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Rocky Mountain MIRECC for VA Suicide Prevention

Updated: 20 October 2015

Featured Clinician Resource

Conceptualizing Suicide Risk in TBI: A Supplemental Handbook

For Clinicians
This handbook presents an overview of Traumatic Brain Injury (TBI), a kind of "TBI-The Basics" course. The handbook then explores the relationship between TBI and suicide risk, and the relationship between executive dysfunction and suicide risk. Presented in an easy to digest manner for our very busy clinician. This a must have for clinicians.

 

Download your copy of the handbook now

 

Watch and listen to this presentation by Beeta Homaifar and Melodi Billera

Or watch the complete show at once (a rather large file)

 

Suicide Prevention

VA/DoD Clinical Practice Guidelines
Assessment and Management of Patients at Risk for Suicide (2013)
For Clinicians
The guideline describes the critical decision points in the management of Suicidal Risk Behavior (SRB) for suicidal self-directed violent behavior and provides clear and comprehensive evidence-based recommendations incorporating current information and practices for practitioners throughout the DoD and VA Health Care systems. The guideline is intended to improve patient outcomes and local management of patients with SRB.
Disclaimer:This Clinical Practice Guideline is intended for use only as a tool to assist a clinician/healthcare professional and should not be used to replace clinical judgment.
Patients at Risk for Suicide - Full Guideline (2013)
Patients at Risk for Suicide - Pocket Guide (2013)
Patients at Risk for Suicide - Summary (2013)
Patients at Risk for Suicide - Patient Safety Plan Worksheet (2014)
TIP 50: Addressing Suicidal Thoughts and Behaviors in Substance Abuse Treatment
For Clinicians
VISN 2 Center of Excellence for Suicide Prevention
This interactive web-based training addresses evidence-based, best-practices Treatment Improvement Protocols (TIPs) for treating substance use disorders (SUDs), developed by Center for Substance Abuse Treatment (CSAT), part of the Substance Abuse and Mental Health Services Administration (SAMHSA) of U.S. Department of Health and Human Services. The audience for TIPs is expanding in Veterans Administration mental health, primary care, and other health care and social service settings. This program will give mental health providers in all disciplines up to date, standardized skills assessment training to assess suicidality, and develop effective treatment plans to prevent suicide in Veterans
The TIP 50 Traing is available via the VA Talent Management System (TMS) (only available to VA employees but see below if you are outside the VA)
Also, the TIP 50 Traing is available via DVD! Order the free DVD!
Visit the VISN 2 Center of Excellence for Suicide Prevention for more resources.
Recognizing Suicide Risk in Returning Combat Veterans
For Clinicians
By Patricia Alexander PhD, and Lisa A. Brenner PhD
This paper suggest that assessing for feelings of burdensomeness, failed belongingness, and acquired ability may be important when evaluating suicide risk.Download the article from Military OneSource.
Best Practices Registry (BPR)
For Clinicians
The purpose of the Best Practices Registry (BPR) is to identify, review, and disseminate information about best practices that address specific objectives of the National Strategy for Suicide Prevention. The BPR is a collaborative project of the Suicide Prevention Resource Center (SPRC) and the American Foundation for Suicide Prevention (AFSP). It is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA).
Providing Support for Suicide Survivors: Understanding Pertinent Military/Veteran Issues
For Clinicians
Providing Support for Suicide Survivors: Understanding Pertinent Military/Veteran Issues
by Nazanin H. Bahraini PhD, Ryan E. Breshears, PhD, & Lisa A. Brenner PhD
Traumatic Brain Injury and Suicide - A Manual for Clinicians and Care Providers
For Clinicians
There is a need for more resources that are specifically targeted toward TBI survivors who may be considering suicide.
Based upon this need, researchers at the VA Rocky Mountain Mental Illness Research, Education, and Clinical Center (MIRECC) produced this information and resources guide.
The target audience is clinicians and care providers working with TBI survivors.
Download the 31 page manual.

TBI Resources

Cyberseminars of Note

TBI and PTSD in the Post 9/11 Era: From Research to Practice
Presented by: Lisa Brenner PhD ABPP(Rp) and Nasi Bahraini PhD
30 September 2014
This presentation reviews key research findings regarding the co-occurrence of mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) and their implications for evaluating and treating Veterans with both conditions. Specific topics covered include the shared underlying mechanisms that may contribute to the increased risk of PTSD in those with mTBI, and the role of symptoms in differential diagnosis. Additionally, findings from pharmacological and psychological interventions studies of PTSD and mTBI will be reviewed in order to highlight important strategies for patient care. Target Audience: Practitioners who provide care to patients with co-occurring mTBI and PTSD, including those working in primary care and behavioral/mental health settings, as well as clinical researchers interested in TBI and PTSD co-morbidity.
Go to online presentation (Video, PDF, Audio and Transcript)
The DSM-5 Approach to Evaluating Traumatic Brain Injury
By Hal Wortzel MD and David Arciniegas MD
4 September 2014
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) approach to the evaluation of traumatic brain injury (TBI) and its neuropsychiatric sequelae has changed substantially relative to that in prior versions of this manual. These changes are especially evident in the DSM-5 section on Neurocognitive Disorders, which presents a definition of TBI modeled after that of the American Congress of Rehabilitation Medicine and organizes evaluation of the neuropsychiatric sequelae of TBI around mild and major neurocognitive disorders. This lecture will review these and related matters in the DSM-5 approach to TBI and their implications on the care of Veterans with such injuries. Intended Audience: Clinicians evaluating and/or treating Veterans with TBI (physicians, psychologists, nurses, social workers)
Go to online presentation (Video, PDF, Audio and Transcript)
Management of TBI Rehab/Co-occurring Mental Health Issues: Posttraumatic Stress Disorder, Suicide, Depression, Substance Use Disorders, and Pain Disorders
By Lisa Brenner PhD, ABPP(Rp); Alison Cernich PhD; Jennifer Vasterling PhD
13 November 2013
This seminar will provide an overview of common co-occurring disorders that present rehabilitation challenges for individuals with Traumatic Brain Injury (TBI). Background information, as well as, evidence based assessment and treatment strategies will be provided for: Posttraumatic Stress Disorder, suicide, depression, substance use disorders, and pain disorders. The Traumatic Brain Injury, Pain, and Substance Use Disorders portion will focus on the comorbidities of pain and substance use disorders, beginning with a discussion of epidemiology of the disorders in the TBI population. Implications of these co-occurring disorders for rehabilitation professionals will be discussed. The PTSD and TBI segment will cover a) the epidemiology of co-morbid PTSD and TBI in military service members and veterans and b) an overview of issues relevant to clinical management of the co-morbidity including assessment and treatment.
Go to online presentation (Video, PDF, Audio and Transcript)

Rocky Mountain MIRECC wishes to thank the Ohio Valley Center for Brain Injury Prevention and Rehabilitation for their generous permission to provide all the information and educational material below. Every link and resource is from Ohio Valley Center for Brain Injury Prevention and Rehabilitation.

Ohio Valley Center for Brain Injury Prevention and Rehabilitation
Information for Individuals with TBI and Families

  • Substance Use after TBI: What persons with TBI and their families should know about alcohol or drug use after TBI
    For VeteransFor Families and Community
  • Consumer Factsheets: Information from the Model Systems for individuals with TBI and their families
    For VeteransFor Families and Community

Information for Professionals

  • TBI 101
    • Incidence and Prevalence
    • Neurobehavioral Impairment
    • Impact on Lives
    • Screening

Materials from OVC about Substance Use with TBI
For Clinicians

Other Clinician Resources - Useful Apps

Suicide Safe from SAMHSA

SAMHSA's latest mobile app, Suicide Safe, is now available for free on iOS® and Android™ mobile devices.

The app, based on the nationally recognized Suicide Assessment Five-Step Evaluation and Triage (SAFE-T) card, is designed to help primary care and behavioral health providers integrate suicide prevention strategies into their practices and address suicide risk among their patients.

Learn more about the Suicide Safe app.

The Virtual Hope Box

The Virtual Hope Box (VHB) is a smartphone application designed for use by patients and their behavioral health providers as an accessory to treatment. The VHB contains simple tools to help patients with coping, relaxation, distraction, and positive thinking.

Patients and providers can work together to personalize the VHB content on the patient's own smartphone according to the patient's specific needs. The patient can then use the VHB away from clinic, continuing to add or change content as needed.

The VHB provides help with emotional regulation and coping with stress via personalized supportive audio, video, pictures, games, mindfulness exercises, positive messages and activity planning, inspirational quotes, coping statements, and other tools.

The VHB is available for both iOS and Android. For more information visit the T2 website.

ACT Coach

Acceptance and Commitment Therapy (ACT) aims to help you live with unpleasant thoughts, feelings, and impulses without avoiding them or being controlled by them. In ACT, you are encouraged to commit to actions so that you can live your life by your values, even in the face of these unpleasant experiences. This app was developed for Veterans, Service members, and other people who are in Acceptance and Commitment Therapy in consultation with a therapist. It offers exercises, tools, information, and tracking logs so you can practice what you’re learning in your daily life. The ACT Coach app can be downloaded from iTunes (search on ACT Coach). For more information on ACT Coach visit the Mobile Behavior Design Lab website.

Mobile Behavior Design Lab

The Mobile Behavior Design Lab is a valuable resource for mobile apps beneficial to Veterans and providers. From their website: Founded by Dr. Julia Hoffman in 2011, the Mobile Behavior Design Lab is a multidisciplinary collaborative of psychologists, sociologists, app designers, software engineers, and graduate students in the heart of Silicon Valley. Our team builds mHealth products for mental health, creates resources to facilitate the integration of mHealth into mental health care, analyzes technological developments to support good governance, and provides a growing knowledge base to assist the growing community of mHealth creators. For more information, please contact Dr. Julia Hoffman, Director (julia.hoffman@va.gov). Their mobile apps, for both iPhones and Android, include:

For VeteransFor Clinicians
CBT-i Coach
CBT-i Coach is for people who are engaged in Cognitive Behavioral Therapy for Insomnia with a health provider, or who have experienced symptoms of insomnia and would like to improve their sleep habits. More information >>
For VeteransFor Clinicians
Concussion Coach
Concussion Coach was designed for Veterans, Service members, and other individuals who experience physical, cognitive, and emotional symptoms that may be related to mild to moderate traumatic brain injury. More information >>
For VeteransFor Clinicians
CPT Coach
CPT Coach is for Veterans, Service members, and others with PTSD who are participating in Cognitive Processing Therapy (CPT) with a professional mental healthcare provider. More information >>
For VeteransFor Clinicians
Mindfulness Coach
This app was developed to help Veterans, Service members, and others learn how to practice mindfulness. It offers exercises, information, and a tracking log so that you can optimize your practice. More information >>
For VeteransFor Clinicians
Mood Coach
Behavioral Activation (BA) is a widely used and empirically supported therapeutic approach to working with depression. This app includes the core pieces of Behavioral Activation: it starts by monitoring mood as related to already-existing activities, and then guides the user in selecting and scheduling rewarding activities. More information >>
For VeteransFor Clinicians
Moving Forward
Moving Forward provides on-the-go tools and teaches problem solving skills to overcome obstacles and deal with stress. The app is designed for Veterans and Service members, but is useful for anyone with stressful problems. More information >>
For VeteransFor Clinicians
Parenting2Go
Parenting2Go helps Veterans and Service members reconnect with their children and provides convenient tools to strengthen parenting skills. It can be used alone or in combination with the online Parenting for Service Members & Veterans course. More information >>
For VeteransFor Clinicians
PE Coach
PE Coach is designed to be used during psychotherapy provided by a behavioral health professional who is trained in Prolonged Exposure (PE) therapy. Veterans, Service members, and others with symptoms of PTSD who are receiving PE treatment can work together with their therapist to use the tools in this app. More information >>
For VeteransFor Clinicians
PTSD Coach
PTSD Coach is a mobile phone app for the self-management of post-traumatic stress disorder (PTSD). It is designed for veterans, service members, and trauma survivors who may be experiencing symptoms of PTSD, as well as for their families and others who would like to learn more about post-traumatic stress. More information >>
For Clinicians
PFA Mobile
PFA Mobile is a mobile phone application for mental health providers and other response workers who provide Psychological First Aid (PFA) shortly after disasters and emergencies to affected children, families, and adults. More information >>
For VeteransFor Clinicians
PTSD Coach
PTSD Coach is a mobile phone app for the self-management of post-traumatic stress disorder (PTSD). It is designed for veterans, service members, and trauma survivors who may be experiencing symptoms of PTSD, as well as for their families and others who would like to learn more about post-traumatic stress. More information >>
For VeteransFor Clinicians
PTSD Family Coach
PTSD Family Coach was designed for family members of individuals with Posttraumatic Stress Disorder (PTSD). This app provides education about PTSD, a self-assessment tool measuring life stress, self-management skills to address acute distress and stress, direct connection to support and information about VA and community resources for family members of individuals with PTSD. More information >>
For VeteransFor Clinicians
Safety Plan
Safety Plan is an app to help people who are at risk of self-harm and direct them towards support services. The user can set up a personalized safety plan that specifies steps to take when they need immediate help for different kinds of crisis. More information >>

Look on the Mobile Behavior Design Lab website for more apps that are coming soon.

 

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