Collaborative assessment and management of suicidality (CAMS): feasibility trial for next-day appointment services

Comtois, Katherine Anne; Jobes, David A.; O’Connor, Stephen S.; Atkins, David C.; Janis, Karin; Chessen, Chloe E.; Landes, Sara J.; Holen, Anna; Yuodelis‐Flores, Christine

doi:10.1002/da.20895

Cited by 148 publications

(126 citation statements)

References 48 publications

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“…One model that may be of instructive value is the Collaborative Assessment and Management of Suicidality (CAMS), useful in suicide prevention among both civilian (48) and military samples (49). In CAMS, the primary methods of treatment engagement, assessment, treatment planning, progress tracking, and outcome evaluation are all conducted using evidence-based assessment tools that increase clinicians’ likelihood of asking about important but often-missed risk factors.…”

Section: Discussionmentioning

confidence: 99%

Screening for Violence Risk in Military Veterans: Predictive Validity of a Brief Clinical Tool

Elbogen¹,

Cueva²,

Wagner³

et al. 2014

AJP

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Objective Violence toward others is a serious problem among a subset of military veterans. This study reports on predictive validity of a brief screening tool for violence in veterans. Methods Data on risk factors at an initial wave and on violent behavior at 1-year follow-up were collected in two independent sampling frames: (a) a national random sample survey of 1090 Iraq and Afghanistan veterans, and (b) in-depth assessments of 197 dyads of Iraq and Afghanistan veterans and collateral informants. Results We chose candidate risk factors—financial instability, combat experience, alcohol misuse, history of violence and arrests, and anger associated with posttraumatic stress disorder (PTSD)—based on empirical support in published research. Tools measuring these risk factors were examined, and items with the most robust statistical association to outcomes were selected. The resultant 5-item clinical tool, the Violence Screening and Assessment of Needs (VIO-SCAN), yielded area under the curve (AUC) statistics ranging from .74 – .78 for the national survey and from .74 – .80 for the in-depth assessments, depending on level of violence analyzed using multiple logistic regression. Conclusions To our knowledge, the VIO-SCAN is the first empirically-derived assessment tool for violence developed specifically for military veteran populations. As in civilians, past violence and arrest history had a robust association with future violence in veterans. Analyses show that individual factors examined in isolation (e.g., PTSD, combat experience) do not adequately convey a veteran’s level of violence risk; rather, as shown by the VIO-SCAN, multiple risk factors need to be taken into account in tandem when assessing risk in veterans. Use of evidence-based methods for assessing and managing violence in veterans is discussed, addressing benefits and limits of integrating risk assessment tools into clinical practice.

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Section: Discussionmentioning

confidence: 99%

Screening for Violence Risk in Military Veterans: Predictive Validity of a Brief Clinical Tool

Elbogen¹,

Cueva²,

Wagner³

et al. 2014

AJP

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“…41 The Collaborative Assessment and Management of Suicidality (CAMS) is one such therapeutic relationship approach that has been shown to enhance treatment retention and reduce suicidal ideation initially and at one year follow-up. 42 This approach involves a range of four to 12 sessions during which the clinician and patient collaboratively engage in a structured assessment of the patient's suicidal thoughts and treatment planning.…”

Section: Beck Hopelessness Scale (Bhs)mentioning

confidence: 99%

Suicide risk assessment and intervention in people with mental illness

Bolton

Gunnell

Turecki

2015

BMJ

243

188

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Suicide is the 15th most common cause of death worldwide. Although relatively uncommon in the general population, suicide rates are much higher in people with mental health problems. Clinicians often have to assess and manage suicide risk. Risk assessment is challenging for several reasons, not least because conventional approaches to risk assessment rely on patient self reporting and suicidal patients may wish to conceal their plans. Accurate methods of predicting suicide therefore remain elusive and are actively being studied. Novel approaches to risk assessment have shown promise, including empirically derived tools and implicit association tests. Service provision for suicidal patients is often substandard, particularly at times of highest need, such as after discharge from hospital or the emergency department. Although several drug based and psychotherapy based treatments exist, the best approaches to reducing the risk of suicide are still unclear. Some of the most compelling evidence supports long established treatments such as lithium and cognitive behavioral therapy. Emerging options include ketamine and internet based psychotherapies. This review summarizes the current science in suicide risk assessment and provides an overview of the interventions shown to reduce the risk of suicide, with a focus on the clinical management of people with mental disorders.

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“…Given the difficulties associated with implementing full-package EBPs, implementation of modular treatments or frameworks could serve as an effective and resource-efficient method for enhancing treatment as usual. Preliminary evidence suggests clinicians receive these approaches (Comtois et al, 2011) more favorably than full-package, manual-based approaches (e.g., Borntrager et al, 2009). …”

mentioning

confidence: 99%

Using Measurement-Based Care to Enhance Any Treatment

Scott

Lewis

2015

Cognitive and Behavioral Practice

384

293

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Measurement-based care (MBC) can be defined as the practice of basing clinical care on client data collected throughout treatment. MBC is considered a core component of numerous evidence-based practices (e.g., Beck & Beck, 2011; Klerman, Weissman, Rounsaville, & Chevron, 1984) and has emerging empirical support as an evidence-based framework that can be added to any treatment (Lambert et al., 2003, Trivedi et al., 2007). The observed benefits of MBC are numerous. MBC provides insight into treatment progress, highlights ongoing treatment targets, reduces symptom deterioration, and improves client outcomes (Lambert et al., 2005). Moreover, as a framework to guide treatment, MBC has transtheoretical and transdiagnostic relevance with broad reach across clinical settings. Although MBC has primarily focused on assessing symptoms (e.g., depression, anxiety), MBC can also be used to assess valuable information about (a) symptoms, (b) functioning and satisfaction with life, (c) putative mechanisms of change (e.g., readiness to change), and (d) the treatment process (e.g., session feedback, working alliance). This paper provides an overview of the benefits and challenges of MBC implementation when conceptualized as a transtheoretical and transdiagnostic framework for evaluating client therapy progress and outcomes across these four domains. The empirical support for MBC use is briefly reviewed, an adult case example is presented to serve as a guide for successful implementation of MBC in clinical practice, and future directions to maximize MBC utility are discussed.

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Collaborative assessment and management of suicidality (CAMS): feasibility trial for next-day appointment services

Abstract: CAMS was both feasible in this NDA setting and effective in treating suicidal ideation, distress, and hopelessness (particularly at 12 months followup).

Cited by 148 publications

References 48 publications

Screening for Violence Risk in Military Veterans: Predictive Validity of a Brief Clinical Tool

Screening for Violence Risk in Military Veterans: Predictive Validity of a Brief Clinical Tool

Suicide risk assessment and intervention in people with mental illness

Using Measurement-Based Care to Enhance Any Treatment

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