Cognitive Behavioral Therapy for Post-Traumatic Stress Disorder in Individuals With Severe Mental Illness

A significant proportion of people with SMI who are treated within the public sector also
suffer from PTSD. Evidence suggests that these individuals often receive inadequate mental
health services because effective treatments have not been explored. This study will develop
and implement a CBT treatment that is designed specifically for the SMI/PTSD population.

In the first year of the study, a treatment manual and a CBT treatment model, including
education, social skills training, and exposure therapy, will be developed. In the following
two years, the treatment program will be tested in individuals with SMI and PTSD. Scale
ratings, self-report checklists, and daily logs of behavior will be used to assess PTSD
symptoms. Scale ratings and self-report surveys will also be used to measure hostility,
functional status, depression and schizophrenia symptoms, and satisfaction with the study.
Assessments will be made throughout the study.

Inclusion Criteria:

- Diagnosis of PTSD and schizophrenia or schizoaffective disorder

- Active involvement in case management

Exclusion Criteria:

- Suicide risk