Progress 09/01/12 to 08/31/17
Outputs
Target Audience:This work reach various professional within the AF, including: AFMOA policy analyst, Adapt Med Techs, AFMOA Social Workers, BHOP professionals. Changes/Problems:
Nothing Reported
What opportunities for training and professional development has the project provided?Aronson, K. R., Hawkey, K. R., & Perkins, D. F. (2016). Suicide risk screening and assessment in Air Force Mental Health Clinics: A rapid review. Submitted to the United States Air Force Medical Operations Agency (AFMOA), May 2016. Perkins, D. F., Merritt, M., Jone, D., & White, L. D. (February, 2017). Follow-up Analysis of Phase 1 Social Norms Implementation within the U.S. Air Force. Invited paper presentation at the 2017 Annual Air Force Medical Operations Agency (AFMOA) Mental Health Division Research Review Meeting. San Antonio, TX. Perkins, D. F., Welsh, J. A., Merritt, M., Ormsby, L., & Hawkey, K. R., ADAPT Level 1 Treatment Evaluation. Invited paper presentation at the 2017 Annual Air Force Medical Operations Agency (AFMOA) Mental Health Division Research Review Meeting. San Antonio, TX. Hawkey, K. R., Aronson, K., & Perkins, D. P. (January, 2016). Qualitative review of mental health clinics' suicide prevention and interventions. Invited paper presentation at the 2016 Annual Air Force Medical Operations Agency (AFMOA) Mental Health Division Research Review Meeting. San Antonio, TX. Hawkey, K. R., Aronson, K., & Perkins, D. P. (January, 2016). Brief cognitive behavioral therapy for preventing suicide: Implementation and service outcome feasibility study. Invited paper presentation at the 2016 Annual Air Force Medical Operations Agency (AFMOA) Mental Health Division Research Review Meeting. San Antonio, TX. Perkins., D. F., Kaare, J., & Irvin, J. (January, 2016). Mission: Dad. Invited paper presentation at the 2016 Annual Air Force Medical Operations Agency (AFMOA) Mental Health Division Research Review Meeting. San Antonio, TX. Perkins, D. F., Welsh, J. A., Williams, B., Ormsby, L., & Oliver, M. (January, 2016). Family Check-Up Feasibility Study. Invited paper presentation at the 2016 Annual Air Force Medical Operations Agency (AFMOA) Mental Health Division Research Review Meeting. San Antonio, TX. Perkins, D. F., White, L. D., & Detweiler, M. (January, 2016). USAF Social Norms Program for Airmen Alcohol Abuse Prevention: Phase II. Invited paper presentation at the 2016 Annual Air Force Medical Operations Agency (AFMOA) Mental Health Division Research Review Meeting. San Antonio, TX. Welsh, J. A., Perkins, D. F., & Detweiler, M. (January, 2016). ADAPT Level 1 - Menu Development. Invited paper presentation at the 2016 Annual Air Force Medical Operations Agency (AFMOA) Mental Health Division Research Review Meeting. San Antonio, TX. Perkins, D. F., Welsh, J. A., Ormbsy, L., & Oliver, M. (January, 2016). Early Action Campaign Project Findings. Invited paper presentation at the 2016 Annual Air Force Medical Operations Agency (AFMOA) Mental Health Division Research Review Meeting. San Antonio, TX. Hamilton, M. H.,Michalopoulou, L.E., Winnick, J. B., Kessler-Walker, D., & Welsh, J. A. (2014,Oct 22).Alcohol and Drug Abuse Prevention and Treatment (ADAPT) Program Level 1 training[Webinar]. San Antonio, TX: U.S. Air Force Medical Operations Agency. Computer Based Training Modules Hawkey, K. R., & Griggs, J. (2017). Screening and Assessing Airmen at risk for suicide using the Columbia-Suicide Severity Rating Scale. Computer based training submitted to the United States Air Force Medical Operations Agency (AFMOA), May, 2017. Brawley, K., Wilson, F., Hall, C. M., Hawkey, K. R. & Perkins, D. F. New Provider Training: Online interactive learning modules. an Antonio, TX: U. S. Air Force Alcohol and Drug Abuse Prevention and Treatment, Air Force Medical Operations Agency. Hall, C. M., Culler, E. D., Bradshaw, J., Breeden, N. C.,Michalopoulou L.E., & Perkins, D. F. (2013).Alcohol Brief Counseling 2.0: Online interactive learning modules.San Antonio, TX: U. S. Air Force Alcohol and Drug Abuse Prevention and Treatment, Air Force Medical Operations Agency. How have the results been disseminated to communities of interest?They are current in progress of being disseminate through internal reports, submited for publication, and through presentations at the annual AF research meeting. In addition, we have an AF only publication and reports folder that can be access by our partners. What do you plan to do during the next reporting period to accomplish the goals?We are wrapping up this effort
Impacts
What was accomplished under these goals?
Under Alcohol Brief Counseling, the manual was refined to include the most current research-based information. An online training module that include 13 session was develop, and a quality assurance plan was developed. Under the utilization of evidence-based treatments and clinical practice guidelines among mental health providers, we developed several online learning products to promote utilization. Under the fidelity study of three evidence-based therapies we examined 167 cases and determined that their implementation of EBT was high and effective.The project employs a retrospective chart review methodology. Analyses reveal that PTSD-specific and other psychological symptoms are significantly reduced when clinicians closely adhere to the treatment. The Clearinghouse has begun to offer Continuing Education Unit (CEU) and Continuing Medical Education (CME) credits for our partners completing said webinars and trainings. To date, the Clearinghouse is a provider of CEUs for social workers and psychologists recognized by both the National Association of Social Workers (NASW) and the American Psychological Association (APA), respectively. The Level I treatment program is a targeted intervention for individuals who are referred to the ADAPT clinic and do meet criteria for a Substance Use Disorder. The treatment program was developed to correspond to the American Society for Addiction Medicine (ASAM) criteria for Level 1 programming (e.g., outpatient treatment for fewer than nine hours per week). An initial examination of the Level I treatment program indicated a lack of standardization of materials, evaluation measures, and training for providers (Aronson et al., 2014). Following the initial examination, the Clearinghouse provided a menu of options to the ADAPT team, who ultimately chose Cognitive Behavioral Coping Skills Therapy (CBCST). Currently, the Clearinghouse has adapted the CBCST program for alcohol use in the Air Force. Future work involves development of training products for smaller installations as well as coordinating the collection of practitioner-contributed enhancements to the programs.
Publications
- Type:
Journal Articles
Status:
Published
Year Published:
2014
Citation:
Aronson, F. R., Perkins, D. F., & Olson, J. (2014). Epidemiology of partner abuse with Military families. Journal of Family Social Work.
- Type:
Journal Articles
Status:
Under Review
Year Published:
2017
Citation:
Olson, Welsh, J. A., Perkins, D. F., & Ormsby, L. - Predictors of posttraumatic stress disorder symptoms among active duty air force personnel.�
- Type:
Journal Articles
Status:
Under Review
Year Published:
2017
Citation:
Breeden, N., Welsh, J.A., Olson, J. R. & Perkins, D. F.- The Womans Experience: A Look at Risk and Protective Factors for Deployed Female Air Force Personnel
- Type:
Journal Articles
Status:
Published
Year Published:
2017
Citation:
Michalopoulou, L. E., Welsh, J. A., Perkins, D. F., & Ormsby, L. (2017). Stigma and mental health service utilization in military personnel: A review of the literature.�Military Behavioral Health, 12-25. doi:http://dx.doi.org/10.1080/21635781.2016.1200504
- Type:
Journal Articles
Status:
Published
Year Published:
2017
Citation:
Welsh, J. A., Olson, J., Perkins, D. F., Travis, W. J. and Ormsby, L. (2015), The Role of Natural Support Systems in the Post-deployment Adjustment of Active Duty Military Personnel. American Journal of Community Psychology, 56: 6978.
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Progress 09/01/13 to 08/31/14
Outputs
Target Audience: Target audiences include: (1) Air Force personnel referred to ABC or ADAPT Level 1 program; (2) Clinicians supporting the impementation of evidence-based treatments for PTSD; (3) AFMOA personnel promoting early action among AF personnel; and (4) AFOMA personnel related to ongoing professional development. Changes/Problems:
Nothing Reported
What opportunities for training and professional development has the project provided? See the description for d. Development of New and Revised Asynchronous Training/Learning Opportunities from above The Air Force has asked the Clearinghouse to develop numerous new trainings and learning opportunities for professionals working with Airmen and their families. Much of this work was initiated by DoD-wide travel bans. A significant degree of training had been done in person in the past. Thus, there has been a significant migration to on-line and other less costly training alternatives. In addition, the quality of some training programs was questionable. We highlight some of the new training projects below. ADAPT Program tasks have included the following: (1) the development of Computer-Based Trainings (CBT) and a manual for the Alcohol Brief Counseling Program (12 cognitive behavioral therapy modules have been completed), (2) the review and updating of treatment programs and manuals for the Level 1 treatment for substance use disorders, and (3) the development of new training manuals when needed. Two new cognitive behavioral therapy modules and a group discussion manual with accompanying video vignettes for the Sexual Assault Trauma Project – Compassionate Care Training have also been completed. In addition, we have become a provider of continuing education course offerings for the Air Force, including programs for psychologists, physicians, nurses, and social workers. The DoD has expressed interest in this service, and we have provided one continuing education program for the Family Advocacy Program. How have the results been disseminated to communities of interest? The products are currently being beta tested. The PTSD preliminary results were shared with stakeholders via formal invited presentations. What do you plan to do during the next reporting period to accomplish the goals? Finish the beta testing and begin disseminating product AF wide.
Impacts
What was accomplished under these goals?
This project involves four distinct sub-projects. a. PTSD Treatment Evaluation Study The Clearinghouse is evaluating two evidence-based programs used by the Air Force to treat active duty service members diagnosed with PTSD. The project employs a retrospective chart review methodology. Thus far, data have been collected from a total of 167 patient files. Preliminary analyses reveal that PTSD-specific and other psychological symptoms are significantly reduced, particularly when clinicians closely adhere to the treatment protocol. This will have implications for adjusting policy and implementation requirements for Air Force evidence-based treatment for PTSD. In addition, a manuscript is in process to report on the preliminary analyses from the first 100 patients. b. Air Force Alcohol and Drug Abuse Prevention Treatment (ADAPT) Program: The ADAPT Program focuses on alcohol and drug abuse prevention and treatment. Two programs have been evaluated by the Clearinghouse: (1) Alcohol Brief Counseling (ABC) – a targeted prevention program, and (2) Level I outpatient treatment program. The ABC program is a prevention program targeting individuals referred to ADAPT for an alcohol-related incident, but who do not meet criteria for a Substance Use Disorder. After an initial review of ABC, the Clearinghouse was asked to complete a manual refinement and development to include clarification of goals, standardization of content including semi-structured interview formats, and explicit guidance on key decision points as well as consistent, cost-effective, computer-based training modules. Currently, the Clearinghouse is working with the ADAPT team to implement a pilot study at select Air Force bases to evaluate the fidelity of implementation, reliability and validity of outcome measures, and the effects of the updated ABC program on outcomes. The pilot should begin during the 2014-2015 academic year. The Level I treatment program is a targeted intervention for individuals who are referred to the ADAPT clinic and who do meet criteria for a Substance Use Disorder. The treatment program was developed to correspond to the American Society for Addiction Medicine (ASAM) criteria for Level 1 programming (e.g., outpatient treatment for fewer than nine hours per week). An initial examination of the Level I treatment program indicated a lack of standardization of materials, evaluation measures, and training for providers (Aronson et al., 2014). Following the initial examination, the Clearinghouse provided a menu of options to the ADAPT team, who ultimately chose Cognitive Behavioral Coping Skills Therapy (CBCST). Currently, the Clearinghouse is working to adapt the CBCST program for alcohol use in the Air Force. Future work involves development of training products as well as development of implementation and process measures. c. Early Action Campaign In an attempt to increase help-seeking behaviors for mental health concerns, the Air Force partnered with the Clearinghouse to create evidence-informed materials for an Air Force community-wide campaign. The Clearinghouse, in collaboration with Air Force Mental Health Clinic staff and Surge Business, has developed posters encouraging help-seeking behaviors to be distributed across bases, Public Service Announcements (PSAs) to be delivered on radio stations near Air Force bases, and a social media campaign identifying web-based resources for high incidence mental health concerns (e.g., depression, anxiety, and alcohol use) to be posted on the official Air Force Facebook and Twitter accounts, as well as on the official Air Force Medical Operations Agency (AFMOA) accounts and other installation-specific accounts to be identified. Further, the Clearinghouse developed tip sheets for Mental Health staff to deliver to supervisors and family members who have concerns about an Airman’s social or emotional wellbeing. Currently, the Clearinghouse is working to ensure all bases have been provided with the appropriate materials prior to implementation. Future work includes additional implementation work and evaluation of fidelity, use, and outcomes related to all aspects of the campaign. d. Development of New and Revised Asynchronous Training/Learning Opportunities The Air Force has asked the Clearinghouse to develop numerous new trainings and learning opportunities for professionals working with Airmen and their families. Much of this work was initiated by DoD-wide travel bans. A significant degree of training had been done in person in the past. Thus, there has been a significant migration to on-line and other less costly training alternatives. In addition, the quality of some training programs was questionable. We highlight some of the new training projects below. ADAPT Program tasks have included the following: (1) the development of Computer-Based Trainings (CBT) and a manual for the Alcohol Brief Counseling Program (12 cognitive behavioral therapy modules have been completed), (2) the review and updating of treatment programs and manuals for the Level 1 treatment for substance use disorders, and (3) the development of new training manuals when needed. Two new cognitive behavioral therapy modules and a group discussion manual with accompanying video vignettes for the Sexual Assault Trauma Project – Compassionate Care Training have also been completed. In addition, we have become a provider of continuing education course offerings for the Air Force, including programs for psychologists, physicians, nurses, and social workers. The DoD has expressed interest in this service, and we have provided one continuing education program for the Family Advocacy Program.
Publications
- Type:
Other
Status:
Published
Year Published:
2014
Citation:
Perkins et al. (2014). ABC Manual. University Park, PA: Clearinghouse for Military Family Readiness
- Type:
Other
Status:
Published
Year Published:
2014
Citation:
Hall, Aronson, & Perkins (2014). Implications of the New DSM V
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