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Psychological Services

Thomas W Britt, Chloe A Wilson, Gargi Sawhney, Kristen J Black
Employees in high-risk occupations can experience stigma associated with developing mental health problems and getting treatment for problems that can oftentimes be attributed to traumatic events encountered at work. The present study examined the perceived unit climate of support for mental health as a predictor of changes (over the course of 3 months) in the perceived stigma associated with seeking treatment, positive and negative attitudes toward treatment seeking, and a preference for handling mental health problem oneself, as well as talking with fellow unit members and a mental health professional about a mental health problem...
May 16, 2019: Psychological Services
Sandra G Resnick, Rani A Hoff
In 2016, the Department of Veterans Affairs (VA) began the Measurement-Based Care in Mental Health Initiative to implement measurement-based care (MBC) across all mental health programs with the goal of making MBC the national standard of care. Phase 1 of this initiative, beginning in fall 2016 through fall 2017, was carefully designed to meet the ambitious goals of the organization while minimizing implementation barriers. Phase 1 participants reported an increase in MBC implementation across mental health programs with a simultaneous increase in the proportion of patient-reported outcome measures among veterans new to mental health care...
May 6, 2019: Psychological Services
Victoria M O'Keefe, Mary F Cwik, Emily E Haroz, Allison Barlow
There are 600 diverse American Indian/Alaska Native communities that represent strong and resilient nations throughout Indian Country. However, a history of genocidal practices, cultural assaults, and continuing oppression contribute to high rates of mental health and substance use disorders. Underresourced mental health care and numerous barriers to services maintain these disparities. Indigenous community mental health workers hold local understandings of history, culture, and traditional views of health and wellness and may reduce barriers to care while promoting tribal health and economic self-determination and sovereignty...
May 2, 2019: Psychological Services
Jennifer N Engler, Perri B Druen, Laura West Steck, Mary Ligon, Steve Jacob, Lisa J Arseneau
Psychologists have a responsibility to be advocates for the individuals they serve within public service settings, and there is a need to identify or develop training strategies to support these efforts. Low-income families are a subset of consumers who frequently require services within these settings yet also may face providers who are not optimally supportive. One factor that interferes with providers' ability to engage in empathic, well-informed, and effective advocacy is their underlying attributions about causes of poverty that overemphasize personal responsibility...
May 2, 2019: Psychological Services
Megan A Thoen, L Ethan Dodson, Gabriela Manzo, Brandy PiƱa-Watson, Elizabeth Trejos-Castillo
Limited research exists in the area of police mental wellness and suicide prevention, especially regarding programs utilized by these agencies. The purpose of this project was to gain a better understanding of the prevalence of use of police officer wellness promotion and suicide prevention programs implemented in the United States and an understanding of the perceptions of program effectiveness (Part A). We also sought to determine whether differences exist in the mental wellness and perspectives of programming of officers from agencies who utilize suicide prevention and wellness programs compared to those agencies who do not (Part B)...
May 2, 2019: Psychological Services
Caroline Vaile Wright, Carol Goodheart, David Bard, Bruce L Bobbitt, Zeeshan Butt, Kathleen Lysell, Dean McKay, Kari Stephens
Measurement-based care has important implications across multiple avenues in mental and behavioral health care, including clinical care, quality improvement, and accountability. Using measurement-based care to demonstrate that quality care is being provided within the context of cost-efficient care could strengthen the position of mental and behavioral health providers as critical members of the health care system. Yet when measurement-based care is used to assess performance of providers, and then that performance influences reimbursement, it must be done with great care and deliberation so as not to result in unintended consequences such as punishing providers...
April 25, 2019: Psychological Services
Robert J Cramer, Jane L Ireland, Victoria Hartley, Molly M Long, Carol A Ireland, Tracy Wilkins
Given raised rates of patient suicide and violence in secure psychiatric facilities, staff in such settings are arguably at increased risk for burnout and reduced mental health. The present article responds to the recent U.K. National Institute for Health and Care Excellence (NICE) call to assess workforce well-being. This article held the following aims: (1) to quantify existing levels of mental health (i.e., depression, anxiety, distress, and posttraumatic stress) and subjective well-being (i.e., job satisfaction, life satisfaction, and four domains of burnout) and (2) to evaluate Coping Self-Efficacy (CSE) and Need for Affect (NFA) as factors associated with staff mental health and subjective well-being...
April 22, 2019: Psychological Services
Erica D Marshall-Lee, Cassandra Hinger, Renato Popovic, Tonya C Miller Roberts, Leandra Prempeh
This article addresses important aspects of and strategies for social justice advocacy in mental health care across consumer, community, educational, and policy domains. Social justice advocacy is intentional and sustained action intended to influence public policy outcomes, with and/or on behalf of a vulnerable individual, group, community, or the public at large. The paper presents a series of policy and advocacy levels of change, which may be used to promote social justice among individuals with mental health disorders with an emphasis on how psychologists can be valuable in these efforts...
April 18, 2019: Psychological Services
Giovanna Esposito, Sigmund Karterud, Maria Francesca Freda
This study concerns an innovative group counseling method, the narrative mediation path (NMP), which aims to promote mentalization on underachievement among university students. The study analyzes a single NMP case with the aim of investigating whether a counselor's interventions influence the reflective functioning (RF) of the group members and their academic performance. The transcripts of 9 sessions of a single NMP were rated according to the Reflective Functioning Scale. We used a microgenetic approach to analyze the clinical sequences of the sessions, for which significant changes in the RF were observed...
April 1, 2019: Psychological Services
Lucy J Allbaugh, Alison M Pickover, Eugene W Farber, Dinah Ayna, Jordan E Cattie, Allison Ramsay, Robert Cotes, Elon Richman, Grayson Norquist, Nadine J Kaslow
Engaging in advocacy is an ethical responsibility for behavioral health professionals, as reflected in professional competencies across disciplines and in personal accounts of wanting to affect change at various levels of patients'/clients' and communities' ecologies. However, the literature is replete with examples of barriers to routine advocacy engagement, including lack of an organized structure into which efforts can be embedded. There exists the desire among behavioral health professionals to engage in more advocacy work, yet a shared sense of not knowing how to incorporate this work into existing professional roles...
March 28, 2019: Psychological Services
Dale W Russell, Cristel Antonia Russell, Hsi Yuan Chen, Stephanie Cacioppo, John T Cacioppo
Exposure to a major traumatic stressor increases the odds of negative mental health and maladaptive behavioral outcomes not only for victims but also for 1st responders and health care professionals who are exposed to the aftermath. This study investigates the extent to which psychological resilience acts as either a Protective (i.e., vaccine-like) or an Ameliorative (i.e., antibiotic-like) factor to reduce the deleterious mental health outcomes associated with exposure to a major stressor. To do so, this pilot study focused on the understudied population of military combat medics, who are exposed to both stressors associated with direct combat and with providing intense battlefield trauma care...
March 28, 2019: Psychological Services
Lauren Mizock, Megan Brubaker
The unique experiences of women with serious mental illness (SMI) are often overlooked in the literature in mental health and rehabilitation services. This population faces increased risk of violence, sexual abuse, treatment bias, and a number of health problems when compared with their male counterparts. Further research is needed to identify these differences and suggest clinical implications for working with women with SMI. The present qualitative research includes data from a grounded theory study analyzing interviews with 20 women with SMI to explore their treatment experiences with mental health providers...
March 25, 2019: Psychological Services
Marquisha R G Lee, Joshua Breitstein, Timothy Hoyt, Jason Stolee, Tristin Baxter, Herbert Kwon, Vincent Mysliwiec
Insomnia is one of the most frequent sleep complaints among veterans and military personnel. This retrospective study investigated whether cognitive-behavioral therapy for insomnia (CBT-I) improved sleep and reduced insomnia symptoms in an active duty military population. The study consisted of 98 military personnel (mean age = 31.0, SD = 7.4; 70% male) who experienced insomnia and completed CBT-I in a military sleep disorders clinic. Assessments of sleep were completed analyzing pre- and posttreatment variables from the sleep diary, Insomnia Severity Index (ISI), and Epworth Sleepiness Scale (ESS)...
March 14, 2019: Psychological Services
Tracey Leone Smith, Bo Kim, Justin K Benzer, Zenab Yusuf, Terri L Fletcher, Annette M Walder
Access to mental health (MH) care is of paramount concern to U.S. health care delivery systems, including the Veterans Health Administration. To improve access, there is a need to better focus existing MH resources toward care for those most in need of specialty-level MH treatment. This article provides early results of Project FLOW's (not an acronym) approach to developing and evaluating electronic medical record (EMR)-based criteria to identify clinically stable patients and promote their effective transition from specialty MH back to primary care (PC)...
March 14, 2019: Psychological Services
Erin E Currie, Ian J Wallace
The mental health practice setting of the maritime training cruise provides an uncommon combination of opportunities and challenges from college and maritime military counseling. This article addresses the opportunities available in a clinical role that allows the clinician to be an active member of the community they serve and promote mental health among the next generation of maritime workers. The challenges addressed include promoting mental health in a setting in which emotional expression and mental health treatment are stigmatized, accompanied by disincentives for help-seeking behavior, as well as the potential risks of multiple relationships and limited confidentiality...
March 14, 2019: Psychological Services
Femina P Varghese, Joshua Root, Jon Nolan
This article provides the results of a survey completed by members of Division 18 regarding their perceptions of the division's values, as well as the greatest asset in being a member and their view of the future of psychologists in the public sector. Results indicated that members perceive Division 18 as a home for professional interests, with a commitment to providing public service and treatment. Members noted that they valued several things, including networking with colleagues as well as information that the division provided...
March 14, 2019: Psychological Services
Daniel J Reis, Michael S Namekata, Mary E Oehlert, Nancy King
The Beck Depression Inventory-II (BDI-II) is used within the Veterans Health Administration (VHA) to measure depression symptom severity. This naturalistic study aimed to examine VHA-specific BDI-II use and establish normative data and psychometric properties. Initial BDI-II data for 152,260 individual veterans were extracted from preexisting medical records using the VA Informatics and Computing Infrastructure. BDI-II scores were compared against Beck, Steer, and Brown (1996)'s original sample, as well as across veteran subgroups...
March 14, 2019: Psychological Services
Emily M Johnson, Kyle Possemato
Mental health concerns are prevalent among primary care patients, but many do not utilize services for these conditions. This study aims to conduct a comprehensive assessment of barriers and facilitators to mental health care utilization among veteran primary care patients with common mental health concerns. We hypothesized that beliefs and knowledge about mental illness and mental health care would be more strongly associated with recent mental health care utilization than stigma, help-seeking behaviors, or logistical barriers...
March 14, 2019: Psychological Services
David H Sommerfeld, Eric Granholm, Jason Holden, Chariz Seijo, Chelsea S Rapoport, Kim T Mueser, Jeanean B Naqvi, Gregory A Aarons
This study aimed to identify factors associated with implementation of cognitive behavioral social skills training (CBSST) on assertive community treatment (ACT) teams in a large public sector behavioral health system. This study used concept mapping (a mixed-method approach) and involved a sample including diverse stakeholder participants including patients, ACT team members, team leaders, organization leaders, and system leaders. We identified 14 distinct issues related to implementing CBSST on ACT teams: (a) CBSST fit with ACT structure, (b) CBSST fit with ACT process, (c) provider perceptions about CBSST, (d) staff pressures/other demands; (e) CBSST and ACT synergy, (f) client characteristics, (g) benefits of CBSST, (h) coordination/interaction among ACT providers, (i) government/regulatory factors, (j) integration of CBSST into ACT, (k) training support, (l) training resources, (m) multilevel agency leadership, and (n) provider characteristics...
March 11, 2019: Psychological Services
Margaret R Rogers, Marisa E Marraccini, Anna G Lubiner, Jennifer A Dupont-Frechette, Elisabeth C O'Bryon
Although school psychologists are called on a daily basis to advocate for the needs of our nations' schoolchildren, little is known about the factors that contribute to effective school-based advocacy. This study involved face-to-face interviews with 21 award-winning school psychology advocates. They described what led them into advocacy, obstacles faced, successes experienced, mistakes made, strategies used, resources employed, skills needed, and changes observed. The advocates discussed their definitions of advocacy, how they find balance, their advice for newcomers, and how they empower others...
March 7, 2019: Psychological Services
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