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Evaluation ViewAttendees 1

Primary Care / Integrated Care
Symposia

Symposium 94 - Extending the Reach and Impact of Behavioral and Cognitive Interventions for Unhealthy Alcohol Use into Medical Settings

Saturday, November 16, 2024
2:30 PM – 3:30 PM EST
Location: Franklin 1, Level 4, Downtown Marriott
CE: 1

Keywords: Alcohol, Integrated Care, Health Psychology
Level of Familiarity: All
Recommended Readings: A Randomized Controlled Pilot Trial of Primary Care Treatment Integrating Motivation and Exposure Treatment (PC-TIME) in Veterans With PTSD and Harmful Alcohol Use
Kyle Possemato, Nadine R. Mastroleo, Christina Balderrama-Durbin, Paul King, Ariella Davis, Brian Borsari, Sheila A.M. Rauch
Behavior Therapy Available online 10 September 2023 In Press,  

A conceptual model of alcohol use and adherence to antiretroviral therapy: systematic review and theoretical implications for mechanisms of action


Sarah E. Woolf-King, Alan Z. Sheinfil, Jeremy Ramos, Jacklyn D. Foley, Dezarie Moskal, Madison Firkey,


Health Psychology Review, Volume 16, 2022 - Issue 1

,  

Primary Care Treatment Integrating Motivation and Exposure for PTSD Symptoms and Hazardous panel


Katherine A. Buckheit, Eileen Barden, Rachael Shaw, Kyle Possemato, Nadine R. Mastroleo, Sheila A.M. Rauch Alcohol Use: A Case Series


Cognitive and Behavioral Practice, Volume 30, Issue 3, August 2023,

,   ,  

Consumption of alcohol at unhealthy levels is common among a wide range of individuals and groups. Unhealthy alcohol use frequently co-occurs with mental health concerns (e.g., PTSD), physical health concerns (e.g., cardiovascular problems) and among individuals who experience frequent stressful life experiences (e.g., people with HIV, military Veterans). Evidence-based behavioral and cognitive therapies for unhealthy alcohol use exist, but often do not reach the people most in need of these interventions. Individuals who engage in unhealthy drinking are more likely to present for treatment in medical rather than specialty substance use settings. Therefore, behavioral and cognitive treatments delivered in medical settings can reach individuals who are typically underserved by addiction treatment (e.g., women, those who do not meet full criteria for alcohol use disorder, and people who have chronic illnesses). This symposium will present four studies that are developing and testing novel behavioral and cognitive interventions in medical settings. The presentations demonstrate that a wide range of interventions can be adapted for medical settings including traditional CBT, Acceptance and Commitment Therapy (ACT), Motivational Interviewing and Prolonged Exposure. The first presenter will present qualitative findings on the treatment preferences of women primary care veterans who engage in unhealthy drinking. The second presenter will present findings from a pilot study of brief CBT intervention to help veterans with unhealthy alcohol use and uncontrolled blood pressure. Then third presenter will present on novel procedures developed to implement a remote RCT of ACT for people with HIV and unhealthy alcohol use, including remote collection of biospecimens and HIPAA-compliant study visits. The fourth presenter will present an analysis of within-session processes (e.g., patient change talk, avoidance talk) and how these processes are related to the therapeutic effects from a primary care-based treatment to reduce alcohol use and PTSD symptoms. The symposium will discuss common themes and conclusions across the studies related to 1) how to intervene among individuals who do not seek traditional mental health or addictions care, 2) the utility of brief CBT approaches, and 3) how to leverage technological tools such as text message communications and video sessions to address patient preferences and increase the impact of interventions.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Describe three strategies to intervene among individuals who do not seek traditional mental health or addictions care.
  2. Describe the utility of four brief CBT approaches.
  3. Describe three ways to leverage technological tools to address patient preferences and increase the impact of interventions.
  4. Describe four unique treatment preferences for underserved communities.
  5. Describe three ways CBT interventions can be adapted to be delivered in medical settings.

Presentations:

  • 2:30 PM – 3:30 PM EST
    (SYM 94) Women Veterans' Perspectives of a Novel Brief Alcohol Intervention in Primary Care

    Speaker: Katherine Buckheit, Ph.D. (she/her/hers) – VA Center for Integrated Healthcare

    Co-author: Madison Firkey, M.S. – Syracuse VA Medical Center

    Co-author: Robyn Sedotto, Ph.D. – VA Center for Integrated Healthcare

    Co-author: Tracy Simpson, PhD (she/her/hers) – VA Puget Sound Health Care System

    Co-author: Nadine R. Mastroleo, Ph.D. (she/her/hers) – Binghamton University

    Co-author: Jacob Scharer, Ph.D. – VA Center for Integrated Healthcare

    Co-author: Stephen Maisto, PhD – Department of Clinical Psychology, Syracuse University; Center of Integrated Healthcare, Syracuse VA Medical Center

    Co-author: Kyle Possemato, Ph.D. (she/her/hers) – VA Center for Integrated Healthcare

  • 2:30 PM – 3:30 PM EST
    (SYM 94) Pilot Outcomes of a Brief Treatment for Alcohol Misuse and Cardiovascular Disease Risk in Integrated Treatment Settings

    Speaker: Dan V. Blalock, M.A., Ph.D. (he/him/his) – Durham VA HSR&D; Duke University Dept of Psychiatry and Behavioral Sciences

  • 2:30 PM – 3:30 PM EST
    (SYM 94) Examination of Client Language Using a Novel Coding System in a Multi-session, Dual Target Intervention for Heavy Drinking Veterans with PTSD

    Speaker: Nadine R. Mastroleo, Ph.D. (she/her/hers) – Binghamton University

  • 2:30 PM – 3:30 PM EST
    (SYM 94) Acceptance and Commitment Therapy for People with HIV and Unhealthy Alcohol Use: Development and Execution of a Remote Randomized Clinical Trial

    Speaker: Sarah E. Woolf-King, M.P.H., Ph.D. (she/her/hers) – Syracuse University