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Veteran Cultural Competence Training: Initial Effectiveness and National-Level Implementation.
Joseph C Geraci1, Emily R Edwards1, David May1
1Transitioning Servicemember/Veteran and Suicide Prevention Center, Veterans Integrated Service Network (VISN) 2, Mental Illness Research, Education and Clinical Center, James J. Peters Department of Veterans Affairs Medical Center, New York City (Geraci, Edwards, May, Halliday, Smith-Isabell, Dichiara, Goodman); Center of Excellence for Research on Returning War Veterans, VISN 17, Doris Miller Department of Veterans Affairs Medical Center, Waco, Texas (Geraci, Goodman); Resilience Center for Veterans & Families, Teachers College, Columbia University, New York City (May, Halliday); Fielding Graduate University, Santa Barbara, California (El-Meouchy, Lowell); Institute for Veterans & Military Families, Syracuse University, Syracuse, New York (Armstrong, Cantor); Department of Psychology, Hofstra University, Hempstead, New York (DeJesus).
Veteran Cultural Competence Training (VCCT) significantly boosts service professionals' self-efficacy in understanding veterans. This training improves cultural competence, potentially enhancing veteran services across diverse settings.
Area of Science:
- Social Work
- Psychology
- Military and Veteran Studies
Background:
- Service professionals often lack cultural competence when working with veterans.
- Veterans frequently perceive professionals as lacking understanding.
- There is a need for targeted training to address this gap.
Purpose of the Study:
- To develop, evaluate, and implement Veteran Cultural Competence Training (VCCT).
- To enhance awareness, knowledge, and skills of professionals working with veterans.
- To improve the quality of services provided to the veteran population.
Main Methods:
- Study 1: Type 1 effectiveness-implementation hybrid trial comparing VCCT with a control group using the MCSE-V.
- Study 2: Type 2 effectiveness-implementation hybrid trial using the RE-AIM framework with an expanded population (N=312).
- In-person training combining educational and experiential components.
Main Results:
- VCCT significantly increased trainees' self-efficacy in veteran cultural competence (p<0.001).
- Effectiveness was maintained across professions and settings.
- Implementation facilitation and coalition building were key for fidelity and maintenance.
- Significant expansion of VCCT post-implementation was observed.
Conclusions:
- VCCT is an effective intervention for increasing cultural competence in working with veterans.
- The training's positive effects were consistent across various demographics and locations.
- Improved professional competence can lead to better veteran services.
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