Adapting an Alcohol Care Linkage Intervention to US Military Veterans Presenting to Primary Care with Hazardous Drinking and PTSD and/or Depression Symptoms: A Qualitative Study

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2023-12-15 DOI:10.1007/s10880-023-09986-w

Michael A. Cucciare, Cristy Benton, Deanna Hildebrand, Kathy Marchant, Sharfun Ghaus, Xiaotong Han, James S. Williams, Ronald G. Thompson, Christine Timko

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Abstract

There is a critical need to improve linkage to alcohol care for veterans in primary care with hazardous drinking and PTSD and/or depression symptoms (A-MH). We adapted an alcohol care linkage intervention, “Connect to Care” (C2C), for this population. We conducted separate focus groups with veterans with A-MH, providers, and policy leaders. Feedback centered on how psychologists and other providers can optimally inform veterans about their care options and alcohol use, and how to ensure C2C is accessible. Participants reported that veterans with A-MH may not view alcohol use as their primary concern but rather as a symptom of a potential co-occurring mental health condition. Veterans have difficulty identifying and accessing existing alcohol care options within the Veterans Health Administration. C2C was modified to facilitate alcohol care linkage for this population specific to their locality, provide concrete support and education, and offer care options to preserve privacy.

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针对因酗酒、创伤后应激障碍和/或抑郁症状而接受初级保健的美国退伍军人，调整酒精护理链接干预措施：定性研究

对于患有危险饮酒、创伤后应激障碍和/或抑郁症状（A-MH）的退伍军人，急需改善初级保健中的酒精护理链接。我们针对这一人群调整了酒精护理链接干预措施 "Connect to Care"（C2C）。我们分别与患有 A-MH 的退伍军人、医疗服务提供者和政策领导者进行了焦点小组讨论。反馈意见主要集中在心理学家和其他服务提供者如何以最佳方式告知退伍军人他们的护理选择和酒精使用情况，以及如何确保 C2C 的可及性。与会者报告说，患有 A-MH 的退伍军人可能不会将饮酒视为主要问题，而是将其视为可能并发的心理健康问题的一种症状。退伍军人很难在退伍军人健康管理局内识别和获得现有的酒精护理选择。对 C2C 进行了修改，以促进针对该人群的酒精护理链接，提供具体的支持和教育，并提供保护隐私的护理选择。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.