Collaborating Across the Departments of Veterans Affairs and Defense to Integrate Mental Health and Chaplaincy Services

Nieuwsma, Jason A.; Jackson, George L.; DeKraai, Mark; Bulling, Denise; Cantrell, William A.; Rhodes, Jeffrey E.; Bates, Mark J.; Ethridge, Keith; Lane, Marian E.; Tenhula, Wendy N.; Batten, Sonja V.; Meador, Keith G.

doi:10.1007/s11606-014-3032-5

Cited by 25 publications

(17 citation statements)

References 42 publications

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“…65 They reported that PaC providers often felt that mental health care providers did not understand the chaplains' role and that this led to decreased integration of the 2 teams, 65 but that, when PaC providers were included in interdisciplinary mental health care teams, they felt understood and validated. 66 Many of the findings in the VA system echo those of our systematic review.…”

Section: Discussionsupporting

confidence: 55%

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Risks, Benefits, and Recommendations for Pastoral Care on Inpatient Psychiatric Units: A Systematic Review

Pennybaker¹,

Hemming

Roy³

et al. 2016

Journal of Psychiatric Practice

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Objective: A systematic review was conducted of the biomedical literature regarding pastoral care (PaC) providers on inpatient psychiatric units with the aim of answering 3 questions: (1) What are the risks and benefits of PaC providers’ presence on inpatient psychiatric units? (2) What are current recommendations for integration of PaC providers into a psychiatric team? and (3) What gaps exist in the literature? Methods: PubMed, PsycInfo, Embase, CINAHL, and Scopus were searched from the start of each database to July 9, 2014 using terms related to PaC providers and inpatient psychiatry. Two independent reviewers performed full-text reviews of each article identified by independent review of all titles/abstracts from the electronic search and by a hand search of articles included in reference lists. Inclusion criteria were: English-language article, published in a peer-reviewed journal, and focus on a PaC provider working in a psychiatric hospital setting. One author performed data extraction. Results: Forty-nine articles were identified by electronic (84%) and hand search (16%), 18 of which were evaluative studies: 5 qualitative and 13 quantitative. Most of the literature viewed integration of PaC providers in inpatient treatment teams as beneficial. Potential harms were noted and mitigation strategies suggested, including providing training to PaC providers concerning psychiatric illness, clearly defining roles, and enhancing team integration. None of the articles reported outcomes data. Conclusions: Psychiatric inpatients often have unmet spiritual needs. Although the literature suggests potential benefits of PaC providers for psychiatric inpatients, more rigorous studies are needed to establish these benefits as efficacious. The authors of this review recommend the cautious integration of PaC providers into the psychiatric inpatient care team.

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Section: Discussionsupporting

confidence: 55%

“…Although not included in this systematic review, the authors believe the work conducted by Nieuwsma et al 65,66 in the Veterans Affairs (VA) and Department of Defense (DoD) also deserves mention. Nieuwsma and colleagues studied and increased the integration of PaC and mental health services in the VA and DoD.…”

Section: Discussionmentioning

confidence: 99%

Risks, Benefits, and Recommendations for Pastoral Care on Inpatient Psychiatric Units: A Systematic Review

Pennybaker¹,

Hemming

Roy³

et al. 2016

Journal of Psychiatric Practice

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“…The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. 76 (Kelley et al 2016;Nieuwsma et al 2014;Seddon et al 2011). 77 (Rennick 2011;Besterman-Dahan et al 2012).…”

Section: Conflicts Of Interestmentioning

confidence: 99%

How is Military Chaplaincy in Europe Portrayed in European Scientific Journal Articles between 2000 and 2019? A Multidisciplinary Review

Liuski

Ubani

2020

Religions

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This article focuses on the portrayal of the military chaplaincy in Europe in European scientific journal articles during the past two decades. The military chaplaincy represents an interesting case as it is a member of two strong professions: a soldier and the clergy. Furthermore, the profession is facing many challenges connected to diversification and pluralisation, networking, technology, and extraprofessional collaboration. The data of the review study included scientific journal articles that are published electronically in major scientific databases. When portraying military chaplaincy, the articles emphasised five themes: Basic functions, the history of the profession, the changing nature of the military chaplaincy, organisational change, and professional ethics.

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“…Within the Veterans Health Administration (VHA), these frontline providers include mental health professionals as well as clinical chaplains who have received intensive training in integrating evidence-based psychosocial modalities with their spiritual care. 12 , 13 , 14 , 15 , 16 …”

Section: Introductionmentioning

confidence: 99%

Dynamic Diffusion Network: Advancing moral injury care and suicide prevention using an innovative model

et al. 2020

Self Cite

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Healthcare providers across a wide variety of settings face a common challenge: the need to provide real time care for complex problems that are not adequately addressed by existing protocols. In response to these intervention gaps, frontline providers may utilize existing evidence to develop new approaches that are tailored to specific problems. It is imperative that such approaches undergo some form of evaluation, ensuring quality control while permitting ongoing adaptation and refinement. “Dynamic diffusion” is an innovative approach to intervention improvement and dissemination whereby care practices are delivered and continuously evaluated under real-world conditions as part of a structured network experience. This “dynamic diffusion network” (DDN) promotes cross-pollination of ideas and shared learning to generate relatively rapid improvements in care. The pilot Mental Health and Chaplaincy DDN was developed to advance suicide prevention efforts and moral injury care practices being conducted by 13 chaplain-mental health professional teams across the Veterans Health Administration. Lessons learned from the pilot DDN include the importance of the following: geographic and cultural diversity among innovation collaborators to ensure the broadest possible relevance of solutions; leadership support to facilitate engagement of frontline providers in quality improvement efforts; and participation in a community of practice to motivate providers and offer opportunities for direct collaboration and cross-pollination of ideas.

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Collaborating Across the Departments of Veterans Affairs and Defense to Integrate Mental Health and Chaplaincy Services

Cited by 25 publications

References 42 publications

Risks, Benefits, and Recommendations for Pastoral Care on Inpatient Psychiatric Units: A Systematic Review

Risks, Benefits, and Recommendations for Pastoral Care on Inpatient Psychiatric Units: A Systematic Review

How is Military Chaplaincy in Europe Portrayed in European Scientific Journal Articles between 2000 and 2019? A Multidisciplinary Review

Dynamic Diffusion Network: Advancing moral injury care and suicide prevention using an innovative model

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