Adam D Bramoweth, Caroline E Hough, Erin M O'Brien, Elizabeth A Klingaman, Cara J Deininger, Christi S Ulmer, Monique Y Boudreaux-Kelly, Jennifer L McCoy, Ada O Youk
{"title":"Implementing brief behavioral treatment for insomnia in Department of Veterans Affairs Primary Care Mental Health Integration clinics: Reach outcomes from a hybrid type 3 effectiveness-implementation trial.","authors":"Adam D Bramoweth, Caroline E Hough, Erin M O'Brien, Elizabeth A Klingaman, Cara J Deininger, Christi S Ulmer, Monique Y Boudreaux-Kelly, Jennifer L McCoy, Ada O Youk","doi":"10.1037/ser0000924","DOIUrl":"https://doi.org/10.1037/ser0000924","url":null,"abstract":"<p><p>Chronic insomnia is one of the most common health problems among veterans and can significantly impact health, function, and quality of life. Brief behavioral treatment for insomnia (BBTI), an adaptation of cognitive behavioral therapy for insomnia (CBT-I), was developed to help increase access to care outside of specialty settings. However, training providers alone is rarely sufficient, and implementation strategies are needed for successful uptake, adoption, and sustainable delivery of care. The current analysis compares the impact of providing BBTI training alone (BBTI) versus training plus implementation strategies (BBTI + IS) on veteran engagement in BBTI (i.e., reach) in Primary Care Mental Health Integration clinics. Providers from four Veterans Affairs (VA) medical centers completed BBTI training and then were given access to and support for implementation strategies. Core strategies implemented across all sites included developing an implementation blueprint, organizing implementation and educational meetings, developing and distributing educational materials, developing tools for quality monitoring, and facilitation. Veteran engagement in BBTI, CBT-I, insomnia diagnoses, and prescription sleep medication was measured using retrospective data from the VA Corporate Data Warehouse. Analyses were conducted using generalized linear models. Overall, sites significantly increased veteran engagement in BBTI (reach) from training alone and achieved further engagement with implementation strategies. At the site level, there was variability by phase, with three sites increasing BBTI only with training and one site increasing BBTI with training plus implementation support. These results are promising-increasing access to evidence-based behavioral insomnia care can be accomplished via BBTI training and easily implementable strategies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142914839","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}
Kathryn A Thomas, William T Hoyt, Simon Goldberg, Maleeha Abbas, Megan Schultz, Michele Hiserodt, Mary Wyman
{"title":"Examining the factor structure of the Acquired Capability for Suicide Scale (ACSS) in a military population: Initial development and validation of a four-factor version of the ACSS.","authors":"Kathryn A Thomas, William T Hoyt, Simon Goldberg, Maleeha Abbas, Megan Schultz, Michele Hiserodt, Mary Wyman","doi":"10.1037/ser0000917","DOIUrl":"10.1037/ser0000917","url":null,"abstract":"<p><p>Suicide occurs at high rates in both military and veteran populations. The Interpersonal Theory of Suicide is a widely applied framework incorporating the requisite construct of acquired capability for suicide, which is the ability to engage in suicidal behaviors developed through painful and provocative life experiences. The Acquired Capability for Suicide Scale (ACSS) was developed to assess this construct. Despite substantial literature examining Interpersonal Theory of Suicide in military samples, many versions of ACSS have been used without adequate validation. The goal of this study was to examine the factor structure of the ACSS and derive a version of the ACSS with initial validity for use in military populations. We also examined the stability of acquired capability over time. Data were collected among Wisconsin Army National Guard service members, who were deployed to the Middle East from 2008 to 2010, at three assessment points: before deployment (<i>n</i> = 714), immediately after return from deployment (<i>n</i> = 2,553), and 6-9 months postdeployment (<i>n</i> = 646). Exploratory and confirmatory factor analyses of postdeployment data suggest adoption of a novel, abbreviated 15-item, four-factor version of the ACSS. Analyses provided preliminary support for discriminant and predictive validity. Results also revealed that acquired capability for suicide increases after deployment and remains stable for at least 6-9 months after return from the combat. The four-factor version of the ACSS shows promise as a theory-relevant and empirically supported instrument for research and clinical applications in the military population. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786757","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}
David M Erekson, Isaac Hamm, Benjamin Jackson, Colby Schramel, Joseph Rees, Heidi A Vogeler, Katherine D Howe
{"title":"Client preferences for and perceptions of psychotherapy modality and delivery in a university counseling setting.","authors":"David M Erekson, Isaac Hamm, Benjamin Jackson, Colby Schramel, Joseph Rees, Heidi A Vogeler, Katherine D Howe","doi":"10.1037/ser0000923","DOIUrl":"https://doi.org/10.1037/ser0000923","url":null,"abstract":"<p><p>With the rise in demand for mental health services and the changed landscape of post-COVID-19 therapy delivery, examining both therapy modality (e.g., individual, group) and delivery methods (e.g., in-person, remote) has become increasingly important. While empirical evidence generally supports equivalency of outcomes across modalities and delivery methods, there is less evidence regarding comparative preferences and perceptions of these variables. To begin to answer these questions, we surveyed a random sample of 777 university students at a large, western university. Congruent with the previous literature, results suggest that there is a strong preference for in-person individual therapy, in spite of the increased experience with teletherapy. We also found a strong reluctance to engage with group therapy. Demographic factors predicting modality and delivery preferences indicated that being older and a woman were associated with increased likelihood to prefer individual therapy (both in-person and teletherapy), and lower class standing was associated with a stronger preference for group therapy. The only symptoms predictor for preferences included higher levels of social anxiety being associated with a higher preference for online self-help. While those who had previously engaged in a particular type of therapy were typically two to three times more likely to prefer it in the future, those who had attended in-person group therapy were over five times more likely to prefer it in the future. Finally, perceptions of past experiences with in-person therapy were significantly more positive than experiences with teletherapy. We discuss the implications of these findings for future research and practice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771638","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}
Princess E Ackland, Andrea Cutting, Michele R Spoont, Sean Nugent, Barbara A Clothier, Emily M Hudson, Hope Salameh, Hanna M Lefchak, Rose Degerstrom, Brent C Taylor
{"title":"Was training enough? Examining the implementation of evidence-based psychotherapies for depression in Veterans Health Administration.","authors":"Princess E Ackland, Andrea Cutting, Michele R Spoont, Sean Nugent, Barbara A Clothier, Emily M Hudson, Hope Salameh, Hanna M Lefchak, Rose Degerstrom, Brent C Taylor","doi":"10.1037/ser0000910","DOIUrl":"https://doi.org/10.1037/ser0000910","url":null,"abstract":"<p><p>Three evidence-based psychotherapies for depression (D-EBPs)-cognitive behavioral therapy for depression, acceptance and commitment therapy for depression, and interpersonal psychotherapy-are available in Veterans Health Administration (VHA) through its training initiative. However, training initiatives are not sufficient to move effective treatments into routine practice. Patient and clinic factors can impact evidence-based psychotherapies use. As part of a larger explanatory sequential mixed methods study, we assessed D-EBP use across VHA's outpatient general mental health (GMH) clinics and examined associations between patient- and clinic-level factors and D-EBP use. We identified all patients with a depression diagnosis seen in a VHA GMH clinic in fiscal year 2022. Patient-level variables included demographics, psychiatric medication for depression, and comorbid mental health diagnoses. Clinic-level variables included patient volume, D-EBP clinician capacity, and location. 635,653 patients with a diagnosis of depression were seen in a GMH clinic. 2.8% of those patients had a D-EBP session identified in their medical record, and 77.4% received a depression medication. Being male, older, having certain comorbidities, and using depression medication was associated with lower D-EBP use. Clinics with lower psychotherapy patient volume and in the Continental and Midwest districts had higher D-EBP use. D-EBP use was strikingly lower than depression medication use. Findings suggest clinicians may be challenged by patient comorbidities and high patient volume in practice. Further research on how these factors play out in clinical practice can shed light on whether there is a need for additional implementation strategies to increase D-EBP use. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648728","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}
Cassandra Keiser, Molly Noble, Kimberly VanHaitsma, Katherine M Abbott
{"title":"It gives you a really great feeling, knowing that what you are doing is making somebody's day: Provider perspectives on implementing the individualized positive psychosocial interaction.","authors":"Cassandra Keiser, Molly Noble, Kimberly VanHaitsma, Katherine M Abbott","doi":"10.1037/ser0000920","DOIUrl":"https://doi.org/10.1037/ser0000920","url":null,"abstract":"<p><p>The Individualized Positive Psychosocial Interaction (IPPI) is an evidence-based program that supports engaging people living with dementia and their care partners in the nursing home (NH). IPPIs are brief, one-to-one, preference-based activities to improve well-being and decrease behavioral and psychological symptoms of dementia. The purpose of this study was to understand barriers and facilitators to implementing the IPPI program from the perspective of NH provider champions. Semistructured interviews (<i>n</i> = 62) were completed with implementation champions (<i>n</i> = 20) who led a quality improvement project to implement the IPPI with three to five residents per NH. Interviews were audio recorded, transcribed verbatim, and coded using the Innovation Domain of the updated Consolidated Framework for Implementation Research. Constructs coded included cost, design, complexity, adaptability, relative advantage, trialability, and evidence base. Implementation champions spoke about the IPPI program's relative advantage of effectively reducing resident's behavioral and psychological symptoms of dementia based on meaningful, personalized content. Champions voiced that the IPPI program was cost-effective, adaptable to their local contexts, and provided training to staff to support residents experiencing distress. Champions acknowledged the complexity of identifying implementation team members and completing initial education and training. In addition, they appreciated the chance to build capacity by trialing IPPIs with a small number of residents for initial efforts (e.g., trialability). Utilizing the Consolidated Framework for Implementation Research allowed for the systematic identification of facilitators and barriers to IPPI implementation. Overall, the IPPI program goals are aligned with nursing home organization goals, supporting staff in providing comfort to residents communicating distress, and can be feasibly implemented. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648723","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}
Christina B Shook, Laura O Wray, Katherine M Dollar, Monica M Matthieu, Amanda D Peeples, Matthew Chinman, Richard W Goldberg, Andrew S Pomerantz
{"title":"Implementation of peer specialists in Veterans Health Administration primary care: Improving program fidelity through enhanced preimplementation support.","authors":"Christina B Shook, Laura O Wray, Katherine M Dollar, Monica M Matthieu, Amanda D Peeples, Matthew Chinman, Richard W Goldberg, Andrew S Pomerantz","doi":"10.1037/ser0000911","DOIUrl":"https://doi.org/10.1037/ser0000911","url":null,"abstract":"<p><p>Peer specialists (PS) in the Veterans Health Administration are veteran employees with lived mental health experience supporting others in recovery. While PS worked in traditional mental health settings for many years and demonstrated benefits to veteran engagement and satisfaction with health care, little is known about the best strategies to support implementation in novel, complex settings like primary care (PC). Implementation facilitation, which combined external facilitation plus national resources, was chosen to promote uptake when the VA MISSION Act of 2018 required the Veterans Health Administration to implement PS into PC. Using a mixed-methods, formative program evaluation approach, we examined the effects of implementation facilitation across two cohorts of 15 sites. Due to startup timing, Cohort 1 received minimal implementation facilitation during preimplementation compared with Cohort 2. Outcome measures included qualitative evaluation of facilitator notes, time to attain implementation milestones, and PS productivity and program fidelity (percent of total PS encounters in PC). Results suggested that overall productivity was similar across cohorts, but Cohort 2 demonstrated high program fidelity in Month 1 of implementation, while Cohort 1 required 12 months to attain similar fidelity. Qualitative findings indicated implementation facilitation that fostered team cohesion, clarified roles, supported supervisor training, and encouraged sites to guard against competing demands smoothed transitions for PS into PC. During preimplementation, implementation facilitation that focused on these findings resulted in the rapid attainment of program fidelity. Policymakers should consider the value of investing in preimplementation support for speeding the attainment of high-fidelity implementation of novel and complex practices such as PS in PC. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626771","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}
Rosalie Ariane Eva Altman, Eric Josiah Tan, Susan Lee Rossell
{"title":"International expert perspectives on access, engagement, and implementation of cognitive remediation for schizophrenia: A Delphi study.","authors":"Rosalie Ariane Eva Altman, Eric Josiah Tan, Susan Lee Rossell","doi":"10.1037/ser0000922","DOIUrl":"https://doi.org/10.1037/ser0000922","url":null,"abstract":"<p><p>Cognitive remediation (CR) for schizophrenia has been extensively studied and has proven effective in improving both cognition and functioning. Yet, implementation into mental health services is poor, with implementation and engagement barriers and facilitators not understood. The present study aimed to assess expert opinions on CR barriers and facilitators that pertain to staff, mental health services, and consumers. Thirty-seven international CR experts (clinicians/researchers) responded to Likert-scale questions on implementation and engagement facilitators, essential CR components, barriers in mental health facilities, barriers for clinicians, and barriers for consumer access and engagement across three rounds of a Delphi survey. The main barriers to CR implementation were (a) lack of staff training, (b) lack of perceived relevance/lack of knowledge about cognitive deficits in schizophrenia and CR usefulness in both clinicians and consumers, as well as (c) lack of staff employed in cognitive rehabilitation roles. The presence of defeatist beliefs and difficulty in accessing the place of delivery were both barriers to consumer engagement and access. The most important facilitators for CR were a good therapeutic alliance, CR delivered as part of integrated rehabilitation services, psychoeducation provided to families and stakeholders, and CR focusing on generalization of learning to everyday life. This study highlights the barriers to CR implementation from experts. A multitude of factors were identified that need attention. It is also apparent that CR cost-effectiveness studies are needed to facilitate organizational change and national guideline recommendations for improving mental health services policy around serious mental illness/schizophrenia health care provisions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626775","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}
Thalia P Nicholson, Rory A Pfund, Meredith K Ginley
{"title":"A systematic review of mental health stigma reduction trainings for law enforcement officers.","authors":"Thalia P Nicholson, Rory A Pfund, Meredith K Ginley","doi":"10.1037/ser0000915","DOIUrl":"https://doi.org/10.1037/ser0000915","url":null,"abstract":"<p><p>The aim of the present systematic review was to evaluate the outcome of law enforcement officer (LEO) trainings on mental health (MH) stigma and other outcomes. A systematic search of Pubmed, APA PsycInfo, and Cochrane Central Register of Controlled Trials was conducted to identify studies examining MH stigma trainings implemented within the LEO profession. Both randomized and nonrandomized studies were considered. Risk of bias was assessed via the Cochrane Risk-of-Bias tool for randomized trials and the Risk of Bias in Non-Randomized Study of Intervention (Version 2). The present review identified 18 studies comprised of 2,399 participants (<i>M</i><sub>age</sub> = 37.37, <i>SD</i> = 4.76). Samples were predominantly composed of police officers (<i>k</i> = 16), followed by correctional officers (<i>k</i> = 2) and both (<i>k</i> = 1). Although the review aimed to investigate trainings targeting institutional, public, and self-stigma, all studies implemented trainings intended to decrease public stigma. Outcomes evaluated across studies included attitudes toward MH, knowledge about MH, self-efficacy/confidence, behavioral responses/de-escalation skills, social distance, and awareness, support, and utilization of MH resources. Although the outcomes evaluated were somewhat consistent across studies, there was variability in how variables were defined and measured. Due to this, data could not be compared across studies, and thus, conclusions could not be drawn regarding which trainings demonstrated the most effectiveness in reducing MH. Despite the increased research investigating the outcomes of trainings on stigma within the LEO population, the variability in methodology and the high rate of bias exhibited across studies suggest that more rigorous and better quality evaluations are warranted. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626763","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 mental health engagement among veterans diagnosed with serious mental illness.","authors":"Holly J McKinley, Tasha M Nienow","doi":"10.1037/ser0000916","DOIUrl":"https://doi.org/10.1037/ser0000916","url":null,"abstract":"<p><p>Engagement in psychosocial mental health services has been found to support and facilitate the process of recovery in individuals with serious mental illness. However, many individuals eligible for these services are not receiving them. Presently, little is known about the factors that contribute to treatment engagement. This study aimed to identify attitudes related to treatment engagement among veterans with serious mental illness enrolled at a large VA medical center. Thirty-six veterans participated in individual qualitative interviews about their beliefs about the efficacy and purpose of mental health care; their perceptions of societal attitudes regarding mental health; and their experiences accessing mental health care. Based on their level of treatment engagement in the last year, veterans were classified as either engaged in psychosocial mental health services (<i>n</i> = 15), engaged in psychiatric medication management only (<i>n</i> = 14), or not engaged in VA mental health services (<i>n</i> = 7). Attitudes associated with level of service usage were examined to identify factors that might improve engagement in treatment and quality of mental health services. Results suggest that provider expertise and rapport were critical to engagement. Our findings also suggest that barriers to accessing care included beliefs about when it was appropriate to request services, stigmatizing attitudes within one's social network, the complexity of the mental health system, and failures of providers and the treatment system to address the needs of a diverse patient population. Implications for clinical training and practice are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626769","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}
Michelle M Pebole, Caroline A Sablone, Alexandra Kenna, Dylan Katz, Colleen B Hursh, Arielle R Knight, Catherine B Fortier
{"title":"Veterans' perspectives on two transdiagnostic group workshops to improve military to civilian reintegration: A comparative thematic analysis.","authors":"Michelle M Pebole, Caroline A Sablone, Alexandra Kenna, Dylan Katz, Colleen B Hursh, Arielle R Knight, Catherine B Fortier","doi":"10.1037/ser0000918","DOIUrl":"10.1037/ser0000918","url":null,"abstract":"<p><p>Veterans deployed in the post-9/11 wars in Iraq and Afghanistan (Operations Enduring Freedom, Iraqi Freedom, and New Dawn) face a multitude of challenges reintegrating into civilian life after military service. There is a need for evidence-based support programs to address the wide-reaching cognitive, psychological, and physical symptoms that can impede civilian reintegration. The present study incorporates quantitative and qualitative methods to assess veterans' experiences with two reintegration treatments (Short-Term Executive Plus-Home [SH] and Present Centered Group Therapy for Reintegration [PCGT-R]) within the context of a larger randomized clinical trial. A total of 131 veterans ages 24-65 years, drawn from the SH (<i>n</i> = 66) and PCGT-R (<i>n</i> = 65) treatment arms, completed quantitative feedback forms and qualitative interviews. Quantitative surveys indicated SH was more highly rated than PCGT-R in terms of program satisfaction (<i>p</i> < .01), helpfulness (<i>p</i> = .03), and connection to other Veterans Affairs (VA) services (<i>p</i>s < .05). Thematic qualitative analysis indicated that both interventions provided beneficial social support and that both groups appreciated online implementation. They also revealed that SH veterans acquired more emotion regulation and impulse control skills and reported greater willingness to engage in further VA treatments, than PCGT-R veterans. Dropout did not differ significantly between groups, and the most highly cited reasons for dropout among both groups were scheduling conflict and dislike of group formats. Findings emphasize the opportunity for group and skills-based interventions focused on reintegration to increase support and access to VA care among veterans. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626782","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}