The study of supershrinks (Chow, 2014)Scott Miller
Dissertation by Daryl Chow studying the difference between top performing and average psychotherapists. The study documents the role that deliberate practice plays in the effectiveness
Integrated Behavioral Health Care: Biopsychosocial Approach to Treatment Inte...Michael Changaris
This slide share explores the biopsychosocial determinents of health, developing an integrated care team and supporting the role of the health psychologists to be a high functionng member of the health care treatment team.
The standards of care of the modern mental health system all but insist that a therapist use force in working with clients diagnosed with severe psychiatric problems—especially those labeled with schizophrenia or bipolar disorder. The mental health practitioner is taught to be skeptical of their judgment, their self-control, and thus their wishes.
Journal of Psychiatry & Mental Disorders is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Psychiatry & Mental Health.
The journal aims to promote latest information and provide a forum for doctors, researchers, physicians, and healthcare professionals to find most recent advances in the areas of Psychiatry. Journal of Psychiatry & Mental Disorders accepts research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of Psychiatry.
Journal of Psychiatry & Mental Disorders strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing, mutual promotion of multidisciplinary science.
Stotler, 2020 Psychological First Aid and Emergency preparedness for in-clini...Jacob Stotler
Stotler, 2020 Psychological First Aid and Emergency preparedness for in-clinic and inpatient psychiatric institutions at high risk of patient suicide threats.
The study of supershrinks (Chow, 2014)Scott Miller
Dissertation by Daryl Chow studying the difference between top performing and average psychotherapists. The study documents the role that deliberate practice plays in the effectiveness
Integrated Behavioral Health Care: Biopsychosocial Approach to Treatment Inte...Michael Changaris
This slide share explores the biopsychosocial determinents of health, developing an integrated care team and supporting the role of the health psychologists to be a high functionng member of the health care treatment team.
The standards of care of the modern mental health system all but insist that a therapist use force in working with clients diagnosed with severe psychiatric problems—especially those labeled with schizophrenia or bipolar disorder. The mental health practitioner is taught to be skeptical of their judgment, their self-control, and thus their wishes.
Journal of Psychiatry & Mental Disorders is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Psychiatry & Mental Health.
The journal aims to promote latest information and provide a forum for doctors, researchers, physicians, and healthcare professionals to find most recent advances in the areas of Psychiatry. Journal of Psychiatry & Mental Disorders accepts research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of Psychiatry.
Journal of Psychiatry & Mental Disorders strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing, mutual promotion of multidisciplinary science.
Stotler, 2020 Psychological First Aid and Emergency preparedness for in-clini...Jacob Stotler
Stotler, 2020 Psychological First Aid and Emergency preparedness for in-clinic and inpatient psychiatric institutions at high risk of patient suicide threats.
Jau rugpjūčio mėnesio pabaigoje sostinės savivaldybė planuoja skelbti viešą konkursą Daugiafukcio sveikatinimo, ugdymo, švietimo, kultūros ir užimtumo skatinimo komplekso statybų projektui.
„Be with us in Vilnius“ yra kvietimas skirtas tiems, kas svarsto galimybę įsikurti ir dirbti Vilniuje. Vilnius pristatomas kaip greitas ir atviras, jaukus ir žalias miestas, pateikiami vaizdai ir informacija apie jo privalumus bei darbą ir laisvalaikį čia, talentingi žmonės kviečiami jame įsikurti. „Welcome Kit“ leidinys patraukliai pristato miestą, parodo, kad čia gyventi ir dirbti yra gera, patogu, koks Vilnius draugiškas ir atviras visiems.
Informacinis leidinys Vilniaus svečiams ir sostinėje besikuriantiems užsieniečiams - svarbi pagalba pažinti miestą ir pasijusti jo dalimi. „Here with us in Vilnius“ pateikiama svarbiausia praktinė informacija – kaip sutvarkyti teisinius formalumus atvykus, ieškoti gyvenvietės, rasti gydytoją arba darželį vaikams ir pan.
Vilniečiams pristatyti Didžiosios Sinagogos aplinkos sutvarkymo projektiniai pasiūlymai, kuriuose jau galima pamatyti, kaip atrodys kompleksiškai sutvarkytas didžiausias Vokiečių g. kiemas, Žydų gatvė – viena svarbiausių istorinių erdvių Senamiestyje.
Iki 2019 metų daugiau kaip 15 tūkst. kv. m plote bus atnaujintas Žydų gatvės grindinys, šaligatviai, įrengtas lauko apšvietimas, sutvarkyti želdynai, Vokiečių gatvėje bus 12 požeminių atliekų konteinerių, atnaujintos vaikų žaidimų, treniruoklių ir krepšinio aikštelės, įrengta daugiau kaip 100 automobilių stovėjimo vietų. Gausiai miesto svečių lankomoje erdvėje atsiras informacinis stendas su maketu, žymintis Didžiosios Sinagogos vietą.
Šįmet atsakingai suplanuotame biudžete numatytos išlaidos bus skiriamos svarbiausiems vilniečių poreikiams: mokyklų ir darželių renovacijai, vaikų ir suaugusiųjų ugdymui, modulinių vaikų darželių kūrimui, patogesniam viešajam transportui, gyvenamosios aplinkos gerinimui ir kt.
Šiandien sostinės Taryba pritarė 2017 metų biudžetui – jis 19,9 mln. Eur (4,1 proc.) didesnis nei praėjusių metų ir sieks 510,5 mln. Eur. Šįmet atsakingai suplanuotame biudžete numatytos išlaidos bus skiriamos svarbiausiems vilniečių poreikiams: mokyklų ir darželių renovacijai, vaikų ir suaugusiųjų ugdymui, modulinių vaikų darželių kūrimui, patogesniam viešajam transportui, gyvenamosios aplinkos gerinimui ir kt.
Lyginant 2015–2016 metus, įmonės pajėgumais atliktų darbų apimtys išaugo beveik dvigubai, o veiklos sąnaudos sumažėjo 31 proc. (arba 7 mln. eurų). Per 2016 metus bendrovė sugebėjo uždirbti 840 tūkst. eurų pelno, tuo tarpu 2015 metais buvo patyrusi 924 tūkst. eurų nuostolio. Bendrovės ilgalaikiai įsipareigojimai sumažėjo 53 proc. arba 1,6 mln. eurų, o skolos tiekėjams – net 90 proc. arba 4,4 mln. eurų.
Suicide: Risk Assessment and InterventionsKevin J. Drab
Suicide: Risk Assessment and Interventions; assessing suicide; suicide; killing oneself; death by suicide; indirect suicide; dynamics of suicide; self-harm; suicide survivors; psychological autopsy; commonalities of suicide; protective factors suicide; suicide risk; suicide prevention; suicide prediction; risk factors suicide; suicide risk categories; Collaborative Assessment and Management of Suicidality (CAMS) method; Suicide Status Form (SSF); motivational interviewing and suicide; Common Errors of Suicide Interventionists; contracting for safety; completed suicide; died by suicide; suicide prevention; self injury; guns and suicide
Suicide:Risk Assessment & InterventionsKevin J. Drab
Suicide: Risk and Interventions - a review of recent advances in suicidology and the use of Jobes' CAMS approach to suicide intervention and prevention.
We will need about 530 words a piece. Issue 56 on the JC Website tit.docxdavieec5f
We will need about 530 words a piece. Issue 56 on the JC Website titled Evaluating and Responding to Suicide Risk - Tools and Practices for Consideration
Sharing the rulemaking information with the other leaders is very collaborative and respectful leadership as a CEO this is what will make your goals, missions, and objectives work together seamlessly. We would like to thank-you for your request on needing some information regarding rulemaking and as a team we have decided to discuss with you about the JC Website, “Evaluating and Responding to Suicide Risk.” In this report we will begin to discuss how the rulemaking process relates to the health care organizations, how this rule was implemented, which agencies or regulatory bodies will be responsible for overseeing it, and how the healthcare organizations or healthcare industries are impacted by the rules. We as a team think this JC Website has many tools and practices for consideration about the rulemaking information and will definitely be very helpful within your request on rulemaking within your healthcare organization.
Explain how the rule making process relates to health care organizations (
DEBORAH
)
Relating Rule-Making Processes to Health Care Organizations
Inpatient suicides in health care organizations although rare are a traumatic sentinel events. Health care facilities are required to operate under transparently disclosing all events to the public. Hospitals in the United States report sentinel events to
The Joint Commission on the Accreditation of Healthcare Organizations
(JCAHO). JCAHO complied this information and prepared a root cause analysis to determine if the current procedure that the organization has in place could have prevented the incident. A 1998 JCAHO sentinel event alert report stated that inpatient suicide most frequently occurred in psychiatric hospitals followed by general hospitals and residential care facilities (
Tishler & Staatas, 2008).
Health care organizations are responsible for decreasing the likelihood of sentinel events, which includes a suicide crisis. Factors such as patient care, staff training, organizational policies, and the hospital environment all relate to the suicide rule-making process. Suicides are difficult to predict and prevent therefore organizations must create rules and form policies to prevent the risk of suicide.
The impetus for this transparent movement was sparked largely in the 1990s when two prominent reports summarizing the number and type of errors committed by hospitals were published (
Tishler & Staatas, 2008). The reports summarized suicide events that required immediate investigation. A rulemaking process and protocol was established to assess for risk and safety of patients. The protocol for suicide risk assessment relates to health care organizations as a safety precaution to decrease the number of inpatient suicides. Therefore the Joint Commission established Issue 56, Evaluating and Responding to S.
A guide to suicide sceening for non clinician staff on campusDave Wilson
By training all staff on campus, we can strive for zero suicides. Let's reduce the stigma, let's get suicide prevention to be everyone's business and not just the counselling team.
Becoming a Trauma Informed Addictions Counselor using a Source-Focused Model Denice Colson
Being "trauma-informed" is the standard for best-practices. Learn what that means and the 4 developmental levels of trauma care, from "trauma-informed" to "trauma expert". Included is a description of a new, spiritually integrated model for treating and facilitating the healing of past trauma.
This is a presentation that I give to medical professionals educating them on the role and potential use of social work in the hospital setting. I presented this on May 22, 2009 to the Trauma Education & Research Committee.
Ian's UnityHealth 2019 grand rounds suicide preventionIan Dawe
At the end of this presentation, you will :
1. Knowledgeably describe the problem of suicide in our
clients as an issue beyond just the traditional targets of our
medical interventions,
2. Understand concepts of quality and process improvement
as they relate to implementation of suicide prevention
strategies in hospital and community settings,
3. Become a champion of the Project Nøw approach to improve
care and outcomes for individuals at risk of suicide in
healthcare systems locally, provincially and nationally.
1PAGE 21. What is the question the authors are asking .docxfelicidaddinwoodie
1
PAGE
2
1. What is the question the authors are asking?
They asked about a reduction in judgmental biases regarding the cost and probability associated with adverse social events as they are presumed as being mechanisms for the treatment of Social Anxiety Disorder (SAD). Also, the authors poised on the changes in judgmental biases as mechanisms to explain cognitive-behavioral therapy for social anxiety disorder. On top of that, they stated that methodological limitations extant studies highlight the possibility that rather than causing symptom relief, a significant reduction in judgmental biases tends to be consequences of it or correlate. Considerably, they expected cost bias at mid-treatment to be a predictor of the treatment outcome.
2. Why do the authors believe this question is important?
According to the authors, this question was relevant as methodological limitations of present studies reflect on the possibility that instead of causing symptom belief, a significant reduction in judgmental biases can be consequences or correlated to it. Additionally, they ought to ascertain the judgment bias between treated and non-treated participants. Significantly, this was important as they had to determine the impact of pre and post changes in cost and probability of the treatment outcomes. But, probability bias at mid-treatment was a predictor of the treatment outcome contrary to the cost bias at mid-treatment that could not be identified as a significant predictor of the treatment outcome.
3. How do they try to answer this question?
They conducted a study to evaluate the significant changes in judgmental bias as aspects of cognitive-behavioral therapy for social anxiety disorders. To do this, they conducted a study using information from two treatment studies; an uncontrolled trial observing amygdala activity as a response to VRE (Virtual Reality Exposure Therapy) with the use of functional magnetic resonance imaging and a randomized control trial that compared Virtual Reality Exposure Therapy with Exposure Group Therapy for SAD. A total of 86 individuals who met the DSM-IV-TR criteria for the diagnosis of non-generalized (n=46) and generalized (n=40) SAD participated. After completing eight weeks of the treatment protocol, the participants who identified public speaking as their most fearsome social situation were included. The SCID (Structured clinical interview for the DSM-IV) was used to ascertain diagnostic and eligibility status on Axis 1 conditions within substance abuse, mood and anxiety disorder modules. The social anxiety measures were measured with the use of BFNE (Brief Fear of Negative Evaluation), a self-reporting questioner that examined the degree to which persons fear to be assessed by other across different social settings. Additionally, the OPQ (Outcome Probability Questionnaire) self-reporting questionnaire was used to evaluate individual’s estimate on the probability that adverse, threatening events will occur at t ...
Print, complete, and score the following scales. .docxVannaJoy20
Print, complete, and score the following scales. Do not read how to score a scale until after you have completed it.
1. Stressed Out
2. Susceptibility to Stress (SUS)
3. Response to Stress Scale
4. Are you a Type A or Type B?
5. Coping with Stress
6. Multidimensional Health Locus of Control
7. Locus of Control
8. Life Orientation Test
Identify at Least 5 of Your Personal Stressors and 5 Daily Hassles
Using the information gathered in A and B, write a 3-5 page self-reflection paper that includes the following sections:
. Discuss your scores on each of the above scales and write a couple of brief statements about what that score means for you. Were you surprised by the score(s)? Did the results of the scales resonate with your perception of your stress level?
Incorporating information from your text and other academic sources, provide a summary of your stressors and life hassles.
3. Incorporating information from your text and other academic sources, provide a summary of what you might do to reduce your stress.
4. Discuss the issue of personal stress as it relates to psychological well-being. Relate your own results and thoughts about your experience with these scales to the information provided in the text and other academic sources (journal articles, books, .gov, .edu, or .org websites)
PERSPECTIVE
published: 25 February 2022
doi: 10.3389/fpsyt.2022.846244
Frontiers in Psychiatry | www.frontiersin.org 1 February 2022 | Volume 13 | Article 846244
Edited by:
Kairi Kõlves,
Griffith University, Australia
Reviewed by:
Jacinta Hawgood,
Griffith University, Australia
Jennifer Muehlenkamp,
University of Wisconsin–Eau Claire,
United States
*Correspondence:
M. David Rudd
[email protected]
Specialty section:
This article was submitted to
Psychopathology,
a section of the journal
Frontiers in Psychiatry
Received: 30 December 2021
Accepted: 02 February 2022
Published: 25 February 2022
Citation:
Rudd MD and Bryan CJ (2022)
Finding Effective and Efficient Ways to
Integrate Research Advances Into the
Clinical Suicide Risk Assessment
Interview.
Front. Psychiatry 13:846244.
doi: 10.3389/fpsyt.2022.846244
Finding Effective and Efficient Ways
to Integrate Research Advances Into
the Clinical Suicide Risk Assessment
Interview
M. David Rudd 1* and Craig J. Bryan 2
1Department of Psychology, University of Memphis, Memphis, TN, United States, 2Department of Psychiatry and Behavioral
Science, The Ohio State University Wexner Medical Center, Columbus, OH, United States
Research in clinical suicidology continues to rapidly expand, much of it with implications
for day-to-day clinical practice. Clinicians routinely wrestle with how best to integrate
recent advances into practice and how to do so in efficient and effective fashion. This
article identifies five critical domains of recent research findings and offers examples
of simple questions that can easily be integ.
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2. The prevailing model/culture of addressing suicide in mental
health care
What can be done differently
Collaborative Assessment and Management of Suicidality
(CAMS)
• Model and evidence for effectiveness
The story of establishing a suicide specific service
Using CAMS in Community Mental Health Teams (CMHTs)
CAMS case examples
Declaration of interest: CAMS-care consultant
3. ??
??
??
THERAPIST
PATIENT
Critique of Current Approach to Suicide Risk:
THE REDUCTIONISTIC MODEL
(Suicide = Symptom of Psychopathology)
DEPRESSION
LACK OF SLEEP
POOR APPETITE
ANHEDONIA ...
? SUICIDALITY ?
Traditional treatment = inpatient hospitalization, treating the
psychiatric disorder, and using no suicide contracts…
4. The Collaborative Assessment and Management of
Suicidality (CAMS) identifies and targets Suicide as
the primary focus of assessment and intervention…
THERAPIST & PATIENT
PAIN STRESS AGITATION
HOPELESSNESS SELF-HATE
REASONS FOR LIVING
VS. REASONS FOR DYING
Mood
CAMS assessment uses the Suicide Status Form (SSF) as a means of
deconstructing the “functional” utility of suicidality; CAMS as an intervention
emphasizes a problem-focused intensive outpatient approach that is
suicide-specific and “co-authored” with the patient…
Suicidality
6. “CAMS is an overall process of clinical
assessment, treatment planning, and
management of suicidal risk with suicidal
outpatients”
7.
8.
9. With 50-80 RCTS with suicidality
as an outcome variable
There is mixed support for
medication-only approach
RCT’s and replications support:
• Dialectical Behavior Therapy
(DBT)
• Cognitive Therapy for Suicide
Prevention (CBT-SP)
• Collaborative Assessment and
Management of Suicidality
(CAMS)
• Non-demand follow-up
contact (caring contacts)
10.
11. Authors Sample/Setting n = Significant
Results____
Jobes et al., 1997 College Students 106 Pre/Post Distress
Univ. Counseling Ctr. Pre/Post Core SSF
Jobes et al., 2005 Air Force Personnel 56 Between Group Suicide
Outpatient Clinic Ideation, ED/PC Appts.
Arkov et al., 2008 Danish Outpatients 27 Pre/Post Core SSF
CMH Clinic Qualitative findings
Jobes et al., 2009 College Students 55 Linear reductions
Univ. Counseling Ctr. Distress/Ideation
Nielsen et al., 2011 Danish Outpatients 42 Pre/Post Core SSF
CMH Clinic
Ellis et al., 2012 Psychiatric Inpatients 20 Pre/Post Core SSF
Suicidal Ideation,
depression,
hopelessness
Ellis et al., 2015 Psychiatric Inpatients 52 Suicide
ideation/cognitions
12. _______________________________________________________________
Principal Setting & Design & Sample Status &
Investigator Population Method Size Update_____
Comtois Harborview/Seattle CAMS vs. TAU 32 2011 published
(Jobes) CMH patients “Next-day” appts. article
Nordentoft Danish Center DBT vs. CAMS 108 2016 published
(Aamund) CMH patients superiority trial article
Jobes Ft. Stewart, GA CAMS vs. E-CAU 148 Final 12 mo.
(Comtois) US Army Soldiers data collection
Fosse Norwegian Centers CAMS vs. TAU 100 ITT underway
CMH patients on-going
Pistorello Univ. Nevada—Reno SMART Design 60 ITT recruited;
(Jobes) CC Students TAU/CAMS/DBT post-assess
Comtois Harborview/Seattle CAMS vs. TAU 200 IRB approved
(Jobes) CMH patient Post-Inpatient D/C Training prep
13. From two diverse samples there were 636 written responses to SSF
prompts (n = 152).
Collapsing data across constructs, 22% of responses pertain to
Relational issues.
20% of written responses pertained to issues of Role Responsibility.
15% of responses related to issues of Self.
10% of responses related to Unpleasant Internal States.
Collapsing across constructs, 67% of responses were related to relational
issues, vocational challenges, self-related concerns, and internal
emotional distress.
14. Suicide Assessment and Treatment Service, 2013
No suicidal people currently on clinical psychology wait lists
Referrals made at weekly MDT, or via email
Training, consultation and supervisory role for other CMHT staff
2 hours/week allocated to the SATS service
10-14 Clinical Psychologists (5 trainees) covering 7 CMHTS, mental health for older
persons, mental health for intellectual disability, acute inpatient care
15. Management “by in” as a policy decision
Used by the team as the means by which the service addresses suicidality within the
service user population
Systematic use: a coherent plan about how to utilise the resource within those people
who are using the CAMS
Several users, with some arrangements/agreements about how to adapt, often implicit
Sole users
16.
17. Does the CAMS ‘take more time’?
More time than what?
It takes time to do a thorough thoughtful
collaborative risk assessment, treatment
plan and stabilisation plan
18. Whose responsibility is it anyway?
Every mental health clinician has a
responsibility to be able to meet and manage
suicidality
Practical reality of leaving it to one discipline
is unworkable
19. Suicidal people equal threat and trouble
Unconscious effort to push it away or prove the risk is less
than it really is “they are not really suicidal” or “they don’t really
mean it” or
prove it is more than it really is to justify admission criteria “I’m
very worried and it wouldn’t surprise me if they did it so I think
we should admit”
Hate in the Countertransference:
• they are not really sick, this is just behaviour, they are manipulative, they
are just looking for attention
I don’t want to work with them when they are suicidal, I want
them in hospital until they are not suicidal, then I will work with
them
20. Large, M. & Ryan, C. J. (2014). Disturbing findings about the risk of suicide and
psychiatric hospitals (Editorial)
Hjorthoj, C.R., et al (2014). Risk of Suicide according to level of psychiatric
treatment—a nationwide nested case control study. Found a strong dose effect
relationship e.g. admitted patients had a 44.3 times the risk of suicide
Fear often drives admission
Admission may in the short term reduce risk for some, or at least it is perceived to do
so (reduced access to lethal means, increased social contact inherent in an inpatient
stay)
No admission is without risk (10-20% of deaths by suicide in UK adult mental health
patient population occur in acute care)
However it may also be true that admissions increase risk and even cause suicide
(shame, stigma, disappointment, mismatch of intervention/environment and problem
type, reinforcing suicide as a means to solving problems)
“We believe it is likely that a proportion of people who suicide during or after an
admission to hospital do so because of factors inherent in that hospitalisation” (Large
& Ryan, 2014)
21.
22. 1. Issues of sufficient informed consent.
2. Issues of competent assessment of risk.
3. Need for empirically-oriented treatments.
4. Appropriate risk management (liability
issues).
23. What works wins!
Don’t negotiate to start doing something, there are a
million creative reasons to tell you to stop
Do something, and allow people the option of telling
you to stop…
Please stop delivering this thoughtful,
comprehensive, evidenced based, collaborative,
ethically minded, problem focused, well
documented, risk assessment, risk management and
suicide specific intervention
25. We’ve been
using a
model called
CAMS. Look
it works.
Here’s the
audit of
recent cases
You’ve been
seeing suicidal
people?
What
does
CAMS
mean?
Here’s
another
referral
26. Recommended model of training includes
• 3 hour online training program, plus
• 1-1.5 days live role play training, plus
• Participation in approx 8 case consultation calls
• Full adherence/mastery usually takes 2-4 completed cases
• Decreases in anxiety about working with suicidal patients
pre-post training, increases in confidence in assessing and
treating suicidal behaviour. No differences across staff
groups (Jobes, 2016)
• Rates of clinician behaviour change vary, approx 40% in
our local audit, with a large study underway to explore this
further (Jobes 2015)
• Post training consultation a major contributing factor to
whether the model is used or not post training
27. Nscience 1 day training, London 22nd October,
Ambassadors Bloomsbury Hotel, CAMS training
nscience.co.uk
Queries re CAMS training see CAMS-care.com or contact me on
camscare.galavan@gmail.com