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01-02-2015 | Original Paper

Gaps in Preparedness of Clergy and Healthcare Providers to Address Mental Health Needs of Returning Service Members

Authors: Lydia Chevalier, Elizabeth Goldfarb, Jessica Miller, Bettina Hoeppner, Tristan Gorrindo, Robert J. Birnbaum

Published in: Journal of Religion and Health | Issue 1/2015

Abstract

To elucidate gaps in the preparedness of clergy and healthcare providers to care for service members (SM) with deployment-related mental health needs. Participants identified clinically relevant symptoms in a standardized video role play of a veteran with deployment-related mental health needs and discussed their preparedness to deal with SM. Clergy members identified suicide and depression most often, while providers identified difficulty sleeping, low energy, nightmares and irritability. Neither clergy nor providers felt prepared to minister to or treat SM with traumatic brain injury. Through a mixed methods approach, we identified gaps in preparedness of clergy and healthcare providers in dealing with the mental health needs of SM.

APA. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric.

Bonner, L. M., Lanto, A. B., Bolkan, C., Watson, G. S., Campbell, D. G., Chaney, E. F., et al. (2013). Help-seeking from clergy and spiritual counselors among veterans with depression and PTSD in primary care. Journal of Religion and Health, 52(3), 707–718.PubMedCrossRef

Farrell, J. L., & Goebert, D. (2008). Collaboration between psychiatrists and clergy in recognizing and treating serious mental illness. Psychiatric Services, 59, 437–440.PubMedCrossRef

Fontana, A., & Rosenheck, R. (2004). Trauma, change in strength of religious faith, and mental health service use among veterans treated for PTSD. Journal of Nervous and Mental Disease, 192(9), 579–584.PubMedCrossRef

Fontana, A., & Rosenheck, R. (2005). The role of loss of meaning in the pursuit of treatment for posttraumatic stress disorder. Journal of Traumatic Stress, 18(2), 133–136.PubMedCrossRef

Gorrindo, T., Goldfarb, E., Chevalier, L., Hoeppner, B. B., Birnbaum, R. J., Meller, B., et al. (2013). Interprofessional differences in disposition decisions: Results from a standardized web-based patient assessment. Psychiatric Services (Washington, DC), 64(8), 808–811.CrossRef

Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. Journal of the American Medical Association, 295(9), 1023–1032.PubMedCrossRef

Kang, H., & Bullman, T. (2008). Risk of suicide among US veterans after returning from the Iraq or Afghanistan war zones. Journal of the American Medical Association, 300(6), 652–653.PubMedCrossRef

Leavey, G., & King, M. (2007). The devil is in the detail: Partnerships between psychiatry and faith-based organisations. The British Journal of Psychiatry, 191, 97–98.PubMedCrossRef

Lutfey, K., Link, C., & McKinlay, J. (2009). Is certainty more important than diagnosis for understanding race and gender disparities? An experiment using coronary heart disease and depression case vignettes. Health Policy, 89(3), 279–287.PubMedCentralPubMedCrossRef

Mannon, J. D., & Crawford, R. L. (1996). Clergy confidence to counsel and their willingness to refer to mental health professionals. Family Therapy, 23(3), 213–231.

Martin, D. (2013). Invisible wounds [Television broadcast]. In M. Walsh (Ed.), 60 minutes. New York, NY: CBS Interactive, Inc.

Maserejian, N. N., Link, C. L., Lutfey, K. L., Marceau, L. D., & McKinlay, J. B. (2009). Disparities in physicians’ interpretations of heart disease symptoms by patient gender: Results of a video vignette factorial experiment. Journal of Women’s Health (Larchmont), 18(10), 1661–1667.CrossRef

McKinlay, J., Piccolo, R., & Marceau, L. (2013). An additional cause of health care disparities: The variable clinical decisions of primary care doctors. Journal of Evaluation in Clinical Practice, 19(4), 664–673.PubMedCentralPubMedCrossRef

Milstein, G. (2003). Clergy and psychiatrists: Opportunities for expert dialogue. Psychiatric Times, 20(3), 36–39.

Nelson, L., Yoash-Gantz, R., Pickett, T., & Campbell, T. (2009). Relationship between processing speed and executive functioning performance among OEF/OIF veterans: Implications for postdeployment rehabilitation. Journal of Head Trauma Rehabilitation, 24(1), 32–40.PubMedCrossRef

NVivo. (2012). NVivo qualitative data analysis software (release 10). Burlington, MA: QSR International Pty Ltd.

Osman, A., Milstein, G., & Marzuk, P. (2005). The Imam’s role in meeting the counseling needs of Muslim communities in the United States. Psychiatric Services, 56(2), 202–205.CrossRef

Palinkas, L. A., Horwitz, S. M., Chamberlain, P., Hurlburt, M. S., & Landsverk, J. (2011). Mixed-methods designs in mental health services research: A review. Psychiatric Services, 62(3), 255–263.PubMedCrossRef

Sigmund, J. (2003). Spirituality and trauma: The role of clergy in the treatment of posttraumatic stress disorder. Journal of Religion and Health, 42(3), 221–229.CrossRef

SPSS. (2008). SPSS statistics for Windows (release 17.0). Chicago: SPSS.

Sullivan, S., Pyne, J. M., Cheney, A. M., Hunt, J., Haynes, T. F., & Sullivan, G. (2013). The pew versus the couch: Relationship between mental health and faith communities and lessons learned from a VA/clergy partnership project. Journal of Relgion and Health, 53(4), 1267–1282.

Tanielian, T., & Jaycox, L. (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA.

Wang, P. S., Berglund, P. A., & Kessler, R. C. (2003). Patterns and correlates of contacting clergy for mental disorders in the United States. Health Services Research, 38, 647–673.PubMedCentralPubMedCrossRef

Welch, L. C., Lutfey, K. E., Gerstenberger, E., & Grace, M. (2012). Gendered uncertainty and variation in physicians’ decisions for coronary heart disease: The double-edged sword of “atypical symptoms”. Journal of Health and Social Behavior, 53(3), 313–328.PubMedCentralPubMedCrossRef

Young, A. S., Chinman, M., Forquer, S. L., Knight, E. L., Vogel, H., Miller, A., et al. (2005). Use of a consumer-led intervention to improve provider competencies. Psychiatric Services, 56(8), 967–975.PubMedCrossRef

Title: Gaps in Preparedness of Clergy and Healthcare Providers to Address Mental Health Needs of Returning Service Members
Authors: Lydia Chevalier
Elizabeth Goldfarb
Jessica Miller
Bettina Hoeppner
Tristan Gorrindo
Robert J. Birnbaum
Publication date: 01-02-2015
Publisher: Springer US
Published in: Journal of Religion and Health / Issue 1/2015
Print ISSN: 0022-4197
Electronic ISSN: 1573-6571
DOI: https://doi.org/10.1007/s10943-014-9917-0

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