-
Asynchronous assessment with the PCL-5: Practice considerations and recommendations. Psychological Services (IF 3.097) Pub Date : 2023-11-30 Leslie S Taylor,Steve G Caloudas,Laura C Haney,Ellen Teng
The posttraumatic stress disorder (PTSD) Checklist for the Diagnostic and Statistical Manual of Mental Disorders-5 (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
-
Preventing job loss and functional decline: Description and demonstration of the Veterans Health Administration supported Employment: Engage and Keep (SEEK) program. Psychological Services (IF 3.097) Pub Date : 2023-11-13 Brian J Stevenson,Rachelle M Calixte,Andrew D Peckham,Michael Degeis,Taina S Teravainen,Elizabeth S Chamberlin,Lisa Mueller
The high incidence of untreated mental health concerns among veterans can harm other areas of life, including employment. Loss of employment can lead to other adverse outcomes, such as financial instability, functional decline, and increased risk for suicide. Current Veterans Health Administration (VHA) vocational services are limited in that they primarily serve veterans who are unemployed and already
-
Brief trauma-informed care training to enhance health care providers' knowledge, comfort, and implementation of trauma-informed care in primary care clinics: A pilot effectiveness study. Psychological Services (IF 3.097) Pub Date : 2023-11-13 Abigail Powers,Ryan A Langhinrichsen-Rohling,Stan C Sonu,Tamara Haynes,Emma C Lathan
Trauma-informed care (TIC) training may be valuable for patient-facing health care providers within primary care in urban health care settings serving patients with high levels of trauma exposure. This study tested the pilot effectiveness of a clinic-wide TIC initiative to enhance providers' knowledge, comfort in caring for trauma-exposed patients, and implementation of TIC within a primary care clinic
-
Inactivation of high-risk flags for suicide in the Veterans Health Administration: Association of documentation variation with suicide attempts. Psychological Services (IF 3.097) Pub Date : 2023-11-02 Lauren M Denneson,Sara A Hannon,Katie L McDonald,Jason I Chen,Maya E O'Neil
Medical record high-risk flags for suicide indicate patients are receiving enhanced care and alert treating providers to patients' high-risk status. Risk of suicide mortality remains high after flag inactivation, suggesting a need to improve inactivation determinations. This study describes variation in flag inactivation documentation, examines whether documentation varies by patient or facility characteristics
-
Rates and reasons for veteran mental health service utilization following completion of evidence-based trauma-focused treatment for PTSD. Psychological Services (IF 3.097) Pub Date : 2023-11-02 Allison L Baier,Sean Nugent,David M Horton,Hope Salameh,Shannon M Kehle-Forbes
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
-
Clinical documentation of patient identities in the electronic health record: Ethical principles to consider. Psychological Services (IF 3.097) Pub Date : 2023-11-02 Suzanne E Decker,Minnah W Farook,Sarah Meshberg-Cohen,Taiki Matsuura,Maggie Manning,Erica A Abel,Laura Blakley,Faith Prelli
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
-
Mental health apps and U.S. military veterans: Perceived importance and utilization of the National Center for Posttraumatic Stress Disorder app portfolio. Psychological Services (IF 3.097) Pub Date : 2023-11-02 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
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
-
Identifying predictors of the amount of veteran participation in cognitive behavioral therapy for insomnia in the Veterans Affairs health care system. Psychological Services (IF 3.097) Pub Date : 2023-11-02 Caitlan A Tighe,Gregory S Berlin,Elaine M Boland,Katherine E Miller,Adam D Bramoweth
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
-
Interpersonal process features of collaboration between probation and behavioral health practitioners. Psychological Services (IF 3.097) Pub Date : 2023-11-02 Sarah M Manchak,Jessica J Warner,Alison J Farringer,Symone Pate,Valerie R Anderson
This study sought to identify and conceptualize the central interpersonal process features that comprise good collaboration between behavioral health practitioners (BHPs) and probation officers (POs). Eighteen POs and 21 BHPs from geographically adjacent jurisdictions in a Midwestern state each participated in one of six focus groups. Researchers systematically coded focus group transcripts for interpersonal
-
Changes in opioid treatment programs and harm reduction provider services during the COVID-19 pandemic: Findings from 10 states. Psychological Services (IF 3.097) Pub Date : 2023-10-12 Omeid Heidari,Hridika Shah,Atharva Bhagwat,N Jia Ahmad,Sara Whaley,Susan G Sherman,Miles Morris,Brendan Saloner
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
-
Health outcomes in caregivers of service members and veterans with traumatic brain injury enrolled in the U.S. Veterans Affairs Caregiver Support Program. Psychological Services (IF 3.097) Pub Date : 2023-10-12 Tracey A Brickell,Megan M Wright,Jamie K Sullivan,Nicole V Varbedian,Anice M Byrd,Louis M French,Rael T Lange
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 (n = 34); (b) Comprehensive Program
-
Relationships among race, ethnicity, and gender and whole health among U.S. veterans. Psychological Services (IF 3.097) Pub Date : 2023-10-12 Gage M Chu,Erin Almklov,Clarice Wang,Caitlin L McLean,James O E Pittman,Ariel J Lang
Racial, ethnic, and gender health care disparities in the United States are well-documented and stretch across the lifespan. Even in large integrated health care systems such as Veteran Health Administration, which are designed to provide equality in care, social and economic disparities persist, and limit patients' achievement of health goals across multiple domains. We explore Veterans' Whole Health
-
Health-related outcomes among veterans identified as being at increased risk during a crisis line contact. Psychological Services (IF 3.097) Pub Date : 2023-10-12 Kelly A Stearns-Yoder,Molly E Penzenik,Jeri E Forster,Chelsea M Cogan,MaryGrace Lauver,Lisa A Brenner
Research has focused on developing ways to prevent death by suicide, such as 24-hr crisis lines. The purpose of the study was to examine health-related outcomes among individuals using Veterans Crisis Line services who were evaluated to be at increased risk. Among those with identifying information, records were linked with electronic medical record and death data. 36,133 contacts were coded, and 9
-
Evaluation of teleneuropsychology services in veterans during COVID-19. Psychological Services (IF 3.097) Pub Date : 2023-10-12 Julija Stelmokas,Lauren N Ratcliffe,Ketrin Lengu,Robert J Spencer
This study evaluated the quality of direct-to-home teleneuropsychology (teleNP) services that offered patients choice of service modality. We conducted a quality assurance project in a sample of Veterans (N = 143) referred for a variety of referral reasons from a Midwestern Veteran Affairs Hospital. Neuropsychological evaluations were conducted between February and June 2021 during the second wave
-
Correction to Wilbur et al. (2023). Psychological Services (IF 3.097) Pub Date : 2023-10-05
Reports an error in "Supervising and supporting trainees with disabilities in the Veterans Health Administration: An overlooked but critical need and opportunity" by Rebecca C. Wilbur, Emily M. Lund, Angela M. Kuemmel, Sheena Balolong Publico and Lauren R. Khazem (Psychological Services, 2023[May], Vol 20[2], 306-317). In the original article, in the article title and throughout the article, "Veterans
-
Liderando juntos y revueltos: A collectivistic leadership approach to address Latinx immigrant health and psychological needs. Psychological Services (IF 3.097) Pub Date : 2023-10-05 Oswaldo Moreno,Luz Garcini,Melanie Domenech Rodriguez,Alfonso Mercado,Amanda Venta,Thania Galvan,Michelle Silva,Oscar F Rojas Perez,Germán A Cadenas,Manuel Paris
Psychologists are positioned to help address societal and public health crises in beneficial ways, including collectively working with public sectors to serve marginalized communities. This article highlights the relevance of helping to address societal and public health crises with collectivistic psychological leadership approaches and uses Latinx psychology leaders for addressing the current immigrant
-
Law enforcement mental health: A systematic review of qualitative research. Psychological Services (IF 3.097) Pub Date : 2023-09-25 Jena B Casas,Amy Kegel
The aim of this review was to explore qualitative accounts of law enforcement (LE) officers' personal experiences of mental health, in terms of linguistic descriptions, relationships between occupational experiences and mental health, and challenges to maintaining mental well-being. Using preferred reporting items for systematic reviews and meta-analyses guidelines, 1,876 articles were screened, and
-
Association between psychosocial rehabilitation and recovery center service receipt and reported internalized stigma among veterans. Psychological Services (IF 3.097) Pub Date : 2023-09-07 Alexander J Duman,Suja S Rajan,Soumita Lahiri,Projesh Ghosh,Brian Mercer
Internalized stigma, also known as self-stigma, is negatively associated with a person's willingness to seek mental health services and follow their treatment plan. This can hinder a person's recovery, exacerbate their mental health illnesses, and reduce their quality of life. A primary directive of the Veteran Affairs Psychosocial Rehabilitation and Recovery Center (PRRC) program is to help veterans
-
Selecting senior leaders in the public sector: Challenges and best practices. Psychological Services (IF 3.097) Pub Date : 2023-09-04 Adam T Biggs,Todd R Seech,Dale W Russell
Although the careful assessment and selection of leaders are important for an organization to succeed, selecting senior leaders can prove paramount given their potential to impact the entire organization. While private sector businesses expend substantial resources to recruit and retain senior leaders, the public sector struggles to do so, which in turn impacts the attitudes and retention of employees
-
Moral injury in post-9/11 combat-experienced military veterans: A qualitative thematic analysis. Psychological Services (IF 3.097) Pub Date : 2023-08-24 K C Kalmbach,Erin D Basinger,Bryan Bayles,Randee Schmitt,Victoria Nunez,Bret A Moore,Richard G Tedeschi
War zone exposure is associated with enduring negative mental health effects and poorer responses to treatment, in part because this type of trauma can entail crises of conscience or moral injury. Although a great deal of attention has been paid to posttraumatic stress disorder and fear-based physiological aspects of trauma and suffering, comparatively less attention has been given to the morally injurious
-
An investigation into the effectiveness of Mood Lifters in the context of trauma exposure. Psychological Services (IF 3.097) Pub Date : 2023-08-24 Tanya Garg,Cecilia M Votta,Neema Prakash,Patricia J Deldin
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)
-
Depression care quality among patients with solid tumor cancers detected to have depression in Veterans Health Administration primary care clinics. Psychological Services (IF 3.097) Pub Date : 2023-08-24 Claire E O'Hanlon,Anne M Walling,Michael McClean,Karen Chu,Charlotta Lindvall,Martin Lee,Susan E Stockdale,Lucinda B Leung
Patients with cancer, especially advanced cancer, experience depression at high rates. We aimed to evaluate the quality of depression care received by patients with solid tumor cancer and advanced solid tumor cancer in Veterans Affairs (VA) primary care clinics. This is a retrospective cohort study of patients seen in 82 VA primary care clinics who newly screened positive for depression on the Patient
-
Trajectories of adolescent suicidal ideation and depressive symptoms during partial hospitalization: Clinical and demographic characteristics as predictors of change. Psychological Services (IF 3.097) Pub Date : 2023-08-21 Roberto López,Katherine M Harris,Lauren Seibel,Sonia C Thomas,Rick N Leichtweis,Christianne Esposito-Smythers
Partial hospital programs (PHPs) are a vital mental health service for youth at risk for suicide. Yet, few studies have examined trajectories of suicidal ideation and depressive symptoms, two important risk factors for suicidal behavior, over the course of care. Moreover, little is known about factors that may impact these trajectories among youth in PHPs. The present study examined trajectories of
-
Intimate partner violence among lesbian, gay, and bisexual veterans. Psychological Services (IF 3.097) Pub Date : 2023-08-21 Allison R Warren,Mark R Relyea,Georgina M Gross,Jacob R Eleazer,Joseph L Goulet,Cynthia A Brandt,Sally G Haskell,Galina A Portnoy
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
-
Wellness checks: Piloting a universal intervention for soldiers. Psychological Services (IF 3.097) Pub Date : 2023-08-17 Amy B Adler,Paul D Bliese,Yvonne S Allard,Douglas Sharp
As part of an Army pilot program, mandatory annual wellness checks were initiated to introduce individuals to counseling and to support psychological resilience and thriving. The program was evaluated using a cross-sectional survey completed by 7,831 soldiers. Findings revealed that about half of soldiers who reported a wellness check rated the check at least moderately helpful in their professional
-
Psychology in action: The need for bystander intervention programs to reduce public harms. Psychological Services (IF 3.097) Pub Date : 2023-08-01 Joel Dvoskin,Michi Fu,Anne S Klee
The current social climate in America is replete with reports of tragic events that could have been prevented. Our nation seems to be facing an unrelenting stream of problems without solutions. This article introduces a special section on active bystandership, which proposes more optimistic ways forward. Citing social science research and program examples, we describe the nature of active bystandership
-
Pathways for VA and community stakeholder management of military veterans with sexual offenses: Sexual and nonsexual recidivism rates and risk factors in military veterans released from California sexually violent predator (SVP) commitment. Psychological Services (IF 3.097) Pub Date : 2023-07-20 Shoba Sreenivasan,Allen Azizian,Stephanie Brooks Holliday,Jack Tsai,Joseph Lockhart,Melinda DiCiro,James Rokop
Military veterans with sexual offenses committed after discharge are often eligible for Veterans Affairs (VA) services including health care. There are few, if any, studies of sexual recidivism among military veterans with sexual offense histories to guide clinical management. This study examined diagnostic and postrelease sexual and nonsexual recidivism among military sexual offenders released from
-
Correction to Edwards et al. (2023). Psychological Services (IF 3.097) Pub Date : 2023-07-13
Reports an error in "Dialectical behavior therapy for justice-involved veterans: Changes in treatment targets in a small, pre-post design clinical trial" by Emily R. Edwards, Gabriella Epshteyn, Shayne Snyder, Daniel Gorman, Brettland Coolidge, Eddie Marcano, Jack Tsai and Marianne Goodman (Psychological Services, Advanced Online Publication, Apr 13, 2023, np). In the article, the title was incorrect
-
Discipline-level differences in mental health provider perceptions of video and phone telehealth. Psychological Services (IF 3.097) Pub Date : 2023-07-13 Samantha L Connolly,Michael E Charness,Allen L Gifford,Christopher J Miller
COVID-19 led to a rapid increase in telemental health care via video or phone. It is important to examine contributors to the choice of video versus phone, as video may be more effective and preferred by patients. Medical mental health (MH) providers (e.g., psychiatrists) may conduct more phone and less video visits than nonmedical MH providers (e.g., psychologists). This study examined whether medical
-
A unique model of care for youth in crisis: A pilot open trial. Psychological Services (IF 3.097) Pub Date : 2023-07-10 Molly Adrian,Eileen Twohy,Kalina Babeva,Jessica Jenness,Kyrill Gurtovenko,Jen B Blossom,Sophie King,Leah McCartney,Elizabeth McCauley
Suicide is the second leading cause of death for those ages 10-24 years in the United States, and emergency department (ED) visits due to youth self-injurious thoughts and behaviors (SITB) and increased substantially between 2016 and 2021. Although ED services are essential for an effective system of care, the ED setting is typically not well-suited for the comprehensive, collaborative, and therapeutic
-
Financial health and psychiatric symptoms among veterans with psychosis or recent homelessness during the COVID-19 pandemic. Psychological Services (IF 3.097) Pub Date : 2023-07-06 Jack Tsai,Amanda McCleery,Jonathan K Wynn,Michael F Green
The COVID-19 pandemic disproportionately impacted the physical health of some vulnerable groups, but further study is needed to investigate the pandemic's impact on financial health and mental well-being. We analyzed data from 158 participants, consisting of 59 veterans with a psychotic disorder (PSY), 49 recently housed veterans (RHV), and a control group of 50 veterans (CTL) who were assessed five
-
Upstream suicide prevention in the U.S. Army: Noncommissioned officers' perspectives. Psychological Services (IF 3.097) Pub Date : 2023-06-29 Lynsay Ayer,Stephanie Holliday,Robin Beckman,Lisa H Jaycox,Daniel Elinoff,Rajeev Ramchand,Denis Agniel,Emily Hoch,Lisa Wagner
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
-
Helpful for all? Examining the effects of psychotherapy treatment history on outcomes of single session, transdiagnostic cognitive behavioral interventions for university students. Psychological Services (IF 3.097) Pub Date : 2023-06-29 Ellen F Finch,Evan M Kleiman,Kate H Bentley,Emily E Bernstein
Brief, transdiagnostic interventions are an efficient form of mental health care for resource-limited settings like universities. Little research, however, has examined for whom these treatments are most effective. One important factor may be psychotherapy treatment history. Here, we evaluate if treatment history influences the effects of a single-session cognitive behavioral group intervention with
-
Supporting servicemembers and veterans during their transition to civilian life using certified sponsors: A three-arm randomized controlled trial. Psychological Services (IF 3.097) Pub Date : 2023-06-29 Joseph C Geraci,Ariana Dichiara,Ashley Greene,Molly Gromatsky,Erin P Finley,Daniel Kilby,Sheila Frankfurt,Emily R Edwards,A Solomon Kurz,Yosef Sokol,Sarah R Sullivan,Meaghan Mobbs,Richard W Seim,Marianne Goodman
Transitioning servicemembers and veterans (TSMVs) face difficulties throughout their reintegration to civilian life, including challenges with employment, poor social connection, and elevated risk for suicide. To meet the needs of this high-risk population, national initiatives have leveraged community-based interventions. Authors conducted a three-arm randomized controlled trial (n = 200) to evaluate
-
Surveying veterans affairs mental health care providers on experiences working with veteran patients with antagonistic clinical presentations. Psychological Services (IF 3.097) Pub Date : 2023-06-26 Courtland S Hyatt,Chelsea E Sleep,Octaviana Hemmy Asamsama,Mark A Reger
We surveyed N = 84 mental health care providers (i.e., psychiatrists, psychologists, social workers) working across two Veterans Affairs health care sites about their experiences working with Veteran patients with antagonism-based clinical presentations (e.g., callous, aggressive, grandiose features), as well as negative affect-based clinical presentations (e.g., depressive, anxious, self-conscious
-
The role of depression and anxiety symptom severity in remotely delivered mental health care. Psychological Services (IF 3.097) Pub Date : 2023-06-22 Anthony H Ecker,Amber B Amspoker,Winter Johnston,Annette Walder,Jan A Lindsay,Julianna B Hogan
This study examined differences in mental health characteristics of Veterans who received VA Video Connect (VVC) or audio-only care during initial phases of the COVID-19 pandemic. A cohort of Veterans with primary diagnoses of depressive or anxiety disorders (diagnosed between March 2019 and February 2020) was identified, and data were obtained for Veterans who engaged in virtual care from April to
-
Second chance: The paradox of felony convictions. Psychological Services (IF 3.097) Pub Date : 2023-06-22 Rebekah Lee,Chris Brown,Alicia M Hegarty,Alexis Rowland
Every year, hundreds of thousands of individuals with felony convictions are released into the community with the expectation that those reentering society will be "successful" upon reentry. Society tells persons with criminal backgrounds they have a "second chance" upon release, yet we are reluctant to provide the resources necessary to make this happen. Stigma is frequently identified as a potential
-
Delivering brief warrior renew over video teleconferencing to women veterans with military sexual trauma: A pragmatic trial. Psychological Services (IF 3.097) Pub Date : 2023-06-22 Lori S Katz
This program evaluation examines effectiveness and acceptability of an eight-session brief warrior renew treatment protocol, modified and delivered over video teleconferencing to women veterans who have experienced military sexual trauma. Due to social distancing to prevent the spread of coronavirus disease 2019 (COVID-19), there was a need to adapt and develop a virtual protocol for warrior renew
-
Impact and efficiency of treatment across two PTSD clinical trials comparing in-person and telehealth service delivery formats. Psychological Services (IF 3.097) Pub Date : 2023-06-22 Cindy A McGeary,Leslie A Morland,Patricia A Resick,Casey L Straud,John C Moring,Min Ji Sohn,Margaret-Anne Mackintosh,Stacey Young-McCaughan,Ron Acierno,Sheila A M Rauch,Jim Mintz,Donald D McGeary,Stephanie Y Wells,Kathleen Grubbs,Paul S Nabity,Chelsea J McMahon,Brett T Litz,Dawn I Velligan,Alexandra Macdonald,Emma Mata-Galan,Stephen L Holliday,Kirsten H Dillon,John D Roache,Alan L Peterson
The intent of this study is to examine treatment impact and efficiency observed when cognitive behavioral treatments for posttraumatic stress disorder (PTSD) are delivered in-person or using telehealth. This study pooled data from 268 veterans enrolled in two PTSD clinical trials. In both trials, treatment was delivered using in-home telehealth (telehealth arm), in-home in-person (in-home arm), and
-
A pilot of couple HOPES within the U.S. Veterans Affairs Healthcare System: PTSD and relationship outcomes in veteran couples. Psychological Services (IF 3.097) Pub Date : 2023-06-19 Leslie A Morland,Tamara Wachsman,Katelyn Webster,Skye Fitzpatrick,Robert Valela,Alexander O Crenshaw,Candice M Monson,Kayla C Knopp
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
-
Treatment of posttraumatic stress disorder with prolonged exposure for primary care (PE-PC): Effectiveness and patient and therapist factors related to symptom change and retention. Psychological Services (IF 3.097) Pub Date : 2023-06-15 Sheila A M Rauch,Margaret R Venners,Carly Ragin,Gretchen Ruhe,Kristen E Lamp,Mark Burton,Andrew Pomerantz,Nancy Bernardy,Paula P Schnurr,Jessica L Hamblen,Kyle Possemato,Rebecca Sripada,Laura O Wray,Katherine Dollar,Michael Wade,Millie C Astin,Jeffrey A Cigrang
Prolonged exposure (PE) is a first-line treatment for posttraumatic stress disorder (PTSD) available in specialty mental health. PE for primary care (PE-PC) is a brief version of PE adapted for primary care mental health integration, composed of four-eight, 30-min sessions. Using retrospective data of PE-PC training cases from 155 Veterans Health Administration (VHA) providers in 99 VHA clinics who
-
Appraising Jackson-based unrestorability to competence to stand trial: The demonstration model. Psychological Services (IF 3.097) Pub Date : 2023-06-12 Kirk Heilbrun,Christy Giallella,H Jean Wright,David DeMatteo,Patricia A Griffin,Neil Gowensmith,Benjamin Locklair,David Ayers,Alisha Desai,Victoria Pietruszka
Under United States law, criminal prosecution may not proceed against a defendant who is incompetent to participate in this process. The vast majority of defendants who are adjudicated incompetent to stand trial (IST) will subsequently regain sufficient capacities to be adjudicated competent to stand trial (CST). However, a small subgroup of defendants do not show sufficient improvement in clinical
-
Navigating a new model for therapy at a university counseling center: A case example. Psychological Services (IF 3.097) Pub Date : 2023-06-12 Kodee L Walls
University counseling centers have grappled with clinical supply and demand imbalance for decades. Chronic understaffing, increased scrutiny from the campus community, and concerns about overall student well-being have only exacerbated the challenges. Traditional models of service that rely on advanced scheduling with limited services aside from individual and group psychotherapy continue to flounder
-
Perceived clinical utility of the suicide crisis syndrome: A multisite pilot study. Psychological Services (IF 3.097) Pub Date : 2023-06-01 Alexis M Mitelman,Anokhi Bafna,Megan L Rogers,Betsy White,Ethan Karsen,Arne Vaaler,Amber R Wolfe,Inna Goncearenco,Igor Galynker
Perceived usefulness in the clinical setting is important in the implementation of novel constructs and assessments. The suicide crisis syndrome (SCS) has been proposed and validated as a theoretical framework for assessing acute suicide risk, but clinicians' perceptions of the SCS have not yet been examined. In this study, we evaluated perceived utility of the SCS across several provider locations
-
Firearm ownership and storage practices among United States firefighters and emergency medical services personnel. Psychological Services (IF 3.097) Pub Date : 2023-06-01 Ian H Stanley,Antoine Lebeaut,Marian E Betz,Angela Wright,Anka A Vujanovic
Compared with the general U.S. population, firefighters (FF) and emergency medical services (EMS) workers (FF + EMS personnel) are at increased risk for firearm suicide. Although secure firearm storage is associated with reduced risk of firearm suicide, no study has examined the prevalence and sociodemographic correlates of firearm ownership and storage practices among U.S. FF + EMS personnel. A total
-
Telebehavioral health at a federally qualified health center pre- and peri-COVID-19. Psychological Services (IF 3.097) Pub Date : 2023-05-25 Ana J Bridges,Jake C Steggerda,Linda E Guzman,Roselee J Ledesma
Federally Qualified Health Centers (FQHCs) are a safety net for low-income individuals needing mental and/or physical health care. The COVID-19 pandemic required FQHCs (and other health organizations) to pivot rapidly to telehealth. In theory, telehealth services can expand access to needed care. The COVID-19 pandemic provides a natural opportunity to "test" this assumption. We compared sociodemographic
-
A multistep mediation model examining how consultation in prolonged exposure therapy affects PTSD treatment outcomes. Psychological Services (IF 3.097) Pub Date : 2023-05-08 Carmen P McLean,Edna B Foa,Nadia Malek,Stacey Young-McCaughan,Alan L Peterson,Brenda S Hanson,Ivett J Lillard,Thomas J Patterson,Julio Rosado,Valerie Scott,David Rosenfield
Prolonged exposure therapy (PE) is an evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD) that is underutilized in the military health system. Previous research suggests that postworkshop consultation is important for successful implementation. However, little is known about how consultation may relate to EBP adoption or patient outcomes. The present study addressed these gaps
-
Association between wait time and behavioral health appointment attendance across patient characteristics. Psychological Services (IF 3.097) Pub Date : 2023-05-04 Joanne Wang,Alexandra C Knitter,Erin M Staab,Nancy Beckman,Fabiana Souza Araújo,Lisa M Vinci,Mim Ari,Daniel Yohanna,Neda Laiteerapong
Adequate access to behavioral health (BH) services is a critical issue. Many patients who are referred to BH care miss their appointments. One barrier to BH care is that longer wait times decrease the likelihood of appointment attendance. The present study examines the relationship between the wait time for BH services and appointment attendance, overall and by multiple patient characteristics. Logistic
-
Introduction to the special section: Supervision in publicly funded settings: Best practices. Psychological Services (IF 3.097) Pub Date : 2023-05-01 Anna Arzuyan,Rachel Lara,Michi Fu
Supervision of trainee and early career psychologists is the epitome of clinical skill cultivation and mentorship of knowledge passed from an experienced professional supervisor to supervisee. However, supervision is not only a "one-way street" as it has been traditionally regarded. Rather, the supervisor-supervisee dynamic is variable, ranging from didactic, to symbiotic, to everything in between
-
Dialectical behavior therapy for justice-involved veterans: Changes in treatment targets in a small, pre-post design clinical trial. Psychological Services (IF 3.097) Pub Date : 2023-04-13 Emily R Edwards,Gabriella Epshteyn,Shayne Snyder,Daniel Gorman,Brettland Coolidge,Eddie Marcano,Jack Tsai,Marianne Goodman
[Correction Notice: An Erratum for this article was reported online in Psychological Services on Jul 13 2023 (see record 2023-89801-001). In the article, the title was incorrect and should have been "Dialectical Behavior Therapy for Justice-Involved Veterans: Changes in Treatment Targets in a Small, Pre-Post Design Clinical Trial." This error did not impact the results or conclusions. All versions
-
Youth mental health first aid training with diverse educators. Psychological Services (IF 3.097) Pub Date : 2023-04-13 Ana-Sophia Ross,Cixin Wang,Jia Li Liu
Schools are the most likely place for students to receive formal or informal mental health services and support. Classroom educators often provide informal mental health support to students and referrals to school-based services. Despite their key role, educators often feel underprepared in recognizing concerning symptoms in youth and supporting student mental health. This mixed-methods study explored
-
A peer veteran approach to the caring letters suicide prevention program: Preliminary data. Psychological Services (IF 3.097) Pub Date : 2023-04-13 Whitney S Livingston,Sarah P Carter,Rebecca Leitner,Andrew T Ton,Heather Gebhardt,Lori A Zoellner,Natalie Mizik,Sasha M Rojas,Jonathan R Buchholz,Mark A Reger
Caring Letters is a prevention program aimed at reducing suicide risk; however, clinical trials indicate mixed results among military and veteran samples. The present study aimed to pilot a new version of the Caring Letters intervention that was adapted to military culture in order to emphasize peer support. The supportive letters, traditionally sent from clinicians, were written by peer veterans (PVs)
-
Prosumers' experiences of stigma dimensions within the clinical psychology field. Psychological Services (IF 3.097) Pub Date : 2023-04-06 Laura López-Aybar,Lauren Gonzales,Anxhela Kanani
Lived experiences of mental illness and stigmatizing attitudes toward psychiatric diagnoses are common throughout the world. Research demonstrates that clinical psychologists are not exempt from having lived experiences of mental illness, nor experiencing, witnessing and perpetuating stigma. However, no research has examined prosumers' (providers and consumers of mental health services) experiences
-
Lethal means safety counseling among firearm-owning U.S. National Guard personnel: Hyperarousal symptoms as a moderator of treatment outcomes. Psychological Services (IF 3.097) Pub Date : 2023-04-06 Ian H Stanley,Craig J Bryan,AnnaBelle O Bryan,Daniel W Capron,Michael D Anestis
The U.S. Department of Defense and other stakeholders recommend lethal means safety counseling (LMSC) to reduce suicide risk among military service members. Despite the promise of LMSC, few studies have examined moderators of LMSC treatment outcomes, such as posttraumatic stress disorder (PTSD) symptoms. Individuals with elevated PTSD symptoms are characteristically hypervigilant to threat and are
-
Expected symptom change trajectories for the early identification of probable treatment nonresponse in VA PTSD specialty care clinics: A proof-of-concept. Psychological Services (IF 3.097) Pub Date : 2023-04-06 Benjamin C Darnell,Natasha Benfer,Maya Bina N Vannini,Breanna Grunthal,Luke Rusowicz-Orazem,Elliot Fielstein,Brett T Litz
The purpose of measurement-based care (MBC) is to detect treatment nonresponse sufficiently early in treatment to adjust treatment plans and prevent failure or dropout. Thus, the potential of MBC is to provide the infrastructure for a flexible, patient-centered approach to evidence-based care. However, MBC is underutilized across the Department of Veterans Affairs (VA) posttraumatic stress disorder
-
Examining the outcomes and acceptability of a peer-led spiritual intervention for moral injury in a veteran service organization. Psychological Services (IF 3.097) Pub Date : 2023-04-03 Joseph M Currier,Ryon C McDermott,Paola Fernandez,Sarah Salcone,Hannah M Hinkel,Kaitlyn Schuler,Nicholas Fadoir,Phillip N Smith
The purpose of this proof-of-concept study was to examine the outcomes and acceptability of a spiritual intervention for moral injury led by veteran peers in a Veteran Service Organization (VSO), called "Heroes to Heroes." From baseline to 1-year follow-up, 101 veterans who participated in the intervention completed the evaluation surveys at four time points assessing psychological outcomes (moral
-
Active bystandership by youth in the digital era: Microintervention strategies for responding to social media-based microaggressions and cyberbullying. Psychological Services (IF 3.097) Pub Date : 2023-03-23 Michael N Awad,Elizabeth H Connors
Microaggressions are intentional or unintentional slights, insults, invalidations, and offensive behaviors that communicate hostile or derogatory messages to minoritized populations. When microaggressions cross over to social media, they can be considered a form of cyberbullying, which occurs over digital devices and harms, threatens, undermines, or socially excludes others. Microaggressions and cyberbullying
-
Data collection and outcome measurement in student counseling services in Irish higher education institutions: Counselors' views on challenges and facilitators. Psychological Services (IF 3.097) Pub Date : 2023-03-23 Zahra Tayer Farahani,Emma Howard,Chuck Rashleigh,Barbara Dooley
With increasing concerns around student mental health, student counseling services (SCSs) in higher education are being challenged to show evidence of their contribution to the personal and academic development of students through evidence-based approaches including systematic data collection and standardized outcome measurement. This study aims to document data collection and measurement processes
-
Symptom change prior to treatment discontinuation (dropout) from a naturalistic Veterans Affairs evidence-based psychotherapy clinic for PTSD and depression. Psychological Services (IF 3.097) Pub Date : 2023-03-23 Sadie E Larsen,Lauren A Hamrick,Katie B Thomas,Jonathan D Hessinger,Stephen E Melka,Mona Khaled,M Christina Hove,Kelly Maieritsch
Dropout or treatment discontinuation from evidence-based psychotherapies (EBPs) has been a concern for clinicians as it is thought that such discontinuation prevents patients from achieving a full course of therapy and obtaining maximum benefit. Recent studies, however, suggest that treatment discontinuation may sometimes be due to symptom improvement. The purpose of the current evaluation was to examine
-
The MATRIX: A deliberate practice approach for clinical supervision in the public sector. Psychological Services (IF 3.097) Pub Date : 2023-03-16 Mor Bar,Adiel Doron,Israel Bronstein,Shlomo Mendlovic
Clinical supervision is an essential component of psychotherapeutic practice. However, the literature suggests that the provision of supervision in the public sector has been declining significantly over the past two decades, suggesting that many health care professionals are receiving neither the guidance nor support needed to deliver safe and effective care. Identifying the distinct challenges of