Psychological Services最新文献

{"title":"Development of a peer-delivered primary care intervention to improve veteran mental health treatment engagement.","authors":"Jocelyn E Remmert, LiaJo Destefano, Matthew Chinman, David W Oslin, Shahrzad Mavandadi","doi":"10.1037/ser0000883","DOIUrl":"10.1037/ser0000883","url":null,"abstract":"<p><p>Veteran engagement in mental health treatment (MHT) remains low. Peer specialists (PS) are well positioned to implement interventions addressing barriers to MHT engagement, given their familiarity with the process. This study aimed to develop and assess the acceptability of a primary care-based, PS-delivered intervention to improve MHT initiation. Aim 1 utilized modified Delphi methods with a committee of 12 stakeholders (e.g., PS, psychologists, and veteran patients) who provided input on the proposed PS-delivered MHT engagement intervention. The proposed intervention components included questionnaires to identify barriers to engagement and targeted strategies for the barriers (e.g., motivational interviewing, cognitive restructuring). Aim 2 consisted of qualitative interviews with veterans entering MHT, focused on acceptability and feasibility, and gathered additional feedback for the intervention drafted in Aim 1. PS in primary care also reviewed the intervention and provided feedback. Results from Aim 1 demonstrated the acceptability of PS utilizing questionnaires in their work with Veterans, emphasized the importance of rapport building, and provided consensus on the identification of tailored treatment strategies. Veterans entering MHT (<i>n</i> = 9) reported that they were excited about the option of PS being involved in treatment engagement. PS (<i>n</i> = 18) also reported the overall acceptability of the intervention and provided feedback impacting the implementation of the intervention. Incorporating primary care PS into MHT engagement is acceptable. This study serves as the first step in developing a PS-delivered intervention to improve engagement in veteran MHT with input from a diverse group of stakeholders. Implications and future directions will be explored. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"270-279"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860720","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":"Sexual orientation moderates the association between health care utilization-related factors and mental health service nonutilization among United States military veterans.","authors":"Cindy J Chang, Ian C Fischer, Kelly L Harper, Nicholas A Livingston, Colin A Depp, Sonya B Norman, Robert H Pietrzak","doi":"10.1037/ser0000907","DOIUrl":"10.1037/ser0000907","url":null,"abstract":"<p><p>This study examined mental health treatment nonutilization among sexual minority versus heterosexual Veterans with demonstrated psychiatric need. Data were analyzed from 820 Veterans with psychiatric need who participated in the National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of U.S. military Veterans. Results revealed that current mental health service nonutilization did not differ between sexual minority versus heterosexual Veterans (70.5% vs. 74.0%). Significant interactions between sexual orientation and sex assigned at birth, primary source of health care (Veteran Affairs [VA] vs. non-VA), and beliefs that peers would blame them for their mental health problems were observed in analyses predicting current mental health treatment utilization. Among Veterans primarily utilizing VA health care, sexual minority Veterans were less likely than heterosexual Veterans to engage in mental treatment; among those primarily using non-VA, this pattern was reversed. Sexual minority Veterans were significantly more likely than heterosexual Veterans to report not knowing where to get help, not having adequate transportation, and having difficulty scheduling an appointment. Taken together, the results of this study suggest that rates of mental health nonutilization are high for both sexual minority and heterosexual Veterans, and that factors that influence utilization may differ by sexual orientation. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"383-394"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352641","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 use of assessment centers as a means to develop transformational leadership.","authors":"Antonio Trey Gonzalez","doi":"10.1037/ser0000877","DOIUrl":"10.1037/ser0000877","url":null,"abstract":"<p><p>Today's workplace continually requires organizations to empower employees to go beyond their job description to help maintain a competitive edge in the market. Developing transformational leadership in an organization is one means in which a company can attempt to empower and inspire their employees. However, thus far there are a limited number of tools to assist in the development of transformational leadership. The following exploratory review sought to examine the potential use of an assessment center as a means to develop transformational leadership. The topic was examined by analyzing both the assessment center and transformational leadership literatures. The literatures were obtained via a search on Ebscohost and Google scholar databases. The intersection of the literatures was used to develop a proposed framework for the transformational leadership development center that includes suggested dimensions, exercises, and future approaches. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"377-382"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972091","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":"Barriers to accessing care among rural women veterans: A qualitative study with veterans, peer specialists, and primary care professionals.","authors":"Ellen Poleshuck, Emily Johnson, Derrecka Boykin, Ariella Davis, Jennifer S Funderburk, Natalie Hundt, Catherine Cerulli, Kyle Possemato","doi":"10.1037/ser0000876","DOIUrl":"10.1037/ser0000876","url":null,"abstract":"<p><p>Rural women veterans are less likely than men and nonrural veterans to access Veterans Health Administration (VHA) care. This qualitative study describes rural women veterans' barriers to accessing care and explores whether participants viewed a peer specialist intervention as having the potential to facilitate access to care. We recruited rural veterans who identified as women with psychological distress and social needs, women peer specialists, and VHA primary care professionals working with rural veterans. We conducted two veteran focus groups, two peer specialist focus groups, and 11 individual Patient Aligned Care Team professional interviews using semistructured interview questions. One of the veteran focus groups was exclusive to veterans of color. We used a rapid qualitative data analysis approach to analyze the results. Data analysis revealed barriers affecting perceived access to services for rural women veterans, especially veterans of color, including transportation, finances, childcare, long travel distance to clinics, lack of access to gender-specific services, ineligibility for services, and lacking information about available resources. Participants also reported challenges accessing community services outside of the VHA. The rural women veterans reported a strong preference for gender-specific services. Leveraging existing VHA resources with rural women veterans may mitigate some of the identified barriers. In particular, participants agreed that increasing availability of peer specialists who are both women and veterans could bridge some perceived barriers to accessing care among rural women veterans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"358-368"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262705","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}

{"title":"Counselors' spirituality, attitudes toward suicide, and self-efficacy in conducting suicide risk assessment.","authors":"Tayler Hendrix, Julia Roncoroni, Brigid Magdamo, Lisa Brownstone, Carrie Doehring","doi":"10.1037/ser0000952","DOIUrl":"https://doi.org/10.1037/ser0000952","url":null,"abstract":"<p><p>Counselors often grapple with a lack of confidence and self-efficacy when conducting suicide risk assessments and treating individuals at risk of suicide. We conducted an online survey involving master's-level clinicians and students (<i>N</i> = 132). The survey explored the association between perceived spiritual support (independent variable) and counselor self-efficacy (dependent variable) while also investigating the moderating role of four attitude constructs: <i>avoidance of communication, suicide as common, suicide as acceptable, and preventability of suicide.</i> When accounting for covariates, greater perceived spiritual support was associated with higher counselor self-efficacy scores. Of the total variation in self-efficacy scores, 4.3% can be explained by perceived spiritual support. Notably, three of the attitude constructs (common, acceptable, and preventable) did not significantly moderate the relationship between perceived spiritual support and self-efficacy. However, avoidance of communication attitudes surfaced as a moderator between perceived spiritual support and counselor self-efficacy, <i>F</i> = 12.964, <i>p</i> = .001. This finding suggests that mental health professionals who hold avoidance attitudes may experience a weakened connection between their perceived spiritual support and their self-efficacy in handling suicide risk assessments. This study sheds light on the complex interplay between perceived spiritual support, attitudes toward suicide, and self-efficacy in suicide risk assessment among mental health professionals. Implications for future research and practice are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977781","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":"https://doi.org/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) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","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":"Using the practical, robust implementation and sustainability model assessment to enhance the implementation of electronic screening in military to Veterans Affairs programs.","authors":"Borsika A Rabin, John Gault, Laurie Lindamer, Brian Blanco, Chad M Vacco, James O E Pittman","doi":"10.1037/ser0000932","DOIUrl":"https://doi.org/10.1037/ser0000932","url":null,"abstract":"<p><p>The Practical, Robust Implementation and Sustainability Model (PRISM) was utilized to develop an assessment for improving fit between implementation context, intervention, and implementation efforts. We present findings from the PRISM assessment used in seven military to Veterans Affairs clinics implementing eScreening to improve rate and time for the completion of mental health screenings for veterans and increasing referral to mental health treatment. Questions developed by Glasgow et al. (2020) were adapted to the study context covering the PRISM domains (six items) and reach, effectiveness, adoption, implementation, and maintenance (13 items) outcomes. Assessment results were summarized for each site graphically including comments and were presented in a discussion-based action-planning meeting. Group discussion involving implementation partners and research team members, including an external facilitator, focused on identifying ways to improve the implementation of eScreening. Participants across all sites identified areas of concern related to reach, adoption, and patient expectations. Survey data and comments on these concerns drove the team discussion and identification of implementation activities, which included (a) increasing communication of the value for veteran care, (b) standardizing minimum-effort workflows, and (c) increasing buy-in and collaboration with leadership and other facility services. In this study, the PRISM assessment was used as a one-time activity to enhance implementation across military to Veterans Affairs clinics. The assessment was feasible, and discussion yielded important data on alignment and potential adaptations of the implementation efforts within the dynamically changing local context. Recommendations are provided for those interested in applying the PRISM assessment in their studies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041290","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":"https://doi.org/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) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","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":"Developing and implementing a process improvement intervention to expand evidence-based psychotherapy in the Department of Defense.","authors":"Jeffrey Cook, Melissa Mistretta, Carmen P McLean, Jeffrey Mann, Erin Frick, Alan L Peterson, Stacey Young-McCaughan, Elisa V Borah, Katherine Anne Comtois, Katherine A Dondanville, Allison M Conforte, Jeremy Jinkerson, Zachary K Jones, Hana J Kim, Jared S Link, Debra Nofziger, Erik N Ringdahl, John Waggoner, Craig Woodworth, Craig S Rosen, David S Riggs","doi":"10.1037/ser0000942","DOIUrl":"https://doi.org/10.1037/ser0000942","url":null,"abstract":"<p><p>This article presents an overview of a novel process improvement project that aimed to enhance the utilization of prolonged exposure for treating posttraumatic stress disorder in behavioral health clinics within the Military Health System (MHS). The MHS is a geographically dispersed medical system encompassing diverse clinics and poses unique challenges to the adoption of evidence-based practices. To address these challenges, the Targeted Assessment and Context-Tailored Implementation of Change Strategies project was developed. Implemented across eight MHS clinics, this project involved conducting a comprehensive needs assessment to identify barriers, developing customized implementation plans for each site, and providing coaching calls and access to a clinic optimization toolkit for the clinic staff. We describe the development of Targeted Assessment and Context-Tailored Implementation of Change Strategies intervention components, including an implementation rubric that documents barriers to evidence-based practice utilization and proposes specific actions based on the underlying causes of these barriers. Additionally, a needs assessment interview tool and an implementation toolkit were developed to identify clinic-level challenges and support the implementation process, respectively. The needs assessment phase of the project involved conducting interviews with clinic staff and leadership, as well as reviewing clinic appointment data to discern trends and patterns in care. The insights gleaned from these interviews were instrumental in formulating tailored implementation plans for increasing the usage of prolonged exposure. Each plan was collaboratively developed with clinic leadership and subsequently put into practice at the site with the support of weekly coaching calls provided by an implementation science expert. Portions of this research project occurred during the COVID-19 pandemic, and we discuss the impact of the pandemic on the implementation of this study. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035516","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":"A multilevel investigation of potential inequities in the volume of mental health care received by Black Veterans Health Administration patients.","authors":"Matt Boden, Ira Katz, A H S Harris, Rani Hoff, Jodie A Trafton","doi":"10.1037/ser0000936","DOIUrl":"https://doi.org/10.1037/ser0000936","url":null,"abstract":"<p><p>The Veterans Health Administration (VHA) has committed to increasing health equity for all veterans, which is needed to address disparities in health care and outcomes experienced by Black VHA patients. In this cross-sectional retrospective observational study, we analyzed VHA operations data on all patients receiving mental health treatment at VHA in fiscal year 2021 (<i>N</i> = 1,602,865). Facility-level negative binomial regressions demonstrated that Black patients were disproportionately treated at large, complex, urban facilities in the Southern United States that had higher overall volumes of mental health care and staff but lower mental health staffing ratios and less care for each patient. Though they utilized facilities with lower visits and hours per patient, Black versus non-Black patients had on average more visits and hours per patient. Accounting for these gaps using patient-level Kitagawa-Oaxaca-Blinder (KOB) decomposition analyses, we found (a) negligible and small within-facility effects, (b) between-facility effects that demonstrated that Black patients would have received more treatment than non-Black patients had they utilized facilities in the same proportions as non-Black patients, and (c) excluded variables in unadjusted KOB and excluded variables and covariates (e.g., age, homeless treatment receipt) in adjusted KOB most strongly accounted for gaps. Combining facility-level analyses with novel use of patient-level KOB revealed nuance in the potential inequities experienced by Black VHA mental health patients while demonstrating the need for additional research to examine whether Black patients receive the proper treatments for their mental health conditions and at the optimum dose. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051052","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}