Clary Kelly Lynn, Campbell Corey, Chiu Chungyi
School of Social Work, Texas State University, 601 University Drive; Encino Hall, 78666 San Marcos, TX United States.
School of Social Work, University of Illinois at Urbana-Champaign, Champaign, United States.
Clin Soc Work J. 2022;50(4):445-457. doi: 10.1007/s10615-022-00837-z. Epub 2022 Apr 22.
Emerging adult military members and veterans (MMV) are experiencing many transitions (e.g., adulthood, military). The sum of these changes can cause stress, anxiety, and mental health challenges. Stigma of mental health and treatment exists, and military populations are often not seeking or engaging in appropriate care. Recent research emphasizes the need to uncover mental health attitudes and self-stigma barriers regarding help seeking. We evaluated the impact of a single motivational-interviewing enhanced interview with 26 MMV, all who reported high risk substance use. In 75-minute interviews with the primary focus of discussing their experiences regarding mental health, substance use, and identity development, the interviewer incorporated motivational interviewing strategies (e.g., affirmations, complex reflections). Participants shared their developmental experiences, stressors transitioning, and barriers and stigma around mental health treatment. Participants completed a survey which included a variety of standardized measures and open-ended questions two weeks before and after the interview. Qualitative follow-up data via open ended questions shows the session was well received by participants as they could share their stories, think critically about their military experiences, and brainstorm solutions for mental health care. We conclude that using individual, confidential interviews to discuss sensitive topics for data collection with MMV is an area to continue developing. Conducting qualitative research with motivational interviewing strategies has the potential to be twofold: advance scholarship and inform practitioners, but also serve as a therapeutic platform for some participants.
The online version contains supplementary material available at 10.1007/s10615-022-00837-z.
新兴成年军人及退伍军人正经历着诸多转变（例如步入成年、经历军旅生涯）。这些变化的总和可能导致压力、焦虑以及心理健康挑战。心理健康及治疗存在污名化现象，军人群体往往不寻求或不接受适当的护理。近期研究强调有必要揭示心理健康态度以及寻求帮助方面的自我污名化障碍。我们评估了一次强化动机访谈对26名报告有高风险物质使用情况的军人及退伍军人的影响。在75分钟的访谈中，主要围绕他们在心理健康、物质使用和身份发展方面的经历展开讨论，访谈者采用了动机访谈策略（例如肯定、复杂回应）。参与者分享了他们的发展经历、转型压力源以及心理健康治疗方面的障碍和污名。参与者在访谈前后两周完成了一项调查，其中包括各种标准化测量和开放式问题。通过开放式问题收集的定性后续数据显示，参与者对此次访谈反响良好，因为他们能够分享自己的故事，批判性地思考自己的军旅经历，并为心理健康护理集思广益。我们得出结论，利用个体保密访谈来与军人及退伍军人讨论敏感话题以进行数据收集是一个值得继续发展的领域。采用动机访谈策略进行定性研究有可能带来双重效果：推动学术研究并为从业者提供信息，同时也能为一些参与者提供一个治疗平台。
在线版本包含可在10.1007/s10615-022-00837-z获取的补充材料。
