Mobile crisis services: A clinician survey of current suicide prevention practices and barriers to care delivery

Mobile crisis teams (MCTs) deploy clinicians to assist individuals in acute crisis in the community. Little is known about the extent to which these teams provide evidence-based practices (EBPs) for suicide prevention nor the barriers they face. We surveyed 120 MCT clinicians across the United States about their: (1) use of suicide risk screening and […]

Are mental health apps adequately equipped to handle users in crisis?

Background: Mental health (MH) apps are growing in popularity. While MH apps may be helpful, less is known about how crises such as suicidal ideation are addressed in apps. Aims: We examined the proportion of MH apps that contained language mentioning suicide or suicidal ideation and how apps communicated these policies and directed users to MH resources through […]

Fundamentals for future mobile-health (mHealth): A systematic review of mobile phone and web-based text messaging in mental health.

Mobile phone text messages (short message service, SMS) are used pervasively as a form of communication. Almost 100% of the population uses text messaging worldwide and this technology is being suggested as a promising tool in psychiatry. Text messages can be sent either from a classic mobile phone or a web-based application. Reviews are needed […]

Mobile Crisis Team Intervention to Enhance Linkage of Discharged Suicidal Emergency Department Patients to Outpatient Psychiatric Services: a Randomized Controlled Trial

In a rater-blinded, randomized controlled trial, 120 participants who were evaluated for suicidal thoughts, plans, or behaviours, & who were subsequently discharged from an urban emergency department, were randomized to follow-up either in the community via a mobile crisis team or at an outpatient mental health clinic. Successful first clinical contact after discharge occurred in […]

Police-Citizen Encounters That Involve Mental Health Concerns: Results of an Ontario Police Services Survey

Police services in Ontario were surveyed to learn about changes in volume of contacts with persons with mental illness & use of pre-arrest diversion practices between 2003-2007. Information was also gathered on calls received & cleared that involved suicide threats, attempts, & completions. Findings indicated a trend of increasing police encounters with persons with mental […]

Changes to Mental Healthcare for Working age Adults: Impact of a Crisis Team and an Assertive Outreach Team

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Lethality Assessment and Crisis Intervention With Persons Presenting With Suicidal Ideation (IN: Crisis Intervention Handbook 3rd Edition, ed. by A R Roberts)

Crisis Curriculum: a Mental Health Manual

Responding to the Chronically Suicidal Adolescent

Neighborhood Service Organization Emergency Telephone Service/Suicide Prevention Center’s Mobile Crisis Response Team

Published in “Back to the Future: Refocusing the Image of Suicide,” ed. by J L McIntosh

Delineating the Population Served by a Mobile Crisis Team: Organizing Diversity

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Crisis Intervention (IN: Handbook of Psychology: Clinical Psychology, vol.8, ed. by G Stricker and T A Widiger)

This chapter presents a summary of the historical highlights & the theoretical influences of the development of modern crisis intervention theory. Classic & newer models for emergency psychological care are discussed. Exploration of useful therapy techniques, differences between psychotherapy & crisis intervention, & delivery of emergency mental health services is presented. A general framework for […]

Suicides and Suicide Attempts in Emergency Medicine

This investigation presents a first evaluation of the complete emergency protocols from a major German city focusing on suicide & parasuicide. The authors found documentation of suicides & attempted suicides to be unsatisfactory, especially in regard to underlying psychiatric disorders, which were scarcely recorded. Improvements in methodology are suggested. (31 refs)

Ken’s Bus

“Ken’s Bus” is a mobile drop-in health service for young people, age 12-25, in Dandenong & Springvale, Australia. The aim of the service is to link young people experiencing homelessness or at risk of becoming homeless with community & health services. This pamphlet describes the service, staffing, collaboration with the local community, & future plans […]

A Glimpse of a Mobile Health Service

This presentation outlined the role of “Ken’s Bus” in suicide prevention. Ken’s Bus is a mobile health service which targets homeless youth & those at risk of homelessness. The history of the project was briefly discussed, as were funding sources & operation. The unique aspects of the model which determine its effectiveness in suicide intervention […]

Intensive Mobile Youth Outreach Service Southern Health Care Network on Youth Suicide and Mental Health

This presentation described the Intensive Mobile Youth Outreach Service Southern Health Care Network (IMYOS SHCN). The function & purpose of the service coincide with a major protective factor in suicide, social engagement. The how & why of engaging socially isolated youth both for assessment & as a protection against the devaluation of life & challenging […]

B.C.’s Mental Health Reform: Best Practices. Crisis Response/Emergency Services

The main body of this document consists of a detailed discussion of the 5 core program components: crisis lines, mobile crisis outreach, walk-in crisis stabilization service, community crisis stabilization services, & hospital-based psychiatric emergency services, with a delineation of essential functions & associated target standards for each component. Following this is a series of appendices, […]

The Practice of Emergency Psychiatry in Rural Areas

Describes ways that rural communities, despite lack of professional resources, have developed to provide emergency psychiatric care & to improve the quality of the services delivered. Hiring a technical consultant educator for a 2 day conference on emergency psychiatry & mobile outreach visits are discussed. Creativity, flexibility & innovativeness are the best tools in working […]

Mobile Emergency Response and Telephone Crisis Lines: a Partnership Between Professionals and Volunteers

Method of access (3rd party referrals from police, physicians, other service providers) to the Victoria Emergency Mental Health Services (EMHS) response team became a problem for families & clients who wanted more direct access to the team. An integrated services agreement with the NEED Crisis Line offers: individuals more direct access to the EMHS team; […]

Evaluating a Mobile Crisis Intervention Program: What is the Process?

The Crisis Intervention & Community Support Program (CICSP) of Lethbridge evaluated program effectiveness using referral follow-ups, client surveys & tracking the rates of hospitalizations. The Goal Attainment Follow-up Guide (GAFG) & the Brief Derogatis Psychiatric Rating Scale (B-DPRS) were used to measure movement toward or away from the identified goals. In addition, satisfaction surveys were […]

Mobile Crisis Team: A Crisis Center Model

This presentation discussed the Mobile Mental Health Crisis Intervention Service in Edmonton. The function of the crisis team is to triage, provide initial stabilization, offer consultation & support to caregivers in community agencies & shelters, & to coordinate support services required at the time of the crisis. The goals & objectives of the service were […]

Crisis Intervention and Suicide Prevention From a Rural Perspective (IN: Rural Health Nursing, edited by P Winstead-Fry, J Churchill Tiffany & R V Shippee-Rice)

The idea of a lower suicide rate in rural areas is a myth. This chapter traces the development & introduction of a mobile crisis unit in Maine in 1981. Understanding & respect for rural culture is needed when planning & implementing suicide prevention programs. Staff realized many concepts were based on studies with urban populations […]

Youth Emergency Services: Total Community Effort, a Multisystem Approach

A collaborative mental health care service for responding to the psychiatric emergencies of children under 17 years & their families is described. During the 1st 13 months, 65% of calls were suicide related, & of these, 34% were for children 12 years & under. A mobile crisis unit prevented approximately 250 emergency room visits & […]