Mental Health Clinician and Community Clergy Collaboration to Address Moral Injury in Veterans and the Role of the Veterans Affairs Chaplain

2018 ◽  
Vol 25 (1) ◽  
pp. 1-19 ◽  
Author(s):  
Jeffrey M. Pyne ◽  
Aline Rabalais ◽  
Steve Sullivan
Author(s):  
Jeffrey M. Pyne ◽  
Steve Sullivan ◽  
Traci H. Abraham ◽  
Aline Rabalais ◽  
Michael Jaques ◽  
...  

Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter

This chapter details a Psychologist’s first experience of working with patients with “Dissociative Seizures” as a junior assistant Psychologist with very little therapeutic experience. In the Psychologist’s experience, labeling these events as “non-epileptic attacks” tended to inspire confusion, frustration, and a sense of hopelessness on the part of patients. Indeed, these patients expressed that this label helped them understand what they did not have but provided them with little information about what they did have, and what this meant for them. Working with these patients, the Psychologist experienced with frequency the difficult thoughts and feelings that come along with the role of being a mental health clinician. The Psychologist often felt moved by patients’ stories, which frequently demonstrated resilience and strength in the face of adversity or trauma. The chapter then outlines one case study that had a lasting impact on the Psychologist to illustrate some of the clinical challenges of working with patients who experience Dissociative Seizures.


2016 ◽  
Vol 38 ◽  
pp. 89-93 ◽  
Author(s):  
Steven K. Dobscha ◽  
Lauren M. Denneson ◽  
Laura E. Jacobson ◽  
Holly B. Williams ◽  
Risa Cromer ◽  
...  

2020 ◽  
Vol 6 ◽  
pp. 233372142095675
Author(s):  
Marc J. Pepin ◽  
Willy M. Valencia ◽  
Janet Prvu Bettger ◽  
Megan Pearson ◽  
Kenneth M Manning ◽  
...  

Exercise is touted as the ideal prescription to treat and prevent many chronic diseases. We examined changes in utilization and cost of medication classes commonly prescribed in the management of chronic conditions following participation in 12-months of supervised exercise within the Veterans Affairs Gerofit program. Gerofit enrolled 480 veterans between 1999 and 2017 with 12-months participation, with 453 having one or more active prescriptions on enrollment. Active prescriptions overall and for five classes of medications were examined. Changes from enrollment to 12 months were calculated, and cost associated with prescriptions filled were used to estimate net cost changes. Active prescriptions were reduced for opioids (77 of 164, 47%), mental health (93 of 221, 42%), cardiac (175 of 391, 45%), diabetes (41 of 166, 25%), and lipid lowering (56 of 253, 22%) agents. Cost estimates resulted in a net savings of $38,400. These findings support the role of supervised exercise as a favorable therapeutic intervention that has impact across chronic conditions.


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