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Lessons Learned From Implementing a Caring Contacts Clinical Practice Guideline Recommendation.

Lynne Liu1, Shelan A Porter1, Heather Gebhardt1

  • 1U.S. Department of Veterans Affairs (VA) Puget Sound Health Care System, Seattle (all authors); Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Gebhardt, Markman, Buchholz, Reger).

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Summary

Caring contacts interventions can help veterans after hospitalization for suicidal ideation. Implementation faced barriers like staff availability and veteran housing status, but veterans found the intervention acceptable.

Keywords:
Caring contactsInpatient treatmentSelf-destructive behaviorSuicideVeterans issues

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Area of Science:

  • Clinical Psychology
  • Public Health
  • Health Services Research

Background:

  • U.S. Department of Veterans Affairs (VA) and Department of Defense guidelines recommend caring contacts for veterans at risk for suicide.
  • These interventions are advised post-psychiatric hospitalization for suicidal ideation or attempt.

Purpose of the Study:

  • To examine the implementation of caring contacts interventions in a large VA health care system.
  • To identify barriers and facilitators to intervention enrollment and discuss improvement opportunities.

Main Methods:

  • A quality improvement project was conducted at a large VA health care system.
  • The project aimed to enroll hospitalized veterans identified as at risk for suicide.

Main Results:

  • The project enrolled 135 out of 462 hospitalized veterans (29%).
  • Key barriers included lack of staff availability and veteran ineligibility due to homelessness or housing instability.
  • Veteran acceptability of the caring contacts intervention was high.

Conclusions:

  • Implementing caring contacts interventions faces challenges in real-world settings, particularly regarding staff resources and veteran housing status.
  • Despite barriers, the high acceptability suggests potential for improving suicide prevention efforts for veterans.
  • Future quality improvement initiatives should address identified barriers to enhance intervention reach and effectiveness.