Shannon Wiltsey Stirman
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View article: A Case for Leveraging Generative AI to Expand and Enhance Training in the Provision of Mental Health Services
A Case for Leveraging Generative AI to Expand and Enhance Training in the Provision of Mental Health Services Open
Generative artificial intelligence (Generative AI) is transforming healthcare. With this evolution comes optimism regarding the impact it will have on mental health, as well as concern regarding the risks that come with generative AI opera…
View article: Generative artificial intelligence in posttraumatic stress disorder treatment: Exploring five different use cases
Generative artificial intelligence in posttraumatic stress disorder treatment: Exploring five different use cases Open
Posttraumatic stress disorder (PTSD) is a prevalent and debilitating condition, yet many individuals face substantial barriers to accessing evidence‐based interventions. Advances in generative artificial intelligence (AI), particularly lar…
View article: TherapyTrainer: Using AI to train therapists in written exposure therapy
TherapyTrainer: Using AI to train therapists in written exposure therapy Open
Though evidence-based treatments for mental disorders are effective, existing implementation efforts are expensive and difficult to scale. Novel solutions— especially those that offer active learning strategies, repeat skill practice and p…
View article: Current Real-World Use of Large Language Models for Mental Health
Current Real-World Use of Large Language Models for Mental Health Open
There have been growing reports of people using general-purpose large language models (LLMs), like those offered through ChatGPT, for their mental health—but the extent of this use is not known. We conducted a survey of U.S. adults – strat…
View article: Artificial Intelligence in Obsessive-Compulsive Disorder: A Systematic Review
Artificial Intelligence in Obsessive-Compulsive Disorder: A Systematic Review Open
View article: A Comparison of Responses from Human Therapists and Large Language Model–Based Chatbots to Assess Therapeutic Communication: Mixed Methods Study
A Comparison of Responses from Human Therapists and Large Language Model–Based Chatbots to Assess Therapeutic Communication: Mixed Methods Study Open
Background Consumers are increasingly using large language model–based chatbots to seek mental health advice or intervention due to ease of access and limited availability of mental health professionals. However, their suitability and safe…
View article: Generative Artificial Intelligence in PTSD Treatment: Exploring Five Different Use Cases
Generative Artificial Intelligence in PTSD Treatment: Exploring Five Different Use Cases Open
Posttraumatic stress disorder (PTSD) is a prevalent and debilitating condition, yet many individuals face substantial barriers to accessing evidence-based interventions. Advances in generative artificial intelligence (AI), particularly lar…
View article: Generative Artificial Intelligence in PTSD Treatment: Exploring Five Different Use Cases
Generative Artificial Intelligence in PTSD Treatment: Exploring Five Different Use Cases Open
Posttraumatic stress disorder (PTSD) is a prevalent and debilitating condition, yet many individuals face substantial barriers to accessing evidence-based interventions. Advances in generative artificial intelligence (AI), particularly lar…
View article: Readiness evaluation for artificial intelligence-mental health deployment and implementation (READI): A review and proposed framework.
Readiness evaluation for artificial intelligence-mental health deployment and implementation (READI): A review and proposed framework. Open
While generative artificial intelligence (AI) may lead to technological advances in the mental health field, it poses safety risks for mental health service consumers. Furthermore, clinicians and healthcare systems must attend to safety an…
View article: Outcomes of the ROSE Sustainment (ROSES) Study, a sequential multiple assignment randomized implementation trial to determine the minimum necessary intervention to sustain a postpartum depression prevention program in agencies serving low-income pregnant people
Outcomes of the ROSE Sustainment (ROSES) Study, a sequential multiple assignment randomized implementation trial to determine the minimum necessary intervention to sustain a postpartum depression prevention program in agencies serving low-income pregnant people Open
View article: A pilot study of twice-weekly group-based written exposure therapy for veterans in residential substance use treatment: effects on PTSD and depressive symptoms
A pilot study of twice-weekly group-based written exposure therapy for veterans in residential substance use treatment: effects on PTSD and depressive symptoms Open
Background Posttraumatic stress disorder (PTSD) is highly comorbid with substance use disorders (SUDs), resulting in high prevalence of PTSD among individuals in residential SUD care. However, there is limited research on integrating traum…
View article: Readiness Evaluation for AI-Mental Health Deployment and Implementation (READI): A review and proposed framework
Readiness Evaluation for AI-Mental Health Deployment and Implementation (READI): A review and proposed framework Open
While generative artificial intelligence (AI) may lead to technological advances in the mental health field, it poses safety risks for mental health service consumers. Furthermore, clinicians and healthcare systems must attend to safety an…
View article: Tailored Strategies to Increase the Use of an Evidence-Based Psychotherapy for Posttraumatic Stress Disorder: A Stepped-Wedge Randomized Trial in Military Clinics
Tailored Strategies to Increase the Use of an Evidence-Based Psychotherapy for Posttraumatic Stress Disorder: A Stepped-Wedge Randomized Trial in Military Clinics Open
View article: Clinical Implications of Trauma-Focused Therapy for Veterans
Clinical Implications of Trauma-Focused Therapy for Veterans Open
View article: TherapyTrainer: Using AI to train therapists in written exposure therapy
TherapyTrainer: Using AI to train therapists in written exposure therapy Open
Though evidence-based treatments for mental disorders are effective, existing implementation efforts are expensive and difficult to scale. Novel solutions— especially those that offer active learning strategies, repeat skill practice and p…
View article: TherapyTrainer: Using AI to train therapists in written exposure therapy
TherapyTrainer: Using AI to train therapists in written exposure therapy Open
Though evidence-based treatments are effective, existing dissemination efforts are expensive and difficult to scale. Novel solutions— especially those that offer active learning strategies, repeat skill practice and personalized feedback t…
View article: Which PTSD clusters and symptoms are central to reducing suicidal ideation? A network and cross-lagged analysis among individuals receiving cognitive processing therapy
Which PTSD clusters and symptoms are central to reducing suicidal ideation? A network and cross-lagged analysis among individuals receiving cognitive processing therapy Open
These findings suggest that reductions in SI within treatment may be due to direct targeting of avoidance, affect, and future-related cognitions. Further research remains necessary to determine whether the present findings extend to DSM-5 …
View article: A Comparison of Scalable Routine Clinical Materials and Observer Ratings to Assess CBT Fidelity
A Comparison of Scalable Routine Clinical Materials and Observer Ratings to Assess CBT Fidelity Open
Decades of research have demonstrated the efficacy of cognitive behavioral therapies (CBTs) for a wide variety of psychiatric diagnoses, resulting in the inclusion of CBT as a first-line evidence-based practice (EBP) in treatment guideline…
View article: Designing Clinical Large Language Models for Evidence-Based Psychological Practice
Designing Clinical Large Language Models for Evidence-Based Psychological Practice Open
Large language models (LLMs) offer significant potential to augment or overhaul aspects of psychological assessment and treatment. However, current LLM technologies have yet to demonstrate the capacity to effect meaningful and sustained cl…
View article: Can Chatbots Offer What Therapists Do? A mixed methods comparison between responses from therapists and LLM-based chatbots
Can Chatbots Offer What Therapists Do? A mixed methods comparison between responses from therapists and LLM-based chatbots Open
Background: Consumers are increasingly using LLM-based chatbots to seek mental health advice or intervention due to ease of access and limited availability of mental health professionals. However, their suitability and safety for mental he…
View article: A Clinical Decision Support Tool for Intimate Partner Violence Screening Among Women Veterans: Development and Qualitative Evaluation of Provider Perspectives
A Clinical Decision Support Tool for Intimate Partner Violence Screening Among Women Veterans: Development and Qualitative Evaluation of Provider Perspectives Open
Background Women veterans, compared to civilian women, are especially at risk of experiencing intimate partner violence (IPV), pointing to the critical need for IPV screening and intervention in the Veterans Health Administration (VHA). Ho…
View article: A Pilot Study of Twice-Weekly Group-Based Written Exposure Therapy for Veterans in Residential Substance Use Treatment: Effects on PTSD and Depressive Symptoms
A Pilot Study of Twice-Weekly Group-Based Written Exposure Therapy for Veterans in Residential Substance Use Treatment: Effects on PTSD and Depressive Symptoms Open
Background Posttraumatic stress disorder (PTSD) is highly comorbid with substance use disorders (SUDs), resulting in high prevalence of PTSD among individuals in residential SUD care. However, there is limited research on integrating traum…
View article: Development of a method for Making Optimal Decisions for Intervention Flexibility during Implementation (MODIFI): a modified Delphi study
Development of a method for Making Optimal Decisions for Intervention Flexibility during Implementation (MODIFI): a modified Delphi study Open
View article: A Comparison of Pragmatic and Scalable Strategies to Assess Fidelity to Cognitive Processing Therapy in Routine Care Settings
A Comparison of Pragmatic and Scalable Strategies to Assess Fidelity to Cognitive Processing Therapy in Routine Care Settings Open
Fidelity monitoring is crucial for successful implementation of evidence-based practices, buttraditional methods such as observation and video recording are impractical for routine mentalhealth care due to their high resource demands. A re…
View article: A Pilot Study of Twice-Weekly Group-Based Written Exposure Therapy for Veterans in Residential Substance Use Treatment: Effects on PTSD and Depressive Symptoms
A Pilot Study of Twice-Weekly Group-Based Written Exposure Therapy for Veterans in Residential Substance Use Treatment: Effects on PTSD and Depressive Symptoms Open
Background: Posttraumatic stress disorder (PTSD) is highly comorbid with substance use disorders (SUDs), resulting in high prevalence of PTSD among individuals in residential SUD care. However, there is limited research on integrating trau…
View article: Analysis of implementation processes in a hybrid effectiveness-implementation trial of interpersonal psychotherapy (IPT) for major depressive disorder in prisons: Training, supervision, and recommendations
Analysis of implementation processes in a hybrid effectiveness-implementation trial of interpersonal psychotherapy (IPT) for major depressive disorder in prisons: Training, supervision, and recommendations Open
Background There are 10 million admissions to U.S. prisons and jails each year. More than half of those admitted have mental health problems. The goal of this article is to inform: (1) implementation of evidence-based mental health treatme…
View article: Clinician Burnout and Effectiveness of Guideline-Recommended Psychotherapies
Clinician Burnout and Effectiveness of Guideline-Recommended Psychotherapies Open
Importance Clinician burnout has been associated with clinician outcomes, but the association with patient outcomes remains unclear. Objective To evaluate the association between clinician burnout and the outcomes of patients receiving of …
View article: Large language models could change the future of behavioral healthcare: a proposal for responsible development and evaluation
Large language models could change the future of behavioral healthcare: a proposal for responsible development and evaluation Open
View article: Readiness Evaluation for AI-Mental Health Deployment and Implementation (READI): A review and proposed framework
Readiness Evaluation for AI-Mental Health Deployment and Implementation (READI): A review and proposed framework Open
While generative artificial intelligence (AI) may lead to technological advances in the mental health field, it poses safety risks for mental health service consumers. Furthermore, clinicians and healthcare systems must attend to safety an…
View article: Readiness Evaluation for AI-Mental Health Deployment and Implementation (READI): A review and proposed framework
Readiness Evaluation for AI-Mental Health Deployment and Implementation (READI): A review and proposed framework Open
While generative artificial intelligence (AI) may lead to technological advances in the mental health field, it poses safety risks for mental health service consumers. Furthermore, clinicians and healthcare systems must attend to safety an…