Psychological Services最新文献_第2页

Gender as a moderator of associations between military sexual trauma and posttraumatic stress disorder treatment utilization. 性别是军队性创伤与创伤后应激障碍治疗利用率之间关系的调节因素。

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-06-20 DOI: 10.1037/ser0000886

Rachel M Ranney, Paul A Bernhard, Nicholas Holder, Dawne Vogt, John R Blosnich, Aaron I Schneiderman, Shira Maguen

{"title":"Gender as a moderator of associations between military sexual trauma and posttraumatic stress disorder treatment utilization.","authors":"Rachel M Ranney, Paul A Bernhard, Nicholas Holder, Dawne Vogt, John R Blosnich, Aaron I Schneiderman, Shira Maguen","doi":"10.1037/ser0000886","DOIUrl":"10.1037/ser0000886","url":null,"abstract":"The present study sought to investigate whether gender moderates the relationship between military sexual trauma (MST) and posttraumatic stress disorder (PTSD) treatment utilization, among veterans with clinically significant PTSD symptoms. Participants were 2,664 veterans with probable PTSD from a nationwide, population-based survey. Participants reported sociodemographic information, history of MST (including military sexual harassment and military sexual assault), and lifetime receipt of PTSD psychotherapy and medication treatment. We found that gender significantly moderated relationships between (a) military sexual harassment and PTSD psychotherapy, (b) military sexual assault and PTSD psychotherapy, and (c) military sexual harassment and PTSD medication. For women, MST was associated with a greater likelihood of receiving treatment, but for men, MST was not associated with PTSD treatment. Future research is needed to better understand gender differences in how experiences of MST may affect engagement in PTSD treatment. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"395-401"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427453","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}

引用次数: 0

Rethinking stigma: Prejudicial beliefs impact psychiatric treatment in U.S. soldiers. 反思耻辱：偏见影响美国士兵的精神病治疗。

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-11-07 DOI: 10.1037/ser0000912

Deane E Aikins, Julie Wargo Aikins, Tara Consolino, Joseph C Geraci, Paul Morrissey

{"title":"Rethinking stigma: Prejudicial beliefs impact psychiatric treatment in U.S. soldiers.","authors":"Deane E Aikins, Julie Wargo Aikins, Tara Consolino, Joseph C Geraci, Paul Morrissey","doi":"10.1037/ser0000912","DOIUrl":"10.1037/ser0000912","url":null,"abstract":"Two thirds of military personnel diagnosed with posttraumatic stress disorder (PTSD) do not engage in treatment. We examined the degree that prejudicial beliefs about people with PTSD negatively affected psychiatric medication acceptance. Public stigma is best defined as negative stereotypes regarding individuals being judged as inferior or weak for having PTSD. In comparison, self-stigma includes internalized negative prejudices about illness control and stability. An important preliminary stage in developing self-stigma is first developing prejudicial beliefs about those with an illness. Active duty soldiers on a U.S. Army post completed surveys of prejudicial beliefs, public stigma, negative beliefs about psychiatric medications, and PTSD symptoms. Soldiers' Post Deployment Health Reassessment and medical records were accessed to determine the relation between their survey answers and responses to a later offer of psychiatric medication. Importantly, increased prejudicial beliefs (but not public stigma) that oneself is to blame for having PTSD were associated with a reduced likelihood of accepting psychiatric medication. Increased age was also associated with increased likelihood of accepting medication. Antistigma efforts to date may have limited effectiveness by targeting public-stigma rather than self-stigma prejudicial beliefs about personal responsibility in the development of PTSD. The relevance of this finding is vital to developing public health campaigns that maximize treatment acceptance. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"337-341"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606000","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}

引用次数: 0

Effectiveness of telehealth-delivered massed trauma-focused psychotherapy among veterans with posttraumatic stress disorder. 在患有创伤后应激障碍的退伍军人中开展远程医疗大规模创伤心理治疗的效果。

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-10-10 DOI: 10.1037/ser0000913

Erin K Verdi, Michael A Gramlich, Greg M Reger, Sherry Yelland

{"title":"Effectiveness of telehealth-delivered massed trauma-focused psychotherapy among veterans with posttraumatic stress disorder.","authors":"Erin K Verdi, Michael A Gramlich, Greg M Reger, Sherry Yelland","doi":"10.1037/ser0000913","DOIUrl":"10.1037/ser0000913","url":null,"abstract":"Trauma-focused psychotherapies can be effectively delivered using a massed delivery format. Telehealth treatment for posttraumatic stress disorder (PTSD) using evidence-based interventions has been shown to be as effective as in-person treatment. However, the effectiveness of evidence-based treatments for PTSD over telehealth using the massed delivery format requires further examination. To examine the effectiveness of telehealth massed PTSD treatment, we report on a quality improvement study of 33 veterans (75.8% male; MAge = 42.3, SD = 11.0) who participated in a virtual 4-week massed PTSD program at a Department of Veterans Affairs (VA) medical center. Twenty-seven (81.8%) veterans completed the treatment and reported large reductions in PTSD (d = 1.48) and depressive symptoms (d = 1.08) at Week 4 and at 1-month follow-up (PTSD, d = 1.34; depression, d = 0.70). Results suggested that evidence-based treatment for PTSD can be effectively delivered in a massed format over telehealth in a VA medical setting. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"199-205"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142473250","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}

引用次数: 0

Collaborating to support school reintegration following suicide-related crises: Voices from the field. 合作支持与自杀有关的危机后重返校园：来自实地的声音。

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-06-17 DOI: 10.1037/ser0000873

Marisa E Marraccini, Telieha J Middleton, Lauren E Delgaty, Maya J Hardrick, Kiera J O Walker, Makayla Sherrill, Cari Pittleman, Megan Rauch Griffard, Juliana L Vanderburg, Lacie Emmerich, Christina M Cruz

{"title":"Collaborating to support school reintegration following suicide-related crises: Voices from the field.","authors":"Marisa E Marraccini, Telieha J Middleton, Lauren E Delgaty, Maya J Hardrick, Kiera J O Walker, Makayla Sherrill, Cari Pittleman, Megan Rauch Griffard, Juliana L Vanderburg, Lacie Emmerich, Christina M Cruz","doi":"10.1037/ser0000873","DOIUrl":"10.1037/ser0000873","url":null,"abstract":"Adolescent psychiatric hospitalization for suicide-related crises continues to rise. Although previous reviews have identified frameworks for supporting youth as they return to school settings, there is a need to identify and address barriers to collaboration across hospitals and schools. This qualitative study explored school and hospital professional perspectives to inform a pathway toward partnership for improving practices for school reintegration. As part of a larger project that has been developing guidelines for adolescent school reintegration following psychiatric hospitalization for suicide-related crises, the present study explored professional perceptions of (a) school interactions during hospital stays and (b) recommendations for adolescents, families, school professionals, and hospital professionals. We conducted in-depth interviews with 19 school professionals and seven hospital professionals and analyzed transcribed interviews using Applied Thematic Analysis. Communication and collaboration emerged as cross-cutting themes across research questions, with additional themes considered across a continuum of care. Findings inform the ways in which professionals can collaborate to support adolescent recovery, spanning universal approaches implemented in advance of a crisis to approaches enacted during and following psychiatric care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"280-293"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141331558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patterns of psychosocial functioning of treatment-seeking veterans following military sexual trauma: The differential association of functioning and identity. 军队性创伤后寻求治疗的退伍军人的社会心理功能模式：功能与身份的不同关联

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-11-14 DOI: 10.1037/ser0000919

Makenzie Irrgang, Meredith R Boyd, Michelle Fernando, Lisa Valentine, Diana C Bennett, Minden B Sexton

{"title":"Patterns of psychosocial functioning of treatment-seeking veterans following military sexual trauma: The differential association of functioning and identity.","authors":"Makenzie Irrgang, Meredith R Boyd, Michelle Fernando, Lisa Valentine, Diana C Bennett, Minden B Sexton","doi":"10.1037/ser0000919","DOIUrl":"10.1037/ser0000919","url":null,"abstract":"Veterans with a history of military sexual trauma (MST) often experience poorer social, psychological, and physical outcomes compared with civilians and veterans who have experienced sexual assault outside of the military. Studies suggest some differences in endorsement of MST and its symptoms based on ethnoracial, age, sexuality, and gender-related factors. However, investigations into potential diversity-related patterns of functioning are sparse. This study examined the associations between identity factors and psychosocial functioning among veterans seeking mental health treatment following MST. During intake assessments, veterans (n = 144) completed semistructured clinical interviews and the World Health Organization Disability Assessment Schedule 2.0 as part of routine clinical care at a Midwestern Veterans Healthcare Administration hospital. Psychosocial functioning domains (cognition, mobility, self-care, getting along, life activities, and participation in society) were analyzed across veterans' race, age, sex, and sexual identity. Results revealed differences in participation in society based on sex and race and in mobility based on race and age. No significant differences were observed in functional domains for sexual identity. These findings highlight the importance of assessing salient identity factors and delivering culturally sensitive trauma-focused care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"369-376"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142626778","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}

引用次数: 0

Comparison of telehealth and in-person mental health care in military veterans and active-duty service members. 比较退伍军人和现役军人的远程保健和面对面心理保健。

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-05-23 DOI: 10.1037/ser0000868

Steven L Lancaster, David J Linkh, Claire E Lawless, Stephanie Renno

{"title":"Comparison of telehealth and in-person mental health care in military veterans and active-duty service members.","authors":"Steven L Lancaster, David J Linkh, Claire E Lawless, Stephanie Renno","doi":"10.1037/ser0000868","DOIUrl":"10.1037/ser0000868","url":null,"abstract":"Telehealth services are increasingly utilized to improve mental health care access for active-duty service members (ADSM) and military veterans. This article examines mental health outcomes for veterans (n = 4,536) and ADSMs (n = 378) who met Diagnostic and Statistical Manual of Mental Disorders, fifth edition diagnostic criteria for depression, posttraumatic stress disorder, or generalized anxiety disorder (N = 4,914) and were treated at Cohen Veterans Network Clinics using either telehealth or in-person treatment modalities. Results demonstrate small but statistically significant advantages for telehealth in terms of discharge scores, rates of clinically significant change, and efficiency of treatment. For depression and posttraumatic stress disorder, veterans reported greater changes than ADSMs, but there was no interaction between treatment modality and client type. These findings support the use of telehealth as a viable option for mental health care in these populations, while suggesting several areas requiring further study. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"215-220"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081855","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}

引用次数: 0

Spirituality in the line of duty: Perspectives from first responders with acute posttraumatic stress disorder and alcohol use disorder. 执勤中的精神信仰：患有急性创伤后应激障碍和酒精使用障碍的急救人员的观点。

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-04-11 DOI: 10.1037/ser0000856

Caroline C Kaufman, David H Rosmarin

{"title":"Spirituality in the line of duty: Perspectives from first responders with acute posttraumatic stress disorder and alcohol use disorder.","authors":"Caroline C Kaufman, David H Rosmarin","doi":"10.1037/ser0000856","DOIUrl":"10.1037/ser0000856","url":null,"abstract":"Spirituality/religion is clinically relevant to patients experiencing posttraumatic stress disorder (PTSD) and/or alcohol use disorder (AUD). Despite the comorbidity of PTSD and AUD among first responders (i.e., firefighters, law enforcement, paramedics, corrections officers), relatively little research has investigated the lived experience of first responders with PTSD and AUD as it related to spirituality and religion. As such, 12 (100% cisgender men, 91.7% White/European American) first responder psychiatric patients with comorbid PTSD and AUD were recruited from a psychiatric program serving first responders in the Northeast. Participants completed a semistructured interview, and transcripts were coded and thematically analyzed. The following themes and subthemes were identified: spiritual/religious distress (subthemes: abandonment, progressive deterioration of moral certainty, and loss of faith/doubt), spiritual/religious coping (subthemes: supporting sobriety and coping with PTSD), spirituality/religion in treatment, spirituality as distinct from religion, and spirituality and first responder culture. Findings highlight the need for additional research examining the role of spirituality/religion at the intersection of PTSD and AUD among first responders as well as the development of spiritually integrated treatment for this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"349-357"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850346","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}

引用次数: 0

The development of a posttraumatic stress disorder (PTSD) consultation program to support system-wide implementation of high-quality PTSD care for veterans. 制定创伤后应激障碍（PTSD）咨询计划，支持全系统为退伍军人提供高质量的创伤后应激障碍护理。

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-05-23 DOI: 10.1037/ser0000867

Sadie E Larsen, Todd McKee, Elliot Fielstein, Elissa McCarthy, Abigail Angkaw, Brittany Hall-Clark, Lisa-Ann Cuccurullo, Shannon Wiltsey Stirman, Jessica Hamblen, Sonya B Norman

{"title":"The development of a posttraumatic stress disorder (PTSD) consultation program to support system-wide implementation of high-quality PTSD care for veterans.","authors":"Sadie E Larsen, Todd McKee, Elliot Fielstein, Elissa McCarthy, Abigail Angkaw, Brittany Hall-Clark, Lisa-Ann Cuccurullo, Shannon Wiltsey Stirman, Jessica Hamblen, Sonya B Norman","doi":"10.1037/ser0000867","DOIUrl":"10.1037/ser0000867","url":null,"abstract":"Among veterans, there is a 7% lifetime prevalence of posttraumatic stress disorder (PTSD; Goldstein et al., 2016), with this diagnosis being linked to poor health and quality of life (Goldstein et al., 2016; Schnurr et al., 2009). Veterans with PTSD may present for treatment in a variety of health care settings, meaning that providers across all of these settings need information about how to care for veterans with PTSD. Despite a number of ongoing efforts to ensure that veterans have access to effective, recovery-oriented treatments for PTSD within Veterans Affairs (VA), there is a need for further improvement and likely an even greater need for improvement in non-VA settings. A variety of consultation and technical assistance models exist, though research has lagged in this area. This article reports the rationale, development, and initial outcomes of the PTSD Consultation Program, a centralized consultation program started in 2011, which is available to all providers offering care to veterans with PTSD on an \"on-request\" basis. From 2011 to 2022, there have been 17,417 consultation requests, with about three quarters coming from VA providers, most often related to resources or treatment questions. The program has also flexibly responded to current events and crises. Survey feedback indicates high satisfaction. Data indicate that this type of on-request consultation may be an effective method to utilize the expertise of a few providers to help support a broader range of providers in implementing high-quality PTSD-or other types of specialty-care. Future research can link these data to more distal outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"342-348"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082002","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}

引用次数: 0

Development and validation of the Telepsychology Facilitators Scale: A national study. 远程心理学促进者量表的开发与验证：全国性研究。

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-06-06 DOI: 10.1037/ser0000870

Alexandra L Silverman, Jack D Watson, Mia E Dini, Tiffanie Vargas, Bradford S Pierce, Paul B Perrin

{"title":"Development and validation of the Telepsychology Facilitators Scale: A national study.","authors":"Alexandra L Silverman, Jack D Watson, Mia E Dini, Tiffanie Vargas, Bradford S Pierce, Paul B Perrin","doi":"10.1037/ser0000870","DOIUrl":"10.1037/ser0000870","url":null,"abstract":"This study developed and validated the Telepsychology Facilitators Scale (TFS), a novel measure that uses the theory of reasoned action and technology acceptance model as frameworks to assess factors that influence psychologists' openness to using telepsychology. At the beginning of the COVID-19 pandemic, an online sample of 2,619 psychologists completed initial items considered for the TFS, along with a measure assessing their actual use of telepsychology. The sample was split in half, with a preliminary exploratory factor analysis ultimately revealing a 13-item general scale with four distinct subscales (Positive Attitudes, Facilitating Infrastructure, Organizational Support, and External Policies). Higher scores on each subscale positively correlated with psychologists' percentage of patient treatment conducted with telepsychology. The exploratory factor analysis subscale structure was subsequently supported via confirmatory factory analyses of a four-factor structure and bifactor structure (tested separately) with the other half of the sample, revealing adequate model fit for both models and similar convergent validity. The TFS may help the field assess the potential barriers and drivers of telepsychology use among psychologists and be used to inform future organizational and policy efforts to increase telepsychology implementation and use across health service settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"232-242"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262706","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}

引用次数: 0

Arkansas crisis stabilization unit guests: Baseline characteristics from a longitudinal cohort study. 阿肯色州危机稳定单位的客人：纵向队列研究的基线特征。

IF 1.9 3区心理学

Psychological Services Pub Date : 2025-05-01 Epub Date: 2024-08-05 DOI: 10.1037/ser0000893

Marley F Fradley, Justin Stanley, Xiaotong Han, Cassandra L McLaughlan, Nickolas Zaller, Lisa Evans, Melissa J Zielinski

{"title":"Arkansas crisis stabilization unit guests: Baseline characteristics from a longitudinal cohort study.","authors":"Marley F Fradley, Justin Stanley, Xiaotong Han, Cassandra L McLaughlan, Nickolas Zaller, Lisa Evans, Melissa J Zielinski","doi":"10.1037/ser0000893","DOIUrl":"10.1037/ser0000893","url":null,"abstract":"Crisis Stabilization Units (CSUs) are short-term residential facilities that provide care to people experiencing mental health crises, seeking to reduce reliance on local emergency departments and avoid unnecessary jail detention. Despite these intentions, there is little foundational literature to support research on CSU efficacy and a dearth of research on the sociodemographic characteristics and specific needs of CSU patients. Here, we recruited and surveyed 208 participants admitted to one of two focal Arkansas CSUs on their sociodemographic characteristics, justice-involvement, mental health, substance use, and health care utilization. Results revealed that participants were mostly unemployed (68.16%), low-income (72.34%), and experiencing insecure housing (33.33%). They reported extensive justice-involvement (85.57%), high rates of clinically significant mental illness symptom severity (77.00% for anxious symptoms; 78.33% for depressive symptoms; 79.40% for traumatic stress symptoms), and recent substance use (73.34%). Recent engagement with other medical services was common, though more participants reported visiting an emergency department (42.23%) than did receiving outpatient medical care (26.73%). While research on CSU patient outcomes is needed, our results indicate that CSUs have the potential to be an essential part of the health care continuum by serving a population with multiple, intersecting needs and addressing a deficit in community-based crisis care. Continued investigation of community-based crisis intervention services is critical to bridging the gap between vital behavioral health resources and the populations in need of them. (PsycInfo Database Record (c) 2025 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"304-311"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889991","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}

引用次数: 0