Day 1 :
Unlawful Medicine LLC, USA
Time : 9:30AM-10:00AM
Dr. Edwards is a medical professional with 35 years’ experience in healthcare. She is a RN, medical investigator, legal nurse consultant and medical writer. She holds a MHA degree, a MD degree & she completed post-doctoral fellowship training in researching and analyzing medical data at CDC in Atlanta GA. Her passion lies in caring for the elderly and investigating what happens when medicine and law collide. For more than 6 years, Dr. Edwards has volunteered healthcare services to 3rd world countries; earning her the status of Dame of Grace, Dame of Honor and Dame of the Grand Cross.
As a person ages there is a regression in both physical and mental health. This deterioration results in one’s ability to deal with physiological/psychosocial demands. The world’s population is significantly growing. According to the United Nations World Population Prospects 2012, the average human lifespan is 70.7 years, 68.2 years for males and 73.2 years for females. According to WHO, In the US, the human life expectancy is approximately 78.2 years for men and 81 years for women; predicting that within the next 35 years the proportion of the elderly is estimated to increase approximately 10%. This is alarming because there is already a shortage of professionals who provide geriatric mental health services. In 2030, it is estimated that there will only be approximately 1650 geriatric psychiatrists in the US; one geriatric psychiatrist per 6000 geriatric psych patient. Of the aging population, 20% have one mental disorder that has negative effects on their health. Research has proven that elderly are likely to have greater disability, worse health outcomes and higher rates of hospitalization and emergency services than older patients with just a physical condition. Last but not least, the cost per person with mental illness and a medical illness is estimated to be 50% to 200% higher than patients with a medical illness only.
The geriatric population (65 years and older), is most likely to experience frequent, complex interactions with the healthcare system; a system so complex that it has trouble meeting their basic healthcare needs. Unfortunately, as the aging population increases so do mental disorders associated with aging (Alzheimer’s Dementia, Anxiety, Major Depressive Disorder, Suicide Ideation, etc.). Therefore, the growing geriatric population underlines the need for the development of concrete interventions to improve the care of geriatric psych patients in a complicated healthcare system.
Montana State University, USA
Julie Pullen holds a DNP from Concordia University Wisconsin, a Master’s of Science in Nursing and Counseling Psychology. She practiced full-time as a Family Nurse Practitioner before completing a post-master’s certification in geriatrics. She is a certified geriatric nurse practitioner. Her doctoral project, focusing on suicide prevention in long-term care, was published in a geriatric journal. She currently serves on a community suicide prevention coalition and educates Montana State University faculty, staff, and students in suicide prevention gatekeeper training.
Gatekeeper training remains fundamental to broad suicide prevention strategies on international, national, and state levels within the U.S. Among articles reviewed, gatekeeper training was found, with few exception, to be both beneficial and feasible to varying degrees. This study describes outcomes of gatekeeper training implemented in a community located in a rural northwestern state ranking among the highest for suicide. The aim of this multi-method study was twofold: Examine outcomes of an evidence-based suicide prevention gatekeeper training program entitled Question-Persuade-Refer adopted by one community at-large, and develop recommendations guiding future population-based interventions for the area. Data were collected utilizing pre- post-survey questionnaires administered from January, 2013 through September, 2016. Participants were from churches, social services, public health, mental health, a suicide prevention conference, a school, college, and a university (n = 897). The quantitative results were statistically significant (p < 0.0001). The most significant improvements from pre- to post-training were how to ask about suicide, how to persuade the person to receive help, and information about local resources. From the qualitative data, two main themes consistent across cohorts that emerged were ‘appreciation’ and ‘desire’ or ‘need’ to learn more. Overall, results were consistent with other studies suggesting that a public health approach to suicide prevention shows promise in terms of increasing awareness and perceived knowledge and ability to intervene. Findings may be relevant to other rural communities where access to mental health services are limited, however it remains unclear if gatekeeper training impacts suicide rates