scholarly journals Effect of a Crisis Intervention Team for suicide attempt patients in an emergency department in Korea

2019 ◽  
Vol 27 (2) ◽  
pp. 92-98
Author(s):  
Eusang Ahn ◽  
Jooyeong Kim ◽  
Sungwoo Moon ◽  
Young-hoon Ko ◽  
Hanjin Cho ◽  
...  
Keyword(s):  
Emergency Department ◽  
Suicide Attempt ◽  
Crisis Intervention ◽  
Support Program ◽  
Completion Rates ◽  
Intervention Period ◽  
Crisis Intervention Team ◽  
Post Intervention ◽  
Intervention Team

Background: South Korea has one of the highest rates of suicide in the world, which poses an immense socioeconomic burden on the healthcare system. Objectives: We hypothesized that the implementation of a Crisis Intervention Team would lead to an improvement in completion rates of suicide prevention counseling programs. Methods: This is a retrospective before-and-after analysis, and was carried out in the emergency department in the city of Ansan, South Korea. The Crisis Intervention Team, funded by the Ministry of Health and Welfare, counsels suicide attempt patients with the ultimate goal of assuring proper administration of mental healthcare from community suicide support programs. Data on suicide attempt patients were collected using medical records. The primary outcome was defined as completion of the 8-week follow-up period for suicide attempt patients with the community suicide support programs. Results: A total of 246 patients from the pre-intervention period and 296 patients from the post-intervention period were included in the study. The completion rates of the 8-week follow-up period increased significantly after the intervention. During the pre-intervention period, 9 patients (3.7%) who were referred to the community suicide support program completed the 8 weeks of follow-up, whereas in the post-intervention period, 56 patients (18.9%) followed up for 8 weeks or more (p < 0.0001). The secondary outcome, overall linkage rates to community suicide support program, did not change significantly, with a minor increase from 46 (18.7%) to 63 (21.3%) (p = 0.45). Conclusion: The implementation of an in-hospital Crisis Intervention Team dedicated to active and assertive counseling that begins in the emergency department was correlated with significantly increased completion rates of the 8-week follow-up counseling program.

scholarly journals 986. Improvement in Administration of HIV Post-Exposure Prophylaxis in the Emergency Department Following Sexual Assault

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S521-S522
Author(s):  
Jennifer R Silva-Nash ◽  
Stacie Bordelon ◽  
Ryan K Dare ◽  
Sherrie Searcy
Keyword(s):  
Emergency Department ◽  
Sexual Assault ◽  
Hiv Transmission ◽  
Post Exposure Prophylaxis ◽  
Intervention Period ◽  
Post Intervention ◽  
Post Exposure ◽  
Assault Victims ◽  
Exposure Prophylaxis

Abstract Background Nonoccupational post exposure prophylaxis (nPEP) following sexual assault can prevent HIV transmission. A standardized Emergency Department (ED) protocol for evaluation, treatment, and follow up for post assault victims was implemented to improve compliance with CDC nPEP guidelines. Methods A single-center observational study of post sexual assault patients before/after implementation of an ED nPEP protocol was conducted by comparing the appropriateness of prescriptions, labs, and necessary follow up. A standardized order-set based on CDC nPEP guidelines, with involvement of an HIV pharmacist and ID clinic, was implemented during the 2018-2019 academic year. Clinical data from pre-intervention period (07/2016-06/2017) was compared to post-intervention period (07/2018-08/2019) following a 1-year washout period. Results During the study, 147 post-sexual assault patients (59 Pre, 88 Post) were included. One hundred thirty-three (90.4%) were female, 68 (46.6%) were African American and 133 (90.4%) were candidates for nPEP. Median time to presentation following assault was 12.6 hours. nPEP was offered to 40 (67.8%) and 84 (95.5%) patients (P&lt; 0.001) and ultimately prescribed to 29 (49.2%) and 71 (80.7%) patients (P&lt; 0.001) in pre and post periods respectively. Renal function (37.3% vs 88.6%; P&lt; 0.001), pregnancy (39.0% vs 79.6%; P&lt; 0.001), syphilis (3.4% vs 89.8%; P&lt; 0.001), hepatitis B (15.3% vs 95.5%; P&lt; 0.001) and hepatitis C (27.1% vs 94.3%) screening occurred more frequently during the post period. Labratory, nPEP Prescription and Follow up Details for Patients Prescribed nPEP Conclusion The standardization of an nPEP ED protocol for sexual assault victims resulted in increased nPEP administration, appropriateness of prescription, screening for other sexually transmitted infectious and scheduling follow up care. While guideline compliance dramatically improved, further interventions are likely warranted in this vulnerable population. Disclosures Ryan K. Dare, MD, MS, Accelerate Diagnostics, Inc (Research Grant or Support)

The Use of the Crisis Intervention Team (CIT) Model for Corrections Officers: Reducing Incidents within a County Jail

2020 ◽  
Vol 100 (5) ◽  
pp. 581-602
Author(s):  
Erin B. Comartin ◽  
Kendra Wells ◽  
Alana Zacharias ◽  
Sheryl Kubiak
Keyword(s):  
Crisis Intervention ◽  
Crisis Intervention Team ◽  
Corrections Officers ◽  
Abrupt Decrease ◽  
Intervention Team ◽  
Specialized Unit ◽  
Cit Model ◽  
The Impact ◽  
Team Model

This study presents an adaptation of the Crisis Intervention Team Model (CIT) to a jail setting. Pre-post surveys and interviews assessed changes in corrections officers’ (CO) knowledge of and attitudes toward mental health. Cell Removal Team (CRT) services assessed the impact of CIT on the use of this specialized unit. Results indicate positive changes in CO attitudes, increased de-escalation skills, and an abrupt decrease in the level of CRT usage, with results sustained in the 8-month follow-up period.

scholarly journals Huddersfield (West) crisis intervention team: four years follow-up

1991 ◽  
Vol 15 (5) ◽  
pp. 278-280 ◽  
Author(s):  
N. Rao Punukollu
Keyword(s):  
Crisis Intervention ◽  
Health District ◽  
Crisis Intervention Team ◽  
Intervention Team

The Huddersfield crisis intervention team began crisis intervention work after visiting well-established crisis intervention centres and reviewing the literature. In Huddersfield health district there are four adult psychiatrists, each covering a sector of about 54,000 population. At the time of the establishment of the crisis team, the health district was not sectorised. Since 1 February 1989 the district has been sectorised into four parts and the Huddersfield Crisis Intervention Team covers the Huddersfield West Sector

Impact of Crisis Intervention Team Training on Correctional Officers' Perceptions of Stress

2014 ◽  
Author(s):  
Abigail S. Tucker ◽  
Vincent B. Van Hasselt ◽  
Elizabeth A. Palmer ◽  
Tiffany Maple
Keyword(s):  
Crisis Intervention ◽  
Correctional Officers ◽  
Team Training ◽  
Crisis Intervention Team ◽  
Intervention Team

The crisis intervention team (CIT) model: An evidence-based policing practice?

2017 ◽  
Vol 35 (5-6) ◽  
pp. 431-441 ◽  
Author(s):  
Amy C. Watson ◽  
Michael T. Compton ◽  
Jeffrey N. Draine
Keyword(s):  
Crisis Intervention ◽  
Evidence Based ◽  
Crisis Intervention Team ◽  
Intervention Team ◽  
Evidence Based Policing ◽  
Cit Model

scholarly journals Crisis Intervention Team Training and the Protection Motivation Theory

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Monique Allen ◽  
Greg Campbell
Keyword(s):  
Mental Health ◽  
Crisis Intervention ◽  
Police Officers ◽  
Lived Experiences ◽  
Protection Motivation Theory ◽  
Mental Illnesses ◽  
Protection Motivation ◽  
Motivation Theory ◽  
Crisis Intervention Team ◽  
Intervention Team

The problem addressed in this phenomenological study was the lack of documentation that supported the lived experiences of crisis intervention team (CIT)-trained police officers related to their field encounters with persons with mental illnesses. The purpose of the study was to explore the lived experiences of officers among CIT-trained police officers to address the problem. The protection motivation theory was aligned closest with the teachings of CIT training as described by the study participants’ lived experiences. Participants provided the study’s collected data, which was composed of completed questionnaires and transcribed interviews. The empirical theoretical framework method of analysis used was a combination of inductive coding and theme analysis that established the results of this study. Key findings of the study identified a significant amount of frustration expressed in the lived experiences of the CIT-trained police officers. Frustration was experienced by officers who applied the protection motivation theory to ensure the well-being of persons experiencing a mental crisis. There was considerable pushback from the public mental health facilities, which added to the frustration experienced by CIT-trained police officers who attempted to navigate treatment with the limited resources available to help persons in mental crisis. The positive social change produced from this study included recommendations to police leadership and mental health advocates to encourage certain CIT-training-related practices that directly impact CIT field encounters with persons in mental crises. Specialized training may promote improved departmental outcomes such as sustainability of gains for those in crises and enable police officer accountability and reliability.

Characteristics of Patients Referred to Psychiatric Emergency Services by Crisis Intervention Team Police Officers

2010 ◽  
Vol 46 (6) ◽  
pp. 579-584 ◽  
Author(s):  
Beth Broussard ◽  
Joanne A. McGriff ◽  
Berivan N. Demir Neubert ◽  
Barbara D’Orio ◽  
Michael T. Compton
Keyword(s):  
Crisis Intervention ◽  
Police Officers ◽  
Emergency Services ◽  
Psychiatric Emergency ◽  
Crisis Intervention Team ◽  
Psychiatric Emergency Services ◽  
Intervention Team

scholarly journals Law enforcement and mental health clinician partnerships in global mental health: outcomes for the Crisis Intervention Team (CIT) model adaptation in Liberia, West Africa

2020 ◽  
Vol 7 ◽  
Author(s):  
Mina Boazak ◽  
Sarah Yoss ◽  
Brandon A. Kohrt ◽  
Wilfred Gwaikolo ◽  
Pat Strode ◽  
...  
Keyword(s):  
Mental Health ◽  
Law Enforcement ◽  
Crisis Intervention ◽  
Global Mental Health ◽  
Law Enforcement Officers ◽  
The United States ◽  
Crisis Intervention Team ◽  
Knowledge And Attitudes ◽  
Intervention Team ◽  
Cit Model

Abstract Background The Crisis Intervention Team (CIT) model is a law enforcement strategy that aims to build alliances between the law enforcement and mental health communities. Despite its success in the United States, CIT has not been used in low- and middle-income countries. This study assesses the immediate and 9-month outcomes of CIT training on trainee knowledge and attitudes. Methods Twenty-two CIT trainees (14 law enforcement officers and eight mental health clinicians) were evaluated using pre-developed measures assessing knowledge and attitudes related to mental illness. Evaluations were conducted prior to, immediately after, and 9 months post training. Results The CIT training produced improvements both immediately and 9 months post training in knowledge and attitudes, suggesting that CIT can benefit law enforcement officers even in extremely low-resource settings with limited specialized mental health service infrastructure. Conclusion These findings support further exploration of the benefits of CIT in highly under-resourced settings.

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