为道德伤害综合征实施多学科,基于证据的弹性干预:系统性障碍和促进者
J Irene Harris1,2, Shawn Dunlap3, Danielle Xanthos4
1VA Maine Healthcare System, Augusta, ME 04330, USA.
Behavioral sciences (Basel, Switzerland)
|April 26, 2024
概括
尽管有可用的治疗方法,但道德伤害综合征 (MIS) 治疗面临实施挑战. 加强牧师和心理健康提供者之间的合作是改善对MIS退伍军人的护理的关键.
科学领域:
- 心理健康研究 心理健康研究
- 实施科学 实施科学
- 退伍军人事务 医疗保健 医疗保健
背景情况:
- 道德伤害综合征 (MIS) 显著影响退伍军人的性,降低心理治疗的有效性并增加自杀风险.
- 尽管有基于证据的MIS治疗方法,但它们往往未得到充分利用.
- 实施研究综合框架 (CFIR) 为评估治疗实施提供了一个结构.
研究的目的:
- 评估实施建立精神力量 (BSS) 的障碍和促进者,这是一个多学科的MIS治疗.
- 确定影响退伍军人事务 (VA) 系统中采用BSS的因素.
- 为改善MIS治疗提供策略提供信息.
主要方法:
- 通过采访与受过BSS促进培训的牧师和心理健康提供者进行定性研究.
- 从六个退伍军人网站收集的数据.
- 分析采用了汉密尔顿快速周转方法.
主要成果:
- 促进者包括BSS的可访问性和对牧师的呼吁,牧师领导和跨专业的合作.
- 障碍物包括与心理健康提供者接触的挑战,退伍军人对团体格式的不熟悉以及COVID-19大流行中断.
- 有效的实施需要加强牧师和心理健康提供者之间的信任和合作.
结论:
- 建立精神力量 (BSS) 显示出治疗退伍军人的道德伤害综合征 (MIS) 的希望.
- 牧师和心理健康提供者之间的专业间合作对于成功实施BSS至关重要.
- 解决已识别的障碍是必要的,以优化VA系统内的MIS治疗.
相关概念视频
Community Based Intervention
41
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
41
Stress Prevention and Stress Management Techniques VI
31
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
31
Humanistic Therapy
41
Humanistic therapies emphasize personal growth, self-understanding, and the fulfillment of human potential. Rooted in the belief that individuals inherently strive toward self-actualization, these approaches encourage clients to explore their feelings and experiences in a supportive, nonjudgmental environment. Humanistic therapies differ from psychodynamic approaches by focusing on conscious experiences, present circumstances, and the potential for self-improvement rather than past conflicts...
41
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Ethnic Identity within a Larger Culture
30
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
30
Bonanno's Theory of Grieving
73
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
73


