Organizational readiness for implementing comprehensive and tailored Veteran suicide prevention programming in community agencies.

IF 2.8 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Patricia D Russell, Joseph Mignogna, Lindsey L Monteith, Nathaniel Mohatt, Justin Benzer, Edgar Villarreal, Elisa Borah, Craig J Bryan, Kathryn Bongiovanni, Claire Hoffmire, Alan L Peterson, Jenna Heise, Sylvia Baack, Kimberly Weinberg, Marcy Polk, Bryann B DeBeer
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引用次数: 0

Abstract

Background: Suicide rates among Veterans were over 70% higher than non-Veterans in 2022, and nearly 60% had not recently used the Veterans Health Administration (VHA). Veterans have unique experiences and healthcare needs. VHA provides military culturally competent suicide prevention care to Veterans. There is a lack of research demonstrating that community agencies are adequately prepared to provide military culturally competent care, when appropriate.

Purpose: The purpose of this analysis was to understand organizational readiness and gaps related to providing military culturally competent Veteran suicide prevention programming in community agencies.

Methods: Semistructured qualitative interviews were conducted with 24 Veteran-serving community agencies to assess each organization's interactions with and navigation of VHA and care coordination, suicide prevention policies, procedures, and quality improvement, staff training on suicide prevention and military cultural competency, Veteran status screening procedures, crisis line dissemination, and suicide prevention metric tracking.

Results: Organizations lack awareness of their role in Veteran suicide prevention, and lack of readiness to implement comprehensive and military culturally competent Veteran suicide prevention programming. Salient implementation needs included: screening for Veteran status, collection of metrics, military cultural competency and suicide prevention training, Veterans Crisis Line dissemination, suicide prevention policies and standardized operating procedures, and care coordination between community agencies and VHA.

Conclusions: Findings suggest a need to bolster intraorganizational readiness to provide comprehensive and tailored suicide prevention programming to Veterans receiving care in the community with the aim of strengthening a community-wide safety net to reduce Veteran suicide deaths.

组织准备在社区机构实施全面和量身定制的退伍军人自杀预防规划。
背景:2022年退伍军人的自杀率比非退伍军人高出70%以上,近60%的人最近没有使用退伍军人健康管理局(VHA)。退伍军人有独特的经历和医疗需求。退伍军人事务部为退伍军人提供具有军事文化能力的自杀预防护理。缺乏研究表明,社区机构已做好充分准备,在适当情况下提供具有军事文化能力的护理。目的:本分析的目的是了解在社区机构中提供具有军事文化能力的退伍军人自杀预防规划的组织准备情况和差距。方法:对24家退伍军人服务社区机构进行半结构化定性访谈,评估各机构与VHA的互动和导航、护理协调、自杀预防政策、程序和质量改进、工作人员自杀预防和军事文化能力培训、退伍军人身份筛选程序、危机线传播和自杀预防指标跟踪。结果:组织缺乏对其在退伍军人自杀预防中的作用的认识,并且缺乏准备实施全面的和具有军事文化能力的退伍军人自杀预防规划。突出的实施需求包括:退伍军人身份的筛选、指标的收集、军事文化能力和自杀预防培训、退伍军人危机热线的传播、自杀预防政策和标准化操作程序,以及社区机构和退伍军人管理局之间的护理协调。结论:研究结果表明,有必要加强组织内部的准备,为在社区接受护理的退伍军人提供全面和量身定制的自杀预防方案,目的是加强社区范围的安全网,以减少退伍军人自杀死亡。
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来源期刊
Translational Behavioral Medicine
Translational Behavioral Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.80
自引率
0.00%
发文量
87
期刊介绍: Translational Behavioral Medicine publishes content that engages, informs, and catalyzes dialogue about behavioral medicine among the research, practice, and policy communities. TBM began receiving an Impact Factor in 2015 and currently holds an Impact Factor of 2.989. TBM is one of two journals published by the Society of Behavioral Medicine. The Society of Behavioral Medicine is a multidisciplinary organization of clinicians, educators, and scientists dedicated to promoting the study of the interactions of behavior with biology and the environment, and then applying that knowledge to improve the health and well-being of individuals, families, communities, and populations.
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