A5021253633- Mental Health Treatment and Access
- Posttraumatic Stress Disorder Research
- Child and Adolescent Psychosocial and Emotional Development
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Mental Health Research Topics
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Traumatic Brain Injury Research
- Obsessive-Compulsive Spectrum Disorders
- Health Policy Implementation Science
- Cardiac Health and Mental Health
- Mental Health and Patient Involvement
- Personality Disorders and Psychopathology
- Healthcare professionals’ stress and burnout
- Health, psychology, and well-being
- Migration, Health and Trauma
- Health disparities and outcomes
- Food Security and Health in Diverse Populations
- Health and Well-being Studies
- Resilience and Mental Health
- Homelessness and Social Issues
- Suicide and Self-Harm Studies
- Palliative Care and End-of-Life Issues
- Digital Mental Health Interventions
Michael E. DeBakey VA Medical Center
2016-2025
Baylor College of Medicine
2016-2025
Center for Innovation
2016-2025
Mental Illness Research, Education and Clinical Centers
2015-2025
South Central VA Health Care Network
2025
Veterans Health Administration
2024
Health Services Research & Development
2013-2023
United States Department of Veterans Affairs
2023
University of North Carolina at Greensboro
2007-2009
This retrospective chart-review study examined patient-level correlates of initiation and completion evidence-based psychotherapy (EBP) for posttraumatic stress disorder (PTSD) among treatment-seeking U.S. veterans. We identified all patients (N = 796) in a large Veterans Affairs PTSD anxiety clinic who attended at least 1 individual appointment with 8 providers trained EBP. Within this group, 91 (11.4%) began EBP (either Cognitive Processing Therapy or Prolonged Exposure) 59 (7.9%)...
To develop a values-based, clinically feasible process to help older adults identify health priorities that can guide clinical decision-making.Prospective development and feasibility study.Primary care practice in Connecticut.Older with 3 or more conditions taking 10 medications (N=64).The team of patients, caregivers, clinicians used user-centered design framework-ideate → prototype test →redesign-to refine the value-based patient medical record template trained clinician facilitators.We...
Large-scale health care systems such as the Veterans Health Administration (VHA) have recently invested heavily in expansion of psychotherapy services. This study examined longitudinal changes use at VHA during a period substantial programmatic change targeting increased availability and quality mental care.This retrospective cohort used data from National Patient Care Database outpatient treatment files to identify patients with new-onset diagnosis depression, anxiety, or posttraumatic...
Peer support has been increasingly utilized within the Department of Veterans Affairs and offers an opportunity to augment existing care for posttraumatic stress disorder (PTSD). The current study sought examine Veterans' perspectives on potential benefits drawbacks peer PTSD. A sample 23 with substantial treatment experience completed one-time qualitative interviews that were transcribed coded thematic content using grounded theory methodology. Results indicated identified numerous a...
Trauma-focused psychotherapies, such as prolonged exposure and cognitive processing therapy, are the most effective forms of treatment for posttraumatic stress disorder. These treatments commonly delivered in Veterans Health Administration; however, dropout means that some veterans fail to benefit. Ending prematurely is a common problem across with on average, 20% 25% patients dropping out. The purpose this study was examine veterans' self-reported reasons out or therapy. who dropped from...
Low engagement in posttraumatic stress disorder (PTSD) psychotherapy is a common problem the U.S. Department of Veteran Affairs (VA), with up to half veterans who are referred an evidence-based failing engage that treatment. Prior research has focused on identifying general barriers mental health treatment rather than specific treatments for PTSD. The purpose current study was identify specifically (i.e., cognitive processing therapy or prolonged exposure) but did not attend any sessions...
Evidence-based psychotherapies (EBP) for posttraumatic stress disorder (PTSD) are effective at reducing symptoms and improving quality of life. Despite their effectiveness, few veterans receive EBP. To examine veterans' experiences initiating EBP PTSD, we conducted qualitative interviews with those who completed least 8 sessions prolonged exposure (PE) or cognitive processing therapy (CPT). Veterans reported learning about from therapists, psychiatrists, other veterans. Ambivalence delaying...
<h3>Importance</h3> Depression symptoms are present in one-third of patients with diabetes, contributing to significant adverse consequences. Population screening high-risk coupled telephone delivery evidence-based therapies for comorbid diabetes may address barriers care. <h3>Objective</h3> To evaluate the effectiveness proactive population plus a collaborative goal-setting intervention among uncontrolled and depression. <h3>Design, Setting, Participants</h3> In this randomized clinical...
Reinforcement Sensitivity Theory (RST) and the Five‐Factor Model (FFM) are two prominent personality accounts that have emerged from different backgrounds. Although applied to similar research topics, there is limited empirical work examining correspondence between them. The current study explored relationship RST‐based traits FFM domains facets in an undergraduate sample (n = 668). Regression analyses indicated Punishment (SP) was positively associated with Neuroticism Agreeableness,...
Primary care clinics present challenges to implementing evidence-based psychotherapies (EBPs) for depression and anxiety, frontline providers infrequently adopt these treatments. The current study explored providers’ perspectives on fidelity a manualized brief cognitive behavioral therapy (CBT) as delivered in primary part of pragmatic randomized trial. Data from the demonstrated clinical effectiveness treatment indicated that CBT with high fidelity, evaluated by experts using standardized...
A1 Introduction to the 8th Annual Conference on Science of Dissemination and Implementation: Optimizing Personal Population Health David Chambers, Lisa Simpson D1 Discussion forum: health D&I research Felicia Hill-Briggs D2 Global Gila Neta, Cynthia Vinson D3 Precision medicine Chambers S1 Predictors community therapists’ use therapy techniques in a large public mental system Rinad Beidas, Steven Marcus, Gregory Aarons, Kimberly Hoagwood, Sonja Schoenwald, Arthur Evans, Matthew Hurford,...
Abstract Increasing attention is being paid to the fact that exposure traumatic stressors in military combat may lead perpetration of intimate partner violence (IPV). Because shame has been identified as a factor posttraumatic stress disorder (PTSD), current cross‐sectional study examined relationship U.S. veterans between IPV and PTSD, depression, guilt, shame. We hypothesized would be strongest correlate mediate PTSD IPV. Participants were 264 primarily male Caucasian mixed‐era presenting...
Effective implementation strategies are needed to improve the adoption of evidence-based psychotherapy in primary care settings. This study provides pilot data on test an strategy conducted as part a multisite randomized controlled trial examining brief cognitive-behavioral therapy versus usual for medically ill patients care, using hybrid (type II) effectiveness/implementation design. The was multifaceted and included (1) modular-based online clinician training, (2) treatment fidelity...