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COMBATING SERVICE MEMBER, VETERAN AND
MILITARY FAMILY SUICIDES:
USING A COMMUNITY-BASED PUBLIC HEALTH
APPROACH
DUANE K. L....
Critical Questions
Suicide Prevention Efforts
Professional counselors can be particularly
helpful in building the public h...
LEARNING OBJECTIVES
Identify the public
health approach to
suicide prevention
1 2 3
Provide an overview of
known statistic...
Access to Care
Lethal Means
Safety
Postvention
Comprehensive Public Health Approach
1. Define The
Problem
2. Identify Risk...
DEFINING THE PROBLEM:
National Veteran Statistics
5,787 5,688 5,893 6,216 6,172 6,158 6,116 6,065 6,132 6,272 6,227 6,010
...
What is the information on SMVF suicide:
Nationally
State-Wide
Locally (City / County)
DEFINING THE PROBLEM:
National Serv...
What is the information on SMVF suicide:
Nationally
State-Wide
Locally (City / County)
DEFINING THE PROBLEM:
State Veteran...
DEFINING THE PROBLEM:
State/Local Violent Death Statistics
DEFINING THE PROBLEM:
Unanswered Questions
What is the veteran population in your community?
What are the veteran suicide ...
Access to Care
Lethal Means
Safety
Postvention
Comprehensive Public Health Approach
1. Define The
Problem
2. Identify Risk...
Peer Norm Programs
Community
Engagement Activities
Identifying Protective Factors
Improving Connectedness
Promoting connec...
Financial
Security
Employment
Security
Housing Stability
Identifying Protective Factors
Improving Economic Stability
Incre...
Community
Education
MedicalProfessional
Education
Gatekeeper
Education
Identifying Protective Factors
Improving Education ...
Reduce Provider
Shortage
Minimizing Risk Factors
Improve Access to Effective Care
Provide Culturally
Competent Care
Reduce...
Safe Storage Practices
Safe Firearm Storage
Minimizing Risk Factors
Increase Lethal Means Safety
Safe Medication
Storage
I...
Provide
Bereavement
Support
Provide Care for
Attempt survivors
Minimizing Risk Factors
Increase Postvention Care and Suppo...
The Way Forward: What Can You Do
Access to Care
Lethal Means
Safety
Postvention
Connectedness
Education and
Awareness
Econ...
@ThCounselingVet
www.linkedin.com/in/dklfrance
@veteranmentalhealth
www.veteranmentalhealth.com
dfrance@fccsprings.com
719...
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Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 1 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 2 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 3 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 4 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 5 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 6 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 7 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 8 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 9 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 10 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 11 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 12 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 13 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 14 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 15 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 16 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 17 Combating service member, veteran and military family suicides:  Using a community-based public health approach Slide 18
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A presentation to the American Counseling Association of Georgia. Proposed citation: France, D., (2019, November) Combating service member, veteran and military family suicides: Using a community-based public health approach. Presentation at the American Counseling Association of Georgia.

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Combating service member, veteran and military family suicides: Using a community-based public health approach

  1. 1. COMBATING SERVICE MEMBER, VETERAN AND MILITARY FAMILY SUICIDES: USING A COMMUNITY-BASED PUBLIC HEALTH APPROACH DUANE K. L. FRANCE, MA, MBA, LPC DIRECTOR OF VETERAN SERVICES, FAMILY CARE CENTER EXECUTIVE DIRECTOR, COLORADO VETERANS HEALTH AND WELLNESS AGENCY
  2. 2. Critical Questions Suicide Prevention Efforts Professional counselors can be particularly helpful in building the public health approach by asking the following questions: •How is the community collecting and reporting data on SMVF suicides? •How are the local emergency rooms collecting data on suicide attempts? •Does the community have a strategic initiative to address SMVF suicides? France, D., & Hallows, J. (2019, November). Suicide prevention strategies with the military-affiliated population. Counseling Today, pp. 42-47.
  3. 3. LEARNING OBJECTIVES Identify the public health approach to suicide prevention 1 2 3 Provide an overview of known statistics about SMVF suicide at the national, state, and local level, as well as identify gaps that exist in data Identify the different aspects of the comprehensive public health approach to veteran suicide
  4. 4. Access to Care Lethal Means Safety Postvention Comprehensive Public Health Approach 1. Define The Problem 2. Identify Risk and Protective Factors 3. Develop and Implement Strategies 4. Ensure Widest Dissemination Connectedness Education and Awareness Economic Stability 5. Evaluate and Refine
  5. 5. DEFINING THE PROBLEM: National Veteran Statistics 5,787 5,688 5,893 6,216 6,172 6,158 6,116 6,065 6,132 6,272 6,227 6,010 6,139 5,000 6,000 7,000 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Total Veteran Suicide Deaths Veteran Suicides Linear (Veteran Suicides) 25.5 24.8 26.5 28.4 28.3 28.9 29.8 30.3 31.7 32.6 34.3 34.3 35.8 13.6 13.3 13.7 14.0 14.2 14.7 15.0 15.3 15.3 15.8 16.2 16.4 17.0 0.0 10.0 20.0 30.0 40.0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Age-Adjusted Suicide Rate per 100,000 Veteran Non-Veteran Linear (Veteran ) What is the information on SMVF suicide: Nationally State-Wide Locally (City / County) VA Office of Mental Health and Suicide Prevention. (2019). National Veteran Suicide Prevention Annual Report. Washington, D.C.: Department of Veterans Affairs.
  6. 6. What is the information on SMVF suicide: Nationally State-Wide Locally (City / County) DEFINING THE PROBLEM: National Service Member / Spouse Statistics Department of Defense. (2019). Annual suicide report - Calendar Year 2018. Washington, D.C.: Department of Defense Under Secretary of Defense for Personnel and Readiness.
  7. 7. What is the information on SMVF suicide: Nationally State-Wide Locally (City / County) DEFINING THE PROBLEM: State Veteran / Service Member Statistics
  8. 8. DEFINING THE PROBLEM: State/Local Violent Death Statistics
  9. 9. DEFINING THE PROBLEM: Unanswered Questions What is the veteran population in your community? What are the veteran suicide statistics in your community? What are the veteran spouse and veteran child suicide statistics in your state and in your community What are the active duty and currently drilling military service member suicide rates in your state and in your community What is the active duty and currently drilling military servicer member spouse and child suicide statistics in your state and in your community
  10. 10. Access to Care Lethal Means Safety Postvention Comprehensive Public Health Approach 1. Define The Problem 2. Identify Risk and Protective Factors 3. Develop and Implement Strategies 4. Ensure Widest Dissemination Connectedness Education and Awareness Economic Stability 5. Evaluate and Refine
  11. 11. Peer Norm Programs Community Engagement Activities Identifying Protective Factors Improving Connectedness Promoting connectedness in the military population helps to reduce a person’s sense of isolation. This strategy has two critical components: peer norm programs and community engagement activities.
  12. 12. Financial Security Employment Security Housing Stability Identifying Protective Factors Improving Economic Stability Increasing economic stability is a significant protective factor in preventing suicide. As service members transition out of the military, the majority are young enough to be able to continue in another career. When housing, employment and finances are not stable, this can cause additional stress and increase feelings of burdensomeness.
  13. 13. Community Education MedicalProfessional Education Gatekeeper Education Identifying Protective Factors Improving Education and Awareness Counselors who are familiar with suicide prevention efforts can help others become familiar with them too. Providing greater awareness in the community is important. It is also critical to educate medical professionals about the problem. Counselors can also support their communities by facilitating or promoting gatekeeper training for those serving the military-affiliated population.
  14. 14. Reduce Provider Shortage Minimizing Risk Factors Improve Access to Effective Care Provide Culturally Competent Care Reduce Barriers To Care The area in which counselors are most likely to be naturally involved is improving access to safer care. When it comes to the military- affiliated population, this means improving culturally competent care, reducing barriers to care, and reducing the mental health provider shortage for those organizations that serve this population.
  15. 15. Safe Storage Practices Safe Firearm Storage Minimizing Risk Factors Increase Lethal Means Safety Safe Medication Storage Identify and Minimize Suicide Hotspots Counselors often fail to address the ability of clients to engage in self- harm. This includes talking about lethal means safety, prescription medication shortage, and identifying and protecting against suicide hot spots.
  16. 16. Provide Bereavement Support Provide Care for Attempt survivors Minimizing Risk Factors Increase Postvention Care and Support Engaging service members, veterans, families, and providers after a suicide loss can promote healing, minimize adverse outcomes for those affected, and decrease the risk of suicide contagion. Postvention is critical to preventing additional suicides in the immediate social network of the person who died by suicide.
  17. 17. The Way Forward: What Can You Do Access to Care Lethal Means Safety Postvention Connectedness Education and Awareness Economic Stability 1. Identify Your Role 2. Learn More 3. Spread the Word 4. Join the Conversation
  18. 18. @ThCounselingVet www.linkedin.com/in/dklfrance @veteranmentalhealth www.veteranmentalhealth.com dfrance@fccsprings.com 719-540-2136 Contact Information www.veteranmentalhealth.com/podcast www.veteranmentalhealth.com/amazon

A presentation to the American Counseling Association of Georgia. Proposed citation: France, D., (2019, November) Combating service member, veteran and military family suicides: Using a community-based public health approach. Presentation at the American Counseling Association of Georgia.

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