• Journal: Psychological Services
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Provider perceptions and use of mental health services in the Veterans Health Administration during the COVID-19 pandemic

Abstract: The COVID-19 pandemic significantly altered the way in which health care is delivered, challenging providers, and systems of care to innovate to maintain access to …

A multistep mediation model examining how consultation in prolonged exposure therapy affects PTSD treatment outcomes

Abstract: Prolonged exposure therapy (PE) is an evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD) that is underutilized in the military health system. …

Lethal means safety counseling among firearm-owning U.S. National Guard personnel: Hyperarousal symptoms as a moderator of treatment outcomes

Abstract: The U.S. Department of Defense and other stakeholders recommend lethal means safety counseling (LMSC) to reduce suicide risk among military service members. Despite the …

Expected symptom change trajectories for the early identification of probable treatment nonresponse in VA PTSD specialty care clinics: A proof-of-concept

Abstract: The purpose of measurement-based care (MBC) is to detect treatment nonresponse sufficiently early in treatment to adjust treatment plans and prevent failure or dropout. …

Examining the outcomes and acceptability of a peer-led spiritual intervention for moral injury in a Veteran service organization

Abstract: The purpose of this proof-of-concept study was to examine the outcomes and acceptability of a spiritual intervention for moral injury led by veteran peers in a Veteran …

Symptom change prior to treatment discontinuation (dropout) from a naturalistic Veterans Affairs evidence-based psychotherapy clinic for PTSD and depression

Abstract: Dropout or treatment discontinuation from evidence-based psychotherapies (EBPs) has been a concern for clinicians as it is thought that such discontinuation prevents …

Mental health therapy for veterans with PTSD as a family affair: a qualitative inquiry into how family support and social norms influence veteran engagement in care

Abstract: Social support is important for posttraumatic stress disorder (PTSD) recovery and emerging literature indicate that social support could increase engagement in PTSD …

Development, adaptation, and clinical implementation of the later-adulthood trauma reengagement (LATR) group intervention for older veterans

Abstract: Later in life Veterans may report increased thoughts and memories of traumatic military experience in the context of age-related changes, a process called Later-Adulthood …

Prevalence of sexual desire and arousal difficulties among women veterans: a retrospective cohort design

Abstract: Low sexual desire and arousal are associated with several negative health outcomes, including reduced quality of life, depression, anxiety, and relationship discord. …

Perspectives of mental health professionals on the delivery of embedded mental health services for U.S. Air Force airmen

Abstract: United States Air Force (USAF) leadership implemented the integrated operational support care model, which involves embedding mental health professionals directly within …

U.S. veterans' experiences and factors associated with use of a smartphone application to self-manage unhealthy alcohol use

Abstract: Unhealthy alcohol use is common among Operations Enduring and Iraqi Freedom (OEF/OIF) veterans, yet barriers discourage treatment-seeking. Mobile applications (apps) that …

Multilevel factors in providers' decisions to utilize CPT in military- and veteran-serving treatment settings

Abstract: Numerous guidelines exist to inform decision-making regarding psychological treatment of patients with posttraumatic stress disorder (PTSD). While strides have been made …