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Chaplain Suicide Prevention Consult (CSPC)

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This practice is designed to: 1) improve Veterans’ access to mental and spiritual care; 2) increase awareness and integration of spirituality in clinical care, especially in addressing suicidality; and 3) increase dialogue between the suicide prevention team and chaplaincy, consistent with established VA policy.

This practice is part of the Integrative Mental Health (IMH) Dynamic Diffusion Network.
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Ready to adopt this practice?

Visit this address to complete a pre-implementation survey and get started now! https://tinyurl.com/ChSPCon

This innovation is replicating across multiple facilities as its impact continues to be validated. See more replicating innovations.

Origin:

January 2015, Durham VA Medical Center

Adoptions:

29 successful, 18 in-progress

Awards and Recognition:

Best Practice Recognition 2018- National VA Chaplain Service (formerly National Chaplain Center)

Contact Team

Overview

Problem

Referrals between chaplaincy and mental health in VA are very low, averaging 0-2 per month in either direction.

Solution

DVAHCS Chaplain Service and Suicide Prevention collaborated to create a "Chaplain Suicide Prevention Consult" to facilitate referrals from mental health to chaplaincy.

Results

With this practice, referrals of at-risk Veterans to chaplaincy increased substantially, averaging 7-10 consults/month (June 2015-Dec 2017)!

Additionally, some sites have modified the process to include proactive chaplaincy outreach to Veterans on the Facility High Risk list and/or by receiving consults for spiritual needs but not requiring them prior to
... See more

Images

Consult trial period results

Metrics

  • We continue to analyze referrals to/from mental health and chaplaincy for at-risk Veterans and coordination of care in context of COVID-19 pandemic.

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)

Statuses

CO: Fort Collins VA Clinic (Fort Collins) CO: Loveland VA Clinic (Loveland) CO: Sterling VA Clinic (Sterling, Colorado) FL: Lake City VA Medical Center (Lake City, Florida) FL: Malcom Randall Department of Veterans Affairs Medical Center (Gainesville)
  • Started adoption on 07/2020, ended on 10/2020.
MS: Biloxi VA Medical Center (Biloxi)
  • Started adoption on 09/2018.
NC: Brier Creek VA Clinic (Brier Creek) NC: Durham VA Medical Center (Durham)
  • Started adoption on 01/2015, ended on 06/2015.
NC: Greenville VA Clinic (Greenville, North Carolina) NC: Hillandale Road VA Clinic (Hillandale Road) NC: Raleigh III VA Clinic (Raleigh III) NE: Sidney VA Clinic (Sidney) OH: Louis Stokes Cleveland Department of Veterans Affairs Medical Center (Cleveland, Ohio) OK: Ernest Childers Department of Veterans Affairs Outpatient Clinic (Tulsa) OK: Jack C. Montgomery Department of Veterans Affairs Medical Center (Muskogee, Oklahoma) OK: McAlester VA Clinic (McAlester) OK: McCurtain County VA Clinic (McCurtain County) OK: Tulsa Eleventh Street VA Clinic (Tulsa Eleventh Street) OK: Vinita VA Clinic (Vinita) OK: Yale Avenue VA Clinic (Yale Avenue) TN: James H. Quillen Department of Veterans Affairs Medical Center (Mountain Home, Tennessee) TN: Nashville VA Medical Center (Nashville) TX: Austin VA Clinic (Austin) TX: Doris Miller Department of Veterans Affairs Medical Center (Waco) TX: Olin E. Teague Veterans' Center (Temple) TX: Thomas E. Creek Department of Veterans Affairs Medical Center (Amarillo)
  • Started adoption on 01/2021, ended on 01/2022.
WA: Mann-Grandstaff Department of Veterans Affairs Medical Center (Spokane, Washington) WY: Cheyenne VA Medical Center (Cheyenne) WY: Rawlins VA Clinic (Rawlins)

There are no unsuccessful adoptions for this innovation.

Multimedia

Images

The ongoing refinement of this practice is supported by the Integrative Mental Health (IMH) Dynamic Diffusion Network (DDN). The DDN is a network of IMH-trained chaplains and mental health partners who have developed collaborative approaches to suicide prevention and moral injury care.

Implementation

Timeline

  • Month 1
    Identify team members, have preliminary conversations about collaboration
    CAC develops consult in medical record system
  • Ongoing
    Monitoring and continuous refinement of understanding and processes

Departments

  • Chaplaincy
  • Suicide prevention

Core Resources

Resource type Resource description
PEOPLE
  • CAC colleagues to create (or install from DVAHCS template) the CSPC file.
PROCESSES
  • Effective Consult tracking using the "Consult Toolbox" specialty application.

Files

Links

Contact

Comment

Comments and replies are disabled for retired innovations and non-VA users.

VA User (CHAPLAIN) Innovation adopter posted

any additional guidance is welcomed

1
VA User (Chief, Chaplain Service) Innovation adopter posted

Lorna Graham (Chaplain) Plan to introduce this to our team in VT. Thank you!

2
VA User (Chaplain, SBYVAMC) Innovation adopter posted

Making strides to introduce this to our Healthcare Provider Team! Thanks for the hard work towards addressing this effort to protecting the lives of our veterans!

1
VA User (Chaplain) Innovation adopter posted

Great site, even better work!

2
VA User (Chaplain) Innovation adopter posted

Central Texas Veterans HCS (CTVHCS) implementing this consult as part of the Suicide Prevention Clinic (SPC) of which we have a designated chaplain assigned to the SPC.

2

Email

Email with questions about this innovation.

About

Origin story

In January 2015, the Durham VAHCS suicide prevention team was rocked by multiple completed suicides. The Suicide Prevention Coordinator asked the Chaplain Service Chief to help provide support to the SP team. This support was well received and resulted in the SP team requesting increased involvement from chaplaincy in the care of Veterans at elevated suicide ... In January 2015, the Durham VAHCS suicide prevention team was rocked by multiple completed suicides. The Suicide Prevention Coordinator asked the Chaplain Service Chief to help provide support to the SP team. This support was well received and resulted in the SP team requesting increased involvement from chaplaincy in the care of Veterans at elevated suicide risk.

Original team

Ryan Parker

Chaplain

Gary Cunha

Suicide Prevention Coordinator