Mennonite health system zero suicide implementation project - mennonite general hospital (mghpr), the largest health service organization in puerto rico (PR), will implement the seven elements of…

Mennonite health system zero suicide implementation project - mennonite general hospital (mghpr), the largest health service organization in puerto rico (PR), will implement the seven elements of the zero suicide framework (ZSF) to reduce suicide ideation, attempts, and deaths in 27 counties on the island. The organization, as an integrated health system, operates six general hospitals, 11 EDS, care management, health insurance, a home health agency, and a hospice. Cima, an operating division of mghpr, is the largest non-profit specialty BH organization in PR. IT manages five certified community behavioral clinics (ccbhc), a psychiatric hospital, a stabilization unit, and five partial hospitalization programs. All these services are available, situated, and coordinated in the CA using the hub and spokes model. The organization is the only one in PR with all levels of services (BH and physical health) to provide integrated care services and transitions for individuals at risk of suicide within a single system. These 27 municipalities, which experience some of the poorest social, economic, and health conditions in PR, are aibonito, coamo, LAS piedras, aguas buenas, comerio, maunabo, arroyo, guayama, naguabo, barranquitas, gurabo, orocovis, caguas, humacao, patillas, cayey, jayuya, SAN lorenzo, villalba, ceiba, juana diaz, santa isabel, yabucoa, cidra, juncos, salinas, and ponce. Overall, 98% of the population is hispanic and primarily spanish-speaking. Hrsa classifies the entire zone as medically underserved and a health professional shortage area for mental health care providers. Two subgroups are highlighted and attended to with the project. The catchment population is declining, primarily due to the outmigration of working-age adults, while the number of adults over age 65 is growing, the only age group to do so, leaving them without social support. On the other hand, the incidence of suicide among veterans is 16.9 per 100,000, more than double the average rate in PR. In addition, men account for 80% of suicides in PR, with a rate that has been consistently above 15 per 100,000 in recent years. Over the five-year program, mghpr will achieve the following: goal 1 implement the seven elements of the ZSF at mghpr 1.a within 90 days, complete and operationalize clinical pathways for persons with natural disaster trauma and older adults. 1.b within 90 days, complete and operationalize a clinical and referral pathway for veterans to VA. 1.c within 120 days, adapt the ZSF to spanish and begin implementing the seven elements of the ZSF, including the staff education program. Goal 2 reduce the suicide rate in the CA. 2.a by the end of the program, increase the number of consumers identified in the mghpr EDS and refer them to its cccbhc by 25%, from the baseline. 2.b by the end of the program, achieve 75% engagement of suicide treatment participants. 2.c by the end of the program, 90% of suicide treatment participants will reduce their suicidal thoughts. 2.d by the end of the program, reduce the suicide rate in the CA by 25%. The program will enroll 400 clients in year 1, 1000 year 2, 1000 year 3, 1000 year 4, and 1000 year 5.