Preventing and Managing Suicide in an Outpatient Setting- Community of Practice Intimate Dialogue - Shared screen with gallery view
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Bailey Reeves - Meeting Support
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could you share the code again in the chat? I disconnected accidentally from menti
Menti code: 2048 7366
can we get the link
PHQ2/9 and CSSRS
PHQ2, then 9, then a jumping off point for other screeners, as you've described
It is included in our initial Brief Screen and also in Assessments
Some EDs are using ASQ
We are thinking of going to the ASK for children and adolescents instead of the CSSRS
What are your thoughts on the DBT Diary Card that ask patients to rate their urge of suicide? from 0 to 5
C-SSRS have many versions, including for children
We screen twice, during the initial screening, and again with intake, and as needed
Anyone using CAMS (Comprehensive Assessment and Management of Suicidality)
my understanding is that the asq is designated for use in outpatient primary care and specialty outpatient care/clinics. can it be used in outpatient behavioral health?
yes, medical assts
Yes, during the COVID 19 crisis, more were interested in general crisis and mental health information
Trained peer support specialists do too
Yes, MAs. Great to have integrated Primary Care and BH team to assist
Yes SUD counselors, Health Education Coordinators,
we offered adult mental health first aid training to help non clinicians with what to do in Crisis situation.
apps like my safety plan (creen box w white cross), My 3, Virtual Hope Box can be good tools for clients to remind them of their safety plan
I helped a client safety plan 2 days ago, and he chose who he would and wouldn't want to call to check in.
are My 3 and Virtual Hope 2 different apps?
We just started phone calls 24hrs after discharge
If you have made a safety plan &bare following up Zero Suicide has a GREAT webinar on how to do a follow up Safety Plan call.
sprc.org has AWESOME3 Counseling on Access to Lethal means]
we have solid procedures but our track record at following them is poor
always passing the buck
we have a police when the cssrs needs to be completed, but I think it needs to be completed more often.
We have policy and procedure related to Baker Act.
eople don't feel comfortable doing it or don't eant to
so they give it to someone else
like the therapist
tends to fall on one person to write Pnps, etc
so they don't have to follow through with paper work
Policy is good but we are revising to change in language
or responsibility in cases where client are in severe SI
One of LA's State MH hospitals has policy that all professional staff trained in ASIST and all direct staff trained in safeTALK. Hospital wide policy on how line staff brings up what they see to professional staff.
Professional staff trained in DBT &b CAMS to actually treat suicidality.
probably all of the abive
we have monthly staff meetings, open door policy to discuss cases
we talk about things that worked well and where we wish ww would hae done better
to get feedback.. role plays
yes crisis items
We once used team supervision in Beaufort, SC. But the staff have to trust one another.
American Foundation for Suicide Prevention has a Healing Loss outreach program where a survivor can request to be contacted by someone who is also a suicide loss survivor. Can sign up at www.afsp.org
Not all places have suicide loss survivors.
I am on the AFSP-LA Board.
we have NAMI support groups in the community.
Loss by Suicide support group
Trying to get specific suicide prevention introduction to all medical students
if anyone here is willing to share/provide guidance/resources related to creating/writing suicide specific policies and procedures please email me at firstname.lastname@example.org miigwetch/thank you
Managing suicidality in Care Management Programs where most of the interactions are telephonic. Need for Mental Health First Aid for care managers.
Urmil "Tracy" Marshall
thank you so much
Thank you so much! This was so needed.