Improving Care to Prevent Suicide Among People with Serious Mental Illness Proceedings of a Workshop (2019) / Chapter Skim
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9 Reflections on the Workshop
9 Reflections on the Workshop
Pages 97-102
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From page 97... ...
"We go back to the model and explain why this is a critical element of treatment and what role it serves." Another feature of the common elements of effective interventions is they are relatively simple and straightforward, though they may be delivered differently by individuals and organization with different theoretical perspectives. The one modification Rudd suggested is that, as part of safety planning, health care providers teach people how to ask for help.
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From page 98... ...
, cited the need to fund both research and service delivery. "Suicide prevention, and in particular suicide prevention in people with serious mental illness, is grossly underfunded in order to get the comprehensive approaches that are needed to meaningfully move the needle." One concrete idea emerging from the workshop is bundled payments to help align financing with the desired outcomes.
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From page 99... ...
We have to get out there and do it, not just talk about it, not just publish, but get out there and do it." COLLABORATION AND TRAINING Nadine Kaslow, professor of psychiatry and behavioral sciences at the Emory University School of Medicine, wondered why the two main topics discussed at the workshop -- suicide prevention and serious mental illness -- remain such different worlds when they overlap so extensively. A major way to reduce the distance between them is to create collaborations among stakeholders that represent suicide prevention and the treatment of serious mental illness.
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From page 100... ...
In addition, nurses can help other health care providers care for themselves when a patient ends his or her life. "We have to be there with you, because we believe as nurses that we are the conduits to get many of the other professionals that are working with a patient together and to keep everybody abreast." Scott Dziengelski from the National Association for Behavioral Healthcare called attention to the fact that people with serious mental illness have a much higher mortality rate than the general population.
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From page 101... ...
She reiterated her observations made during the first panel: that the openness and readiness of the nation is ripe, and that health care systems, payers, and policy makers must make the changes needed to meet the public health crisis and the growing demand on the part of patients and families. She observed that the American Foundation for Suicide Prevention is well posi tioned to advocate for changes like bundled payments for postdischarge care, to cooperatively fund research related to suicide prevention, and to catalyze health systems to implement suicide prevention training and system changes.
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