{"title":"Preliminary Evaluation of a Core Knowledge Test for Certification of Health Care Chaplains.","authors":"George F Handzo, Susan K Wintz","doi":"10.1080/08854726.2020.1847864","DOIUrl":"https://doi.org/10.1080/08854726.2020.1847864","url":null,"abstract":"<p><p>This article describes the rationale, evolution, implementation, and evaluation of a process for testing core knowledge in health care chaplaincy certification. The process developed by the Spiritual Care Association uses online testing of evidence-based core knowledge developed with several expert advisory committees. The process seems to have acceptable validity, reliability, feasibility and usability and should be considered as a component to current certification processes for health care chaplains.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1847864","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38625373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Preface.","authors":"Keith G Meador","doi":"10.1080/08854726.2022.2047565","DOIUrl":"https://doi.org/10.1080/08854726.2022.2047565","url":null,"abstract":"","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40313852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chris J Antal, Peter D Yeomans, Kelly Denton-Borhaug, Scott A Hutchinson
{"title":"A communal intervention for military moral injury.","authors":"Chris J Antal, Peter D Yeomans, Kelly Denton-Borhaug, Scott A Hutchinson","doi":"10.1080/08854726.2022.2032981","DOIUrl":"https://doi.org/10.1080/08854726.2022.2032981","url":null,"abstract":"<p><p>The Moral Injury Group (MIG) at the Corporal Michael J. Crescenz (Philadelphia) VA Medical Center (CMCVAMC) is an example of collaborative care between chaplains and psychologists that engages religious, academic, and not-for-profit communities, as well as the media and other organizations external to the healthcare context. The intervention is primarily informed by a unique conceptualization: <i>the moral injury (MI) of individual veterans is rooted in the unfair distribution of appropriate moral pain and best addressed through communal intervention that facilitates broader moral engagement and responsibility</i>. MI is a public health issue that <i>arises from</i> the unfair distribution of appropriate moral pain and <i>is sourced by</i> the sedimentary layers of structural violence in US institutions related to war, and US war-culture. Preventing veteran suicide and promoting public health requires a larger social analysis and more broad-based, collective and collaborative understanding of, and response to, US war-culture, extending responsibility for MI care and prevention beyond individual veterans in health care institutions and clinical settings to US society.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39884242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marek Kopacz, Todd M Bishop, Amanda Ayre, Rachel L Boska, David Goldstrom, Drew Tomberlin, Sheila Baxter, Shawn Dunlap, J Irene Harris
{"title":"Feasibility of using moral injury screening instruments in VA chaplaincy spiritual assessments.","authors":"Marek Kopacz, Todd M Bishop, Amanda Ayre, Rachel L Boska, David Goldstrom, Drew Tomberlin, Sheila Baxter, Shawn Dunlap, J Irene Harris","doi":"10.1080/08854726.2022.2032980","DOIUrl":"https://doi.org/10.1080/08854726.2022.2032980","url":null,"abstract":"<p><p>Some veterans experience symptoms of moral injury after being exposed to the ethical and moral challenges associated with military service. While it is well known that moral injury is associated with an increased risk for suicide as well as other mental health concerns, few tools exist to systematically screen for moral injury in chaplaincy settings. This preliminary study examines the psychometric properties as well as feasibility of applying two new moral injury screening tools that could be used with routine spiritual assessments, purposefully designed to assess for moral injury in chaplaincy settings at Department of Veterans Affairs (VA) Medical Centers. The results provide preliminary psychometric evidence to support the reliability and validity of these two new screening tools, which were shown to be feasible for use in VA chaplaincy settings.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39773085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patricia U Pernicano, Jennifer Wortmann, Kerry Haynes
{"title":"Acceptance and forgiveness therapy for veterans with moral injury: spiritual and psychological collaboration in group treatment.","authors":"Patricia U Pernicano, Jennifer Wortmann, Kerry Haynes","doi":"10.1080/08854726.2022.2032982","DOIUrl":"https://doi.org/10.1080/08854726.2022.2032982","url":null,"abstract":"<p><p>The authors developed Acceptance and Forgiveness Therapy (AFT), a psychospiritual group intervention that guides veterans with moral injury experientially from a trauma-focused (damaged, broken, guilty, unforgivable, hopeless, unacceptable) to restorative (worthy, connected, hopeful, forgiven, responsible) view of self. A mental health (MH)-trained chaplain and MH provider, as co-leaders, provide psychoeducation, facilitate therapeutic interaction, and encourage home practice. The curriculum includes evidence-driven psychological interventions, spiritually oriented practices, and metaphor, story, and art to illustrate concepts and facilitate self-expression. Scores on the Brief Symptom Inventory-18 and Acceptance and Action Questionnaire-2 showed decreased distress and increased flexibility. Post-group drawings reflect renewed purpose, greater self-acceptance, and meaningful engagement with others. Retention rate across seven group administrations ranged from 50% to 100%. Outcomes suggest AFT is a promising practice for veteran moral injury meriting further study and implementation.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39900251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Josh B Kazman, Ian A Gutierrez, Eric R Schuler, Elizabeth A Alders, Craig A Myatt, Diana D Jeffery, Kathleen G Charters, Patricia A Deuster
{"title":"Who sees the chaplain? Characteristics and correlates of behavioral health care-seeking in the military.","authors":"Josh B Kazman, Ian A Gutierrez, Eric R Schuler, Elizabeth A Alders, Craig A Myatt, Diana D Jeffery, Kathleen G Charters, Patricia A Deuster","doi":"10.1080/08854726.2020.1723193","DOIUrl":"https://doi.org/10.1080/08854726.2020.1723193","url":null,"abstract":"<p><p>Chaplains have a critical role in the military organization and health care. Using the 2015 Health-Related Behavior Survey, we compared Service Members' (SM) use of chaplaincy services to their use of other behavioral health (BH) services: 26.2% used any BH service and 8.0% met with a chaplain/clergyperson for BH. Among the 36.5% of SM who self-identified needing counseling, percentages of SMs receiving counseling were lower among those perceiving stigma associated with BH services (51.0%) than those not perceiving stigma (66.7%). Of SM who sought counseling: many used multiple counseling sources (48.0%), with the most common sources being a BH professional (71.6%), a medical doctor (37.5%), and a chaplain or clergyperson (30.2%). SM who met with a chaplain or clergyperson had more severe histories of abuse, were more likely to have a mental health diagnosis, and had fewer positive health behaviors than SM who sought other sources of counseling.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1723193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37620011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Military chaplaincy in Sweden: A contemporary perspective.","authors":"Jan Grimell","doi":"10.1080/08854726.2020.1745490","DOIUrl":"https://doi.org/10.1080/08854726.2020.1745490","url":null,"abstract":"<p><p>Pastors serving as military chaplains have been an integral part of the Swedish Armed Forces for hundreds of years. This close relationship has continued even after the Church of Sweden was formally separated from the state in 2000. Yet contemporary research drawing from experiences of Swedish military chaplains during their pastoral and spiritual assignments within a military context is virtually non-existent. This research explores the contemporary situation for military chaplaincy in Sweden through the lenses of proportional accessibility for military personnel, availability to civilian congregations, increasing cultural and ethnic diversity, religious embeddedness in military culture, theological tension, and personal identity development among chaplains. It furthermore suggests that military chaplains navigate a complex situation: they are expected to serve professional service members, many of whom have war zone experiences, in addition to shepherding increasing volumes of conscripts now that conscription has been reinstated, all within a new interreligious paradigm.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1745490","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37790979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On These Holy Mountains.","authors":"Katherine M Piderman","doi":"10.1080/08854726.2020.1745488","DOIUrl":"https://doi.org/10.1080/08854726.2020.1745488","url":null,"abstract":"<p><p>Chaplains are charged with the essential task of reflecting on their experiences and developing their insights into formats that can be shared with others. This brief report summarizes the spiritual distress and coping of four participants in the Hear My Voice pilot study for patients with advanced diseases, and includes questions for reflection on spiritual care and further research. It emphasizes the importance of taking time to listen deeply to one's experiences and the work of others to gain insight and perspective, contribute to the knowledge of others in writing, teaching and research, and advance best practices in spiritual care.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1745488","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37804199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dae Hyun Kim, George Fitchett, Jami L Anderson, Andrew N Garman
{"title":"Management and leadership competencies among spiritual care managers.","authors":"Dae Hyun Kim, George Fitchett, Jami L Anderson, Andrew N Garman","doi":"10.1080/08854726.2020.1796076","DOIUrl":"https://doi.org/10.1080/08854726.2020.1796076","url":null,"abstract":"<p><p>Both the healthcare and religious landscapes in the United States are rapidly changing. Despite the dynamic environment that spiritual care managers face, many do not receive management training prior to assuming their roles and many receive little or no training once they are in their roles. This study used mixed methods to examine the applicability of the National Center for Healthcare Leadership (NCHL) competency model to spiritual care manager roles. Interviews were conducted with 10 spiritual care managers across the country, using a Behavioral Event Interviewing (BEI) methodology. Interviews were quantitatively analyzed by using Natural Language Processing and qualitatively analyzed by thematic approach using NVIVO. The results found the EXECUTION domain to be the most discussed theme, followed by RELATIONS, TRANSFORMATION, and BOUNDARY SPANNING. Collectively these analyses suggest the NCHL Leadership Competency Model can provide a useful framework for understanding the roles and development needs of spiritual care managers.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/08854726.2020.1796076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38220343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contemplative practice, acceptance, and healing in moral injury.","authors":"Sara Jo Emmerich","doi":"10.1080/08854726.2022.2032977","DOIUrl":"https://doi.org/10.1080/08854726.2022.2032977","url":null,"abstract":"<p><p>Moral injury is a soul struggle for many veterans. It includes a deep sense of regret, shame, and division within themselves due to morally injurious events. Spiritual practices like Centering Prayer are complementary disciplines that help veterans heal from moral injury and process embedded trauma, guilt, and shame. Contemplative practices can help with acceptance of difficult emotions and thoughts connected to past moral injury and help veterans refocus on values that are part of their community, faith, and social backgrounds. At the Loveland VA, a group of veterans are following the guidelines outlined by Contemplative Outreach for a Centering Prayer practice. The guidelines and the intended outcomes are outlined in this paper and include previously researched benefits of mindfulness and meditation-based practices for PTSD, which often co-occurs with moral injury. Veterans' feedback from both in-person and online versions of the Centering Prayer group are included in the paper. While encouraged as an individual discipline, veterans are also encouraged to practice Centering Prayer within groups at the VA or in the community for deeper inter-relational healing and trust. Veteran peer supports provide links to Contemplative Prayer outreach groups as well as AA groups in the community. As a mindfulness-based spiritual practice with Judeo-Christian roots, Centering Prayer is a powerful addition to a chaplaincy program that promotes whole health healing and growth.</p>","PeriodicalId":45330,"journal":{"name":"Journal of Health Care Chaplaincy","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39746464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}