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Full-Text Articles in Psychology
What Factors Determine Disclosure Of Suicide Ideation In Adults 60 And Older To A Treatment Provider?, Steven D. Vannoy
What Factors Determine Disclosure Of Suicide Ideation In Adults 60 And Older To A Treatment Provider?, Steven D. Vannoy
Steven D Vannoy
Correlates of patient disclosure of suicide ideation to a primary care or mental health provider were identified. Secondary analyses of IMPACT trial data were conducted. Of the 107 patients 60 years of age or older who endorsed thoughts of ending their life at least "a little bit" during the past month, 53 indicated they had disclosed these thoughts to a mental health or primary care provider during this period. Multiple logistic regression was used to identify predictors of disclosure to a provider. Significant predictors included poorer quality of life and prior mental health specialty treatment. Among participants endorsing thoughts of …
The Role Of Social Support In Adolescents: Are You Helping Me Or Stressing Me Out?, Gonzalo Bacigalupe, Maria Camara
The Role Of Social Support In Adolescents: Are You Helping Me Or Stressing Me Out?, Gonzalo Bacigalupe, Maria Camara
Gonzalo Bacigalupe, EdD, MPH
Interpersonal relationships are indispensable in helping adolescents cope with stressors, acting as social support sources that protect them from psychological distress. Learning from their experiences may elucidate what strategies could be employed to support adolescents during this vulnerable life stage. Focus groups (N = 80) with adolescents in the Basque Country, Spain, were conducted to capture adolescents' narratives on stress and social support. Findings revealed the dual role of interpersonal relationships – as stressors and as sources of social support. Adolescents draw on sources of support that are familiar, mature, friendly, and, most importantly, worth of trust. Their most valued …
A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer
A Learning Collaborative Of Cmhcs And Chcs To Support Integration Of Behavioral Health And General Medical Care, Steven D. Vannoy, Barbara Mauer, John Kern, Kamaljeet Girn, Charles Ingoglia, Jeannie Campbell, Laura Galbreath, JüRgen UnüTzer
Steven D Vannoy
Objective: Integration of general medical and mental health services is a growing priority for safety-net providers. The authors describe a project that established a one-year learning collaborative focused on integration of services between community health centers (CHCs) and community mental health centers (CMHCs). Specific targets were treatment for general medical and psychiatric symptoms related to depression, bipolar dis- order, alcohol use disorders, and metabolic syndrome. Methods: This ob- servational study used mixed methods. Quantitative measures included 15 patient-level health indicators, practice self-assessment of resources and support for chronic disease self-management, and participant satisfaction. Results: Sixteen CHC-CMHC pairs were selected for …
Now What Should I Do? Primary Care Physicians’ Responses To Older Adults Expressing Thoughts Of Suicide, Steven D. Vannoy, Ming Tai-Seale, Paul Duberstein, Laura J. Eaton, Mary Ann Cook
Now What Should I Do? Primary Care Physicians’ Responses To Older Adults Expressing Thoughts Of Suicide, Steven D. Vannoy, Ming Tai-Seale, Paul Duberstein, Laura J. Eaton, Mary Ann Cook
Steven D Vannoy
ACKGROUND: Many older adults who die by suicide have had recent contact with a primary care physician. As the risk-assessment and referral process for suicide is not readily comparable to procedures for other high- risk behaviors, it is important to identify areas in need of quality improvement (QI). OBJECTIVE: Identify patterns in physician-patient com- munication regarding suicide to inform QI interventions. DESIGN: Qualitative thematic analysis of video-taped clinical encounters in which suicide was discussed. PARTICIPANTS: Adult primary care patients (n=385) 65 years and older and their primary care physicians. RESULTS: Mental health was discussed in 22% of encounters (n=85), with …
Does Ptsd Moderate The Relationship Between Social Support And Suicide Risk In Iraq And Afghanistan War Veterans Seeking Mental Health Treatment?, Matthew Jakupcak, Steven D. Vannoy, Zac Imel, Jessica W. Cook, Alan Fontana, Robert Rosenheck, Miles Mcfall
Does Ptsd Moderate The Relationship Between Social Support And Suicide Risk In Iraq And Afghanistan War Veterans Seeking Mental Health Treatment?, Matthew Jakupcak, Steven D. Vannoy, Zac Imel, Jessica W. Cook, Alan Fontana, Robert Rosenheck, Miles Mcfall
Steven D Vannoy
Objective: This study examined posttraumatic stress disorder (PTSD) as a potential moderating variable in the relationship between social support and elevated suicide risk in a sample of treatment-seeking Iraq and Afghanistan War Veterans. Method: As part of routine care, self-reported marital status, satisfaction with social networks, PTSD, and recent suicidality were assessed in Veterans (N 5 431) referred for mental health services at a large Veteran Affairs Medical Center. Logistic regression analyses were conducted using this cross- sectional data sample to test predictions of diminished influence of social support on suicide risk in Veterans reporting PTSD. Results: Thirteen percent of …
Effectiveness Of Problem-Solving Therapy For Older, Primary Care Patients With Depression: Results From The Impact Project, Patricia Arean, Mark Hegel, Steven D. Vannoy, Ming-Yu Fan, Jurgen Unuzter
Effectiveness Of Problem-Solving Therapy For Older, Primary Care Patients With Depression: Results From The Impact Project, Patricia Arean, Mark Hegel, Steven D. Vannoy, Ming-Yu Fan, Jurgen Unuzter
Steven D Vannoy
Purpose: We compared a primary-care-based psy- chotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psycho- therapy in treating late-life major depression and dys- thymia. Design and Methods: The data here are from the IMPACT study, which compared collabora- tive care within a primary care clinic to care as usual in the treatment of 1,801 primary care patients, 60 years of age or older, with major depression or dysthymia. This study is a secondary data analysis (n = 433) of participants who received either PST-PC (by means of collaborative care) or community-based psychotherapy (by means of usual care). …