Implementing a Multi-Disciplinary, Evidence-Based Resilience Intervention for Moral Injury Syndrome: Systemic
J Irene Harris1,2, Shawn Dunlap3, Danielle Xanthos4
1VA Maine Healthcare System, Augusta, ME 04330, USA.
Behavioral Sciences (Basel, Switzerland)
|April 26, 2024
Summary
Moral injury syndrome (MIS) treatment faces implementation challenges despite available therapies. Enhancing collaboration between chaplains and mental health providers is key to improving care for veterans with MIS.
Area of Science:
- Mental Health Research
- Implementation Science
- Veterans Affairs Healthcare
Background:
- Moral injury syndrome (MIS) significantly impacts veteran resilience, reducing psychotherapy effectiveness and increasing suicide risk.
- Despite evidence-based treatments for MIS, they are frequently underutilized.
- The Consolidated Framework for Implementation Research (CFIR) provides a structure for assessing treatment implementation.
Purpose of the Study:
- To assess barriers and facilitators to implementing Building Spiritual Strength (BSS), a multidisciplinary MIS treatment.
- To identify factors influencing the adoption of BSS within the Veterans Affairs (VA) system.
- To inform strategies for improving MIS treatment delivery.
Main Methods:
- Qualitative study using interviews with chaplains and mental health providers trained in BSS facilitation.
- Data collected from six VA sites.
- Analysis employed the Hamilton Rapid Turnaround method.
Main Results:
- Facilitators included BSS's accessibility and appeal to chaplains, chaplain leadership, and interprofessional collaboration.
- Barriers involved challenges engaging mental health providers, veteran unfamiliarity with group formats, and COVID-19 pandemic disruptions.
- Effective implementation requires enhanced trust and collaboration between chaplains and mental health providers.
Conclusions:
- Building Spiritual Strength (BSS) shows promise for treating moral injury syndrome (MIS) in veterans.
- Interprofessional collaboration between chaplains and mental health providers is crucial for successful BSS implementation.
- Addressing identified barriers is necessary to optimize MIS treatment delivery within the VA system.
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