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https://www.readbyqxmd.com/read/29781656/veterans-experiences-initiating-va-based-mental-health-care
#1
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
https://www.readbyqxmd.com/read/29777967/rates-and-correlates-of-disordered-eating-among-women-veterans-in-primary-care
#2
Laura J Buchholz, Paul R King, Laura O Wray
Rates of disordered eating may be higher among women veterans than civilians, and are associated with co-occurring mental health (MH) conditions, such as depression, post-traumatic stress disorder (PTSD), and alcohol misuse. Although evidence suggests that these conditions are common in primary care settings, limited research has examined symptoms of disordered eating among women veterans in primary care. This study used a cross-sectional design to examine rates and MH correlates of disordered eating among women veterans treated in a primary care setting...
May 16, 2018: Eating Behaviors
https://www.readbyqxmd.com/read/29769367/similarities-between-military-and-medical-service-stigma-of-seeking-mental-health-assistance
#3
EDITORIAL
Fergus Gardiner, E C Gardiner
Studies have identified that there are many barriers to treatment of mental health illnesses in military populations, including the negative-associated stigma. One such barrier includes perceptions of weakness, leading to concerns about leadership and competency and being seen as malingering. Furthermore, similarities can be seen in civilian health professionals, where concerns of negative perceptions can limit reporting and treatment of mental health illnesses. Despite the frequency of stressful events, military and health professionals do not become immune to stress and are often ill prepared to cope with acute stressors that can often build on each other until emotional exhaustion and/or crisis point...
May 16, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29768430/a-qualitative-study-of-implementation-and-adaptations-to-progressive-tinnitus-management-ptm-delivery
#4
Anaïs Tuepker, Christine Elnitsky, Summer Newell, Tara Zaugg, James A Henry
BACKGROUND: Tinnitus is a common condition, especially prevalent among military Veterans. Progressive Tinnitus Management (PTM) is an interdisciplinary, structured, stepped-care approach to providing clinical services, including teaching coping skills, to people bothered by tinnitus. PTM has been shown to be effective at reducing functional distress, but implementation of the intervention outside of a research setting has not been studied, even though dissemination is underway within the Veterans Health Administration (VHA) system in the United States...
2018: PloS One
https://www.readbyqxmd.com/read/29758576/-mental-health-stigma-an-influencing-factor-in-healthcare-utilization-by-veterans-of-the-german-armed-forces
#5
Katrin Schuy, Loni M Brants, Simone Dors, Andreas Ströhle, Peter Lutz Zimmermann, Gerd Dieter Willmund, Heinrich Rau, Stefan Siegel
THEORETICAL BACKGROUND AND OBJECTIVE OF THE STUDY:  Mental illness stigma is a barrier to healthcare utilization. This study is the first to research the connection between mental illness stigma and the use of healthcare by veterans of the German Armed Forces. An overview of perceived stigma components in this sample is provided that should help understand how these factors influence healthcare utilization. METHODS:  43 interviews with veterans of the German Armed Forces were conducted...
May 14, 2018: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29746695/finding-the-forgotten-motivating-military-veterans-to-register-with-a-primary-healthcare-practice
#6
Alan Finnegan, Robin Jackson, Robin Simpson
Introduction: In the UK, primary healthcare practices choose from a series of Read codes to detail certain characteristics onto a patient's medical documentation. One of these codes is for military veterans indicating a history relating to military service. However, veterans are poor at seeking help, with research indicating that this code is only applied in 7.9% of cases. Clinical staff have a clear role in motivating veterans to declare their ex-Forces status or register with a primary healthcare center...
May 9, 2018: Military Medicine
https://www.readbyqxmd.com/read/29745445/prevalence-of-psychiatric-morbidity-in-united-states-military-spouses-the-millennium-cohort-family-study
#7
Maria M Steenkamp, Nida H Corry, Meng Qian, Meng Li, Hope Seib McMaster, John A Fairbank, Valerie A Stander, Laura Hollahan, Charles R Marmar
BACKGROUND: Approximately half of US service members are married, equating to 1.1 million military spouses, yet the prevalence of psychiatric morbidity among military spouses remains understudied. We assessed the prevalence and correlates of eight mental health conditions in spouses of service members with 2-5 years of service. METHOD: We employed baseline data from the Millennium Cohort Family Study, a 21-year longitudinal survey following 9,872 military-affiliated married couples representing all US service branches and active duty, Reserve, and National Guard components...
May 10, 2018: Depression and Anxiety
https://www.readbyqxmd.com/read/29741748/violence-management-in-a-nigerian-psychiatric-facility-psychiatric-mental-health-nurses-current-practices-and-their-effectiveness
#8
Oyeyemi Olajumoke Oyelade, Emmanuel Olufemi Ayandiran
Patient violence in mental health care settings is daunting and stressful, as well as increasingly burdensome for professionals in low/middle income countries, specifically Africa. Patient violence has contributed to increased work hazards for health care professionals and may lead to patients being sedated or restrained, potentially resulting in injury to either the patient or provider. The current study assessed Nigerian psychiatric-mental health nurses' current practices of violence management in a hospital in Southwest Nigeria...
May 8, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29733401/innovations-in-primary-care-behavioral-health-a-pilot-study-across-the-u-s-air-force
#9
Ryan R Landoll, Matthew K Nielsen, Kathryn K Waggoner, Elizabeth Najera
Integrated primary care services have grown in popularity in recent years and demonstrated significant benefits to the patient experience, patient health, and health care operations. However, broader systems-level factors for health care organizations, such as utilization, access, and cost, have been understudied. The current study reviews the results of quality improvement project conducted by the U.S. Air Force, which has practiced integrated primary care behavioral health for over 20 years. This study focuses on exploring how shifting the access point for behavioral from specialty mental health clinics to primary care, along with the use of technicians in patient care, can improve a range of health outcomes...
May 4, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29733396/trends-in-mental-health-outcomes-and-combat-exposure-among-us-marines-returning-from-iraq-afghanistan-or-other-deployments-2004-13
#10
Jessica Kelley Morgan, Alison Levin-Rector, Richard A Van Dorn, James Trudeau, Laurel L Hourani, Joel K Cartwright, Pamela K Lattimore
Background: As of 2015, more than 2.7 million US military Veterans have served in support of the Global War on Terror. The negative sequelae associated with deployment stressors and related traumas are well-documented. Although data on mental health issues are routinely collected from service members returning from deployment, these data have not been made publicly available, leaving researchers and clinicians to rely on convenience samples, outdated studies and small sample sizes. Methods: Population-based data of US Marines returning from deployment between 2004 and 2013 were analyzed, using the Post-Deployment Health Assessment...
May 4, 2018: Journal of Public Health
https://www.readbyqxmd.com/read/29723016/family-focused-interventions-and-resources-for-veterans-and-their-families
#11
Michelle D Sherman, Jessica L Larsen
Accelerated by the decreasing military presence in Iraq and Afghanistan, many military members are currently transitioning out of active duty into civilian life. Many of these new veterans have recently experienced combat deployment(s), and some are struggling with the aftermath of combat exposure, separation from family, and reintegration stressors. These challenges often follow these military families as they enter the civilian world, a time with its own major life changes vocationally, socially, and interpersonally...
May 2018: Psychological Services
https://www.readbyqxmd.com/read/29723015/using-peer-support-groups-to-enhance-community-integration-of-veterans-in-transition
#12
Charles E Drebing, Erin Reilly, Kevin T Henze, Megan Kelly, Anthony Russo, John Smolinsky, Jay Gorman, Walter E Penk
Peer support groups, also known as "self-help groups," provide a unique tool for helping veterans working through the military-to-civilian transition to achieve higher levels of social support and community integration. The number and variety of community-based peer support groups has grown to the point that there are now more visits to these groups each year than to mental health professionals. The focus of these groups on the provision of social support, the number and variety of groups, the lack of cost, and their availability in the community make them a natural transition tool for building community-based social support...
May 2018: Psychological Services
https://www.readbyqxmd.com/read/29718969/is-prevention-better-than-cure-a-systematic-review-of-the-effectiveness-of-well-being-interventions-for-military-personnel-adjusting-to-civilian-life
#13
Andreas Bauer, Dorothy Newbury-Birch, Shannon Robalino, Jennifer Ferguson, Sarah Wigham
Exposure to stressful and potentially traumatic experiences is a risk for military personnel and for some this may increase susceptibility to reduced well-being. The aim of this systematic review was to examine the effectiveness of interventions to promote the well-being of military personnel adjusting to civilian life. Electronic databases were searched including MEDLINE, Embase, HMIC, PsycINFO, Pilots and CINAHL. Twelve articles, all conducted in the USA, were included in the review. Articles were synthesised narratively and assessed for bias against established criteria...
2018: PloS One
https://www.readbyqxmd.com/read/29715608/workplace-victimization-risk-and-protective-factors-for-suicidal-behavior-among-active-duty-military-personnel
#14
Laurel L Hourani, Jason Williams, Pamela K Lattimore, Jessica K Morgan, Susan G Hopkinson, Linda Jenkins, Joel Cartwright
BACKGROUND: Workplace victimization is a potential risk factor for suicidal behaviors (SB) among military personnel that has been largely overlooked. This paper examines both the impact of workplace victimization on reported SB and several potential protective factors associated with such suicidal behaviors in a large sample of active duty soldiers. METHODS: A case-control study was conducted with 71 soldiers who reported SB in the past 12 months, each matched on sociodemographic characteristics to two others without reported suicidal behaviors...
April 22, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29708447/prevalence-and-predictors-of-tobacco-smoking-in-veterans-and-service-members-following-traumatic-brain-injury-rehabilitation-a-va-tbims-study
#15
Marc A Silva, Heather G Belanger, Kristen Dams-O'Connor, Xinyu Tang, Tamara McKenzie-Hartman, Risa Nakase-Richardson
OBJECTIVE: To identify prevalence and predictors of tobacco smoking among veterans and military service members (V/SM) with traumatic brain injury (TBI) admitted for rehabilitation. METHODS: Participants were drawn from the VA TBI Model Systems multicentre longitudinal research study. Tobacco smoking was assessed both preinjury and at 1- or 2-year post-TBI follow-up for 336 participants. RESULTS: Smoking prevalence was 32% preinjury and 28% at follow-up...
April 30, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29708371/the-lackland-behavioral-questionnaire-the-use-of-biographical-data-and-statistical-prediction-rules-for-public-safety-screening
#16
Howard N Garb, James M Wood, Monty Baker
Screening for public safety positions (e.g., police officers, fire fighters, military service members) is a difficult and challenging task. Notably, the military has been widely criticized because of the general lack of an empirically based system or program for mental health screening. The purpose of the present study is to describe the use of statistical prediction rules for this task. Prediction rules were derived and validated using U.S. Air Force (USAF) recruits in basic military training (N = 50,322)...
April 30, 2018: Psychological Assessment
https://www.readbyqxmd.com/read/29707168/leadership-and-post-traumatic-stress-disorder-are-soldiers-perceptions-of-organizational-justice-during-deployment-protective
#17
Andreas F Elrond, Annie Høgh, Søren B Andersen
Background : Soldiers' perception of leadership during military deployment has gained research attention as a potentially modifiable factor to buffer against the development of postdeployment post-traumatic stress disorder (PTSD). Within nonmilitary research, the organizational justice (OJ) framework, i.e. distributive justice, procedural justice (PJ) and interactional justice (IJ), has been found to relate to mental health outcomes. Aspects of OJ may, therefore, be protective against PTSD. Objectives : We examined the prospective relationship between aspects of OJ, namely the perceptions of PJ and IJ by subordinate soldiers without leadership obligations in relationship to immediate superiors and PTSD...
2018: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29704183/collaborative-care-for-depression-and-posttraumatic-stress-disorder-evaluation-of-collaborative-care-fidelity-on-symptom-trajectories-and-outcomes
#18
Bradley E Belsher, Daniel P Evatt, Xian Liu, Michael C Freed, Charles C Engel, Erin H Beech, Lisa H Jaycox
BACKGROUND: Despite the growing consensus that collaborative care is effective, limited research has focused on the importance of collaborative care fidelity as it relates to mental health clinical outcomes. OBJECTIVE: To assess the relationship of collaborative care fidelity on symptom trajectories and clinical outcomes among military service members enrolled in a multi-site randomized controlled trial for the treatment of depression and posttraumatic stress disorder (PTSD)...
April 27, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29700551/factors-influencing-the-adoption-of-telemedicine-for-treatment-of-military-veterans-with-post-traumatic-stress-disorder
#19
Clemens Scott Kruse, James M Atkins, Tiffany D Baker, Estefania N Gonzales, Jennifer L Paul, Matthew Brooks
BACKGROUND: Military veterans returning from a combat zone often face mental health challenges as a result of traumatic experiences. The veteran in the United States has been underdiagnosed and underserved. Since its advancement in the 1990s, telemedicine has become a more prevalent means of delivering services for post-traumatic stress disorder among veterans in the United States, but its adoption is not ubiquitous. OBJECTIVE: To clarify the association of telemedicine and the treatment of veterans with post-traumatic stress disorder through identification of facilitators and barriers to the adoption of the modality...
April 26, 2018: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29698459/the-psychometric-properties-of-the-10-item-kessler-psychological-distress-scale-k10-in-canadian-military-personnel
#20
Hugues Sampasa-Kanyinga, Mark A Zamorski, Ian Colman
The psychometric properties of the ten-item Kessler Psychological Distress scale (K10) have been extensively explored in civilian populations. However, documentation of its psychometric properties in military populations is limited, and there is no universally accepted cut-off score on the K10 to distinguish clinical vs. sub-clinical levels of distress. The objective of this study was to examine the psychometric properties of the K10 in Canadian Armed Forces personnel. Data on 6700 Regular Forces personnel were obtained from the 2013 Canadian Forces Mental Health Survey...
2018: PloS One
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