Moral Injury Syndrome (MIS) affects up to 35-60% of Veterans managing combat-related PTSD; it results from experiences that challenge deeply held values or spiritual beliefs. Symptoms of MIS may include hopelessness, helplessness, loss of spiritual beliefs, difficulty with forgiveness, loss of meaning or purpose, reduced trust in self or others, or intractable guilt, shame or anger. Veterans managing MIS have difficulty responding to mental health treatment, and are at increased risk for suicide ideation or attempts. To date evidence-based interventions for MIS are not widely available in VA. This study will implement an evidence-based intervention for MIS in four VA facilities, collect data on the effectiveness of the intervention, and develop an implementation toolkit. This data will inform national dissemination in collaboration with the Office of Mental Health and Suicide Prevention and the National Chaplain Service.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Change in Moral Injury and Distress Scale
Timeframe: 8 weeks (end of treatment) and 20 weeks (long-term follow-up)
Change in Moral Injury Outcomes Scale
Timeframe: 8 weeks (end of treatment) and 20 weeks (long-term follow-up)
Change in Expressions of Moral Injury Scale
Timeframe: 8 weeks (end of treatment) and 20 weeks (long-term follow-up)
Change in Religious and Spiritual Struggles Scale
Timeframe: 8 weeks (end of treatment) and 20 weeks (long-term follow-up)