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Psychological Services

Shirley M Glynn, Linda M Richardson
The new Chief Executive Officer of the American Psychological Association (APA) Arthur C. Evans, Jr., Ph.D., has a long-standing career in public service and an ongoing commitment to public service psychology. Leadership of APA Division 18 (Psychologists in Public Service) recently interviewed Dr. Evans about his position at APA and his vision for public service psychology and its role in the U.S. health care system. Issues for discussion were selected by the Division's sections on community and state hospitals; criminal justice; police and public safety; psychologists in Indian country; serious mental illness/severe emotional disturbance; students; and veterans affairs...
September 17, 2018: Psychological Services
Mark A Staal, Michael R DeVries
With increasing requirements for expeditionary support to military units, models of integrated and embedded psychology have emerged. Operational psychology represents one such model. Military operational psychologists receive specialized training, are embedded in operational units, and are employed to provide operational mission support to organizations and their personnel as opposed to providing individual health care per se. The following article describes the employment of military operational psychology and discusses its unique organizational and ethical challenges...
September 13, 2018: Psychological Services
Yunkyoung Loh Garrison, Ethan Sahker, Chi W Yeung, Soeun Park, Stephan Arndt
Mental health professionals and administrators work to improve substance use treatment for racially and ethnically diverse populations. However, a national comparison study of Asian Americans and Pacific Islanders (AAPIs) and non-AAPIs substance use outpatient treatment completion has received little attention. The present study examined treatment completion by comparing AAPI clients to White and Latinx clients, and identified demographic and treatment-related moderating factors associated with treatment completion using discharge data from the Treatment Episode Data Sets-Discharge (TEDS-D)...
August 27, 2018: Psychological Services
Emily B H Treichler, Andrea Avila, Eric A Evans, William D Spaulding
Increasing consumer empowerment and agency in treatment decision-making is a priority for improving recovery among people with serious mental illness (SMI), as it is associated with a number of positive outcomes, including improved treatment engagement and satisfaction. Although there are many tools to promote initiation of shared decision-making by providers, there are few tools empowering consumers to independently initiate collaborative decision-making (CDM). Therefore, this study tests the feasibility of a novel skills training intervention for outpatients with SMI, collaborative decision skills training (CDST)...
August 13, 2018: Psychological Services
Elizabeth M Goetter, Madelyn R Frumkin, Sophie A Palitz, Michaela B Swee, Amanda W Baker, Eric Bui, Naomi M Simon
Individuals with social anxiety disorder (SAD) or generalized anxiety disorder (GAD) are at risk for not utilizing mental health treatment. The purpose of this research was to examine barriers to treatment in a sample of adults with clinically significant SAD or GAD. Participants were 226 nontreatment-seeking adults with SAD or GAD who underwent semistructured diagnostic interview and received a clinician assessment of symptom severity as part of a clinical research study. Participants completed a self-report measure of barriers to treatment...
August 2, 2018: Psychological Services
Thomas W Britt, Kathleen M Wright, Maurice L Sipos, Dennis McGurk
Studies indicate that changes in postdeployment behavioral health care delivery are necessary to improve symptom-reporting and treatment-seeking. The present study compared two behavioral health strategies implemented during the Post-Deployment Health Assessment (PDHA) with soldiers within the first months of returning from a combat deployment. A quasi-experimental, longitudinal study compared soldiers ( N = 1,612) interviewed by a behavioral health (BH) provider and soldiers ( N = 1,326) interviewed by a primary care provider using the standard PDHA procedure...
August 2, 2018: Psychological Services
Nicole A Roberts, Mary H Burleson, Lori B Burmeister, Mary Lu Bushnell, Dana R Epstein, Michael Todd, Christina M Walter, Katrina Powell, Nicole Hoffmann, Christopher M Reynolds, Kathleen Goren
This study investigated the feasibility and preliminary effectiveness of a pilot program designed to address subjective memory complaints among Veterans. The program, Brain Boosters, consisted of 10 once-weekly group sessions, during which psychoeducation and cognitive enhancement strategies were used to target memory concerns and related processes, specifically attentional difficulties. Given that memory complaints often are associated with psychiatric comorbidities, sessions also incorporated strategies for reducing symptoms of depression, posttraumatic stress, and insomnia...
August 2, 2018: Psychological Services
Leigh E Ridings, Angela D Moreland, Karen H Petty
Military families experience unique stressful circumstances such as frequent moves, service-related physical and mental health difficulties, and separation from support. Although many families exhibit high resilience in response to these stressors, military children are at an increased risk for emotional and behavioral difficulties, exposure to intimate partner violence, and child maltreatment. These potential problems not only affect child functioning, but often also negatively impact family and veteran outcomes...
July 30, 2018: Psychological Services
Natalie E Hundt, Tracey L Smith, John C Fortney, Jeffrey A Cully, Melinda A Stanley
Many veterans do not engage in needed mental health care. To address this problem, we need to understand these patients' experiences from the very start of their care, which includes the assessment and diagnosis process and the communication of that diagnosis to the patient. The patient's reaction to this process can set the tone for the patient's relationship with the mental health system and his or her therapist, yet therapists often receive little training in how to most effectively provide a diagnosis to patients...
July 30, 2018: Psychological Services
Jeffrey M Pyne, P Adam Kelly, Ellen P Fischer, Christopher J Miller, Patricia Wright, Kara Zamora, Christopher J Koenig, Regina Stanley, Karen Seal, James F Burgess, John C Fortney
According to recent Congressional testimony by the Secretary for Veterans Affairs (VA), improving the timeliness of services is one of five current priorities for VA. A comprehensive access measure, grounded in veterans' experience, is essential to support VA's efforts to improve access. In this article, the authors describe the process they used to develop the Perceived Access Inventory (PAI), a veteran-centered measure of perceived access to mental health services. They used a multiphase, mixed-methods approach to develop the PAI...
July 19, 2018: Psychological Services
Amanda Berg
U.S. Navy Psychologists have distinctive jobs in service to our Armed Forces that occasionally take them out of traditional clinic settings and into operational environments. This article highlights the unique role of psychologists serving on aircraft carriers, living and working among the population that they serve onboard massive warships to bring mental health services to deploying warfighters. Despite unconventional work surroundings, clinical conundrums, and a sometimes isolating occupational role, the adventures and professional rewards are boundless in service of those who sacrifice for our nation...
July 19, 2018: Psychological Services
Stephen P H Whiteside, Jarrod M Leffler, Melissa K Hord, Leslie A Sim, Michele M Schmidt, Jennifer R Geske
Few children with mental health problems receive evidence-based psychotherapy, partly because of unsuccessful dissemination of evidence-based treatments (EBTs). Previous research suggests that the length and structure of EBT protocols for anxiety disorders may impede their adoption in community practice. To examine the potential discrepancy between EBT protocols and clinical practice across disorders, we examined patient diagnoses and average length of treatment for childhood psychiatric disorders in a regional medical center where child and adolescent patients from the community have access to mental health care...
July 16, 2018: 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
Christopher R DeCou, Shannon M Lynch
Lesbian, gay, bisexual, and queer (LGBQ) and female youth report disproportionately high rates of attempted suicide. Previous studies have not addressed the association between sexual orientation, gender, and attempted suicide among adolescent psychiatric inpatients. This study examined LGBQ orientation as a correlate of attempted suicide above and beyond other risk factors (e.g., age, rurality, trauma exposure, psychopathology), and also examined the interaction between gender and sexual orientation with regard to attempted suicide...
August 2018: Psychological Services
Minden B Sexton, Margaret T Davis, RaeAnn E Anderson, Diana C Bennett, Erin Sparapani, Katherine E Porter
There is limited study of suicidal behaviors among veterans identifying as sexual and gender minorities (SGMs), despite previous research indicating rates of suicide attempts are high within civilian SGM populations. Further, some research incorporating military service members suggests those identifying as SGMs are disproportionately exposed to military sexual trauma (MST), an additional risk factor for negative psychiatric sequelae. To address health care research disparities among minority veterans (i.e...
August 2018: Psychological Services
Johanna B Folk, Jennifer M Loya, Emily A Alexoudis, June P Tangney, John S Wilson, Sharen E Barboza
Suicidal behavior occurs at much higher rates in correctional facilities than in the community, yet little is known about factors that distinguish inmates at risk for attempting versus dying by suicide. Individuals in the current study included 925 inmates housed in 2 large U.S. jails and 8 state correctional systems who attempted (79.5%) or died by (20.5%) suicide for whom archival data were available. Mental health professionals completed a tracking sheet after suicide-related incidents, documenting inmate psychological, diagnostic, and treatment related risk factors...
August 2018: Psychological Services
Sean M Mitchell, Sarah L Brown, Angelea D BolaƱos, Benjamin Rose, Darci Delgado, Robert D Morgan, Susan Velasquez, Kelly C Cukrowicz
Individuals forensically committed to a state hospital are at an increased risk of suicide; however, there is extremely limited research examining suicide risk estimates and risk factors among inpatients deemed not guilty by reason of insanity (NGRI). This study aimed to determine (a) rates of suicidal ideation history, suicide attempt history, and current distress due to suicidal ideation, and (b) the associations between psychiatric symptom severity, criminal risk factors, and suicide risk. NGRI inpatients (n = 207) from 2 state hospitals were administered assessments of psychiatric symptom severity and criminal risk factors (i...
August 2018: Psychological Services
Deborah Goebert, Antonia Alvarez, Naleen N Andrade, JoAnne Balberde-Kamalii, Barry S Carlton, Shaylin Chock, Jane J Chung-Do, M Diane Eckert, Kealoha Hooper, Kaohuonapua Kaninau-Santos, Gina Kaulukukui, Caitlin Kelly, Mara J Pike, Davis Rehuher, Jeanelle Sugimoto-Matsuda
Suicide rates have reached their highest documented levels in the United States with the greatest increases among indigenous youth, including Native Hawaiians. Culturally informed, effective prevention and treatment services are needed now more than ever for Native communities to heal and flourish. Multicomponent prevention and service strategies rooted in indigenous values and approaches show the most promise. Native Hawaiian communities are united around a common goal of suicide prevention, intervention and postvention, linking cultural meanings to improve understanding and guide local efforts...
August 2018: Psychological Services
Allyson Kelley, Desiree Restad, Jace Killsback
Suicide is the leading cause of injury-related death in the United States, and between 1999 and 2009 the greatest increases in suicide were among American Indians and Alaska Natives. The present study highlights the efforts of 1 American Indian community to prevent suicide using the public health approach as a framework. A survey was developed and administered by the community between March 2014 and July 2014 at various community events. The sample included 100 participants with a mean age of 15.62 years. Questions related to stress, suicide ideation, anxiety, self-esteem, and antisocial behaviors...
August 2018: Psychological Services
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