The service has a provision for contacting most patients by phone in or in

The service has a provision for contacting most

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The service has a provision for contacting most patients by phone in or in person after they are discharged. “The service routinely monitors its successes with making aftercare plans that are most likely to be effective.” Organization Royal Australian and New Zealand College of Psychiatrists: Australian and New Zealand Guidelines for the Management of Adult Deliberate Self-harm “Corroborative information from relatives, the patient’s GP or those attending the patient must be collected and crucially, documented.” “Encourage treatment and follow-up attendance.” “Early, pro-active follow-up may enhance engagement and attendance. Home visits improve treatment attendance, and studies have found that…intensive follow-up…do likewise.” (Literature citations removed.)
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102 Continuity of Care for Suicide Prevention and Research Part Eight Exceptional Integrated Systems of Care C ontinuity of care and coordination of care require the support of a cohesive health services infrastructure rather than numerous, disconnected facilities and care provision arrange- ments. Since mental health and general physical health are intertwined, collaboration of mental health and general medical health providers is necessary. Rather than prohibitions against information sharing, which characterizes disconnected systems, there is unobstructed sharing of health information. Systems’ performance requires community capacity to track patients across community facilities. When a suicide or suicide attempt occurs, all the care facilities must come to- gether to do a root-cause analysis and, thereby, understand how to improve the system of care so as to prevent systems’ failures from contributing to another suicide death. Improvements in continuity of care and in systems of care for patients at high risk for suicide are one means of suicide preven- tion that has potential for saving large numbers of lives. This section selectively reviews health care systems that illustrate the actual or potential suicide prevention outcome successes derived from professionals and facilities working together as a single unit to prevent suicide. The suicide preven- tion results presented are often not the product of carefully done research and are derived more from naturalistic, descriptive research. All of the systems reviewed are in many ways “demonstra- tion projects” that have served as laboratories for various innovations in health care systems. The United States Air Force As are all the branches of the United States Military, the Air Force is largely a self-contained health system and has a reputation for “taking care of our own.” Suicide has been the second leading cause of death among members and has accounted for nearly one-fourth of all deaths. The suicide death rate of 12.2 per 100,000 active duty Air Force members was typical for the period spanning 1985 to 1990.
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