Reducing Posttraumatic Stress Disorder (PTSD) Symptoms in First Responders and Frontline Health Care Workers

Inclusion Criteria:

• Are employees at an orginization served by a participating EAP

• Have a Post-Traumatic Stress Disorder Checklist for Diagnostic and StatisticalManual of Mental Disorders, Fifth Edition (PCL-5) score ≥33

• Have had psychotropic medication stability for at least 4 weeks

Inclusion criteria for the qualitative portion of the study:

• Enrolled into the randomized clinical trial and were a treatment responder or were atreatment non-responder

Exclusion Criteria:

• Severe cognitive impairment that in the judgment of the investigators makes itunlikely that the participant can adhere to the study regimen (as evidenced byconfusion, inability to track discussion or answer questions, or other clear andsignificant indicators of cognitive impairment)

• High risk of suicide (defined as meeting criteria for Action Step 3 on theParticipant Suicide Risk Screening form: found in protocol)

• Need for detoxification

• Active psychosis or unmanaged bipolar disorder, as measured by items 12 and 13 ofthe cross cutting assessment

• Currently engagement in a trauma-focused behavioral treatment (such as ProlongedExposure or Cognitive Processing Therapy).

• Patients who do not speak English will be excluded for logistical reasons.