Rethinking Violence Prevention in Rural and Underserved Communities: How Veteran Peer Support Groups Help Participants Deal with Sequelae from Violent Traumatic Experiences.
access to care
mental health
peer support
veterans
violence prevention
Journal
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
ISSN: 1748-0361
Titre abrégé: J Rural Health
Pays: England
ID NLM: 8508122
Informations de publication
Date de publication:
03 2020
03 2020
Historique:
received:
30
07
2018
revised:
18
01
2019
accepted:
28
01
2019
pubmed:
16
3
2019
medline:
19
8
2021
entrez:
16
3
2019
Statut:
ppublish
Résumé
Access to mental health care and programs that address violence prevention can be a challenge for veterans residing in rural and underserved areas. A growing number of trauma-affected veterans are now returning to rural areas upon completion of military service. The Palo Alto VA Health Care System has piloted a program known as the Peer Support Program (PSP) where certified peer support specialists hold group sessions for their fellow veterans in remote, community-based outpatient clinics. A total of 29 peer-support group participants and 1 certified peer specialist were interviewed. Semistructured interviews began with open-ended questions regarding participant firsthand experiences with the support group setting. These were followed by direct questions that addressed the role of the PSP, expectations for the PSP, as well as benefits and limitations of the program. We performed a domain analysis using the Spradley ethnographic method on 325 pages of compiled narrative data focusing on violence-related themes. Four key themes emerged, including: 1) Violence in Military Training Not Acceptable in Civilian Life, 2) Peer Support Creates the Trust to Speak Freely, 3) Skills Are Taught to Defuse Violence, and 4) The Veteran Peer Support Specialist Relationship Is Multi-Dimensional. These emergent themes illustrate how trauma-focused assistance rendered by peer support specialists as part of an interdisciplinary mental health team can be implemented to benefit trauma-affected individuals and their communities in the prevention of future violence.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
266-273Informations de copyright
© 2019 National Rural Health Association.
Références
US Department of Veterans Affairs. Rural Veterans. Available at: https://www.ruralhealth.va.gov/aboutus/ruralvets.asp. Accessed November 2, 2018.
Internal VA Administrative Data, October 2013.
US Census Bureau. QuickFacts. Available at: https://www.census.gov/quickfacts/fact/table/stanislauscountycalifornia,kingscountycalifornia,maderacountycalifornia,fresnocountycalifornia,sanjoaquincountycalifornia/PST045216. Accessed October 17, 2017.
American Public Health Association. Removing barriers to mental health services for Veterans. Policy Statements and Advocacy. November 18, 2014.
California HealthCare Foundation. Mental health care in California: Painting a picture. Available at: https://www.chcf.org/publication/mental-health-care-in-california-painting-a-picture/. Accessed October 19, 2017.
Spelman JF, Hunt SC, Seal KH, Burgo-Black AL. Post deployment care for returning combat Veterans. J Gen Intern Med. 2012;27(9):1200-1209.
Harder Company Community Research. San Joaquin County 2016 community health needs assessment. Available at: http://www.healthiersanjoaquin.org/pdfs/2016/2016CHNAfulldocument-narrativeandhealthprofiles.pdf. Accessed October 19, 2017.
Kubrick S. Full Metal Jacket. Burbank, CA: Warner Home Video; 2001.
Gilbertson A. The life and lonely death of Noah Pierce. The Virginia Quarterly Review. 2008:84(4):32-53.
ArmyStudyGuide.com. Common running cadence. Available at: http://www.armystudyguide.com/content/Prep_For_Basic_Training/Prep_for_basic_general_information/common-running-cadence.shtml. Accessed October 19, 2017.
US Department of Veterans Affairs. Peer support services. Available at: https://www.paloalto.va.gov/services/mental/peersupport.asp. Accessed October 19, 2017.
Cully JA, Jameson JP, Phillips LL, Kunik ME, Fortney JC. Use of psychotherapy by rural and urban Veterans. J Rural Health. 2010;26(3):225-233.
Holder KA. Veterans in rural America: 2011-2015. Washington, DC: US Department of Commerce, Economics and Statistics Administration, US Census Bureau; 2017.
Beckham JC, Feldman ME, Kirby AC, Hertzberg MA, Moore SD. Interpersonal violence and its correlates in Vietnam Veterans with chronic posttraumatic stress disorder. J Clin Psychol. 1997;53(8):859-869.
Begic D, Jokic-Begic N. Aggressive behavior in combat veterans with post-traumatic stress disorder. Mil Med. 2001;166(8):671-676.
Stecker T, Fortney JC, Hamilton F, Ajzen I. An assessment of beliefs about mental health care among veterans who served in Iraq. Psychiatr Serv. 2007:58(10):1358-1361.
Lemle RB. Choice program expansion jeopardizes high-quality VHA mental health services. Fed Pract. 2018:35(3):18-24.
Howell JC, US Department of Justice, Office of Juvenile Justice and Delinquency Prevention. Gang Prevention: An Overview of Research and Programs. Juvenile Justice Bulletin; December 2010.
Dennis CL. Peer support within a health care context: A concept analysis. Int J Nurs Stud. 2003:40(3):321-332.
Castelein S, Bruggeman R, Van Busschbach JT, et al. The effectiveness of peer support groups in psychosis: A randomized controlled trial. Acta Psychiatr Scand. 2008:118(1):64-72.
US Department of Veterans Affairs. 10 things about the Veterans Choice Program. Available at: https://www.paloalto.va.gov/services/mental/peersupport.asp. Accessed October 19, 2017.
Jain S, Joseph K, Holt H, Rosen CS, Lindley SE. Implementing a peer support program for veterans: Seeking new models for the provision of community-based outpatient services for posttraumatic stress disorder and substance use disorders. In: Partnerships for Mental Health: Narratives of Community and Academic Collaboration. Switzerland: Springer International Publishing; 2015:125-135.
Ramirez J, Erlyana E, Guilliaum M. A review of art therapy among military service members and veterans with post-traumatic stress disorder. J Mil Veterans Health. 2016:24(2):40-51.
Spradley JP. The ethnographic interview. Belmont, CA: Wadsworth Thomson Learning; 1979.
Kumar A, Azevedo KJ, Factor A, et al. Peer support in an outpatient program for veterans with posttraumatic stress disorder: Translating participant experiences into a recovery model. Psychol Serv: Special Supplement on Peer Support in Mental Health. November 8, 2018.
Hundt NE, Robinson A, Arney J, Stanley MA, Cully JA. Veterans’ Perspective on Benefits and Drawbacks of Peer Support for Posttraumatic Stress Disorder. Military Med. 2015;180(8):851-856.
Sellers R. Soldiers helping soldiers-battle buddies assist in military training, life. Available at: https://www.army.mil/article/44252/soldiers_helping_soldiers_battle_buddies_assist_in_military_training_life. Accessed October 19, 2017.
Powers R. Navy buddy enlistment program. Available at: https://www.thebalance.com/navy-buddy-enlistment-program-3332890. Accessed October 19, 2017.
Pawlyk O. Senator urges ‘buddy system’ for Air Force trainees. Available at: http://www.military.com/daily-news/2017/01/28/senator-urges-buddy-system-for-air-force-trainees.html. Accessed October 19, 2017.
US Department of Veterans Affairs. Rural Veteran Demographics. Available at: https://www.ruralhealth.va.gov/aboutus/ruralvets.asp#vet. Accessed October 19, 2017.