Psychological Services最新文献_第3页

Perceptions of organizational culture among mental health providers at a Veterans Affairs hospital. 退伍军人事务医院心理健康服务提供者对组织文化的看法。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2024-08-12 DOI: 10.1037/ser0000878

Jeffrey H Sieracki, Jonathan D Hessinger, Nadia Alvi, Lakshmi Athota, Joseph F Baldwin, Pavil T Cherian, Sarah A Hedrick, Trupti Patel, Stephanie L Cartolano, Morgan Woolley

{"title":"Perceptions of organizational culture among mental health providers at a Veterans Affairs hospital.","authors":"Jeffrey H Sieracki, Jonathan D Hessinger, Nadia Alvi, Lakshmi Athota, Joseph F Baldwin, Pavil T Cherian, Sarah A Hedrick, Trupti Patel, Stephanie L Cartolano, Morgan Woolley","doi":"10.1037/ser0000878","DOIUrl":"10.1037/ser0000878","url":null,"abstract":"A mixed method approach was utilized to assess the organizational culture of the mental health service line at a large Veterans Affairs (VA) hospital. The goals of the study were to assess the organizational culture, identify how employees differ in perceptions of organizational culture, and identify areas of strength and challenges. Two hundred thirteen participants returned a questionnaire assessing perceptions of organizational culture using the Organizational Culture Assessment Questionnaire (Sashkin & Rosenbach, 2013). Additionally, 22 employees and seven service line leaders participated in five focus groups that assessed for perceptions of culture. Quantitative results suggest that employees had a generally average to high average opinion of the organizational culture of the mental health service line within their VA hospital. Subscale scores suggested that customer orientation was a particular strength of the organization. Relative areas of weakness were that staff felt many decisions were imposed from outside the service line and that hard-working clinical staff were not always sufficiently recognized or rewarded for their actions. In general, demographic variables were not significantly related toward respondent opinion of the organizational culture. Substantial overlap existed between the qualitative and quantitative results. This study suggests that, at this VA's mental health service line, customer service was a strength. However, increased recognition of employees and externally imposed decision-making needed improvement. Although interventions have been implemented in these areas, it would be useful to repeat aspects of this study over time and across different institutions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"871-879"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141971767","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

Intentional leveraging of psychologist competencies: A case for expanding administrative leadership training opportunities in the Veterans Health Administration. 有意利用心理学家的能力：退伍军人健康管理局扩大行政领导力培训机会的案例。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2024-01-01 DOI: 10.1037/ser0000814

Cheryl Lowman, Brent Kenney

{"title":"Intentional leveraging of psychologist competencies: A case for expanding administrative leadership training opportunities in the Veterans Health Administration.","authors":"Cheryl Lowman, Brent Kenney","doi":"10.1037/ser0000814","DOIUrl":"10.1037/ser0000814","url":null,"abstract":"This article seeks to broaden the discussion of instituting training in administrative leadership at the doctoral internship and postdoctoral levels and offer guidance for programs interested in developing their own rotations. Following a brief review of literature pertinent to psychologist leadership development, this article describes the development of key competencies of leadership rotations aligned with the psychology profession-wide competencies within the Veterans Health Administration. In addition, the article disseminates a \"tool kit\" developed specifically to help add structure and support for the development of administrative leadership rotations at Veterans Health Administration (e.g., developmental opportunities, literature review, resources, etc.). Implementation of administrative leadership training are described in two community service settings, one at a Veterans Integrated Service Network and one at a VA Medical Center. The benefits of administrative leadership rotations to trainees, the organization, and the field of psychology are described. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"766-772"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080877","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

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2024-01-01 DOI: 10.1037/ser0000831

Elizabeth Alpert, Alexandra Gowdy-Jaehnig, Tara E Galovski, Laura A Meis, Melissa A Polusny, Princess E Ackland, Michele Spoont, Helen Valenstein-Mah, Robert J Orazem, Paula P Schnurr, Kathleen M Chard, Shannon M Kehle-Forbes

{"title":"Treatment-related beliefs and reactions among trauma-focused therapy completers and discontinuers: A qualitative examination.","authors":"Elizabeth Alpert, Alexandra Gowdy-Jaehnig, Tara E Galovski, Laura A Meis, Melissa A Polusny, Princess E Ackland, Michele Spoont, Helen Valenstein-Mah, Robert J Orazem, Paula P Schnurr, Kathleen M Chard, Shannon M Kehle-Forbes","doi":"10.1037/ser0000831","DOIUrl":"10.1037/ser0000831","url":null,"abstract":"Prolonged exposure (PE) and cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) are effective, but some patients do not respond adequately, and dropout rates are high. Patients' beliefs about treatment and perceptions of treatment components influence treatment outcomes and may be amenable to change through intervention. The present study sought to identify beliefs and reactions to PE and CPT that differentiated completers who screened negative for a PTSD diagnosis after treatment (PTSD-), completers who screened positive for a PTSD diagnosis after treatment (PTSD+), and discontinuers who attended six or fewer sessions. Thematic analysis was used to identify themes in qualitative data collected via retrospective semistructured interviews with 51 completers (19 PTSD- after treatment, 32 PTSD+ after treatment) and 66 discontinuers of PE/CPT. Participants were demographically diverse veterans across service eras. Treatment-related beliefs and reactions differentiating these groups included perceived helpfulness of treatment, self-efficacy in engaging in treatment, anticipatory anxiety and concerns, interpretations of ongoing symptoms, and perceived consequences of treatment on functioning. Further, some patterns seemed to differ in early treatment sessions compared to during the active components of treatment. Findings point to potentially malleable targets that could be intervened upon to improve trauma-focused treatment outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"859-870"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11215002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080879","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

Worry differentially mediates posttraumatic cognition and posttraumatic stress symptom relationships among veterans seeking treatment associated with military sexual trauma. 在因军队性创伤而寻求治疗的退伍军人中，担忧对创伤后认知和创伤后应激症状之间的关系起着不同的中介作用。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2024-03-28 DOI: 10.1037/ser0000855

Tessa C Vuper, Alisson N S Lass, Julia L Paulson, Travis A Rogers, Katherine E Porter, Sheila A M Rauch, Minden B Sexton

{"title":"Worry differentially mediates posttraumatic cognition and posttraumatic stress symptom relationships among veterans seeking treatment associated with military sexual trauma.","authors":"Tessa C Vuper, Alisson N S Lass, Julia L Paulson, Travis A Rogers, Katherine E Porter, Sheila A M Rauch, Minden B Sexton","doi":"10.1037/ser0000855","DOIUrl":"10.1037/ser0000855","url":null,"abstract":"Research has established negative posttraumatic cognitions (NPC) affect the development and course of posttraumatic stress symptoms (PTSS) following trauma exposure (L. A. Brown et al., 2019). Previous studies in civilian and combat veteran populations also suggest positive associations among worry, NPC (Beck et al., 2004; Bennett et al., 2009), and PTSS (Fergus & Bardeen, 2017). However, little research has investigated the prevalence of worry in veterans who have experienced military sexual trauma (MST), and no research has examined the role of worry in the relation between NPC and PTSS among veterans seeking treatment associated with MST. This project examined the prevalence of worry in a MST sample and whether worry mediated NPC-PTSS associations. Veterans (N = 91) seeking MST-related treatment presented to a Veterans Affairs Posttraumatic Stress Disorder specialty clinic for assessment and treatment recommendations. Veterans completed questionnaires assessing NPC, worry, and PTSS. Bootstrapped mediation analyses examined NPC-PTSS associations. Veterans reported similar levels of worry as nonveterans seeking treatment associated with generalized anxiety disorder. Mediation analyses showed worry significantly mediated NPC-PTSS relationships for beliefs about the world, self-blame, and coping competence but not for beliefs about the self or global NPC severity. Further, the degree of mediation differed by NPC type. Though a limitation of this study is the use of cross-sectional data, these results inform the use of clinical intervention strategies targeting worry in trauma-focused interventions and necessitate further research on whether trauma-focused interventions ameliorate co-occurring worry among veterans exposed to MST. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"840-848"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140306695","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

Supporting psychosis research, implementation, and training through an academic intermediary-purveyor organization. 通过学术中介调查组织支持精神病研究、实施和培训。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2024-04-04 DOI: 10.1037/ser0000847

Sarah L Kopelovich, Rachel M Brian, Akansha Vaswani-Bye, Lydia Chwastiak, Chris McCain, Victoria Shepard, Wenqi Zhang, Mackenzie Tennison, Sarah Fikre, Maria Monroe-DeVita

{"title":"Supporting psychosis research, implementation, and training through an academic intermediary-purveyor organization.","authors":"Sarah L Kopelovich, Rachel M Brian, Akansha Vaswani-Bye, Lydia Chwastiak, Chris McCain, Victoria Shepard, Wenqi Zhang, Mackenzie Tennison, Sarah Fikre, Maria Monroe-DeVita","doi":"10.1037/ser0000847","DOIUrl":"10.1037/ser0000847","url":null,"abstract":"Intermediary-purveyor organizations (IPOs) are a type of dissemination support system that are intended to enhance the adoption and sustainment of empirically supported treatments (ESTs) by deploying empirically supported strategies to remediate implementation challenges. Despite the recent proliferation of government-funded IPOs for other psychiatric populations, IPOs that can redress the substantial science-to-practice gap among clients who experience psychotic disorders are not well documented. This article provides an overview of an IPO in an R1 academic medical center whose mission is to enhance access to evidence-based interventions for individuals who have or are at risk for a psychotic disorder. The article spotlights the functions of an IPO and illustrates these functions with a use case, cognitive behavioral therapy for psychosis. We highlight IPO-led activities related to cognitive behavioral therapy for psychosis purveyance, professional development, quality improvement, public awareness education and training, research and evaluation, as well as program and policy development. Finally, we address the advantages and disadvantages of establishing IPOs of this nature in academic medical centers, the importance of academic-community partnerships in advancing EST implementation, and present considerations for replication. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"916-927"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857843","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

An exploratory study of service user and clinical outcomes in telehealth-delivered dialectical behavior therapy for adolescents skills groups. 针对青少年技能小组的远程医疗辩证行为疗法服务用户和临床结果的探索性研究。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2024-05-23 DOI: 10.1037/ser0000863

Ashley M Shaw, Megan M Hare, Kristina Conroy, Sabrina M Kehrer, Logan R Cummings, Marcela C Ramos, Jonathan S Comer

{"title":"An exploratory study of service user and clinical outcomes in telehealth-delivered dialectical behavior therapy for adolescents skills groups.","authors":"Ashley M Shaw, Megan M Hare, Kristina Conroy, Sabrina M Kehrer, Logan R Cummings, Marcela C Ramos, Jonathan S Comer","doi":"10.1037/ser0000863","DOIUrl":"10.1037/ser0000863","url":null,"abstract":"The COVID-19 pandemic led many in-office therapeutic programs to pivot to virtual programming without empirical data supporting the acceptability and efficacy of the remote-delivered adaptations. These adaptations were essential for continuing care and addressing surging youth psychological problems at the time. To serve adolescents with comorbid psychiatric disorders and associated problems (e.g., emotion dysregulation), we adapted and implemented virtual and hybrid formats of a dialectical behavior therapy for adolescents (DBT-A; Rathus & Miller, 2015) program within a public university training clinic, such as separating the traditional multifamily group into adolescent-only and caregiver-only groups. Building on qualitative reports on virtual DBT-A, we explored preliminary service user and clinical outcomes of the virtual and hybrid DBT-A adolescent skills group component in a longitudinal retrospective cohort study for teenagers treated during the first 2 years of the pandemic (N = 21; 81% Hispanic/Latinx; 100% White). Aim 1 described service user outcomes (e.g., retention, group cohesion, client satisfaction) in the remote-delivered skills groups. Most youth completed treatment. Caregiver satisfaction was high, whereas adolescent satisfaction was mild. Aim 2 explored preliminary clinical outcomes of remote-delivered skills group adaptations. Overall anxiety, panic, and two emotion regulation facets (i.e., emotional awareness; goal pursuit when upset) significantly reduced across treatment. There were no significant reductions in depression. No suicide attempts or suicides occurred during the program. Further work is needed to clarify the efficacy of telehealth formats of DBT-A skills groups in larger, more racially diverse samples and to identify which adolescents are most appropriate for virtual and/or hybrid DBT-A. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"954-971"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081847","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

Perceived social support moderates the relations between mental health symptoms and current suicidal ideation. 感知到的社会支持可调节心理健康症状与当前自杀意念之间的关系。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2024-02-15 DOI: 10.1037/ser0000849

Claire A Hoffmire, Meghan L Donovan, Arthur T Ryan, Lisa A Brenner, Dawne Vogt, Shira Maguen, Aaron Schneiderman, Christin N Miller, Jeri E Forster

{"title":"Perceived social support moderates the relations between mental health symptoms and current suicidal ideation.","authors":"Claire A Hoffmire, Meghan L Donovan, Arthur T Ryan, Lisa A Brenner, Dawne Vogt, Shira Maguen, Aaron Schneiderman, Christin N Miller, Jeri E Forster","doi":"10.1037/ser0000849","DOIUrl":"10.1037/ser0000849","url":null,"abstract":"Despite efforts to identify risk factors associated with suicidal ideation (SI), less work has been conducted to highlight protective factors to promote prevention. Perceived social support has been shown to positively impact a wide range of psychological outcomes; however, prior efforts exploring whether perceived social support moderates the relationship between mental health (MH) symptoms and current SI among men and women have been hampered by limitations. To address knowledge gaps, data from the Comparative Health Assessment Interview Research Study was used to evaluate whether (a) perceived social support moderates the relationship between mental health symptoms (posttraumatic stress, anxiety, alcohol use, depressive) and current SI among veterans and nonveterans; (b) the strength of this moderating effect varies by gender and veteran status; and (c) the strength of this moderating effect varies by social support source (significant other, friend, family). Results suggest that perceived social support is more protective against SI for those with lower levels of mental health symptoms (≤ 25th percentile) than for those with higher symptom levels (≥ 75th percentile). Findings were largely consistent across study groups, support sources, and mental health symptoms examined; however, a significant moderating effect on the alcohol use-SI relationship was only observed for veteran men. Those with a lower mental health symptom severity may receive more benefit from strategies aimed at increasing perceived social support compared to those with higher symptom severity. Research is needed to match protective factors to individual phenotypes, with the goal of engaging those living with SI in more effective interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"817-827"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139735955","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

Inactivation of high-risk flags for suicide in the Veterans Health Administration: Association of documentation variation with suicide attempts. 退伍军人健康管理局自杀高危标志的停用：文件与自杀企图的相关性。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2023-11-02 DOI: 10.1037/ser0000812

Lauren M Denneson, Sara A Hannon, Katie L McDonald, Jason I Chen, Maya E O'Neil

{"title":"Inactivation of high-risk flags for suicide in the Veterans Health Administration: Association of documentation variation with suicide attempts.","authors":"Lauren M Denneson, Sara A Hannon, Katie L McDonald, Jason I Chen, Maya E O'Neil","doi":"10.1037/ser0000812","DOIUrl":"10.1037/ser0000812","url":null,"abstract":"Medical record high-risk flags for suicide indicate patients are receiving enhanced care and alert treating providers to patients' high-risk status. Risk of suicide mortality remains high after flag inactivation, suggesting a need to improve inactivation determinations. This study describes variation in flag inactivation documentation, examines whether documentation varies by patient or facility characteristics, and explores the association between inactivation documentation type and subsequent suicide attempts. In a national sample of veterans with a documented suicide attempt who received a high-risk flag for suicide (n = 224), medical record review was used to categorize provider documentation of the rationale and procedures for high-risk flag inactivation. Mixed-effects logistic regression models were used to examine patient and facility characteristics associated with flag inactivation documentation type and to examine the association between documentation type and subsequent suicide attempts. Flag inactivation documentation fell into one of two categories: documentation stating the patient no longer met criteria for the high-risk flag (minimal documentation; n = 98, 43.8%); and documentation that included a review of one or more criteria for high-risk flag inactivation (more than minimal documentation; n = 126, 56.3%). Flag inactivation documentation was not associated with patient or facility characteristics. Veterans with minimal documentation (vs. more than minimal) were more likely to have a suicide attempt after flag inactivation (adjusted odds ratio, AOR = 2.20; 95% CI [1.01, 4.78]; p = .046). Findings suggest a need to better understand flag inactivation procedures in place and to develop a set of standardized procedures to reduce risk of premature high-risk flag inactivation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"828-833"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426303","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

Preventing job loss and functional decline: Description and demonstration of the Veterans Health Administration supported Employment: Engage and Keep (SEEK) program. 防止失业和功能衰退:退伍军人健康管理局支持就业:参与和保持(SEEK)计划的描述和示范。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2023-11-13 DOI: 10.1037/ser0000809

Brian J Stevenson, Rachelle M Calixte, Andrew D Peckham, Michael Degeis, Taina S Teravainen, Elizabeth S Chamberlin, Lisa Mueller

{"title":"Preventing job loss and functional decline: Description and demonstration of the Veterans Health Administration supported Employment: Engage and Keep (SEEK) program.","authors":"Brian J Stevenson, Rachelle M Calixte, Andrew D Peckham, Michael Degeis, Taina S Teravainen, Elizabeth S Chamberlin, Lisa Mueller","doi":"10.1037/ser0000809","DOIUrl":"10.1037/ser0000809","url":null,"abstract":"The high incidence of untreated mental health concerns among veterans can harm other areas of life, including employment. Loss of employment can lead to other adverse outcomes, such as financial instability, functional decline, and increased risk for suicide. Current Veterans Health Administration (VHA) vocational services are limited in that they primarily serve veterans who are unemployed and already enrolled in VHA. There is a need to prevent job loss among veterans who are struggling with mental health and vocational concerns and are not accessing VHA services, thus decreasing the risk of suicide and more costly interventions. Consistent with the existing national VHA initiatives on increasing access to health care and preventing suicide, a novel work-based intervention, Supported Employment: Engage and Keep (SEEK), was created. Building on the supported employment framework, SEEK assertively outreaches to already employed veterans by collaborating with workplaces that employ veterans. SEEK providers build rapport with employers and veterans and become a trusted VHA resource. SEEK engages veterans, facilitates enrollment in needed health care, and provides needed job maintenance support. This article outlines the SEEK model and provides a case demonstration and analysis of the course of SEEK care provided to a veteran at risk of losing their job. Clinical recommendations for implementing SEEK and future directions for evaluating this model are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"972-981"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11089479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92156258","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

Prosumers' experiences of witnessed discrimination and internalized stigma: A moderated mediation. 消费者遭受歧视的经历与内化的耻辱感：调节调解。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-11-01 Epub Date: 2024-02-15 DOI: 10.1037/ser0000837

Laura López-Aybar, Lauren Gonzales

{"title":"Prosumers' experiences of witnessed discrimination and internalized stigma: A moderated mediation.","authors":"Laura López-Aybar, Lauren Gonzales","doi":"10.1037/ser0000837","DOIUrl":"10.1037/ser0000837","url":null,"abstract":"Discrimination toward individuals with lived experiences of mental illness is widespread within the field of clinical psychology. Further, there is some presence of clinical psychologists who are both consumers and providers of mental health services, termed prosumers. However, no research has evaluated how witnessing discrimination as part of professional activities may influence prosumers' experiences with internalized stigma, anticipated stigma, and stigma resistance. This exploratory study aimed to establish associations and interactions between having witnessed discrimination toward others with lived experiences of mental illness and internalized stigma, anticipated stigma, and stigma resistance from the perspective of prosumers within the clinical psychology field. A cross-sectional quantitative approach was employed to understand these dynamics by utilizing descriptive, correlational, and multivariate regressions analysis. A total 175 prosumers (39 graduated doctoral-level clinical psychologists and 136 in training) completed survey measures pertaining to witnessed discrimination, internalized and anticipated stigma, and stigma resistance. Prosumers reported witnessing frequent subtle and overt discrimination by their colleagues, supervisors, and faculty members. Overt discrimination was reported as witnessed more frequently compared with subtle discrimination experiences or microaggressions. Our findings have implications for the prevalence of witnessed discrimination and how these may create cumulative experiences of stigma and stigma resistance among prosumers in clinical psychology. Further research should explore additional understanding of how clinical psychologists, including prosumers, may hold stigmatizing attitudes and perpetuate discrimination toward individuals with lived experiences of mental illness. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"982-992"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139735956","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