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The Composition of the Psychological Health Workforce in Military Treatment Facilities Varies by Service Branch in Terms of Provider Type and Employment Status

• Master's-level clinicians make up the largest proportion of the PH workforce across service branches.
• Most PH providers are active-duty service members or civilian government employees, with contractors making up less than 20 percent.

Most Providers Reported Routinely Screening Patients for PTSD and Major Depressive Disorder with a Validated Screening Instrument

• Fewer providers reported using a validated screening instrument to monitor treatment progress.

Most Providers Reported Using Guideline-Concordant Psychotherapies for Patients with PTSD or MDD, Though Use Varied by Provider Type

• Psychologists were most likely to select a guideline-concordant psychotherapy as their primary psychotherapy approach for patients with PTSD.
• Psychologists and master's-level clinicians were more likely to select a guideline-concordant psychotherapy as their primary psychotherapy approach for MDD.

Nearly All Psychiatrists and Psychiatric Nurse Practitioners Reported Using Guideline-Concordant Medication

• Eleven percent reported that their most recent PTSD patient was receiving a medication identified by VA/DoD clinical practice guidelines as potentially harmful for patients with PTSD.

Most Psychotherapy Providers Reported Receiving at Least Minimal Training and Supervision in at Least One Guideline-Concordant Psychotherapy for PTSD and MDD

• The PTSD psychotherapy with the highest provider confidence level was cognitive processing therapy; fewer than half of providers felt 'very confident' in their ability to deliver it.
• Some providers reported difficulty accessing additional training, though confidence in delivering a particular psychotherapy was positively associated with at least minimal training in that therapy.