The System Of Care Implementation Cooperative Agreements : Case Study

Partners HealthCare is a non-profit, health system located in Boston that created a data based transformation (Davenport, 2013). It integrated a new system that aligned the participating organizations to cohesively run as one and to help shape the future of the organization. The system didn’t stop there as it was responsible for bettering the patient financing experience and the delivery of healthcare information to other organizations (Davenport, 2013). The initial goal of the organization was making patient care more affordable and accountable by providing integrated, evidence based, patient-oriented care.

In addition, the program offered healing to the community still healing from the legacy of colonialism. If the federal government kept funding the suicide prevention program there would not have been a spike in suicide rates in the community. Furthermore, a psychologist at the University of Victoria, Christopher Lalonde, believes the key to stopping suicides is rooted in the communities (McCue, 2016). From two decades of researching, he found that the communities that are the least “culturally healthy” have a higher rate of youth suicide (McCue, 2016). Also, the mental wellness of aboriginal youths is not only about being mentally healthy but also having a balance between Aboriginal youths’ families, communities, and the environment (Khan, 2008). Therefore, it will be better that Aboriginal suicide prevention programs are created by Aboriginal communities to target the prevalence issues in their communities with some assistance from the government to set it up and fund

"Suicide in the U.S.: Statistics and Prevention." National Institutes of Health. June 26, 2008. National Institute for Mental Health. 18 Nov 2008 .

I finally started my first year of college at Miami Dade College in January 2014. During my adaptation to the new educational system, my Abnormal Psychology class professor mentioned how important it would be to participate in an Applied Suicide Intervention Skills Training. I consider this to be very useful in today’s society where many individuals suffer from depression.

Census, the NA/AN population is young (30% are in their teens) and projected to grow by 6 million between now and the year 2060 (U.S. Census, 2010).4 For a young population that is projected to grow, the need to focus on their poor mental health outcomes is evident. Close to 20% of NA/AN children reported substance abuse or dependence within the last six months in one standardized survey.5 NA/AN children are more likely to be victims of a violent crime, to be hit or killed by an automobile or to drown than either their African American or white peers.6 The fact that most NA/AN children survive these events, however, carries the high possibility that they carry the memory and experience of a highly traumatic event into their lives, which could impact their subsequent behaviors.6 One of the most unfortunate statistics that has been receiving much attention recently for its severity in the NA/AN community is deaths due to suicide. For NA/AN youth, the rates of death due to suicide are double the general population, and NA/AN teens experience the highest rate of suicide of any population group in America.7 On a standardized survey, fifteen percent of students in schools located on Native American reservations in 2009 reported having attempted suicide in the prior

Death by acute actions can lessen in Montana if there is more awareness and prevention. With the help of communities coming together suicide education can be expanded to not only across Montana, but across the nation. Positive advertisements about depression and

The Zuni American Indian reservation was chosen as one of the pilot communities in testing intervention methods because of the number of adolescent suicides encountered by the Zuni Tribe in New Mexico. Although the rates of suicide have always been significantly higher in American Indians in comparison to the general public, the numbers of suicides in the Zuni community increased rather drastically between the years of 1980 and 1987 when 13 adolescents between the ages of 14 and 18 years old had successfully completed suicide. Obviously, this number was this extremely upsetting to the community for many reasons, including grief in the loss of their fellow tribe members and because suicide is strictly forbidden in the Zuni culture like many other American Indian populations (LaFromboise, & Lewis, 2008).

Within this draft proposal, it is argued that the issue of the unprecedented rise in teenage suicide on the Pine Ridge Indian reservation demands immediate action from the tribal government to help improve life on the reservation and work towards saving the young people of the Oglala Sioux Tribe (and potentially the youth amongst other tribes across the United States). Hopefully with this draft proposal, officials in charge of the Oglala Sioux Tribe can use these recommendations to work towards fixing the many issues on the Pine Ridge Indian Reservation that has contributed to the unprecedented rise of teenage suicide. First and foremost, the economic system within the reservation needs immediate reformation and further development to combat

Attention Getter: Suicide is the 3rd leading cause of death in the U.S. surpassed by accidents and homicide. (According to Centers for Diseases Control and Prevention)

While the exhibit centered around drawing the attention to the number of youths who commit suicide each year, it also functioned as a venue for students to become aware of the resources on campus that are accessible to them. The Center for Health and Counseling Center offers free and confidential counseling to all Ramapo College students, as well as therapy group sessions and emergency counseling services after office hours through the Office of Public

The group which interest me the most is a suicide prevention support group. This particular segment needs a practitioner who understands the perplexity of their issues. The goal should be aimed at bringing together knowledge about higher risk groups, effective interventions and available resources for this population reduce suicide but also provide support from those affected by suicide. (Doessel, 2011)

This has become a very important cause to me in the last year as seven of my hometown peers have attempted or succeeded in committing suicide, and as suicides from the Taos Gorge Bridge spark new controversy about suicide prevention and mental health in a town as unique as Taos.

The American Foundation of Suicide Prevention is a non-profit organization acknowledges that suicide and mental health problems are part of our society and by understanding this we can better support those in need, and suicide affects a tremendous amount of people and proper education and treatment can prevent people from committing suicide. “Each year in the United States, suicide claims over 40,000 lives - more than war, murder, and natural disasters combined…Suicide is not just a faceless health issue for our society - it affects real people.” (1.) The American Foundation for Suicide Prevention (AFSP) which was founded in 1987, is one of the leaders in fighting against suicide by offers research, education to those in need, and supports those people and their families that are affected by suicide.

Care across various health care settings and with multiple providers is often fragmented and managed in a silo. Patients with multiple illnesses are more challenging to the health care system. These challenges cross multiple health care settings and make the patient more vulnerable to experiencing serious health problems that can result from poor transition and coordination of care. Coordination interventions can include transitional care, patient self-management and coordinated care. Incorporation and implementation of care coordination interventions can result in improvements in care management, reduced financial burden and subsequently improve quality of life.

Dr. Robert Master, the founder of Commonwealth Care Alliance (CAA), had created the company with the vision to ‘bring high-quality and personalized care to people with complex medical and behavioral needs, resulting in improved health and better self-management of chronic illness, thereby reducing hospitalizations and institutionalizations.' Therefore, the main objective was to provide care outside the walls of hospitals and institutions to make it easier for the chronically ill and disabled to receive the attention they