{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:05:30Z","timestamp":1793361930574,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01MD016389"],"award-info":[{"award-number":["R01MD016389"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["RI-OCHIN-01-MC"],"award-info":[{"award-number":["RI-OCHIN-01-MC"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG074946"],"award-info":[{"award-number":["R01AG074946"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The prevalence of Post Traumatic Stress Disorder (PTSD) has been rising since the start of the COVID-19 pandemic, and affects females, sexual and gender minorities, and individuals with social risks at higher rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study examines if the prevalence of PTSD increased from 2019 to 2022 among patients who received care in a national network of safety-net, community-based health centers with integrated behavioral health programs that serve patients at high risk for PTSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We analyzed electronic health record data from patients with 1 or more behavioral health visits during 2019 to 2022 using repeated cross-sectional data to visualize trends. Change in PTSD prevalence based on the diagnoses associated with each visit from 2019 to 2022 was assessed using a general linear mixed model adjusted for patient-level factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Over 4\u2009years, 182\u2009419 distinct patients received care for PTSD, with prevalence increasing from 2019 to 2022 (OR\u2009=\u20091.09, 95% CI\u2009=\u20091.08, 1.10). Females (OR\u2009=\u20091.81, 95% CI\u2009=\u20091.78, 1.84), LGBTQIA individuals (OR\u2009=\u20091.29, 95% CI\u2009=\u20091.26, 1.33), gender diverse individuals (OR\u2009=\u20091.36, 95% CI\u2009=\u20091.29, 1.42), and patients who reported 1 or more social determinants of health needs (OR\u2009=\u20091.52, 95% CI\u2009=\u20091.46, 1.57) were more likely to have a diagnosis of PTSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In a worrying trend, PTSD prevalence has increased among people receiving integrated behavioral health care at community-based health centers, with disparities observed in subpopulations. Continued effort and investment are needed to meet this increasing need in safety-net settings, particularly for those subpopulations observed to have higher prevalence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319241291751","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T09:30:39Z","timestamp":1731317439000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Examining PTSD Prevalence Among Underserved Populations in the Integrated Community Mental Health Setting 2019 to 2022"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2636-2276","authenticated-orcid":false,"given":"Matthew W. H.","family":"Jones","sequence":"first","affiliation":[{"name":"OCHIN, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Cook","sequence":"additional","affiliation":[{"name":"OCHIN, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda M.","family":"McGrath","sequence":"additional","affiliation":[{"name":"OCHIN, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rae L.","family":"Crist","sequence":"additional","affiliation":[{"name":"OCHIN, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0080-3220","authenticated-orcid":false,"given":"Annie E","family":"Larson","sequence":"additional","affiliation":[{"name":"OCHIN, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Templeton","sequence":"additional","affiliation":[{"name":"OCHIN, Portland, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yui","family":"Nishiike","sequence":"additional","affiliation":[{"name":"LifeLong Medical Care, Berkeley, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siran","family":"Koroukian","sequence":"additional","affiliation":[{"name":"Case Western Reserve University, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Zyzanski","sequence":"additional","affiliation":[{"name":"Case Western Reserve University, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurt C.","family":"Stange","sequence":"additional","affiliation":[{"name":"Case Western Reserve University, Cleveland, OH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"bibr1-21501319241291751","unstructured":"Center for Substance Abuse Treatment. Trauma-informed care in behavioral health services 2014. 2014. Accessed June 14, 2024. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK207191\/box\/part1_ch3.box16\/"},{"key":"bibr2-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291704003514"},{"key":"bibr3-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1080\/03007995.2021.1978417"},{"key":"bibr4-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1007\/s40501-020-00204-0"},{"key":"bibr5-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000339"},{"key":"bibr6-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-023-01421-z"},{"key":"bibr7-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1080\/15622975.2016.1190867"},{"key":"bibr8-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.14058"},{"key":"bibr9-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1097\/phh.0000000000000373"},{"key":"bibr10-21501319241291751","unstructured":"Getachew Y, Zephyrin L, Abrams MK, et al. Beyond the case count: the wide-ranging disparities of COVID-19 in the United States. 2020. Accessed June 14, 2024. https:\/\/www.commonwealthfund.org\/sites\/default\/files\/2020-09\/Getachew_beyond_case_count_COVID_disparities_sb_v2.pdf"},{"key":"bibr11-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0240146"},{"key":"bibr12-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-50333-8"},{"key":"bibr13-21501319241291751","unstructured":"Center on Budget and Policy Priorities. The COVID-19 economy\u2019s effects on food, housing, and employment hardships. 2021. Accessed June 14, 2024. https:\/\/www.cbpp.org\/research\/poverty-and-inequality\/tracking-the-covid-19-recessions-effects-on-food-housing-and"},{"key":"bibr14-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2023.2165025"},{"key":"bibr15-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1097\/hrp.0000000000000136"},{"key":"bibr16-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2022.04.001"},{"key":"bibr17-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2015.07.009"},{"key":"bibr18-21501319241291751","unstructured":"OCHIN. Hosted Epic EHR Services. Accessed June 14, 2024. https:\/\/ochin.org\/hosted-epic-ehr"},{"key":"bibr19-21501319241291751","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2023.230081R1"},{"key":"bibr20-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2023.0141"},{"key":"bibr21-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31815dc5d2"},{"key":"bibr22-21501319241291751","first-page":"22","author":"Brady KT","year":"2000","journal-title":"J Clin Psychiatry"},{"key":"bibr23-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1097\/cin.0000000000000889"},{"key":"bibr24-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-801288-8.00011-X"},{"key":"bibr25-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000546"},{"key":"bibr26-21501319241291751","doi-asserted-by":"publisher","DOI":"10.5888\/pcd17.200261"},{"key":"bibr27-21501319241291751","unstructured":"Horstman C. How community health centers can meet the rising demand for behavioral health care. 2024. Accessed June 14, 2024. https:\/\/www.commonwealthfund.org\/blog\/2024\/how-community-health-centers-can-meet-rising-demand-behavioral-health-care"},{"key":"bibr28-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1176\/appi.focus.20190028"},{"key":"bibr29-21501319241291751","unstructured":"Commonwealth Fund. Medicaid and safety-net providers: an essential health equity partnership. 2022. Accessed June 14, 2024. https:\/\/www.commonwealthfund.org\/publications\/fund-reports\/2022\/apr\/medicaid-safety-net-providers-equity-partnership"},{"key":"bibr30-21501319241291751","unstructured":"Substance abuse and mental health services administration. HHS announces over $120 million in funding opportunity for certified community behavioral health clinics providing mental health and substance use disorder care across the country. Accessed June 14, 2024. https:\/\/www.samhsa.gov\/newsroom\/press-announcements\/20230124\/funding-opportunities-certified-community-behavioral-health-clinics"},{"key":"bibr31-21501319241291751","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-016-9449-8"},{"key":"bibr32-21501319241291751","unstructured":"United States Preventative Services Task Force (USPTSF). Final Recommendation Statement: Depression and Suicide Risk in Adults: Screening. 2023. Accessed September 4, 2024. https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/screening-depression-suicide-risk-adults"},{"key":"bibr33-21501319241291751","unstructured":"National Association of Community Health Centers. Community health center chartbook 2023. 2024. Accessed June 14, 2024. https:\/\/www.nachc.org\/resource\/community-health-center-chartbook\/"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319241291751","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319241291751","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319241291751","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:22:48Z","timestamp":1777508568000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319241291751"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":33,"alternative-id":["10.1177\/21501319241291751"],"URL":"https:\/\/doi.org\/10.1177\/21501319241291751","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"article-number":"21501319241291751"}}