Source: PENNSYLVANIA STATE UNIVERSITY submitted to
AIR FORCE MEDICAL OPERATION AGENCY (AFMOA) MENTAL HEALTH DIVISION RESEARCH PROJECT
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
OTHER GRANTS
Reporting Frequency
Annual
Accession No.
1014449
Grant No.
2017-39574-27342
Cumulative Award Amt.
$2,807,625.00
Proposal No.
2017-08861
Multistate No.
(N/A)
Project Start Date
Sep 1, 2017
Project End Date
Aug 31, 2021
Grant Year
2018
Program Code
[MHRP]- AFMOA Mental Health Division Research Program
Project Director
Perkins, D. F.
Recipient Organization
PENNSYLVANIA STATE UNIVERSITY
408 Old Main
UNIVERSITY PARK,PA 16802-1505
Performing Department
Agricultural Economics, Sociol
Non Technical Summary
The current proposal outlines the Clearinghouse for Military Family Readiness at Penn State recommended work for the next two years. Specifically, the proposed approach builds on already existing factors, including: (1) a strong partnership between AFMOA and the Clearinghouse; (2) practical knowledge acquired from six years of prior experiences with AFMOA; (3) familiarity with multiple aspects of AF culture and family life; (5) infrastructure supports for the AFMOA.Although each project within this RFA is different in scope, the Clearinghouse utlizes the following tasks: (1) gathering and interpreting empirical literature; (2) developing, applying, and implementing prevention and behavioral health policy; (3) utilizing research and evaluation to address operations; and (4) providing evidence-informed resources, coordinating best practices, analyzing data, and offering supportfor efficient implementation of evidence-based approaches.For the advisory and consultation task, we propose facilitating the use of subject matter experts to assist AFMOA with ongoing service improvement efforts. The Clearinghouse proposes the support one of AFMOA's key priorities is the translation of evidence-based programs into policy, program development, and practices by extending its already existing assistance with Phase I into Phase II of Air Force Implementation of Zero Suicide Systems Approach and the Creation of Evidence-Based Course of Care Repository projects. Finally, this project will build upon Phase I and Phase II of the Social Norms Initiative. In Phase III, the Clearinghouse will develop an online Social Norms survey with the ultimate goal of establishing an AF-specific Social Norms intervention that targets alcohol overuse and abuse.
Animal Health Component
100%
Research Effort Categories
Basic
0%
Applied
100%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
80260103070100%
Knowledge Area
802 - Human Development and Family Well-Being;

Subject Of Investigation
6010 - Individuals;

Field Of Science
3070 - Psychology;
Goals / Objectives
Advisory and Consultation. We propose facilitating the use of subject matter experts (SMEs) to assist AFMOA with ongoing service improvement efforts. These SMEs may be internal Clearinghouse scientific staff or other experts in clinical practice, programming, and program evaluation for the prevention and treatment of psychological issues and alcohol/drug abuse problems. This purposeful consultation will serve as a guidepost for initiatives and will help the Clearinghouse staff design and improve the programming for Airmen and their families. This proposed advisory and consultation task enable AFMOA to remain nimble in meeting the ever-changing mission and needs.Phase II of Air Force Implementation of Zero Suicide Systems Approach. During the next two years, the Clearinghouse proposes to work with AFMOA on the development of an implementation plan of ZSSA across the entire AF. The Clearinghouse will employ the use of data and participant feedback from Phase I to improve existing trainings and develop new trainings.Phase III Social Norms Alcohol Misuse/Abuse Prevention Initiative. This project will build upon Phase I and Phase II of the Social Norms Initiative. In Phase III, the Clearinghouse will develop an online Social Norms survey with the ultimate goal of establishing an AF-specific Social Norms intervention that targets alcohol overuse and abuse. The Clearinghouse proposes to do the following: (1) create of an AF version survey; (2) validate the survey's questions and psychometric properties; (3) pilot the survey; and (4) develop AF-specific Social Norms marketing materials.
Project Methods
The proposed approach builds on already existing factors, including the following: (1) a strong partnership between AFMOA and the Clearinghouse; (2) practical knowledge acquired from six years of prior experiences with AFMOA; (3) familiarity with multiple aspects of AF culture and family life; (4) project efforts and deliverables completed, or in progress, by the Clearinghouse; and (5) infrastructure supports for the AF and the professionals who work with Airmen and their families.The Clearinghouse will assisted AFMOA leadership in an advisory and consultation role and in the coordination and administration of Continuing Education Units (CEUs). The Clearinghouse proposes the support of this priority by extending its already existing assistance with Phase I into Phase II of Air Force Implementation of Zero Suicide Systems Approach and the Creation of Evidence-Based Course of Care Repository projects. Building on Phase I of ZSSA. While much has been accomplished in Phase I of the ZSSA implementation, the Clearinghouse proposes several new aspects be developed and implemented to ensure ongoing progress and focus toward broad dissemination of ZSSA. During the next two years, the Clearinghouse proposes to work with AFMOA on the development of an implementation plan of ZSSA across the entire AF. The Clearinghouse will employ the use of data and participant feedback from Phase I to improve existing trainings and develop new trainings.The Clearinghouse proposes the creation of a web-based platform and a course-of-care decision tree to improve the effectiveness and consistency of provider care decisions. To accomplish this goal, the Clearinghouse will work closely with AFMOA to identify the most frequently encountered diagnoses AF providers experience and identify providers' concerns about treating mental health problems. This effort will be done through the examination of de-identified patient health records and in-person and virtual feedback sessions with AF providers. We propose conducting 8 to 10 installation site visits and 15 telephone feedback sessions. The data will be analyzed and results will be written in a report outlining next steps for this project.The Clearinghouse will develop an online Social Norms survey with the ultimate goal of establishing an AF-specific Social Norms intervention that targets alcohol overuse and abuse. The Clearinghouse proposes to do the following: (1) create of an AF version survey; (2) validate the survey's questions and psychometric properties; (3) pilot the survey; and (4) develop AF-specific Social Norms marketing materials. If the pilot is successful, the next phase may involve refinement and evidential rollout of the survey AF-wide and the evaluation of the survey as a prevention tool.

Progress 09/01/17 to 07/21/21

Outputs
Target Audience:The Air Force portfolio of projects serves seeveral groups. We primarily serve the Air Force medical policy makers at the AIr Force Medical Readiness Agency. We also serve the mental health and medical providers at 76 AF Military Treatment Facilities around the globe. We also serve Airmen and their families. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?As part of our work with MH and ADAPOT, we conducted more 5 trainings related to Unified Protocol, five trainings rletated to Moving Forward with installation providers. In addition we completed the following related to Zero Suicide. Train a competent, confident, and caring workforce Held Zero Suicide Academy in San Antonio, Texas, for leadership and implementation teams Using the ZSSA Framework, participants learned how evidence-based practices would be implemented at their MTF to improve care and safety for individuals at risk Zero Suicide faculty, coordinated by the EDC, provided interactive presentations and small group sessions Leadership collaborated with participants to develop organization-specific action plans Began monthly Communities of Practice that provided an opportunity for bases to come together and learn from each other and from experts in the field of suicide prevention Provided in-person training to behavioral and mental health providers at four of the five pilot bases on AMSR Offered in-person trainings to over 4,000 MTF staff in screening for suicide risk using the Columbia Suicide Screener Supplied virtual training to all mental and behavioral health providers at five pilot sites in Counseling and Accesses to Lethal Means (CALM) Presented in-person trainings to all mental and behavioral health providers at five pilot bases in assessing for suicide risk using the Columbia Suicide Assessment Gave in-person trainings to all mental and behavioral health providers at five pilot bases in safety planning and reducing access to lethal means using the pilot's updated suicide safety plan Delivered additional rounds of in-person training to five pilot bases to assure the following: All MTF staff were trained in screening for suicide risk using the Columbia Suicide Screener All behavioral and mental health staff were trained in screening for suicide risk using the Columbia Suicide Screener, assessing suicide risk using the Columbia Suicide Assessment, safety planning, and reducing access to lethal means Held webinar trainings to provide additional access to all trainings Developed computer-based trainings to assure sustainability of training new staff and retraining existing staff in screening for suicide risk using the Columbia Suicide Screener, assessing suicide risk using the Columbia Suicide Assessment and safety planning, and reducing access to lethal means Trained AFMRA and the Clearinghouse ZSSA Team in Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP), and this training was used to help guide Air Force-specific modifications on future training Supplied in-person training at each of the five pilot sites to train mental and behavioral staff in CBT-SP that is customized for the Air Force utilizing the expertise of the Center for Deployment Psychology Presented multiple ZSSA trainings as new POCs and new implementation team members joined at each pilot site How have the results been disseminated to communities of interest?Yes, we have submitted all reports toAF staff at the installation level staff, AFMRA head quarters staff, and staff from the AF Surgeon General Office. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? We have address each goal. Currently we are completing the following. Beta test the feasibility, acceptability, and utility of Group Unified Protocol forTransdiagnostic Treatment of EmotionalDisorders(Group UP).Group UP is a briefmanualized group therapy for anxiety,mood, and other emotional disorders. The use of UP in the group settingwillreduce time and financial costs associated withtraining staff in numerous protocolstargetingsingledisorders/issues, while effectively reducing symptoms. This5-session versionof Group UP was developedspecifically for the Air Force. Beta test the feasibility, acceptability, and utility ofMoving Forward.Moving Forward is an online program to help individuals thatare havingdifficulties in life. It isthe results of a partnership between theDepartment ofDepartment ofVeterans Affairs (VA) Mental Health Services in partnership with theDepartmentof DefenseNational Center for Telehealth and Technology. The Moving ForwardProgram is a free educational and life coaching program based oncognitivebehavioraltreatment principles. The Clearinghouse is developing an ADAPT tool that willassess drinking behaviors and motivation to change. This will beutilized by the Air Force's Alcohol andDrug Abuse Prevention and Treatment(ADAPT) staff. This tool will be utilized to measure drinking behavior as serveas a transition into Level 1 treatment. The Air Force Medical Readiness Agency (AFMRA) haspartnered with the Clearinghouse for Military Family Readiness at PennState(Clearinghouse) to create an evidence informed ADAPT Aftercare toolkit thatwill facilitate standardizing Aftercare among AirForce ADAPT clinics. Thetoolkit will be supported by current scientific research on treating patientswith a Substance UseDisorder (SUD). The goal is to enable ADAPT staff topresent evidence-based, or at the very least evidence-informed, relapseprevention strategies in group and/or individual settings as well as personalize treatment options based on thepatient's diagnosisand/or follow-on drinking plan (e.g., abstaining from alcoholor responsible drinking). In addition, the Clearinghouse team willcreate awebinar to train ADAPT staff on the use of the toolkit. In completing thisproject, the Clearinghouse team will collaboratewith SUD experts, experiencedAir Force ADAPT Program Managers, and AFMRA.

Publications

  • Type: Other Status: Published Year Published: 2020 Citation: Hawkey, K. R., Griggs, J. G., & Perkins, D. F. (2020). Master trainer pilot test of Prolonged Exposure in Primary Care (PE-PC). Report submitted to the United States Air Force Medical Readiness Agency. Clearinghouse for Military Family Readiness at Penn State.
  • Type: Other Status: Published Year Published: 2020 Citation: Brawley, K. K., Doucett, C., Hawkey, K. R., & Perkins, D. F. (2020). ADAPT Level 1 Treatment evaluation study. Report submitted to the United States Air Force Medical Readiness Agency. Clearinghouse for Military Family Readiness at Penn State.
  • Type: Journal Articles Status: Submitted Year Published: 2021 Citation: Forziat, K., Griggs, J. G., Hawkey, K. R., & Perkins, D. F. (2020). Mental health in primary care: Beta test of a Prolonged Exposure Therapy. [Manuscript in preparation.] Clearinghouse for Military Family Readiness at Penn State.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2021 Citation: Griggs, J. G, Hawkey, K. R., & Perkins, D. F. (2021, January). Evidence based group interventions: Group UP and Moving Forward. Paper presentation at the 2021 Annual Air Force Medical Readiness Agency (AFMRA) Mental Health Division Research Review Meeting. San Antonio, TX.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2020 Citation: Michalopoulou, L. R., Ballotti, B. A., Hawkey, K. R., & Perkins, D. F. (2020, January). Mental health help-seeking behaviors and attitudes towards military service. Invited paper presentation at the 2020 Annual Air Force Medical Readiness Agency (AFMRA) Mental Health Division Research Review Meeting, San Antonio, TX.
  • Type: Other Status: Published Year Published: 2020 Citation: Hawkey, K. R., Griggs, J. G., Perkins, D. F., Brawley, K. K., Aronson, K. R., & Zing, S. (2020). Zero suicide systems approach pilot project: evaluation report. Report submitted to the United States Air Force Medical Readiness Agency. Clearinghouse for Military Family Readiness at Penn State.
  • Type: Journal Articles Status: Submitted Year Published: 2021 Citation: Aronson, K. R., Hawkey, K. R., Griggs, J. G., & Perkins, D. F. (2020). Reductions in suicides at five Air Force Bases using a zero suicide systems approach. [Manuscript in preparation.] Clearinghouse for Military Family Readiness at Penn State.


Progress 09/01/19 to 08/31/20

Outputs
Target Audience:The Air Force portfolio of projects serves seeveral groups. We primarily serve the Air Force medical policy makers at the AIr Force Medical Readiness Agency. We also serve the mental health and medical providers at 76 AF Military Treatment Facilities around the globe. We also serve Airmen and their families. Changes/Problems:COVID-19 shut down data collection on several projects, thus we have requested a NCE. What opportunities for training and professional development has the project provided?The team completed a new round of Ethics trainings for Air Force Mental/Behavioral Health providers. In addition, the team facilitated training in Cognitive Therapy for Suicidal Patients (CT-SP) for over 90 mental health providers at our five Zero Suicide Systems Approach Pilot Bases. The team also conducted multiple in-person trainings related to suicide prevention, as well as continued to train medical staff in screening and assessment using computer-based training modules. How have the results been disseminated to communities of interest?All results have been shared with relevant stakeholders, which include the Air Force Medical Readiness Agency and individuals at Air Force installations. In addition, presentations on project results have been made at national and international conferences. What do you plan to do during the next reporting period to accomplish the goals?We will continue to work on Air Force portfolio of project work. This includes the Zero Suicide Systems Approach Pilot project, the Group Unified Protocol Project, and the Beta Test of PE-PC Master Trainers.

Impacts
What was accomplished under these goals? Advisory and Consultation. We facilitate the use of subject matter experts (SMEs) to assist AFMRA with ongoing service improvement efforts. These SMEs may be internal Clearinghouse scientific staff or other experts in clinical practice, programming, and program evaluation for the prevention and treatment of psychological issues and alcohol/drug abuse problems. This purposeful consultation will serve as a guidepost for initiatives and will help the Clearinghouse staff design and improve the programming for Airmen and their families We facilitated continuing education credits (i.e., American Medical Association, National Association of Social Workers, and American Psychological Association) for Air Force in-person trainings and webinars. This assures that Air Force providers are able to maintain their licenses and credentials. Phase II of Air Force Implementation of Zero Suicide Systems Approach. The Clearinghouse continues to work with AFMRA on the implementation and evaluation of the Zero Suicide Systems Approach Pilot Project. This includes additional data analysis and tracking of the fidelity to the ZSSA model. Exceptional Family Member Program - Medical. The team completed a qualitative review of the Air Force's Exceptional Family Member Program - Medical. The goal of this project was to analyze variations in policies and processes across a sample of installations to identify concerns relevant to change management.This study represents an initial step toward identifying factors relevant in developing and implementing change plans in healthcare settings. Group Transdiagnostic Treatment Beta Test. The team completed a review of the group treatment manual and patient workbook. In addition, plans were made to beta test at four installations. This plan with proceed as soon as travel can resume. Prolonged Exposure in Primary Care (PE-PC) - Phase II. The team completed provider recruitment and provider training on the Phase II of the PE-PC project. Providers began treating patients and will resume once the Air Force's Mental Health clinics resume normal operational tempo - post COVID-19. Plans are finalized to finish the project's beta test of master trainers.

Publications

  • Type: Other Status: Published Year Published: 2020 Citation: Brawley, K. K., Doucett, C., Hawkey, K. R., & Perkins, D. F. (2020). ADAPT Level 1 Treatment evaluation study. Report submitted to the United States Air Force Medical Readiness Agency. University Park, PA: Clearinghouse for Military Family Readiness at Penn State.
  • Type: Other Status: Published Year Published: 2019 Citation: Hawkey, K. R., & Perkins, D. F. (2019). Exceptional Family Member Program  Medical (EFMP-M): Findings from rapid process review. Report submitted to the United States Air Force Medical Operations Agency. University Park, PA: Clearinghouse for Military Family Readiness at Penn State.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2019 Citation: Hawkey, K. R., Griggs, J. G., & Perkins, D. F. (2019, September). Airmen alcohol behavioral intervention (AABI): A light touch intervention for reducing problematic drinking behavior. Paper presentation presented at the 2019 Global Implementation Conference, Glasgow, Scotland.
  • Type: Other Status: Published Year Published: 2019 Citation: Hawkey, K. R., & Perkins, D. F. (2019, October). Implementing and evaluating a Zero Suicide approach within the U.S. Air Force. Paper presentation presented at the 2019 Canadian Military and Veteran Health Research Forum, Ottawa-Gatineau, Canada.


Progress 09/01/18 to 08/31/19

Outputs
Target Audience:The target audience includes: 1. AFMOA HQ staff to provide technical assistance with implmentation of evidence-informed programs and policies. 2. Airmen and their families by ensuring that programs and policies are implemented with quality. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?Training on prefession related to suicide screen occur through the AF by computer based trianing. In addition, training was completed on ethics for all mental health providers. Bi-monthly continuous quality improvement session were held with AFMOA HQ providers. How have the results been disseminated to communities of interest?All reports are shared with relevant AFMOA stakeholders (HQ staff and Installation Providers) What do you plan to do during the next reporting period to accomplish the goals?We will continue to work on the Zero Suicide project and write up a final report. In addition we will complete the beta testing of the Airmen Alcohol Behavioral Intervention.

Impacts
What was accomplished under these goals? The Air Force Medical Operations Agency (AFMOA) portfolio of projects allows our team to work with U.S. Air Force in order to assist in: (1) development, application, and implementation of medical policy; (2) research and evaluation to address healthcare resourcing and operations; and (3) providing medical resources, coordinating best practices, analyzing data, and providing clinical expertise for efficient patient-centered healthcare. In the past year, much effort has focused on the Zero Suicide Systems Approach (ZSSA) Project. The team has now completed implementation of six of the seven components at all five pilot sites; with the seventh component to be fully implemented this year. Initial results show decreases in suicide deaths, suicide attempts, and in-patientent psychiatric hospitalizations at each of the five pilot bases. In addition to ZSSA, the team made significant progress towards beta testing the Airmen Alcohol Behavioral Intervenion, the second phase of Prolonged Exposure in Primary Care, and a group transdiagnostic treatment. The following projects were finished in this year: Evidence-Based Course of Care repository; Air Force Community Action Planning Technical Assistance; Ethics Training for Mental Health Providers; Phase I of Prolonged Exposure in Primary Care;Beta Implementation of Unified Protocol for Transdiagnostic Treatment of Emotional Disorders;Testing a Sustainable Implementation Process within the Air Force for the Broad Use of the Social Norms Intervention; andBeta Test of Brief Cognitive Behavioral Therapy (BCBT) for Suicide Prevention.

Publications

  • Type: Journal Articles Status: Accepted Year Published: 2019 Citation: Aronson, K. R., Welsh, J. A., Fedotova, A., Morgan, N. R., Perkins, D. F., & Travis, W. (In press). Treating PTSD in active duty service members using cognitive processing therapy or prolonged exposure therapy: Examining everyday practice at a military outpatient clinic. Military Psychology.
  • Type: Other Status: Published Year Published: 2019 Citation: Hawkey, K. R., & Perkins, D. F. (2019). Exceptional Family Member Program  Medical (EFMP-M): Findings from Rapid Process Review. Report submitted to the United States Air Force Medical Operations Agency (AFMOA), July, 2019.
  • Type: Other Status: Published Year Published: 2019 Citation: Brawley, K. K., Noll, G., Hawkey, K. R., & Perkins, D. F. (2019). Community Feedback Tool Technical Assistance: Project Summary. Report submitted to the United States Air Force Medical Operations Agency (AFMOA), January, 2019.
  • Type: Other Status: Published Year Published: 2018 Citation: Pytel, K. F., Hawkey, K. R., & Perkins, D. F. (2018). Project summary: Brief Cognitive Behavioral Therapy Beta Test. Report submitted to the United States Air Force Medical Operations Agency (AFMOA), July, 2018.
  • Type: Other Status: Published Year Published: 2018 Citation: Griggs, J. G., Hawkey, K. R., & Perkins, D. F. (2018). Project summary: Beta test of Prolonged Exposure in Primary Care. Report submitted to the United States Air Force Medical Operations Agency (AFMOA), July, 2018.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Hawkey, K. R., & Perkins, D. F. (October, 2018). Aligning Evidence with Policy and Practice: Implementing a Zero Suicide Approach in the US Military. Paper presentation presented at the 2018 Global Evidence and Implementation Summit. Melbourne, Australia.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Hawkey, K. R., & Perkins, D. F. (October, 2018). Beta Testing Psychosocial Interventions within the US Air Force: Review of Findings and Lessons Learned. Paper presentation presented at the 2018 Global Evidence and Implementation Summit. Melbourne, Australia.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Hawkey, K. R. (October, 2018). Sacrificing Science for Feasibility, Sustainability, and Impact. Paper presentation presented at the 2018 Global Evidence and Implementation Summit. Melbourne, Australia.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Hawkey, K. R., Aronson, K. R., Griggs, J. G., Hamel, M., & Perkins, D. F. (September, 2018). Implementing a Zero Suicide Approach within the U.S. Air Force. Paper presentation presented at the 17th Annual European Symposium on Suicide and Suicidal Behavior. Ghent, Belgium.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Aronson, K. R., Perkins, D. F., Hawkey, K. R., and Creedon, K., Lt Col. (September, 2018). Zero Suicide Systems Approach to Prevention. Paper presentation presented at the 2018 Military Social Work Conference.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Hawkey, K. R., Aronson, K. R., & Perkins, D. F. (May, 2018). Complexities and promise of suicide prevention in the military context: Implementing a Zero Suicide Systems Approach in the Air Force. Paper presentation presented at the 2018 Society for Prevention Research Conference. Washington, DC.


Progress 09/01/17 to 08/31/18

Outputs
Target Audience:The Target audience includes: Airmen, their families, and professionals serving them. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? 14 Training Modules to train Air Force Mental Health Technicians in becoming Certified Alcohol and Drug Counselors Developed three modules to train Military Mental Health Providers in Ethical Issues Developed a Career Field Technical Education and Training Plan (CFETP) manual for U.S. Air Force mental health technicians Trained all mental health providers in the Air Force on using the Columbia Suicide Severity Rating Scale (C-SSRS) to screen and assess for suicide risk Delivered trainings on Safety Planning Protocol for mental health providers at Zero Suicide Systems Approach (ZSSA) pilot sitesProvided CEUs for three Air Force Conferences and 10 individual trainings How have the results been disseminated to communities of interest?All project reports and summary sheets are submitted and reviewed with AFMOA headquarter and local installation providers through face-toface meetings, TCONs, and webinars. What do you plan to do during the next reporting period to accomplish the goals?Continue to collaborate with our partners on the various projects including: rolling out the treatment elemnet of ZSSA, piloting an alcohol prevention project, and developing a care repository.

Impacts
What was accomplished under these goals? This past year of the AFMOA project has seen significant accomplishments and movement related to several projects within the overall effort. The accomplishments are noted below. Beta Test of Brief Cognitive Behavioral Therapy (BCBT) for Suicide Prevention; along with a report of project activities, findings and recommended next steps Beta Test of Prolonged Exposure within Primary Care; along with a report of project activities, findings, and recommended next steps Awareness Campaign for the Air Force's Behavioral Health Optimization Program Beta implementation of the Unified Protocol; along with a report of project activities, findings, and recommended next steps Testing a sustainable Social Norms implementation within the Air Force; along with a report of project activities, findings, and recommended next steps Conducted two time-motion studies within Air Force Mental Health Clinics; along with a report summarizing findings Trained all mental health providers in the Air Force on using the Columbia Suicide Severity Rating Scale (C-SSRS) to screen and assess for suicide risk Developed a Safety Planning Protocol for mental health providers at Zero Suicide Systems Approach (ZSSA) pilot sites Continued to provide implementation support for five pilot sites participating in Zero Suicide Systems Approach (ZSSA) Evaluation plan completed for the Zero Suicide Systems Approach (ZSSA)

Publications

  • Type: Conference Papers and Presentations Status: Published Year Published: 2018 Citation: Hawkey, K. R., Aronson, K. R., & Perkins, D. F. (May, 2018). Complexities and promise of suicide prevention in the military context: Implementing a Zero Suicide Systems Approach in the Air Force. Paper presentation presented at the 2018 Society for Prevention Research Conference. Washington, DC.
  • Type: Journal Articles Status: Published Year Published: 2018 Citation: Aronson, K. R., Welsh, J. A., Fedotova, A., Morgan, N. R., Perkins, D. F., & Travis, W. (In press). Treating PTSD in active duty service members using cognitive processing therapy or prolonged exposure therapy: Examining everyday practice at a military outpatient clinic. Military Psychology.
  • Type: Other Status: Published Year Published: 2018 Citation: Pytel, K. F., Hawkey, K. R., & Perkins, D. F. (2018). Project summary: Brief Cognitive Behavioral Therapy Beta Test. Report submitted to the United States Air Force Medical Operations Agency (AFMOA), July, 2018.
  • Type: Other Status: Published Year Published: 2018 Citation: Griggs, J. G., Hawkey, K. R., & Perkins, D. F. (2018). Project summary: Beta test of Prolonged Exposure in Primary Care. Report submitted to the United States Air Force Medical Operations Agency (AFMOA), July, 2018.
  • Type: Other Status: Published Year Published: 2018 Citation: Hamel, M., Hawkey, K. R., Griggs, J. G., Aronson, K. R., & Perkins, D. F. (2018). Air Force Mental Health time-motion study: Clinic-level operational findings from Mental Health Clinics at Tinker and Nellis Air Force Bases. Report submitted to the United States Air Force Medical Operations Agency (AFMOA), July, 2018.
  • Type: Other Status: Published Year Published: 2018 Citation: White, L. D. & Perkins, D. F. (2018). Report of the beta implementation of the Unified Protocol within the U.S. Air Force. Report submitted to the United States Air Force Medical Operations Agency (AFMOA), March, 2018.
  • Type: Other Status: Published Year Published: 2018 Citation: White, L. D., Jones, D. E., & Perkins, D. F. (2018). USAF Social Norms Phase II Program for Airmen alcohol abuse prevention: Implementation report. Report submitted to the United States Air Force Medical Operations Agency (AFMOA), January, 2018.