Strategies and solutions to address the mental health needs of protective service workers: An introduction.
By virtue of their occupational responsibilities, protective service workers are often exposed to stressors and hazards that may increase their risk for various mental health problems. Efforts are thus needed to enhance connection to psychological services across protective service worker groups and to tailor the delivery of these services based on the specific needs of these workers. To enhance the understanding of how to improve the provision of psychological services to protective service workers, the journal issued a call for papers. The 5 articles summarized in this introduction were accepted in response to this call ...
Source: Psychological Services - April 23, 2020 Category: Psychiatry & Psychology Source Type: research

Peer specialist services: New frontiers and new roles.
This special section of Psychological Services is devoted to the most recent work on services provided by peer specialists. As individuals who have overcome obstacles in life and who are trained to provide services to others with similar life challenges, peer specialists promote recovery, foster resilience, and build on patients’ strengths to support community integration and help them lead more fulfilling lives. Expanding beyond the basic peer specialist model, this special section showcases innovative programs that more fully utilize peer specialists such as partnering with them in treatment engagement as well as s...
Source: Psychological Services - August 8, 2019 Category: Psychiatry & Psychology Source Type: research

Posttraumatic stress symptoms and access to services among human rights advocates: The mediating roles of organizational encouragement of support seeking and occupation-related appraisals.
This study is the first to demonstrate that access to mental health support in human rights organizations may contribute to a reduction in PTSD symptoms when advocates feel a sense of efficacy and support from their organization to seek help. (PsycInfo Database Record (c) 2020 APA, all rights reserved) (Source: Psychological Services)
Source: Psychological Services - June 13, 2019 Category: Psychiatry & Psychology Source Type: research

YaHaLOM training in the military: Assessing knowledge, confidence, and stigma.
Under conditions of profound stress, individuals in high-risk occupations may experience an acute stress reaction (ASR). Given that ASRs may interfere with functioning, placing the team in danger, the Israel Defense Forces developed YaHaLOM training to teach service members how to manage ASRs in team members. YaHaLOM is a novel, rapid, peer-based intervention specifically designed for use in the midst of a high-stress event. In all, 904 Israeli combat soldiers participated in the study; 76% reported having received YaHaLOM, and 24% reported that they had not. In addition to measures of knowledge about managing ASRs, confid...
Source: Psychological Services - May 23, 2019 Category: Psychiatry & Psychology Source Type: research

Perceived unit climate of support for mental health as a predictor of stigma, beliefs about treatment, and help-seeking behaviors among military personnel.
Employees in high-risk occupations can experience stigma associated with developing mental health problems and getting treatment for problems that can oftentimes be attributed to traumatic events encountered at work. The present study examined the perceived unit climate of support for mental health as a predictor of changes (over the course of 3 months) in the perceived stigma associated with seeking treatment, positive and negative attitudes toward treatment seeking, and a preference for handling mental health problem oneself, as well as talking with fellow unit members and a mental health professional about a mental heal...
Source: Psychological Services - May 16, 2019 Category: Psychiatry & Psychology Source Type: research

Agency-offered and officer-utilized suicide prevention and wellness programs: A national study.
Limited research exists in the area of police mental wellness and suicide prevention, especially regarding programs utilized by these agencies. The purpose of this project was to gain a better understanding of the prevalence of use of police officer wellness promotion and suicide prevention programs implemented in the United States and an understanding of the perceptions of program effectiveness (Part A). We also sought to determine whether differences exist in the mental wellness and perspectives of programming of officers from agencies who utilize suicide prevention and wellness programs compared to those agencies who do...
Source: Psychological Services - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Clinical apps and public service settings: Innovations, diverse applications, and limits.
This article introduces the special issue regarding clinical apps for use in public service (and other) settings. Each of the 15 articles in this special issue, which covers topics including apps reviews, empirical data on test equivalence, culture and ethics challenges, and apps for specific clinical problems such as hazardous drinking and autism spectrum disorders, are described. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Psychological Services)
Source: Psychological Services - May 2, 2019 Category: Psychiatry & Psychology Source Type: research

Coping, mental health, and subjective well-being among mental health staff working in secure forensic psychiatric settings: Results from a workplace health assessment.
This article held the following aims: (1) to quantify existing levels of mental health (i.e., depression, anxiety, distress, and posttraumatic stress) and subjective well-being (i.e., job satisfaction, life satisfaction, and four domains of burnout) and (2) to evaluate Coping Self-Efficacy (CSE) and Need for Affect (NFA) as factors associated with staff mental health and subjective well-being. We conducted a voluntary cross-sectional health needs assessment of forensic mental health staff (N = 170) between 2017 and 2018 from one National Health Service (NHS) Trust. Descriptive findings suggest staff possessed nonclinical a...
Source: Psychological Services - April 22, 2019 Category: Psychiatry & Psychology Source Type: research

Promoting trauma-informed parenting of children in out-of-home care: An effectiveness study of the resource parent curriculum.
This study used a pre- versus postworkshop design to assess resource parents’ (n = 314) improvement on trauma-informed parenting, perceived self-efficacy for parenting a child who experienced trauma, tolerance of child misbehavior, and whether parent characteristics moderated the impact of RPC on these outcomes. A repeated measures multivariate analysis of variance (MANOVA) demonstrated improvement from pre- to postworkshop on trauma-informed parenting F(1, 259) = 11.96, p = .001, η2 = .044; parenting self-efficacy F(1, 259) = 17.41, p = .000, η2 = .063; and tolerance of child misbehavior F(1, 259) = 3.94, p ...
Source: Psychological Services - February 4, 2019 Category: Psychiatry & Psychology Source Type: research

Recognizing the hurt: Prevalence and correlates of elevated PTSD symptoms among adolescents receiving mental/behavioral health services in primary care.
Youth are commonly exposed to potentially traumatic events (PTEs). Following exposure, approximately 25% develop persistent mental and behavioral health (M/BH) symptoms, yet many go untreated or are misdiagnosed and suffer adverse outcomes. Primary care is an ideal setting for detection of trauma-related symptoms. The current article uses archival data to (1) examine the prevalence of posttraumatic stress symptoms that are unlikely, possible, and likely to meet diagnostic criteria for posttraumatic stress disorder (PTSD) and the M/BH and physical health concerns that co-occur with PTSD symptoms among adolescents (n = 133, ...
Source: Psychological Services - February 4, 2019 Category: Psychiatry & Psychology Source Type: research

Trauma-informed care in practice: Observed use of psychosocial care practices with children and families in a large pediatric hospital.
Hospitalization for illness or injury can be experienced by children and their families as traumatic, which can impede recovery and lead to ongoing problems. The provision of quality trauma-informed or psychosocial care by hospital staff may mitigate trauma-related problems; however, there is great variability in the use of psychosocial care practices. Most previous research is based on self-report data and focuses primarily on nurses and physicians. The current study aimed to investigate the use of psychosocial care practices among a range of staff in a large urban pediatric hospital, using observations and interviews. A ...
Source: Psychological Services - February 4, 2019 Category: Psychiatry & Psychology Source Type: research

Introduction to the special issue: Trauma-informed care for children and families.
This special issue of Psychological Services includes 18 articles describing efforts to promote and provide trauma-informed care for children and families. Trauma-informed care is an approach to providing services that is sensitive to the possibility that children and families have experienced past or ongoing traumatic situations with implications for their current functioning and response to interventions. Installing and maintaining a trauma-informed approach in organized care settings requires effective planning, initial assessment, implementation, reassessment, and support that reflects an ongoing commitment to recogniz...
Source: Psychological Services - February 4, 2019 Category: Psychiatry & Psychology Source Type: research

Mobile applications for client use: Ethical and legal considerations.
This article identifies best practices for incorporating apps into treatment, including competence in the use of smartphones in general and familiarity with the specific apps recommended. Psychologists must conduct informed consent procedures in accordance with existing evidence, as well as privacy and security concerns relating to a particular app, in order to mitigate potential liability regarding the collection of client-generated data. Psychologists also should be prepared to educate clients about how best to safeguard their data, such as through encryption, password protection, or remote deletion of data. By doing so,...
Source: Psychological Services - December 20, 2018 Category: Psychiatry & Psychology Source Type: research

Installing trauma-informed care through the Tennessee Child Protective Services Academy.
The Child Protective Services (CPS) Academy was designed to equip members of the child-welfare workforce with knowledge that would assist them with addressing trauma in the lives of children and families. In its design, the CPS Academy applied principles of trauma-informed care, integrating evidence-based research, and a variety of clinical strategies into a comprehensive training program. Over a 2-year period, 277 frontline workers completed training through the CPS Academy. Data were collected as part of a quality-improvement effort to gauge participant satisfaction with the training platform. Participants reported that ...
Source: Psychological Services - December 20, 2018 Category: Psychiatry & Psychology Source Type: research

Statewide implementation of child trauma-focused practices using the community-based learning collaborative model.
A significant number of youth in the United States experience traumatic events that substantially increase the risk of physical and behavioral health problems across the life span. This public health concern warrants concerted efforts to promote trauma-informed, evidence-based practices that facilitate recovery. Although youth-focused trauma-specific treatments exist, determining effective ways to disseminate and implement these services—so that they are available, accessible, and sustainable—poses an ongoing challenge. This paper describes a comprehensive model for such implementation, the community-based lear...
Source: Psychological Services - December 13, 2018 Category: Psychiatry & Psychology Source Type: research

A statewide training of community clinicians to treat traumatized youths involved with child welfare.
Despite considerable investment in efforts to disseminate evidence-based treatments (EBTs), few data are available on how frequently clinicians achieve competence in delivering the treatments or on whether clinical outcomes actually improve. The Louisiana Child Welfare Trauma Project (LCTP) was a 5-year demonstration project funded by the Children’s Bureau. One of the aims of the LCTP was to train community clinicians statewide in an EBT for posttraumatic stress disorder (PTSD). A training model was designed to reach any willing community practitioner, with minimal travel, cost, and time involved for trainees and tra...
Source: Psychological Services - November 29, 2018 Category: Psychiatry & Psychology Source Type: research

Evaluating foundational professional development training for trauma-informed approaches in schools.
Trauma-informed schools reflect a national movement toward implementing organizational practices and systems-change strategies that support trauma-exposed individuals. Although frameworks for trauma-informed schools delineate key features for navigating implementation processes, methods of installing these features in schools require additional study. Although foundational professional development (FPD) training is often utilized to prepare schools for implementing trauma-informed approaches, few researchers have examined whether such training influences factors known to promote implementation success: staff knowledge of a...
Source: Psychological Services - November 29, 2018 Category: Psychiatry & Psychology Source Type: research

Factor structure and validity of the SIQ-JR in a southwest American Indian tribe.
Previous literature is severely limited in evaluation of psychometric properties of suicide screening methods in American Indian (AI) populations, despite the disproportionate burden of suicide faced within AI communities. The purpose of the current study was to examine the psychometric properties of the Suicidal Ideation Questionnaire—Junior (SIQ–JR) for AI youth using 2 community samples of AI adolescents from a Southwestern tribe. The present study sample was comprised of 114 participants (n = 91 and n = 23), ages 10–19 years of age, from 2 studies, both of which were administered the SIQ–JR with...
Source: Psychological Services - November 26, 2018 Category: Psychiatry & Psychology Source Type: research

Empirically-guided assessment of complex trauma for children in foster care: A focus on appropriate diagnosis of attachment concerns.
This article provides an overview of complex trauma and its effects, with a focus on attachment concerns. It subsequently describes one statewide assessment program for youth in the child welfare system with a history of experiencing complex trauma, elaborating on strengths and areas of future growth. A case study demonstrates the program’s adherence to established guidelines and the resulting diagnoses and recommendations. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Psychological Services)
Source: Psychological Services - November 26, 2018 Category: Psychiatry & Psychology Source Type: research

Trauma-informed care in a patient-centered medical home for adolescent mothers and their children.
Adolescent mothers experience higher rates of trauma and abuse, as well as increased risks for mental health disorders, compared to adolescent girls who are not mothers, making them a particularly vulnerable population and contributing to them feeling less supported by or allied with their medical provider. Women with a history of childhood abuse face increased rates of obstetric complications; their infants are at increased risk for low birthweight, developmental and intellectual delays, and behavioral problems. Trauma-informed care has become widespread in mental health settings; however, this model has not been as commo...
Source: Psychological Services - November 26, 2018 Category: Psychiatry & Psychology Source Type: research

Implementation of a standardized screening program for risk of posttraumatic stress disorder among youth hospitalized with injury.
Children with pediatric injury and their parents are at risk for developing posttraumatic stress disorder (PTSD). Although challenging to implement, standardized screening for risk of developing PTSD can identify families most at risk. The current retrospective, chart review study evaluated the implementation of a clinical program that integrated screening for risk of PTSD into standard care for youth admitted to a Level I pediatric trauma center due to injury. Advanced practice nurses administered the Screening Tool for Early Predictors of PTSD (STEPP), a brief screen that evaluates risk of developing PTSD for injured chi...
Source: Psychological Services - November 26, 2018 Category: Psychiatry & Psychology Source Type: research

A pilot randomized controlled trial evaluating a web-based training program on pediatric medical traumatic stress and trauma-informed care for emergency department staff.
This pilot parallel group superiority randomized controlled trial investigated the efficacy and acceptability of a web-based training program on pediatric medical traumatic stress and trauma-informed care (Australian and New Zealand Clinical Trials Registry number: ACTRN12617001148369). Eligibility criteria for this study included being a nurse or physician working in an ED in Australia or New Zealand, being fluent in English and having Internet access. Emergency department (ED) staff (N = 71) were randomly assigned into the training (n = 32) or control group n = 39). We hypothesized that compared to the control group, ED ...
Source: Psychological Services - November 26, 2018 Category: Psychiatry & Psychology Source Type: research

¡Aptívate!: A Spanish-language behavioral activation mobile application for delivery via primary care.
This article focuses on the description of (a) rationale for ¡Aptívate! treatment development, (b) treatment components, and (c) a clinical case example describing potential implementation in primary care. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Psychological Services)
Source: Psychological Services - November 15, 2018 Category: Psychiatry & Psychology Source Type: research

Veterans Affairs and the Department of Defense mental health apps: A systematic literature review.
In the present systematic review, we summarize the feasibility, usability, efficacy, and effectiveness of mental health-related apps created by the Veterans Affairs (VA) or the Department of Defense (DoD). Twenty-two articles were identified, reporting on 8 of the 20 VA/DoD mental health self-management and treatment companion apps. Review inclusion criteria were studies that reported original data on the usability, acceptability, feasibility, efficacy, and effectiveness, or attitudes toward the app. We collected data from each article regarding type of study, sample size, participant population, follow-up period, measures...
Source: Psychological Services - November 15, 2018 Category: Psychiatry & Psychology Source Type: research

Organizational trauma-informed care: Associations with individual and agency factors.
In this study, we explored the relationship of individual and agency characteristics to the level of organizational TIC. With data collected from a sample of 345 providers from 67 agencies, we used the TICOMETER, a brief measure of organizational TIC with strong psychometric properties, to determine these associations. We found weak relationships between individual factors and TICOMETER scores and stronger associations for agency-level factors. These included agency type, time since last trauma training, and involvement of service users. These findings highlight the importance of robust cultural changes, service user invol...
Source: Psychological Services - November 15, 2018 Category: Psychiatry & Psychology Source Type: research

Measuring collaboration across children’s behavioral health and child welfare systems.
A commonly emphasized component of trauma-informed care is the practice of building cross-system collaboration (CSC). While existing research on CSC states numerous benefits and barriers associated with increasing collaboration between systems, there is limited empirical understanding on how to define and measure collaboration between county systems of care. The current study presents the psychometric evaluation of scores from the Perceptions of Overarching Cross-System Collaboration–Child Welfare and Behavioral Health Systems (POCSC-CW/BH), a 6-item self-report instrument completed by system administrative leadershi...
Source: Psychological Services - November 15, 2018 Category: Psychiatry & Psychology Source Type: research

“It’s never black and white”: Early interventionists’ experiences supporting abused children and their families.
Early interventionists (EIs) support families of infants and toddlers with delays and disabilities. Children with disabilities are a high risk for abuse and neglect. To understand how or whether trauma-informed practices are utilized in early intervention, 28 EIs participated in focus groups to share their experiences, challenges, and strategies when supporting children with disabilities who have also been abused. A thematic analysis was used to analyze the data. Participants indicated that they experienced challenges related to identifying signs and symptoms of child abuse and neglect, making decisions regarding their rol...
Source: Psychological Services - November 15, 2018 Category: Psychiatry & Psychology Source Type: research

Development and preliminary evaluation of a self-guided, internet-based tool for coping with stress and trauma: Life Improvement for Teens (LIFT).
This article describes the program and results of an open trial in 5 schools that serve primarily ethnic minority youth in urban settings. Fifty-one middle and high school students completed surveys before and after the program, as well as within the program, to assess emotional and behavioral symptoms (depressive, anxiety, posttraumatic stress disorder [PTSD] symptoms and behavior) and purported mechanisms of action (coping, cognitions, emotional self-efficacy). Results indicated the program was feasible and acceptable, with moderate satisfaction. Despite low power in this study, we observed changes in several hypothesize...
Source: Psychological Services - November 15, 2018 Category: Psychiatry & Psychology Source Type: research

Pathways to increasing the use of psychosocial care with hospitalized children.
This study aimed to (a) identify predictors of staff knowledge, confidence, use, and barriers regarding psychosocial care, and investigate whether these differed by profession; (b) identify pathways to increasing the use of psychosocial care; and (c) understand the association between psychosocial care and staff stress and burnout. Surveys were conducted with staff members (N = 180) within a large pediatric hospital. Questions were based on those used in similar research, and stress and burnout were assessed using the Professional Quality of Life scale. The study found that although all staff members reported using psychos...
Source: Psychological Services - November 15, 2018 Category: Psychiatry & Psychology Source Type: research

Integrating play in trauma-informed care: Multidisciplinary pediatric healthcare provider perspectives.
Children and their family members may experience potentially traumatic events during medical treatment that can result in pediatric medical traumatic stress reactions. Play is a normative part of childhood that may facilitate engagement in medical care and may be incorporated in trauma-informed care. This qualitative study used semistructured interviews to examine the role of play and its potential use in trauma-informed care. The perspectives of 30 multidisciplinary pediatric healthcare providers representing 5 divisions (Cardiology, Endocrinology, Oncology, Orthopedics, Pulmonology) in 2 children’s hospitals were g...
Source: Psychological Services - November 15, 2018 Category: Psychiatry & Psychology Source Type: research

Exploring the use of Sidekicks! For children with autism spectrum disorder (ASD).
Clinicians and educators are increasingly using technology within the context of existing therapies and teaching methodologies. The growing use of mobile clinical tools is particularly exciting for individuals with autism spectrum disorder (ASD), as technologically based interventions have been shown to be both efficacious (to target academics, adaptive behavior, disruptive behavior, etc.) and accepted in this population (Odom et al., 2015). In addition, these tools have the potential to address two significant impediments in ASD intervention, the anxiety and/or skill deficits often associated with face-to-face interaction...
Source: Psychological Services - November 12, 2018 Category: Psychiatry & Psychology Source Type: research

Peer specialists: Exploring the influence of program structure on their emerging role.
This study reports on qualitative data from a larger study on peer specialists working with veterans in a Veterans Affairs homelessness program who were dually diagnosed with substance abuse and mental health concerns. Peer specialists were trained to deliver a recovery support program that is carried out weekly over 9 months and includes 20 structured sessions using a workbook and 20 unstructured, individually planned sessions. A sample of 20 veterans who were in the program were interviewed, along with 8 case managers and 3 peer specialists involved with the program. Interview transcripts were coded for 3 elements of pro...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Perceived barriers and facilitators to implementation of peer support in Veterans Health Administration Primary Care-Mental Health Integration settings.
Peer support is increasingly recognized as consistent with the goals of integrated primary care and is being implemented in primary care settings as a patient-centered approach that increases patient activation and access to care. Within the Veterans Health Administration (VHA), peer support specialists (PSSs) have traditionally worked in specialty mental health settings and only recently started working in Primary Care-Mental Health Integration (PC-MHI) settings. Prior research has identified implementation challenges, such as role confusion, when integrating peer support into new settings. In this qualitative descriptive...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Perceived helpfulness of peer-delivered trauma specific treatment: A randomized controlled trial.
Peer providers have been associated with positive outcomes in behavioral health, but little is known about the perceived helpfulness of their services. We used a mixed-methods randomized controlled trial to compare the perceived helpfulness of seeking safety (SS) led by peer providers compared to its delivery by licensed behavioral health clinicians (including both a licensed alcohol and drug abuse counselor and licensed clinical mental health counselor). Participants (N = 278) rated the helpfulness of 12 SS topics at the end of every session. A subset (n = 245) of participants also rated the helpfulness of SS overall and ...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Peer support in an outpatient program for veterans with posttraumatic stress disorder: Translating participant experiences into a recovery model.
Veterans returning from recent conflicts present with increased rates of posttraumatic stress disorder (PTSD), and veterans from prior service eras continue to seek trauma-based services. Peer support for veterans with PTSD has the potential to resolve ongoing challenges in access and engagement in mental health care. Assessing the value of peer support services requires a thorough understanding of the expected role and the empirical mechanisms of peer support participation in PTSD recovery. To better understand these mechanisms, this study interviewed 29 veteran participants from an established peer support program (PSP),...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Peer specialists in suicide prevention: Possibilities and pitfalls.
The emergence of peer specialists with histories of suicidality in mental health care services is a recent but scarcely researched societal phenomenon. The current study aimed to explore how peer specialists who have experienced suicidality (either attempted suicide or suicidal ideation) use their experiences to contribute to suicide prevention in mental health care services. Qualitative interviews with 20 peer specialists who have personally dealt with suicidality in their past were conducted. Interviewees perceived their work to have unique value in terms of their approach to making contact with suicidal care consumers o...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Cultural considerations in using mobile health in clinical care with military and veteran populations.
Traditional cultural models typically address factors like ethnicity, language, and race as important concerns pertaining to treatment efficacy, but over the years, professionals have expanded the focus to include gender, sexual orientation, age, socioeconomic status, and other aspects of identity and experience, including military cultural issues. As the integration of mobile health increases in clinical care, another important cultural factor that can impact care is technological culture. Differences in perception of technological competence by patient and provider can impact the provider’s ability to effectively c...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Parent-therapist alliance and technology use in behavioral parent training: A brief report.
Researchers propose that technology has the capacity to promote therapeutic alliance; however, clinicians worry the opposite is true. Behavioral parent training (BPT), an approach that is reliant on the parent as the mechanism of change, is the standard of care for early-onset (3–8 years old) behavior disorders. Importantly, behavior disorders are among the most common reasons parents seek mental health services for their children; therefore, BPT affords an ideal context within which to better understand the potential interrelationship between technology and therapeutic alliance. To this end, this study examined the ...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Real-time demonstration of a mHealth app designed to reduce college students hazardous drinking.
Heavy alcohol use is a serious health issue in the United States with consequences such as illness, injury, and death. College students are among the most vulnerable to problems associated with risky drinking. This demographic is known as the Net Generation because members have grown up with digital technologies such as smartphones and apps. Thus, mobile health (mHealth) applications, successful in the delivery of health information and interventions to tech-savvy individuals, are a promising means of reaching them. To that end, we developed a smartphone application (SmarTrek) that targets college students and aims to redu...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Customizing a clinical app to reduce hazardous drinking among veterans in primary care.
Within the Veterans Health Administration (VHA), 15–30% of patients seen in primary care are identified as hazardous drinkers, yet the vast majority of these patients receive no intervention. Time constraints on providers and patient-level barriers to in-person treatment contribute to this problem. The scientific literature provides a compelling case that mobile-based interventions can reduce hazardous drinking and underscores the role of peer support in behavioral change. Here, we describe the benefits of using a clinical app–Step Away–to treat hazardous drinking among VHA primary care patients as well a...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

State-wide university implementation of an online platform for eating disorders screening and intervention.
We examined findings from the first state-wide deployment of HBI over the course of 3 years in Missouri public universities, sponsored by the Missouri Eating Disorders Council and the Missouri Mental Health Foundation. First, the screen was completed 2,454 times, with an average of 2.5% of the undergraduate student body on each campus taking the screen. Second, ED risk level in the participating students was high—over 56% of students screened were identified as being at high risk for ED onset or having a clinical/subclinical ED. Third, uptake for the HBI online/mobile interventions ranged from 44–51%, with high...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Behavioral and cognitive intervention strategies delivered via coached apps for depression: Pilot trial.
Depression is common in primary care settings, but barriers prevent many primary care patients from initiating treatment. Smartphone apps stand as a possible means to overcome such barriers. However, there is limited evidence to understand the use and efficacy of these apps. The purpose of the current study was to pilot an evaluation of the usage and efficacy of apps for depression based upon behavioral or cognitive intervention skills, compared to a wait-list control. Thirty adults with depression were randomized to the use of either a behavioral app (Boost Me) or a cognitive app (Thought Challenger) or to a wait-list con...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

PTSD coach mobile application with brief telephone support: A pilot study.
The number of health care mobile applications (MAs) has increased drastically in recent years, but research on efficacy and approaches to provide MA intervention is lacking. The PTSD Coach was designed to help individuals with posttraumatic stress disorder (PTSD) symptoms to understand and manage symptoms. Use of MA tends to drop off quickly; this pilot study tested the use of the PTSD Coach with brief telephone support by paraprofessionals. A total of 29 participants with elevated PTSD symptoms recruited from Veterans Affairs primary care clinics completed baseline and 4-month follow-up surveys including the PTSD Checklis...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Getting closer? Differences remain in neuropsychological assessments converted to mobile devices.
This study is an investigation of the equivalence between two existing pen-and-paper tests and their translated versions on mobile platforms. In this small-scale study (N = 42), the scores on two multidomain assessments—Saint Louis University Mental State Examination (SLUMS; Feliciano et al., 2013) and Cambridge University Pen to Digital Equivalence assessment (CUPDE; Ruggeri, Maguire, Andrews, Martin, & Menon, 2016)—were significantly different, even with multiple design iterations, when participants were matched by age and score on an independent screening tool, the Self-Administered Gerocognitive Exam (S...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Raw-score equivalence of computer-assisted and paper versions of WISC–V.
The adaptation of individually administered psychological tests from paper to app-based administration formats can present unique threats to the construct and raw-score equivalence of the paper and digital formats. We discuss these potential threats and describe a study evaluating the equivalence of paper and digital versions of the Wechsler Intelligence Scale for Children, fifth edition (WISC–V), which has been adapted to an app-based testing platform called Q-interactive. The present study (N = 350) used an equivalent-groups design to assess the raw-score equivalence of 18 WISC–V subtests that were designed w...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Mobile app interventions for military and veteran families: Before, during, and after deployment.
Deployment to foreign wars leads to many challenges for military families. Unique risk factors for behavioral and psychological problems have been identified before, during, and after the deployment of a loved one. This brief report outlines these challenges and risk factors at each stage of the deployment process and describes mobile applications that may be beneficial in addressing them. The mobile applications, Babies on the Homefront, The Big Moving Adventure, and Sandboxx, were identified as relevant for addressing the parenting, communication, and relocation difficulties experienced by military families before and du...
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Smartphone apps for psychological health: A brief state of the science review.
We describe the variety of psychological health app uses from self-management, skills training, and supportive care to symptom tracking and data collection; and we summarize the current evidence for the efficacy and effectiveness of psychological health apps. Finally, we offer some pragmatic suggestions for evaluating psychological health apps for quality and clinical utility. (PsycINFO Database Record (c) 2019 APA, all rights reserved) (Source: Psychological Services)
Source: Psychological Services - November 8, 2018 Category: Psychiatry & Psychology Source Type: research

Peer support specialists’ experiences of microaggressions.
Microaggressions and their consequences have been observed among people with mental illness. However, little is known about ways in which peer support specialists, those with lived experience who also provide mental health services, experience microaggressions or the impacts of these experiences. Using an online survey of open-ended questions, peer support specialists (N = 65) provided examples of microaggressions they have experienced on the job and described the frequency of these experiences, the content of messages they received, and their responses and coping strategies. Data were coded using directed content analysis...
Source: Psychological Services - November 1, 2018 Category: Psychiatry & Psychology Source Type: research

Expert viewpoints of peer support for people experiencing homelessness: A Q sort study.
This study aims to utilize expert opinions to identify common viewpoints on components involved in effective peer support. Forty-three statements were developed from previous literature that broadly describes elements involved in peer support. Forty experts (20 peers and 20 professionals) ranked the statements into a hierarchy. Q methodology is a rigorous method to objectively research participants’ subjective viewpoints, using a by-person rather than by-variable approach to factor analysis. The study was done in three stages: first-order analysis to identify shared viewpoints within (a) the peer participant group, (...
Source: Psychological Services - November 1, 2018 Category: Psychiatry & Psychology Source Type: research

Tracking progress in peer-delivered family-to-family support.
Peer delivered, family-to-family (F2F) support—defined as the provision of outreach, engagement, knowledge, care coordination, and support to family members of children and youth with mental health challenges—is a rapidly growing and needed component of the service array. Progress is occurring toward greater specification of program models and core competencies for the parent support providers (PSPs) with lived experience providing these services; however, strategies to inform quality improvement and ensure accountability are lacking. The Family Journey Assessment (FJA), completed by PSPs and family members, fi...
Source: Psychological Services - November 1, 2018 Category: Psychiatry & Psychology Source Type: research