Evaluation of Training in Identifying and Responding to Suicide Risk by Staff of a Behavioral Health Managed Care Organization.

Autor:	Walker ML; Marcie L. Walker, BS, is a Project Analyst on the Research Strategy, Evaluation and Outcomes Management team at Community Care Behavioral Health Organization. Ms. Walker holds a Bachelor of Science degree in psychology from the University of Pittsburgh. She has 20 years of career experience in behavioral health and research focused on improving identification and treatment of mood disorders ( walkerml2@ccbh.com ).; Lori A. Weems, MS, is the Program Manager of Social & Racial Justice and Health Equity at Community Care Behavioral Health, UPMC Insurance Services Division. Ms. Weems holds a Master's Degree in Community Mental Health from Trinity College of Vermont and a Bachelor of Science degree in psychology from Duquesne University. Ms. Weems has over 20 years of experience managing behavioral health programs ( weemsl@ccbh.com ).; Shari L. Hutchison, MS, PMP, has over 30 years of experience in program evaluation and quality improvement in behavioral health. She earned dual Bachelor of Science degrees from Syracuse University and a Master of Science in Psychology from the University of Pittsburgh. She is currently Project Director in the Research, Evaluation and Outcomes Department at Community Care Behavioral Health Organization ( hutchisons@ccbh.com ).; Amy D. Herschell, PhD, is the Senior Director of Research Strategy and Outcomes Management for Community Care Behavioral Health Organization, where she leads the development and implementation of rigorous, high-priority evaluations and oversees outcome activities in support of program advancements (e.g., early childhood wellness and evidence-based practice implementation). Trained and licensed in Pennsylvania as a clinical psychologist, Dr. Herschell's clinical interests have focused on collaboratively developing high-quality, community-based care for young children and their families ( herschella@ccbh.com ).; Irina O. Karpov, MS, is currently a Senior Statistician at Community Care Behavioral Health Organization at the University of Pittsburgh Medical Center (UPMC). She holds a Master of Science degree in biostatistics from the University of Pittsburgh (2004). Since graduation she has been involved in statistical analysis related to behavioral health at the University of Pittsburgh and UPMC ( karpovio@ccbh.com ).; Kim L. MacDonald-Wilson, ScD, CPRP, is the Senior Program Director of Recovery and Wellness for Community Care Behavioral Health, UPMC Insurance Services Division and Adjunct Assistant Professor of Psychiatry at the University of Pittsburgh, overseeing the development and implementation of recovery and wellness-oriented programs and systems innovations in the Community Care network ( macdonaldwilsonkl@ccbh.com )., Weems LA; Marcie L. Walker, BS, is a Project Analyst on the Research Strategy, Evaluation and Outcomes Management team at Community Care Behavioral Health Organization. Ms. Walker holds a Bachelor of Science degree in psychology from the University of Pittsburgh. She has 20 years of career experience in behavioral health and research focused on improving identification and treatment of mood disorders ( walkerml2@ccbh.com ).; Lori A. Weems, MS, is the Program Manager of Social & Racial Justice and Health Equity at Community Care Behavioral Health, UPMC Insurance Services Division. Ms. Weems holds a Master's Degree in Community Mental Health from Trinity College of Vermont and a Bachelor of Science degree in psychology from Duquesne University. Ms. Weems has over 20 years of experience managing behavioral health programs ( weemsl@ccbh.com ).; Shari L. Hutchison, MS, PMP, has over 30 years of experience in program evaluation and quality improvement in behavioral health. She earned dual Bachelor of Science degrees from Syracuse University and a Master of Science in Psychology from the University of Pittsburgh. She is currently Project Director in the Research, Evaluation and Outcomes Department at Community Care Behavioral Health Organization ( hutchisons@ccbh.com ).; Amy D. Herschell, PhD, is the Senior Director of Research Strategy and Outcomes Management for Community Care Behavioral Health Organization, where she leads the development and implementation of rigorous, high-priority evaluations and oversees outcome activities in support of program advancements (e.g., early childhood wellness and evidence-based practice implementation). Trained and licensed in Pennsylvania as a clinical psychologist, Dr. Herschell's clinical interests have focused on collaboratively developing high-quality, community-based care for young children and their families ( herschella@ccbh.com ).; Irina O. Karpov, MS, is currently a Senior Statistician at Community Care Behavioral Health Organization at the University of Pittsburgh Medical Center (UPMC). She holds a Master of Science degree in biostatistics from the University of Pittsburgh (2004). Since graduation she has been involved in statistical analysis related to behavioral health at the University of Pittsburgh and UPMC ( karpovio@ccbh.com ).; Kim L. MacDonald-Wilson, ScD, CPRP, is the Senior Program Director of Recovery and Wellness for Community Care Behavioral Health, UPMC Insurance Services Division and Adjunct Assistant Professor of Psychiatry at the University of Pittsburgh, overseeing the development and implementation of recovery and wellness-oriented programs and systems innovations in the Community Care network ( macdonaldwilsonkl@ccbh.com )., Hutchison SL; Marcie L. Walker, BS, is a Project Analyst on the Research Strategy, Evaluation and Outcomes Management team at Community Care Behavioral Health Organization. Ms. Walker holds a Bachelor of Science degree in psychology from the University of Pittsburgh. She has 20 years of career experience in behavioral health and research focused on improving identification and treatment of mood disorders ( walkerml2@ccbh.com ).; Lori A. Weems, MS, is the Program Manager of Social & Racial Justice and Health Equity at Community Care Behavioral Health, UPMC Insurance Services Division. Ms. Weems holds a Master's Degree in Community Mental Health from Trinity College of Vermont and a Bachelor of Science degree in psychology from Duquesne University. Ms. Weems has over 20 years of experience managing behavioral health programs ( weemsl@ccbh.com ).; Shari L. Hutchison, MS, PMP, has over 30 years of experience in program evaluation and quality improvement in behavioral health. She earned dual Bachelor of Science degrees from Syracuse University and a Master of Science in Psychology from the University of Pittsburgh. She is currently Project Director in the Research, Evaluation and Outcomes Department at Community Care Behavioral Health Organization ( hutchisons@ccbh.com ).; Amy D. Herschell, PhD, is the Senior Director of Research Strategy and Outcomes Management for Community Care Behavioral Health Organization, where she leads the development and implementation of rigorous, high-priority evaluations and oversees outcome activities in support of program advancements (e.g., early childhood wellness and evidence-based practice implementation). Trained and licensed in Pennsylvania as a clinical psychologist, Dr. Herschell's clinical interests have focused on collaboratively developing high-quality, community-based care for young children and their families ( herschella@ccbh.com ).; Irina O. Karpov, MS, is currently a Senior Statistician at Community Care Behavioral Health Organization at the University of Pittsburgh Medical Center (UPMC). She holds a Master of Science degree in biostatistics from the University of Pittsburgh (2004). Since graduation she has been involved in statistical analysis related to behavioral health at the University of Pittsburgh and UPMC ( karpovio@ccbh.com ).; Kim L. MacDonald-Wilson, ScD, CPRP, is the Senior Program Director of Recovery and Wellness for Community Care Behavioral Health, UPMC Insurance Services Division and Adjunct Assistant Professor of Psychiatry at the University of Pittsburgh, overseeing the development and implementation of recovery and wellness-oriented programs and systems innovations in the Community Care network ( macdonaldwilsonkl@ccbh.com )., Herschell AD; Marcie L. Walker, BS, is a Project Analyst on the Research Strategy, Evaluation and Outcomes Management team at Community Care Behavioral Health Organization. Ms. Walker holds a Bachelor of Science degree in psychology from the University of Pittsburgh. She has 20 years of career experience in behavioral health and research focused on improving identification and treatment of mood disorders ( walkerml2@ccbh.com ).; Lori A. Weems, MS, is the Program Manager of Social & Racial Justice and Health Equity at Community Care Behavioral Health, UPMC Insurance Services Division. Ms. Weems holds a Master's Degree in Community Mental Health from Trinity College of Vermont and a Bachelor of Science degree in psychology from Duquesne University. Ms. Weems has over 20 years of experience managing behavioral health programs ( weemsl@ccbh.com ).; Shari L. Hutchison, MS, PMP, has over 30 years of experience in program evaluation and quality improvement in behavioral health. She earned dual Bachelor of Science degrees from Syracuse University and a Master of Science in Psychology from the University of Pittsburgh. She is currently Project Director in the Research, Evaluation and Outcomes Department at Community Care Behavioral Health Organization ( hutchisons@ccbh.com ).; Amy D. Herschell, PhD, is the Senior Director of Research Strategy and Outcomes Management for Community Care Behavioral Health Organization, where she leads the development and implementation of rigorous, high-priority evaluations and oversees outcome activities in support of program advancements (e.g., early childhood wellness and evidence-based practice implementation). Trained and licensed in Pennsylvania as a clinical psychologist, Dr. Herschell's clinical interests have focused on collaboratively developing high-quality, community-based care for young children and their families ( herschella@ccbh.com ).; Irina O. Karpov, MS, is currently a Senior Statistician at Community Care Behavioral Health Organization at the University of Pittsburgh Medical Center (UPMC). She holds a Master of Science degree in biostatistics from the University of Pittsburgh (2004). Since graduation she has been involved in statistical analysis related to behavioral health at the University of Pittsburgh and UPMC ( karpovio@ccbh.com ).; Kim L. MacDonald-Wilson, ScD, CPRP, is the Senior Program Director of Recovery and Wellness for Community Care Behavioral Health, UPMC Insurance Services Division and Adjunct Assistant Professor of Psychiatry at the University of Pittsburgh, overseeing the development and implementation of recovery and wellness-oriented programs and systems innovations in the Community Care network ( macdonaldwilsonkl@ccbh.com )., Karpov IO; Marcie L. Walker, BS, is a Project Analyst on the Research Strategy, Evaluation and Outcomes Management team at Community Care Behavioral Health Organization. Ms. Walker holds a Bachelor of Science degree in psychology from the University of Pittsburgh. She has 20 years of career experience in behavioral health and research focused on improving identification and treatment of mood disorders ( walkerml2@ccbh.com ).; Lori A. Weems, MS, is the Program Manager of Social & Racial Justice and Health Equity at Community Care Behavioral Health, UPMC Insurance Services Division. Ms. Weems holds a Master's Degree in Community Mental Health from Trinity College of Vermont and a Bachelor of Science degree in psychology from Duquesne University. Ms. Weems has over 20 years of experience managing behavioral health programs ( weemsl@ccbh.com ).; Shari L. Hutchison, MS, PMP, has over 30 years of experience in program evaluation and quality improvement in behavioral health. She earned dual Bachelor of Science degrees from Syracuse University and a Master of Science in Psychology from the University of Pittsburgh. She is currently Project Director in the Research, Evaluation and Outcomes Department at Community Care Behavioral Health Organization ( hutchisons@ccbh.com ).; Amy D. Herschell, PhD, is the Senior Director of Research Strategy and Outcomes Management for Community Care Behavioral Health Organization, where she leads the development and implementation of rigorous, high-priority evaluations and oversees outcome activities in support of program advancements (e.g., early childhood wellness and evidence-based practice implementation). Trained and licensed in Pennsylvania as a clinical psychologist, Dr. Herschell's clinical interests have focused on collaboratively developing high-quality, community-based care for young children and their families ( herschella@ccbh.com ).; Irina O. Karpov, MS, is currently a Senior Statistician at Community Care Behavioral Health Organization at the University of Pittsburgh Medical Center (UPMC). She holds a Master of Science degree in biostatistics from the University of Pittsburgh (2004). Since graduation she has been involved in statistical analysis related to behavioral health at the University of Pittsburgh and UPMC ( karpovio@ccbh.com ).; Kim L. MacDonald-Wilson, ScD, CPRP, is the Senior Program Director of Recovery and Wellness for Community Care Behavioral Health, UPMC Insurance Services Division and Adjunct Assistant Professor of Psychiatry at the University of Pittsburgh, overseeing the development and implementation of recovery and wellness-oriented programs and systems innovations in the Community Care network ( macdonaldwilsonkl@ccbh.com )., MacDonald-Wilson KL; Marcie L. Walker, BS, is a Project Analyst on the Research Strategy, Evaluation and Outcomes Management team at Community Care Behavioral Health Organization. Ms. Walker holds a Bachelor of Science degree in psychology from the University of Pittsburgh. She has 20 years of career experience in behavioral health and research focused on improving identification and treatment of mood disorders ( walkerml2@ccbh.com ).; Lori A. Weems, MS, is the Program Manager of Social & Racial Justice and Health Equity at Community Care Behavioral Health, UPMC Insurance Services Division. Ms. Weems holds a Master's Degree in Community Mental Health from Trinity College of Vermont and a Bachelor of Science degree in psychology from Duquesne University. Ms. Weems has over 20 years of experience managing behavioral health programs ( weemsl@ccbh.com ).; Shari L. Hutchison, MS, PMP, has over 30 years of experience in program evaluation and quality improvement in behavioral health. She earned dual Bachelor of Science degrees from Syracuse University and a Master of Science in Psychology from the University of Pittsburgh. She is currently Project Director in the Research, Evaluation and Outcomes Department at Community Care Behavioral Health Organization ( hutchisons@ccbh.com ).; Amy D. Herschell, PhD, is the Senior Director of Research Strategy and Outcomes Management for Community Care Behavioral Health Organization, where she leads the development and implementation of rigorous, high-priority evaluations and oversees outcome activities in support of program advancements (e.g., early childhood wellness and evidence-based practice implementation). Trained and licensed in Pennsylvania as a clinical psychologist, Dr. Herschell's clinical interests have focused on collaboratively developing high-quality, community-based care for young children and their families ( herschella@ccbh.com ).; Irina O. Karpov, MS, is currently a Senior Statistician at Community Care Behavioral Health Organization at the University of Pittsburgh Medical Center (UPMC). She holds a Master of Science degree in biostatistics from the University of Pittsburgh (2004). Since graduation she has been involved in statistical analysis related to behavioral health at the University of Pittsburgh and UPMC ( karpovio@ccbh.com ).; Kim L. MacDonald-Wilson, ScD, CPRP, is the Senior Program Director of Recovery and Wellness for Community Care Behavioral Health, UPMC Insurance Services Division and Adjunct Assistant Professor of Psychiatry at the University of Pittsburgh, overseeing the development and implementation of recovery and wellness-oriented programs and systems innovations in the Community Care network ( macdonaldwilsonkl@ccbh.com ).
Jazyk:	angličtina
Zdroj:	Professional case management [Prof Case Manag] 2023 Jul-Aug 01; Vol. 28 (4), pp. 172-182.
DOI:	10.1097/NCM.0000000000000610
Abstrakt:	Purpose of Study: Gatekeeper training for individuals who may be in contact with someone contemplating suicide is a recommended suicide prevention strategy. This study assessed organizational-level gatekeeper training. Primary Care Settings: Gatekeeper training was conducted in a behavioral health managed care organization (BHMCO), which facilitates integrated behavioral and physical health services for 1.4 million Medicaid-enrolled Pennsylvanians. Methodology and Sample: Gatekeeper training was offered to BHMCO staff via a new training policy. Gatekeeper trainers were qualified BHMCO staff. Approximately half (47%) of trained staff served as care managers. Pre- and posttraining surveys were administered to assess self-reported confidence in ability to identify and assist individuals at risk for suicide. Post-training, staff responded to a hypothetical vignette involving suicide risk, which was evaluated for skills by gatekeeper trainers. Results: Eighty-two percent of staff completed training. Mean confidence scores improved significantly from pre- (η = 615) to posttraining (η = 556) (understanding = 3.41 vs. 4.11, respectively; knowledge = 3.47 vs. 4.04; identification = 3.30 vs. 3.94; respond = 3.30 vs. 4.04, p < .0001 for each). Intermediate and advanced skills to address suicide risk were demonstrated post-training in 68.6% and 17.2% of staff, respectively. More care managers versus other BHMCO staff demonstrated advanced skills (21.6% vs. 13.0%); however, both groups showed significant improvement pre- to post-training. Implications for Case Management: Care managers benefit from suicide prevention training and are uniquely positioned to serve as organizational leaders to successful population health initiatives to decrease suicide through training and education. Competing Interests: The authors report no conflicts of interest. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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