From the PAL Psychiatrist
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Written by Joshua Stein, MD
Means Reduction:
Removing the HOW people commit suicide
A common difficulty in the outpatient office is determining the steps needed to ensure the safety of a patient once they identify that they are suicidal. There are two known methods to ensure safety;
mental health treatment at the appropriate level of care
and
means reduction.
The need to determine level of care will be examined in a future post. The significant importance of the removal of means to suicide, or
Means Reduction
, is the focus of this article.
A common myth is that a suicidal person, who has identified a source for completion, will substitute an alternative method if his/her original method is taken away. This belief in almost all settings represents a fallacy. The lethal means, whether overdose, a firearm, a one car crash etc, will not be substituted for another.
Given the opportunity, the removal of chosen lethal means, especially firearms, will greatly reduce the
How
people attempt: giving time to determine the
Why,
and introduce treatment.
Read More
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Pediatric Psychiatric Med Management
& Trauma Care Trainings
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"I feel more confident prescribing antidepressants, and calling the PAL with complex patients." - pediatrician
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The PAL team and a Nationally Certified Trauma Therapist provide FREE and CME-approved trainings for primary care providers and healthcare professionals that are focused on pediatric mental health assessment and treatment.
PAL will present from 8am-12pm:
- Overview of the Psychiatric Consultation Service and the importance of early identification of mental illness
- Psychopharmacology (eg. Stimulants, SSRI's, SGA's, and Mood Stabilizers)
- Metabolic Monitoring
- Pharmacogenomics testing
- Community Resources, Fast-TrackerMN.org, and collaborative care models
Trauma Care therapist and trainer will present from 1-5pm:
- Psychotherapeutic modalities with a particular focus on evidence-based practices
- Appropriate screening, referral and treatment of traumatic stress in children and youth
- Ensuring adequate assessment and the appropriate diagnosis and treatment of ADHD in children and youth (e.g., differential diagnosis, alternatives to pharmaceutical treatments, etc.)
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Adam Klapperich, DO
Dr. Klapperich is a board certified child/adolescent and adult psychiatrist. He joined PrairieCare Medical Group in Edina in 2012. He has since worked in inpatient, partial hospitalization, and outpatient settings at PrairieCare. Dr. Klapperich attended the University of South Dakota before graduating from the Kirksville College of Osteopathic Medicine. He completed psychiatric residency and child and adolescent psychiatric fellowship training at the University of Minnesota. Dr. Klapperich works with children and adolescents in the newly opened Maplewood location.
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Joshua Stein, MD
Dr. Stein is the clinical director and an attending clinician at the Brooklyn Park Partial Hospital Program (PHP) and operates a clinic out of the Brooklyn Park Medical Office Building. The clinic is used as a bridge for patient's leaving PHP until they can see their outpatient provider. The focus for care is not just on immediate obstacles and gains, but improving long term trajectory as well. As the president of the Minnesota Society for Child Adolescent Psychiatry he focuses on local and national advocacy for children's mental health with a goal to increase access to quality care.
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Fast-Tracker is Minnesota's free, easy-to-use tool designed to connect people with resources and services.
They connect individuals, families, mental health and substance use disorder providers, physicians, care coordinators, and others with a real-time, searchable directory of mental health and substance use disorder resources and their availability within Minnesota.
For more information, call Fast-Tracker 651-426-6347 or visit their website:
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Mental Health Resources & Treatment Protocols for Primary Care
Child and adolescent psychiatric treatment protocols are available on our website under the Training & Education tab. The treatment protocols are specifically for medical providers, and the fact sheets are intended for caregivers/families.
Please click here to view the Child and Adolescent Treatment Protocol Guides!
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