In the case of uneven dropout across interventions, the research team will recruit additional patients until target sample is reached.
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Patients will be eligible for the study if they:
1. are age 18 years or older
2. receive care at a participating Federally Qualified Health Center (FQHC)
3. have a PTSD checklist (PCL)-5 score ≥28
4. show probable HAU as measured by the Alcohol Use Disorders Identification Test (AUDIT) (score of 8-25 for men, 6-25 for women with past-month alcohol use)
5. have had psychotropic medication stability for at least 4 weeks
6. speak English
Patients will be eligible for the qualitative portion of the study if they:
1. Enrolled into the randomized controlled trial (RCT) AND
2. Were a treatment responder OR
3. Were a treatment non-responder
Patients will be excluded if they have:
1. severe cognitive impairment that in the judgment of the investigators makes it unlikely that the participant can adhere to the study regimen (as evidenced by confusion, inability to track discussion or answer questions, or other clear and significant indicators of cognitive impairment)
2. high risk of suicide (defined as meeting criteria for Action Step 3 on the Participant Suicide Risk Screening form: see section 7.8. Suicide Risk Protocol)
3. active psychosis or unmanaged bipolar disorder
6\) current engagement in a trauma- or alcohol-focused treatment 7) Patients who do not speak English will be excluded for logistical reasons