Suicide Prevention, Army Substance Abuse Program


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  • Program Authority: Public Law 92-129 was signed in response to public outcry demanding that Soldiers returning from Vietnam with problems be treated for substance abuse.   The Department of Defense established policies and guidelines for substance abuse programs, and then in 1972 ,the Army established the Alcohol and Drug Abuse Prevention and Control Point or (ADAPCP).   The current AR 600-85 changed the name of the program to ASAP or Army Substance Abuse Program in 2001 .
  • The defining trigger for suicide is Loss . This can include loss of a relationship, loss of self esteem, loss of respect in the community, or simply loss of money or possessions. But almost always, the person who becomes suicidal has lost something precious to him or her. Some stressors are so great that they can singly place a person into a risk category for suicide (loss of a spouse) Each of us are different and will deal with stressors in our own ways. This list is by no means all inclusive but pretty representative of the types of stressors we need to be aware of and train others to be aware of as well.
  • The more you know about the stressors in a person’s life the more information you have to intervene before these lead to ideations about suicide. We can generally agree on this list of stressors that person’s may experience in their life that may lead to stress overload. However, there is an almost unlimited number of stressors that can be influencing people. Also, people feel pain and stress differently. What may be “no big deal” to you may be emotionally crushing for your buddy. Be keenly aware of how the persons you may have to assist may respond to stressors or the amount and kinds of stressors they may be experiencing. Don’t let them reach “overload.” Help them talk about it, deal with it, and seek professional help where required.
  • This slide reflects perceptions that might exist as barriers to seeking professional counseling. Let’s address these now. Permanent Record: Treatment for depression or something similar never goes in your personnel file or any other command document. The only place it resides is in your medical records, just like every other ailment. And if you get help from a chaplain, no records are kept at all! Sign of weakness: Just the opposite: The man or woman who recognizes his or her limitations and gets help to over come them, is smart and courageous. As the Army Strong campaign puts it: “Army Strong: the strength to get yourself over, and the strength to get over yourself!” If a soldier breaks an arm, he doesn’t hesitate to seek immediate professional care. The pony blanket lists five tasks targeted to encourage help-seeking behavior. Some of these deal more with fighting perception than reality.
  • It all comes down to Choices… the ones you make effect you and all around you… they effect people you know and depend on you as well as people and events that you don’t know… Make the right choices… maintain your pride… maintain who and what you are…
  • Suicide Prevention, Army Substance Abuse Program

    1. 1. Army Substance Abuse Program Suicide Prevention One Team – Ichi Dan
    2. 2. AR 600-85, 600-63, 600-24, DA Pam 600-24 DoDD 1010.10,6200.04 Health Promotion and Suicide Prevention Army Substance Abuse Program (ASAP), Risk Reduction/Suicide Prevention, Army Health Promotion Program Authority
    3. 3. <ul><li>Recognize the signs and triggers </li></ul><ul><li>Suggested actions with an at risk individual </li></ul><ul><li>Intervention process </li></ul><ul><li>Available resources </li></ul>Objectives
    4. 4. <ul><li>4 th leading cause of death of 25-44 yr old men and women </li></ul><ul><li>2010 - 86 Army Civilians and Family members suicide deaths </li></ul><ul><li>Vets are 2 times more likely to suicide </li></ul><ul><li>53% Veteran’s Preference - USAG-J </li></ul><ul><li>Civilians with activity limitations are at greater risk to suicide </li></ul><ul><li>16% Vets - USAG-J </li></ul><ul><li>6% Civilian - USAG-J </li></ul>Suicide
    5. 5. Protective Factors <ul><li>Aversion to Pain or Death </li></ul><ul><li>Military training reduces aversion </li></ul><ul><li>Sense of Belonging </li></ul><ul><li>Part of a group, mission, the team </li></ul><ul><li>Member of something bigger than oneself </li></ul><ul><li>Fraternal groups, religion, family, relationship, support </li></ul><ul><li>Sense of Usefulness </li></ul><ul><li>What I do counts </li></ul><ul><li>Activities and living have meaning </li></ul><ul><li>A sense of inclusion </li></ul><ul><li>Useful member of the team </li></ul><ul><li>Atmosphere </li></ul>
    6. 6. <ul><li>Recent interpersonal losses </li></ul><ul><li>Loss of self-esteem / status </li></ul><ul><li>Humiliation / Ridicule </li></ul><ul><li>Rejection (e.g., job, promotion, boy/girlfriend) </li></ul><ul><li>Disciplinary or legal difficulty </li></ul><ul><li>Exposure to suicide of friend or family member </li></ul><ul><li>Discharge from treatment or from service </li></ul><ul><li>Retirement </li></ul>Triggers .
    7. 7. <ul><li>The breakup of a close relationship </li></ul><ul><li>Witnessing death </li></ul><ul><li>Financial stressors </li></ul><ul><li>A bad evaluation </li></ul><ul><li>Drug or Alcohol Abuse </li></ul><ul><li>Reunion from a long field training or isolated tour </li></ul><ul><li>Leaving old friends and family </li></ul><ul><li>Being alone with concerns about self or family </li></ul><ul><li>Being in a foreign country </li></ul>Triggers .
    8. 8. Inclusion Treat with Dignity and Respect Build the Team Care and Concern Good management of People significant part of prevention
    9. 9. <ul><li>ASK </li></ul><ul><li>Have the courage to ask, but stay calm. </li></ul><ul><li>Ask the question directly – e.g do you feel like hurting yourself </li></ul><ul><li>CARE </li></ul><ul><li>Remove any means that could be used for self injury. </li></ul><ul><li>Calmly control the situation. </li></ul><ul><li>Actively listen. Reassure that he or she will be helped. </li></ul><ul><li>ESCORT </li></ul><ul><li>Never leave alone. </li></ul><ul><li>Escort to the ER, primary care provider, or behavioral health professional. </li></ul><ul><li>Call 911 if you cannot escort them to an appropriate provider. </li></ul>A.C.E ! .
    10. 10. <ul><li>Listen </li></ul><ul><li>Engage </li></ul><ul><li>Foster - an environment of trust and support </li></ul><ul><li>Emphasize - seeking help is good judgment </li></ul><ul><li>Reduce stigma - show compassion </li></ul><ul><li>Observe right to privacy – limit discussion to professionals/some in the chain of supervision </li></ul><ul><li>Know - what services are available </li></ul>As a Co-worker or Supervisor .
    11. 11. Stigmas to Seeking Help Goes on my record Will affect my career Seeking help is a sign of weakness Others will have negative thoughts/feelings towards me
    12. 12. Suicide can be prevented! Take a threat seriously! Take the time - be there!
    13. 13. It’s about choices
    14. 14. Contact Program Manager – 263-8054 Senior Social Worker – 263-8049 Prevention Coordinator – 263-8047 Drug Test Coordinator – 263-5850 HOURS Monday thru Friday, 0730 to 1630 (except Thurs morning) LOCATION Building 534 Readiness and Resiliency Center SERVICES Assessment and counseling – professional counseling staff Information and support and resources Coaching and consultation to assist leaders Installation Drug Testing Program Employee Assistance Program