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Psychological Services

John F Edens, Brittany N Penson, Shannon Toney Smith, Jared R Ruchensky
Many individuals in forensic/correctional settings experience significant mental health problems, yet effective screening tools to identify such difficulties are in relatively short supply. This study investigates the clinical utility of the Personality Assessment Screener (PAS; Morey, 1997), a 22-item self-report measure of risk for emotional and behavioral dysfunction, across three archival criminal justice samples (incarcerated sex offenders, prison inmates housed in general population and psychiatric units, and jail detainees)...
July 12, 2018: Psychological Services
Shannon E Cusack, Jennifer A Coleman, Lance M Rappaport, Christina Sheerin
Posttraumatic stress disorder (PTSD) is a primary mental health concern of veterans. In clinical settings, efforts to improve broad facets beyond symptom amelioration and consideration of moderators of treatment effectiveness in this population are needed for continued improvement in care. General self-efficacy (GSE) has been indicated as a useful treatment target because of its association with positive outcomes such as increased positive health behaviors. Both race and educational attainment represent potential moderators of treatment response that are relevant for a veteran PTSD population...
July 2, 2018: Psychological Services
Stephanie A Van Horn, Robert D Morgan, Lori Brusman-Lovins, Andrew K Littlefield, Joe T Hunter, Greg Gigax, Kim Ridley
Interventions that focus on the psychiatric and criminogenic needs of justice-involved persons with mental illness are rare. A Treatment Manual for Justice Involved Persons with Mental Illness: Changing Lives and Changing Outcomes (CLCO) was developed specifically for meeting these co-occurring needs. Although results from an initial evaluation indicated that CLCO successfully resulted in reduced symptomatology and some aspects of criminal risk, much additional work examining the effectiveness of CLCO remains to be done...
June 14, 2018: Psychological Services
Laurie Heatherington, Bryan L Bonner, David Rosenberg, Robert D Patterson, Jane Linsley
We present findings from a study of outcomes of residential treatment for people who have mental illness, primarily schizophrenia-spectrum and bipolar disorders. The study assesses a range of individual variables before and after participation in the program, to examine clinical and personal recovery and facilitate program improvement. To our knowledge, it is the longest ongoing outcomes study (15+ years) of its kind. The program, Gould Farm, provides recovery-focused, milieu treatment on a 700-acre working farm...
June 14, 2018: Psychological Services
Tracey Varker, Rachel M Brand, Janine Ward, Sonia Terhaag, Andrea Phelps
Telepsychology holds promise as a treatment delivery method that may increase access to services as well as reduce barriers to treatment accessibility. The aim of this rapid evidence assessment was to assess the evidence for synchronous telepsychology interventions for 4 common mental health conditions (depression, anxiety, posttraumatic stress disorder, and adjustment disorder). Randomized controlled trials published between 2005 and 2016 that investigated synchronous telepsychology (i.e., telephone delivered, video teleconference delivered, or Internet delivered text based) were identified through literature searches...
May 28, 2018: Psychological Services
Terri L Barrera, Elizabeth McIngvale, Jan A Lindsay, Annette M Walder, Michael R Kauth, Tracey L Smith, Nathaniel Van Kirk, Ellen J Teng, Melinda A Stanley
Little is known about the diagnosis and treatment of obsessive-compulsive disorder (OCD) in the Veterans Health Administration (VHA). This study examined diagnostic rates of OCD in a national sample of veterans as well as clinical comorbidities and mental health service use following an OCD diagnosis. This study used administrative data extracted from VHA medical records to identify patients with an OCD diagnosis between 2010 and 2011 (N = 20,364). Descriptive analyses examined demographic, clinical, and system-level variables associated with OCD diagnosis as well as mental health service use in a subset of patients newly diagnosed with OCD (n = 5,229)...
May 24, 2018: Psychological Services
Michelle J Bovin, Christopher J Miller, Christopher J Koenig, Jessica M Lipschitz, Kara A Zamora, Patricia B Wright, Jeffrey M Pyne, James F Burgess
Military veterans who could benefit from mental health services often do not access them. Research has revealed a range of barriers associated with initiating United States Department of Veterans Affairs (VA) care, including those specific to accessing mental health care (e.g., fear of stigmatization). More work is needed to streamline access to VA mental health-care services for veterans. In the current study, we interviewed 80 veterans from 9 clinics across the United States about initiation of VA mental health care to identify barriers to access...
May 21, 2018: Psychological Services
Adam F Sattler, Jarrod M Leffler, Nicole L Harrison, Ewa D Bieber, Joseph J Kosmach, Leslie A Sim, Stephen P H Whiteside
Accurate assessment is essential to implementing effective mental health treatment; however, little research has explored child clinicians' assessment practices in applied settings. The current study thus examines practitioners' use of evidence-based assessment (EBA) instruments (i.e., self-report measures and structured interviews), specificity of identified diagnoses (i.e., use of specific diagnostic labels vs. nonstandardized labels, not otherwise specified [NOS] diagnoses, and adjustment disorder diagnoses), and documentation of Diagnostic and Statistical Manual of Mental Disorders (4th ed...
May 17, 2018: Psychological Services
Sarah Beehler, Sarah A Marsella, Peggy M Henderson, Sandra G Resnick, Mark Meterko
Veterans Mental Health Councils (VMHCs) have been established at many Veterans Affairs (VA) medical centers to promote recovery and improve mental health services. Though research shows that consumer-led advisory councils may produce a number of positive outcomes, the aspects of implementation critical for VMHC effectiveness have not been identified. The purpose of this study was to identify factors influencing effective functioning of VMHC, including contextual factors affecting council success. A key goal was to understand how participants defined effective council functioning...
May 10, 2018: Psychological Services
Erin L Kelly, Lisa Davis, Sapna Mendon, Holly Kiger, Lezlie Murch, Laura Pancake, Leslie Giambone, John S Brekke
Public mental health services in the community are broad and continue to expand to address the multiple issues faced by those with serious mental illnesses. However, few studies examine and contrast how helpful consumers and providers find the spectrum of services. The present study examines the services at community mental health service clinics (CMHCs) from the perspectives of providers and consumers. There were 351 consumers and 147 providers from 15 CMHCs who rated and ranked the helpfulness of 24 types of common services...
May 3, 2018: Psychological Services
Matthew A Stimmel, Joel Rosenthal, Jessica Blue-Howells, Sean Clark, Alex H S Harris, Anna D Rubinsky, Thomas Bowe, Andrea K Finlay
Veterans involved with the criminal justice system represent a particularly vulnerable population who experience high rates of both posttraumatic stress disorder (PTSD) and substance use disorders (SUD). This study sought to investigate whether having co-occurring SUD is a barrier to PTSD treatment. This is a retrospective observational study of a national sample of justice-involved veterans served by the Veterans Health Administration Veterans Justice Outreach program who had a diagnosis of PTSD (N = 27,857)...
April 30, 2018: Psychological Services
Eric C Meyer, Brian Konecky, Nathan A Kimbrel, Bryann B DeBeer, Brian P Marx, Jeremiah Schumm, Walter E Penk, Suzy Bird Gulliver, Sandra B Morissette
Understanding the links between posttraumatic stress disorder (PTSD) symptoms and functional impairment is essential for assisting veterans in transitioning to civilian life. Moreover, there may be differences between men and women in the relationships between PTSD symptoms and functional impairment. However, no prior studies have examined the links between functional impairment and the revised symptom clusters as defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5; American Psychiatric Association, 2013) or whether the associations between PTSD symptom clusters and functional impairment differ by gender...
May 2018: Psychological Services
Michelle J Bovin, Shimrit K Black, Paola Rodriguez, Carole A Lunney, Sarah E Kleiman, Frank W Weathers, Paula P Schnurr, James Spira, Terence M Keane, Brian P Marx
This study describes the three-phase development and validation of the Inventory of Psychosocial Functioning (IPF), an 80-item, self-report measure of posttraumatic stress disorder (PTSD)-related psychosocial functional impairment. In Phase I, we conducted 12 focus groups with male and female veterans (n = 53) to identify and operationalize the domains of psychosocial impairment associated with PTSD. This information was used to develop the IPF. We subsequently evaluated the psychometric properties of the newly developed inventory in Phases II (n = 276) and III (n = 368) using two independent samples of veterans...
May 2018: Psychological Services
Rebecca Fraynt, David Cooper, Amanda Edwards-Stewart, Tim Hoyt, Logan Micheel, Larry Pruitt, Nancy Skopp, Derek Smolenski
Mobile technologies may be able to provide service members and veterans with the knowledge necessary to transition to civilian life successfully in a cost-effective and accessible manner. Although a number of transition applications (apps) currently exist in the marketplace, to our knowledge, none of them has been evaluated for quality or effectiveness. For this study, 6 experts used the Mobile App Rating Scale (MARS; Stoyanov et al., 2015) to evaluate the quality of 16 transition apps. The majority of these apps focused on providing service members with resource lists, employment assistance, or assistance with disability applications...
May 2018: Psychological Services
Marsha Langer Ellison, Erin D Reilly, Lisa Mueller, Mark R Schultz, Charles E Drebing
A randomized controlled pilot of supported education services was conducted with 33 Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF, OIF, OND, respectively) veterans with posttraumatic stress disorder (PTSD) who had higher education goals. Veteran peers delivered supported education services to an intervention group; for the control group, peers provided "matched attention" of generalized support without supporting educational goals. The intervention was based on a manualized veteran-centric program of supported education using principles of supported employment for individuals living with mental illness and components of civilian models of supported education...
May 2018: Psychological Services
Nancy J Wewiorski, Jay A Gorman, Arielle A J Scoglio, Seiya Fukuda, Erin Reilly, Lisa Mueller, Maureen O'Connor, Walter E Penk, Charles E Drebing
Supporting returning veterans' job-seeking, hiring, and retention issues has become an essential goal for effective community reintegration. Given both the particular strengths and challenges associated with veterans transitioning from military to civilian life, multiple models for supported employment have become integrated into Veterans Affairs health care facilities across the nation. In this article, we review the state of vocational rehabilitation for veterans, with a particular focus on individual placement and support-supported employment (IPS-SE), the current vocational services model that is considered the gold standard of vocational rehabilitation...
May 2018: Psychological Services
Elizabeth E Van Voorhees, H Ryan Wagner, Jean C Beckham, Daniel W Bradford, Lydia C Neal, Walter E Penk, Eric B Elbogen
Violence toward others has been identified as a serious postdeployment adjustment problem in a subset of Iraq- and Afghanistan-era veterans. In the current study, we examined the intricate links between posttraumatic stress disorder (PTSD), commonly cited psychosocial risk and protective factors, and violent behavior using a national randomly selected longitudinal sample of Iraq- and Afghanistan-era United States veterans. A total of 1,090 veterans from the 50 United States and all United States military branches completed 2 waves of self-report survey-data collection 1 year apart (retention rate = 79%)...
May 2018: Psychological Services
Cj Eubanks Fleming, Tatyana Kholodkov, Kirsten H Dillon, Benita Belvet, Eric F Crawford
The present study aimed to identify predictors of treatment retention in a sample of Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) veterans with posttraumatic stress disorder (PTSD) who were referred for PTSD-focused treatment through completion of a Veterans Affairs (VA) specialty clinic introductory information session. A total of 124 returning veterans (89% male, 53% Caucasian, 40% African American, 2% Latino; average age = 37 years) participated in an introductory session intended to facilitate informed decision making about treatment selection for PTSD...
May 2018: Psychological Services
Shoba Sreenivasan, Joel Rosenthal, Daniel E Smee, Keith Wilson, Jim McGuire
We propose a veteran-centric justice model of resilience training developed by the military for assisting service members coming home from war and modify it to assist Iraq/Afghanistan veterans coming home from prison. Incarceration has been identified as a stress aftereffect of the prolonged Iraq and Afghanistan combat deployments. Notably, the rate of Iraq and Afghanistan-era incarcerated veterans increased from 4% to 13% between 2004 and 2012 for all incarcerated veterans. Successful reentry to the community from prison incarceration is difficult, with rearrest and reincarceration a frequent occurrence...
May 2018: Psychological Services
Cristel Antonia Russell, Dale W Russell
Social identity theory suggests that the degree to which people identity with an organizational group can have multiple beneficial outcomes. This research focuses on how membership in and engagement with a Veterans Service Organization (VSO) relate to veterans' social isolation and perceptions that military service was beneficial to society, ultimately leading to improved veterans' health. Data from an online survey of 444 military veterans show that physical attendance and the degree to which veterans identify identification with the VSO play different roles in improving veterans' lives...
May 2018: Psychological Services
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