A5067222084- Homelessness and Social Issues
- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Child and Adolescent Psychosocial and Emotional Development
- Healthcare Decision-Making and Restraints
- Criminal Justice and Corrections Analysis
- Mental Health Research Topics
- Employment and Welfare Studies
- Suicide and Self-Harm Studies
- Bipolar Disorder and Treatment
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Child Abuse and Trauma
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Global Health Workforce Issues
- Food Security and Health in Diverse Populations
- Behavioral and Psychological Studies
- Health disparities and outcomes
- Posttraumatic Stress Disorder Research
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Psychiatric care and mental health services
- Elder Abuse and Neglect
- Health, Environment, Cognitive Aging
- Health and Well-being Studies
- Health Policy Implementation Science
VA North Texas Health Care System
2014-2024
University of North Texas Health Science Center
2024
University of North Texas
2024
The University of Texas Southwestern Medical Center
2013-2023
Dallas VA Medical Center
2011-2020
Southwestern Medical Center
2020
James A. Haley Veterans' Hospital
2020
Harmonex (United States)
2018
The University of Texas at Arlington
2016
Health Services Research & Development
2016
The brief behavioral activation treatment for depression (BATD) is a relatively uncomplicated, time-efficient, and cost-effective method treating depression. Because of these features, BATD may represent practical intervention within managed care-driven, inpatient psychiatric hospitals. Based on basic theory empirical evidence supporting strategies, we designed to increase systematically exposure positive activities thereby help alleviate depressive affect. This study represents pilot that...
This study evaluated the six-month outcomes of incorporating principles supported employment, specifically Individual Placement and Support (IPS), into About Face program, an existing standardized group-based vocational program for previously incarcerated veterans.Participants (N=84) with a history at least one felony conviction substance use disorder (88%) or mental illness combination (59%) were recruited from large urban veterans hospital. Veterans randomly assigned to either (AF) that...
Abstract Token economies are an effective way of changing various behaviors including acquiring new skills, reducing undesired behaviors, aggression, increasing treatment compliance, and improving psychiatric unit management. This study examines the long‐term effect a token economy on acute care, inpatient unit. The two years following implementation based compared with 12 months prior to implementation. results show significant reduction in total assaults as well fewer staff injuries...
Objective: This study compared two vocational programs: the About Face Vocational Program (AFVP), a traditional group-based program created for formerly incarcerated veterans, and hybrid combining AFVP with principles of individual placement support–supported employment. Methods: The evaluated 111 veterans at least one felony conviction who had mental illness, substance use disorder, or both. Veterans were randomly assigned to either condition. Results: in condition, alone, more likely find...
The current study provides naturalistic data documenting the pathways-to-care to vocational services for 155 veterans who were receiving some form of mental health care from Veterans Health Administration and had a need but not currently enrolled in services. Of participants, 94.2% recognized their need, 80.6% reported that they or someone else sought help alleviate 77.4% previously received median length participants' was more than 4.2 years. Delays associated with recognition,...
With the high number of incarcerated veterans with mental illness and substance dependence returning to community annually, a significant need exists for technologies that will help them return employment. This study evaluates three methods assistance: (1) basic vocational services, (2) self-study manual designed formerly veterans, (3) group led by staff using manual. We evaluated 69 determine finding employment within 3 months after enrollment in study. The format was expected be superior...
Both justice-involved individuals and veterans are at elevated risk for suicide. Despite this, research examining the intersection between justice involvement veteran status has been limited. In addition, factors which drive suicidal self-directed violence (i.e. suicide attempt, suicide) among remain understudied. This paper serves as a brief overview of extant literature regarding potential psychosocial may in this population. Additionally, Interpersonal-Psychological Theory Suicide is...
OBJECTIVE: The authors prospectively examined inpatient psychiatric hospitalization and mortality rates of patients seen in the emergency room a large Department Veterans Affairs medical center. METHOD: Charts 504 receiving evening consultation during 13-month period were assessed 5 years after to determine mortality. RESULTS: Patients with multiple diagnoses, including comorbid addiction disorders, had significantly higher an visit. Comorbid disorders increased rate across diagnoses....
With more than 200,000 veterans incarcerated, a significant need exists for the development of technologies that help with felony histories return to employment. This study evaluated effect three methods vocational assistance on competitive employment over 6 mo follow-up period: (1) basic services, (2) self-study using manual designed formerly incarcerated veterans, and (3) group led by staff manual. We 111 time obtain total The format was expected be superior services. Findings indicated...
Human health is part of an interdependent multifaceted system. More than ever, we have increasingly large amounts data on the body, both spatial and non-spatial, its systems, disease our social physical environment. These a geospatial component. An exciting new era dawning where are simultaneously collecting multiple datasets to describe many aspects health, wellness, human activity, environment disease. Valuable insights from these can be extracted using massively multivariate computational...
Although the use of token economies has been shown to facilitate patient change and improve program functioning in numerous settings, have received little attention acute psychiatric settings. A economy was introduced on an care unit a rural hospital, rates negative events were compared before after implementation.Negative defined as employee injuries that not accidents. Unauthorized absences emergency medications also counted events. Rates calculated over two four-month periods, 24-bed...
We examined the psychometric properties of Assessment Depression Inventory (ADI). This instrument assesses depression and also has validity scales that address response honesty. Three studies were conducted. The first describes development ADI. second compared concurrent ADI (Dep) scale with BDI-II, Feigning (Fg) responses psychiatric inpatients those a sample community volunteers asked to feign depression. third study was used cross-validate results separate participants. Dep correlated...
This study evaluates the association between Healthy Lifestyle Behaviors (HLBs) and relapse rates in a homeless residential rehabilitation program. Ninety-seven veterans with Substance Dependence Early Remission were evaluated. Veterans recorded recreational, social, coping/spiritual, substance recovery activities. Those who relapsed during treatment compared to those did not. Higher numbers of HLBs associated lower treatment. No differences found two groups number activities performed....
Behaviors and activities consistent with "healthy" lifestyles (i.e., leisure recreational activities, social family interactions, coping behaviors) have been shown to be related prolonged substance dependence recovery. However, there has little focus on systematically capitalizing this association in treatment improve relapse rates. The goal of study was determine if the inclusion healthy lifestyle coaching, that is encouragement specific behaviors a therapeutic setting, could impact time...
Access to healthcare delivery programs and systems is a primary correlate the overall health well-being of Veterans general population. Participation in clinical research gateway novel therapies that are intended address current global issues. Meeting or exceeding recruitment goals one key determinants timely successful completion study. The travel time burdens experienced by study participants often considered barriers their enrollment into research. Department Affairs (VA) Cooperative...
Lack of employment is an important barrier to successful reintegration encountered by those released from prison with mental illnesses and/or substance use disorders. This study compares 3 different vocational modalities for a veteran population: (a) basic services; (b) self-study using the About Face Vocational Manual; and (c) Program, standardized group program focused on Manual. One-hundred eleven veterans history at least one felony conviction illness disorder were recruited large urban...