Navigation Links
Telephone therapy technique brings more Iraq and Afghanistan veterans into mental health treatment
Date:7/26/2012

A brief therapeutic intervention called motivational interviewing, administered over the telephone, was significantly more effective than a simple "check-in" call in getting Iraq and Afghanistan war veterans with mental health diagnoses to begin treatment for their conditions, in a study led by a physician at the San Francisco VA Medical Center and the University of California, San Francisco.

Participants receiving telephone motivational interviewing also were significantly more likely to stay in therapy, and reported reductions in marijuana use and a decreased sense of stigma associated with mental health treatment.

The study was published electronically recently in General Hospital Psychiatry (May 25, 2012).

Lead author Karen Seal, MD, MPH, director of the Integrated Care Clinic at SFVAMC and an associate professor of medicine and psychiatry at UCSF, noted that 52 percent of the approximately half-million Iraq and Afghanistan veterans currently being seen by the VA have one or more mental health diagnoses, including post-traumatic stress disorder, depression, anxiety or other related conditions.

"The VA has gone to extraordinary lengths to provide these veterans with state-of-the-art, evidence-based mental health treatment," she said. "The irony is that they are not necessarily engaging in this treatment. This study was positioned to try to connect our veterans with the treatments that are available to them."

Motivational interviewing, in which counselors encourage clients to explore and articulate discrepancies between their core values and their actual behaviors, has been used successfully as a psychotherapeutic intervention in other settings, said Seal.

"Articulating to the counselor how they want to change can motivate someone to make actual behavioral changes, such as engaging in treatment," said Seal. "The counselor then supports the client's perception that they can actually make these changes."

For the study, 73 veterans of the Iraq and Afghanistan wars who screened positive for one or more mental health diagnoses, and were not currently in treatment, were randomly assigned either to a group that received four motivational interviewing sessions or a control group that received four neutral check-in sessions over a period of eight weeks.

"We thought that using the telephone to conduct this intervention would be a really good idea because these veterans are young, they're busy, they're in school, they have families and they all carry cell phones," Seal said.

By the end of the study, 62 percent of the motivational interviewing group had begun treatment, versus 26 percent of the control group. The motivational interviewing group was significantly more likely to stay in treatment, and also reported significantly decreased marijuana use and significantly less sense of stigma associated with mental health treatment than the control group.

The counselors who conducted the study intervention were not licensed clinicians, but "qualified people with masters' degrees who were trained for about eight hours," said Seal. "This means that the expense for personnel will not need to be huge if this becomes a routine procedure."

Seal emphasized that the study was a first-time pilot trial designed to assess the potential efficacy of telephone motivational interviewing, and that more research is needed to test the technique among larger groups of veterans. To that end, Seal plans a follow-up implementation study involving veterans at VA outpatient clinics in rural communities.


'/>"/>

Contact: Steve Tokar
steve.tokar@ncire.org
415-221-4810 x5202
University of California - San Francisco
Source:Eurekalert  

Related medicine news :

1. Breast cancer patients who lack RB gene respond better to neoadjuvant chemotherapy
2. LA BioMed investigator, Dr. Yutaka Niihara, developing novel cellular therapy
3. John Theurer Cancer Center researchers shed light on new multiple myeloma therapy
4. Among new HIV treatment recommendations, all adult patients should be offered antiretroviral therapy
5. Exposure Therapy May Be Option for Kids Egg, Milk Allergies
6. Gene therapy treatment extends lives of mice with fatal disease, MU study finds
7. Uncommon BRAF mutation in melanoma sensitive to MEK inhibitor drug therapy
8. Platelet-rich plasma therapy a safe option for cartilage damage, new study finds
9. Medical Groups Agree on Use of Hormone-Replacement Therapy
10. 15 top medical organizations agree on hormone therapy use
11. Antibodies reverse type 1 diabetes in new immunotherapy study
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Telephone therapy technique brings more Iraq and Afghanistan veterans into mental health treatment
(Date:2/27/2017)... ... February 27, 2017 , ... Anahata Ananda of Shamangelic ... happy to announce her “Spring Rejuvenation in Sedona” personally tailored retreats. For those ... the winter-weary soul an excellent opportunity to come out of hibernation and do ...
(Date:2/27/2017)... ... February 27, 2017 , ... This webinar ... analysis as a tool to characterize particle size distributions in the field of ... results and novel scientific findings. It describes methods of optimized and standardized sample ...
(Date:2/27/2017)... San Francisco, CA (PRWEB) , ... February 27, ... ... Area center for hair transplantation therapy, is proud to announce a new informational ... popular hair therapy procedures. Follicular Unit Extraction (FUE) hair transplant and Follicular Unit ...
(Date:2/26/2017)... ... February 26, 2017 , ... This is an ... world’s first to be ISO/IEC 17025:2005 INAB accredited for Der p 1 (house ... is the globally recognised standard that sets out requirements for the technical competence ...
(Date:2/26/2017)... (PRWEB) , ... February 26, 2017 , ... ODH, Inc.™ ... Care Summit, February 27-28 at the Sheraton Pentagon City Hotel in Arlington, VA. ODH’s ... PerformCARE to use behavioral health analytics to improve Medicaid population health management. , ODH ...
Breaking Medicine News(10 mins):
(Date:2/24/2017)... , February 24, 2017 Following ... Israel , s AMAR is a ... 250 M w ound care market in ... BST for inclusion in the National Health ... system   E-QURE Corp. (OTCQB: EQUR), a ...
(Date:2/24/2017)... 2017 Research and Markets has announced the addition ... report to their offering. ... The latest research Hemophilia Drugs Price Analysis and Strategies - 2016, provides ... research answers the following questions: What are ... they positioned in the Global Hemophilia market? What are ...
(Date:2/24/2017)... , Feb. 24, 2017 Medical information ... to increase their self-service capabilities to manage inquiries ... (HCPs). New research from consulting leader ... have developed self-service website portals where HCPs can ... just one of many findings to emerge from ...
Breaking Medicine Technology: