Can-SCIP Coach App
  1. Can-SCIP
  2. Recommendations
  3. Guidelines
  4. Section 2 - MANAGEMENT OF SCI COMPLICATIONS

O - EMOTIONAL WELL-BEING




Integrate mental health professionals with education, training, and experience in SCI, as well as in general mental health and substance use disorders (SUDs) within comprehensive inpatient and outpatient SCI rehabilitation programs. (PVA-EWB 2020, p.160; Level C)
Routinely screen all individuals with SCI for mental health disorders, SUDs, and suicide risk as part of inpatient and outpatient rehabilitation. (PVA-EWB 2020, p.160; Level C)
Include current symptoms and lifetime history in screening and assessment of mental health disorders and SUDs. (PVA-EWB 2020, p.160; Level C)
Refer individuals who screen positive for a mental health disorder or SUD to a mental health professional for a diagnostic assessment and initiation of treatment, if indicated. (PVA-EWB 2020, p.160; Level C)
Engage individuals with a mental health disorder or SUD in shared decision-making for their treatment. (PVA-EWB 2020, p.160; Level C)
Systematically evaluate valid and standardized measures of progress to inform care and adjust treatment (measurement-based care) for mental health disorders or SUDs. (PVA-EWB 2020, p.160; Level C)
Refer to follow-up treatment and coordinate care upon discharge or transition to the next phase of care, if indicated. (PVA-EWB 2020, p.160; Level C)
Clinicians should consider referring individuals with SCI to peer support networks or to outpatient psychological consultations prior to discharge. Small group cognitive behavioural therapy-based treatment programs should be used to decrease depressive symptoms following SCI. (CAN-SCIP 2020, p.160; Level C)