Psychological Services最新文献_第9页

Moral injury among first responders: Experience, effects, and advice in their own words. 急救人员的道德伤害：他们的亲身经历、影响和建议。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 Epub Date: 2024-01-25 DOI: 10.1037/ser0000838

Leanne K Knobloch, Jenny L Owens

{"title":"Moral injury among first responders: Experience, effects, and advice in their own words.","authors":"Leanne K Knobloch, Jenny L Owens","doi":"10.1037/ser0000838","DOIUrl":"10.1037/ser0000838","url":null,"abstract":"Moral injury is a serious concern among first responders. Not only does moral injury occur with notable frequency among first response groups such as police, fire safety, and emergency medical personnel, but it also poses considerable mental health challenges. Despite a recent explosion of research on moral injury, the literature would benefit from a systematic investigation of how first responders describe their experiences in their own words. We conducted semistructured interviews with 36 graduates of a first responder trauma healing course. Participants described moral injury as (a) a byproduct of being a first responder, (b) occurring frequently but being difficult to identify, and (c) involving feelings of helplessness and guilt. Effects of moral injury included (a) wide-ranging negative consequences, (b) diminished self-esteem, (c) isolation from and suspicion of others, and (d) spiritual distress. When asked about the advice they would give to other people experiencing moral injury, first responders recommended (a) talking openly about the experience of moral injury, (b) being proactive in seeking help, (c) breaking free from the stigma of needing assistance, and (d) building a network of support. Taken together, these results suggest important guidelines for helping first responders cope with the aftermath of moral injury. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"500-508"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564730","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

Upstream suicide prevention in the U.S. Army: Noncommissioned officers' perspectives. 美国陆军的上游自杀预防工作：士官的观点。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-06-29 DOI: 10.1037/ser0000788

Lynsay Ayer, Stephanie Holliday, Robin Beckman, Lisa H Jaycox, Daniel Elinoff, Rajeev Ramchand, Denis Agniel, Emily Hoch, Lisa Wagner

{"title":"Upstream suicide prevention in the U.S. Army: Noncommissioned officers' perspectives.","authors":"Lynsay Ayer, Stephanie Holliday, Robin Beckman, Lisa H Jaycox, Daniel Elinoff, Rajeev Ramchand, Denis Agniel, Emily Hoch, Lisa Wagner","doi":"10.1037/ser0000788","DOIUrl":"10.1037/ser0000788","url":null,"abstract":"The goal of this study was to examine the factors associated with Army noncommissioned officer (NCO) experiences, attitudes, and behaviors in their role of identifying potential suicide risk factors in their fellow soldiers. To better understand the perspectives of NCOs, an anonymous survey was administered to 2,468 Army NCOs. Descriptive statistics and linear regressions were conducted to compare subgroups of NCOs. Most (71%) Army NCOs have received many (11 or more) hours of suicide prevention training, but training in soft skills that may be important for the gatekeeper role was less consistently reported. Active Component soldiers reported greater confidence in their intervention skills (Cohen's d = 0.25) and fewer logistical barriers (e.g., time and space to talk) to intervening with at-risk soldiers (Cohen's d = 0.80) compared to Reserve and National Guard soldiers. Formal coursework in mental health areas like psychology or chaplaincy was associated with a greater level of confidence in intervention skills (Cohen's d = 0.23) and in more frequent intervention behavior (Cohen's d = 0.13). Army NCO trainings should be modified to better equip soldiers with the soft skills (e.g., active listening skills and verbally and nonverbally conveying nonjudgment/acceptance and empathy) needed to have effective conversations with soldiers about suicide risk factors and other sensitive topics. Strategies used within mental health education, which appears to be a strength for NCO gatekeepers, could be used to achieve this goal. Reserve and Guard NCOs may need additional supports and tailored trainings to better fit their operational context. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"435-443"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9701684","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

A pilot of couple HOPES within the U.S. Veterans Affairs Healthcare System: PTSD and relationship outcomes in veteran couples. 在美国退伍军人事务医疗保健系统内开展的 "夫妻 HOPES "试点项目：退伍军人夫妇的创伤后应激障碍和关系结果。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-06-19 DOI: 10.1037/ser0000773

Leslie A Morland, Tamara Wachsman, Katelyn Webster, Skye Fitzpatrick, Robert Valela, Alexander O Crenshaw, Candice M Monson, Kayla C Knopp

{"title":"A pilot of couple HOPES within the U.S. Veterans Affairs Healthcare System: PTSD and relationship outcomes in veteran couples.","authors":"Leslie A Morland, Tamara Wachsman, Katelyn Webster, Skye Fitzpatrick, Robert Valela, Alexander O Crenshaw, Candice M Monson, Kayla C Knopp","doi":"10.1037/ser0000773","DOIUrl":"10.1037/ser0000773","url":null,"abstract":"Conjoint interventions for posttraumatic stress disorder (PTSD) offer an opportunity to target symptoms' broader social impact, including couples' relationship satisfaction. Technology-assisted interventions may help overcome access to care barriers for couples. Couple Helping Overcome PTSD and Enhance Satisfaction (HOPES) is a coached internet-based couples' intervention for PTSD adapted from cognitive behavioral conjoint therapy, an evidence-based dyadic therapy for PTSD. This pilot study examined the implementation feasibility, acceptability, and preliminary efficacy of Couple HOPES in a sample of 15 United States veterans with PTSD and their romantic partners within a Veterans Affairs (VA) Medical Center setting. There were significant improvements in veterans' PTSD symptoms (self- and partner-reported) and both veterans' and partners' relationship satisfaction, though the effect sizes were small (all g's < .40). Importantly, the 73% retention rate and participant feedback at postassessment suggest this online adaptation may help couples overcome barriers to accessing care. More broadly, this pilot study helps answer questions regarding where digital health interventions fit into the continuum of PTSD care within the VA system. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"509-517"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10037589","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

Clinical documentation of patient identities in the electronic health record: Ethical principles to consider. 电子健康记录中患者身份的临床文档：需要考虑的伦理原则。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-11-02 DOI: 10.1037/ser0000816

Suzanne E Decker, Minnah W Farook, Sarah Meshberg-Cohen, Taiki Matsuura, Maggie Manning, Erica A Abel, Laura Blakley, Faith Prelli

{"title":"Clinical documentation of patient identities in the electronic health record: Ethical principles to consider.","authors":"Suzanne E Decker, Minnah W Farook, Sarah Meshberg-Cohen, Taiki Matsuura, Maggie Manning, Erica A Abel, Laura Blakley, Faith Prelli","doi":"10.1037/ser0000816","DOIUrl":"10.1037/ser0000816","url":null,"abstract":"The American Psychological Association's multicultural guidelines encourage psychologists to use language sensitive to the lived experiences of the individuals they serve. In organized care settings, psychologists have important decisions to make about the language they use in the electronic health record (EHR), which may be accessible to both the patient and other health care providers. Language about patient identities (including but not limited to race, ethnicity, gender, and sexual orientation) is especially important, but little guidance exists for psychologists on how and when to document these identities in the EHR. Moreover, organizational mandates, patient preferences, fluid identities, and shifting language may suggest different documentation approaches, posing ethical dilemmas for psychologists to navigate. In this article, we review the purposes of documentation in organized care settings, review how each of the five American Psychological Association Code of Ethics' General Principles relates to identity language in EHR documentation, and propose a set of questions for psychologists to ask themselves and their patients when making choices about documenting identity variables in the EHR. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"589-600"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426301","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

Changes in opioid treatment programs and harm reduction provider services during the COVID-19 pandemic: Findings from 10 states. 新冠肺炎大流行期间阿片类药物治疗计划和减少伤害提供者服务的变化：10个州的调查结果。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-10-12 DOI: 10.1037/ser0000805

Omeid Heidari, Hridika Shah, Atharva Bhagwat, N Jia Ahmad, Sara Whaley, Susan G Sherman, Miles Morris, Brendan Saloner

{"title":"Changes in opioid treatment programs and harm reduction provider services during the COVID-19 pandemic: Findings from 10 states.","authors":"Omeid Heidari, Hridika Shah, Atharva Bhagwat, N Jia Ahmad, Sara Whaley, Susan G Sherman, Miles Morris, Brendan Saloner","doi":"10.1037/ser0000805","DOIUrl":"10.1037/ser0000805","url":null,"abstract":"Harm reduction and opioid treatment programs (OTPs) modified service delivery based on rapid changes to state and federal regulations during the COVID-19 pandemic. There is little evidence on how these regulations changed the delivery of medication for opioid use disorder and harm reduction services and whether certain regulations should be made permanent. This study explores how harm reduction OTPs across the United States leveraged changes in regulations and responded to impacts of COVID-19 to continue providing services and perspectives on future legislation that regulates their practice and practice sites. The COVID Harm Reduction and Treatment programs Survey study administered a survey that included closed-ended and free-response questions to 22 sites between August 2020 and January 2021. Program demographics and responses to survey items pertaining to site and service modifications were tabulated and proportions reported. A qualitative descriptive method was used to analyze free-response questions. All (100%) surveyed providers reported the need to modify their services. The majority (68%) reported an increase or no change in client volume; 68% reported increases in naloxone services and 77% reported increases in syringe services programs. Qualitative themes included (a) flexibility in reaching clients due to regulatory changes, (b) benefits and drawbacks of telehealth, and (c) increased vulnerabilities of their clients during the pandemic. Despite difficulties during the COVID-19 pandemic, harm reduction and OTP sites found that regulatory changes provided flexibility in service delivery and that they were better able to serve their clients. Future policies should bolster these sites to continue to provide low-barrier and high-quality services. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"658-664"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11009379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41210624","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

Intimate partner violence among lesbian, gay, and bisexual veterans. 女同性恋、男同性恋和双性恋退伍军人中的亲密伴侣暴力。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-08-21 DOI: 10.1037/ser0000797

Allison R Warren, Mark R Relyea, Georgina M Gross, Jacob R Eleazer, Joseph L Goulet, Cynthia A Brandt, Sally G Haskell, Galina A Portnoy

{"title":"Intimate partner violence among lesbian, gay, and bisexual veterans.","authors":"Allison R Warren, Mark R Relyea, Georgina M Gross, Jacob R Eleazer, Joseph L Goulet, Cynthia A Brandt, Sally G Haskell, Galina A Portnoy","doi":"10.1037/ser0000797","DOIUrl":"10.1037/ser0000797","url":null,"abstract":"The present study describes intimate partner violence (IPV) perpetration and victimization alongside theoretically associated variables in a sample of lesbian, gay, and bisexual veterans. We conducted bivariate analyses (chi-square tests and independent t test) to examine whether the frequencies of IPV perpetration and victimization varied by demographic characteristics, military sexual trauma, alcohol use, and mental health symptoms. Out of the 69 lesbian, gay, and bisexual (LGB) veterans who answered the questions on IPV, 16 (23.2%) reported some form of IPV victimization in the past year, and 38 (55.1%) reported past-year perpetration. Among the 43 veterans who reported psychological IPV, roughly half (48.9%) reported bidirectional psychological IPV, 39.5% reported perpetration only, and 11.6% reported victimization only. LGB veterans who reported bidirectional psychological IPV in their relationships were younger and reported greater symptoms of posttraumatic stress disorder symptoms and depression. The results presented here call for universal screening of IPV perpetration and victimization to both accurately assess and ultimately intervene among all veterans. Inclusive interventions are needed for all genders and sexual orientations, specifically interventions that do not adhere to gendered assumptions of perpetrators and victims. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"621-625"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10879444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10032498","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

Home-based primary care providers' perspectives on the unique challenges of working with late life posttraumatic stress disorder within their population of Veterans. 以家庭为基础的初级保健提供者对其退伍军人群体中晚年创伤后应激障碍的独特挑战的看法。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 Epub Date: 2024-05-23 DOI: 10.1037/ser0000872

Hannah M Bashian, Jennifer S Daks, Lola Baird, Hannah Heintz, Jennifer Moye, Anica Pless Kaiser

{"title":"Home-based primary care providers' perspectives on the unique challenges of working with late life posttraumatic stress disorder within their population of Veterans.","authors":"Hannah M Bashian, Jennifer S Daks, Lola Baird, Hannah Heintz, Jennifer Moye, Anica Pless Kaiser","doi":"10.1037/ser0000872","DOIUrl":"10.1037/ser0000872","url":null,"abstract":"Posttraumatic stress disorder (PTSD) is more prevalent in medically ill older Veterans in Home-Based Primary Care (HBPC) settings than in the general population, raising unique considerations. The aim of this qualitative project was to explore HBPC mental health providers' perceptions of the presentation and treatment of PTSD and trauma-related symptoms in this population of older Veterans, many of whom face additional barriers to treatment due to living in rural settings. Five focus groups and one one-on-one interview were conducted with 23 HBPC mental health providers serving rural or rural/urban mixed communities across the United States. We applied qualitative content analysis to the data. Three themes were found: (1) Presentation of Trauma-Related Symptoms and PTSD in HBPC Population; (2) Treatment Challenges in HBPC; and (3) PTSD Treatment Strategies. Each theme had multiple subthemes which illustrate unique issues in this population. Results of this project contribute to key insights surrounding the unique presentation of PTSD and trauma-related processes and treatment considerations in a medically, cognitively, and psychosocially complex group of veterans. Efforts to improve access to care should consider the specific needs of veterans who are homebound, live in rural settings and identify with rural cultural norms, and have difficulty engaging in specialized PTSD treatment due to the convergence of these factors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"613-620"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141081874","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

Identifying predictors of the amount of veteran participation in cognitive behavioral therapy for insomnia in the Veterans Affairs health care system. 确定退伍军人事务部医疗保健系统中退伍军人参与失眠认知行为治疗数量的预测因素。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-11-02 DOI: 10.1037/ser0000818

Caitlan A Tighe, Gregory S Berlin, Elaine M Boland, Katherine E Miller, Adam D Bramoweth

{"title":"Identifying predictors of the amount of veteran participation in cognitive behavioral therapy for insomnia in the Veterans Affairs health care system.","authors":"Caitlan A Tighe, Gregory S Berlin, Elaine M Boland, Katherine E Miller, Adam D Bramoweth","doi":"10.1037/ser0000818","DOIUrl":"10.1037/ser0000818","url":null,"abstract":"Insomnia is a prevalent and negatively impactful disorder among veterans. The Department of Veterans Affairs (VA) has committed significant resources to the development and dissemination of training related to cognitive behavioral therapy for insomnia (CBT-I), the recommended first-line intervention for chronic insomnia disorder. It has been established that VA clinicians can be effectively trained to deliver high fidelity CBT-I and that treatment results in significant improvements in insomnia. However, there is a paucity of research examining rates and predictors of veterans' participation in CBT-I in routine VA clinical care. In this study, we conducted a secondary analysis of data from VA electronic health records (EHR) to determine individual predisposing, enabling, and need factors associated with CBT-I participation. The sample included veterans who had at least one CBT-I templated note from the VA mid-Atlantic region of the United States (VISN4) between 2015 and 2019 in their chart (N = 2,801). CBT-I participation was defined by number of CBT-I templated notes occurring within a 6-month period from the initial note. Findings indicated that veterans most often completed only one session of CBT-I and, on average, completed approximately three sessions. Results from multinomial logistic regression identified significant associations of race, the presence of comorbid mental health disorders, rurality, presence of insomnia diagnosis, and insomnia medication with CBT-I participation; associations varied depending on how CBT-I participation was defined. More work is needed to better understand factors contributing to participation and reasons for completion and noncompletion of CBT-I. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"581-588"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11063118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426302","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

Mental health apps and U.S. military veterans: Perceived importance and utilization of the National Center for Posttraumatic Stress Disorder app portfolio. 心理健康应用程序和美国退伍军人：国家创伤后应激障碍中心应用程序组合的重要性和利用率。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 Epub Date: 2023-11-02 DOI: 10.1037/ser0000806

Beth K Jaworski, Kelly M Ramsey, Katherine Taylor, Adrienne J Heinz, Sarah Senti, Margaret-Anne Mackintosh, Craig S Rosen, Jason E Owen, Robert H Pietrzak

{"title":"Mental health apps and U.S. military veterans: Perceived importance and utilization of the National Center for Posttraumatic Stress Disorder app portfolio.","authors":"Beth K Jaworski, Kelly M Ramsey, Katherine Taylor, Adrienne J Heinz, Sarah Senti, Margaret-Anne Mackintosh, Craig S Rosen, Jason E Owen, Robert H Pietrzak","doi":"10.1037/ser0000806","DOIUrl":"10.1037/ser0000806","url":null,"abstract":"U.S. veterans have historically experienced more mental health concerns as compared to the general population, yet face a variety of barriers to accessing care. Evidence-based and accessible resources, such as mobile apps, are needed to respond to the unique needs of a diverse veteran population. The U.S. Department of Veterans Affairs (VA's) National Center for Posttraumatic Stress Disorder has created a one-of-a-kind portfolio of mental health apps to target the needs of veterans and support the self-management of common concerns related to posttraumatic stress disorder. Using data from a nationally representative sample of U.S. veterans, the present study sought to examine how veterans perceived the importance of making each self-management app available to other Veterans; factors impacting veterans' intent to try each app; and actual uptake of each app. Results revealed that while 46.7%-75.0% of veterans reported that the apps are important for veterans, 5.8%-19.2% reported that they would be likely to download the apps, and only 5.0% reported having ever used any of them. Veterans who used any of the apps were more likely to be employed, have served two or more deployments, be married or partnered, use the VA as their primary source of health care, had more medical conditions, and were less likely to identify as Black. With respect to future app use, Black veterans were to 2-5 times more likely than White veterans to indicate a desire to download each of the apps. Other variables that showed consistent associations with increased likelihood of app download included greater smartphone utilization, being married or having a partner, lower household income, and history of mental health treatment. Implications of these results for the broader dissemination of mental health apps and promotion of their uptake are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":"538-551"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71426305","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

Development of a peer-delivered primary care intervention to improve veteran mental health treatment engagement. 开发由同伴提供的初级保健干预措施，以提高退伍军人的心理健康治疗参与度。

IF 1.9 3区心理学

Psychological Services Pub Date : 2024-08-01 DOI: 10.1037/ser0000883

Jocelyn E Remmert, LiaJo Destefano, Matthew Chinman, David W Oslin, Shahrzad Mavandadi

{"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":"https://doi.org/10.1037/ser0000883","url":null,"abstract":"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 (n = 9) reported that they were excited about the option of PS being involved in treatment engagement. PS (n = 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) 2024 APA, all rights reserved).","PeriodicalId":20749,"journal":{"name":"Psychological Services","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","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}

引用次数: 0