Publications by authors named "Rachel Ammirati"

Article Synopsis
  • Retention in HIV care and viral suppression rates are low, especially for people with HIV facing challenges like mental health issues, drug use, and homelessness.* -
  • The CARES program offers personalized, integrated services through an interdisciplinary team in a drop-in setting to help these individuals.* -
  • Data from 119 participants showed that those in the CARES program had significantly higher rates of viral suppression and were more likely to stay in care compared to those who didn’t participate.*
View Article and Find Full Text PDF

The COVID-19 pandemic has necessitated an abrupt transition to remote delivery of psychology services at a time when patients and practicing clinicians are experiencing an increase in life stressors (e.g., job loss, social isolation, need to adapt to telehealth practice), which can exacerbate mental health concerns and contribute to clinician burnout.

View Article and Find Full Text PDF

Background: Early palliative care addresses biopsychosocial needs for people living with HIV in an outpatient setting. We sought to describe patients referred to a palliative care program and compare the medical outcomes of emergency department (ED) visits, hospitalizations, primary care visits, and viral load suppression among patients enrolled in the program, to patients who did not enroll (no-show group).

Setting: We completed a retrospective cohort study at an urban, academically affiliated HIV primary care clinic.

View Article and Find Full Text PDF

In recent years, behavioral health professionals have expressed increased interest in engaging in social justice advocacy in public health care systems. In this article, we use an ecological framework to explore opportunities for social justice advocacy in such systems and challenges associated with such efforts. We propose that ecological models are well-suited to conceptualize and address the various contexts that affect behavioral health needs, and we emphasize the importance of considering the multitude of increasingly superordinate systems within which behavioral health professionals work when pursuing advocacy initiatives.

View Article and Find Full Text PDF

Given the significant psychological challenges posed by HIV-related stigma for individuals living with HIV, investigating psychological resource factors for coping with HIV-related stigma is important. Optimism, which refers to generalized expectations regarding favorable outcomes, has been associated with enhanced psychological adaptation to health conditions, including HIV. Therefore, this cross-sectional study investigated associations among optimism, psychological well-being, and HIV stigma in a sample of 116 adults living with HIV and seeking mental health services.

View Article and Find Full Text PDF

Like many domains of professional psychology, school psychology continues to struggle with the problem of distinguishing scientific from pseudoscientific and otherwise questionable clinical practices. We review evidence for the scientist-practitioner gap in school psychology and provide a user-friendly primer on science and scientific thinking for school psychologists. Specifically, we (a) outline basic principles of scientific thinking, (b) delineate widespread cognitive errors that can contribute to belief in pseudoscientific practices within school psychology and allied professions, (c) provide a list of 10 key warning signs of pseudoscience, illustrated by contemporary examples from school psychology and allied disciplines, and (d) offer 10 user-friendly prescriptions designed to encourage scientific thinking among school psychology practitioners and researchers.

View Article and Find Full Text PDF

Despite Miller's (1969) now-famous clarion call to "give psychology away" to the general public, scientific psychology has done relatively little to combat festering problems of ideological extremism and both inter- and intragroup conflict. After proposing that ideological extremism is a significant contributor to world conflict and that confirmation bias and several related biases are significant contributors to ideological extremism, we raise a crucial scientific question: Can debiasing the general public against such biases promote human welfare by tempering ideological extremism? We review the knowns and unknowns of debiasing techniques against confirmation bias, examine potential barriers to their real-world efficacy, and delineate future directions for research on debiasing. We argue that research on combating extreme confirmation bias should be among psychological science's most pressing priorities.

View Article and Find Full Text PDF