Stakeholder Preferences on Transdiagnostic Psychosocial Treatment for Trauma-Exposed Veterans

  • Cassidy A. GutnerEmail author
  • Caroline A. Canale
  • Stephanie A. Vento
  • Shannon Wiltsey Stirman
Original Article


While modular and transdiagnostic approaches may address implementation challenges, there remains limited investigation into the fit within large healthcare systems. The current study examines qualitative interviews from patients, clinicians and administrative stakeholders in the Veterans Administration about experiences with, and views of, the Unified Protocol (UP; Barlow et al. in The unified protocol for transdiagnostic treatment of emotional disorders: therapist guide, Oxford University Press, New York, 2011) to understand potential for implementation. Qualitative interviews were conducted based on an established implementation framework and speak to implementation of transdiagnostic treatment in veterans, including insight into barriers, facilitators, intervention characteristics, patient characteristics, and system level variables. The UP demonstrated promise for improving efficiency, satisfaction and personalizing mental healthcare.


Transdiagnostic treatment Routine care Trauma exposure Implementation 



This work was supported by National Institute of Health Grant K23MH103396 awarded to Dr. Gutner, and partially supported by National Institute of Health Grant R25MH080916.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2019

Authors and Affiliations

  1. 1.National Center for PTSD at VA Boston Healthcare SystemBostonUSA
  2. 2.Department of PsychiatryBoston University School of MedicineBostonUSA
  3. 3.National Center for PTSD and Stanford UniversityPalo AltoUSA

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