A5017193556- Mental Health Treatment and Access
- Health Policy Implementation Science
- Mental Health and Patient Involvement
- Primary Care and Health Outcomes
- Child and Adolescent Psychosocial and Emotional Development
- Digital Mental Health Interventions
- Substance Abuse Treatment and Outcomes
- Suicide and Self-Harm Studies
- Posttraumatic Stress Disorder Research
- Global Health Workforce Issues
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Interprofessional Education and Collaboration
- Food Security and Health in Diverse Populations
- Migration, Health and Trauma
- Qualitative Research Methods and Ethics
- Education and Military Integration
- Youth Education and Societal Dynamics
- Radiology practices and education
- Education and Islamic Studies
- Mobile Health and mHealth Applications
- Gender Diversity and Inequality
- Diabetes Management and Education
- Forgiveness and Related Behaviors
- Occupational Therapy Practice and Research
Health Outcomes Solutions (United States)
2024-2025
University of Arkansas for Medical Sciences
2015-2024
Mental Illness Research, Education and Clinical Centers
2018-2024
Central Arkansas Veterans Healthcare System
2015-2024
Quality Enhancement Research Initiative
2023
United States Department of Veterans Affairs
2018-2022
Veterans Health Administration
2022
Health Services Research & Development
2016-2021
Iowa City VA Health Care System
2021
Office of Patient Care Services
2021
This article outlines a three-phase, team-based approach used to analyze qualitative data from nation-wide needs assessment of access Veteran Health Administration services for rural-dwelling veterans. The method described here was develop the trustworthiness findings analysis large set, without use analytic software. In Phase 1, we templates summarize content 205 individual semistructured interviews. During 2, matrix display constructed each 10 project sites synthesize and template by...
Background: The study identifies the experiences, preferences, and perceptions of research participants regarding dissemination findings at participant level community level. Methods: qualitative utilized focus-group methodology to explore participants' experiences preferences for findings. Five focus groups were held with 53 who recruited through existing advisory boards in Arkansas. Results: Participants stated that researchers should always offer share explained disseminating is...
Abstract Purpose Telephone motivational coaching has been shown to increase urban veteran mental health treatment initiation. However, no studies have tested telephone delivered by peers facilitate initiation and engagement. This study describes pre‐implementation strategies with 8 Veterans Affairs (VA) community‐based outpatient clinics in the West Mid‐South United States adapt implement a multisite pragmatic randomized controlled trial of peer for rural veterans. Methods We used 2...
Abstract Background Learning healthcare systems have invested heavily in training primary care staff to provide using patient-centered medical home models, but less is known about how effectively lead such teams deliver high quality care. Research needed better understand which leadership skills are most utilized or need of development through additional training. Method Semi-structured telephone interviews with leaders familiar Patient-Aligned Care Teams (PACT) implementation the U.S....
This theoretical treatise uses the scientific literature concerning help seeking for mental illness among those with a background in U.S. military to posit more complex definition of culture. The help-seeking is used illustrate how hegemonic masculinity, when situated field, informs decision seek formal treatment men military. These analyses advocate nuanced, multidimensional, and culture that emphasizes way which institutional structures social relations power intersect individual values,...
Background Long-term dependence on prescribed benzodiazepines is a public health problem. Eliminating Medications Through Patient Ownership of End Results (EMPOWER) promising self-management intervention, delivered directly to patients as printed booklet, that effective in promoting benzodiazepine reduction and cessation older adults. EMPOWER has high potential benefit large care systems such the US Veterans Health Administration (VHA), which cares for many veterans who use extended periods....
Background In the United States Department of Veterans Affairs (VA), veterans who are lesbian, gay, bisexual, transgender, queer, and similar gender sexual minoritized people (LGBTQ+) experience health disparities compared to cisgender, heterosexual veterans. VA’s LGBTQ+ Health Program created two healthcare policies on providing affirming care (healthcare that is inclusive, validating, understanding population). The current project examines providers’ barriers facilitators veterans’...
Transitions in care, such as discharge from an emergency department (ED), are periods of increased risk for suicide and effective interventions that target these needed. Caring Contacts is evidence-based prevention intervention targets transitions, yet it has not been widely implemented. This pilot study adapted a Department Veterans Affairs (VA) ED setting population, created implementation toolkit, piloted evaluation effectiveness. To inform adaptation, qualitative interviews were...
To describe the design, implementation, and plans to evaluate Veterans Crisis Line (VCL) Caring Letters intervention.Veterans with VCL contact VHA service utilization.Caring is an evidence-based post-acute care suicide prevention intervention in which brief messages are mailed individuals at high risk of repeatedly over time communicate that people about them concerned for their well-being. An effectiveness-implementation hybrid type 1 trial using RE-AIM evaluation framework underway examine...
Suicide among veterans is a problem nationally, and suicide prevention remains high priority for the Department of Veterans Affairs (VA). Focusing initiatives in emergency department setting provides reach to who may not be seen mental health targets critical risk period, transitions care following discharge. Caring Contacts simple efficacious approach that could used target this period. The purpose study (1) adapt use VA department, (2) conduct pilot program at single (3) create an...
Aim To better understand barriers and facilitators that hinder or help women veterans discuss their alcohol use with providers in primary care order to identify problematic drinking enhance provider–patient communication about harmful drinking. Background Women presenting may be less likely than men disclose potentially use. No studies have qualitatively examined the perspectives of factors affect accurate disclosure by during routine clinic visits. Methods Providers ( n =14) were recruited...
The disciplinary contribution of anthropologists employed outside traditional anthropology departments has been a topic discussion and debate in the field for nearly century. Alongside industry, nongovernmental, nonprofit career paths, an increasing number have developed productive research careers academic departments. United States Department Veterans Affairs (VA), which provides health care services to more than 9 million military veterans annually, is one federal employer that become...
Broadly disseminating and implementing evidence-based psychotherapies with high fidelity, particularly cognitive behavioral therapy (CBT), has proved challenging for many health-care systems, including the Department of Veterans Affairs, especially in primary care settings such as small or remote clinics. A computer-based tool (based on coordinated anxiety learning management (CALM) program) was designed to support care-based mental health providers delivering CBT. The objectives this study...
Although rates of unhealthy drinking are high among women Veterans with mental health comorbidities, most comorbidities who present to primary care do not receive alcohol-related care. Barriers treatment could be reduced through patient-centered approaches care, such as shared decision-making.We assessed the feasibility and acceptability a telephone-delivered decision-making intervention for promoting alcohol behavior change in co-morbid depression and/or probable post-traumatic stress...
Background: Unhealthy drinking is relatively common among women U.S. military Veterans.Primary care often the setting where patients first come into contact with health system, and providers in this play a critical role connecting unhealthy drinkers to appropriate care.Little known about primary providers' perspectives on factors that affect whether Veterans presenting connect alcohol-related care.Understanding may improve ability support get needed care.Methods: This qualitative study used...
Objective: Describe the different forms of emotion work performed by family caregivers veterans living with a traumatic brain injury (TBI). Design: Collaborators were provided cameras to take photographs illustrating their experiences as caregivers. The meaning behind caregiver was solicited using photoelicitation interviews and coded. Setting: Homes or other informal settings in 2 regions United States served Southeast Louisiana Veterans Health Care System Affairs Portland System....
To determine the effectiveness of telephone motivational coaching delivered by veteran peers to improve mental health (MH) treatment engagement among veterans.Veterans receiving primary care from primarily rural VA community-based outpatient clinics were enrolled. Veterans not engaged in MH screening positive for ≥1 problem(s) randomized receive peer-delivered feedback on screen results and referrals plus 4 sessions (intervention) versus without (control). Blinded assessments conducted at...
A national priority at the US Department of Veterans Affairs (VA) is to increase availability and accessibility evidence-based psychotherapies (EBPs) across all VA medical facilities. Yet many veterans, particularly those who use remote outpatient clinics, still do not receive much needed treatment. Strategies are for supporting mental health providers rural community-based clinics (CBOCs) as they translate their clinical training routine practice. The Coordinated Anxiety Learning Management...
Background: The Department of Veterans' Affairs (VA)/Student Partnership for Rural Veterans (VSP) built partnerships between institutional (health services researchers, VA chaplains) and community groups to develop veteran-to-veteran on college campuses.