It is feasible to provide treatment to women veterans living in rural areas by utilizing video-teleconferencing technology between larger VA medical centers and facilities at CBOCs in more rural settings. A controlled trial of the intervention is warranted.

Through semistructured interviews, the authors investigated the relationships between the definition of a "true" American, the impact of 9/11, and the war in Iraq and their impact on experiences of fitting into and being excluded from the American identity with a sample of 10 2nd-generation young adults. Using consensual qualitative research methods (C. E. Hill et al., 2005; C. E. Hill, B. Thompson, & E. N. Williams, 1997) the authors identified 6 major domains that described participants' experiences, including physical characteristics of true Americans, behavioral characteristics of true Americans, beliefs and values of true Americans, the impact of 9/11 on definitions of true Americans, participants' American identity, and experiences as 2nd-generation Americans.

Young adults experiencing first-episode psychosis have historically been difficult to retain in mental health treatment. Communities across the United States are implementing Coordinated Specialty Care to improve outcomes for individuals experiencing first-episode psychosis. This mixed-methods research study examined the relationship between program services and treatment retention, operationalized as the likelihood of remaining in the program for 9 months or more. In the adjusted analysis, male gender and participation in home-based cognitive behavioral therapy were associated with an increased likelihood of remaining in treatment. The key informant interview findings suggest the shared decision-making process and the breadth, flexibility, and focus on functional recovery of the home-based cognitive behavioral therapy intervention may have positively influenced treatment retention. These findings suggest the use of shared decision-making and improved access to home-based cognitive behavioral therapy for first-episode psychosis patients may improve outcomes for this vulnerable population.

The present study examined the development, content, and outcome of a two-semester Web-Based Peer Discussion Group (WBPDG) for 20 counselor trainees. Outcome measures determined that participants felt significantly more open and co mfortable using the WBPDG at posttest in comparison to pretest. In addition, counselor trainees significantly reported a preference for using aliases online versus their real names in order to foster more sharing. Grounded theory[1] was used to analyze the 824 W BPDG messages revealing the fo llo wing themes: Therapeutic Technique, Case Conceptualizat ion, Professional Identity and Development, Supervision, Interpersonal Issues, and Ethics. Participation in the WBPDG also correlated with outcomes measured in face-to-face supervision. Imp lications for online peer supervision, practice, research, training and education in professional psychology are addressed.

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