ABSTRACT
Service dog programs are increasingly being explored as complementary or alternative interventions for military veterans with posttraumatic stress disorder (PTSD). This paper details the results of a control group, pre-and-post pilot investigation evaluating the use of a 14-week service dog training program for veterans in central Florida. Thirty veterans diagnosed with PTSD, 15 in the intervention group and 15 in the waitlist controlled group, completed all pretests and posttests measures, consisting of the 136-item Trauma Symptom Inventory-2 and the 36-item World Health Organization-Disability Assessment Schedule 2.0. Compared to demographically similar veterans in the control group, participants who completed the service dog training program demonstrated significant decreases in posttraumatic symptomatology, intra/interpersonal difficulties associated with psychological trauma, and in disabilities secondary to their PTSD. Study findings, in combination with results from two other recently published controlled investigations, provide evidence supporting the endorsement and use of service dog programs as helpful complementary or alternative treatment options for some veterans. Social work practitioners may want to consider referring their veteran clients with PTSD to qualified service dog programs for adjunctive support when they are having difficulty engaging with or benefiting from office-based traditional therapy approaches.
Subject(s)
Animal Assisted Therapy/organization & administration , Social Work/organization & administration , Stress Disorders, Post-Traumatic/therapy , Veterans/psychology , Adult , Age Factors , Aged , Animals , Dogs , Female , Humans , Male , Middle Aged , Pilot Projects , Sex Factors , Socioeconomic Factors , Stress Disorders, Post-Traumatic/psychology , United StatesABSTRACT
Providing trauma psychoeducation remains a highly popular intervention despite the fact that little remains known about how effective such information provision is for improving participant outcomes. In this article the author outlines recommendations that can be identified from available research on how to provide psychoeducation for trauma recovery. The author also describes suggested content areas and material to include in this psychoeducation, highlighting the importance of conducting trauma psychoeducation in a culturally-sensitive, human-centered, and relationship-focused manner which emphasizes the value of building resiliency in response to trauma.
Subject(s)
Patient Education as Topic/methods , Psychotherapy/methods , Stress Disorders, Post-Traumatic/psychology , Stress Disorders, Post-Traumatic/therapy , Adaptation, Psychological , Cultural Competency , Humans , Patient-Centered Care/methods , Professional-Patient Relations , Resilience, Psychological , Stress Disorders, Post-Traumatic/physiopathology , Time FactorsSubject(s)
Ankle Injuries/prevention & control , Ankle Injuries/rehabilitation , Braces , Sprains and Strains/prevention & control , Sprains and Strains/rehabilitation , Evidence-Based Medicine , Feedback, Sensory , Humans , Orthotic Devices , Postural Balance , Randomized Controlled Trials as Topic , Secondary Prevention , Treatment OutcomeABSTRACT
OBJECTIVE: Research on and intervention for child emotional abuse and emotional aggression toward children have been severely hampered because there have been no agreed-upon, clinically usable definitions. METHODS: We have (a) proposed and field-tested a set of criteria to operationally define child emotional abuse for clinical settings and (b) used these criteria to design a parent-report measure of parental emotional aggression and child emotional abuse that could be used in research. In this paper, we review the development and field trials of these criteria for making substantiation decisions. RESULTS: Agreement between master reviewers and field decisions was extremely high in a 5-site development trial (96% agreement, κ=.89) and a 41-site dissemination trial (90% agreement, κ=.73). We compare these criteria to other research criteria in the literature. We then present data collected using a self-report measure designed to parallel these criteria from an anonymous online survey of US Air Force personnel and their spouses. The final sample (N=52,780) was weighted to be representative of the United States civilian population. The prevalence of parents' emotionally aggressive acts was much higher than the prevalence of emotional abuse (acts plus impact), but rates of parents' acts of emotional aggression were lower than those typically reported in the literature. Additional analyses tested for differential effects due to gender of perpetrator (i.e., mothers or fathers), age of victim, and clustering within families. These factors did not drive rates of aggression or abuse. CONCLUSIONS: In sum, the criteria developed and proposed appear to support reliable clinical decision making regarding child emotional abuse and can be translated to research survey tools that better capture the continuum of parents' emotional aggression and child emotional abuse than the measures that are currently available, advancing the state of the science with respect to child emotional abuse.
