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Drivers of dropout and enhancers of engagement for male military veterans in therapy: practitioner perspectives.

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Title: Drivers of dropout and enhancers of engagement for male military veterans in therapy: practitioner perspectives.
Authors: Benakovic, R. (AUTHOR), Wilson, M. J. (AUTHOR), Kealy, D. (AUTHOR), Rice, S. M. (AUTHOR), Oliffe, J. L. (AUTHOR), Sharp, P. (AUTHOR), Seidler, Z. E. (AUTHOR)
Source: Counselling Psychology Quarterly. Dec2024, Vol. 37 Issue 4, p590-609. 20p.
Subjects: Men, Psychotherapy, Qualitative research, Physician engagement, Mental health services, Descriptive statistics, Surveys, Thematic analysis, Veterans, Attitudes of medical personnel, Patient-professional relations, Mental health personnel, Therapeutic alliance, Psychosocial factors
Geographic Terms: Australia, Canada, United States, United Kingdom, New Zealand
Abstract: Male veterans are vastly over-represented in suicide rates relative to non-veterans. A critical avenue for improving male veterans' mental health outcomes is improving their engagement with mental health services. This study presents a qualitative investigation of mental health practitioners' perspectives on enhancers of engagement in, and drivers of dropout from therapy among male veterans. Participants were 138 mental health practitioners across Australia, the USA, Canada, New Zealand and the UK (44.9% male; age M = 47.5 years, SD = 12 years). Participants responded to qualitative survey items inquiring about their perspectives on what works to engage male veterans in therapy, alongside common drivers of therapy dropout. Under an overarching theme contextualising the therapeutic alliance between veterans and mental health practitioners, interpretive description analyses led to eight distinct subthemes. Results highlight the range of areas in which mental health practitioners can thoughtfully adapt their practice to engage male veterans and align with military masculinities. In addition, findings underscore the range of barriers facing veterans when they seek help, which can precipitate dropout if not overcome by the right balance between practitioner engagement and veteran persistence. [ABSTRACT FROM AUTHOR]
Copyright of Counselling Psychology Quarterly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Drivers of dropout and enhancers of engagement for male military veterans in therapy: practitioner perspectives.
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  Data: <searchLink fieldCode="AR" term="%22Benakovic%2C+R%2E%22">Benakovic, R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilson%2C+M%2E+J%2E%22">Wilson, M. J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kealy%2C+D%2E%22">Kealy, D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rice%2C+S%2E+M%2E%22">Rice, S. M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Oliffe%2C+J%2E+L%2E%22">Oliffe, J. L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sharp%2C+P%2E%22">Sharp, P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Seidler%2C+Z%2E+E%2E%22">Seidler, Z. E.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Counselling+Psychology+Quarterly%22">Counselling Psychology Quarterly</searchLink>. Dec2024, Vol. 37 Issue 4, p590-609. 20p.
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  Data: <searchLink fieldCode="DE" term="%22Men%22">Men</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Physician+engagement%22">Physician engagement</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Veterans%22">Veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-professional+relations%22">Patient-professional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+personnel%22">Mental health personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutic+alliance%22">Therapeutic alliance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Australia%22">Australia</searchLink><br /><searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink><br /><searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink><br /><searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink><br /><searchLink fieldCode="DE" term="%22New+Zealand%22">New Zealand</searchLink>
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  Label: Abstract
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  Data: Male veterans are vastly over-represented in suicide rates relative to non-veterans. A critical avenue for improving male veterans' mental health outcomes is improving their engagement with mental health services. This study presents a qualitative investigation of mental health practitioners' perspectives on enhancers of engagement in, and drivers of dropout from therapy among male veterans. Participants were 138 mental health practitioners across Australia, the USA, Canada, New Zealand and the UK (44.9% male; age M = 47.5 years, SD = 12 years). Participants responded to qualitative survey items inquiring about their perspectives on what works to engage male veterans in therapy, alongside common drivers of therapy dropout. Under an overarching theme contextualising the therapeutic alliance between veterans and mental health practitioners, interpretive description analyses led to eight distinct subthemes. Results highlight the range of areas in which mental health practitioners can thoughtfully adapt their practice to engage male veterans and align with military masculinities. In addition, findings underscore the range of barriers facing veterans when they seek help, which can precipitate dropout if not overcome by the right balance between practitioner engagement and veteran persistence. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Counselling Psychology Quarterly is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09515070.2023.2276219
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      – Code: eng
        Text: English
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        PageCount: 20
        StartPage: 590
    Subjects:
      – SubjectFull: Men
        Type: general
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Physician engagement
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Veterans
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      – SubjectFull: Attitudes of medical personnel
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      – SubjectFull: Patient-professional relations
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      – SubjectFull: Australia
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      – SubjectFull: New Zealand
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      – TitleFull: Drivers of dropout and enhancers of engagement for male military veterans in therapy: practitioner perspectives.
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              Text: Dec2024
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