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1 Welcome to today s Infopeople Webinar! Infopeople is dedicated to bringing you the best in prac5cal library training and improving informa5on access for the public by improving the skills of library workers. Infopeople, a grant project of the Califa Group, is supported in part by the Ins5tute of Museum and Library Services under the provisions of the Library Services and Technology Act administered in California by the State Librarian. This material is covered by Crea5ve Commons 4.0 Non-commercial Share Alike license. Any use of this material should credit the funding source.
2 VETERANS THE LIBRARY WEBINAR FUNDED BY CALIFORNIA STATE LIBRARY MENTAL HEALTH INITATIVE
3 VETERANS AND MENTAL HEALTH: SUICIDE PREVENTION PRESENTED BY: TANA TEICHEIRA LCSW NCHCS/VA APRIL 20, 2017
4 DATA FRONTIER WHAT DATA ARE & ARE NOT CONSTRUCT & STRUCTURE RELIABILITY & VARIABLES INTERPRETATION & USE DATA TORTURE
5 USA SUICIDES 2014
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7 VETERAN SUICIDE 20 VETERANS DIE BY SUICIDE EACH DAY 7200 EACH YEAR 67% BY FIREARMS FOCUS ON MEANS REDUCTION FIREARM HYGIENE MEDS 8.5% OF ADULT POPULATION 18% OF ADULT SUICIDES 21% HIGHER AMONG VETERANS THAN NON-VETERANS 18% HIGHER FOR MALE VETERANS 59% HIGHER FOR FEMALE VETERANS 65% SUICIDES WERE 50+ YEARS OLD HIGHEST AMONG VETERANS LOWEST AMONG VETERANS 60+ HIGHEST GROUP OVERALL *
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10 CONNECTION COMPARATIVE RATES OF SUICIDE FOR VETERANS WITH OR WITHOUT CONNECTION VETERANS CONNECTED WITH VA SERVICES 8.8% VETERANS NOT CONNECTED WITH VA SERVICES 38.6% MALE VETERANS CONNECTED WITH VA SERVICES 11% MALE VETERANS NOT CONNECTED WITH VASERVICES 35% FEMALE VETERANS CONNECTED WITH VA SERVICES 4.6% FEMALE VETERANS NOT CONNECTED WITH VA SERVICES 98%
11 TRAUMA
12 SCHEMA SCHEMA: REPRESENTATION OF PLAN-THEORY IN FORM OF OUTLINE-MODEL SCHEMA MENTAL HEALTH: THOUGHT-BEHAVIOR PATTERNS THAT ORGANIZE NEW INFORMATION AND STRUCTURES INFORMATIONAL RELATIONSHIPS. EXISTENTIAL FRAMEWORK OF UNDERSTANDING. SYSTEM OF ORGANIZING NEW INFORMATION AND PRECONCEIVED IDEAS. RESISTS CHANGING WHEN CONTRADICTED. CONTRADICTIONS RESHAPED-FIT. NOT COMPLEX THOUGHT 1185: JAPANESE SAMURAI GARDENS 1678: SWISS PHYSICIANS IDENTIFY NOSTALGIA : U.S. MILITARY PHYSICIANS DOCUMENT STRESSES OF CIVIL WAR SOLDIERS 1889: JOHNSTOWN FLOOD 1871: DA COSTA IRRITABLE HEART 1905: BATTLE SHOCK MEDICAL CONDITION RUSSIA : SHELL SHOCK DURING WWI 1918: SMITH-PEAR WAR STRAIN EMOTIONS-SYMPTOMS 1919: FREUD WAR NEUROSIS 1933: HOLOCAUST 1946: FRANKL LOGOTHERAPY 1967: SELIGMAN DOGS 1969: PETTERA-JOHNSON-ZIMMER COMBAT REACTION 1980: POSTTRAUMATIC STRESS DISORDER DSM-III 1981: BUFFALO CREEK 1987: DSM-III-R OMITS NORMAL EXPERIENCE 1993: VIETNAM TWIN STUDY
13 VARIANCE AN ESTIMATED 50 90% OF INDIVIDUALS IN THE UNITED STATES EXPERIENCE AT LEAST ONE TRAUMATIC EVENT DURING THEIR LIFETIME; HOWEVER ONLY A MINORITY OF TRAUMA-EXPOSED INDIVIDUALS DEVELOPS POSTTRAUMATIC STRESS DISORDER (PTSD) (KESSLER ET AL., 1995; ROBERTS ET AL). PTSD CONSTITUTES A RESPONSE TO TRAUMA EXPOSURE THAT INVOLVES INTENSE FEAR, HELPLESSNESS OR HORROR PLUS SYMPTOMS OF PERSISTENT REEXPERIENCING OF THE TRAUMATIC EVENT, PERSISTENT AVOIDANCE OF TRAUMA-ASSOCIATED STIMULI AND NUMBING OF RESPONSIVENESS, AND PERSISTENT INCREASED AROUSAL (AMERICAN PSYCHIATRIC ASSOCIATION 1990). CONDITIONAL RISK OF PTSD IS HIGHLY VARIABLE BY TYPE OF EXPOSURE RANGING FROM 80% AMONG FORMER PRISONERS OF WAR (ENGDAHL 1997) TO ABOUT 50% AMONG RAPE SURVIVORS AND 8% AMONG INDIVIDUALS EXPOSED TO NATURAL DISASTERS (KESSLER ET AL., 1995). DESPITE GAINS IN THE PSYCHOSOCIAL LITERATURE TO IDENTIFY VARIABLES RELATED TO VULNERABILITY IN THE AFTERMATH OF EXPOSURE TO A TRAUMATIC EVENT (BREWIN ET AL., 2000; OZER ET AL., 2003) A LARGE AMOUNT OF VARIANCE REMAINS UNEXPLAINED
14 RESILIENCY ABLE TO RECOVER QUICKLY FROM MISFORTUNE; ABLE TO RETURN TO ORIGINAL FORM AFTER BEING BENT, COMPRESSED, OR STRETCHED OUT OF SHAPE. A HUMAN ABILITY TO RECOVER QUICKLY FROM DISRUPTIVE CHANGE, OR MISFORTUNE WITHOUT BEING OVERWHELMED OR ACTING IN DYSFUNCTIONAL OR HARMFUL WAYS. TIME SAFETY SUPPORT TREATMENT FREQUENCY INTENSITY HISTORY INDIVIDUAL
15 SIGNS IDEATION: TALKING OR WRITING ABOUT DEATH, SUICIDE, FEELING BURDENSOME TO OTHERS, HOPELESSNESS MEANS OR PLAN: ACQUIRING WEAPONS, ROPE, SHARPS, MEDICATION HOARDING BEHAVIOR: SUDDEN OR UNUSUAL CHANGE, RAGE, REVENGE, RISK TAKING, ISOLATION, DEPRESSION STRESSORS: COMBAT, PAIN FAMILY, FINANCE, LACK OF SUPPORT, ELDERLY, HEALTH ANNIVERSARY DATES
16 QUESTIONS ARE YOU FEELING DEPRESSED, HOPELESS, A BURDEN TO SOMEONE WORRIED ABOUT PRESENT OR FUTURE HAVE YOU EVER THOUGHT OF SUICIDE OR OF ENDING YOUR LIFE ARE YOU THINKING ABOUT SUICIDE OR HURTING YOURSELF DO YOU HAVE PLAN-MEANS-DATE-TIME HAVE YOU EVER ATTEMPTED SUICIDE OR HURT YOURSELF INTENTIONALLY YOU AREN T ARE YOU FORMAT ASKING ABOUT SUICIDE DOES NOT INCREASE CHANCES OF SUICIDE IT REDUCES CHANCES
17 VALIDATION LISTEN ACTIVELY ENCOURAGE THE VETERAN OR PERSON TO TELL YOU MORE AFFIRM INDICATE UNDERSTANDING REPEAT AND RESTATE REMAIN NON-JUDGMENTAL BE CONFIDENT
18 TREATMENT ENCOURAGE TREATMENT ENCOURAGE CONNECTION WITH NATURAL AND OTHER SUPPORT(S) PROVIDE CONTACTS AND INSTRUCTIONS UNDERSTAND AVAILABLE RESOURCES AND SERVICES KNOW HOW TO REFER DIRECT HANDOFF OR ESCORT VETERANS CRISIS LINE, 911, ER, TRIAGE TREATMENT REDUCES RISK OF SUICIDE
19 REDUCE ACCESS TO MEANS SECURING FIREARMS-GUN HYGIENE BY USING LOCKS-GUN SAFES-REMOVAL STATE FIREARM PROHIBITIONS-LAW ENFORCEMENT NOTIFICATION SECURING MEDICATION USING DISPOSAL TAKE BACKS-TRASH SECURING OTHER MEANS SHARPS-LIGATURES-CARS-CHEMICALS HARM TO SELF AND OTHERS-DTO/DTS WELFARE CHECK-RESCUES 5150/5250 INVOLUNTARY HOLDS REDUCING RISK TO OTHERSBY USING TRO AND NOTTIFICATION SUICIDE SAFETY PLAN DOS AND DO NOTS TREATEMENT-CASE REVIEWS CREATE SAFE ENVIRONMENTS INPATIENT OUTPATIENT SURROUNDINGS COMMUNITY AT LARGE EDUCATION AND AWARENESS SAFETY
20 CRISIS SUICIDAL IDEATION, THREAT OR GESTURE TELEPHONE: KEEP VETERAN ON THE PHONE AND TALKING TRY TO GET NAME, LOCATION, CALL BACK NUMBER GESTURE, WRITE NOTE FOR STAFF HELP, CALL SECURITY, POLICE, 911 WARM TRANSFER VCL* FACE TO FACE: LISTEN AND ASK QUESTIONS STAY WITH VETERAN ESCORT TO ASSISTANCE, CALL OR GESTURE FOR HELP IF VETERAN LEAVES, CALL POLICE, 911 OBSERVED: NOTE LOCATION, DESCRIPTION CALL SECURITY, POLICE, 911 EVALUATION/DETERMINATION: SAFE ON OWN OR INVOLUNTARY HOLD
21 VCL VETERANS CRISIS LINE ESTABLISHED IN 2007 MORE THAN 3 MILLION CALLS 125,000 RESCUES ELECTRONIC CONSULTS SENT SPC CONTACT WITHIN 24 HRS
22 NCHCS
Welcome to today s Infopeople Webinar!
Welcome to today s Infopeople Webinar! Infopeople is dedicated to bringing you the best in prac5cal library training and improving informa5on access for the public by improving the skills of library workers.
Welcome to today s Infopeople Webinar!
Welcome to today s Infopeople Webinar! Infopeople is dedicated to bringing you the best in prac5cal library training and improving informa5on access for the public by improving the skills of library workers.
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