scholarly journals Delivering Psychological Services to Military Members

2019 ◽  
pp. 25-45
Author(s):  
K. C. Kalmbach ◽  
Bret A. Moore
Keyword(s):  
Mental Health ◽  
Psychological Services ◽  
Mental Health Clinicians ◽  
Access Barriers ◽  
Health Providers ◽  
The Past ◽  
Military Members ◽  
The Many ◽  
Psychotherapy Clients ◽  
Levels Of Support

Military members are immersed in an all-encompassing culture and required to make countless personal sacrifices, often experiencing trauma or other stressors that most civilians will never face. Over the past two decades, a grateful nation has provided unprecedented levels of support for the many brave servicemen and women who choose this career path. It may therefore come as a surprise to some that, despite this support, many military members remain underserved in the area of mental health. Challenges include system and access barriers; health providers’ lack of familiarity with military injuries, needs, and culture; and military members’ own stigma-related reluctance to seek treatment. This chapter provides mental health clinicians with suggestions for practice. We outline the challenges and detail the qualities necessary to work effectively with psychotherapy clients who are military members.

Moral Injury as a Mediator of the Associations Between Sexual Harassment and Mental Health Symptoms and Substance Use Among Women Veterans

2021 ◽  
pp. 088626052098548
Author(s):  
Hannah C. Hamrick ◽  
Sarah J. Ehlke ◽  
Rachel L. Davies ◽  
Jennise M. Higgins ◽  
Jennifer Naylor ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Harassment ◽  
Military Service ◽  
Women Veterans ◽  
Moral Injury ◽  
Health Providers ◽  
Mental Health Symptoms ◽  
Convenience Sample ◽  
Health Symptoms ◽  
Military Members

Moral injury is an array of symptoms theorized to develop in response to morally injurious events, defined as events that challenge one’s core moral beliefs and expectations about the self, others, and world. Recent measures of moral injury have distinguished self-directed moral injury (e.g., moral injury symptoms that emerge following the perpetration of morally injurious events) from other-directed moral injury, the symptoms of which are believed to stem from one’s response to actions that others have committed (e.g., within-rank violence, failures of leadership, and acts of betrayal committed by trusted others or institutions). Using a convenience sample of 154 primarily former military women, the present study examined if other-directed moral injury symptoms (e.g., anger, betrayal, and mistrust) associated with military experience would mediate the association between military sexual harassment and mental health and substance abuse symptoms. Results demonstrated that 85.8% ( n = 127) of the of this sample of women veterans reported experiencing sexual harassment during their military service. Using a single mediation model, we further demonstrated that other-directed moral injury mediated the association between sexual harassment experience and mental health symptoms. Given the percentage of women veterans who reported sexual harassment, these results suggest that additional training for military members, and particularly, military leaders, is necessary to begin to reduce sexual harassment. In addition, mental health providers who work with current and former military members should consider how other-directed moral injury may be associated with mental health symptoms among women veterans who have experienced sexual harassment while in the military.

There Is No Need to Have a Budget or Business Plan

2019 ◽  
pp. 76-80
Author(s):  
Jeffrey E. Barnett ◽  
Jeffrey Zimmerman
Keyword(s):  
Mental Health ◽  
Private Practice ◽  
Business Plan ◽  
Essential Elements ◽  
Mental Health Practitioners ◽  
Mental Health Clinicians ◽  
Health Practitioners ◽  
The Many ◽  
And Training

The business of mental health practice may be quite complex and for those without education and training in the business of practice, it may seem quite daunting. Failure to approach the private practice of mental health from a business perspective may doom one’s practice to failure. This chapter addresses the role of a business plan, explains how it is used, and describes the essential elements that guide practitioners in making decisions relevant to the structuring and running of their practice. The importance of preparation and a detailed business plan, as well as an accompanying budget, is explained. The ways in which such tools can assist mental health clinicians to appropriately plan for and address the many structural, financial, and other challenges that commonly arise in the course of running a business are discussed. Practical strategies and concrete suggestions are offered to help mental health practitioners develop and maintain a financially viable private practice.

The Garry David Case

1991 ◽  
Vol 25 (3) ◽  
pp. 371-374 ◽  
Author(s):  
Neville Parker
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Antisocial Personality Disorder ◽  
Antisocial Personality ◽  
Public Concern ◽  
Attempted Murder ◽  
The Past ◽  
The Many

A prisoner with an antisocial personality disorder had almost completed his sentence for attempted murder and there was considerable public concern over his imminent release. The article discusses the many attempts made by the Victorian Government during the past six months to detain him. A recommendation was made to change the Mental Health Act 1986 by including personality disorders as a form of “mental illness”. The outcome of such advice has enormous implications for the practice of psychiatry in Victoria.

Factors in the development of psychiatric epidemics

2017 ◽  
Author(s):  
Michael B. First
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
Mental Health Providers ◽  
Health Providers ◽  
Apparent Increase ◽  
The Past ◽  
Short Time ◽  
Actual Incidence ◽  
Over Time

The term “epidemic” is broadly employed to refer to any occurrence of illness that is clearly in excess of normal expectancy. Whenever there is an apparent increase in the number of cases over a relatively short time, there are three possibilities: (1) a true epidemic in which the actual incidence of the disorder is increasing; (2) an increase in the number of previously undiagnosed individuals coming to clinical attention; or (3) a broadening of diagnostic definitions over time. Although reports of greatly increased rates of some psychiatric disorders in the past 30 years suggest possible “epidemics,” a closer examination raises questions about whether any of these truly represent increased incidence of the disorder in the community. In most cases, claims for the existence of an epidemic depend on reports of increased numbers of diagnoses made by mental health providers as opposed to evidence of increased rates of the symptomatic presentation.

Malpractice

2017 ◽  
Author(s):  
Jennifer L. Piel ◽  
Phillip J. Resnick
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Mental Health Clinicians ◽  
Mental Health Providers ◽  
Health Providers ◽  
Intentional Actions ◽  
Malpractice Claims ◽  
Legal Concepts

A lawsuit for professional malpractice is an occupational hazard feared by many psychiatrists, psychologists, social workers, and counselors in the mental health field. Most actions against mental health clinicians are based on the concept of negligence. Medical negligence occurs when health care professionals fail to adhere to the standard of professional care, resulting in harm to a patient. Mental health professionals may also face legal action for certain intentional actions that cause injury to a patient. This chapter reviews the core legal concepts underlying malpractice claims against mental health clinicians. Presented here are the topics that are most likely to be the basis of liability suits against mental health providers. The chapter concludes with some strategies that mental health professionals can use to reduce the risk of malpractice liability.

scholarly journals The availability of psychological support following road travel injuries in Namibia: A qualitative study

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258197
Author(s):  
Mitchel Chatukuta ◽  
Nora Groce ◽  
Jenny Mindell ◽  
Maria Kett
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Mental Health Problems ◽  
Road Traffic ◽  
Psychological Support ◽  
Psychological Services ◽  
Global Studies ◽  
High Burden ◽  
The Many ◽  
Road Injury

Road traffic injuries (RTIs) are a major problem worldwide with a high burden of mental health problems and the importance of psychological support following road injury is well documented. However, globally there has been very little research on the accessibility of psychological services following road injury. Namibia is one of the countries most affected by RTIs but no previous studies have been done on this. In this qualitative study we investigated the availability of psychological services to RTI injured in Namibia. Our study findings are in line with those of other global studies in showing inadequate access to psychological support for injury survivors and we discuss the reasons. It is hoped these findings will help policymakers develop ways of enhancing access to psychological support for the many people injured in RTIs in Namibia. The models they develop may also be of use to other LMICs countries with high RTI rates.

On Future Directions in Pathology

1982 ◽  
Vol 40 ◽  
pp. 274-277
Author(s):  
Benjamin F. Trump ◽  
Irene K. Berezesky ◽  
Raymond T. Jones
Keyword(s):  
Electron Microscopy ◽  
Transmission Electron Microscopy ◽  
Clinical Pathology ◽  
Future Directions ◽  
Diagnostic Pathology ◽  
The Past ◽  
Transmission Electron ◽  
Organ Systems ◽  
The Many

The role of electron microscopy and associated techniques is assured in diagnostic pathology. At the present time, most of the progress has been made on tissues examined by transmission electron microscopy (TEM) and correlated with light microscopy (LM) and by cytochemistry using both plastic and paraffin-embedded materials. As mentioned elsewhere in this symposium, this has revolutionized many fields of pathology including diagnostic, anatomic and clinical pathology. It began with the kidney; however, it has now been extended to most other organ systems and to tumor diagnosis in general. The results of the past few years tend to indicate the future directions and needs of this expanding field. Now, in addition to routine EM, pathologists have access to the many newly developed methods and instruments mentioned below which should aid considerably not only in diagnostic pathology but in investigative pathology as well.

A 200-Year History of the Study of Childhood Language Disorders of Unknown Origin: Changes in Terminology

2020 ◽  
Vol 5 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Laurence B. Leonard
Keyword(s):  
Language Impairment ◽  
Specific Language Impairment ◽  
Scientific Literature ◽  
Language Disorder ◽  
Language Disorders ◽  
Unknown Origin ◽  
Developmental Language Disorder ◽  
The Past ◽  
History Of ◽  
The Many

Purpose The current “specific language impairment” and “developmental language disorder” discussion might lead to important changes in how we refer to children with language disorders of unknown origin. The field has seen other changes in terminology. This article reviews many of these changes. Method A literature review of previous clinical labels was conducted, and possible reasons for the changes in labels were identified. Results References to children with significant yet unexplained deficits in language ability have been part of the scientific literature since, at least, the early 1800s. Terms have changed from those with a neurological emphasis to those that do not imply a cause for the language disorder. Diagnostic criteria have become more explicit but have become, at certain points, too narrow to represent the wider range of children with language disorders of unknown origin. Conclusions The field was not well served by the many changes in terminology that have transpired in the past. A new label at this point must be accompanied by strong efforts to recruit its adoption by clinical speech-language pathologists and the general public.

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