Michele Spoont
Biographic Data
| ID | 2025803 |
|---|---|
| NAME | Michele Spoont |
| GIVEN NAMES | Michele |
| FAMILY NAME | Spoont |
| SIGNATURE | SPOONT M |
| AFFILIATIONS | Minneapolis VA Health Care System |
| ORCID | 0000-0002-2754-7378 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 11 |
| WORKS AS AUTHOR | 12 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1992 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
The association between low clinic reach and racial disparity in trauma-focused psychotherapy initiation across the US Veterans Health Administration
Reach of trauma-focused psychotherapies (TFPs) varies across clinics for posttraumatic stress disorder (PTSD) in the US Veterans Health Administration but it is unknown if access is equitable across patient subgroups. We conducted secondary analysis of program evaluation data to examine the association between clinic reach (low vs. high) and racial equity in TFP initiation over time. We compared the odds of TFP initiation for Black and White pati…
It Feels Like Health Care with the Patient in Mind”
Provider perceptions of their patients’ dropout from trauma-focused therapy for PTSD in the U.S. Veterans Health Administration
Providers' perceptions of dropout from PE or CPT for individual patients were rarely viewed as entirely negative. Research is needed to help providers determine when patient dropout is an undesirable outcome and when efforts to reengage patients in trauma-focused treatment are warranted. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
Making sense of poor adherence in PTSD treatment from the perspectives of veterans and their therapists
Future work is needed to test hypotheses generated and find effective ways to help veterans fully engage in TFTs. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
Gender differences in rates and predictors of individual psychotherapy initiation and completion among Veterans Health Administration users recently diagnosed with PTSD
Overall, while female veterans are more likely than male veterans with PTSD to initiate individual psychotherapy, rates of initiation and completion of individual psychotherapy for both genders remain relatively low. Interventions are needed to increase engagement in individual psychotherapy, particularly for male veterans with PTSD. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Racial and Ethnic Variation in Perceptions of VA Mental Health Providers are Associated With Treatment Retention Among Veterans With PTSD
BACKGROUND: Veterans with posttraumatic stress disorder (PTSD) who seek mental health care in the Veterans Health Administration frequently discontinue treatment prematurely. Early discontinuation of mental health treatment is more common among Veterans with PTSD who are of minority race or ethnicity. OBJECTIVES: To determine whether retention in individual therapy or pharmacotherapy among Veterans with PTSD are associated with patients' ratings …
Improving assessment of race, ethnicity, and culture to further veteran PTSD research
A proposal is made for a minimal uniform assessment standard of race and ethnicity. Additional recommendations incorporate principles proposed by the Institute of Medicine that allow for more granular assessment of race and ethnicity to better capture individual identity and cultural factors as they relate to the assessment, experience and management of PTSD. (PsycINFO Database Record
Treatment initiation and dropout from prolonged exposure and cognitive processing therapy in a VA outpatient clinic
Emerging data suggest that few veterans are initiating prolonged exposure (PE) and cognitive processing therapy (CPT) and dropout levels are high among those who do start the therapies. The goal of this study was to use a large sample of veterans seen in routine clinical care to 1) report the percent of eligible and referred veterans who (a) initiated PE/CPT, (b) dropped out of PE/CPT, (c) were early PE/CPT dropouts, 2) examine predictors of PE/C…
From Trauma to PTSD
Despite the ongoing debate about its legitimacy as a diagnostic entity, posttraumatic stress disorder (PTSD) continues to be the prevailing model for posttrauma suffering in Western societies. In this article, we examine how U.S. veterans came to conceptualize their posttrauma suffering as reflecting the mental disorder of PTSD. We describe the criteria veterans used to evaluate the potential clinical importance of their posttrauma reactions, and…
Veterans seeking disability benefits for post-traumatic stress disorder
Modulatory role of serotonin in neural information processing
Investigation of the role of 5-hydroxytryptophan (5-HT), which functions as a modulator in the central nervous system, across behavioral contexts suggests that a general principle of transmitter function may be derived that is independent of specific behaviors and specific neural loci. A functional principle of 5-HT action in neural information processing in the central nervous system is proposed. Extremes deviations in 5-HT activity result in bi…
Modulatory role of serotonin in neural information processing
From Trauma to PTSD
Despite the ongoing debate about its legitimacy as a diagnostic entity, posttraumatic stress disorder (PTSD) continues to be the prevailing model for posttrauma suffering in Western societies. In this article, we examine how U.S. veterans came to conceptualize their posttrauma suffering as reflecting the mental disorder of PTSD. We describe the criteria veterans used to evaluate the potential clinical importance of their posttrauma reactions, and…
Veterans seeking disability benefits for post-traumatic stress disorder
Modulatory role of serotonin in neural information processing
Investigation of the role of 5-hydroxytryptophan (5-HT), which functions as a modulator in the central nervous system, across behavioral contexts suggests that a general principle of transmitter function may be derived that is independent of specific behaviors and specific neural loci. A functional principle of 5-HT action in neural information processing in the central nervous system is proposed. Extremes deviations in 5-HT activity result in bi…
Modulatory role of serotonin in neural information processing
Veterans seeking disability benefits for post-traumatic stress disorder
From Trauma to PTSD
Despite the ongoing debate about its legitimacy as a diagnostic entity, posttraumatic stress disorder (PTSD) continues to be the prevailing model for posttrauma suffering in Western societies. In this article, we examine how U.S. veterans came to conceptualize their posttrauma suffering as reflecting the mental disorder of PTSD. We describe the criteria veterans used to evaluate the potential clinical importance of their posttrauma reactions, and…
Treatment initiation and dropout from prolonged exposure and cognitive processing therapy in a VA outpatient clinic
Emerging data suggest that few veterans are initiating prolonged exposure (PE) and cognitive processing therapy (CPT) and dropout levels are high among those who do start the therapies. The goal of this study was to use a large sample of veterans seen in routine clinical care to 1) report the percent of eligible and referred veterans who (a) initiated PE/CPT, (b) dropped out of PE/CPT, (c) were early PE/CPT dropouts, 2) examine predictors of PE/C…
Improving assessment of race, ethnicity, and culture to further veteran PTSD research
A proposal is made for a minimal uniform assessment standard of race and ethnicity. Additional recommendations incorporate principles proposed by the Institute of Medicine that allow for more granular assessment of race and ethnicity to better capture individual identity and cultural factors as they relate to the assessment, experience and management of PTSD. (PsycINFO Database Record
Racial and Ethnic Variation in Perceptions of VA Mental Health Providers are Associated With Treatment Retention Among Veterans With PTSD
BACKGROUND: Veterans with posttraumatic stress disorder (PTSD) who seek mental health care in the Veterans Health Administration frequently discontinue treatment prematurely. Early discontinuation of mental health treatment is more common among Veterans with PTSD who are of minority race or ethnicity. OBJECTIVES: To determine whether retention in individual therapy or pharmacotherapy among Veterans with PTSD are associated with patients' ratings …
Gender differences in rates and predictors of individual psychotherapy initiation and completion among Veterans Health Administration users recently diagnosed with PTSD
Overall, while female veterans are more likely than male veterans with PTSD to initiate individual psychotherapy, rates of initiation and completion of individual psychotherapy for both genders remain relatively low. Interventions are needed to increase engagement in individual psychotherapy, particularly for male veterans with PTSD. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Provider perceptions of their patients’ dropout from trauma-focused therapy for PTSD in the U.S. Veterans Health Administration
Providers' perceptions of dropout from PE or CPT for individual patients were rarely viewed as entirely negative. Research is needed to help providers determine when patient dropout is an undesirable outcome and when efforts to reengage patients in trauma-focused treatment are warranted. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
Making sense of poor adherence in PTSD treatment from the perspectives of veterans and their therapists
Future work is needed to test hypotheses generated and find effective ways to help veterans fully engage in TFTs. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
It Feels Like Health Care with the Patient in Mind”
The association between low clinic reach and racial disparity in trauma-focused psychotherapy initiation across the US Veterans Health Administration
Reach of trauma-focused psychotherapies (TFPs) varies across clinics for posttraumatic stress disorder (PTSD) in the US Veterans Health Administration but it is unknown if access is equitable across patient subgroups. We conducted secondary analysis of program evaluation data to examine the association between clinic reach (low vs. high) and racial equity in TFP initiation over time. We compared the odds of TFP initiation for Black and White pati…
Clinical Psychology (11 works) · Medicine (10 works) · Psychology (10 works) · Posttraumatic Stress Disorder Research (7 works) · Psychiatry (6 works) · Psychotherapist (5 works) · Clinical Psychology (4 works) · MEDLINE (4 works) · PsycINFO (4 works) · Veterans Affairs (4 works)