Psychological Services最新文献

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Arkansas crisis stabilization unit guests: Baseline characteristics from a longitudinal cohort study. 阿肯色州危机稳定单位的客人:纵向队列研究的基线特征。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-05 DOI: 10.1037/ser0000893
Marley F Fradley, Justin Stanley, Xiaotong Han, Cassandra L McLaughlan, Nickolas Zaller, Lisa Evans, Melissa J Zielinski
{"title":"Arkansas crisis stabilization unit guests: Baseline characteristics from a longitudinal cohort study.","authors":"Marley F Fradley, Justin Stanley, Xiaotong Han, Cassandra L McLaughlan, Nickolas Zaller, Lisa Evans, Melissa J Zielinski","doi":"10.1037/ser0000893","DOIUrl":"https://doi.org/10.1037/ser0000893","url":null,"abstract":"<p><p>Crisis Stabilization Units (CSUs) are short-term residential facilities that provide care to people experiencing mental health crises, seeking to reduce reliance on local emergency departments and avoid unnecessary jail detention. Despite these intentions, there is little foundational literature to support research on CSU efficacy and a dearth of research on the sociodemographic characteristics and specific needs of CSU patients. Here, we recruited and surveyed 208 participants admitted to one of two focal Arkansas CSUs on their sociodemographic characteristics, justice-involvement, mental health, substance use, and health care utilization. Results revealed that participants were mostly unemployed (68.16%), low-income (72.34%), and experiencing insecure housing (33.33%). They reported extensive justice-involvement (85.57%), high rates of clinically significant mental illness symptom severity (77.00% for anxious symptoms; 78.33% for depressive symptoms; 79.40% for traumatic stress symptoms), and recent substance use (73.34%). Recent engagement with other medical services was common, though more participants reported visiting an emergency department (42.23%) than did receiving outpatient medical care (26.73%). While research on CSU patient outcomes is needed, our results indicate that CSUs have the potential to be an essential part of the health care continuum by serving a population with multiple, intersecting needs and addressing a deficit in community-based crisis care. Continued investigation of community-based crisis intervention services is critical to bridging the gap between vital behavioral health resources and the populations in need of them. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141889991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Black veteran use of video telehealth for mental health care. 黑人老兵利用视频远程医疗进行心理保健。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-12-07 DOI: 10.1037/ser0000827
Giselle Day, Anthony H Ecker, Amber B Amspoker, Darius B Dawson, Annette Walder, Julianna B Hogan, Jan A Lindsay
{"title":"Black veteran use of video telehealth for mental health care.","authors":"Giselle Day, Anthony H Ecker, Amber B Amspoker, Darius B Dawson, Annette Walder, Julianna B Hogan, Jan A Lindsay","doi":"10.1037/ser0000827","DOIUrl":"10.1037/ser0000827","url":null,"abstract":"<p><p>Black veterans experience disparities in mental health (MH) care access and are disproportionately affected by COVID-19. Video telehealth to home (VTH) may reduce disparities by addressing barriers, particularly with pandemic-related shifts to remotely delivered care. Considering potential needs for tailored implementation across racial/ethnic groups, we examined differences in VTH use by non-Hispanic Black veterans versus all other races/ethnicities and among Black (Hispanic and non-Hispanic) veterans by age, rurality, and gender during the pandemic. We extracted a cohort of Veterans Health Administration-enrolled veterans receiving at least one MH encounter between October 2019 and September 2020 (<i>n</i> = 1,627,791) from electronic health records. Multilevel linear growth curve models examined the percentage of VTH use for non-Hispanic Black versus other races/ethnicities before and after pandemic onset. Black veteran-only subgroup analyses examined differences by ethnicity in percentage of VTH MH encounters since pandemic onset by age, rurality, and gender, using regression and analysis of covariance models. Despite significant increases in VTH during the pandemic, on average, VTH use was consistently lower for non-Hispanic Black veterans across both periods. During the pandemic, differences in VTH use between non-Hispanic Black and non-Black veterans accelerated over time. VTH use was greater during the pandemic for Black veterans who were Hispanic, younger, urban, and female. Adoption of VTH for MH was low for non-Hispanic Black veterans before COVID-19 and during COVID-19 compared to non-Black groups. Future VTH research and implementation efforts should question why adoption remains low, work to meet cultural needs, and promote equitable adoption for Black veterans. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"478-488"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11156787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Considerations for working with Asian Americans across the psychosis spectrum following the onset of the COVID-19 pandemic. 在 COVID-19 大流行后,与亚裔美国人合作治疗各种精神病的注意事项。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-01 Epub Date: 2024-07-08 DOI: 10.1037/ser0000882
Ivy Tran, Jasmine Mote
{"title":"Considerations for working with Asian Americans across the psychosis spectrum following the onset of the COVID-19 pandemic.","authors":"Ivy Tran, Jasmine Mote","doi":"10.1037/ser0000882","DOIUrl":"10.1037/ser0000882","url":null,"abstract":"<p><p>With the rise of anti-Asian racism and discrimination that followed the onset of the COVID-19 pandemic, the need to improve Asian Americans' (AA) connection to and experiences with clinical care is critical. AA at risk for or experiencing psychosis represent a particularly vulnerable subset of a population that already exhibits low service utilization and a multitude of barriers to mental health care treatment. Considering that victimization and discrimination were well-documented factors that exacerbate psychotic symptoms prepandemic, preparing clinicians to adequately support this already hard-to-reach population warrants special attention. In this article, we argue for the importance of addressing the unique needs of this population in an acute time of need. We outline three main considerations for working with AA across the psychosis spectrum, including actionable steps clinicians can implement related to (a) the variability in AA identities, (b) the relationship between victimization and psychosis, and (c) improving access to culturally sensitive mental health care treatment. By considering the diverse needs of AA at risk for or living with psychosis, clinicians across professional levels and contexts can better serve this vulnerable population. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"406-416"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health outcomes in caregivers of service members and veterans with traumatic brain injury enrolled in the U.S. Veterans Affairs Caregiver Support Program. 参加美国退伍军人事务护理人员支持计划的服役人员和创伤性脑损伤退伍军人的护理人员的健康状况。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-10-12 DOI: 10.1037/ser0000771
Tracey A Brickell, Megan M Wright, Jamie K Sullivan, Nicole V Varbedian, Anice M Byrd, Louis M French, Rael T Lange
{"title":"Health outcomes in caregivers of service members and veterans with traumatic brain injury enrolled in the U.S. Veterans Affairs Caregiver Support Program.","authors":"Tracey A Brickell, Megan M Wright, Jamie K Sullivan, Nicole V Varbedian, Anice M Byrd, Louis M French, Rael T Lange","doi":"10.1037/ser0000771","DOIUrl":"10.1037/ser0000771","url":null,"abstract":"<p><p>To explore health outcomes in caregivers of service members and veterans (SMV) with traumatic brain injury (TBI) enrolled in two programs within the U.S. Department of Veterans Affairs (VA) Caregiver Support Program (CSP) (General and Comprehensive Programs) and those not enrolled. Participants were 290 caregivers classified into three groups: (a) General Program (<i>n</i> = 34); (b) Comprehensive Program (<i>n</i> = 104); and (c) Not Enrolled (<i>n</i> = 152). Main outcome measures assessed caregiver health-related quality of life (HRQOL), SMV functional ability, and caregiver needs. Compared to the Not Enrolled group, the General, and Comprehensive Program groups reported worse scores on five of 25 caregiver HRQOL measures and had a higher proportion of elevated scores on two measures. The Comprehensive Program group reported worse scores on an additional seven HRQOL measures and a higher proportion of elevated scores on three measures compared to the Not Enrolled group. Over 20% of caregivers in each group reported clinically elevated scores on eight HRQOL measures. Few differences between caregiver groups were identified for unmet needs. In the total sample, eight HRQOL measures consistently emerged that were more strongly associated with caregiver needs. Caregivers enrolled in the VA CSP tended to report worse HRQOL and caring for a SMV with worse functional ability compared to those not enrolled. A better understanding of health care utilization for those not enrolled in the CSP and in need of help is required. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"635-648"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Asynchronous assessment with the PCL-5: Practice considerations and recommendations. 使用PCL-5进行异步评估:实践考虑和建议。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-11-30 DOI: 10.1037/ser0000824
Leslie S Taylor, Steve G Caloudas, Laura C Haney, Ellen Teng
{"title":"Asynchronous assessment with the PCL-5: Practice considerations and recommendations.","authors":"Leslie S Taylor, Steve G Caloudas, Laura C Haney, Ellen Teng","doi":"10.1037/ser0000824","DOIUrl":"10.1037/ser0000824","url":null,"abstract":"<p><p>The posttraumatic stress disorder (PTSD) Checklist for the <i>Diagnostic and Statistical Manual of Mental Disorders-5</i> (PCL-5; Weathers et al., 2013) is a well-validated self-report instrument intended to assess provisional diagnostic status and symptom severity of PTSD. With the recent release of the Department of Veterans Affairs measurement-based care initiative, the PCL-5 is now required to be used by VA-based PTSD Specialty Clinics to track and monitor patient progress in treatment. With the rise of telehealth modalities in response to the COVID pandemic, clinicians have turned to remote, asynchronous assessment (i.e., assessments completed without the provider present through remote platforms) as a means to provide best care to virtual patients and reduce time burden on providers. We review the psychometric properties of the PCL-5 along with relevant criticisms of the measure to provide recommendations for its optimal use through remote, asynchronous means. We also explore considerations for using remote, asynchronous assessment to assist with measurement-based care more broadly. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"552-559"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138462245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recommendations for the assessment of sexual and gender minority status in serious mental illness research and clinical care. 关于在严重精神疾病研究和临床治疗中评估性少数群体和性别少数群体状况的建议。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-01 Epub Date: 2024-03-14 DOI: 10.1037/ser0000852
Lillian A Hammer, Ava K Fergerson, Kelsey A Bonfils
{"title":"Recommendations for the assessment of sexual and gender minority status in serious mental illness research and clinical care.","authors":"Lillian A Hammer, Ava K Fergerson, Kelsey A Bonfils","doi":"10.1037/ser0000852","DOIUrl":"10.1037/ser0000852","url":null,"abstract":"<p><p>Sexual and gender minority (SGM) groups experience exposure to minority stress, including discrimination, prejudice, microaggressions, and internalized stigma. Despite the sizable portion of the United States' population that identifies as SGM, relatively little research has been done to comprehensively understand the mental health consequences of SGM stress-particularly as they relate to serious mental illnesses (SMIs)-and SGM status is rarely reported in published studies. This article provides an overview of SGM research among people with SMIs as well as other relevant disorders. Findings show that sizable gaps remain in our knowledge of whether SGM groups experience higher rates or greater severity of SMIs, including schizophrenia-spectrum and bipolar disorders, though findings related to depressive and trauma-related disorders may be able to inform research and treatment for those with SMIs. To increase our understanding of potential mental health disparities for those with SMIs, researchers are encouraged to include measures to assess SGM identity, report upon this demographic information within their manuscripts, and examine differences in rates and severity of SMIs between these groups. Clinicians are encouraged to incorporate demographic questions into their standard intake batteries and initiate discussion of SGM status and minority stressors early on in treatment to promote more positive outcomes for this group. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"417-425"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140120438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An investigation into the effectiveness of Mood Lifters in the context of trauma exposure. 调查情绪提升剂在创伤暴露情况下的有效性。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-08-24 DOI: 10.1037/ser0000789
Tanya Garg, Cecilia M Votta, Neema Prakash, Patricia J Deldin
{"title":"An investigation into the effectiveness of Mood Lifters in the context of trauma exposure.","authors":"Tanya Garg, Cecilia M Votta, Neema Prakash, Patricia J Deldin","doi":"10.1037/ser0000789","DOIUrl":"10.1037/ser0000789","url":null,"abstract":"<p><p>A large proportion of adults experiencing mental health problems do not receive care due to structural and attitudinal barriers. Mood Lifters (ML) is an evidence-based mental wellness program designed to reduce depression, anxiety, and stress symptoms. This study aims to extend the literature by examining whether ML reduces posttraumatic stress disorder (PTSD) symptoms, and if childhood trauma (CT) affects treatment outcomes. We hypothesized that ML will be effective for all symptoms. However, we predicted that those who endorse higher levels of CT would experience a diminished impact of ML on their symptoms. Graduate students and young professionals (<i>N</i> = 221), a demographic that is known to have greater mental health concerns, were randomly assigned to either the waitlist condition (<i>n</i> = 78) or the intervention condition (<i>n</i> = 143). Before and after ML participation, participants completed a series of questionnaires about their symptoms. ML reduced symptoms of PTSD for participants who received the intervention relative to the waitlist. Further, we also observed that while the overall regression models with CT predict posttreatment scores for all the clinical symptoms, the CT variable itself was predictive of only posttreatment anxiety. Unexpectedly, given that CT is often associated with less improvement, we found that those at all levels of CT experienced similar reductions in depression, anxiety and PTSD symptoms. Taken together, ML is a viable option to help people reduce depression, anxiety, stress, and PTSD regardless of the level of CT exposure. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"518-528"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10532272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rates and reasons for veteran mental health service utilization following completion of evidence-based trauma-focused treatment for PTSD. 创伤后应激障碍循证创伤治疗完成后退伍军人心理健康服务利用率和原因。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-11-02 DOI: 10.1037/ser0000815
Allison L Baier, Sean Nugent, David M Horton, Hope Salameh, Shannon M Kehle-Forbes
{"title":"Rates and reasons for veteran mental health service utilization following completion of evidence-based trauma-focused treatment for PTSD.","authors":"Allison L Baier, Sean Nugent, David M Horton, Hope Salameh, Shannon M Kehle-Forbes","doi":"10.1037/ser0000815","DOIUrl":"10.1037/ser0000815","url":null,"abstract":"<p><p>Despite the effectiveness of prolonged exposure (PE) and cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) in reducing symptoms of PTSD and co-occurring symptoms, emerging research suggests continued mental health service utilization (MHSU) following the completion of these interventions. Reasons for continued MHSU remain unknown despite its relevance to PE/CPT outcomes and implementation. The present study employed a mixed methods approach to explore rates and reasons for VA MHSU post PE/CPT. A national sample of 5,634 U.S. veterans who completed either PE or CPT were identified to quantitatively determine the frequency, type, and location of MHSU in the 12 months following PE/CPT completion. A random subsample of 60 veterans completed semistructured qualitative interviews to explore reasons for MHSU post PE/CPT. Findings suggest high MHSU; 98.4% of veterans attended at least one mental health appointment in the year following completion of PE/CPT, with an average attending 27.64 appointments in the year following treatment completion. Qualitatively, veterans, particularly those with low-to-moderate residual symptoms, described a preference for additional treatment to continue practicing and applying skills learned in treatment. Veterans expressed low self-efficacy to maintain treatment gains without support and accountability from their therapists and viewed ongoing treatment as a safety net until they felt more confident in their skills and stability of gains. Veterans with high residual symptoms indicated needing additional PTSD-specific treatment or treatment for a co-occurring condition. Notably, some veterans reported no additional treatment needs, despite continued engagement in care. Evidence-based strategies for facilitating self-efficacy and ongoing application of PE/CPT principles posttreatment are needed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"560-568"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11063117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Atypical jobs in psychology: Interview with Dr. J. Douglas McDonald ("Spotted Hawk"). 心理学的非典型工作:采访 J. Douglas McDonald 博士("斑点鹰")。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-01 DOI: 10.1037/ser0000798
Erika P Gray
{"title":"Atypical jobs in psychology: Interview with Dr. J. Douglas McDonald (\"Spotted Hawk\").","authors":"Erika P Gray","doi":"10.1037/ser0000798","DOIUrl":"10.1037/ser0000798","url":null,"abstract":"<p><p>This article outlines the career of Dr. J. Douglas McDonald, professor of psychology at the University of North Dakota (UND) and the director of the UND Indians into Psychology Doctoral Education Program. During graduate school, McDonald grew determined to develop a program that would assist American Indian students with entering the field of psychology in order to serve native populations across the United States and build cross-cultural competency and allyship within the psychological community. Upon graduating with a PhD in clinical psychology from the University of South Dakota, he created the flagship Indians into Psychology Doctoral Education program at UND, which meets these objectives, and has directed it ever since. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":"21 3","pages":"685-689"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring service provider perspectives on service user engagement across service components in coordinated specialty care programs for psychosis. 探索服务提供者对服务用户参与协调性精神病专科护理计划中各服务组成部分的看法。
IF 1.9 3区 心理学
Psychological Services Pub Date : 2024-08-01 Epub Date: 2024-02-15 DOI: 10.1037/ser0000844
Bryony Stokes, Elizabeth Fraser, Sheldon Stokes, Natasha Saric, Liat Kriegel, Oladunni Oluwoye
{"title":"Exploring service provider perspectives on service user engagement across service components in coordinated specialty care programs for psychosis.","authors":"Bryony Stokes, Elizabeth Fraser, Sheldon Stokes, Natasha Saric, Liat Kriegel, Oladunni Oluwoye","doi":"10.1037/ser0000844","DOIUrl":"10.1037/ser0000844","url":null,"abstract":"<p><p>Engagement in services is a core element to successful outcomes for service users and programs. In coordinated specialty care (CSC) programs, designed for individuals experiencing first-episode psychosis, engagement has only been measured programmatically and not by service component. This qualitative study sought to explore provider perspectives on service user engagement in service components of CSC. Semistructured interviews were conducted with 20 service providers from five community-based early intervention programs for psychosis in the United States. Interviews were recorded and transcribed verbatim, and thematic analysis was used to analyze the data collected. Provider participants described barriers and facilitators that contribute to disengagement or engagement in four service components within early intervention programs: individual psychotherapy, family education and support, medication management, and vocational services. Barriers identified included substance use, stigma, trauma, and external pressures. Identified barriers to engagement in CSC were both unique to individual components and cut across them. By better understanding the complexity of barriers and their intersections within and across CSC components, there can be more effective policy and program development to reduce disengagement and hopefully increase positive outcomes for service users. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"399-405"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139735954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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