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Pain in the Nation: Healthcare Systems Brief

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9 TFAH • WBT • PaininTheNation.org Improving Behavioral Health Services 1. Better training and care integration and coordination Health systems are educating their clinicians about both substance misuse and suicide prevention. Unfortunately, many healthcare providers have never been trained in suicide prevention and lack the confidence to effectively deal with a suicidal patient. 54 The National Action Alliance for Suicide Prevention has proposed suicide training guidelines for clinicians and suggested they be required by state licensing entities, educational institutions and accreditation programs. 55 Healthcare systems can use these recommendations to develop their own training requirements or programs for their providers. In addition, while behavioral health services have long operated in their own silo and have not traditionally been part of the medical care systems, systems and providers are increasingly employing strategies to shift towards a "whole health" mentality to ensure coordinated medical and behavioral healthcare services and systems, including: l Co-locating and integrating physical and behavioral healthcare services; l Assigning patients case managers to help them navigate the healthcare system; l Implementing Accountable Communities for Health (ACH) models, a cross-sector approach to improving health and health equity by enhancing the clinical-community link; 56, 57 and l Supporting a "no wrong door" approach, which allows patients to quickly access an entire range of healthcare and social service benefits regardless of where they enter a health system. This philosophy requires coordination among multiple sectors, so that healthcare providers can refer patients to other entities for services needed to improve their health and well-being, such as for housing or nutritional assistance. 58, 59, 60, 61, 62

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