PRiSMM Resources and Tools
Strategies for telehealth patient engagement
New telehealth practice simulations
Provider's Best Practice Guide for Telehealth: Telehealth resources for behavioral health care, direct-to-consumer health care and emergency departments.
- Michigan Statewide Suicide Prevention campaign: social media and other resources.
- Text or Call 988 Suicide and Crisis Lifeline.
- Safety Plan.
- Columbia Risk Identification-CSSRS.
- Man Therapy Michigan.
- Thumb Community Health Partnership.
- Thumb Area Man Therapy campaign video designed to connect men to local resources.
- Zero Suicide.
- Promising Practices in Virtual Integrated Behavioral Health Care Lessons from Community Health Centers during COVID-19. Health Information Technology, Evaluation, and Quality Center (HITEQ) February 2021.
- Community Mental Health Association of Michigan Behavioral Telehealth Resource Center.
- Upper Midwest Telehealth Resource Center.
Men's specific needs and considerations
- Veterans Resources and Supports:
- Depression and Suicidality in Gay Men: Implications for Health Care Providers. Brennan et al., 2010; Hottes et al., 2016; King et al., 2008.
- The relation between sexual orientation and suicide attempts in Austria. Plöderl, Kralovec and Fartacek, 2010.
- Trends in suicide death risk in transgender people: results from the Amsterdam Cohort of Gender Dysphoria study (1972–2017).
Identify and assist
- Coalitions and Crisis Lines.
- Columbia Suicide Severity Rating Scale.
- NIHM ASQ Suicide Risk Screening Tool.
- C-SSRS Risk Identification and Triage help.
- Telehealth Tips.
- Resources to keep in touch with patients/clients to promote their continued connection with care and treatment:
Mobile apps and digital prescription therapies
- Highly interactive, individually tailored applications empower MyStrength users to address depression, anxiety, stress, substance use, chronic pain, and sleep challenges, while also supporting the physical and spiritual aspects of whole-person health.
- For individuals with opioid use disorder, reSET-O® is the only FDA-authorized prescription digital therapeutic that is proven to help patients stay in treatment longer using evidence-based approaches, like cognitive behavioral therapy, fluency training, and contingency management.
- reSET-O® works in a way that meets patients where they already are, on their smartphones, so they can turn screen time into therapy time.
- Patients prescribed reSET-O® can download it to their phones for secure, discreet, convenient access to therapy, interactive learning, and support.
- Screening, Brief Intervention and Referral to Treatment is a comprehensive, integrated, public health approach for early identification and intervention with patients whose patterns of alcohol and/or drug use put their health at risk.
- The screening quickly assesses the severity of substance use and identifies the appropriate level of treatment.
- Brief intervention focuses on increasing insight and awareness regarding substance use and motivation toward behavioral change.
- Referral to treatment provides those identified as needing more extensive treatment with access to specialty care.
- Modeled on a cognitive behavioral therapy technique that uses a physical box containing things that remind patients of positive experiences, reasons for living, people who care about them, or coping resources.
Effective care and treatment
- Know your network for crisis care mobilization.
- 24/7 points of care access.
- No Wrong Door approach (examples).
- Consider outreach approaches such as guided intervention that match the patient's experience and offer coping methods for managing suicidal thoughts and other life problems.
- Use of Care Cards to keep in touch with patients/clients to promote their continued connection with care and treatment (See examples in the Increase help-seeking resource list).
Care transitions and linkages
- Know your network for crisis care mobilization (walk-in, 24/7 points of care access, local inpatient units and hospital crisis care teams).
- SAMHSA Locator: Find locations for treatment.
- MiHIA Great Lakes Region PRiSMM Resources Inventory.
Respond to crisis
- National Suicide Prevention (NSP) Lifeline: 1-800-273-TALK (1-800-273-8255).
- Crisis Text Line is accessible by texting: “HOME” to 741741.
- Veterans Crisis Line: 1-800-273-8255 (Press 1).
- Veterans Crisis Text Line: 838255.
- Zero Suicide recommendations:
- Clinics should have high-risk protocols for telehealth to include securing emergency contact information and having crisis numbers for all counties or regions served.
- Emergency contacts and preferred mode of contact, should be updated at the start of each session in case there have been any changes. In the case of an emergency, the provider may need to call the emergency contact to assist in evaluating a client’s safety or transporting a client needing a higher level of care.
- Know crisis team availability in the county where the patient resides.
- Safety planning.
- Suicide Prevention Resource Center:
- Stanley Brown Template (can develop collaboratively by sharing screen, texting, etc.)
- Treating Suicidal Patients During COVID-19: Best Practices and Telehealth
- Discusses safety planning adaptations for telehealth (contact info, plan if lose contact, involving family, support).
- Discusses virtual options for coping skills.
- Discusses Dialectical Behavioral Therapy (DBT) Skills
- DBT, medically known as dialectical behavioral therapy (talking therapy) can be performed either individually or through a group session to aid individuals to identify and positively change negative thinking patterns.
- DBT is based on Cognitive Behavior Therapy but has been specially adapted to treat individuals who suffer from extremely intense emotions such as depressive, destructive, or suicidal states.
- The end result of DBT is to identify, change and help an individual cope with negative and unhealthy behavior patterns and emotions, mainly during social situations.
- 911, Health and Welfare check, local authorities.
- Understand what resources are available for postvention in your community. For Michigan, Barb Smith is a key contact and resource post-suicide:
- Barb Smith Suicide Resource and Response Network
- A non-profit organization that offers one-on-one and group support, phone consultation, and educational seminars to individuals and families who have been affected by a loss through suicide.
- Barb Smith Suicide Resource and Response Network
- American Foundation for Suicide Prevention is a reliable resource for postvention including a program where a survivor can be connected to another
survivor for support.
- The AFSP website also lists support groups (some are online) for referrals for survivors. Some communities have local chapters where teams of survivors can respond.
- Cleaning companies exist that specialize in post-suicide cleaning, if necessary.
Reduce access to means
- Counseling to Reduce Access to Lethal Means: Contains online modules for primary care providers addressing communication skills with patients who are difficult to engage around firearm safety; brochure for patients and providers, research brief.
- Addressing Firearm Safety
- Gun ownership is a normal part of life in America. In rural areas, a high percentage, if not all, of your patients will have guns in their homes. Having a conversation with suicidal persons about temporarily removing firearms from the home has great promise to save lives.
- Telehealth Practice Considerations (relevant to this strategy) - normalize gun ownership; speak with someone else in the home; move away from the computer when talking-trust is essential, and stress the importance of respecting their right to own a gun.
- People who Love Guns Love You, a brochure for patients.
- Video resources
- The videos integrate research findings from a two-year long research study designed to better understand rural firearm culture and messaging strategies that would increase the likelihood of a person at risk of suicide having a friend or family member temporarily hold their guns.
- The Action Alliance
- A public-private partnership for suicide prevention.
- National Shooting Sports Foundation
- Suicide prevention and gun safety.
- Lethal Means Safety Counseling. U.S. Department of Veterans Affairs.
Life skills and resilience
- Refer to Safety Plan Resources for All Strategies.
- Refer to Man Therapy Michigan Resources for All Strategies.
- Refer to Zero Suicide Resources for All Strategies.
- Model to facilitate the development of an online mindfulness-based medical group.
- The Telehelp Line for Caregivers.
- Use of behavioral activation via telehealth to address depression in veterans.
- Military OneSource. Supports for Military Personnel and Families.