Name
Innovative Ways to Support Implementation of Evidence-Based Suicide Prevention Into Real-World Clinical Practice Within Integrated Primary Care Settings
Description
To increase suicide prevention efforts within integrated primary care (IPC), we need to translate what we know from research into real-world clinical practice. However, education alone is not enough, and systemic, provider, and patient barriers make implementation difficult. This presentation will share two innovative ways we supported IPC staff in embracing evidence-based suicide prevention in clinical practice and our lessons learned based on evaluation data from over 1000 providers feedback. First, we will present on a program that provides education and implementation support to increase the number of integrated behavioral health providers in VA medical settings providing brief CBT for insomnia, which was shown efficacious in reducing insomnia and suicidal ideation among Veterans. Second, we will present the components and implementation of a program to support established (non-trainee) integrated primary care staff in delivery of suicide prevention care.
Jennifer Funderburk Robyn Shepardson
Co-Authors
Jocelyn Remmert, Wilfred Pigeon, and Todd Bishop
Content Level
All Audience
Tags
Prevention, Quality improvement programs, Suicide
Session Type
Concurrent
Objective 1
Describe the comprehensive approach to disseminating bCBT-insomnia
Objective 2
Describe the approach to supporting optimization of suicide prevention delivery
Objective 3
Discuss the lessons learned regarding both approaches
Content Reference 1
Funderburk, J, Cross, W, West, J, Kearney, L, Dollar, K., Giannone, A., Gamble, S. Patient-centered suicide prevention care delivery among established integrated primary care providers. (In press). CRISIS
Content Reference 2
Cross W.F., West, J.C., Crean, H.F,, Rosenberg, E., LaVigne, T., & Caine, E.D. (2022) Measurement of primary care providers' suicide prevention skills following didactic education. Suicide & life-threatening behavior. 52, (3): 373-382. doi: 10.1111/sltb.12827.
Content Reference 3
Spottswood, M., Lim, C. T., Davydow, D., & Huang, H. (2022). Improving suicide prevention in primary care for differing levels of behavioral health integration: a review. Frontiers in medicine, 9, doi: 10.3389/fmed.2022.892205.
Content Reference 4
Pigeon, W., Funderburk, J.S., Cross, W., Bishop, T., & Crean, H. (2019). Brief CBT for Insomnia Delivered in Primary Care to Patient Endorsing Suicidal Ideation: A Proof-of-Concept Randomized Clinical Trial. Translational Behavioral Medicine, 9(6), 1169-1177. doi: https://doi.org/10.1093/tbm/ibz108
Content Reference 5
Pigeon, W. R., & Funderburk, J. (2014). Delivering a brief insomnia intervention to depressed VA primary care patients. Cognitive and Behavioral Practice, 21(3), 252-260.