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Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods Study

About the Course:

Patients with severe mental illness with repeated interpersonal trauma and post-traumatic stress disorder (PTSD) have a negative illness progression. Traumas are often not treated because of their vulnerability. Narrative exposure therapy (NET) is an effective trauma therapy. It is unknown whether NET is effective and tolerable in these patients receiving community mental healthcare. The objectives of this study are (1) to gain insights into patients’ experiences before, during, and after NET concerning changes in PTSD, dissociative and severe mental ill symptoms, care needs (CAN), quality of life, and global functioning; and (2) to identify factors that influence diagnostic changes after NET as compared to patients’ experiences. These insights will help to decide whether NET should be incorporated in usual care for these patients.

This course is based on the reading-based online article, Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods Study created by Maria Mauritz, Ph.D., APRN , et al. in 2022.

Publication Date:

Front Psychiatry. 2022; 13: 804491 Apr 2022

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Maria Mauritz, Ph.D., APRN
Maria Mauritz, Ph.D., APRN works as a Nurse Practitioner and Family therapist for the Mental Health Care Unit GGNet in Zevenaar, Netherlands. Her areas of expertise are: assessment and treatment (imaginary exposure, EMDR, narrative exposure therapy) of trauma related disorders in (SMI), pharmacotherapy and family therapy.
Peter Goossens, BscN, MscN, MANP, Ph.D., FEANS
Peter Goossens, BscN, MscN, MANP, Ph.D., FEANS is a nurse practitioner and senior researcher at Dimence Center for Bipolar Disorder, Deventer the Netherlands. He is appointed Visiting Professor at the University Center for Nursing and Midwifery at Ghent University Belgium since 2015. Dr. Goossens holds a Ph.D. in Medical Sciences (Radboud University Nijmegen), a masters degree in nursing science (Maastricht University) and in advanced nursing practice (GGZVS Utrecht), and a bachelor degree in nursing (HRIPB Mechelen Belgium). He is an expert in quantitative, qualitative and mixed methods research and published extensively in the field of mental health nursing with a special focus on self-management, Illness management and recovery, bipolar disorder, trauma, crisis interventions, and intervention development.
Ruud Jongedijk
Ruud Jongedijk is a psychiatrist (MRSC), psychotherapist (BIG), psychotrauma-therapist (NtVP) and is senior strategic advisor of the board of ARQ National Psychotrauma Centre. Ruud is the leading trainer for Narrative Exposure Therapy (NET) in the Netherlands. He is specialized in (complex) psychotrauma: diagnostics and treatment. For research he is especially interested in diagnostic models for PTSD.

Course Creator

Elizabeth Mosco, Ph.D., PMH-C, CPLC
Elizabeth Mosco, Ph.D. is a licensed psychologist in Reno, NV. She opened a private practice after 10 years of conducting home-based assessment and therapy with the VA Sierra Nevada Health Care System. Dr. Mosco’s clinical interests include maternal mental health, older adults, and third wave cognitive behavioral therapies.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Summarize Narrative Exposure Therapy (NET).
  2. Discuss how NET can be incorporated into community mental health treatment for individuals with SMI and comorbid PTSD.
  3. List two outcomes of the current study.
  4. Discuss why there has been a lack of evidenced-based treatments for individuals with SMI and comorbid PTSD.


Disclosure of Relevant Financial Relationships

Disclosure of Relevant Financial Relationships

CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.

In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).

Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:

  1. Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
  2. any investigational, off-label, or non-FDA approved content or discussion

CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.

Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:

  1. All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
  2. All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
  3. Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.

The planners have reported the following: There are no relevant disclosures.

Course Material Authors

The authors have disclosed any disclosures within the material.

Course Creator: Elizabeth Mosco, Ph.D., PMH-C, CPLC

No relevant financial relationships.

Commercial support

There is no commercial support for this distance-learning course.

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Course Number 103311
1.25 CE credit hour
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  • Reading-Based Online
Exam Fee $7.46
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