Collaborative Care, Community C-L
Mass shootings are becoming a tragically permanent part of the American landscape (1), and the aftermath of these stories unfolds at medical centers, where CL psychiatrists work at the frontlines to evaluate patients and support peers and colleagues (2). With no end in sight to mass violence, and mental health implications for both perpetrators and victims (3), this work is unfortunately a necessary facet of the future of CL psychiatry. Increased opportunities are needed for collective reflection, support, learning, and advances in practice within this niche of our specialty.
The University of Pittsburgh Medical Center’s CL psychiatry service provided consultations and support to patients, colleagues, trainees, and our community after the Tree of Life shooting in October 2018. Presenters will lead an interactive session highlighting CL psychiatry’s multiple roles after mass shootings, aiming to enhance participants’ capacity both to provide and seek support following mass violence.
Dr. Bates will speak about the role of the CL psychiatrist in mass violence and caring for patients who are direct victims. She will facilitate interactive case-based discussion with the audience around issues salient to consultations following these events.
Dr. Faeder will share his experiences as both a CL psychiatrist and a member of the community directly impacted by the Tree of Life shooting. He will explore the impact of hate-inspired mass violence on targeted communities and the general population.
Dr. Moschenross will address impacts of mass violence on the medical community, discussing roles of UPMC staff support programs following the Tree of Life shooting. She will also discuss benefits of providing care to patients, families, staff, and selves following these events.
Dr. Smith will share her experience of being the on-call resident during the Tree of Life shooting and fielding consultations related to mass violence, highlighting unique challenges for medical trainees and opportunities for teaching and mentorship.
Dr. Rozel will explain how media coverage – both traditional journalism and social media – after high visibility attacks can fuel escalating referrals for possible threats. He will present specialized clinical techniques to address potential threats, from less serious, fear-based threats to major concerns including clustering and copycat effects.
Panelists will reconvene to synthesize key points and field questions from the audience.