Psychological Services最新文献_第2页

The impact of artificial intelligence-based clinical training on burnout among practitioners treating serious mental illness. 基于人工智能的临床培训对严重精神疾病从业者职业倦怠的影响。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-31 DOI: 10.1037/ser0001078

Matteo Bugatti, Emma Hills, Christina S Soma, Rachel M Brian, Emma Freetly Porter, Jeremy J Coleman, Jesse Owen, Zac E Imel, Sarah L Kopelovich

{"title":"The impact of artificial intelligence-based clinical training on burnout among practitioners treating serious mental illness.","authors":"Matteo Bugatti, Emma Hills, Christina S Soma, Rachel M Brian, Emma Freetly Porter, Jeremy J Coleman, Jesse Owen, Zac E Imel, Sarah L Kopelovich","doi":"10.1037/ser0001078","DOIUrl":"10.1037/ser0001078","url":null,"abstract":"Burnout is a pervasive challenge in the mental health field, particularly among practitioners treating serious mental illness. Although skills-based training may reduce burnout, many programs are not equipped to support continued engagement. Recent advances suggest artificial intelligence (AI) may address these limitations. This study compared provider burnout after receiving standard web-based didactic training (treatment as usual [TAU]) to TAU plus an AI-supported training platform (TAU + AI) that included immediate feedback. Participants were frontline behavioral health providers working with clients with serious mental illness, where burnout was assessed at baseline and 3-month follow-up. Across groups, burnout significantly increased from pre- to posttraining, t(95) = 3.72, p < .001, Cohen's d = 0.38. There were no significant differences in burnout change between the TAU + AI and TAU conditions, suggesting brief AI-supported interventions may be insufficient to alleviate burnout. Secondary analyses revealed no association between frequency of practice and burnout change. However, there was a significant negative relationship between posttraining burnout and the proportion of practices that met fidelity benchmarks. A significant interaction effect also indicated that meeting fidelity benchmarks predicted lower burnout only when those exercises were completed at a high level of proficiency. Together, these findings suggest that training may impact burnout only if learners successfully acquire new skills, potentially improving confidence and self-efficacy. While training alone may not be sufficient to reduce burnout, integrating AI-based feedback and skill assessment into training may allow systems to better verify and support provider skill acquisition and ultimately reduce burnout. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13533452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866557","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

Utilizing acceptance and commitment therapy to address moral injury: Development and preliminary outcomes of an interdisciplinary group therapy for veterans. 运用接纳与承诺疗法治疗道德创伤：退伍军人跨学科团体治疗的发展与初步结果。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-31 DOI: 10.1037/ser0001076

Melissa A Smigelsky, Stephanie R Rodriguez, Jaimie Lusk, Rebecca M Johnson, Jocelynn M Murphy, Jason A Nieuwsma

{"title":"Utilizing acceptance and commitment therapy to address moral injury: Development and preliminary outcomes of an interdisciplinary group therapy for veterans.","authors":"Melissa A Smigelsky, Stephanie R Rodriguez, Jaimie Lusk, Rebecca M Johnson, Jocelynn M Murphy, Jason A Nieuwsma","doi":"10.1037/ser0001076","DOIUrl":"10.1037/ser0001076","url":null,"abstract":"Moral injury is a topic of rapidly increasing scholarly interest, and it presents unique challenges and opportunities for clinical intervention because of its overlapping psychological, spiritual, and relational dimensions. This article (a) describes the development, implementation, and iterative refinement of a collaborative acceptance and commitment therapy group intervention for moral injury that is cofacilitated by a mental health professional and a chaplain and (b) presents preliminary outcomes derived from a retrospective, uncontrolled pre-post analysis of clinical data collected over several years of implementation in a Veterans Health Administration setting. Preliminary pre-post data (n = 102) demonstrate improvement in outcome measures (posttraumatic stress disorder, depression, psychosocial functioning, psychological inflexibility/experiential avoidance). The group was implemented 22 times during a 7-year period, including during the COVID-19 pandemic, in both in-person and virtual formats. Future research and clinical quality improvement endeavors can help answer important questions about efficacy. To our knowledge, this study is one of the first to report outcomes using one of the recently developed, robust moral injury measures (Moral Injury Outcome Scale), making this a particularly novel contribution to the literature. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13533444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866629","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

A qualitative study of veteran and provider perspectives on a novel acute care transitions intervention for co-occurring mood and substance use disorders. 一项定性研究老兵和提供者的观点对一种新的急性护理过渡干预共同发生的情绪和物质使用障碍。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-24 DOI: 10.1037/ser0001079

Kate Shirley, Olivia Bolts, Lavinia A Pinto, Brandon A Gaudiano, Jane Metrik

{"title":"A qualitative study of veteran and provider perspectives on a novel acute care transitions intervention for co-occurring mood and substance use disorders.","authors":"Kate Shirley, Olivia Bolts, Lavinia A Pinto, Brandon A Gaudiano, Jane Metrik","doi":"10.1037/ser0001079","DOIUrl":"10.1037/ser0001079","url":null,"abstract":"The Integrated Treatment Adherence Program (ITAP) is a novel psychosocial intervention designed to strengthen post-acute care transitions for individuals with co-occurring mood and substance use disorders. As an adjunctive treatment, ITAP integrates elements of individual therapy, family support, and case management for 6 months following an acute care transition. This qualitative study explored stakeholder perspectives on ITAP as part of a larger hybrid effectiveness-implementation trial. Semistructured interviews with veterans (n = 15) and Veterans Health Administration's (VHA) mental health providers (n = 15) were analyzed thematically using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework to identify determinants of feasibility, effectiveness, and sustainability of implementing ITAP within the VHA in the future. Veterans conveyed that ITAP promoted accountability and motivation and emphasized values-based, recovery-oriented goal setting as central to improvements in mood and substance use. Across both groups, relational continuity, flexible delivery (phone, video, in person), and coordinated care were viewed as essential for engagement, feasibility, and sustainability. Providers highlighted ITAP's potential fit within existing VHA services and feasibility for delivery by clinicians or peer specialists while identifying leadership support, dedicated infrastructure, and opportunities for ongoing follow-up contact after ITAP completion as critical to implementation success. Findings underscore ITAP's recovery-oriented framework and care coordination as key mechanisms supporting transitional care within the VHA system. Future efforts should focus on refining implementation strategies, evaluating scalability, and examining sustainment across diverse health care settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813780","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

Past-year mental health visit and health care satisfaction among AfroLatine adults in the United States. 美国拉丁裔成年人过去一年的心理健康访问和医疗保健满意度。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-24 DOI: 10.1037/ser0001074

Victor Figuereo, Latrice Shannon, Sarah J Chavez, David G Zelaya, Robert Rosales, Shaun Eack, Oswaldo Moreno

{"title":"Past-year mental health visit and health care satisfaction among AfroLatine adults in the United States.","authors":"Victor Figuereo, Latrice Shannon, Sarah J Chavez, David G Zelaya, Robert Rosales, Shaun Eack, Oswaldo Moreno","doi":"10.1037/ser0001074","DOIUrl":"https://doi.org/10.1037/ser0001074","url":null,"abstract":"This study examined the association between having a past-year mental health care encounter and health care satisfaction among Latine adults and whether race moderates this relationship. Attention was given to AfroLatine adults, individuals who identify as both Black and Latine, whose experiences are often rendered invisible in mental health disparities research. We analyzed 6 years of cross-sectional data (2013-2018) from the National Health Interview Survey, focusing on a nationally representative sample of Latine adults (N = 21,937). The outcome was health care satisfaction, with past-year mental health care professional visit as the independent variable and race as the moderator. Logistic regression models, adjusted for demographic, socioeconomic, and health-related factors, estimated odds ratios and predicted probability plots interpreted the odds ratios. AfroLatine adults had significantly lower odds of health care satisfaction compared with WhiteLatine adults (adjusted odds ratio = 0.14, 95% CI [0.06, 0.37], p < .001). A significant interaction showed that having a past-year mental health care professional visit was associated with lower satisfaction among AfroLatines (from 92% to 72%) but higher satisfaction among WhiteLatines (from 92% to 94%). Findings suggest that having a past-year mental health care encounter may not benefit all Latine groups equally. Framed by critical race theory and cultural humility, these results underscore the need for multilevel antiracist, equity-driven approaches in mental health care that affirm AfroLatine clients. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813945","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

Implementing evidence-based group psychotherapy in Veterans Health Administration (VHA): Implications for burnout and burnout reduction. 在退伍军人健康管理局（VHA）实施循证团体心理治疗：对倦怠和倦怠减少的影响。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-24 DOI: 10.1037/ser0001068

Thorayya Said Giovannelli, Kristin Mattocks, Frances M Aunon, Steve Martino, Scarlett Baird, Neal Doran, Jennifer K Rielage, Josephine Ridley, Jenny Bannister, Sara J Landes, Marianne Goodman, Lorrie Walker, Eric DeRycke, Chris Shriver, Lyanette Martinez, Hannah Brown, Elena Shest, Elizabeth Galliford, Suzanne E Decker

{"title":"Implementing evidence-based group psychotherapy in Veterans Health Administration (VHA): Implications for burnout and burnout reduction.","authors":"Thorayya Said Giovannelli, Kristin Mattocks, Frances M Aunon, Steve Martino, Scarlett Baird, Neal Doran, Jennifer K Rielage, Josephine Ridley, Jenny Bannister, Sara J Landes, Marianne Goodman, Lorrie Walker, Eric DeRycke, Chris Shriver, Lyanette Martinez, Hannah Brown, Elena Shest, Elizabeth Galliford, Suzanne E Decker","doi":"10.1037/ser0001068","DOIUrl":"10.1037/ser0001068","url":null,"abstract":"Among behavioral health care providers, use of evidence-based psychotherapies has been associated with lower burnout when there is perceived institutional support, specialty clinical training, and high-quality clinical supervision. Mental health care providers implementing dialectical behavior therapy (DBT) have reported reduced burnout, with some evidence that the DBT consultation team may prevent burnout. Within the Veterans Health Administration, we examined provider experiences of burnout before and during implementation of an adjunctive outpatient DBT skills group and provider consultation team for veterans at high risk for suicide attempt. We conducted individual qualitative interviews with Veterans Health Administration staff (study therapists, referring providers, and administrative leaders), analyzed interviews with rapid qualitative analysis, and identified a subset of quotes related to burnout (N = 16 quotes provided by 14 respondents). We triangulated this data with process note data gathered at our site meetings to provide further context. Before DBT Skills Group implementation, providers anticipated high rates of burnout when treating veterans at high risk for suicide attempts and that the consultation team could attenuate burnout. During implementation, providers noted limited prior experience with evidence-based psychotherapies, little time to prepare for group, and staff turnover as factors related to higher burnout. Veterans Health Administration staff also noted the value of the consultation team for reducing provider burnout and ensuring staff were proficient in treating high-risk veterans. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148813960","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 transdiagnostic intervention for sleep and circadian dysfunction (TranS-C) in community mental health centers: Do provider-initiated ad hoc adaptations influence implementation and patient outcomes? 社区精神卫生中心睡眠和昼夜节律障碍（TranS-C）的跨诊断干预：提供者发起的特别适应是否影响实施和患者预后？

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-10 DOI: 10.1037/ser0001055

Marlen Diaz, Laurel D Sarfan, Emma R Agnew, Estephania Ovalle Patino, Allison G Harvey

{"title":"The transdiagnostic intervention for sleep and circadian dysfunction (TranS-C) in community mental health centers: Do provider-initiated ad hoc adaptations influence implementation and patient outcomes?","authors":"Marlen Diaz, Laurel D Sarfan, Emma R Agnew, Estephania Ovalle Patino, Allison G Harvey","doi":"10.1037/ser0001055","DOIUrl":"10.1037/ser0001055","url":null,"abstract":"The transdiagnostic intervention for sleep and circadian dysfunction (TranS-C) was adapted to fit community mental health centers (CMHCs), resulting in an adapted version of TranS-C. Prior research suggests that providers commonly make ad hoc adaptations, but the effects of such adaptations are unclear. The aim of this study was to compare adapted versus standard TranS-C on ad hoc adaptations and examine their effect on implementation and patient outcomes. CMHC providers (N = 125) were trained to deliver TranS-C to CMHC patients diagnosed with serious mental illness (N = 396). Assessments were conducted at provider posttraining, patient pretreatment, and provider and patient posttreatment. Outcomes were provider ratings of treatment fit and patient utilization, sleep, and psychiatric symptoms. Condition (adapted vs. standard TranS-C) was not associated with ratings of fit or ad hoc adaptations. In both conditions, fit was strong, and providers reported approaching a moderate extent of ad hoc adaptations, which were not associated with changes in provider ratings of fit or patient outcomes. Modular and transdiagnostic treatment can be perceived as fitting well within CMHCs by providers. Importantly, ad hoc adaptations did not negatively impact outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707561","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

Postjuvenile justice reform changes in youths' mental health symptoms. 少年司法改革后青少年心理健康症状的变化。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-10 DOI: 10.1037/ser0001073

Brenna L Giordano, Emma L Narkewicz, Gina M Vincent

{"title":"Postjuvenile justice reform changes in youths' mental health symptoms.","authors":"Brenna L Giordano, Emma L Narkewicz, Gina M Vincent","doi":"10.1037/ser0001073","DOIUrl":"10.1037/ser0001073","url":null,"abstract":"Research has reported high rates of mental disorder and symptoms among youth in the juvenile justice (JJ) system and the racial disparities that these youth are in in secure settings. However, most studies were conducted in only secure settings, and they are dated. The United States has undergone extensive JJ reforms since then, including a widespread push toward diversion for youth with mental health concerns. This study compared Massachusetts Youth Screening Instrument-Version 2 screening results in JJ settings from 1997 to 2003 with a postreform sample of Massachusetts Youth Screening Instrument-Version 2 from 2015 to early 2020 (n = 62,482) in five states to examine differences in the presence of self-reported mental health symptoms in secure versus probation settings and by race/ethnicity. Rates of significant mental health concerns among JJ youth decreased by only 5% from pre- to postreform overall; however, there were significant decreases in rates of significant mental health symptoms within secure settings and fewer racial/ethnic disparities. These decreases were most notable for Latinx youth. Given the concomitant increase in youth mental health concerns in the general population during this timeframe, increases in the use of early mental health screening (at probation intake), the push toward diversion and against confinement for youth with mental health concerns, and strategies for reducing racial/ethnic disparities may have improved court decisions. These initiatives should continue. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707544","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

Program evaluation of a peer-led posttraumatic stress disorder psychoeducation group for veterans considering treatment services in a Veterans Affairs specialty clinic. 考虑在退伍军人事务专科诊所接受治疗服务的退伍军人的同伴领导的创伤后应激障碍心理教育小组的项目评估。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-06 DOI: 10.1037/ser0001069

Dezarie Moskal, Martin J De Vita, Tangeria Adams, Abigail Lashinsky, Kyle Milk, Shawne Steiger, Jane Higham, Christy Tubbs, Craig A Woodworth, Natalia H Cardona, Kyle Possemato

{"title":"Program evaluation of a peer-led posttraumatic stress disorder psychoeducation group for veterans considering treatment services in a Veterans Affairs specialty clinic.","authors":"Dezarie Moskal, Martin J De Vita, Tangeria Adams, Abigail Lashinsky, Kyle Milk, Shawne Steiger, Jane Higham, Christy Tubbs, Craig A Woodworth, Natalia H Cardona, Kyle Possemato","doi":"10.1037/ser0001069","DOIUrl":"https://doi.org/10.1037/ser0001069","url":null,"abstract":"There is a recognized need for efforts that promote utilization and completion of trauma-focused evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD). Patients referred to PTSD specialty clinics are often reluctant to engage in EBPs, especially if they are treatment-naive or had prior negative treatment experiences. To address this reluctance, we implemented PTSD101, a psychoeducation group led by peer specialists offered in a specialty PTSD clinic for veterans considering new PTSD services. This present study aimed to conduct a program evaluation of PTSD101 using pre-post data. The structured group consisted of seven 90-min sessions addressing: (a) civilian readjustment; (b) effects of trauma; (c) trust, safety, and self-care; (d) coping/healing; (e) survival strategies and relationships; (d) substance use and medication; and (f) PTSD treatment. Data were collected from 34 veterans across multiple group cohorts. Following completion of the group, over half of the veterans (n = 18) initiated a new behavioral health treatment service, including trauma-focused EBPs (n = 11). Significant improvements were also noted in measures of PTSD symptoms, depression symptoms, and illness management strategies and recovery outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684719","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

How accessible is group therapy for men with military sexual trauma? A qualitative study of pretreatment perceptions. 对军队性创伤的男性进行集体治疗有多容易？预处理知觉的定性研究。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-06 DOI: 10.1037/ser0001071

Jonathan Yahalom, Sheila O'Brien, Lindsey L Monteith, Ariel J Lang, Alison B Hamilton

{"title":"How accessible is group therapy for men with military sexual trauma? A qualitative study of pretreatment perceptions.","authors":"Jonathan Yahalom, Sheila O'Brien, Lindsey L Monteith, Ariel J Lang, Alison B Hamilton","doi":"10.1037/ser0001071","DOIUrl":"10.1037/ser0001071","url":null,"abstract":"This study examines perceptions of access to military sexual trauma-focused group therapy among veteran men with histories of military sexual trauma at a mental health clinic within the Veteran Affairs Greater Los Angeles Health Care System, a large and heterogeneous health care facility. Drawing on veteran data (n = 134) collected from January 2019 to April 2025, we used thematic qualitative analysis to examine veterans' perceptions of an MST-focused group therapy to which they had been referred. This study found that veteran men expressed varying perceptions of MST-focused group therapy that functioned as either barriers or facilitators to engagement. Perceived barriers included: concerns about the group format (privacy, trust, safety, efficacy), interpersonal challenges (peer judgment, fear of vulnerability, social interaction), and intrapersonal concerns (avoidance, shame, fear of retraumatization). Facilitators included: trust in referring veteran affairs providers, motivation for trauma recovery and personal growth, and interest in social connection, including reducing isolation and learning from peers. These findings offer clinical, programmatic, and systems-level implications for enhancing referral conversations and improving access to MST-focused group therapy for veteran men. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685703","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

Mental health provider attitudes toward tobacco treatment for veterans with serious mental illness: A qualitative analysis. 心理健康提供者对严重精神疾病退伍军人烟草治疗的态度：一项定性分析。

IF 1.8 3区心理学

Psychological Services Pub Date : 2026-08-06 DOI: 10.1037/ser0001075

Corinne N Kacmarek, Eliana J Trikeriotis, Julie Kreyenbuhl, Karen Besterman-Dahan

{"title":"Mental health provider attitudes toward tobacco treatment for veterans with serious mental illness: A qualitative analysis.","authors":"Corinne N Kacmarek, Eliana J Trikeriotis, Julie Kreyenbuhl, Karen Besterman-Dahan","doi":"10.1037/ser0001075","DOIUrl":"10.1037/ser0001075","url":null,"abstract":"Veterans with serious mental illness (SMI) smoke at disproportionately high rates but receive smoking cessation treatment at disproportionately low rates. Mental health providers have strong relationships with veterans with SMI but often do not treat smoking. Knowledge, attitudes, and self-efficacy are related to smoking treatment delivery, but their interactions have yet to be explored in qualitative data for providers working with veterans with SMI. Guided by the theory of planned behavior, this project explored how knowledge, attitudes, self-efficacy, and emerging themes impeded or facilitated smoking cessation treatment delivery in SMI clinics at a Veterans Affairs medical center. Semistructured interviews were conducted with 20 multidisciplinary providers. Data were analyzed qualitatively using an inductive-deductive approach, and the number of providers endorsing themes was quantified. Many providers had knowledge of high smoking rates among veterans with SMI and smoking harms. Though most (60%) providers asked about smoking, only 20% followed up about smoking. Medical record prompts to ask about smoking facilitated smoking treatment delivery. Providers held various attitudes toward smoking, such as viewing smoking as enjoyable for veterans and smoking discussions as a potential threat to rapport, that were related to feelings of guilt and frustration. Low self-efficacy due to limited training in smoking cessation exacerbated discomfort. Half of providers expressed motivation to increase smoking discussions. Knowledge, attitudes, emotions, and self-efficacy may interact with one another as providers decide how to treat smoking. Intensive implementation strategies designed to improve provider delivery of tobacco treatment should make sure to address all these barriers. (PsycInfo Database Record (c) 2026 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685716","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