scholarly journals Suicide Prevention Guideline Implementation in Specialist Mental Healthcare Institutions in The Netherlands

2018 ◽  
Vol 15 (5) ◽  
pp. 910 ◽  
Author(s):  
Jan Mokkenstorm ◽  
Gerdien Franx ◽  
Renske Gilissen ◽  
Ad Kerkhof ◽  
Johannes Smit
Keyword(s):  
The Netherlands ◽  
Suicide Prevention ◽  
Guideline Implementation ◽  
Mental Healthcare ◽  
Prevention Guideline

scholarly journals Feasibility and impact of data-driven learning within the suicide prevention action network of thirteen specialist mental healthcare institutions (SUPRANET Care) in the Netherlands: a study protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e024398 ◽  
Author(s):  
Kim Setkowski ◽  
Jan Mokkenstorm ◽  
Anton JLM van Balkom ◽  
Gerdien Franx ◽  
Inge Verbeek- van Noord ◽  
...  
Keyword(s):  
Intensive Care ◽  
The Netherlands ◽  
Suicide Prevention ◽  
Data Protection ◽  
Suicide Attempts ◽  
Human Subjects ◽  
Mental Healthcare ◽  
Suicide Rates ◽  
Action Network ◽  
The Impact

IntroductionImprovement of the quality and safety of care is associated with lower suicide rates among mental healthcare patients. In The Netherlands, about 40% of all people that die by suicide is in specialist mental healthcare. Unfortunately, the degree of implementation of suicide prevention policies and best practices within Dutch mental healthcare services is variable. Sharing and comparing outcome and performance data in confidential networks of professionals working in different organisations can be effective in reducing practice variability within and across organisations and improving quality of care.Methods and analysisUsing formats of professional networks to improve surgical care (Dutch Initiative for Clinical Auditing) and somatic intensive care (National Intensive Care Evaluation), 113 Suicide Prevention has taken the lead in the formation of a Suicide Prevention Action Network (SUPRANET Care), with at present 13 large Dutch specialist mental health institutions. Data on suicide, suicide attempts and their determinants as well as consumer care policies and practices are collected biannually, after consensus rounds in which key professionals define what data are relevant to collect, how it is operationalised, retrieved and will be analysed. To evaluate the impact of SUPRANET Care, standardised suicide rates will be calculated adjusted for confounding factors. Second, the extent to which suicide attempts are being registered will be analysed with the suicide attempt data. Finally, professionals’ knowledge, attitude and adherence to suicide prevention guidelines will be measured with an extended version of the Professionals In Training to STOP suicide survey.Ethics and disseminationThis study has been approved by the Central Committee on Research Involving Human Subjects, The Netherlands. This study does not fall under the scope of the Medical Research Involving Human Subjects Act (WMO) or the General Data Protection Regulation as stated by the Dutch Data Protection Authority because data are collected on an aggregated level.

scholarly journals Prioritizing suicide prevention guideline recommendations in specialist mental healthcare: a Delphi study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kim Setkowski ◽  
Anton J. L. M. van Balkom ◽  
Dave A. Dongelmans ◽  
Renske Gilissen
Keyword(s):  
Suicide Prevention ◽  
Delphi Study ◽  
Mental Healthcare ◽  
Prevention Guideline

scholarly journals Registration of Blood Exposure Accidents in the Netherlands by a Nationally Operating Call Center

2012 ◽  
Vol 33 (10) ◽  
pp. 1017-1023
Author(s):  
Peter M. Schneeberger ◽  
Annemarie E. Meiberg ◽  
Janet Warmelts ◽  
Sander C. A. P. Leenders ◽  
Paul T. L. van Wijk
Keyword(s):  
The Netherlands ◽  
Call Center ◽  
Preventive Measures ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Incidence Rates ◽  
Hepatitis B Vaccination ◽  
Occupational Health Services ◽  
Healthcare Facilities ◽  
Call Center Employees

Objective.Healthcare providers and other employees, especially those who do not work in a hospital, may not easily find help after the occurrence of a blood exposure accident. In 2006, a national call center was established in the Netherlands to fill this gap.Methods.All occupational blood exposure accidents reported to the 24-hours-per-day, 7-days-per-week call center from 2007, 2008, and 2009 were analyzed retrospectively for incidence rates, risk assessment, handling, and preventive measures taken.Results.A total of 2,927 accidents were reported. The highest incidence rates were reported for private clinics and hospitals (68.5 and 54.3 accidents per 1,000 person-years, respectively). Dental practices started reporting incidents frequently after the arrangement of a collective financial agreement with the call center. Employees of ambulance services, midwife practices, and private clinics reported mostly high-risk accidents, whereas penitentiaries frequently reported low-risk accidents. Employees in mental healthcare facilities, private clinics, and midwife practices reported accidents relatively late. The extent of hepatitis B vaccination in mental healthcare facilities, penitentiaries, occupational health services, and cleaning services was low (<70%).Conclusions.The national call center successfully organized the national registration and handling of blood exposure accidents. The risk of blood exposure accidents could be estimated on the basis of this information for several occupational branches. Targeted preventive measures for healthcare providers and other employees at risk can next be developed.Infect Control Hosp Epidemiol 2012;33(10):1017-1023

Determinants of Fall Prevention Guideline Implementation in the Home- and Community-Based Service Setting

2020 ◽  
Author(s):  
Lisa A Juckett ◽  
Alicia C Bunger ◽  
Shannon E Jarrott ◽  
Holly I Dabelko-Schoeny ◽  
Jessica Krok-Schoen ◽  
...  
Keyword(s):  
Older Adult ◽  
Fall Prevention ◽  
Fall Risk ◽  
Adult Population ◽  
Guideline Implementation ◽  
Implementation Strategies ◽  
Semistructured Interview ◽  
Community Based ◽  
Prevention Guideline ◽  
Prevention Guidelines

Abstract Background and Objectives Home- and community-based service (HCBS) recipients often possess multiple fall risk factors, suggesting that the implementation of evidence-based fall prevention guidelines may be appropriate for the HCBS setting. The purpose of this exploratory study was to examine the determinants of fall prevention guideline implementation and the potential strategies that can support implementation in HCBS organizations. Research Design and Methods Semistructured interview and focus group data were collected from 26 HCBS professionals representing the home-delivered meals, personal care, and wellness programs. Qualitative codes were mapped to the Consolidated Framework for Implementation Research by means of directed content analysis. The Consolidated Criteria for Reporting Qualitative research checklist was used to report the findings of this study. Results We identified 7 major determinants of guideline implementation: recipient needs and resources, cosmopolitanism, external policy and incentives, networks and communication, compatibility, available resources, and knowledge/beliefs. Strategies to support guideline implementation included the involvement of recipient and caregiver feedback, building fall prevention networks, and conducting educational meetings for HCBS staff. Discussion and Implications Falls and fall-related injuries will continue to plague the older adult community unless innovative approaches to fall prevention are developed and adopted. The implementation of fall prevention guidelines in the HCBS setting can help mitigate fall risk among a highly vulnerable older adult population and may be facilitated through the application of multifaceted implementation strategies.

scholarly journals A regional systems intervention for suicide prevention in the Netherlands (SUPREMOCOL): study protocol with a stepped wedge trial design

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Emma Hofstra ◽  
Iman Elfeddali ◽  
Margot Metz ◽  
Marjan Bakker ◽  
Jacobus J. de Jong ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
The Netherlands ◽  
Suicide Prevention ◽  
Study Protocol ◽  
Collaborative Care ◽  
Trial Design ◽  
Stepped Wedge ◽  
Health Institutions ◽  
Stepped Wedge Trial

Abstract Background In the Netherlands, suicide rates showed a sharp incline and this pertains particularly to the province of Noord-Brabant, one of the southern provinces in the Netherlands. This calls for a regional suicide prevention effort. Methods/design Study protocol. A regional suicide prevention systems intervention is implemented and evaluated by a stepped wedge trial design in five specialist mental health institutions and their adherent chain partners. Our system intervention is called SUPREMOCOL, which stands for Suicide Prevention by Monitoring and Collaborative Care, and focuses on four pillars: 1) recognition of people at risk for suicide by the development and implementation of a monitoring system with decision aid, 2) swift access to specialist care of people at risk, 3) positioning nurse care managers for collaborative care case management, and 4) 12 months telephone follow up. Eligible patients are persons attempting suicide or expressing suicidal ideation. Primary outcome is number of completed suicides, as reported by Statistics Netherlands and regional Public Health Institutes. Secondary outcome is number of attempted suicides, as reported by the regional ambulance transport and police. Suicidal ideation of persons registered in the monitoring system will, be assessed by the PHQ-9 and SIDAS questionnaires at baseline and 3, 6, 9 and 12 months after registration, and used as exploratory process measure. The impact of the intervention will be evaluated by means of the RE-AIM dimensions reach, efficacy, adoption, implementation, and maintenance. Intervention integrity will be assessed and taken into account in the analysis. Discussion The present manuscript presents the design and development of the SUPREMOCOL study. The ultimate goal is to lower the completed suicides rate by 20%, compared to the control period and compared to other provinces in the Netherlands. Moreover, our goal is to provide specialist mental health institutions and chain partners with a sustainable and adoptable intervention for suicide prevention. Trial registration Netherlands Trial Register under registration number NL6935 (5 April 2018). This is the first version of the study protocol (September 2019).

Adjuvant chemotherapy in stage III colon cancer: Guideline implementation, patterns of use and outcomes in daily practice in The Netherlands

2011 ◽  
Vol 51 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Chantal W. M. van Gils ◽  
Miriam Koopman ◽  
Linda Mol ◽  
William K. Redekop ◽  
Carin A. Uyl-de Groot ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Adjuvant Chemotherapy ◽  
The Netherlands ◽  
Guideline Implementation ◽  
Daily Practice ◽  
Stage Iii ◽  
Stage Iii Colon Cancer ◽  
Patterns Of Use

The national strategy for suicide prevention in the Netherlands: on the road to zero suicides

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Franx
Keyword(s):  
Mental Health ◽  
The Netherlands ◽  
Suicide Prevention ◽  
Public Awareness ◽  
Vulnerable Groups ◽  
National Strategy ◽  
The Road ◽  
Public Awareness Campaign ◽  
First Results ◽  
On The Road

Abstract Background In the Netherlands, 1829 persons (11.6/100.000) ended their life by suicide in 2018. Two out of three suicides concern men, most of them in the age group of 50-55. Suicide amongst youth is rising, especially amongst youngsters between 10-25. Around 40 persons a day, predominantly young and female, are treated in Dutch hospitals after having attempted suicide. Only 40% of those who die by suicide have been in touch with healthcare professionals. These figures made the Dutch government to put in place a national strategy for suicide prevention. Methods This strategy follows the WHO's guidance and covers a range of measures in public health as well as in the health care sector. Its implementation is coordinated by “113 Suicide prevention”, the national centre of expertise on suicide prevention in the Netherlands. Results A broad package of measures is being implemented simultaneously, targeting the entire population as well as specific vulnerable groups, such as youngsters, persons with LGBT related issues and persons with mental health needs. We initiated several collective preventive measures, such as media guidelines for safe reporting, a public awareness campaign against stigma, reduction of access to deadly means or places; selective prevention initiatives, e.g. training over 3400 of gatekeepers to detect and address suicidal thoughts with desperate persons; and indicated suicide prevention strategies including screening, treatment and follow up of patients with suicidal behaviour in general practice or mental health hospitals. In this presentation the different components of the Dutch strategy for suicide prevention will be described more in detail, and experiences and first results of the different components will be addressed. Conclusions The relevance of the Dutch national strategy is related to the broad package of measures implemented simultaneously in many domains of society, but closely monitoring and evaluating the effect stays challenging.

scholarly journals The effects of the COVID-19 virus on mental healthcare for older people in The Netherlands

2020 ◽  
Vol 32 (11) ◽  
pp. 1353-1356 ◽  
Author(s):  
Debby L. Gerritsen ◽  
Richard C. Oude Voshaar
Keyword(s):  
The Netherlands ◽  
Older People ◽  
Mental Healthcare

scholarly journals Implementation of High and Intensive Care (HIC) in the Netherlands: a Process Evaluation

2021 ◽  
Author(s):  
A. Laura van Melle ◽  
Alida J. van der Ham ◽  
Guy A. M. Widdershoven ◽  
Yolande Voskes
Keyword(s):  
Intensive Care ◽  
The Netherlands ◽  
Organizational Support ◽  
Resistance To Change ◽  
Psychiatric Patients ◽  
Mental Healthcare ◽  
Implementation Process ◽  
Drivers Of Change ◽  
Facilitators And Barriers ◽  
Axial Coding

AbstractThe High and Intensive Care model (HIC) was developed to reduce coercion and improve the quality of acute mental health care in the Netherlands. This study aimed to identify drivers of change which motivate professionals and management to implement HIC, and to identify facilitators and barriers to the implementation process. 41 interviews were conducted with multiple disciplines on 29 closed acute admission wards for adult psychiatric patients of 21 mental healthcare institutions in the Netherlands. The interviews were analysed by means of thematic analysis, consisting of the steps of open coding, axial coding and selective coding. Findings reveal three major drivers of change: the combination of existing interventions in one overall approach to reduce coercion, the focus on contact and cooperation and the alignment with recovery oriented care. Facilitators to implementation of HIC were leadership, involving staff, making choices about what to implement first, using positive feedback and celebrating successes, training and reflection, and providing operationalizable goals. Barriers included the lack of formal organizational support, resistance to change, shortage of staff and use of flex workers, time restraints and costs, lack of knowledge, lack of facilities, and envisaged shortcomings of the HIC standards. Drivers of change motivate staff to implement HIC. In the process of implementation, attention to facilitators and barriers on the level of culture, structure and practice is needed.

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