What is it about?

This study explores a new Moral Injury Scale and it's use to measure changes in Moral Injury and related conditions such as PTSD, Depression and anxiety in a justice involved veterans sample after completion of Veterans Treatment Court interventions.

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Why is it important?

There are currently several scales developed to measure moral injury although few of them can show changes in the internal experience of Moral Injury following treatment intervention. Additionally there are very few studies of treatment that are directly targeting mitigation of Moral injury. This study, using the new Moral Injury Scale showed significant decrease in Moral Injury Scale scores in veterans who completed the Veterans Treatment Court diversion interventions.


This article is the culmination of 25 years treating combat veterans and their families. The Moral Injury Scale unlike those previously developed is based on the input directly from combat veterans themselves. Additionally, very few articles have explored treatment response regarding reduction in Moral Injury overall, and even fewer studies have looked at treatment response in a Justice involved veterans sample.

Melinda Keenan
Center for Post Traumatic Growth

Read the Original

This page is a summary of: Measuring moral injury and treatment response in justice-involved veterans: Development and validation of a new Moral Injury Scale., Traumatology An International Journal, December 2023, American Psychological Association (APA),
DOI: 10.1037/trm0000462.
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