Febuary 2016
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Wasatch Review Business Name February 2016 Letter from the Executive Team Volume 10, Issue 2 Zero Suicide Initia- Inside this issue: tive – Wouldn’t it be fantastic if you Executive Report 1 Upcoming Events 3 could save a life? Birthdays 4 Over the last year, WMH in part- Employee Move- nership with the Division of Sub- ment stance Abuse and Mental Health (DSAMH), Weber Human Services Briefing Reports 5 (WHS), the National Council for Behavioral Health, the National Randy Huntington, LCSW, Adult Ser- Success Stories 7 Action Alliance for Suicide Pre- vices Director vention (Action Alliance), Suicide Employee Recog- 9 Prevention Resource Cen- Community. nition ter (SPRC), and 5 other States: Observances for 11 February Texas, New York, Missouri, Ken- What is Zero Suicide? tucky, and Indiana have partici- pated in the Zero Suicide Initiative Zero Suicide is both a philosophi- 10 Ways to Lose 12 weight Breakthrough Series. Reading that cal ideal and a systematic approach paragraph is a mouthful, and it il- to prevent death by suicide. In the 6 Foods to help 14 lustrates a National trend toward words of the SPRC and the Action you Lose Weight Suicide Prevention, Intervention, Alliance: and Post-vention and how WMH is 5 Must have Sea- 15 a part of it. “Zero Suicide is a commitment sonings to suicide prevention in health Naturally Boost 18 WMH is committed to making ad- and behavioral health care sys- Testosterone ditional changes that you are al- tems, and also a specific set of Key Indicators 19 ready witnessing and perhaps may tools and strategies. Its core be slightly confused by – why is propositions are that suicide the warning popping up when I deaths for people under care are open Junction? Please allow me to Contributions for the preventable, and that the bold newsletter are welcome! clarify a few points of interest, and goal of zero suicides among comment on how this will have an Send to persons receiving care is an as- [email protected] impact upon you, WMH, and our pirational challenge that health systems should accept. The Zero Suicide ap- proach aims to improve care and outcomes for We have used the OQ & YOQ measures for out- individuals at risk of suicide in health care sys- comes of treatment now for years. In fact, as a tems. It represents a commitment to patient safe- center we collected over 49,000 of them in FY ty—the most fundamental responsibility of 2015 alone. These measures are really part of health care—and also to the safety and support WMH’s DNA. Perhaps one of its hidden secrets of clinical staff, who do the demanding work of however, is it acts as a screener for suicide. We treating and supporting suicidal patients. are now using it as an initial trigger for the C- SSRS in our (EMR) Junction. The challenge of Zero Suicide is not one to be borne solely by those providing clinical care. Zero What is the Stanley/Brown Safety Planning Suicide relies on a system-wide approach to im- Tool? prove outcomes and close gaps rather than on the heroic efforts of individual practitioners. This initia- “The Safety Plan is a written, prioritized list of tive in health care systems also requires the engage- coping strategies and resources for reducing sui- ment of the broader community, especially suicide cide risk. It is a prevention tool that is designed attempt survivors, family members, policymakers, to help those who struggle with their suicidal and researchers. Thus, Zero Suicide is a call to re- thoughts and urges to survive. It is a brief inter- lentlessly pursue a reduction in suicide for those vention for reducing suicide risk (Barbara Stan- who come to us for care.” For further information ley and Gregory K. Brown).” see www.zerosuicide.com About two years ago, WMH incorporated it as What is the C-SSRS? part of our (EMR) Junction. For more infor- mation go to The Columbia Suicide Severity Rating Scale, (C- www.suicidesafetyplan.com/Home_Page.html SSRS), is a suicidal ideation rating scale created by researchers at Columbia University. It rates an in- dividual's degree of suicidal ideation on a scale, Practical Steps for using the suicide preven- ranging from "wish to be dead" to "active suicidal tion tools and interventions ideation with specific plan and intent." The scale detects behaviors which may be telling of an indi- 1. Client takes the OQ-YOQ and scores at a vidual's intent to commit suicide. A person display- “frequently or almost always” on the critical ing even a single behavior identified by the scale item for suicide was “8 to 10 times more likely to commit suicide.” The C-SSRS has been found to be reliable and valid 2. An alert is then triggered on the Junction in the identification of suicide risk in several re- Chart indicating “OQ®-45.2 Suicidal Warn- search studies. ing” The CSSRS has recently been incorporated into our 3. Therapist or Case Manager addresses the risk Electronic Medical Record (EMR) Junction. There by asking questions 1 & 2 on the C-SSRS have been and will continue to be some refining of (note: these are the only 2 questions that are how we use the C-SSRS. Later in this article I will required to release the warning from coming attempt to give a summary of how this process up, and then it is left up to clinical judge- should work. ment) What do the OQ & YOQ have to do with Suicide 4. Based upon clinical judgement, the rest of the Prevention? C-SSRS can be completed if warranted Volume 10, Issue 2 Page 2 5. Safety Plan is created or reviewed with the client Summary based upon clinical judgement WMH is making a concerted effort to keep up with 6. Documentation in the note should justify clinical national trends and research. Our partnership and decision (note: for a Case Manager or Nurse this collaboration with other mental heath centers, the should be coordinated with treating Prescriber or DSAMH, and national organizations places us in a Therapist) position of opportunity. The Zero Suicide Initia- tive is a bold approach to prevent death by suicide. The C-SSRS, OQ-YOQ, and Stanley/Brown Safe- For other providers such as HSW, RPS, Support ty planning are tools to assist us with Suicide Pre- Staff, FRF, PSS vention, Intervention, and Post-vention. As we role out the next phase of implementation you may 1. Address the alert by reviewing the chart to see if consider the question – Wouldn’t it be fantastic if there is a Safety Plan and/or a C-SSRS in place you could save a life? (note: this is not required but encouraged) 2. Notify the Therapist or Case Manager of the alert Upcoming Events Guiding Principles for using the additional suicide GIANT Steps Dinner and Auction prevention tools and interventions Coming in March—More information to follow Provo City Library The C-SSRS, Stanley/Brown Safety Planning, Donations are welcome for the auction, please take and OQ-YOQ are TOOLS to help in Clinical items to Parkview Judgement The TOOLS do NOT replace crisis or supervisor Generations Conference consolation, clinical judgement, and common March 31—April 1, 2016 sense Interventions for professional s in behavioral Health and Addiction treatment of todays adult The first time the C-SSRS is completed it will generations read “Lifetime.” For example, “Have you Salt Palace wished you were dead or wished you could go to sleep and not wake up? 100 S. West Temple, SLC After the Initial screening, the C-SSRS questions Critical Issues Conference should be asked in a time sensitive manner. For example, “since your last visit, have you wished May 11 and 12, 2016 at the Utah Valley Conven- you were dead or wished you could go to sleep tion Center and never wakeup?” *If want to attend a conference please check with your Program Manager. Page 3 Wasatch Review Happy Birthday to those born in February 2/2 Jason McBride 2/16 Daniel Bernards 2/4 Camille Jones 2/16 Adrianne Grose 2/7 Tyree Thurgood 2/16 Jennifer Brown 2/7 Helen Latu 2/19 Nancy Despain 2/8 Kaylee Au 2/20 Evan Jenny 2/9 Thomas Yee 2/21 Melissa Blumell 2/9 Carson King 2/21 Mhai Lee 2/9 Nicole Bastidas 2/22 Craig Limb 2/9 Cristina Wilson 2/22 Sheri Rowley 2/9 Courtney Smith 2/23 Linda Taylor 2/10 Valerie Paul 2/23 Lindsay Hansen 2/12 Lorraine Crossley 2/23 CharLynn BLacker 2/12 Tyler Jenson 2/26 Dallas Bean 2/12 Frances Williams 2/27 Christine Hill 2/13 Gregory Robinson 2/27 Dennis Rasmussen 2/14 Jeanne Channell 2/27 Lynette Beard 2/14 Tabitha Webster 2/29 Doralia Serrano 2/15 Evan Clinger So Sorry To See You Leave Peggy Kanakis Welcome to Wasatch Mental Health 100/ADM Leann Allred Melisa Richardson 200/YS Courtney Bradshaw 341 /NV Tyree Thurgood Doris Adams 355/Aspire Alexandra Lamoreaux Nictehai Martinez 250/CY Fast Kathryn Broberg Jonni Clark 340/Giant Kori Casperson Steps Sarah Winkelkotter Volume 10, Issue 2 Page 4 Briefing Report Highlights Doran Williams was presented Giant Steps had its annual ionship. These with a special award at the an- Christmas Program December qualities make nual Suicide Prevention Confer- 18, 2016. The auditorium, at animals ideal therapeutic visi- ence acknowledging his tireless Foothill Elementary school was tors for the girls at Aspire. filled to capacity. The children work in suicide prevention. Alt- PFC— A huge thanks goes out behaved and performed very hough he is on the planning to Josh Jenkins who translated well.