Psychological Services最新文献

{"title":"Role of homelessness and incarceration in time-to-decision on veterans affairs disability benefits for a mental health condition.","authors":"Hind A Beydoun, Mayumi Gianoli, Andrew Meisler, Jack Tsai","doi":"10.1037/ser0000971","DOIUrl":"10.1037/ser0000971","url":null,"abstract":"<p><p>Homelessness and incarceration are major psychosocial concerns in the United States that may be mitigated by access to disability benefits. Data from the Veterans Benefits Administration (VBA) provides a unique opportunity to study how the process of obtaining disability benefits and time-to-decision might be affected by homelessness and/or incarceration among veterans in the Veterans Health Administration (VHA). The purpose of this study was to examine how homelessness and/or incarceration status among VHA-enrolled U.S. veterans might affect outcomes of VBA disability benefits claims for a mental health condition, including time-to-decision and rating outcomes. Using a retrospective cohort design, linked VHA/VBA data from 2022 to 2023 on 327,047 U.S. veterans (including 7,202 homeless veterans and 280 incarcerated veterans) were analyzed with multivariable Cox regressions. Overall, 85.7% of veterans received award of a Department of Veterans Affairs (VA) service-connected disability for a mental health condition. Although VA service-connected disability for a mental health condition was awarded less frequently for homeless and incarcerated veterans, the time-to-decision for homeless veterans-with or without incarceration-was twice as fast as nonhomeless and nonincarcerated veterans, after adjustment for demographic and clinical characteristics. In conclusion, although homeless and/or incarcerated veterans were less likely to receive VA service-connected disability for a mental health condition than other VA disability-seeking veterans, homeless veterans had faster decision times on VA disability applications. These findings inform ongoing efforts to ensure veterans with diverse backgrounds and needs receive the VBA benefits for which they qualify. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"638-645"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529410","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":"Integrating care for chronic pain and PTSD: A qualitative exploration of staff and patient perspectives.","authors":"Belle Zaccari, Summer Newell, Tiona Y Wu, Aurora Newman, Maya E O'Neil, Devan Kansagara, Travis I Lovejoy","doi":"10.1037/ser0000968","DOIUrl":"10.1037/ser0000968","url":null,"abstract":"<p><p>Despite the advantages of integrated care for co-occurring chronic pain and posttraumatic stress disorder (CP + PTSD), barriers impede its implementation. In this qualitative study, we examined facilitators and barriers of integrated care for CP + PTSD at a single Veterans Affairs medical center. We used purposive sampling and snowball recruitment to identify key stakeholders. We conducted semistructured interviews (<i>N</i> = 38) via video teleconferencing between January and May of 2022. We analyzed interview data employing both thematic and matrixed analysis methodologies. We interviewed VA staff (providers [<i>n</i> = 11], clinic managers [<i>n</i> = 5], and administrators [<i>n</i> = 2]) and patients with CP + PTSD (<i>n</i> = 19). There were three main findings: (a) current models disconnect care for CP + PTSD and fail in fully addressing the intricacies of this comorbidity, (b) the interconnection of CP + PTSD symptoms supports the need to overcome barriers to integrated treatment, and (c) facility- and system-level barriers to implementation of integrated care include staffing and having an evidence-based protocol. Staff and patient stakeholders recognized growing momentum supporting the development of integrated, nonpharmacological treatments for CP + PTSD. However, interventions to address barriers are needed to increase wider adoption and implementation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"479-490"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043990","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":"Experiences of providers delivering evidence-based psychotherapy for PTSD to Black veterans: A qualitative study.","authors":"Rachel M Ranney, Haein Jun, Danielle Cottonham, Asale Hubbard, Joy Huggins, Natalie Purcell, Kristine Burkman, Shira Maguen","doi":"10.1037/ser0000982","DOIUrl":"10.1037/ser0000982","url":null,"abstract":"<p><p>Previous research has found that Black veterans (vs. White veterans) evidence less symptom improvement following trauma-focused evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD). Black veterans' experiences of racism and discrimination, as well as how providers respond to these experiences during PTSD EBPs, may help to explain these racial disparities in outcomes. However, there is a lack of qualitative research exploring providers' experiences delivering PTSD EBPs to Black veterans. This study aimed to fill this gap in the literature by interviewing 15 mental health providers with experience delivering PTSD EBPs working at a West Coast Veterans Affairs Medical Center about (a) their comfort in discussing racism and discrimination with veterans, (b) the role of their identity in these discussions, (c) the extent to which racism and discrimination are presenting problems in PTSD EBPs, (d) Black veterans' response to PTSD EBPs, and (e) ways PTSD EBPs may be improved for Black veterans. Rapid analysis procedures were used to identify prominent and relevant themes, which are summarized and discussed with a focus on informing clinical recommendations and the development of provider training that may improve experiences and outcomes for Black veterans engaging in PTSD EBPs. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"599-607"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609211","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":"Factors influencing the implementation of peer support specialists within mobile crisis teams: A scoping review of consolidated framework for implementation research domains and implementation strategies.","authors":"Suzanne S Tham, Subin Na, Phyllis Solomon","doi":"10.1037/ser0000996","DOIUrl":"10.1037/ser0000996","url":null,"abstract":"<p><p>The involvement of peer support specialists in behavioral health crisis response is growing. While their roles in warm lines, crisis-receiving, and respite centers have been studied, their participation in mobile crisis teams remains underexplored. This review identifies the contexts and strategies for implementing peer support within mobile crisis teams to inform broader adoption. Following Arksey and O'Malley's methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines, we searched MEDLINE, CINAHL, EMBASE, and APA PsycInfo, Sociological Abstracts, and Scopus through October 21, 2024. No peer-reviewed articles met the inclusion criteria. A gray literature search on October 28, 2024, using a web-based search engine, yielded 16 sources, which were extracted and assessed for quality. Using the Consolidated Framework for Implementation Research, we deductively coded all source documents by domain and inductively identified thematic patterns. Implementation strategies were also mapped to the Expert Recommendations for Implementing Change framework. Consolidated Framework for Implementation Research themes indicate that significant policy and local government initiatives facilitate innovation adoption within the outer setting. The lived experience of peers, their strong partnership ties, and the flexibility of incorporating peers are key innovation characteristics. Successful implementation depends on inner setting factors such as leadership alignment with policy, prioritization of recovery-oriented approaches, and resource allocation that fosters collaboration and accountability. Within the individual domains, team members must recognize the value and contributions of peers. Effective implementation may be compromised without strategic planning, early stakeholder engagement, and the development of transparent, accountable resources. Recognizing these determinants is essential for effectively prioritizing resources and advancing peer support in mobile crisis teams. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"441-461"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192506","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":"Validity of the Minnesota Multiphasic Personality Inventory-3 Eating Concerns (EAT) Scale: A study with National Guard veterans and their romantic partners.","authors":"Caitlyn E Ramberg, William H Menton, Paul A Arbisi, Melissa A Polusny, Craig A Marquardt","doi":"10.1037/ser0000991","DOIUrl":"10.1037/ser0000991","url":null,"abstract":"<p><p>Development and validation of screening tools for eating disorders is crucial for enhancing early intervention efforts among military-connected populations. The recently released Minnesota Multiphasic Personality Inventory-3 (MMPI-3) includes the novel Eating Concerns (EAT) scale to assess aspects of problematic eating behavior. Our study evaluated the effectiveness of EAT by comparing it to a multidimensional indicator of eating disorder-related pathology. We examined responses from 349 U.S. National Guard veterans and their romantic partners using both the MMPI-3 and the Eating Pathology Symptoms Inventory (EPSI). Participants were 53% men, 47% women, 76% employed, and 97% White. The EAT scale best reflected EPSI domains of binge eating, body dissatisfaction, purging, negative attitudes toward obesity, and restricting. Furthermore, the EAT scale uniquely predicted multiple EPSI scale scores above and beyond other conceptually relevant MMPI-3 scales. Analyses based on gender revealed notable group differences and changes in the strength of associations for EAT and specific EPSI domain scores. Our findings provide support for the incremental and convergent validity of the EAT scale with implications for the increasing use of the MMPI-3 in the U.S. Veterans Affairs health care systems. Overall, EAT appears to effectively identify problematic eating behaviors associated with the item content of the scale (binging, restricting, purging). However, identification of less stereotypic clinically relevant behaviors related to eating or body image (e.g., excessive exercise) may require additional targeted assessment. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"560-571"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966346","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":"Providers' use and perceived benefits and barriers of delivering cognitive behavioral therapy for nightmares (CBT-N) to veterans.","authors":"Katherine E Miller, Courtney J Bolstad, Jessica A Carlile, Noelle E Balliett, Shilpa Trivedi, Joanne L Davis, Jessica Schubert, Christina Krieg, Mauli Shah","doi":"10.1037/ser0000994","DOIUrl":"10.1037/ser0000994","url":null,"abstract":"<p><p>Training and consultation in cognitive behavioral therapy for nightmares (CBT-N) were introduced for Veterans Health Administration (VHA) providers to reduce the frequency and severity of nightmares and improve functioning of veterans experiencing chronic nightmares. This study aimed to evaluate providers' sustained delivery of CBT-N and their perceptions of benefits and barriers to implementation to improve the successful adoption and long-term use of CBT-N throughout the VHA. VHA providers (<i>N</i> = 100) who completed the CBT-N training program at least 6 months prior to the study were sent an online survey about their continued use, feedback, and perceptions of CBT-N. The survey received a 65% response rate. Overall, perceptions of CBT-N were favorable. Ninety-five percent of providers reported continued delivery of CBT-N since completing the training program, with 100% of responders intending to use CBT-N in the future. Among CBT-N users, treatment was perceived to reduce nightmare frequency and/or severity and improve other domains of functioning (i.e., sleep health, trauma symptoms, quality of life). A third of the CBT-N users denied any barriers to using CBT-N. Primary barriers to use were related to providers' facility inner setting (e.g., unable to accommodate required session length or frequency, veteran population not appropriate for CBT-N) or veteran factors (e.g., schedule constraints, patient decision in shared decision making). Results encourage ongoing CBT-N training initiatives within the VHA. Directly tracking veteran outcomes and identifying necessary modifications to adapt CBT-N within the constraints of the inner setting, while preserving treatment integrity, are warranted to ensure and promote intervention effectiveness. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"403-410"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065335","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":"Community living center-mental health integration in the Veterans Health Administration: Evaluation of practice patterns.","authors":"Kim Curyto, Kyle S Page, Elizabeth Macdonald, Benjamin R Szymanski, Michele J Karel","doi":"10.1037/ser0001029","DOIUrl":"10.1037/ser0001029","url":null,"abstract":"<p><p>Starting in 2008, the Veterans Health Administration required mental health (MH) provider integration in nursing homes, called Community Living Centers (CLCs), to promote access to quality MH services. This project aimed to understand MH practice patterns and service integration in the CLC and to identify facilitators and barriers to integrated MH services. CLC physician and nurse leaders, and MH providers, were invited to participate in national surveys in the fall of 2022. Survey questions were designed to assess MH provider staffing and workload, organizational alignment and resources, practice and services provided, training and resource needs, MH provider satisfaction and burnout, integration, and CLC team functioning and morale. Questions included structured and open-ended formats. A total of 107 CLC MH providers and 85 CLC leaders completed their respective surveys. Descriptive and bivariate analyses were performed with quantitative data, and conventional content analysis procedures were used to analyze open-ended text responses. Findings highlighted that CLC MH providers care for Veterans with complex presentations across a range of treating specialties requiring many specialized skills, and MH integration is important and valued by CLC leaders. Results support Veterans Administration MH integration efforts and highlight the need for and importance of MH services in the CLC. MH provider job satisfaction and burnout were significantly related to team functioning, morale, and support. Findings will inform ongoing development of CLC MH practice resources and serve as a baseline for further evaluation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"462-478"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143408","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":"Characterizing mental health care utilization for veterans with PTSD in the year after a suicide attempt.","authors":"Kate Clauss, Vanessa C Somohano, Benjamin J Morasco, Emily A Young, Catherine Medina-Jimenez, Lauren M Denneson","doi":"10.1037/ser0001008","DOIUrl":"10.1037/ser0001008","url":null,"abstract":"<p><p>The goal of this study was to characterize mental health care utilization, including variables associated with initiation of a posttraumatic stress disorder (PTSD) evidence-based psychotherapy (EBP), among veterans with PTSD in the year following a suicide attempt. In a national survey of veterans with a recent suicide attempt, 431 had a diagnosis of PTSD and were included in the present study. Patients completed self-report measures of PTSD symptom severity, stigma, and logistic barriers to care. Mental health utilization data were extracted from the electronic health record. Descriptive statistics were used to characterize mental health care utilization in the year after a suicide attempt, and regression analyses were used to identify patient- and health service-related factors associated with PTSD EBP initiation. The majority of the sample received eight or more outpatient mental health visits in the year following the index suicide attempt (95.8%); however, only 10.4% initiated a PTSD EBP, and even fewer (4.2%) received a minimally adequate treatment dose (e.g., eight or more sessions). PTSD severity, stigma, and logistic barriers to care did not account for significant variance in PTSD EBP initiation. In addition to outpatient psychotherapy, the majority of patients received an antidepressant-related medication (90.7%), and a substantial portion experienced subsequent psychiatric hospitalization (46.2%). Although the majority of patients received eight or more outpatient mental health visits, few engaged in a PTSD EBP, suggesting that additional work is needed to determine how best to time PTSD treatment in the context of a recent suicide attempt. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"608-614"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12798688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960082","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":"Contextual determinants of the implementation of a mental health diversion policy in California: Lessons learned from local implementation partners.","authors":"Stephanie Brooks Holliday, Alex Sizemore, Tiffany Keyes, Brittani Kelly, Nicole K Eberhart","doi":"10.1037/ser0001026","DOIUrl":"10.1037/ser0001026","url":null,"abstract":"<p><p>In 2018, California passed Assembly Bill 1810, creating a pathway for pretrial diversion of individuals with mental health disorders. State statute dictates certain aspects of diversion eligibility and implementation. However, implementation of diversion occurs at the county level and counties have some degree of discretion as to how they implement the policy. This study conducted a qualitative implementation assessment of the contextual factors that have shaped the implementation of the state's mental health diversion policy. We recruited nine counties and conducted semistructured interviews with a total of 29 implementation partners. Qualitative coding was conducted to explore themes related to program implementation and these codes were analyzed using the Consolidated Framework for Implementation Research. An early challenge to the implementation process was the need to create infrastructure to support diversion and ensure oversight of mental health evaluations, treatment plans, and client progress. Many counties started with a decentralized process but found that standardizing the process was an important facilitator (e.g., having a dedicated judge for diversion cases). Some of the key implementation barriers related to perceptions of prosecutors and concerns related to public safety; however, even defense attorneys must balance diversion with other options their clients have (e.g., taking a plea in exchange for a short sentence). Jurisdictions implementing new mental health diversion programs can draw on the implementation science and literature related to other programs, such as drug courts, to address these implementation barriers. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"411-422"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699611","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":"Aeromedical officer training for mental health professionals leads to better outcomes for U.S. Navy and Marine Corps flight personnel.","authors":"Carrie H Kennedy, Jacob R Westerberg","doi":"10.1037/ser0000998","DOIUrl":"10.1037/ser0000998","url":null,"abstract":"<p><p>This study examines whether aeromedical officer (AMO) training enhances outcomes for Navy and Marine Corps aviation personnel. The conceptual approach of this research is grounded in the literature on the importance of cultural competence in military mental health services; thus, this study hypothesizes that AMO-trained providers yield better outcomes than nontrained providers. Utilizing a sample of 501 waiver requests for personnel diagnosed with mental health conditions, we compared waiver approval rates and career impacts between those evaluated by AMO-trained and nontrained providers. Results from a binary logic regression indicated that individuals assessed by AMO-trained providers were 2.1 times more likely to be granted waivers, thus reducing the chance of career disruption, as well as reducing operational costs and loss of mission-ready personnel. Additionally, AMOs facilitated a more seamless waiver process, avoiding unnecessary delays in obtaining a waiver. Findings suggest that AMO training significantly improves service delivery by enhancing providers' cultural competence, leading to more favorable outcomes for both individuals and commands, underscoring the need for specialized training in mental health services. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"646-651"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138402","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}