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Psychological Services

Tarah M Kuhn, Melissa A Cyperski, April M Shaffer, Kathy A Gracey, Megan K Adams, Giovanni M Billings, Jon S Ebert
The Child Protective Services (CPS) Academy was designed to equip members of the child-welfare workforce with knowledge that would assist them with addressing trauma in the lives of children and families. In its design, the CPS Academy applied principles of trauma-informed care, integrating evidence-based research, and a variety of clinical strategies into a comprehensive training program. Over a 2-year period, 277 frontline workers completed training through the CPS Academy. Data were collected as part of a quality-improvement effort to gauge participant satisfaction with the training platform...
December 20, 2018: Psychological Services
Amanda Edwards-Stewart, Cynthia Alexander, Christina M Armstrong, Tim Hoyt, William O'Donohue
Mobile applications (apps) to support behavioral health are increasing in number and are recommended frequently by medical providers in a variety of settings. As with the use of any adjunct tool in therapy, psychologists adopting new technologies in clinical practice must comply with relevant professional ethics codes and legal standards. However, emerging technologies can outpace regulations regarding their use, presenting novel ethical considerations. Therefore, it is incumbent upon providers to extrapolate current ethical standards and laws to new technologies before they recommend them as adjuncts to face-to-face treatment...
December 20, 2018: Psychological Services
Rochelle F Hanson, Benjamin E Saunders, Elizabeth Ralston, Angela D Moreland, Samuel O Peer, Monica M Fitzgerald
A significant number of youth in the United States experience traumatic events that substantially increase the risk of physical and behavioral health problems across the life span. This public health concern warrants concerted efforts to promote trauma-informed, evidence-based practices that facilitate recovery. Although youth-focused trauma-specific treatments exist, determining effective ways to disseminate and implement these services-so that they are available, accessible, and sustainable-poses an ongoing challenge...
December 13, 2018: Psychological Services
Sarah L Miller, Robyn M Hodges, Lindsey L Wilner
Concepts of gender, gender roles, and gender norms have continuously adapted with the increased acceptance of diversity throughout the United States in recent decades. Although guidelines exist regarding competent assessment and treatment of transgender individuals, correctional environments place substantial restrictions and complications on this process. Recent legal cases have increased public awareness of such cases, including challenges to the status quo of which responsibilities fall under the purview of correctional systems...
December 13, 2018: Psychological Services
Elizabeth M McIntyre, Courtney N Baker, Stacy Overstreet
Trauma-informed schools reflect a national movement toward implementing organizational practices and systems-change strategies that support trauma-exposed individuals. Although frameworks for trauma-informed schools delineate key features for navigating implementation processes, methods of installing these features in schools require additional study. Although foundational professional development (FPD) training is often utilized to prepare schools for implementing trauma-informed approaches, few researchers have examined whether such training influences factors known to promote implementation success: staff knowledge of and perceptions of acceptability for these approaches...
November 29, 2018: Psychological Services
Caroline M Kelsey, Morgan J Thompson, Danielle H Dallaire
Pregnant incarcerated women represent a unique population in the criminal justice system that has been largely overlooked in terms of their service-related needs. The present study examines 241 pregnant incarcerated women's service requests and preincarceration service utilization related to material help (e.g., food, housing), mental health (e.g., counseling), family services (e.g., home-visiting nurses), and health care (e.g., insurance). A subsample (n = 74) also provided information about service utilization following their release from jail...
November 29, 2018: Psychological Services
Devi Miron, Michael S Scheeringa
Despite considerable investment in efforts to disseminate evidence-based treatments (EBTs), few data are available on how frequently clinicians achieve competence in delivering the treatments or on whether clinical outcomes actually improve. The Louisiana Child Welfare Trauma Project (LCTP) was a 5-year demonstration project funded by the Children's Bureau. One of the aims of the LCTP was to train community clinicians statewide in an EBT for posttraumatic stress disorder (PTSD). A training model was designed to reach any willing community practitioner, with minimal travel, cost, and time involved for trainees and trainer...
November 29, 2018: Psychological Services
Julia Price, Kimberly Genuario, Debra Romeo, Kelly Pruden, Sean Elwell, Donna Matwiejewicz, Emily Friedlander, Danielle Jaszczyszyn
Children with pediatric injury and their parents are at risk for developing posttraumatic stress disorder (PTSD). Although challenging to implement, standardized screening for risk of developing PTSD can identify families most at risk. The current retrospective, chart review study evaluated the implementation of a clinical program that integrated screening for risk of PTSD into standard care for youth admitted to a Level I pediatric trauma center due to injury. Advanced practice nurses administered the Screening Tool for Early Predictors of PTSD (STEPP), a brief screen that evaluates risk of developing PTSD for injured children (ages 8-17 years) and their parents...
November 26, 2018: Psychological Services
Bethany D Ashby, Amelia C Ehmer, Stephen M Scott
Adolescent mothers experience higher rates of trauma and abuse, as well as increased risks for mental health disorders, compared to adolescent girls who are not mothers, making them a particularly vulnerable population and contributing to them feeling less supported by or allied with their medical provider. Women with a history of childhood abuse face increased rates of obstetric complications; their infants are at increased risk for low birthweight, developmental and intellectual delays, and behavioral problems...
November 26, 2018: Psychological Services
Sufna G John, Tiffany W Brandt, Marie E Secrist, Glenn R Mesman, Benjamin A Sigel, Teresa L Kramer
Complex trauma is defined as repeated or prolonged exposure to traumatic events perpetrated within the caregiving relationship during early childhood. Diagnostic decision making is challenging for this vulnerable population, given the widespread impact of these experiences across domains of developmental, social, emotional, and behavioral functioning. One domain, attachment, receives considerable attention for youth within the child welfare system, leading to frequent diagnosis of attachment disorders (i.e...
November 26, 2018: Psychological Services
Claire Hoysted, Laura Jobson, Eva Alisic
This pilot parallel group superiority randomized controlled trial investigated the efficacy and acceptability of a web-based training program on pediatric medical traumatic stress and trauma-informed care (Australian and New Zealand Clinical Trials Registry number: ACTRN12617001148369). Eligibility criteria for this study included being a nurse or physician working in an ED in Australia or New Zealand, being fluent in English and having Internet access. Emergency department (ED) staff (N = 71) were randomly assigned into the training (n = 32) or control group n = 39)...
November 26, 2018: Psychological Services
Kyle Hill, Kathryn Van Eck, Novalene Goklish, Francene Larzelere-Hinton, Mary Cwik
Previous literature is severely limited in evaluation of psychometric properties of suicide screening methods in American Indian (AI) populations, despite the disproportionate burden of suicide faced within AI communities. The purpose of the current study was to examine the psychometric properties of the Suicidal Ideation Questionnaire-Junior (SIQ-JR) for AI youth using 2 community samples of AI adolescents from a Southwestern tribe. The present study sample was comprised of 114 participants (n = 91 and n = 23), ages 10-19 years of age, from 2 studies, both of which were administered the SIQ-JR within 90 days of an index suicide attempt...
November 26, 2018: Psychological Services
Natalie E Hundt, Anthony H Ecker, Karin Thompson, Ashley Helm, Tracey L Smith, Melinda A Stanley, Jeffrey A Cully
Trauma-focused psychotherapies, such as prolonged exposure and cognitive processing therapy, are the most effective forms of treatment for posttraumatic stress disorder. These treatments are commonly delivered in the Veterans Health Administration; however, dropout means that some veterans fail to benefit. Ending treatment prematurely is a common problem across psychotherapies, with on average, 20% to 25% of patients dropping out. The purpose of this study was to examine veterans' self-reported reasons for dropping out of prolonged exposure or cognitive processing therapy...
November 26, 2018: Psychological Services
Laura D Wiedeman, Susan M Hannan, Kelly P Maieritsch, Cendrine Robinson, Gregory Bartoszek
Although common practice in Veterans Affairs (VA) PTSD clinics, it is unclear whether preparatory treatment improves trauma-focused treatment (TFT) completion and outcomes. Furthermore, little is known about whether treatment-seeking veterans in naturalistic settings would chose to prioritize preparatory treatment if given the option of a phase-based approach or direct access to TFT, and how substance-related problems (SRPs) influence this treatment choice. The first aim of this study was to explore how co-occurring SRPs (ranging from none to moderate/severe) influence PTSD treatment choices in a naturalistic setting where veterans were offered a choice between a phase-based approach (i...
November 26, 2018: Psychological Services
Katrina M Moss, Jenny Ziviani, Peter Newcombe, Vanessa E Cobham, Helen McCutcheon, Gillian Montague, Justin Kenardy
Trauma-informed care or psychosocial care can prevent or reduce the long-term impacts of hospitalization on children and their families, but few hospital staff members receive formal training in the optimal delivery of this care. This study aimed to (a) identify predictors of staff knowledge, confidence, use, and barriers regarding psychosocial care, and investigate whether these differed by profession; (b) identify pathways to increasing the use of psychosocial care; and (c) understand the association between psychosocial care and staff stress and burnout...
November 15, 2018: Psychological Services
Katherine Stenman, Jennifer Christofferson, Melissa A Alderfer, Jessica Pierce, Carrie Kelly, Elizabeth Schifano, Samantha Klaff, Jennifer Sciolla, Janet Deatrick, Anne E Kazak
Children and their family members may experience potentially traumatic events during medical treatment that can result in pediatric medical traumatic stress reactions. Play is a normative part of childhood that may facilitate engagement in medical care and may be incorporated in trauma-informed care. This qualitative study used semistructured interviews to examine the role of play and its potential use in trauma-informed care. The perspectives of 30 multidisciplinary pediatric healthcare providers representing 5 divisions (Cardiology, Endocrinology, Oncology, Orthopedics, Pulmonology) in 2 children's hospitals were gathered...
November 15, 2018: Psychological Services
Jennifer Dahne, Anahi Collado, C W Lejuez, Cristina Risco, Vanessa A Diaz, Jacob Kustanowitz, Michael Zvolensky, Matthew J Carpenter
Treatment for depression is a core health disparity for Latino/as in the United States. U.S. Latino/as are most likely to report depressive symptoms to primary care physicians, who often have limited resources for providing evidence-based psychological depression treatment. This limited treatment accessibility is further compounded by additional treatment barriers, including stigma related to seeking mental health treatment and limited English proficiency. Mobile technologies, including smartphones and mobile applications (apps) delivered via smartphone, are promising for addressing this treatment need...
November 15, 2018: Psychological Services
Lisa H Jaycox, Lynsay Ayer, Pamela Vona, Chris Hehman, Bradley D Stein, Ammarah Mahmud, Melissa Woolley, Erika Meza, Elizabeth Thornton, Brinda Venkatesh
Implementation issues often interfere with delivery of evidence-based interventions for students exposed to trauma. To improve uptake of evidence-based techniques for such students, a partnership of interventionist scientists, research and development experts, and students created a self-paced, confidential, online curriculum. This article describes the program and results of an open trial in 5 schools that serve primarily ethnic minority youth in urban settings. Fifty-one middle and high school students completed surveys before and after the program, as well as within the program, to assess emotional and behavioral symptoms (depressive, anxiety, posttraumatic stress disorder [PTSD] symptoms and behavior) and purported mechanisms of action (coping, cognitions, emotional self-efficacy)...
November 15, 2018: Psychological Services
George Jay Unick, Ellen L Bassuk, Molly K Richard, Kristen Paquette
In response to the growing awareness of the high rates of potentially traumatic experiences and their potential adverse impacts, health and human service providers have increasingly focused on implementing trauma-informed care (TIC). However, studies focusing on effective implementation have been limited. In this study, we explored the relationship of individual and agency characteristics to the level of organizational TIC. With data collected from a sample of 345 providers from 67 agencies, we used the TICOMETER, a brief measure of organizational TIC with strong psychometric properties, to determine these associations...
November 15, 2018: Psychological Services
Christine E Gould, Brian C Kok, Vanessa K Ma, Aimee Marie L Zapata, Jason E Owen, Eric Kuhn
In the present systematic review, we summarize the feasibility, usability, efficacy, and effectiveness of mental health-related apps created by the Veterans Affairs (VA) or the Department of Defense (DoD). Twenty-two articles were identified, reporting on 8 of the 20 VA/DoD mental health self-management and treatment companion apps. Review inclusion criteria were studies that reported original data on the usability, acceptability, feasibility, efficacy, and effectiveness, or attitudes toward the app. We collected data from each article regarding type of study, sample size, participant population, follow-up period, measures/assessments, and summary of findings...
November 15, 2018: Psychological Services
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