{"title":"Psychedelics for military and Veteran communities? Research, practice, and policy considerations","authors":"Ron Shore","doi":"10.3138/jmvfh.9.5.ed01","DOIUrl":"https://doi.org/10.3138/jmvfh.9.5.ed01","url":null,"abstract":"","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139018902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.3138/jmvfh.9.5.intro2
David Clements
{"title":"Boundaries or boundlessness? Toward knowledge co-creation in psychedelic-assisted therapy","authors":"David Clements","doi":"10.3138/jmvfh.9.5.intro2","DOIUrl":"https://doi.org/10.3138/jmvfh.9.5.intro2","url":null,"abstract":"","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The hazy role of cannabis in military and Veteran life before and after the fog of war","authors":"O. Ayonrinde","doi":"10.3138/jmvfh.9.5.ed02","DOIUrl":"https://doi.org/10.3138/jmvfh.9.5.ed02","url":null,"abstract":"","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139024735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LAY SUMMARY The historical relationship between psychedelic drugs and the military has often been characterized in terms of drug misuse or the connection between drugs like d-lysergic acid diethylamide (LSD) or psilocybin (magic mushrooms) contributing to anti-war sentiments. Recent clinical evidence, however, suggests these cultural associations may be overshadowing the potential for psychedelic drug treatments for particular disorders prevalent across military personnel, including posttraumatic stress disorder. This article offers a historical overview of psychedelics and their association with anti-war activism alongside the clinical recognition of mental disorders within the military that led to the need to reimagine the relationship between psychedelics and mental illnesses within the military.
{"title":"A history and future of psychedelics: The case of the Canadian military","authors":"Erika Dyck, Gregory P. Marchildon","doi":"10.3138/jmvfh-2023-0010","DOIUrl":"https://doi.org/10.3138/jmvfh-2023-0010","url":null,"abstract":"LAY SUMMARY The historical relationship between psychedelic drugs and the military has often been characterized in terms of drug misuse or the connection between drugs like d-lysergic acid diethylamide (LSD) or psilocybin (magic mushrooms) contributing to anti-war sentiments. Recent clinical evidence, however, suggests these cultural associations may be overshadowing the potential for psychedelic drug treatments for particular disorders prevalent across military personnel, including posttraumatic stress disorder. This article offers a historical overview of psychedelics and their association with anti-war activism alongside the clinical recognition of mental disorders within the military that led to the need to reimagine the relationship between psychedelics and mental illnesses within the military.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138986013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.3138/jmvfh.9.5.intro1
Katharine Neill Harris
{"title":"No more harm: A guiding principle of psychedelic drug policy","authors":"Katharine Neill Harris","doi":"10.3138/jmvfh.9.5.intro1","DOIUrl":"https://doi.org/10.3138/jmvfh.9.5.intro1","url":null,"abstract":"","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139015665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LAY SUMMARY Psychedelic pharmacotherapies combined with structured psychotherapy have shown promise in the treatment of several psychological conditions. This type of therapy is known as psychedelic-assisted psychotherapy (PAP) and includes three phases: preparation, in-session support, and integration. The purpose of this review was to identify randomized controlled trials (RCTs) that used psychedelics to treat a psychological condition and to summarize the literature on changes that may be associated with clinical outcomes, as measured with MRI and various psychologically based tools. Psychedelics were administered in 17 RCTs, and 16 of these did so within a PAP framework. A total of 19 studies were identified that looked at MRI or psychological outcomes during the integration phase. Changes in brain networks during integration were identified but were not consistent between studies because of small sample sizes and inconsistent methodology. Some evidence suggests that changes in the executive control network may occur after psychedelic administration. Psychological changes after psychedelic administration were related to cognitive flexibility and personality traits such as openness and neuroticism. Overall, studies in this field should be repeated with a greater number of participants and other MRI-based techniques.
摘要 将迷幻药物疗法与结构化心理疗法相结合，在治疗多种心理疾病方面大有可为。这种疗法被称为迷幻药辅助心理疗法（PAP），包括三个阶段：准备、会话支持和整合。本综述旨在确定使用迷幻剂治疗某种心理疾病的随机对照试验（RCT），并总结通过核磁共振成像和各种心理学工具测量的、可能与临床结果相关的变化文献。有 17 项临床试验使用了迷幻剂，其中 16 项是在 PAP 框架内使用的。共有 19 项研究对整合阶段的核磁共振成像或心理结果进行了研究。研究发现了整合期间大脑网络的变化，但由于样本量较小和研究方法不一致，这些变化在不同的研究中并不一致。一些证据表明，服用迷幻药后，执行控制网络可能会发生变化。服用迷幻药后的心理变化与认知灵活性以及开放性和神经质等人格特征有关。总体而言，这一领域的研究应该使用更多的参与者和其他基于核磁共振成像的技术来重复进行。
{"title":"Mechanisms of integration in psychedelic-assisted therapy","authors":"N. Coverdale, Douglas J. Cook","doi":"10.3138/jmvfh-2023-0014","DOIUrl":"https://doi.org/10.3138/jmvfh-2023-0014","url":null,"abstract":"LAY SUMMARY Psychedelic pharmacotherapies combined with structured psychotherapy have shown promise in the treatment of several psychological conditions. This type of therapy is known as psychedelic-assisted psychotherapy (PAP) and includes three phases: preparation, in-session support, and integration. The purpose of this review was to identify randomized controlled trials (RCTs) that used psychedelics to treat a psychological condition and to summarize the literature on changes that may be associated with clinical outcomes, as measured with MRI and various psychologically based tools. Psychedelics were administered in 17 RCTs, and 16 of these did so within a PAP framework. A total of 19 studies were identified that looked at MRI or psychological outcomes during the integration phase. Changes in brain networks during integration were identified but were not consistent between studies because of small sample sizes and inconsistent methodology. Some evidence suggests that changes in the executive control network may occur after psychedelic administration. Psychological changes after psychedelic administration were related to cognitive flexibility and personality traits such as openness and neuroticism. Overall, studies in this field should be repeated with a greater number of participants and other MRI-based techniques.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amy C. Reichelt, Eric Vermetten, Benjamin T. Dunkley
LAY SUMMARY Concussion is a type of acquired brain injury that is common in the military, as well as among civilians and contact sport athletes, and is defined by a transient impairment in mental function. Nevertheless, concussion presents a considerable health burden, and a small minority of people suffer from continued impairment. Repetitive sub-concussive head injury is a known risk factor for neurodegenerative disease, including dementias. Concussions are difficult to treat because symptom profiles vary, but psychedelic therapies may help address some of the neurological issues that occur after brain injury. Classic psychedelics show promise as an emerging pharmacological intervention because they appear to help the brain to rewire, and they have anti-inflammatory effects. Nutraceutical interventions are widely available, cost-effective, and well tolerated, and they could also support recovery when combined with psychedelic compounds. Here, studies presenting classical psychedelics and nutraceuticals that may be combined with psychedelics as therapeutic strategies for the treatment of concussions and persistent symptoms are discussed.
{"title":"Psychedelic and nutraceutical interventions as therapeutic strategies for military-related mild traumatic brain injuries","authors":"Amy C. Reichelt, Eric Vermetten, Benjamin T. Dunkley","doi":"10.3138/jmvfh-2022-0084","DOIUrl":"https://doi.org/10.3138/jmvfh-2022-0084","url":null,"abstract":"LAY SUMMARY Concussion is a type of acquired brain injury that is common in the military, as well as among civilians and contact sport athletes, and is defined by a transient impairment in mental function. Nevertheless, concussion presents a considerable health burden, and a small minority of people suffer from continued impairment. Repetitive sub-concussive head injury is a known risk factor for neurodegenerative disease, including dementias. Concussions are difficult to treat because symptom profiles vary, but psychedelic therapies may help address some of the neurological issues that occur after brain injury. Classic psychedelics show promise as an emerging pharmacological intervention because they appear to help the brain to rewire, and they have anti-inflammatory effects. Nutraceutical interventions are widely available, cost-effective, and well tolerated, and they could also support recovery when combined with psychedelic compounds. Here, studies presenting classical psychedelics and nutraceuticals that may be combined with psychedelics as therapeutic strategies for the treatment of concussions and persistent symptoms are discussed.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135217394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heather Millman, Kim Ritchie, Claude Vincent, Edouard Auger, Vicky Lavoie, Brahm Sanger, Charlene O’Connor, Ruth Lanius, Margaret McKinnon
LAY SUMMARY Posttraumatic stress disorder (PTSD) is a mental health disorder experienced by many Canadian Veterans. In addition to symptoms such as distressing memories, nightmares, and emotional distress, PTSD has been linked to changes in the brain that affect an individual’s ability to function in daily life. These changes include difficulties with memory, concentration, attention, and learning new tasks. Goal Management Training (GMT) is a therapy designed to improve these areas of brain function, and it has been adopted by the Quebec City Occupational Stress Injury (OSI) Clinic to help treat clients with PTSD and other mental health disorders. During the COVID-19 pandemic, the clinic converted GMT to an online program. The aim of this study was to examine whether the use of online GMT at the clinic was practical and effective. To do so, the authors conducted and analyzed two virtual focus groups with 11 OSI clinicians. They found that GMT seemed to improve functioning in some Veterans and that participation in GMT groups helped improve participants’ self-esteem. Offering an online GMT option may make participation easier for some Veterans, and offering both online and in-person options may help reach more clients and improve outcomes.
{"title":"Evaluating the implementation of virtual Goal Management Training among Veterans with posttraumatic stress disorder","authors":"Heather Millman, Kim Ritchie, Claude Vincent, Edouard Auger, Vicky Lavoie, Brahm Sanger, Charlene O’Connor, Ruth Lanius, Margaret McKinnon","doi":"10.3138/jmvfh-2023-0003","DOIUrl":"https://doi.org/10.3138/jmvfh-2023-0003","url":null,"abstract":"LAY SUMMARY Posttraumatic stress disorder (PTSD) is a mental health disorder experienced by many Canadian Veterans. In addition to symptoms such as distressing memories, nightmares, and emotional distress, PTSD has been linked to changes in the brain that affect an individual’s ability to function in daily life. These changes include difficulties with memory, concentration, attention, and learning new tasks. Goal Management Training (GMT) is a therapy designed to improve these areas of brain function, and it has been adopted by the Quebec City Occupational Stress Injury (OSI) Clinic to help treat clients with PTSD and other mental health disorders. During the COVID-19 pandemic, the clinic converted GMT to an online program. The aim of this study was to examine whether the use of online GMT at the clinic was practical and effective. To do so, the authors conducted and analyzed two virtual focus groups with 11 OSI clinicians. They found that GMT seemed to improve functioning in some Veterans and that participation in GMT groups helped improve participants’ self-esteem. Offering an online GMT option may make participation easier for some Veterans, and offering both online and in-person options may help reach more clients and improve outcomes.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135216899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelsey Madden, Alyssa Sbisa, Lisa Dell, Miranda Van Hooff, Alexander McFarlane, Ellie Lawrence-Wood
LAY SUMMARY Gaining employment is one of the many challenges Veterans face when transitioning out of the military. Females and males have different experiences while serving, as well as when transitioning to civilian life, that can affect employment after transition. This study explores the factors affecting employment for females and males, finding that some factors differ by sex. Children, housing, age, amount of time since transition, military service type, and education were all shown to affect employment differently for females and males. Similarities between females and males were found for factors such as mental health, trauma, reasons for leaving, and transitioning to the reserves. Results show that different factors affect employment for females and males. Further research is needed to develop more awareness of the female transition experience to ensure services support the unique needs of female Veterans.
{"title":"Employment outcomes among transitioned Australian Defence Force members: An exploration of sex differences","authors":"Kelsey Madden, Alyssa Sbisa, Lisa Dell, Miranda Van Hooff, Alexander McFarlane, Ellie Lawrence-Wood","doi":"10.3138/jmvfh-2022-0082","DOIUrl":"https://doi.org/10.3138/jmvfh-2022-0082","url":null,"abstract":"LAY SUMMARY Gaining employment is one of the many challenges Veterans face when transitioning out of the military. Females and males have different experiences while serving, as well as when transitioning to civilian life, that can affect employment after transition. This study explores the factors affecting employment for females and males, finding that some factors differ by sex. Children, housing, age, amount of time since transition, military service type, and education were all shown to affect employment differently for females and males. Similarities between females and males were found for factors such as mental health, trauma, reasons for leaving, and transitioning to the reserves. Results show that different factors affect employment for females and males. Further research is needed to develop more awareness of the female transition experience to ensure services support the unique needs of female Veterans.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135215998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Short, Stephanie Felder, Lisa Garland Baird, Brenda Gamble
LAY SUMMARY Homelessness is a problem among female Canadian Veterans. Approximately 15% of the Canadian Veteran population is female, yet female Veterans constitute approximately 30% of the homeless Canadian Veteran population. In response, the Standing Committee on Veterans Affairs has called for the investigation of homelessness among female Canadian Veterans to address this research gap. A scoping review was conducted on the lived experiences of homeless female Veterans to identify factors associated with homelessness. This review was the initial step in a larger research framework to investigate the lived experiences of homeless Canadian female Veterans. Fifteen articles met the inclusion criteria and were included for synthesis. Four themes were identified, corresponding with the period in which they occurred (pre-military service, post-military service, during military service, and across the lifespan). Several implications are clear. First, Canadian research on female Veteran homelessness is needed. Second, future research must use a framework that accounts for multifactorial and multi-dimensional issues, as well as a sex- and gender-based analysis lens.
{"title":"Female Veterans’ risk factors for homelessness: A scoping review","authors":"Michael Short, Stephanie Felder, Lisa Garland Baird, Brenda Gamble","doi":"10.3138/jmvfh-2022-0069","DOIUrl":"https://doi.org/10.3138/jmvfh-2022-0069","url":null,"abstract":"LAY SUMMARY Homelessness is a problem among female Canadian Veterans. Approximately 15% of the Canadian Veteran population is female, yet female Veterans constitute approximately 30% of the homeless Canadian Veteran population. In response, the Standing Committee on Veterans Affairs has called for the investigation of homelessness among female Canadian Veterans to address this research gap. A scoping review was conducted on the lived experiences of homeless female Veterans to identify factors associated with homelessness. This review was the initial step in a larger research framework to investigate the lived experiences of homeless Canadian female Veterans. Fifteen articles met the inclusion criteria and were included for synthesis. Four themes were identified, corresponding with the period in which they occurred (pre-military service, post-military service, during military service, and across the lifespan). Several implications are clear. First, Canadian research on female Veteran homelessness is needed. Second, future research must use a framework that accounts for multifactorial and multi-dimensional issues, as well as a sex- and gender-based analysis lens.","PeriodicalId":36411,"journal":{"name":"Journal of Military, Veteran and Family Health","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76813690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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