TY - JOUR
KW - collaborative care
KW - team-based care
KW - primary care
KW - Suicide Prevention
AU - M. N. Wittink
AU - B. A. Levandowski
AU - J. S. Funderburk
AU - M. Chelenza
AU - J. R. Wood
AU - W. R. Pigeon
A1 - 
AB - Suicide prevention in clinical settings requires coordination among multiple clinicians with expertise in different disciplines. We aimed to understand the benefits and challenges of a team approach to suicide prevention in primary care, with a particular focus on Veterans. The Veterans Health Administration has both a vested interest in preventing suicide and it has rapidly and systematically adopted team-based approaches for primary care interventions, including suicide prevention. We conducted eight focus groups and eight in-depth interviews with primary care providers (PCPs), behavioral health providers and nurses located in six regions within one Veterans Administration Catchment Area in the northeast of the US. Transcripts were analyzed using simultaneous deductive and inductive content analysis. Findings revealed that different clinicians were thought to have particular expertise and roles. Nurses were recognized as being well positioned to identify subtle changes in patient behavior that could put patients at risk for suicide; behavioral health providers were recognized for their skill in suicide risk assessment; and PCPs were felt to be an integral conduit between needed services and treatment. Our findings suggest that clinician role-differentiation may be an important by-product of team-based suicide prevention efforts in VHA settings. We contextualize our findings within both a processual and relational interprofessional framework and discuss implications for the implementation of team-based suicide prevention.
AD - Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, USA.; Department of Family Medicine, University of Rochester School of Medicine, Rochester, NY, USA.; Department of Obstetrics and Gynecology, University of Rochester School of Medicine, Rochester, NY, USA.; Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, USA.; VA Center for Integrated Healthcare, Syracuse Veterans Affairs Medical Center, Syracuse, NY, USA.; Center of Excellence for Suicide Prevention, Canandaigua Veterans Affairs Medical Center, Canandaigua, NY, USA.; Wilmot Cancer Institute, University of Rochester, Rochester, NY, USA.; Rochester Calkins Veterans Administration Clinic, Rochester, NY, USA.; Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, USA.; Center of Excellence for Suicide Prevention, Canandaigua Veterans Affairs Medical Center, Canandaigua, NY, USA.; Department of Public Health Sciences, University of Rochester School of Medicine, Rochester, NY, USA.
BT - Journal of interprofessional care
C5 - Education & Workforce; Healthcare Disparities
CY - England
DO - 10.1080/13561820.2019.1697213
JF - Journal of interprofessional care
LA - eng
M1 - Journal Article
N2 - Suicide prevention in clinical settings requires coordination among multiple clinicians with expertise in different disciplines. We aimed to understand the benefits and challenges of a team approach to suicide prevention in primary care, with a particular focus on Veterans. The Veterans Health Administration has both a vested interest in preventing suicide and it has rapidly and systematically adopted team-based approaches for primary care interventions, including suicide prevention. We conducted eight focus groups and eight in-depth interviews with primary care providers (PCPs), behavioral health providers and nurses located in six regions within one Veterans Administration Catchment Area in the northeast of the US. Transcripts were analyzed using simultaneous deductive and inductive content analysis. Findings revealed that different clinicians were thought to have particular expertise and roles. Nurses were recognized as being well positioned to identify subtle changes in patient behavior that could put patients at risk for suicide; behavioral health providers were recognized for their skill in suicide risk assessment; and PCPs were felt to be an integral conduit between needed services and treatment. Our findings suggest that clinician role-differentiation may be an important by-product of team-based suicide prevention efforts in VHA settings. We contextualize our findings within both a processual and relational interprofessional framework and discuss implications for the implementation of team-based suicide prevention.
PP - England
PY - 2019
SN - 1469-9567; 1356-1820
SP - 1
EP - 7
EP - 
T1 - Team-based suicide prevention: lessons learned from early adopters of collaborative care
T2 - Journal of interprofessional care
TI - Team-based suicide prevention: lessons learned from early adopters of collaborative care
U1 - Education & Workforce; Healthcare Disparities
U2 - 31852272
U3 - 10.1080/13561820.2019.1697213
VO - 1469-9567; 1356-1820
Y1 - 2019
Y2 - Dec 18
ER -