Kristine Burkman1,2, Natalie Purcell1,3, Shira Maguen1,2. 1. Department of Mental Health Service, San Francisco VA Health Care System, San Francisco, California. 2. Department of Psychiatry, University of California, San Francisco, California. 3. Department of Social Behavioral Sciences, University of California, San Francisco, California.
Abstract
OBJECTIVE: We assessed whether treatment providers specializing in evidence-based treatment for posttraumatic stress disorder found the Impact of Killing (IOK), a novel treatment for moral injury among combat veterans, acceptable, and feasible. METHODS: Ten providers from a large veterans administration (VA) medical center were provided with materials from IOK. We audio-recorded a semistructured interview with each provider where we elicited open-ended feedback as well as asked five structured questions about the relative advantage, compatibility, complexity/simplicity, trialability, and observability of IOK. RESULTS: All providers found IOK feasible, acceptable, and something they could incorporate into their existing practice. Providers reported that the spiritual and moral concerns addressed in IOK were novel, and that self-forgiveness and making amends were critical components promoting healing from moral injury not emphasized in other treatments. CONCLUSIONS: Among trauma providers, IOK was found acceptable and feasible, offering a novel approach to addressing moral injury among combat veterans.
OBJECTIVE: We assessed whether treatment providers specializing in evidence-based treatment for posttraumatic stress disorder found the Impact of Killing (IOK), a novel treatment for moral injury among combat veterans, acceptable, and feasible. METHODS: Ten providers from a large veterans administration (VA) medical center were provided with materials from IOK. We audio-recorded a semistructured interview with each provider where we elicited open-ended feedback as well as asked five structured questions about the relative advantage, compatibility, complexity/simplicity, trialability, and observability of IOK. RESULTS: All providers found IOK feasible, acceptable, and something they could incorporate into their existing practice. Providers reported that the spiritual and moral concerns addressed in IOK were novel, and that self-forgiveness and making amends were critical components promoting healing from moral injury not emphasized in other treatments. CONCLUSIONS: Among trauma providers, IOK was found acceptable and feasible, offering a novel approach to addressing moral injury among combat veterans.
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