LEVEL 4 Enhance Education and Training in Primary Care

Who:

Primary Care Physicians (PCPs) that provide care to rural Veterans.

What:

Enhance PCP knowledge of depression/suicide and PCP practices for identifying and treating people at-risk for crisis.

How:

Distribute evidenced-based training resources to healthcare providers.

Anticipated impact:

Increase PCP knowledge and provision of basic mental health screening, risk assessment, and guideline concordant care of Veterans at-risk for suicide.

National

"Is Your Patient Suicidal?" Emergency Department Poster and Clinical Guide

The Is Your Patient Suicidal? ED Poster provides emergency department practitioners with information on recognizing and responding to acude suicidal risk. The poster is available as a free downloadable .pdf for $10 for printed posters

Level 2 Resources
Website "Is Your Patient Suicidal?" Emergency Department Poster and Clinical Guide
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified

After an Attempt: A Guide for Medical Providers in the Emergency Department Taking Care of Suicide Attempt Survivors

The Guide for Medical Providers in the Emergency Department Taking Care of Suicide Attempt Survivors is a 14‐page brochure from U.S. Substance Abuse and Mental Health Services Administration provides information regarding Emergency Department care of suicide attempters. It is intended to increase awareness among medical professionals for serving patients who have had a suicide attempt.

Level 2 Resources
Website After an Attempt: A Guide for Medical Providers in the Emergency Department Taking Care of Suicide Attempt Survivors
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified

Canadian Coalition for Senior's Mental Health: Late Life Suicide Prevention Kit

The Canadian Coalition for Seniors’ Mental Health is an educational program developed for use by frontline providers, medical and mental health care clinicians, and health care trainees focusing on how to identify suicide warning signs, establish rapport and assess suicide risk and resiliency factors, and manage immediate and ongoing risk for suicide among older adults. 

Level 2 Resources
Website Canadian Coalition for Senior's Mental Health: Late Life Suicide Prevention Kit
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified

Citizen Soldier Support- primary care approach module

Citizen Soldier Support includes a number of free training modules to prepare civilian providers to address post deployment issues facing veterans and their families. Continuing education credits are available for onsite instruction.

Level 2 Resources
Website Citizen Soldier Support- primary care approach module
VA / Non-VA Non-VA
Military vs. Civilian Military
Rural vs. Metro Unspecified (adapted)

Connect: Train the Trainer Suicide Prevention/Intervention Training: Primary Care Providers/Medical Professionals Version

Connect Train the Trainer Suicide Prevention Training is a a National Best Practice program that incorporates key aspects of the National Suicide Prevention Strategy in a comprehensive training model which promotes an integrated community response to suicide prevention. Trainings can focus on specific service providers such as emergency departments, emergency medical services, and primary care providers. A full day trainings cost approximately $6000 for up to 30 participants and a 3 day train-the-trainer costs approximate $18,000 (for training up to 16 trainers).

Level 2 Resources
Website Connect: Train the Trainer Suicide Prevention/Intervention Training: Primary Care Providers/Medical Professionals Version
VA / Non-VA Non-VA
Military vs. Civilian Civilian (Military Adapted Version)
Rural vs. Metro Unspecified

Counseling on Access to Lethal Means (CALM)

Counseling on Access to Legthan Means (CALM) is a free online training for mental health and medical providers. CALM teaches practical skills on when and how to ask suicidal clients about their access to lethal means and how to work with them and their families to reduce their access.

Level 2 Resources
Website Counseling on Access to Lethal Means (CALM)
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified

MacArthur Depression Toolkit

The MacArthur Depression Toolkit helps primary care clinicians recognize and manage depression and includes user-friendly instruments to assist with recognizing, diagnosing, treating, and monitoring depression. 

Level 2 Resources
Website MacArthur Depression Toolkit
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified

Prevention of Suicide in Primary Care Elderly Collaborative Trial (PROSPECT)

The Prevention of Suicide in Primary Care Elderly Collaborative Trial (PROSPECT) aims to prevent suicide among older primary care patients by helping primary care providers and health specialists recognize and manage depression with the application of a treatment algorithm designed for geriatric depression. 

Level 2 Resources
Website Prevention of Suicide in Primary Care Elderly Collaborative Trial (PROSPECT)
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified (adapted)

Recognizing and Responding to Suicide Risk: Essential Skills in Primary Care

The Recognizing and Responding to Suicide Risk: Essential Skills in Primary Care (RRSR-PC) is a one-hour training program that provides Physicians, Nurses/Nurse Practitioners, and Physician Assistants with the knowledge they need in order to integrate suicide risk assessments into routine office visits, to formulate relative risk, and to work collaboratively with patients to create treatment plans. In-person or webinar formats are available for $3500 for up to 200 participants.

Level 2 Resources
Website Recognizing and Responding to Suicide Risk: Essential Skills in Primary Care
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified

Screening & Brief Intervention for Patients in Emergency Departments

At-Risk in the ED is an online training simulation designed to prepare emergency department personnel to screen patients for mental health disorders, suicidal ideation, and substance use, collaboratively discuss treatment plans using motivational interviewing techniques, and refer patients to treatment when needed. Kognito simulations are available on a subscription basis to communities, schools, hospitals and institutions of higher education. Costs range from $5 per user to $100 per user, with an average cost of approximately $25 per user or starting at $2,500 per institution. Communities should contact Kognito for a price quote to meet their specific need: info@kognito.com or 212-675-9234.

Level 2 Resources
Website Screening & Brief Intervention for Patients in Emergency Departments
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified

Screening & Brief Intervention for Patients in Primary Care

At-Risk in Primary Care is a digital learning experience designed to prepare care providers to screen patients for substance use and for mental health conditions, conduct brief interventions using motivational interviewing, and refer patients to treatment when needed. Kognito simulations are available on a subscription basis to communities, schools, hospitals and institutions of higher education. Costs range from $5 per user to $100 per user, with an average cost of approximately $25 per user or starting at $2,500 per institution. Communities should contact Kognito for a price quote to meet their specific need: info@kognito.com or 212-675-9234.

Level 2 Resources
Website Screening & Brief Intervention for Patients in Primary Care
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified

Suicide Assessment Five‐Step Evaluation and Triage (SAFE‐T)

The Suicide Assessment Five‐Step Evaluation and Triage (SAFE‐T) is a pocket card provides protocols for conducting a comprehensive suicide assessment, estimating suicide risk, identifying protective factors,
and developing treatment plans and interventions responsive to the risk level of patients. The pocket card includes triage and documentation guidelines.

Level 2 Resources
Website Suicide Assessment Five‐Step Evaluation and Triage (SAFE‐T)
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified

Suicide Prevention Toolkit for Rural Primary Care Practices

The Suicide Prevention Toolkit for Rural Primary Care Practices Toolkit contains tools, information, and resources to implement state-of-the art suicide prevention practices and overcome barriers to treating suicidal patients in the primary care setting including assessment guidelines, safety plans, billing tips, and sample protocols.

Level 2 Resources
Website Suicide Prevention Toolkit for Rural Primary Care Practices
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Rural

Suicide Safe

Suicide Safe is a prevention app for mobile devices and tablets that helps providers integrate suicide prevention strategies into their practice and address suicide risk among their patients. 

Level 2 Resources
Website Suicide Safe
VA / Non-VA Non-VA
Military vs. Civilian Civilian
Rural vs. Metro Unspecified