No abstract

Posttraumatic stress disorder (PTSD) often negatively impacts social functioning, which can lead to increased risk of morbidity and mortality. Although current evidence-based and exposure-specific treatments can improve PTSD symptoms, they rarely target the interpersonal difficulties that impact quality of life. This case study describes the use of a manualized treatment for a veteran who continues to experience poor social functioning even after previous exposure-based treatment for PTSD. This treatment, ACT to Improve Social Support for Veterans with PTSD (ACT-SS), explicitly targeted the veteran’s maladaptive patterns of interpersonal difficulties, feelings of detachment from others, irritability, and avoidance of social situations. Following treatment, the veteran reported significant improvements in social relationships, quality of life, and depressive symptoms, even though he still met the clinical threshold for PTSD. This case study provides preliminary evidence for the efficacy of a psychosocial intervention that directly targets social functioning issues for veterans with PTSD, and the importance of incorporating social goals and exercises into treatment.

The applicability of ion exchange membranes is mainly defined by their permselectivity towards specific ions. For instance, the needed selectivity can be sought by modifying some of the components required for the preparation of such membranes. In this study, a new class of materials –trihexyl(tetradecyl)phosphonium based ionic liquids (ILs) were used to modify the properties of ion exchange membranes. We determined selectivity coefficients for iodide as model ion utilizing six phosphonium-based ILs and compared the selectivity with two classical plasticizers. The dielectric properties of membranes plasticized with ionic liquids and their response characteristics towards ten different anions were investigated using potentiometric and impedance measurements. In this large set of data, deviations of obtained selectivity coefficients from the well-established Hofmeister series were observed on many occasions thus indicating a multitude of applications for these ion-exchanging systems.

Increasing social connection and access to care has been found to decrease the rate of suicide in U.S. veterans. The Veteran Outreach Into the Community to Expand Social Support (VOICES) is an intervention developed by Department Veteran Affairs (VA) staff to improve social connection and provide information about services by implementing community-based Veterans Socials. Seventy veterans at eight locations completed an anonymous cross-sectional survey. This evaluation examined three domains, acceptability (i.e., perceived value), demand (i.e., estimated or actual use), and expansion (i.e., sustainability and increase of Veterans Socials across time and locations). Findings indicated considerable levels of acceptability, demand for, and expansion of this intervention. Additionally, data suggested this intervention may increase social connection and utilization of VA services among attendees.

Compared to their civilian counterparts, Veterans have higher rates of mental health difficulties but are less likely to utilize health services. Since 2009, more than 1.4 million Veterans, service members, and their families have used the Post 9/11 GI Bill to fund their education, suggesting that college campuses are potential environments to reach Veterans with unmet health care needs. The Veterans Integration to Academic Leadership-Supported Education (VITAL-SEd) program was developed using psychiatric rehabilitation principles to provide inperson access to academic interventions, mental health programming, and access to additional services for unmet needs. The cases of three student Veterans are reported to demonstrate the implementation process and impact of VITAL-SEd in facilitating healthcare access and utilization among student Veterans. An outline of the VITAL-SEd model utilized is offered, and analyses of these three cases provided reveal the following practical implication themes: (1) responding to expressed educational needs helped build rapport and trust, thereby facilitating identification of unmet healthcare needs, (2) promoting Veteran choice and self-direction can shift student Veterans from a deficit to empowerment model of their own academic role, (3) using an integrated-health care lens within the context of SEd can help Veterans obtain both academic and health-management skills. Overall, results provide preliminary evidence of the usefulness and feasibility of the VITAL-SEd model.