A randomized controlled trial of telephone motivational interviewing to enhance mental health treatment engagement in Iraq and Afghanistan veterans

Seal, Karen H.; Abadjian, Linda; McCamish, Nicole; Shi, Ying; Tarasovsky, Gary; Weingardt, Kenneth R.

doi:10.1016/j.genhosppsych.2012.04.007

Cited by 70 publications

(89 citation statements)

References 31 publications

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“…Much of the current work focuses on improving rates of mental health utilization among patients already being seen in primary care (25,26). In this trial, success was dependent on the individual attending PTSD treatment attendance, and also in being able to navigate enrollment into the VA system.…”

Section: Discussionmentioning

confidence: 99%

RCT of a Brief Phone-Based CBT Intervention to Improve PTSD Treatment Utilization by Returning Service Members

Stecker¹,

McHugo²,

Xie³

et al. 2014

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Objectives Many service members do not seek care for mental health and addiction problems, often with serious consequences for them, their families, and their communities. This study tested the effectiveness of a brief, telephone-based, cognitive-behavioral intervention designed to improve treatment engagement among returning service members who screened positive for PTSD. Method OEF/OIF service members who screened positive for PTSD but had not engaged in PTSD treatment were recruited (N=300), randomly assigned to either control or intervention conditions, and administered the baseline interview. Intervention participants received the brief CBT intervention; control condition participants had access to usual services. All participants received follow-up phones calls at months 1, 3 and 6 to assess symptoms and service utilization. Results Participants in both conditions had comparable rates of treatment engagement and PTSD symptom reduction over the course of the six-month trial, but receiving the telephone-based intervention accelerated service utilization (treatment engagement and number of sessions) and PTSD symptom reduction. Conclusions A one-time brief telephone intervention can engage service members in PTSD treatment earlier than conventional methods and can lead to immediate symptom reduction. There were no differences at longer-term follow-up, suggesting the need for additional intervention to build upon initial gains.

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Section: Discussionmentioning

confidence: 99%

RCT of a Brief Phone-Based CBT Intervention to Improve PTSD Treatment Utilization by Returning Service Members

Stecker¹,

McHugo²,

Xie³

et al. 2014

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“…While existing evidence suggests coaching positively influences veterans in initiating mental health treatment (Seal et al, 2012;Stecker & Sherbourne, 2011), its effectiveness for improving continuity of mental health care specifically is currently the subject of an independent program evaluation being conducted by the RAND Corporation. In the interim, the program's experience to date generates preliminary observations.…”

Section: Preliminary Results and Program Evaluationmentioning

confidence: 99%

“…In addition to a meaningful body of research demonstrating effectiveness of health coaching in the general population, there are also studies testing its efficacy in increasing the likelihood veterans will initiate mental health care. In a controlled study Seal et al (2012) found recipients of motivational interviewing were significantly more likely to engage in mental health treatment. Stecker and Sherbourne (2011) tested a cognitive approach focused on modifying treatment-interfering beliefs among OIF veterans and found participants were significantly more likely to seek mental health treatment post-intervention.…”

Section: Program Design Theoretical Models Informing Transition Coachingmentioning

confidence: 99%

Continuity of Mental Health Care Across Military Transitions

DeFraia

Lamb²,

Resnick

et al. 2014

Social Work in Mental Health

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“…Seal and colleagues (Seal et al, 2012) demonstrated that an MI intervention targeting treatment engagement delivered in phone contacts with OEF/OIF veterans resulted in significantly greater follow-through to treatment (62%) compared to telephone contacts with standard treatment referral content (26%). These promising results help make the argument for incorporating MI into future stepped-care trials involving veterans with PTSD who are ambivalent toward treatment-seeking.…”

Section: The Role Of Motivational Interviewing (Mi)mentioning

confidence: 99%

Stepped-Care Approaches to Posttraumatic Stress Disorder: Sharpening Tools for the Clinician

Cigrang¹,

Peterson²

2017

PCSP

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Austern (2017) presents three composite Veteran case studies using Written Exposure Therapy (WET; Sloan, Lee, Litwack, Sawyer, & Marx, 2013) as a first-level intervention in a larger stepped-care model for PTSD. The relatively minimalist WET intervention may be appealing to Veterans with PTSD who have opted not to seek out more time and therapist-intensive treatments. In addition, writing has been used effectively in other protocols as a method of achieving exposure to memories of traumatic experiences. Austern's three cases demonstrate a range of success in using WET to engage Veterans in evidence-based treatment and reduce suffering associated with PTSD. We comment on the current status of the research literature on stepped-care models for PTSD, the potential value of incorporating Motivational Interviewing principles and specific homework tasks into these efforts, and the promise that abbreviated interventions and stepped-care approaches may hold for helping clinicians manage their clinical caseloads and avoid burnout.

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A randomized controlled trial of telephone motivational interviewing to enhance mental health treatment engagement in Iraq and Afghanistan veterans

Cited by 70 publications

References 31 publications

RCT of a Brief Phone-Based CBT Intervention to Improve PTSD Treatment Utilization by Returning Service Members

RCT of a Brief Phone-Based CBT Intervention to Improve PTSD Treatment Utilization by Returning Service Members

Continuity of Mental Health Care Across Military Transitions

Stepped-Care Approaches to Posttraumatic Stress Disorder: Sharpening Tools for the Clinician

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