Current through Register Vol. 24-18, September 15, 2024
(1) Training content must be based on current
empirical research and known best practices.
(2) Training must reflect sensitivity and
relevance to the cultures and backgrounds of the relevant client or patient
populations.
(3) Content for
six-hour trainings must include the following. These are minimum time
requirements for each of these content areas. Additional time or content must
be added to total at least six hours.
(a) A
minimum of ninety minutes on suicide assessment. Content must include:
(i) How to structure an interview to gather
information from a client or patient on suicide risk and protective factors and
warning signs, including substance abuse;
(ii) How to use the information referenced in
(a)(i) of this subsection to understand the risk of suicide;
(iii) Appropriate actions and referrals for
various levels of risk; and
(iv)
How to appropriately document suicide risk assessment.
(b) A minimum of sixty minutes on treatment
and management of suicide risk. Content must include:
(i) Available evidence-based treatments for
patients and clients at risk of suicide, including counseling and medical
interventions such as psychiatric medication and substance abuse
care;
(ii) Strategies for safety
planning and monitoring use of the safety plan;
(iii) Engagement of supportive third parties
in maintaining patient or client safety;
(iv) Reducing access to lethal means for
clients or patients in crisis; and
(v) Continuity of care through care
transitions such as discharge and referral.
(c) A minimum of thirty minutes on veteran
populations.
(i) Content must include
population-specific data, risk and protective factors, and intervention
strategies.
(ii) Training
providers shall use the module developed by the department of veterans affairs
or a resource with comparable content.
(d) A minimum of thirty minutes on risk of
imminent harm through self-injurious behaviors or lethal means.
(i) Content on self-injurious behaviors must
include how to recognize nonsuicidal self-injury and other self-injurious
behaviors and assess the intent of self-injury through suicide risk
assessment.
(ii) Content on lethal
means must include:
(A) Objects, substances
and actions commonly used in suicide attempts and impulsivity and lethality of
means;
(B) Communication strategies
for talking with patients and their support people about lethal means;
and
(C) How screening for and
restricting access to lethal means effectively prevents suicide.
(4) Content
for three-hour trainings must include the following. These are minimum time
requirements for each of these topics. Additional time or content must be added
to total three hours.
(a) A minimum of
seventy minutes on screening for suicide risk. Content must include:
(i) When and how to screen a client or
patient for acute and chronic suicide risk and protective factors against
suicide;
(ii) Appropriate screening
tools, tailored for specific ages and populations if applicable; and
(iii) Strategies for screening and
appropriate use of information gained through screening.
(b) A minimum of thirty minutes on referral.
Content shall include:
(i) How to identify
and select an appropriate resource;
(ii) Best practices for connecting a client
or patient to a referral; and
(iii) Continuity of care when making
referrals.
(c)
Three-hour trainings for pharmacists must include content related to the
assessment of issues related to imminent harm by lethal means.