Intensive Case Management
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- Intensive Case Management
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Case management focuses on building a collaborative relationship between the therapist and the client to facilitate assessment, evaluation, care coordination, and advocacy on behalf of the client and addresses individual needs (Case Management Society of America, 2017). Intensive case management, or ICM, assists in coordination of care, which increases access. Additionally, ICM provides resources addressing social determinants of health and allows the case manager to provide streamlined and enhanced care to meet the Veteran's needs. Therefore, Transit and SUPERCEDE's version of ICM involves the assigning a case manager who ensures the Veteran establishes a continuity of holistic care and health care needs by connecting them to providers and services both within VA and in VA community care.
Transit - community care
A Transitional Care Program for suicide prevention among Veterans not connected to VHA care. - This pilot program provides effective, low-cost suicide prevention services for veteran's ineligible for VA care with emergent mental health needs that capitalizes on best practices for suicide prevention in VA and the community. The Transit team provides brief psychotherapy services and works with community partners to coordinate care for veterans at-risk for suicide who are ineligible for VA care. Veterans enrolled in TRANSIT receive immediate and short-term psychotherapy to provide symptom relief, intensive case management and follow-up, a crisis response plan, as well as referral to community mental health placement by the TRANSIT suicide prevention coordinator.
Supercede - VA/community care
Suicide Prevention intensive Case management and coordination in community care 2.0 - SUPERCEDE - This program tests the feasibility of a suicide prevention intensive case management (ICM) intervention to increase access to high quality mental health services for Veterans who are at risk for suicide. This intervention aims to ensure Veterans at risk for suicide who are referred out to the community for physical health care services receive timely access to specialty mental health care. This intervention is aimed at Veterans at-risk for suicide or have severe mental health symptoms and who experience psychosocial needs. Veterans enrolled in SUPERCEDE receive immediate and short-term psychotherapy to provide symptom relief, intensive case management and follow-up, a crisis response plan, as well as referral to community mental health placement by the SUPERCEDE suicide prevention coordinator.
Supercede-RCT - VA/community care
SUPERCEDE-RCT is a hybrid type 2 clinical trial further examining the feasibility and acceptability of SUPERCEDE.
Patient Safety Center of Inquiry - Suicide Prevention Collaborative (PSCI-SPC)
Building a sustainable VA/Community infrastructure of Veteran suicide preventiori programming
Veterans Health Administration (VHA) has built a robust, comprehensive, and system-wide suicide prevention infrastructure. Yet nearly two-thirds of Veterans who die by suicide do not use VHA services.
How do we address this gap to support all Veterans not eligible or not engaged in VHA care?
In 2018 the VHA established the PSCI - SPC.
GOAL: Provide community agencies and the VA tools to develop sustainable Veteran suicide prevention strategies and programming via:
- Learning Collaboratives: top-down approach within healthcare systems and community organizations
- Psychotherapy: bottom-up approach starting with Veterans and other supportive individuals
Sustainable, systemic change supporting Veteran suicide prevention
PSCI 1.0
VA/Community Learning Collaborative (CO-ACT)
- Ongoing consultative support & technical assistance in Veteran suicide prevention
- Collaborative partnerships & enhanced support network
- Organizational training in implementation science and develpment of standardized operating procedures
- Streamline care coordination between VA/community agencies
Participants iinclude community agencies: Police, fire, mental health practices, Veterans services agencies, and public libaries.
Psychotherapy - TRANSIT
- Brief psychotherapy & intensive case management to address sucide risk, mental health symptoms, and psychosocial needs
- Support transition to community based care
TRANSIT is for Veterans who:
- Are at risk for sucide
- Are not eligible or not engaged in VHA care
PSCI 2.0
VA/Community Care Learning COLLABORATIVE (COLLABORATE)
- Ongoing consultative support & technical assistance in Veteran sucide prevention
- Collaborative partnerships & enhanced support network
- Organizational training in implementation science and development of standardized operatiing procedures
- Streamline care coordination between VA/community care
Participants include healthcare organization in the VA community care network.
Psychotherapy - SUPERCEDE
- Brief psychotherapy & intensive case management to address sucude risk, mental health symptoms, psychosocial needs, and VA authorized community care
SUPERCEDE is for Veterans who:
- Are at risk for suicide
- Do not engage in VHA mental health services
- Recieve VHA authorized community care
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