within 1–2 weeks after completion of the 12-week program) were clinically significant, demonstrating significant improvements in depression, post-traumatic stress disorder, generalized anxiety disorder and work/life functionality. In summary, 91% saw improvements in generalized anxiety, 79% saw improvements in depression, 86% of those who screened positive for PTSD now screen negative, and 92% had significant life/work functionality improvements. Qualitative feedback was overwhelmingly positive, with several unsolicited self-reports of transformation. Participant and team feedback enables the program to continue improving with each iteration. Results speak to the effectiveness of ketamine for psychedelic-assisted therapy, supported by a CoP framework. Outcomes are relevant for mental health programming, education and healthcare policy. The project was supported by Vancouver Island University, a Canadian Institutes of Health Research Knowledge Synthesis grant, a British Columbia Ministry of Health COVID-19 Research grant, the Regional Initiatives Fund, in-kind support from Island Health, the British Columbia Nurses Union, First Nations Health Authority, and philanthropic funds. This article is licensed under a Creative Commons Attribution 4.0 International License. It was originally published as: Dames, S., Kryskow, P., & Watler, C. (2022). A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression. Frontiers in Psychiatry, 12, 1-7. https://doi.org/10.3389/fpsyt.2021.803279 https://viurrspace.ca/bitstream/handle/10613/25308/Dames2022.pdf?sequence=3 |
format |
Article in Journal/Newspaper |
author |
Dames, Shannon Kryskow, Pamela Watler, Crosbie |
author_facet |
Dames, Shannon Kryskow, Pamela Watler, Crosbie |
author_sort |
Dames, Shannon |
title |
A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression |
title_short |
A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression |
title_full |
A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression |
title_fullStr |
A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression |
title_full_unstemmed |
A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression |
title_sort |
cohort-based case report: the impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with ptsd and depression |
publisher |
Frontiers |
publishDate |
2022 |
url |
https://doi.org/10.3389/fpsyt.2021.803279 https://doi.org/10.25316/IR-17112 https://viurrspace.ca/handle/10613/25308 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
Dames, S., Kryskow, P., & Watler, C. (2022). A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression. Frontiers in Psychiatry, 12, 1-7. https://doi.org/10.3389/fpsyt.2021.803279 1664-0640 doi:10.3389/fpsyt.2021.803279 doi:10.25316/IR-17112 https://viurrspace.ca/handle/10613/25308 http://dx.doi.org/10.25316/IR-17112 |
op_rights |
Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.3389/fpsyt.2021.803279 https://doi.org/10.25316/IR-17112 |
container_title |
Frontiers in Psychiatry |
container_volume |
12 |
_version_ |
1766003157348909056 |
spelling |
ftviurr:oai:viurrspace.ca:10613/25308 2023-05-15T16:17:19+02:00 A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression Dames, Shannon Kryskow, Pamela Watler, Crosbie 2022-01-12 7 pg. text application/pdf https://doi.org/10.3389/fpsyt.2021.803279 https://doi.org/10.25316/IR-17112 https://viurrspace.ca/handle/10613/25308 en eng Frontiers Dames, S., Kryskow, P., & Watler, C. (2022). A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression. Frontiers in Psychiatry, 12, 1-7. https://doi.org/10.3389/fpsyt.2021.803279 1664-0640 doi:10.3389/fpsyt.2021.803279 doi:10.25316/IR-17112 https://viurrspace.ca/handle/10613/25308 http://dx.doi.org/10.25316/IR-17112 Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ CC-BY Ketamine Post-traumatic stress disorder--Treatment Psychotherapy Medical personnel--Mental health Article 2022 ftviurr https://doi.org/10.3389/fpsyt.2021.803279 https://doi.org/10.25316/IR-17112 2022-03-05T23:12:32Z This article was originally published as: Dames, S., Kryskow, P., & Watler, C. (2022). A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression. Frontiers in Psychiatry, 12, 1-7. https://doi.org/10.3389/fpsyt.2021.803279 Amid an international pandemic and a worsening mental health crisis, ketamine-assisted therapy is emerging as a promising solution for those deemed “treatment resistant.” Post-traumatic stress disorder (PTSD) and depression are on the rise, with accelerating direct (e.g., burden of suffering) and indirect (e.g., disability/role impairment and impact on family) costs. Psychedelic-assisted therapies show significant promise in the treatment of a number of clinically challenging conditions, including depression, anxiety, PTSD, addiction, and end-of-life distress. Ketamine is currently the only safe, effective and legal widely available psychedelic-like medicine. To address the echo pandemic of health care provider distress, a multi-disciplinary team was charged with developing a ketamine-assisted psychotherapy program, delivered in a community of practice (CoP) group model and evaluated in a quality improvement framework. Program evaluation occurred through mixed methods. Quantitative mental health assessments included the PHQ-9 for depression, the PCL-5 for PTSD, GAD-7 for generalized anxiety disorder (GAD), and B-IPF for work/life functionality. Participant narrative feedback was collected to evaluate outcomes and for quality improvement purposes. Mean mental health scores were collected across three cohorts, totaling 94 patients. The mean aggregate scores of participants meeting the mental health assessment cut-off criteria (screening positive) were analyzed to assess clinical significance. Mean aggregate results comparing baseline vs. outcome measures (measured within 1–2 weeks after completion of the 12-week program) were clinically significant, demonstrating significant improvements in depression, post-traumatic stress disorder, generalized anxiety disorder and work/life functionality. In summary, 91% saw improvements in generalized anxiety, 79% saw improvements in depression, 86% of those who screened positive for PTSD now screen negative, and 92% had significant life/work functionality improvements. Qualitative feedback was overwhelmingly positive, with several unsolicited self-reports of transformation. Participant and team feedback enables the program to continue improving with each iteration. Results speak to the effectiveness of ketamine for psychedelic-assisted therapy, supported by a CoP framework. Outcomes are relevant for mental health programming, education and healthcare policy. The project was supported by Vancouver Island University, a Canadian Institutes of Health Research Knowledge Synthesis grant, a British Columbia Ministry of Health COVID-19 Research grant, the Regional Initiatives Fund, in-kind support from Island Health, the British Columbia Nurses Union, First Nations Health Authority, and philanthropic funds. This article is licensed under a Creative Commons Attribution 4.0 International License. It was originally published as: Dames, S., Kryskow, P., & Watler, C. (2022). A cohort-based case report: The impact of ketamine-assisted therapy embedded in a community of practice framework for healthcare providers with PTSD and depression. Frontiers in Psychiatry, 12, 1-7. https://doi.org/10.3389/fpsyt.2021.803279 https://viurrspace.ca/bitstream/handle/10613/25308/Dames2022.pdf?sequence=3 Article in Journal/Newspaper First Nations VIURRSpace (Royal Roads University and Vancouver Island University) Frontiers in Psychiatry 12 |