Eileen Delaney

Naval Medical Center San Diego

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Jennifer Webb-Murphy

NOAA National Centers for Coastal Ocean Science

Scott L. Johnston

Naval Information Warfare Systems Command

Bonnie J. Nebeker

Naval Medical Center San Diego

Scott C. Roesch

San Diego State University

Susan F. Fesperman

Wake Forest University

William H. O’Brien

Bowling Green State University

Steven K. Gerard

United States Navy

Jeffrey Millegan

Uniformed Services University of the Health Sciences

Vasudha Ram

NOAA National Centers for Coastal Ocean Science

Jagruti P. Bhakta

Naval Medical Center San Diego

Cooperative Institutions

Naval Medical Center San Diego

Boston University

University of California, San Diego

VA Boston Healthcare System

VA San Diego Healthcare System

Harvard University

NOAA National Centers for Coastal Ocean Science

Bowling Green State University

United States Department of the Navy

National Center for PTSD

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Emergency abdominal radiography: A pictorial review of foreign bodies and associated complications

Eileen Delaney Young Kim

Poster: ECR 2018 / C-2053 / Emergency abdominal radiography: A pictorial review of foreign bodies and associated complications by: E. Delaney , Y. Kim; Worcester, MA/US

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Moral injury and moral repair in war veterans: A preliminary model and intervention strategy

Clinical Psychology Review (2009)

Brett T. Litz Nathan R. Stein Eileen Delaney Leslie Lebowitz William P. Nash

Moral injury

10.1016/j.cpr.2009.07.003

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Citations (2,030)

Predicting firearms performance based on psychiatric symptoms and medication usage.

Professional Psychology Research and Practice (2018)

Eileen Delaney Robert N. McLay Massoud Nikkhoy Heather Kurera Ralph Tuttle

10.1037/pro0000189

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Citations (3)

State of Psychology in the US Armed Forces

Springer eBooks (2017)

Scott L. Johnston Christopher S. Robinson Jay E. Earles John Via Eileen Delaney

Military psychology

Military psychiatry

Multitude

Service member

Military medicine

10.1007/978-3-319-66192-6_1

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Citations (1)

Health Care Provider Burnout in a United States Military Medical Center During a Period of War

Military Medicine (2016)

Paul Sargent Jeffrey Millegan Eileen Delaney Scott C. Roesch Martha Sanders

Provider burnout can impact efficiency, empathy, and medical errors. Our study examines burnout in a military medical center during a period of war.A survey including the Maslach Burnout Inventory (MBI), deployment history, and work variables was distributed to health care providers. MBI subscale means were calculated and associations between variables were analyzed.Approximately 60% of 523 respondents were active duty and 34% had deployed. MBI subscale means were 19.99 emotional exhaustion, 4.84 depersonalization, and 40.56 personal accomplishment. Frustration over administrative support was associated with high emotional exhaustion and depersonalization; frustration over life/work balance was associated with high emotional exhaustion.Levels of burnout in our sample were similar to civilian medical centers. Sources of frustration were related to administrative support and life/work balance. Deployment had no effect on burnout levels.

Military medicine

Active duty

10.7205/milmed-d-14-00449

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Citations (17)

What About the Nondeployers: Comparison of Deployed and Nondeployed Active Duty Forces

PsycEXTRA Dataset (2014)

Jagruti P. Bhakta Jennifer Webb-Murphy Scott C. Roesch Andrea Krzyzaniak Repp Susan F. Fesperman

Active duty

10.1037/e560272014-001

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Individual Approaches to Prevention and Early Intervention

Oxford University Press eBooks (2012)

Teresa Au Caroline Silva Eileen Delaney Brett T. Litz

Abstract This chapter provides an overview of individual and small group-based approaches for prevention and early intervention of posttraumatic stress disorder (PTSD). Using the Institute of Medicine's (IOM) classification system for preventive interventions of mental disorders (universal, selective, and indicated), we describe individual and small group early interventions and review the effectiveness of these strategies. Specifically, psychological debriefing, psychological first aid, and psychoeducation have been used as selective interventions targeting individuals exposed to trauma with varying degrees of success. However, there is strong empirical support for using cognitive behavioral therapy as an indicated preventive intervention to help symptomatic individuals in the weeks or months following traumatic exposure. A review of the literature also suggests that future research should explore different modes of delivery and devote more attention to determining the best time to intervene after traumatic exposure.

Psychoeducation

Debriefing

Traumatic stress

10.1093/oxfordhb/9780195399066.013.0024

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Citations (3)

Psychological Impact of Deploying in Support of the U.S. Response to Ebola: A Systematic Review and Meta-Analysis of Past Outbreaks

Military Medicine (2016)

Kartavya J. Vyas Eileen Delaney Jennifer Webb-Murphy Scott L. Johnston

Objective: To examine the potential psychological impact of deploying in support of the U.S. response to Ebola in west Africa by systematic review and meta-analysis. Methods: Peer-reviewed articles published between January 2000 and December 2014 were identified using PubMed, PsycINFO, and Web of Science. Thirty-two studies involving 26,869 persons were included in the systematic review; 13 studies involving 7,785 persons were included in the meta-analysis. Pooled standardized mean differences (SMD) and 95% confidence intervals (CI) were calculated. Results: Reflecting the sociodemographics of the military, those who are younger, single, not living with family, have fewer years of work experience, lower education, and lower income are at increased risk for psychological distress, alcohol/drug misuse, post-traumatic stress disorder (PTSD), depression, and/or anxiety as a result of their perceived risk of infection. Effect sizes for post-traumatic stress disorder, depressive, and anxiety symptoms were considered small (SMD = 0.12, 95% CI = −0.23 to 0.47), moderate (SMD = 0.40, 95% CI = 0.24–0.51), and small (SMD = 0.08, 95% CI = −0.09 to 0.25), respectively; however, only the effect size for depressive symptoms was statistically significant. Conclusions: Deployed service members may return with clinically significant problems, the most notable of which is depression. Delivering resilience training and fostering altruistic acceptance may protect service members from developing mental health disorders.

PsycINFO

Depression

Traumatic stress

10.7205/milmed-d-15-00473

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Citations (78)

Treatment Response and Predictors of Change for Military Service Members in Intensive Treatment

PsycEXTRA Dataset (2013)

Jennifer Webb-Murphy Susan F. Fesperman Elizabeth A. Vishnyak Scott C. Roesch Eileen Delaney

Service member

10.1037/e588572013-001

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Workforce Planning for Embedded Mental Health Care in the U.S. Navy

Military Medicine (2020)

Jeffrey Millegan Robert Lippy Gabriel De La Rosa Michael Swayze Thomas S. Murray

Abstract Introduction Embedding mental health providers directly into operational units provides opportunities for holistic individual and population focused mental health support. To effectively provide clinical mental health care to a large number of Sailors and Marines while supporting the larger command, it is crucial to arrive at an optimal number of mental health (MH) care staff. In response to an increasing demand for MH care by operational units distributed globally, the U.S. Navy (USN) critically analyzed the current MH staffing levels, estimated future demand for MH care providers, and evaluated several staffing options. The following article illustrates a case study of workforce planning for the USN’s embedded MH delivery model. Materials and methods Several existing data sources were used to calculate current number of MH care staff across all USN platforms and to estimate demand for MH care. An open source Linear Programming application was used to estimate staffing solutions that meet business requirements in the most efficient manner possible. Results Results suggested different conclusions for embedded mental health staffing across USN communities. Depending on existing staffing levels and the number of Sailors or Marines anticipated to require care, the Linear Programming algorithm estimated needed staffing levels to address demand. Conclusion The current project represents the first systematic workforce planning initiative designed to help staff the USN’s global demand for community focused MH care. The results of this project have identified areas where additional embedded mental health resources should be made available. By systematically documenting all services and capabilities and carefully examining the operational demands of each community, the current solution was able to identify precisely what type of MH resources should be allocated to a given community.

Staffing

Workforce Planning

10.1093/milmed/usaa195

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Citations (3)