Psychological Services最新文献

{"title":"Provider well-being in the intensive virtual evidence-based psychotherapy team: A program description with preliminary evaluation data in the Veterans Health Administration.","authors":"Theresa Brown, Allison C Aosved, Bernadette Furtado, Jodi Bell","doi":"10.1037/ser0001072","DOIUrl":"https://doi.org/10.1037/ser0001072","url":null,"abstract":"<p><p>Burnout and occupational stress among mental health providers within the U.S. Veterans Health Administration are of critical concern, particularly for clinicians providing trauma-focused evidence-based psychotherapies. Burnout has been defined and measured in different ways across studies. In this article, burnout is conceptualized as a work-related syndrome involving emotional exhaustion, cynicism, and reduced professional efficacy, while recognizing that other constructs such as secondary traumatic stress and moral distress may also affect provider well-being. This article describes the Intensive Virtual Evidence-Based Psychotherapy Team at the Veterans Affairs Pacific Islands Health Care System, a fully virtual 2- to 4-week program that delivers massed prolonged exposure therapy or the Unified Protocol with Whole Health integration. Although the Intensive Virtual Evidence-Based Psychotherapy Team was developed as a clinical care model for Veterans, it was also intentionally structured in ways that support provider well-being at the service-delivery, team, and individual levels. Preliminary local program evaluation findings are presented. In a small retrospective pre-post evaluation, staff reported greater perceived support and lower burnout, secondary traumatic stress, and moral distress after joining the Intensive Virtual Evidence-Based Psychotherapy Team. A second 8-week Employee Whole Health initiative showed favorable descriptive trends and positive qualitative feedback regarding job satisfaction, collegial support, and accountability for personal wellness goals. Findings should be interpreted as preliminary given the nature of the small program evaluation. This article highlights one approach to promote provider well-being and embed sustainable practices into clinical program design in Veterans Health Administration mental health settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664335","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":"Firearms, alcohol, suicide, and intimate partner violence perpetration among service members: Military partner experiences.","authors":"Kaitlyn Friedman, Jayna Moceri-Brooks, Kayla Meza, Rodney A Ho, Justin C Baker, AnnaBelle O Bryan, Craig J Bryan, Michael D Anestis, Marian E Betz","doi":"10.1037/ser0000988","DOIUrl":"10.1037/ser0000988","url":null,"abstract":"<p><p>U.S. Armed Forces members experience specific demands and stressors that lead to several risk factors of self-harm or harm against others. Military spouses face unique challenges as partners of service members and are often placed in a position to intervene in potentially harmful situations. This study aimed to use qualitative methods to explore military spouses' exposure to their active-duty partner's risk of violence perpetration, firearm suicide, and associated circumstances such as alcohol use and access to personally owned firearms. Participants were adult spouses/partners of active-duty service members, Reserve or Guard members, or recent Veterans (referred to as \"military spouses\"). Participants completed a 30- to 60-min in-depth interview. An inductive-deductive approach and pattern coding were used to identify trends and key themes. A total of 34 military spouses participated in interviews. Most participants were female (97.06%), White (76.47%), and non-Hispanic (88.24%). Nearly two thirds (61.76%) of participants reported that they and/or their spouse had access to at least one personally owned firearm within their home. Military spouses shared experiences with real-time crisis management related to harmful or hazardous alcohol use and threats of intimate partner violence and firearm suicide. Participants also noted several perceived barriers to prevention and intervention resources and strategies. Due to military spouses' significant exposure to their partner's suicidal behaviors and threat of violence perpetration, as well as the increased access to lethal means (i.e., firearms) and potential for harmful or hazardous alcohol use, existing prevention and intervention strategies may be insufficient. There are multiple intervention opportunities for health care providers to fill this gap. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"502-508"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966302","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":"Differences across service era in a Veterans Affairs assessment clinic: Observations from the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF).","authors":"Keegan J Diehl, Tristan T Herring, Arianna D Albertorio, Louis A Pagano, Paul B Ingram","doi":"10.1037/ser0000992","DOIUrl":"10.1037/ser0000992","url":null,"abstract":"<p><p>Broadband personality measures, such as the Minnesota Multiphasic Personality Inventory (MMPI) family of instruments, are commonly used as diagnostic aids within the Veterans Affairs (VA) health care system. However, research on how military experiences (i.e., era of service and combat exposure) affect scores on these measures has yielded mixed findings regarding both the magnitude and pattern of symptom profiles. Additionally, concerns remain about the generalizability of these findings, as many studies have drawn samples from similar treatment settings, such as VA PTSD Clinical Teams. Conclusions reached by this line of research vary in how clinicians should integrate past experiences into expected response patterns. This study continues this line of work by providing the first comparison of service era differences in a nonposttraumatic stress disorder-focused VA sample undergoing a variety of assessment-related referrals. We examine differences on the MMPI-2-Restructured Form while controlling for known demographic influences (i.e., sex and service connection). Participants (<i>n</i>_{total sample} = 356) were compared for elevation rates on the content-based validity scales, and then, after excluding invalid protocols, we computed differences across the substantive scales using an analysis of covariance design. Despite the validity scale multivariate differences evident only on infrequent psychopathology responses and only on substantive scales substance abuse and disconstraint-revised, broader between-era contrasts suggest a similarity in Vietnam and Gulf veterans in their symptom experience, which may have implications for treatment planning and organizational expectations in the coming years. Results support the notion that demographic factors are critical to understanding service era influence and contextualizing their magnitude effectively. Clinical practice and research implications are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"670-683"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the relationship between employment and self-efficacy among women on probation and parole.","authors":"Timothy I Lawrence, Logan Yelderman, Melissa Tolentino","doi":"10.1037/ser0001040","DOIUrl":"10.1037/ser0001040","url":null,"abstract":"<p><p>Self-efficacy is an important aspect of successful offender rehabilitation in the community. However, few studies have tested the effects of background risk factors on changes in overall self-efficacy. Therefore, guided by the self-determination theory, the present study aims to address these limitations by exploring the impact of parole or probation status, prior substance use and violent convictions, and employment status on changes in self-efficacy of women on probation and parole (<i>N</i> = 349). Results suggested that parole and probation status and prior violent or drug-related convictions were not predictive of changes in the overall general sense of self-efficacy. However, women who gained or maintained employment reported increases in self-efficacy while women who lost employment or whose employment was reduced from full- to part-time reported decreases in self-efficacy. This research emphasizes the importance of employment in general self-efficacy. Implications are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"662-669"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147842116","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 competency crisis and forensic evaluator burnout.","authors":"Mia M Ricardo, Dana L Formon, Cassandra A Bailey, Marcus T Boccaccini","doi":"10.1037/ser0000965","DOIUrl":"10.1037/ser0000965","url":null,"abstract":"<p><p>Forensic psychologists conducting competence to stand trial evaluations may be at high risk of professional burnout (i.e., feeling exhausted, cynical, ineffective) due to the ongoing increase in demand for competence evaluations. The present study assessed the degree and potential consequences of burnout among 129 forensic evaluators conducting competence to stand trial evaluations in the United States. More than half of the evaluators (56%) reported being burned out and more than one third (39%) had considered leaving their jobs due to the demand of competence evaluations. Workload demands, feeling rushed while conducting essential job functions, understaffing, and class action lawsuits in the evaluator's jurisdiction were predictive of burnout and thoughts of job exit. These findings draw attention to the critical number of forensic evaluators experiencing burnout and the need for changes to end the cycle of understaffing, increased workload demands, burnout, and job exit. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"615-625"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053699","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":"Understanding the social needs, resources, and group participation barriers of older rural veterans: A clinician survey.","authors":"Molly Ream, Jennifer Moye, Laura Polacek, Kelly O'Malley, Lola Baird, Hannah Bashian, Jennifer Daks, Anna Etchin, Anica Pless Kaiser","doi":"10.1037/ser0001021","DOIUrl":"10.1037/ser0001021","url":null,"abstract":"<p><p>Some older veterans experience unmet social needs due to factors including poor health, restricted mobility, and living in rural settings. We surveyed 75 clinicians treating older adults (age > 60) at Veterans Affairs hospitals to (a) explore facilitators and challenges to social connection, (b) describe obstacles to offering groups, (c) determine differences in unmet social needs by rurality, and (d) assess interest in delivering a group-based intervention, Enhancing Social Function for Older Veterans with Posttraumatic Stress Disorder (ESVP). Clinicians reported the percentage of their caseload that was rural, which we dichotomized as rural (≥50% rural; <i>n</i> = 50) or urban (<50% rural; <i>n</i> = 25). Survey items assessed frequency of unmet social needs and barriers/facilitators, which we dichotomized due to nonnormality, and included free response items, which we qualitatively coded. The survey also assessed clinician interest in running an ESVP group. Chi-square tests assessed urban versus rural differences. Almost all clinicians worked with at least some rural veterans, and most reported significant perceived unmet social needs. Perceived unmet social needs, including loneliness and lack of social support, were most often reported by clinicians in rural areas. The majority of clinicians reported that the rural context presents obstacles to social engagement. Despite obstacles to running groups for older veterans endorsed, there was significant interest in ESVP across all clinicians. Rural clinicians, compared to urban clinicians, reported significantly greater unmet social needs among older veterans. There was high interest in ESVP, which may enhance social functioning among older veterans. Flexibility may be required to overcome reported obstacles to running ESVP, especially geographic and digital obstacles, in rural areas. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"652-661"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499686","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":"Mental health and economic impact of a police coresponder program for individuals in crisis in Miami-Dade County.","authors":"Steven L Proctor, Stephanie Pastorino, Yisel Morell, Richard Pichardo, John W Newcomer","doi":"10.1037/ser0001030","DOIUrl":"10.1037/ser0001030","url":null,"abstract":"<p><p>The clinical and economic impact of a coresponder program was evaluated in a sample of 35 \"high-utilizers\" (defined as 3+ calls for service in a 6-month period for a behavioral health crisis requiring commitment per Florida's Baker Act statute) completing the program in Miami-Dade County, Florida. The final sample was predominately male (74%), White (83%), and Hispanic (83%), with an average age of 40 years. The program was associated with statistically significant improvements in all mental health functioning domains at the 6-month postenrollment follow-up, including reductions in violence risk, depressive symptoms, anger, and perceived stress, in addition to an increase in self-efficacy. High-utilizers experienced an average reduction of 2.43 calls for service from the 6-month period preenrollment to the 6-month period postprogram enrollment. In the 6-month period postenrollment, 65.7% no longer met high-utilizer criteria, and 82.9 no longer met high-utilizer criteria in the 6 months postprogram completion. All 35 individuals completing the program were referred to community-based mental health treatment with an average time from enrollment to attendance at their first appointment of about 25 days. High-utilizers were enrolled, on average, for 8.25 months, and for each person served, there was an estimated cost savings of $3,338 in reduced crisis stabilization services in the first 6 months postenrollment. Preliminary findings suggest the studied coresponder program is associated with significant estimated cost savings and reductions in 911 crisis calls, violence risk, depressive symptoms, anger, and perceived stress, in addition to improved self-efficacy, mental health functioning, and engagement in community-based mental health services. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"491-501"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646318","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":"Psychology in health care: How psychologists' training translates to quality improvement.","authors":"Kelley Arredondo, Alexandra B Caloudas, L David Wittkower, Steve G Caloudas, Kyler M Godwin, Jeffrey A Cully, Anthony H Ecker","doi":"10.1037/ser0000961","DOIUrl":"10.1037/ser0000961","url":null,"abstract":"<p><p>Improving health care is complex and challenging and requires robust interventions to create change. Quality improvement (QI) interventions represent the current state of the art for improving care practices. QI as a field of research and practice has five key areas: (a) generalizable scientific evidence, (b) contextual awareness, (c) performance measurement, (d) plans for change, and (e) execution of planned changes. Applied psychology is ideally situated to lead and inform health care change and engage in QI approaches. Applied psychologists share training in scientific and empirical methods and maintain expertise in diverse domains including clinical health and human behavior change, industrial and organizational systems, human performance, education and training, and other related domains of skill and knowledge with significant potential to strengthen QI programs in health care. Collectively, psychology has an opportunity to assemble expert teams that can drive empirically informed impactful programs to improve health and health care practices. Unfortunately, QI approaches are not comprehensively addressed in training and professional development programs for psychologists. This article reviews opportunities for the field of psychology to improve its engagement in QI in health care settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"626-637"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990615","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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"684-691"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","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":"Assessment and treatment of obsessive compulsive disorder in veterans with PTSD: A qualitative descriptive study.","authors":"Gabriella T Ponzini, Yujung Choi, Susan Alton Dailey, Abigail Shapiro, Terri L Fletcher, Patrick S Calhoun, Heather A King","doi":"10.1037/ser0000999","DOIUrl":"10.1037/ser0000999","url":null,"abstract":"<p><p>The comorbidity of obsessive compulsive disorder (OCD) and posttraumatic stress disorder (PTSD) is common and leads to worse clinical and psychosocial outcomes than PTSD alone. Yet, OCD remains underdiagnosed and undertreated among veterans, a population with high rates of PTSD. This qualitative descriptive study aimed to understand Veterans Affairs providers' current practices for assessing and treating OCD in veterans with PTSD, as well as barriers to and needs for assessment and treatment. Twelve clinical psychologists were recruited to participate in semistructured interviews. The qualitative interview guide and analysis were informed by the consolidated framework for implementation research. Rapid, matrix, and team-based qualitative techniques were used to facilitate analysis. Psychologists across general mental health clinics (<i>n</i> = 7) and a trauma-focused specialty clinic (<i>n</i> = 5) were interviewed. Findings revealed most psychologists in general mental health clinics had assessed for and treated OCD in veterans with PTSD. Yet, across clinics, providers held misconceptions about OCD diagnosis and treatment. Providers reported barriers to assessment and treatment including a perceived lack of knowledge and training, access to consultation and resources, and time. Trauma-focused specialty clinic providers also noted national mandates as a barrier to OCD assessment and treatment in veterans with PTSD. Providers identified needs including time for and access to education, training, consultation, and resources. Findings from this study detail current practices and strategies to facilitate assessment and treatment of OCD in PTSD. Addressing current barriers and needs would increase accessibility of services and potentially improve the lives of thousands of veterans at Veterans Affairs. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"580-589"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308819","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}