Psychiatric Quarterly [psaq] PH246-psaq-478275 February 20, 2004 17:48 Style ﬁle version June 4th, 2002
Psychiatric Quarterly, Vol. 75, No. 2, Summer 2004 (
CONTINUITY AND INTENSITY OF CARE
AMONG WOMEN RECEIVING OUTPATIENT
CARE FOR PTSD
Greg A. Greenberg, Ph.D., Alan Fontana, Ph.D.,
and Robert A. Rosenheck, M.D.
Continuity of care (COC) is often used as an indicator of treatment quality for
patients with severe psychiatric or addictive disorders. However, few studies
have examined the relationship between measures of COC and treatment out-
comes. This study used standard regression models to examine the strength
of the association between continuity of care measures and health outcomes
for a sample of female veterans newly entering outpatient treatment for PTSD.
There were few consistently signiﬁcant associations between COC and outcome
measures. Four months following program entry only one measure of treatment
process, commitment to treatment, was positively associated with one or more
continuity of care measures and several COC measures were associated with
poor outcomes. Eight months following program entry patients with greater
COC during the ﬁrst four months of treatment had greater declines in violent
behavior and PTSD measurements and larger increases in global functioning.
Greg A. Greenberg, Ph.D., and Alan Fontana, Ph.D., are afﬁliated with Northeast Pro-
gram Evaluation Center, VAMC West Haven, CT, Yale University, Department of Psychi-
atry, New Haven, CT.
Robert A. Rosenheck, M.D. is afﬁliated with Northeast Program Evaluation Center,
VAMC West Haven, CT, Department of Psychiatry and School of Epidemiology and Public
Health, VA New England Mental Illness Research, Education, and Clinical Center, Yale
University, New Haven, CT.
Address correspondence to Greg Greenberg, Ph.D., Northeast Program Evaluation Cen-
ter, 950 Campbell Avenue, West Haven, CT 06516; e-mail: firstname.lastname@example.org.
2004 Human Sciences Press, Inc.