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The Veterans Affairs Patient Safety Center of Inquiry-Suicide Prevention Collaborative: Creating Novel Approaches to
Bryann DeBeer1, Sylvia Baack1, Kathryn Bongiovanni1
1is the Director of the VA Patient Safety Center of Inquiry - Suicide Prevention Collaborative and a Clinical Research Psychologist; is an Epidemiologist and Health Science Specialist; is a Research Psychologist; is a Quality Management Specialist; is a Clinical Psychologist and Program Manager for Suicide Prevention; all at the VA Eastern Colorado Health Care System (VAECHCS). is a Clinical Research Psychologist; is a Program Specialist; and is Suicide Prevention Coordinator; all at the Rocky Mountain Mental Illness, Research, Education and Clinical Center (MIRECC) for Suicide Prevention, Rocky Mountain Regional Veterans Administration Medical Center in Aurora, Colorado. Bryann DeBeer is a Visiting Associate Professor; Claire Hoffmire is an Assistant Professor; and Nathaniel Mohatt is an Assistant Professor in the Department of Physical Medicine and Rehabilitation; Lindsey Monteith is an Associate Professor in the Department of Psychiatry; all at the University of Colorado Anschutz Medical Campus in Aurora, Colorado. Joseph Mignogna is a Clinical Research Psychologist; and is the Implementation Core Chief; both at the VA VISN 17 Center of Excellence for Research on Returning War Veterans in Waco and the Central Texas Veterans Health Care System. is the Director of Quality, Safety, and Value; and are Suicide Prevention Coordinators; and are Social Work Supervisors; is the Associate Chief Nurse, Research; all at the Central Texas Veterans Health Care System in Waco, Temple, and Austin. is the Director of the Institute for Military and Veteran Family Wellness and a Research Associate Professor at the Steve Hicks School of Social Work at the University of Texas at Austin. is the Stress, Trauma, and Resilience (STAR) Professor at The Ohio State University Wexner Medical Center in Columbus. is the Navy Suicide Prevention Program Manager/Lead Analyst in the 21st Century Sailor Office, Compliance and Competencies Branch in the US Navy, Millington, Tennessee. is Texas State Suicide Prevention Coordinator in the Office of Mental Health Coordination, Suicide Prevention Team, Health and Human Services Commission in Austin and Zero Suicide Faculty at Zero Suicide Institute, Education Development Center in Waltham, Massachusetts. is not affiliated with an organization. is an Adjunct Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the College of Medicine, in Temple, Texas. is a Professor in the Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio; a Research Health Scientist in the Research and Development Service, South Texas Veterans Health Care System; and a Professor in the Department of Psychology, University of Texas at San Antonio. Nathaniel Mohatt is a Clinical Instructor in the Division of Prevention and Community Research, Department of Psychiatry, Yale School of Medicine. Justin Benzer is an Associate Professor in the Department of Psychiatry, Dell Medical School, University of Texas at Austin.
Background:
While the US Department of Veterans Affairs has made significant strides to prevent veteran suicide, efforts have largely targeted veterans actively engaged in and eligible for Veterans Health Administration (VHA) care, which is consistent with the VHA mission. The majority of veterans are not enrolled in VHA care, and many are ineligible for services. Veterans not connected to VHA have experienced an increase in suicides in recent years.
Observations:
Since 2018, VHA National Center for Patient Safety has funded the Patient Safety Center of Inquiry-Suicide Prevention Collaborative (PSCI-SPC), which has worked to develop, implement, and evaluate practical solutions aimed at curbing the rising suicide rate among veterans not receiving VHA care. PSCI-SPC has 3 guiding objectives: (1) Develop and test a collaborative, organizational structure to connect VHA and community organizations, such as national, local, public, private, nonprofit, and academic partners who provide high-quality and timely health care; (2) Build and test a learning collaborative to facilitate sharing of VHA suicide prevention best practices with community partners to increase availability, consistency, and quality of mental health services for all veterans; and (3) Implement, test, and refine a novel program to provide affordable suicide prevention interventions to veterans with mental health needs, regardless of their use of, or eligibility for, VHA services. This paper details the current progress for this demonstration project. As these objectives are met, PSCI-SPC will create and disseminate products to support broad implementation of these practices to other VA medical centers and the communities they are embedded in.
Conclusions:
PSCI-SPC seeks to fill an important gap in veteran health care by serving as a national clinical innovation and dissemination center for best practices in suicide prevention for veterans who receive care in their communities.
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