As providers, we’re trained to do everything we possibly can to prevent suicide. We take continuing education courses, we ask the “right” questions, we provide gun locks, we offer crisis sessions, we collaborate on safety plans, and we document it all. Then we hope and pray that our patients use the tools that we’ve given them and that we don’t receive that dreaded notification. But sometimes all of our best work is not enough.
Blog posts with the tag "Providers"
Even die-hard proponents of evidence-based psychotherapy (EBP) such as myself acknowledge that it comes with challenges. Of course, there are some patients who are uninterested in EBPs for a variety of reasons. But even motivated and engaged patients don’t always complete treatment or gain significant benefit. Research has long focused on how we can improve outcomes and completion rates for “non responders” and “dropouts.”
One of the issues that all providers are faced with in their clinical practice is deciding what treatment options might fit best with a client who has PTSD. While our brains often go to the first line treatments like PE, CPT and EMDR, sometimes a 10 - 12 session protocol isn't the best fit for the client in front of us who can’t commit to that treatment length or has other reasons that drive a different approach. To truly provide patient-driven care, we, as clinicians, need to have other EBP options at-the-ready to meet our clients where they are. In this episode of Practical for your Practice, CDP’s own Dr. Paula Domenici joins us to talk about her experience with using Written Exposure Therapy (WET) and how it has enhanced her clinical practice.
As many of our listeners know, the Departments of Veterans Affairs and Defense (VA/DoD) Clinical Practice Guideline (CPG) for posttraumatic stress disorder (PTSD) and acute stress disorder (ASD) was released in June of 2023. The CPG, designed to assist clinical decision making, provides recommendations that, in essence, give a clinician a fighting chance of identifying treatments that the research suggests should help their clients. But for many busy providers, it is a lot to unpack and digest!
Suicide Prevention Awareness Month may have officially ended but the efforts being taken by the DoD continue to take shape. In March of 2022, Secretary of Defense Lloyd Austin announced the establishment of the Suicide Prevention and Response Independent Review Committee (SPRIRC). The final report from the committee was released in February of this year and outlined specific recommendations on how the DoD can improve suicide prevention efforts in areas such as treatment access, training and education, public awareness campaigns, behavioral health staffing, research, and DoD policy and regulatory issues as a whole (Iwamasa et al., 2023).