Psychological Services最新文献

The purpose of this investigation is to provide descriptive information on veteran response styles for compensation and pension (C&P) evaluations Veterans Affairs (VA) referral types using the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF), which has well-supported embedded validity scales capturing invalid response styles. The total sample included 356 veterans from a single VA psychological testing clinic who were administered the MMPI-2-RF during a broader psychological evaluation, with 201 veterans undergoing C&P evaluations. This study examines frequencies of protocol invalidity based on the MMPI-2-RF's validity scales and provides comprehensive descriptive findings on validity scale scores across appointment types (i.e., C&P and non-C&P). Three distinct trends emerged: (1) Veterans generally produced valid MMPI-2-RF profiles, (2) when more than one elevation emerges, it is likely to be thematically consistent (e.g., overreporting scales), and (3) overreporting generally captured the highest frequency of validity scale elevations relative to underreporting or noncontent-based invalid responding. Implications and limitations for practice and the utility of the MMPI-2-RF within VA testing clinics are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Suicide comprises nearly one third of jail deaths, but strategies for effectively supporting implementation of suicide prevention education in jails are understudied. Here, we aimed to identify and pilot strategies to promote uptake of a brief suicide prevention education program, Talk Saves Lives: Corrections (TSL-C), developed by the American Foundation for Suicide Prevention, in jails. Applying community-engaged dissemination and implementation principles, we conducted a statewide survey of jail leadership in a mid-Southern state (N = 65 jails) to (a) understand the preimplementation landscape of suicide prevention education efforts and (b) assess the perceived feasibility and helpfulness of possible strategies to promote TSL-C uptake. With continuous input from our community advisory board, we then partnered with two jails to select and tailor implementation strategies via a rigorous Evidence-Based Quality Improvement process and pilot TSL-C. Statewide survey results revealed insufficient rates of foundational (50.8%) and refresher (27.7%) suicide prevention training; however, receptivity to proposed implementation strategies was very high. Through the Evidence-Based Quality Improvement process, partnering sites selected both overlapping (i.e., identifying local champions, tailoring materials, and providing train-the-trainer training) and divergent strategies. A primary difference between the sites was their implementation teams' structure. Both sites successfully piloted the TSL-C program facility-wide by the end of the study period, though one site significantly revised their implementation plan due to staffing shortages and financial barriers. Together, our results indicate that although carceral settings face barriers to implementing and sustaining health-focused interventions, community-developed implementation strategies can help support uptake in these underresourced but high-need contexts. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Depression can be effectively treated with internet-based computerized cognitive behavioral therapy (cCBT). The Veterans Health Administration (VHA) provided cCBT free to all veterans nationally as of 2013; however, its uptake has been limited. This study aimed to examine VHA primary care clinicians' and patients' perspectives regarding cCBT treatment for depression. We conducted semistructured interviews with 12 primary care clinicians (September-November 2020) and four focus groups involving 15 patients with depression (March-May 2021). Interview guides were developed using the Consolidated Framework for Implementation Research; questions addressed depression treatment barriers and facilitators, cCBT awareness and acceptability, target patient population for cCBT, and integration into depression management pathways. Data were analyzed for overarching themes using matrix analysis techniques. Few primary care clinicians and patients were aware of cCBT and its availability for veterans. Clinicians stressed the importance of identifying appropriate patients for cCBT use, specifically veterans with mild-to-moderate severity depression. Clinicians believed cCBT could potentially engage patients in depression treatment who may not otherwise engage and envisioned cCBT use to be guided by integrated VHA mental health personnel. Patients spoke of multiple treatment barriers (e.g., long wait times) and, correspondingly, viewed cCBT as facilitating access to mental health treatment. While patients raised some technical questions, they expressed interest in cCBT. Though relatively unknown to participants, cCBT was widely perceived to be acceptable and with the potential to increase access to depression treatment within VHA primary care settings. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Although jails are the largest provider of mental health care nationally, access to treatment in U.S. jails is limited. Limited empirical information on factors impacting the implementation of mental health services in jail may be contributing to low treatment rates. We documented potential barriers impacting the provision of a brief cognitive-behavioral group-based intervention for people with serious mental illness in jail, including the rates of participants' recruitment, as well as starting and completing the intervention; time required for each group from recruitment to completion; and the types and frequencies of obstacles encountered during treatment sessions. We organized the barriers according to the Consolidated Framework for Implementation Research. All potential treatment recipients' questions prior to treatment, and reasons provided for not starting the treatment, were also logged and analyzed using content analysis and frequency counts; tables of the themes, frequencies, and examples of participant concerns are presented. These results suggest that although many participants were interested in and incarcerated for sufficient time to complete the intervention, relatively few participants were able to begin the groups (44%). Over 150 obstacles to treatment were encountered during treatment provision (including recurring issues with client transportation within the facility and facility lockdown). Understanding participants' progression through the study (recruitment, start, completion), their questions and reasons for not participating, and interruptions to the sessions provide important information for increasing the usability of mental health care in jails. The current findings can improve the implementation of needed evidence-based treatment in this carceral setting. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Coordinated specialty care (CSC) is the dominant model for early psychosis care in the United States, representing a proactive recovery-oriented approach to serious mental illness in its early stages. CSC involves broad multidisciplinary support for participants, including from psychologists in some CSC teams, encompassing educational and vocational support, medication management, psychotherapy, case management, peer support, and family interventions. CSC programs have proliferated in the last 20 years, leading to a quality-access dialectic, where increasing access to treatment simultaneously prompts concerns about care quality, particularly in the context of staffing shortages and funding limits. Evidence-based psychosocial treatment, including psychotherapy, is an integral part of CSC, yet workforce training deficits, workforce turnover, and CSC financing pose threats to intervention fidelity and thus CSC participants' ability to access high-quality care. We propose an enhanced role for psychologists as a way of resolving the quality-access dialectic in the area of psychosocial treatment, specifically evidence-based therapy. We describe the potential of psychologists' skills in clinical supervision, formulation, evidence-based interventions and measurement-based care, drawing on practice examples. After considering possible limitations, we outline implementation models, for example, drawing on Early Psychosis Intervention Network and Project Extension for Community Healthcare Outcomes. We conclude with four recommendations: Psychologists should be placed in CSC team or network-leadership roles; psychological expertise should be made available to CSC teams for training, consultation, and technical assistance; psychological expertise should be used to address CSC implementation challenges; and research is needed to demonstrate psychologists' value to stakeholders. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

This study sought to identify and conceptualize the central interpersonal process features that comprise good collaboration between behavioral health practitioners (BHPs) and probation officers (POs). Eighteen POs and 21 BHPs from geographically adjacent jurisdictions in a Midwestern state each participated in one of six focus groups. Researchers systematically coded focus group transcripts for interpersonal collaborative themes using both inductive and deductive strategies. Seven core themes-shared values and beliefs, communication and information sharing, knowledge of the other, trust, respect, team-based decision making, and equitable contribution-were identified and coded for importance, as indexed by frequency, latent tone, and group consensus. An initial working operational definition of these constructs, based on practitioners' dialogue, is also provided. This study is one of the first to provide BHPs and POs who work with justice-involved people with prescriptive guidance about interpersonal actions and approaches that will best serve their professional collaborative efforts. Future research should examine whether these constructs hold across other samples and contexts and work to fully operationalize and measure these constructs and their importance for affecting various outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Coercive, controlling behavior toward intimate partners correlates with physical intimate partner violence (IPV). We examined whether it also predicts subsequent IPV or other aggression. We conducted a secondary analysis of self-reports by 1,039 women and 509 men who participated in the first two waves of the Interpersonal Conflict and Resolution Study (Mumford et al., 2019). We defined coercive control as any reported perpetration at Wave 1 of threat to physically harm, threat to use information to control, or put down or disrespect their partner. The participants also reported perpetration of verbal abuse and physical or sexual aggression against intimate partners. We tested correlations of these behaviors with similar acts toward nonintimates (friends or unfamiliar persons) in Wave 1 and the prediction of physical violence in Wave 2, approximately 5 months later. Coercive control (14% of men, 26% of women) was correlated with physical or sexual IPV (8% of men, 15% of women) in both women and men and with physical violence and coercive control to nonintimates. In logistic regressions entering Wave 1 physical IPV on the first step, Wave 1 coercive control was a significant independent predictor of Wave 2 physical IPV overall, and for men but not women. Coercive control did not independently predict nonintimate physical violence. Coercive control toward an intimate partner is a unique predictor of physical IPV among men. Future research should use improved measures of coercive control and further examine coercive control as an indicator of general antisociality. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

The aim of the present systematic review was to evaluate the outcome of law enforcement officer (LEO) trainings on mental health (MH) stigma and other outcomes. A systematic search of Pubmed, APA PsycInfo, and Cochrane Central Register of Controlled Trials was conducted to identify studies examining MH stigma trainings implemented within the LEO profession. Both randomized and nonrandomized studies were considered. Risk of bias was assessed via the Cochrane Risk-of-Bias tool for randomized trials and the Risk of Bias in Non-Randomized Study of Intervention (Version 2). The present review identified 18 studies comprised of 2,399 participants (M_age = 37.37, SD = 4.76). Samples were predominantly composed of police officers (k = 16), followed by correctional officers (k = 2) and both (k = 1). Although the review aimed to investigate trainings targeting institutional, public, and self-stigma, all studies implemented trainings intended to decrease public stigma. Outcomes evaluated across studies included attitudes toward MH, knowledge about MH, self-efficacy/confidence, behavioral responses/de-escalation skills, social distance, and awareness, support, and utilization of MH resources. Although the outcomes evaluated were somewhat consistent across studies, there was variability in how variables were defined and measured. Due to this, data could not be compared across studies, and thus, conclusions could not be drawn regarding which trainings demonstrated the most effectiveness in reducing MH. Despite the increased research investigating the outcomes of trainings on stigma within the LEO population, the variability in methodology and the high rate of bias exhibited across studies suggest that more rigorous and better quality evaluations are warranted. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Engagement in psychosocial mental health services has been found to support and facilitate the process of recovery in individuals with serious mental illness. However, many individuals eligible for these services are not receiving them. Presently, little is known about the factors that contribute to treatment engagement. This study aimed to identify attitudes related to treatment engagement among veterans with serious mental illness enrolled at a large VA medical center. Thirty-six veterans participated in individual qualitative interviews about their beliefs about the efficacy and purpose of mental health care; their perceptions of societal attitudes regarding mental health; and their experiences accessing mental health care. Based on their level of treatment engagement in the last year, veterans were classified as either engaged in psychosocial mental health services (n = 15), engaged in psychiatric medication management only (n = 14), or not engaged in VA mental health services (n = 7). Attitudes associated with level of service usage were examined to identify factors that might improve engagement in treatment and quality of mental health services. Results suggest that provider expertise and rapport were critical to engagement. Our findings also suggest that barriers to accessing care included beliefs about when it was appropriate to request services, stigmatizing attitudes within one's social network, the complexity of the mental health system, and failures of providers and the treatment system to address the needs of a diverse patient population. Implications for clinical training and practice are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Understanding the modality by which veterans prefer to receive couples-based posttraumatic stress disorder (PTSD) treatment (i.e., home-based telehealth, in-person) may increase engagement in PTSD psychotherapy. This study aimed to understand veterans' preferred modality for couples-based PTSD treatments, individual factors associated with preference, and reasons for their preference. One hundred sixty-six veterans completed a baseline assessment as part of a clinical trial. Measures included a closed- and open-ended treatment preference questionnaire, as well as demographics, clinical symptoms, functioning, and relational measures, such as relationship satisfaction. Descriptive statistics and correlations examined factors associated with preference. An open-ended question querying veterans' reasons for their preferred modality was coded to identify themes. Though veterans as a group had no clear modality preference (51% preferring home-based telehealth and 49% preferring in-person treatment), veterans consistently expressed high levels of preference strength in the modality they chose. The presence of children in the home was associated with stronger preference for home-based telehealth. Veterans who preferred in-person care found it to be more credible and had more positive treatment expectancies. Veterans who preferred home-based telehealth believed it was flexible and increased access to care. For both preference groups, veterans' preferred modality was viewed as facilitating interpersonal relations and being more comfortable than the alternative modality. Veterans expressed strong preference for receiving their desired treatment modality for couples-based PTSD treatment. Results suggest that it is important to offer multiple treatment delivery options in couples-based PTSD treatment and matching couples to their preferred modality supports individualized, patient-centered care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).