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Section 3
Securing Patient's Safety: Education for Patient and Family

Question 3 | Test | Table of Contents

Department of Defense (DoD)

Key Points found in Scroll Box below:
1. Securing Patient’s Safety:
Education for Patient and Family
Education as part of Prevention Intervention
2. Limiting Access to Lethal Means (Firearms, Drugs, Toxic Agents, Other)
Evidence for Restriction of Means
Implementation of Means Restriction in Military Settings
3. Safety Plan for Patient at Risk of Suicide
Component of Safety Plan: A written, prioritized list of coping strategies and sources of support that patients can use to all eviate a suicidal crisis.
4. No-Suicide Contracts
5. Addressing Needs (Engaging Family; Community; Spiritual and Socioeconomic Resources)
6. Additional Steps for Management of Military Service Members (SMs)

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- The Assessment and Management of Risk for Suicide Working Group. (June 2013). VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide. Department of Veterans Affairs, Department of Defense, Version 1.0, p. 72 -87.

Updated article...
- The Assessment and Management of Suicide Risk Work Group (2019) VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide. Department of Veterans AffairsDepartment of Defense, Version2.0, p. 1-142.

Building a Suicide Prevention-and-Intervention-Capable Agency

Key Points found in Scroll Box below:
1. Four programming and implementation issues of primary concern to administrators and provides the tools you will need to:
•Help an agency become suicide prevention and intervention capable.
•Help a program develop and improve staff capabilities in working with suicidal clients.
•Help an agency develop and enhance its response system to suicide crises.
•Build administrative support for all components of GATE (Gathering information, Accessing supervision, Taking action, and Extending the action)
2. Being a Level 2 program begins with your recognition of the need and value of addressing suicidal thoughts and behaviors in the program in a comprehensive way. This process requires three basic steps:
A. Organizational assessment
B. Organizational planning:
–Organizing a team or workgroup to address planning
–Deciding on specific targets for change
–Determining how and when to begin implementation
C. Program implementation:
–Adapting existing policies and programs
–Implementing and integrating new programmatic elements

- U.S. Department of Health and Human Services. Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment. Substance Abuse and Mental Health Services Administration. 2015. Pg. 107-122.

Update
Patient Safety Educational
Interventions: A Systematic Review
with Recommendations for Nurse Educators

- Lee, S. E., Morse, B. L., & Kim, N. W. (2022). Patient safety educational interventions: A systematic review with recommendations for nurse educators. Nursing open, 9(4), 1967–1979.

Peer-Reviewed Journal Article References:
Leroy, H., Dierynck, B., Anseel, F., Simons, T., Halbesleben, J. R. B., McCaughey, D., Savage, G. T., & Sels, L. (2012). Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: A team-level study. Journal of Applied Psychology, 97(6), 1273–1281.

Tyndal, T., Zhang, I., & Jobes, D. A. (2021). The Collaborative Assessment and Management of Suicidality (CAMS) stabilization plan for working with patients with suicide risk. Psychotherapy.

Zisk, A., Abbott, C. H., Bounoua, N., Diamond, G. S., & Kobak, R. (2019). Parent–teen communication predicts treatment benefit for depressed and suicidal adolescents. Journal of Consulting and Clinical Psychology, 87(12), 1137–1148.

Zonana, J., Simberlund, J., & Christos, P. (2018). The impact of safety plans in an outpatient clinic. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 39(4), 304–309.

QUESTION 3
What are four tasks that administrators can assign clinical supervisors in making sure that the tasks involved in extending care beyond the immediate actions are carried out? To select and enter your answer go to Test.