Research & Outcomes

Dr. Curtis’ work is grounded in rigorous research, validated by military leadership, and demonstrated through clinical implementation

Elite Mental Toughness® Validation Study

The Question

Can a psychoeducation program reduce suicide ideation risk more effectively than existing military training?

The Method

Rigorous Delphi methodology with 8 senior Air Force officers (Chief Master Sergeant through Colonel) systematically evaluating Elite Mental Toughness® compared to standard Air Force suicide prevention training.

The Results—

Comparison table of training methods with effectiveness ratings, standard values, consensus levels, and statistical significance data.

What This Means

The difference isn't just noticeable, it's statistically robust. Military leaders who have had direct responsibility for troop suicide prevention rated EMT as significantly more effective than military training.

Expert Quotes:

“Elite Mental Toughness moves the needle away from suicidal ideation." - Senior Military Officer, Expert Panel

"If you can save one life it is worth it, and I feel that your program will save a lot." - Senior Military Officer, Expert Panel

Population Served

12+ Years Clinical Experience With:

Military & Veterans (2011 & 2020-2022)

  • Fort Wainwright Family Life Center

  • Individual and couples therapy

  • EAFB Mental Health Clinic research and suicide ideation risk management training

  • JBER suicide ideation risk management research

Indigenous Communities (2013-2025)

  • Fairbanks Native Association

  • Ralph Perdue Center

  • Adolescent residential treatment

  • Substance use and co-occurring disorders

  • Culturally-informed trauma care

High-Risk Adolescents (2013-2025)

  • Residential substance use treatment

  • Co-occurring mental health disorders

  • Complex trauma presentations

  • Group and individual therapy

High-Risk Adults (2021-2025)

  • Residential substance use treatment

  • Outpatient services

  • Co-occurring mental health disorders

  • Complex trauma presentations

  • Group and individual therapy

Complex Trauma Survivors

  • PTSD and C-PTSD

  • Childhood abuse and neglect

  • Sexual assault survivors

  • Treatment-resistant presentations

Clinical Outcomes

Intensive Trauma Therapy:

  • 10+ intensive experiences delivered

  • High client satisfaction (testimonials forthcoming)

  • Rapid symptom reduction in PTSD presentations

  • Successful with treatment-resistant cases

Elite Mental Toughness®:

  • 100+ group sessions facilitated

  • Consistently positive participant feedback

  • Successfully implemented across diverse populations

  • Military leadership validation (87.5% effectiveness rating)

Publications & Presentations

  • Curtis, Y. (2023). Elite Mental Toughness™: A military unit-based group suicidal ideation risk management program (Publication No. 30311461) [Doctoral dissertation, Alaska Pacific University]. ProQuest Dissertations & Theses.

  • Curtis, Y. (2020). Promoting mental health and identifying suicide risk factors. Presentation at Eielson Air Force Base 1st Sergeants Training.

  • Curtis, Y. (2014). Psychological trauma and memory. Presentation at Fairbanks Native Association annual conference.

  • Curtis, Y., Eddy, L., Ashdown, B. K., Feder, H., & Lower, T. (2012). Prelude to a coitus: Sexual initiation cues among heterosexual married couples. Sexual and Relationship Therapy, 27(4), 322-334.

  • Curtis, Y. (2011). What’s love got to do with it: Using attachment theory in couples domestic violence intervention [Unpublished master’s thesis]. University of Alaska.

Ongoing Research & Development

Dr. Curtis continues to refine and evaluate Elite Mental Toughness® through implementation feedback and outcome measurement. She is committed to evidence-based practice and continuous quality improvement.

Future research directions include:

  • Outcome studies with larger samples

  • Adaptation for specific populations

  • Long-term follow-up studies

  • Comparative effectiveness research

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