Psychological Services最新文献

{"title":"Dissemination and implementation of the Pain Coach App within a Brief Cognitive-Behavioral Therapy for Chronic Pain group for veterans seen in primary care.","authors":"Victoria F Allen, William E Conlin, Katherine Taylor, Amber Martinson","doi":"10.1037/ser0001065","DOIUrl":"10.1037/ser0001065","url":null,"abstract":"<p><p>The primary aim of the present study was to examine the initial impact and implementation of the Pain Coach app within a real-world Veterans Affairs Primary Care Mental Health Integration clinic. Specifically, this study represents a real-world trial of advancing the use of the Pain Coach app into a Brief Cognitive-Behavioral Therapy for Chronic Pain (CBT-CP) group among veterans with chronic pain being managed in primary care. A secondary aim was to determine participation characteristics of veterans who utilized the Pain Coach app, with a tertiary aim of providing a narrative review of how the Pain Coach app was integrated at our site. This was a retrospective chart review study in which outcomes were evaluated by comparing rates of app usage as defined by assessments completed at either pre- and/or posttreatment via the Pain Coach app. Veterans who used the Pain Coach app attended significantly more sessions of the Brief CBT-CP group than veterans who did not use it. Early engagement with the app predicted number of sessions of Brief CBT-CP completed, suggesting that early incorporation of the app may be beneficial for reducing attrition. Certain participant characteristics were associated with Pain Coach app use, such that women, those with a history of military sexual trauma, and no previous mental health diagnosis were more likely to use the app. Age was not associated with app use, indicating that older adults were just as likely to use the app as their younger counterparts. Though it was released in 2024, research on the Pain Coach app is limited. Current findings from the initial phase of dissemination and implementation of the Pain Coach app within a Brief CBT-CP group provide support for the feasibility and effectiveness of integrating mobile-assisted technology in a real-world Veterans Affairs Primary Care Mental Health Integration clinic. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520729","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":"Interventions to improve interpersonal relationships among homeless individuals: A scoping review.","authors":"Amanda Edwards-Stewart, Amanda Joy Anderson, Beth Carpenter, Jack Tsai","doi":"10.1037/ser0001057","DOIUrl":"10.1037/ser0001057","url":null,"abstract":"<p><p>Social support can be important for individuals experiencing homelessness who often have fragile or absent social networks. However, there is limited research on interventions to improve social support or interpersonal effectiveness in this population. A scoping review was conducted, in accordance with Joanna Briggs Institute methodology and with a protocol registered with the Open Science Framework, of qualitative and quantitative studies that reported outcomes of interventions focused on improving social support in homeless populations. The initial search yielded 5,534 studies, and 19 studies met full inclusion criteria. Ten of the included studies reported results from interventions designed to treat an adult parent-child relationship; there were no studies of interventions targeting adult parent-adult child relationships. The remaining nine studies evaluated interventions targeting social skills of homeless or unstably housed adults or families. In terms of study design, seven studies were randomized trials, one was a nonrandomized trial, three were qualitative, four were quantitative/pre-post designs, one was mixed methods, two were descriptive/observational, and one was a case study. All 19 studies evaluated a different social support or family therapy intervention. Family functioning or general social skills were often secondary to outcomes of treatment compliance and housing stability. These findings offer insights into general social skills building in homeless populations, but future research is needed on interventions that target rebuilding estranged adult relationships, which might serve as a buffer against housing instability. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520805","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":"Use and experience of intimate partner violence and coercive control among veterans in primary care: A latent class analysis.","authors":"Nicole Trabold, Dev Crasta, Cory Crane, Jacob Scharer, Nicole M Caulfield, Jennifer S Funderburk","doi":"10.1037/ser0001063","DOIUrl":"10.1037/ser0001063","url":null,"abstract":"<p><p>Intimate partner violence (IPV) occurs at elevated rates among Veterans, with recent meta-analyses estimating 31.8% of Veterans use IPV and 24.3% of Veterans experience IPV. While Johnson's (2008) typology distinguishes IPV types based on control patterns, limited research has applied latent class analysis to identify IPV typologies that incorporate measures of coercive control. This study used latent class analysis to examine patterns of IPV use and experience among Veterans in primary care, focusing on coercive control dynamics and their associations to mental health outcomes. Cross-sectional survey data were collected from 299 Veterans in romantic relationships receiving care at 20 community-based outpatient clinics in Western and Central New York. Measures included the Conflict Tactics Scale-Revised, Women's Experience with Battering scale, Proximal Antecedents of Violent Episodes, and correlated mental health assessments. Latent class analysis identified four distinct IPV typologies based on use and experience patterns: low-to-no conflict (26%), psychological IPV with negotiation (36%), high psychological/low physical without control (26%), and multitype IPV with control (13%). Veterans in the multitype class with coercive control showed significantly higher rates of depression, posttraumatic stress disorder symptoms, alcohol misuse, and suicidal ideation compared to other classes. Over half (51%) of Veterans in this sample reported propensity for using violence to control their partner. Results demonstrate heterogeneous IPV patterns among Veterans, with coercive control dynamics associated with severe mental health comorbidity. Findings support the need for differentiated screening and intervention approaches in Veterans Health Administration settings, with particular attention to coercive control assessment for comprehensive IPV evaluation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13479403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520783","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":"Effectiveness of combined dialectical behavior therapy and prolonged exposure in an intensive outpatient program for veterans.","authors":"Jacob Schachter, Zachary S Michal, Emily K Voller, Lindsay M Andrews Wiebusch, Matthew E Kaler, Craig A Marquardt","doi":"10.1037/ser0001060","DOIUrl":"10.1037/ser0001060","url":null,"abstract":"<p><p>Among veterans with borderline personality disorder (BPD), comorbidity with posttraumatic stress disorder (PTSD) is frequent. Clinicians are often hesitant to treat PTSD symptoms among this population, given the chronically elevated suicide risk. We examined the real-world effectiveness of an intensive outpatient program (IOP) with combined dialectical behavior therapy (DBT) and trauma-focused prolonged exposure (PE). Twelve weeks of full-model DBT was provided with PE administered simultaneously for approximately 6 weeks. Most veterans met criteria for both full-threshold PTSD (89%) and BPD (74%). Among the 180 veterans enrolled, 134 finished the protocol (74%). We observed large pre-posttreatment effect sizes for decreases in self-reported PTSD symptoms (<i>d</i> = 1.46), borderline symptomatology (<i>d</i> = 0.92), depression (<i>d</i> = 0.95), and anxiety (<i>d</i> = 0.81) as well as increases in DBT skills (<i>d</i> = -0.91). Medium effect sizes were found for decreases in subjective stress (<i>d</i> = 0.71), suicidal ideation and planning behaviors (<i>d</i> = 0.54), and dysfunctional coping (<i>d</i> = 0.68). On average across all clinical outcome measures, 52% of veterans experienced at least a partial response to treatment (≥30% score reduction), 49% demonstrated reliable changes, and 46% finished the program in at least partial remission (i.e., normative or subthreshold scores). These results are evidence for the effectiveness of DBT PE-style interventions, which can be delivered in IOPs for higher risk veterans with serious presentations of comorbid PTSD and BPD symptoms. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520736","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":"Veteran-informed design considerations for telehealth cognitive rehabilitation in substance use disorder care.","authors":"Kate Shirley, Emily Sano, Brandon A Gaudiano","doi":"10.1037/ser0001067","DOIUrl":"10.1037/ser0001067","url":null,"abstract":"<p><p>Veterans with substance use disorder frequently experience cognitive difficulties that interfere with treatment engagement and everyday functioning. When designing telehealth-delivered research involving cognitively demanding interventions, study procedures and intervention materials must align with veterans' cognitive needs and contexts. This brief report describes how veteran-informed preparatory design work can be conducted to inform research procedures for feasibility and acceptability testing of a telehealth-delivered cognitive rehabilitation intervention within a Veteran Affairs health care system. Veteran input was obtained through consultation with an established veteran engagement group, whose members serve in an advisory role for Veteran Affairs research. During a structured consultation, veterans reviewed recruitment materials and components of the telehealth-delivered intervention. Veteran engagement activities were considered alongside operational data sources, including recruitment activity logs and telehealth workflow documentation, to inform research decisions related to recruitment materials, telehealth workflows, and intervention delivery. Data were analyzed using directed content analysis, with implementation frameworks applied pragmatically to organize design-relevant observations and document refinements. Key themes included cognitive burden and accessibility, language and recovery orientation, relational and contextual factors in recruitment, telehealth usability and cognitive load, and telehealth-compatible intervention delivery. Findings highlight the value of integrating veteran perspectives with operational realities during early research planning to strengthen accessibility and acceptability of telehealth-delivered cognitive rehabilitation programs in Veteran Affairs and similar organized care settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520757","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":"Beyond posttraumatic stress disorder diagnosis: How specific trauma symptoms drive long-term disability in veterans.","authors":"Rahel Pearson, Allison Metts, Marcus G Wild, Emma P Harris, Sheila O'Brien, Suzannah K Creech","doi":"10.1037/ser0001052","DOIUrl":"10.1037/ser0001052","url":null,"abstract":"<p><p>The link between trauma-related symptomatology and psychosocial disability is well-established. However, the extent to which specific PTSD symptom clusters differentially contribute to distinct psychosocial disability domains remains unclear. This study examined these associations, hypothesizing that negative alterations in mood and cognition and hyperarousal symptoms would be the strongest predictors of concurrent and future psychosocial disability. We conducted a secondary analysis of longitudinal data from 332 veterans (30% female) with a range of trauma-related symptom severity, as measured by the PTSD Checklist for <i>DSM-5</i> (PCL-5; <i>M</i> = 27.6, <i>SD</i> = 20.8). Linear mixed-effects models were used to assess the unique contributions of PTSD symptom clusters to psychosocial disability across six domains-understanding/communication, mobility, self-care, interpersonal relationships, life activities, and social participation-measured four times over 24 months. Across domains, negative alterations in mood and cognition and hyperarousal symptoms emerged as the most consistent predictors of psychosocial disability, with effect sizes ranging from small (β = 0.14) to large (β = 0.53). Avoidance symptoms showed more domain-specific associations, particularly for mobility and social participation. Time effects indicated improvement in several domains, though self-care disability remained stable. PTSD symptoms explained more variance in interpersonal and social functioning than in domains related to physical functioning and self-care. Negative alterations in mood and cognition and hyperarousal symptoms exert disproportionate influence on psychosocial disability, underscoring their importance as treatment targets. Avoidance may contribute to disability in specific life domains, highlighting the need for rehabilitation strategies tailored to both broad and domain-specific impairments in veterans with trauma-related symptomatology. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412733","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 quality improvement project assessing veteran outpatient and provider attitudes about telemental health two years into the pandemic.","authors":"Elizabeth M Goetter, Megan E Parmenter, Kyle A Faust, Daniel Epstein, Kaloyan S Tanev","doi":"10.1037/ser0001061","DOIUrl":"10.1037/ser0001061","url":null,"abstract":"<p><p>This project was an evaluation of visit data and patient and provider attitudes about telemental health in an outpatient mental health clinic for military veterans 2 years into the COVID-19 pandemic. As part of a quality improvement initiative over a 2-week period that occurred 2 years after the clinic converted all operations to virtual format, 168 unique individuals (across 149 eligible telehealth appointments) and 23 mental health treatment providers who were part of a multidisciplinary team were eligible to complete an anonymous self-report satisfaction survey immediately after a telehealth session. Compared with the 8-week period pre-COVID-19 closure, during the current 2-week quality improvement period, the majority of mental health visits (99% vs. 1% preclosure) were being conducted via telehealth with a similar no-show rate for individual treatment sessions (12% vs. 15% preclosure). Over half of patients expressed preference for continued telehealth visits, while another third expressed preference for a combination of in-person and telehealth appointments. Ninety-five percent of clients and 100% of clinicians reported that they were \"quite a bit\" or \"extremely\" satisfied with telehealth in terms of addressing the client's questions and concerns, suggesting high rates of satisfaction. Compared with the initial quality improvement period in the acute phase of the COVID-19 pandemic, there was a shift in attitudes with fewer people expressing interest in returning to in-person treatment and more patients requesting telehealth appointments for future. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412675","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 BELONG framework: An LGBTQIA+-inclusive suicide prevention gatekeeper training.","authors":"Jacey L Henrichs, Julie M Koch","doi":"10.1037/ser0001058","DOIUrl":"10.1037/ser0001058","url":null,"abstract":"<p><p>Lesbian, gay, bisexual, transgender, two spirit, queer or questioning, intersex, and asexual (LGBTQIA+) individuals experience disproportionately high rates of suicidal ideation, attempts, and deaths compared to the general population. These disparities are fueled by systemic inequities, discrimination, and minority stress. Gatekeeper trainings such as Question, Persuade, Refer and SafeTALK have been shown to improve knowledge, skills, and self-efficacy in suicide prevention. Despite ongoing advancements in suicide prevention efforts, a significant need remains for approaches that move beyond general adaptation toward full integration of LGBTQIA+-specific factors. This gap leaves gatekeepers underprepared to recognize LGBTQIA+-specific risk factors and provide affirming support. To address this gap, we introduce BELONG, a conceptual framework for an LGBTQIA+-inclusive suicide prevention gatekeeper training. BELONG integrates minority stress theory, sociopolitical development theory, and intersectionality into the four established domains of gatekeeper training knowledge, attitudes, skill development, and self-efficacy. BELONG incorporates practical strategies such as LGBTQIA+-specific role-plays, affirming communication practice, tailored referral resources, and advocacy tools. These components are designed to strengthen gatekeepers' intervention confidence while expanding their capacity to address systemic barriers that exacerbate suicide risk. A distinguishing feature of BELONG is the positioning of advocacy as a cross-cutting construct. Rather than focusing exclusively on individual-level crisis intervention, the model emphasizes the role of gatekeepers in fostering affirming environments and promoting structural change. By embedding affirmation, belonging, and critical consciousness into a structured training framework, BELONG advances the field of suicide prevention through a culturally grounded model tailored to LGBTQIA+ populations. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346185","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 impact of a psychological support service on the mental well-being, stress, and burnout of U.K.-based health care professionals: A multiple-methods service evaluation.","authors":"George Collett, Carla Croft, Ajay K Gupta","doi":"10.1037/ser0001053","DOIUrl":"10.1037/ser0001053","url":null,"abstract":"<p><p>Health care professionals (HCPs) are particularly vulnerable to low mental well-being, stress, and burnout. While a dedicated psychological support service (PSS) is often highly valued, the evidence supporting its effectiveness remains limited and inconclusive. We used different methodologies for service evaluation. First, we recruited a cohort of 124 HCPs (including service users and nonusers), who prospectively completed two online surveys (∼4 months apart), containing validated assessments for mental well-being (Short Warwick Edinburgh Mental Well-Being Scale), perceived stress (Perceived Stress Scale-4), resilience (Brief Resilience Scale), and burnout (single item abbreviated Maslach Burnout Inventory-Emotional Exhaustion and Depersonalisation and subscales). The cohort was stratified by PSS service use over the ∼4 months. Second, among service users, we conducted one-to-one qualitative interviews (<i>n</i> = 11) to further explore the aspects related to perceived impact and areas of improvement and incorporated data from separate open-ended feedback survey items from service users (<i>n</i> = 80). Compared with nonservice use, one-to-one/one-to-one and group service use was significantly associated with increased Short Warwick Edinburgh Mental Well-Being Scale score (β = 3.25, 95% CI [1.33, 5.18]) and decreased Perceived Stress Scale-4 score (-1.51 [-2.93, -0.08]) over 4 months. Among the whole cohort, improved Short Warwick Edinburgh Mental Well-Being Scale score over 4 months was associated with a 14% reduced risk of intention to leave work at the end of the 4 months (adjusted OR 0.86 [0.77, 0.97], <i>p</i> = .013). Thematic analysis generated themes describing how the PSS supports the HCPs on various work-related and nonwork-related issues but identified areas of improvement: awareness and accessing the service, information and image of the service, relationship between the PSS and HCP managers/team leads, and the location of the sessions. Overall, a PSS dedicated to HCPs appears to be beneficial in supporting their mental well-being, which could potentially yield cost-related advantages by mitigating the risk of staff turnover. These findings may help guide policymakers in resource allocation for HCP support and inform the development of similar PSS models embedded within health care systems globally. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346199","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":"Potential agency and supervisor solutions to address burnout: Insights from clinicians in community mental health agencies across Washington State.","authors":"Celine Lu, Priyanka Ghosh Choudhuri, Kai Bailey, Priya Dahiya, Shannon Dorsey","doi":"10.1037/ser0001062","DOIUrl":"10.1037/ser0001062","url":null,"abstract":"<p><p>Community mental health (CMH) clinicians are at high risk of developing burnout, which can lead to poor clinician well-being, worse quality patient-care, and employee turnover. However, little is known about strategies CMH agencies and supervisors are currently implementing or could implement, to reduce clinician burnout. This mixed methods study gathered perspectives from 141 CMH clinicians participating in a state-funded evidence-based treatment training initiative called cognitive behavioral therapy plus, on strategies for addressing clinician burnout. Questions related to burnout were added to the cognitive behavioral therapy plus 2022-2023 pretraining evaluation survey. Using a modified free-list technique in an online survey, participants suggested agency or supervisor solutions they felt would be helpful to reduce their burnout and answered a follow-up question indicating whether each solution was currently being implemented by their agency/supervisor. Thirty-three distinct burnout strategies spanning six domains-client-related, structural support, teams, emotional support, other supervisor support, and self-care-emerged through qualitative content analysis. Next, qualitative data were \"quantitized\" and were examined using confidence intervals to estimate the prevalence of the offered solutions. Encouragingly, many of the top-endorsed strategies (e.g., <i>supervision sessions, morale/team-building, flexible work arrangement</i>) were reported as being currently implemented. <i>Manageable caseload</i> emerged as a top-endorsed strategy, yet not currently implemented across many CMH agencies. Still, many low-cost and potentially feasible strategies emerged (e.g., <i>check-ins, engaged supervisors,</i> supervisor encouragement to <i>take breaks</i> or practice <i>general self-care</i>). Implications for policy and future research are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13418426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148318599","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}