Psychological Services最新文献

{"title":"A locally driven juvenile co-responder program: Planning and implementation.","authors":"Kristina K Childs, Caitlin M Brady, Nicole Brenenstuhl, Corrie Kindyl","doi":"10.1037/ser0000978","DOIUrl":"https://doi.org/10.1037/ser0000978","url":null,"abstract":"<p><p>This study outlines the development and implementation of a law enforcement led, co-responder program that occurred in one Florida county from 2017 to 2021. The goal was to reduce involuntary commitment (i.e., Baker Act) examinations initiated by frontline officers. The program was embedded in the sheriff's office, designed for youth under the age of 18, and relied on licensed therapists to provide on-scene crisis de-escalation assistance to responding officers. First, we describe the strategic planning process which included a survey of sworn officers and dispatchers (<i>n</i> = 165), semistructured interviews with the chain of command (<i>n</i> = 30), and analysis of months of administrative records. Then, we report findings from 29 months of program implementation. Data describing 206 juvenile mobile crisis responses, youths' suicidal risk factors, and involuntary commitment decisions are presented, as well as monthly and yearly trends in recorded calls for service that involve a youth experiencing a mental health crisis and their dispositions (i.e., involuntary commitment or de-escalation). A reduction in the rate of involuntary commitment examinations made by frontline officers, timely on-scene arrival by a mental health professional, and clear alignment in suicide risk severity and response dispositions were some of the observed benefits of the program. We highlight the critical role that police mental health collaborations have in providing effective care for youth in crisis and emphasize the critical role that these initiatives will play in the future. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529358","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":"Feasibility, acceptability, and outcomes: A pilot trial of the enhancing social function in older veterans with PTSD (ESVP) group intervention.","authors":"Anica Pless Kaiser, Molly Ream, Avron Spiro, Denise M Sloan, Joan M Cook, Dawne Vogt, Jennifer A Moye","doi":"10.1037/ser0000962","DOIUrl":"https://doi.org/10.1037/ser0000962","url":null,"abstract":"<p><p>Poor social function is associated with negative health outcomes and premature mortality in older veterans with posttraumatic stress disorder (PTSD). This pilot randomized trial evaluated a nine-session group-based intervention (Enhancing Social Function for Older Veterans with PTSD [ESVP]) to enhance social function in older veterans with PTSD compared with a support group condition. Participants were 36 U.S. military veterans aged 60 years or older who had experienced military-related trauma and endorsed symptoms of PTSD. Feasibility, acceptability, and changes in social function were assessed across baseline, postintervention, and 6-month follow-up. Enrollment and engagement metrics supported feasibility. Participant ratings of session relevance and satisfaction were high and did not significantly differ between conditions. Veterans under the ESVP condition were significantly more likely to rate themselves as feeling \"better\" (<i>t</i> = 3.81, <i>p</i> < .001), less angry (<i>t</i> = 3.59, <i>p</i> < .001) and less distressed (<i>t</i> = 3.44, <i>p</i> < .001), and were more likely to report having used coping (<i>C</i> = .21, <i>p</i> < .05) and anger management skills (<i>C</i> = .33, <i>p</i> < .001) than veterans under the support condition. ESVP demonstrated a stronger effect on intimate relationship (η² = 0.07) and family function (η² = 0.11) subscales of the Inventory of Psychosocial Function, and both conditions reported improvement in friends and socializing (η² = 0.13) and did not significantly differ (η² = 0.009). These findings are encouraging regarding ESVP but require further replication. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144507956","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":"RE-AIMing for health equity: Using RE-AIM to evaluate equitable implementation of the family check-up 4 health.","authors":"Cady Berkel, Kristi Samaddar, Kimberly McWilliams, Glendine Soiseth, John Molina, Valentina Hernandez, Lizeth Alonso Rodriguez, Jenna Rudo-Stern, Anne Marie Mauricio, Elisabeth Williams, Nalani Thomas, Justin D Smith","doi":"10.1037/ser0000974","DOIUrl":"https://doi.org/10.1037/ser0000974","url":null,"abstract":"<p><p>A primary goal of implementation science (IS) is to promote access to evidence-based practice; however, without careful attention to equity, IS may inadvertently reify inequities for priority populations who are most affected by access barriers and health inequities. Recently, there has been a push to integrate health equity concepts into IS frameworks. Yet, empirical examples are limited. This study sought to fill that gap by providing an example application of the RE-AIM framework extension for health equity in the evaluation of a family-based preventive intervention implemented in primary care for our priority population: Latinx, Black/African American, and Native American children. The Family Check-Up 4 Health (FCU4Health) is an individually tailored preventive intervention, adapted from the evidence-based Family Check-Up, for delivery in primary care settings. Data came from a Type 2 effectiveness-implementation hybrid study conducted with multiple primary care organizations in the Phoenix area, with 240 children (85% in the priority population) and their parents/caregivers. We present descriptive data guided by the RE-AIM framework's extension for health equity. Quantitative details about adoption and maintenance are supplemented with descriptions of implementation determinants, provided by partners at each site who coauthored this article. Concerning adoption, three of six organizations approached went on to implement the FCU4Health during the trial. Adoption appeared to be driven by perceived appropriateness, relative advantage, and research-related constraints. Reach: Across multiple stages from initial approach to initiation of services, reach was higher for our priority population, although differences were not statistically significant. Implementation: There were no significant differences in fidelity, active participation, and the completion or quality of home practice between our priority and nonpriority populations. Concerning dosage, coordinators spent more time working with families in our priority population on referrals to resources. Maintenance: None of the organizations continued to implement beyond the trial, which was primarily driven by feasibility. The results provide an exemplar of how the RE-AIM equity extension can be applied to assess the ability of preventive interventions to promote equitable implementation in routine primary care settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476487","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":"Facilitating assessment of symptoms and behaviors using a smartphone application to identify at-risk sailors.","authors":"Lisa A Brenner, Jeri E Forster, Kelly A Stearns-Yoder, Molly E Penzenik, Lisa M Betthauser, Diana P Brostow, Aaron D Werbel","doi":"10.1037/ser0000963","DOIUrl":"https://doi.org/10.1037/ser0000963","url":null,"abstract":"<p><p>During deployments, Navy personnel have reported concerning levels of mental health symptoms, as well as suicidal ideation. Upstream efforts are needed to identify and mitigate symptoms, thereby, reducing the risk of suicide. Based on recent advances, research suggests that phone-based applications can be used to identify those at risk and facilitate treatment engagement. Toward this end, using a randomized controlled trial design, members of this study team: (a) evaluated the feasibility (application download/use and technical challenges) and acceptability (satisfaction) of the Cogito Companion phone application among a cohort of Naval personnel; (b) longitudinally characterized time to risk identification by cohort (Cogito/Active Control); and (c) identified patterns of symptoms (distress, depressive, posttraumatic, suicide-related thoughts, and mental and physical health functioning) over time and by study group. Two hundred seventy-nine Active Duty Navy personnel were enrolled and randomized, with 139 participants being randomized to Cogito and 140 to the Active Control arm. Findings suggested that those in the Cogito group were outreached more quickly than those in the Active Control group, highlighting the potential utility of employing technology to identify those at risk. However, there were significant feasibility issues in terms of implementing Cogito among Naval personnel on Active Duty. Interestingly, there were no significant differences in the proportion of serial self-report measures completed between those randomized to Cogito versus the Active Control, highlighting that, at present, implementing serial self-report measures may be a more feasible strategy to identify those at potential risk. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310414","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":"Staff perspectives on implementing dialectical behavior therapy skills groups in the Veterans Health Administration.","authors":"Suzanne E Decker, Kristin M Mattocks, Aimee Kroll-Desrosiers, Frances M Aunon, Lorrie Walker, Elizabeth Galliford, Neal Doran, Scarlett Baird, Jennifer K Rielage, Joseph Sadek, Josephine Ridley, Jenny Bannister, Thorayya S Giovannelli, Sara J Landes, Marianne Goodman, Eric DeRycke, Chris Shriver, Ethan Spana, Mark Honsberger, Stacey A Demirelli, Elena Shest, Steve Martino","doi":"10.1037/ser0000960","DOIUrl":"https://doi.org/10.1037/ser0000960","url":null,"abstract":"<p><p>Reducing veteran suicide is a high priority for the Veterans Health Administration (VHA). While dialectical behavior therapy skills groups (DBT-SG) may be as effective as comprehensive DBT in reducing suicide attempt, barriers and facilitators to this innovation in VHA are not well known. In preparation for a hybrid Type 1 effectiveness-implementation trial, we conducted individual semistructured qualitative interviews with 35 VHA staff (therapists, suicide prevention coordinators, local and national leaders) and identified themes using rapid qualitative analysis (Hamilton, 2013). Five themes emerged: (a) While leadership noted wanting innovative suicide prevention, (b) knowledge of DBT varied widely across respondents. (c) Implementation challenges, especially after COVID-19, included staff shortage and burnout. (d) DBT-SG may require adaptation to fit the diversity of the veteran population, including Indigenous, homeless, and urban veterans, and (e) virtual DBT-SG options hold promise for expanding reach and access and must be implemented with appropriate risk management. Enthusiasm for DBT-SG was high, and implementation challenges in a stressed health care system were noted. DBT-SG, especially delivered virtually, holds promise for VHA and will need to be implemented with attention to staffing, provider needs, and veteran diversity. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310415","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 availability of depression severity indicators in electronic health record data: A retrospective study in two large academic health care systems in the United States.","authors":"Heather D Anderson, Kibum Kim, Mingyuan Zhang, Eric Gutierrez, Jodie Malhotra, Casey Tak","doi":"10.1037/ser0000969","DOIUrl":"https://doi.org/10.1037/ser0000969","url":null,"abstract":"<p><p>The high prevalence of major depressive disorder (MDD) combined with low treatment response supports continued research in this area. Electronic health records (EHR) are an important real-world data source for such MDD research, yet indicators of depression severity, a key confounder, are unreliably available. We examined the availability of depression severity indicators in the EHR and identified patient characteristics associated with having a severity indicator available for patients with an MDD diagnosis. We leveraged EHR data from academic health systems in Colorado and Utah from 2016 to 2021 to calculate the proportion of MDD encounters with a severity indicator from two sources in the EHR (diagnosis codes and Patient Health Questionnaire-9 total scores). We compared characteristics between patients with and without severity indicators using chi-square and t tests. We also estimated the proportional agreement between the two sources of severity. Among 1.55 million encounters with an MDD diagnosis from 2016 to 2021, 38% had a severity indicator available from the diagnosis code or Patient Health Questionnaire-9 total score. Availability increased from 28% in 2016 to 47% in 2021. Overall agreement was low at the MDD encounter level. Hispanic patients and those with anxiety, bipolar disorder, posttraumatic stress disorder, attention-deficit/hyperactivity disorder, and substance use disorder were more likely to have a severity indicator. While availability of depression severity in EHR data is increasing, it remains low. Researchers wanting to use depression severity data from the EHR should be cognizant of the potential impact of missing severity on their research and be cautious about using diagnosis codes and Patient Health Questionnaire-9 scores as indicators of severity in isolation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199860","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":"Wellness program preferences and associated factors among Chinese Health Care Professionals during the COVID-19 pandemic.","authors":"Shujing Zhang, Yi-Lang Tang, Eric Nehl, JungSu Oh, Jinbing Bai, Daphne Y Liu, Jia-Chen Fu, Feng Jiang, Huanzhong Liu, Yanqun Liu, Chunhua Zhang, Nadine J Kaslow","doi":"10.1037/ser0000964","DOIUrl":"https://doi.org/10.1037/ser0000964","url":null,"abstract":"<p><p>There is a dearth of information on wellness program preferences and influencing factors among Chinese health care professionals (HCPs). This study begins to establish a foundation for wellness programming for HCPs in China, especially during public health crises. It sought to (a) examine differences in wellness program preferences across the COVID-19 pandemic phases; (b) identify wellness program patterns and preferences; and (c) explore the influence of sociodemographic and psychological factors on these preferences. One hundred eighty participants (mean age of 33.1 ± 7.8 years) were HCPs from two hospitals in China who completed a battery of measures regarding preference for wellness programs (Wellness Programming Preferences Questionnaire), psychological symptoms (Patient Health Questionnaire-9; Depression, Anxiety, and Stress Scale-21), attitudes about professional help-seeking (Attitude Toward Seeking Professional Psychological Help-Short Form), and coping styles (Simplified Coping Style Questionnaire). Findings revealed that interactive and interpersonal wellness programs were preferred consistently throughout the pandemic. Peer support outreach (53.1%) and various onsite interactive programs, including wellness programming activities (50.6%), relaxation groups (46.7%), and in-person counseling (41.1%), were among the most preferred options. Further, HCPs with higher levels of help-seeking attitudes, <i>t</i>(145) = 3.28, <i>p</i> = .001, and positive coping styles, <i>t</i>(154) = 2.70, <i>p</i> = .008, endorsed higher preferences for an array of wellness programs. Our findings underscore the importance of developing and implementing interactive and interpersonally focused wellness programs to enhance the psychological well-being of Chinese HCPs. Future research should evaluate the effectiveness of culturally sensitive wellness programs for HCPs and compare wellness programming preferences worldwide. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161873","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":"Association between intensive community mental health recovery service initiation and psychiatric symptoms among veterans.","authors":"Suja S Rajan, Alexander J Duman, Michelle Winkler","doi":"10.1037/ser0000949","DOIUrl":"https://doi.org/10.1037/ser0000949","url":null,"abstract":"<p><p>The Intensive Community Mental Health Recovery (ICMHR) services have been established by the Veterans Health Administration to provide veterans with high-quality mental health care. This study, for the first time, evaluates the association between ICMHR service initiation and change in psychiatric symptoms among veterans, to assess the effectiveness of these services. This retrospective observational study includes veterans who enrolled in ICMHR services during October 2018-September 2021, and had a Brief Psychiatric Rating Scale (BPRS) assessment at the time of ICMHR service enrollment (baseline), and at sixth and/or 12th month after enrollment. Multivariable random-effects linear regression was used to examine the change in BPRS scores over time during the first year after ICMHR service enrollment. Changes in the five clinically relevant BPRS domains were also examined. The study found a statistically significant decrease in BPRS scores during the sixth (adjusted change = -1.6; 95% CI [-2.2, -1.0]) and 12th month (adjusted change = -2.4; 95% CI [-3.0, -1.7]) follow-up after ICMHR service enrollment, as compared with the baseline score. The study also found that ICMHR service initiation was associated with considerable improvement in BPRS domains representing affect, activation, and negative and positive symptoms, but was not associated with changes to the domain representing resistance. These results suggest that ICMHR services were potentially effective in improving psychiatric symptoms, as measured by the BPRS scores, in veterans enrolled in these services. The services were not associated with improvement in all psychiatric symptoms, potentially indicating that additional services might be needed to manage symptoms that do not improve. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063982","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 System-Wide Medication for Opioid Use Disorder (SW-MOUD) program: A description of program implementation.","authors":"Brian P O'Rourke, Tory H Hogan, Alison Miller, Martin Fried, Margaret Williams, Julie Teater, Emily Kauffman, Aaron D Clark, Orman Trent Hall, Phuong Huynh, Jennifer L Hefner","doi":"10.1037/ser0000966","DOIUrl":"https://doi.org/10.1037/ser0000966","url":null,"abstract":"<p><p>Medication for opioid use disorder (MOUD) is an evidence-based treatment for opioid use disorder (OUD). However, only a small proportion of eligible patients receive MOUD, due in part to access barriers and the complex medical needs of this population. Provision of MOUD traditionally occurs in ambulatory opioid treatment programs that operate separately from other providers, making it difficult to address patient needs comprehensively during health care encounters. To alleviate these barriers to continuous care for individuals with OUD, The Ohio State Wexner Medical Center designed the System-Wide MOUD (SW-MOUD) program. The SW-MOUD program has two objectives, (a) expand access to MOUD across emergency, inpatient, and outpatient settings, and (b) coordinate care for patients across these settings using integrated program staff. This article describes the SW-MOUD program implementation in order to serve as a roadmap for the creation of similar care delivery mechanisms. In the program's first 4 years, there were a total of 4,908 MOUD initiations. The implementation tools presented in this article include a patient flow model with an overall program structure, a detailed multilevel implementation timeline, and a table of implementation strategies used across three broad phases: preparation, rollout, and sustainability. The transformation of evidence-based treatments into systematic delivery approaches offers the potential to improve patient outcomes. Our experience is informative not only for health systems seeking to increase access to MOUD in their communities but also for those looking to expand access to care for any treatment modality by coordinating care across existing system silos. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064175","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":"Integrating care for chronic pain and PTSD: A qualitative exploration of staff and patient perspectives.","authors":"Belle Zaccari, Summer Newell, Tiona Y Wu, Aurora Newman, Maya E O'Neil, Devan Kansagara, Travis I Lovejoy","doi":"10.1037/ser0000968","DOIUrl":"https://doi.org/10.1037/ser0000968","url":null,"abstract":"<p><p>Despite the advantages of integrated care for co-occurring chronic pain and posttraumatic stress disorder (CP + PTSD), barriers impede its implementation. In this qualitative study, we examined facilitators and barriers of integrated care for CP + PTSD at a single Veterans Affairs medical center. We used purposive sampling and snowball recruitment to identify key stakeholders. We conducted semistructured interviews (<i>N</i> = 38) via video teleconferencing between January and May of 2022. We analyzed interview data employing both thematic and matrixed analysis methodologies. We interviewed VA staff (providers [<i>n</i> = 11], clinic managers [<i>n</i> = 5], and administrators [<i>n</i> = 2]) and patients with CP + PTSD (<i>n</i> = 19). There were three main findings: (a) current models disconnect care for CP + PTSD and fail in fully addressing the intricacies of this comorbidity, (b) the interconnection of CP + PTSD symptoms supports the need to overcome barriers to integrated treatment, and (c) facility- and system-level barriers to implementation of integrated care include staffing and having an evidence-based protocol. Staff and patient stakeholders recognized growing momentum supporting the development of integrated, nonpharmacological treatments for CP + PTSD. However, interventions to address barriers are needed to increase wider adoption and implementation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043990","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}