Dissemination and implementation of suicide prevention training in one Scottish region

Gask, Linda; Lever-Green, Gillian; Hays, Rebecca

doi:10.1186/1472-6963-8-246

Cited by 26 publications

(27 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This enabled a strong basis for active collaboration and also increased the acceptability of the programme during dissemination (Gendreau, Goggin, & Smith, 1999;Gottfredson & Gottfredson, 2002;Greenberg et al, 2005;Payne, Gottfredson, & Gottfredson, 2006). Similar to earlier studies (Forman et al, 2008;Gask et al, 2008;Gottfredson & Gottfredson, 2002;Greenberg et al, 2005;Kegler, Steckler, Malek, & McLeroy, 1998;Mihalic & Irwin, 2003;Payne et al, 2006), this study showed that support from management is essential to a successful implementation. Although the use of the intervention did not require any major changes to organizations or in work assignments, the tasks related to the programme have not necessarily been taken into account in every municipality.…”

Section: Discussionsupporting

confidence: 86%

“…Furthermore, wider successful dissemination of the programme requires efforts to raise awareness about the importance of prevention of social exclusion and psychosocial ill health among young men, so that decision makers will be willing to allocate resources to prevention activities. Sometimes, it is essential that intervention planners wait for windows of opportunity, when the larger media or policy environment is receptive to the types of change advocated by the intervention (Dearing, 2008;Gask et al, 2008). In this case, there was a lack of evidence-based interventions geared to preventing social exclusion among young men in Finland which greatly enhanced the willingness to implement the Time Out!…”

Section: International Journal Of Mental Health Promotion 105mentioning

confidence: 81%

“…Very often, however, implementation is simply understood as the degree to which treatment is delivered as intended (Domitrovich & Geenberg, 2000;Durlak, 1998). Furthermore, the terms routinization or institutionalization of an intervention can be understood to mean how an intervention becomes 'standard practice' (Gask, Lever-Green, & Hays, 2008).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dissemination and implementation of the Time Out! Getting Life Back on Track programme – results of an evaluation study

Appelqvist‐Schmidlechner

Savolainen

Nordling

et al. 2012

International Journal of Mental Health Promotion

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 86%

Section: International Journal Of Mental Health Promotion 105mentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Dissemination and implementation of the Time Out! Getting Life Back on Track programme – results of an evaluation study

Appelqvist‐Schmidlechner

Savolainen

Nordling

et al. 2012

International Journal of Mental Health Promotion

View full text Add to dashboard Cite

“…Appleby et al (2000) found significant improvements in suicide risk assessment skills, confidence and attitudes to suicide prevention following Skillsbased Training On Risk Management (STORM®). Further studies showed that all groups of staff regarded STORM highly and thought it relevant to practice (Gask 2008).…”

Section: 'Physician Education'mentioning

confidence: 99%

Suicide prevention: are we doing enough?

Cole-King¹,

Williams²,

Platt³

2013

Adv. psychiatr. treat

View full text Add to dashboard Cite

SummaryHealthcare professionals require an understanding of how the behaviour and characteristics of both patients and assessors can affect suicide risk identification and response. This article reviews the literature on how we currently assess suicide risk and considers the need for a paradigm shift in how healthcare professionals engage with and assess suicidal patients. It also reviews some of the evidence base for interventions to mitigate the risk of suicide and promotes pragmatic and compassionate interventions.

show abstract

“…We used evidence gained from phase 2, together with our knowledge of and experience in the diffusion of innovation 377,399,400 to inform implementation strategies at three complementary levels:…”

Section: Introductionmentioning

confidence: 99%

Increasing equity of access to high-quality mental health services in primary care: a mixed-methods study

Dowrick

Chew‐Graham

Lovell

et al. 2013

Programme Grants for Applied Research

View full text Add to dashboard Cite

BackgroundEvidence-based interventions exist for common mental health problems. However, many people are unable to access effective care because it is not available to them or because interactions with caregivers do not address their needs. Current policy initiatives focus on supply-side factors, with less consideration of demand.Aim and objectivesOur aim was to increase equity of access to high-quality primary mental health care for underserved groups. Our objectives were to clarify the mental health needs of people from underserved groups; identify relevant evidence-based services and barriers to, and facilitators of, access to such services; develop and evaluate interventions that are acceptable to underserved groups; establish effective dissemination strategies; and begin to integrate effective and acceptable interventions into primary care.Methods and resultsExamination of evidence from seven sources brought forward a better understanding of dimensions of access, including how people from underserved groups formulate (mental) health problems and the factors limiting access to existing psychosocial interventions. This informed a multifaceted model with three elements to improve access: community engagement, primary care quality and tailored psychosocial interventions. Using a quasi-experimental design with a no-intervention comparator for each element, we tested the model in four disadvantaged localities, focusing on older people and minority ethnic populations. Community engagement involved information gathering, community champions and focus groups, and a community working group. There was strong engagement with third-sector organisations and variable engagement with health practitioners and commissioners. Outputs included innovative ways to improve health literacy. With regard to primary care, we offered an interactive training package to 8 of 16 practices, including knowledge transfer, systems review and active linking, and seven agreed to participate. Ethnographic observation identified complexity in the role of receptionists in negotiating access. Engagement was facilitated by prior knowledge, the presence of a practice champion and a sense of coproduction of the training. We developed a culturally sensitive well-being intervention with individual, group and signposting elements and tested its feasibility and acceptability for ethnic minority and older people in an exploratory randomised trial. We recruited 57 patients (57% of target) with high levels of unmet need, mainly through general practitioners (GPs). Although recruitment was problematic, qualitative data suggested that patients found the content and delivery of the intervention acceptable. Quantitative analysis suggested that patients in groups receiving the well-being intervention improved compared with the group receiving usual care. The combined effects of the model included enhanced awareness of the psychosocial intervention among community organisations and increased referral by GPs. Primary care practitioners valued community information gathering and access to the Improving Access to Mental Health in Primary Care (AMP) psychosocial intervention. We consequently initiated educational, policy and service developments, including a dedicated website.ConclusionsFurther research is needed to test the generalisability of our model. Mental health expertise exists in communities but needs to be nurtured. Primary care is one point of access to high-quality mental health care. Psychosocial interventions can be adapted to meet the needs of underserved groups. A multilevel intervention to increase access to high-quality mental health care in primary care can be greater than the sum of its parts.Study registrationCurrent Controlled Trials ISRCTN68572159.FundingThe National Institute for Health Research Programme Grants for Applied Research programme.

show abstract

Dissemination and implementation of suicide prevention training in one Scottish region

Cited by 26 publications

References 23 publications

Dissemination and implementation of the Time Out! Getting Life Back on Track programme – results of an evaluation study

Dissemination and implementation of the Time Out! Getting Life Back on Track programme – results of an evaluation study

Suicide prevention: are we doing enough?

Increasing equity of access to high-quality mental health services in primary care: a mixed-methods study

Contact Info

Product

Resources

About