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:6/23/2017)... ... June 23, 2017 , ... MD Now Urgent Care ... MD Now’s 28th facility overall and marks the urgent care center's eighth location in ... North of The Falls shopping mall. The new clinic offers a wide array of ...
(Date:6/23/2017)... ... ... American Farmer, will feature Chr. Hansen, Inc (CHR Hansen) in an upcoming episode ... Farmer airs Tuesdays at 8:30aET on RFD-TV. Check your local listings for more info. ... 1874 after a groundbreaking discovery of how to industrialize enzymes. Rooted in science and ...
(Date:6/23/2017)... Chicago, IL (PRWEB) , ... June 23, 2017 ... ... insurance management assistance and financial planning services to communities in the greater Chicago ... Children’s Association to offer assistance to underprivileged youth in Chicago. , Founded in ...
(Date:6/23/2017)... ... June 23, 2017 , ... Moore Insurance, ... area with access to asset protection and financial planning services, is teaming up ... improving the lives of children with cancer and other chronic diseases. , The ...
(Date:6/22/2017)... ... June 22, 2017 , ... ... is pleased to welcome Whipple & Company as its newest Partner Firm. Headquartered ... of balancing their clients’ risk while tailoring optimized benefit packages that strengthen the ...
Breaking Medicine News(10 mins):
(Date:6/2/2017)... , June 2, 2017  NxStage Medical, Inc. (Nasdaq:  NXTM), a ... today announced new findings demonstrating positive biochemical outcomes related ... System One™. The data will be presented at the ... Madrid, Spain . The ... Home Dialysis Network in Europe ...
(Date:5/29/2017)... Israel, May 29, 2017  Cellect Biotechnology Ltd. (NASDAQ: ... technology which enables the functional selection of stem cells, ... for the first quarter ended March 31 st , ... our accomplishments in the first quarter of 2017," said ... quarter, we announced the treatment of the first blood ...
(Date:5/22/2017)... VALLEY COTTAGE, N.Y. , May 22, 2017 ... natural antiviral treatment Gene-Eden-VIR/Novirin, announces the launch of ... in plain English, the results of a clinical ... after one year treatment with Gene-Eden-VIR/Novirin in individuals ... is important to note that there are no ...
Breaking Medicine Technology: