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1.
Psychol Serv ; 2024 May 23.
Artículo en Inglés | MEDLINE | ID: mdl-38780557

RESUMEN

Exposure therapies effectively treat traumatic stress sequelae, including that which follows sexual violence victimization (SVV). Carceral facilities house women with significantly higher rates of SVV than community samples, yet they rarely implement this form of treatment. In this study, women with histories of SVV (n = 63) completed semistructured qualitative interviews about their decision to enroll or not enroll in an exposure-based group therapy called Survivors Healing from Abuse: Recovery through Exposure while incarcerated. All study participants were previously incarcerated in a prison, where they were offered the opportunity to enroll in Survivors Healing from Abuse: Recovery through Exposure. We used the theory of planned behavior to analyze factors that affected enrollment decisions. Results revealed that enrollment decisions among incarcerated women can be categorized within the theory of planned behavior framework. Interview responses indicated that recognizing current problems as related to experiences of SVV, holding positive attitudes about mental health treatment, observing peers engaging in help-seeking behaviors, and perceiving treatment as accessible were linked with enrollment. Negative perceptions of treatment, fear of judgment, and negative peer influence (e.g., distrust of peers) were linked to decisions not to enroll. While certain beliefs were influenced by contextual features of incarceration (e.g., peer interactions outside of group therapy), many overlapped with factors found to influence help-seeking among nonincarcerated populations. Findings have implications for how to engage members of underserved populations in resource-deprived contexts who have a great need for treatment of traumatic symptoms secondary to sexual violence. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

2.
Trauma Surg Acute Care Open ; 9(1): e001198, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38390474

RESUMEN

Background: An estimated one-third of patients experience post-traumatic stress disorder (PTSD) or depression in the year following a traumatic injury. The American College of Surgeons requires postinjury PTSD and depression screening in trauma centers, although implementation has been limited. Tech-based solutions have been proposed to improve uptake of postinjury mental health screening. The goals of this pilot study were to assess the usability and acceptability of Blueprint, a tech-based mental health screening platform, and explore attitudes toward tech-based screening and intervention. Methods: This pilot study included trauma patients (n=10) admitted to the trauma service. Participants completed the PTSD Checklist-5 and Patient Health Questionnaire-9 using Blueprint to test usability and acceptability of the platform. Participants completed the System Usability Scale (SUS) and a semi-structured interview to assess several domains including attitudes toward tech-based screening, potential barriers to implementation, and its usefulness in a postinjury context. Summative Template Analysis, a data abstraction procedure, was used to analyze qualitative data. Results: Blueprint received an average SUS score of 93.25/100 suggesting participants found the interface to be an 'excellent' means to assess postinjury mental health concerns. Participants were supportive of universal screening and identified several benefits to engaging in tech-based routine monitoring of postinjury PTSD and depressive symptoms including convenience, personalization, and trauma-informed care. Regarding intervention, patients valued web-based psychoeducation on topics related to their overall care and local resources. Conclusions: Tech-based mental health screening was highly usable and valuable to trauma patients at risk for postinjury PTSD and depression. Participants valued web-based psychoeducation and resources, but overall preferred Blueprint be used to facilitate access to in-person mental health services. Further evaluation of Blueprint as a means of assessment, intervention, and referral is needed.

3.
J Rural Health ; 39(2): 452-458, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-36284442

RESUMEN

OBJECTIVE: The purpose of this study was to understand the uses of telehealth with justice-involved adults under community supervision with substance use problems, including their experiences during the pandemic. METHODS: Structured interviews were administered among 17 justice-involved adults under community supervision about their experiences with telehealth services to treat substance use disorders. Thematic coding was used for the analysis. RESULTS: We identified 5 primary themes: (1) knowledge about and experiences with telehealth services during the pandemic; (2) telehealth services available; (3) service changes during the pandemic; and (4) individual motivations around treatment-seeking behavior. CONCLUSION: Overall, our findings reveal that many individuals on probation or parole appreciate having access to telehealth and found that modality convenient for counseling services. Findings shed light on participants' understanding of telehealth, their experiences in using the modality, and how this modality may serve their needs in other ways. External and internal barriers to accessing telehealth are also discussed.


Asunto(s)
Telemedicina , Adulto , Humanos , Motivación , Pandemias , Justicia Social
4.
Psychol Serv ; 2022 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-36074603

RESUMEN

This article describes an innovative career-mentoring program for court-ordered juveniles that targets risk factors of recidivism and incorporates elements of effective career intervention. Youth were randomly assigned to a mentoring group or a treatment-as-usual (TAU) group. The mentoring group received nine sessions of a structured career-mentoring program from students at a university. The TAU group received other programs provided by the court. Results at posttest indicated that the mentoring group exhibited more pro-social motivations for work, more realistic attitudes toward work, and more professional job interests than the TAU group. Persons in the mentoring group enjoyed their mentoring experience with their university student mentors. Results have implications for cost-effective programs for court-ordered youth at a crucial time in their development. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

5.
Health Justice ; 10(1): 27, 2022 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-36048251

RESUMEN

BACKGROUND: Throughout the first year of the COVID-19 pandemic, our research team monitored and documented policy changes in United States (U.S.) prison systems. Data sources included prison websites and official prison social media accounts. Over 2500 data sources relevant to the COVID-19 pandemic in U.S. prisons were located and summarized in to five different categories: 1) prevention, 2) case identification and intervention, 3) movement, 4) social communication and connection, and 5) programming, recreation, and privileges. RESULTS: All state prison systems reportedly enacted multiple policies intended to limit the spread of COVID-19 during the pandemic. Document analysis revealed that the most commonly released policies were restrictions on social contacts and privileges, basic preventive measures (e.g., distribution of masks), and basic case identification measures (e.g., verbal screening and temperature checks). Utilization of social media for policy communication varied significantly across states, though relevant data was more often released on Facebook than Twitter. CONCLUSIONS: Together, our work provides foundational knowledge on the wide breadth of policies that were reportedly enacted in the first year of the pandemic that may be used as a base for quantitative work on policy effectiveness and examinations of implementation.

6.
Psychol Serv ; 19(4): 680-683, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33030944

RESUMEN

Dr. Amy Grubb is an industrial/organizational (I/O) psychologist for the Federal Bureau of Investigation (FBI). I/O psychology may be an overlooked area of psychology, but it is important to the functioning of many of the greatest industries and organizations in our country. Although Dr. Grubb performs job duties that are comparable to those of other psychologists, certain aspects of her job are atypical, given the environment and the decision-making that takes place within the FBI at both the national and international levels. Dr. Grubb was asked a series of questions about what makes working as a psychologist for the FBI an atypical job. Throughout the interview, she shared about the activities she is typically involved in, as well as how the "gravitas" of the mission and weight of the work make the job atypical. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Asunto(s)
Organizaciones , Femenino , Humanos
7.
J Subst Abuse Treat ; 122: 108190, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33221126

RESUMEN

People who are incarcerated are likely to meet criteria for at least one substance use disorder and need access to treatment. Access to such interventions was limited prior to the COVID-19 pandemic and has almost certainly been restricted further due to implementation of procedures intended to stop the spread of the virus. In this brief commentary, we discuss how COVID-19 has revealed the already tenuous access that people who are incarcerated have to behavioral health services, and the pitfalls of reliance on the U.S. carceral system as a response to addiction.


Asunto(s)
COVID-19 , Cárceles Locales , Pandemias , Prisiones , Trastornos Relacionados con Sustancias/rehabilitación , COVID-19/economía , Accesibilidad a los Servicios de Salud , Humanos , Cárceles Locales/economía , Prisioneros , Prisiones/economía , Trastornos Relacionados con Sustancias/economía
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