Psychological Services最新文献

{"title":"Community-academic implementation science partnership to examine adoption and impact of a patient-centered approach to sexual history.","authors":"Sarit A Golub, Stephanie Hubbard, Ariel M de Roche, Staci C Barton, Angela Merges, Augustus Klein","doi":"10.1037/ser0000935","DOIUrl":"https://doi.org/10.1037/ser0000935","url":null,"abstract":"<p><p>Progress toward ending the HIV epidemic has been slowed by suboptimal utilization of effective biomedical interventions (e.g., HIV testing, pre-exposure prophylaxis), especially for populations with the highest incidence. In 2021, the New York City Health Department initiated a multilevel implementation strategy, focused on promoting the GOALS Approach to Sexual History and Health-an antistigmatizing, client-centered strategy for sexual history taking-as a lever for increasing HIV intervention adoption, reach, and equity. Project Partnership to Increase Access, Client-Centered Care, and Equity in HIV Services is a community-academic implementation science partnership designed to investigate the impact of strategy enactment on implementation outcomes, including changes in intervention utilization (HIV testing, sexually transmitted infection testing, pre-exposure prophylaxis) in practice over time. This article presents preliminary implementation outcomes collected from the 19 programs (client <i>N</i> = 8,865) funded to adopt GOALS. Data indicate the successful enactment of systems-level strategies (infrastructure development, service mandates), program-level strategies (staff training, learning collaboratives), and provider-level strategies (utilization of the GOALS). By Quarter 5, the GOALS was being utilized in a median of 84% of visits across programs (interquartile range: 54%-97%), and GOALS utilization was positively associated with provider adoption of HIV prevention interventions in practice. Programs that struggled with implementation had less buy-in from leadership and lower commitment to provider training; programs with upward implementation trends had less experience delivering sexual health care and used a phased approach to foster support, focusing on the positive reaction to the GOALS among their clients. These data suggest that a multilevel implementation strategy focused on delivery of antistigma, client-centered sexual histories may be a potent implementation strategy for enhancing HIV prevention intervention adoption. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment barriers and preferences among veterans with chronic musculoskeletal pain and alcohol use in primary care.","authors":"Katherine A Buckheit, Jacob Scharer, Travis A Loughran, Gregory P Beehler, Dezarie Moskal, Jennifer S Funderburk","doi":"10.1037/ser0000938","DOIUrl":"https://doi.org/10.1037/ser0000938","url":null,"abstract":"<p><p>Chronic pain and alcohol use commonly co-occur and are associated with considerable functional impairment. Many patients with chronic pain present to primary care, and integrated primary care may be well-suited to provide brief, behaviorally focused treatment. Little is known about behavioral health treatment barriers and preferences among primary care patients with chronic pain and alcohol use. Veterans enrolled in Veterans Health Administration primary care with a chronic musculoskeletal pain diagnosis and past-year alcohol use were identified via electronic medical record review and mailed a survey with measures of alcohol use, pain severity/interference, treatment preferences, and treatment barriers. Chi-square tests were used to identify statistically significant treatment preferences. Generalized linear models tested for differences in treatment barriers based on alcohol risk, and pain severity was tested as a moderator using the PROCESS macro in SPSS. Patients expressed preferences for individual, face-to-face treatment in primary care. Participants reported they were overall receptive to behavioral health treatment, with the exception of treatment for alcohol, tobacco, or other drug use. Differences based on alcohol risk were observed for readiness to change alcohol use and beliefs about the relationship between pain and alcohol. Pain severity was a significant moderator of the relationships between alcohol risk and pain readiness, beliefs about pain and alcohol, and overall alcohol treatment barriers. Treatment preferences were largely aligned with models of integrated primary care. The impact of barriers on treatment engagement may vary by a patient's degree of alcohol-related risk, and thus a range of treatment options should be considered. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mixed methods evaluation of a motivational enhancement intervention to increase SARS-CoV-2 testing among people experiencing houselessness and people who inject drugs.","authors":"Anne Marie Mauricio, Camille C Cioffi, Abbie M Sanders, Derek Kosty, Llewellyn Fernandes, Maryanne V Mueller, Elizabeth A Stormshak","doi":"10.1037/ser0000939","DOIUrl":"https://doi.org/10.1037/ser0000939","url":null,"abstract":"<p><p>This explanatory sequential mixed methods hybrid Type 1 study examined the efficacy and implementation of Connect2Test, a brief motivational enhancement intervention to increase SARS-CoV-2 testing among people experiencing houselessness and people who inject drugs. We conducted a randomized controlled trial with participants randomly assigned to Connect2Test (<i>n</i> = 105) or services as usual (<i>n</i> = 100). Most participants self-identified as male (65%), White (72%), and not Hispanic (87%). There were no intervention effects on immediate testing rates, <i>χ</i>²(1, <i>n</i> = 205) = 0.23, <i>p</i> = .6298, <i>OR</i> [95% CI] = 1.18 [0.61, 2.27], or at 1-month, <i>χ</i>²(1, <i>n</i> = 205) = 0.05, <i>p</i> = .8263, <i>OR</i> [95% CI] = 0.93 [0.51, 1.72], or 2-month follow-ups, <i>χ</i>²(1, <i>n</i> = 205) = 0.04, <i>p</i> = .8368, <i>OR</i> [95% CI] = 1.08 [0.52, 2.22]. We interviewed staff and volunteers (<i>n</i> = 17) affiliated with our community partner to examine implementation barriers and facilitators. Barriers included (a) intervention complexity, (b) no established relationship between the interventionist and participants, (c) Connect2Test's misalignment with priorities of people experiencing houselessness, and (d) incompatibility with community partner resources. Facilitators included (a) congruency between motivational interviewing and harm reduction values, (b) collaboration with a trusted community partner, and (c) intervention alignment with the community partner's mission. Although Connect2Test did not increase testing rates, our qualitative assessment highlighted barriers reflecting intervention and implementation failure. Facilitators highlighted Connect2Test adaptations to enhance efficacy. Juxtaposing qualitative implementation assessments with randomized controlled trials can discern implementation and intervention factors impacting efficacy to inform redesign. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing implementation and health equity determinants to develop a facilitation plan for varied intensity posttraumatic stress disorder (PTSD) treatments in minority-serving institutions.","authors":"Nuha Alshabani, Laura Godfrey, Cara Fuchs, Richy Villa, Daisy Perez, Sarah E Valentine","doi":"10.1037/ser0000941","DOIUrl":"https://doi.org/10.1037/ser0000941","url":null,"abstract":"<p><p>Though the implementation of science frameworks has recently been expanded to understand determinants of health equity (Woodward et al., 2021), the application of these frameworks in safety net hospital settings is new. We applied the health equity implementation framework to (a) understand the determinants of implementation and equity and (b) develop an institution-wide implementation facilitation plan for three evidence-based practices (EBPs) for posttraumatic stress disorder. We utilized researcher field notes from clinical case consultation gathered during posttraumatic stress disorder treatment implementation initiatives (cognitive processing therapy, written exposure therapy, brief skills training in affective and interpersonal regulation) at the same safety net hospital (<i>N</i> = 94 meetings total, from 2020 to 2023) to assess determinants of implementation and equity. We developed a qualitative codebook based on the health equity implementation framework to specify determinants and then built an implementation facilitation toolkit for multi-EBP implementation. Similar determinants were found across clinics and EBPs (e.g., provider training gaps and misperceptions about manualized treatments; inefficiencies in identification, triage, and referral pathways; patient engagement barriers related to stigma, literacy, and mistrust) with additional nuance per clinic and EBP. Institution-wide facilitation strategies were then utilized to enhance implementation and equity and focused on enhancing both access and quality of services (e.g., training and consultation, refining referral pathways) and patient engagement (e.g., culturally responsive training, consultation, and treatment delivery). Implementation science has an important role to play in enhancing health equity. Our findings illustrate how pooling determinants across clinics and treatments can help implementation scientists engage with hospital leadership and advocate for system-level implementation facilitation strategies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial needs of incarcerated veterans with other than honorable discharge characterizations.","authors":"Emily R Edwards, Sharon Alter, Ryan Holliday, Anthony Fortuna, Matthew Stimmel","doi":"10.1037/ser0000956","DOIUrl":"https://doi.org/10.1037/ser0000956","url":null,"abstract":"<p><p>The Veterans Health Administration recently expanded eligibility to allow behavioral health care for veterans with \"other than honorable\" (OTH) discharge characterizations, a group with unique demographic and psychosocial needs, including overrepresentation in criminal-legal contexts. To guide the integration of these veterans into Veterans Health Administration behavioral health care settings, this study offers initial insight into the needs of veterans with OTH involved in the criminal-legal system. Using data from the 2016 Survey of Prison Inmates, analyses compared incarcerated veterans with OTH (<i>n</i> = 179) to those with honorable or general discharge characterizations (<i>n</i> = 1,335) on demographic profile, criminal-legal history, and psychosocial factors. Veterans with OTH were more often younger, persons of color, incarcerated for drug-related offenses, diagnosed with psychotic and personality disorders, experiencing housing and occupational instability immediately preceding arrest, and with a history of substance use treatment. Results highlight the need for culturally sensitive approaches capable of addressing complex difficulties commonly faced by this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Goldilocks disclosures: A qualitative exploration of when therapist self-disclosure of lived experience is \"just right\".","authors":"Alysia M Robertson, Tegan Cruwys, Anika Quayle, Mark Stevens, Michael J Platow, Brett Scholz","doi":"10.1037/ser0000959","DOIUrl":"10.1037/ser0000959","url":null,"abstract":"<p><p>Despite increasing employment of peer workers, primarily hired for their lived experience of mental health issues, concerns remain regarding the appropriateness of clinical health professionals (e.g., psychologists, counselors) disclosing their own lived experience. This qualitative study examined how therapists' lived experience disclosures are perceived by clients and other therapists. Participants (160 clients and 158 therapists) shared their experiences with therapist disclosure and responded to one of four hypothetical scenarios. Reflexive thematic analysis identified key themes that highlighted the tension between disclosures demonstrating humanity versus professionalism, openness versus a client-centered approach, and empathy versus competence. Themes also highlighted the challenge of getting disclosures \"just right,\" ensuring therapists had established rapport, kept disclosures brief and relevant, and shared experiences from which they had recovered. The findings underscored the trade-offs between the potential benefits and harms of disclosure, highlighting some conditions under which disclosure is considered appropriate and best supports the client. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women veterans in Primary Care-Mental Health Integration (PC-MHI) settings: A scoping literature review.","authors":"Mackenzie Brackett-Wisener, Anderson Rowan, Lisandra Mendoza, Elena McSwain","doi":"10.1037/ser0000953","DOIUrl":"https://doi.org/10.1037/ser0000953","url":null,"abstract":"<p><p>Women veterans (WV) present to Veterans Health Administration with mental health and medical treatment needs that differ from men and civilian women. Primary Care-Mental Health Integration (PC-MHI), which provides short-term, evidence-based mental health care, is often the first point of mental health assessment and intervention for veterans. Little research exists on gender-specific care, procedures, and impact for WV in PC-MHI, and many mental health providers feel ill-trained to address WV-specific concerns. This project aimed to identify the unique mental health necessities of WV within PC-MHI as compared with men, to support Veterans Health Administration Directive 1330.01 regarding providing gender-specific care, cultural competence among mental health providers, and underresearched areas for further exploration to make a valuable contribution to the mission of PC-MHI regarding training, education, and implementation of gender-specific procedures. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, nine sources published between 2005 and 2023 were included. Results were organized by gender comparisons, gender-specific care in PC-MHI, and mental health for WV. Preliminary sources indicate that WV present to PC-MHI with nuanced mental health concerns and utilize PC-MHI more than men. Subsequently, PC-MHI has promising potential to address gender-specific needs for WV. This review highlights the need for adaptation in mental health screening for WV in periods of increased mental health risk (e.g., postpartum) and across the lifespan. Findings emphasize the need for additional research on WV needs and gender-specific care in PC-MHI, as well as increased provider training, and establishment of evidence-based clinical guidelines and policies for WV in PC-MHI. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of patient suicide loss on mental health clinicians in Veterans Affairs health care facilities.","authors":"Meredith S Sears, Anna J Harrison","doi":"10.1037/ser0000958","DOIUrl":"https://doi.org/10.1037/ser0000958","url":null,"abstract":"<p><p>Department of Veterans Affairs (VA) clinicians are at elevated risk of patient suicide loss due to the high rates of suicide in the veteran population. Clinician support structures and administrative procedures following patient suicides vary widely across facilities. The present study examined how mental health clinicians' experiences vary according to institutional responses to patient suicides. The authors disseminated an online survey to clinicians at 15 VA sites. Institutional responses such as supervisory support, postvention support services, and administrative postsuicide procedures were examined in relation to the clinicians' emotional and professional practice outcomes. The multidisciplinary sample included 87 licensed mental health providers who had experienced a VA patient suicide. Most were experienced clinicians (licensed for 6 or more years) who worked daily to weekly with patients who were suicidal. After their patient's suicide, over half of the participants reported self-doubt about their competency. Nearly three quarters of respondents reported changes in professional practice such as hypervigilance to suicide cues and an increased focus on documentation. Participants consistently described formal postvention supports and collegial outreach as constructive and helpful; however, experiences with supervisor outreach varied. Clinicians who experienced formal retrospective case reviews were more likely to report feeling blamed for the suicide, lengthier periods of emotional distress, reduced willingness to work with suicidal patients, and consideration of leaving their position. Strategic postsuicide procedures that include emotional and instrumental support for clinicians as well as thoughtful, nonblaming retrospective review policies may reduce negative clinician outcomes related to patient care and staff burnout and turnover. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining why therapists add sessions to the written exposure therapy protocol and whether it improves treatment outcome: A mixed-methods analysis.","authors":"Denise M Sloan, Christopher DeJesus, Brian P Marx, Ron Acierno, Michael Messina, Johanna Thompson-Hollands","doi":"10.1037/ser0000954","DOIUrl":"https://doi.org/10.1037/ser0000954","url":null,"abstract":"<p><p>Written exposure therapy (WET) is a brief psychotherapy for posttraumatic stress disorder (PTSD). Although WET is designed to be delivered in five sessions, implementation data collected from trained mental health care providers suggest that therapists sometimes add more sessions without sufficient justification. We conducted a mixed-methods examination to understand why therapists added WET sessions and whether adding sessions improved treatment outcomes. Participants were drawn from a larger trial where therapists were permitted to deliver five to seven WET sessions. This study included 77 client participants who were randomly assigned to receive WET and nine therapist participants who delivered WET during the trial. Results showed that PTSD symptom severity trajectories at follow-up assessment were not significantly different between client participants who received five sessions and those who received more than five. Only 15.7% of participants who received supplemental WET sessions displayed a clinically meaningful reduction in PTSD symptom severity, while 11.8% displayed a clinically meaningful increase in PTSD symptom severity. Qualitative interviews with therapists indicated that their decision to add sessions was largely driven by the client avoiding writing about the traumatic event in early treatment sessions or due to a very complex or lengthy traumatic event that required additional sessions to provide repeated exposure to the trauma memory. Taken together, the findings suggest that adding WET sessions is unnecessary most of the time, but therapists have a strong preference for having flexibility in adding treatment sessions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expanding veteran suicide prevention: The role of community engagement and partnership coordinators.","authors":"Christopher Mackowiak, Aaron E Eagan, Christina M Gerstel-Santucci, Kendra M Barnes, C E Brubaker, Kristi L Fredritz, Laura E Rasnake, Sara J Landes, Lisa K Kearney, Matthew A Miller","doi":"10.1037/ser0000944","DOIUrl":"https://doi.org/10.1037/ser0000944","url":null,"abstract":"<p><p>Veteran suicide is a public health crisis. Suicide rates for U.S. veterans have remained disproportionately higher than their nonveteran counterparts during the last 2 decades (White House, 2023; U.S. Department of Veterans Affairs, Office of Mental Health and Suicide Prevention, Community-Based Interventions for Suicide Prevention, 2022). Additionally, the majority of veterans who die by suicide are not engaged in care from the Veterans Health Administration (U.S. Department of Veterans Affairs, Office of Mental Health and Suicide Prevention, 2023). Veterans Health Administration's Suicide Prevention 2.0 (SP 2.0) was developed to address this problem through a combination of clinical and community-based efforts that form a comprehensive public health approach for veteran SP (Carroll et al., 2020). In this article, the authors briefly outline the national, regional, and local program development of VA's Community-Based Interventions for SP within SP 2.0. Then, they describe local-level program development and implementation of the Community Engagement and Partnership Coordinators. Community Engagement and Partnership Coordinators are tasked with developing and facilitating coalitions with local agencies and organizations aimed at reducing suicide risk among service members, veterans, and their families. The authors review the implementation of this program from 2020 to 2024 and then suggest directions for future program evaluation and research on the impact of this approach in preventing veteran suicide. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}