Type I Hybrid Effectiveness-Implementation Trial of Primary Care Brief Mindfulness Training for Veterans

Ki vehet részt

• To be eligible, participants must be:
• enrolled in VA primary care through the local VA site
• report clinically significant psychological distress as measured in at least one of three areas:; PTSD operationalized by 30 on the PCL-5 plus endorsing a criteria A stressor; depression operationalized as 10 on the PHQ-9; anxiety operationalized by 10 on the GAD-7

Ki nem vehet részt

• voice a preference to be directly referred to specialty mental health care; Veterans with mild TBI, and alcohol/ substance use disorders will not be excluded because these problems commonly co-occur with psychological distress, and individuals with these conditions have previously benefited from mindfulness and problem-solving training. Patients who receive Primary Care Mental Health Integration (PCMHI) services will not be excluded as this is part of the usual primary care services that all Veterans receive
• gross cognitive impairment
• had a change in psychiatric medication outside of VHA primary care in the last 2 months
• suicide attempt or desire to commit suicide in the last month; To allow the study to isolate the effects of the intervention and ensure patient treatment preferences are honored, patients will be excluded if they:
• had a psychotherapy appointment outside of primary care within the last month and have future appointment scheduled