Task Group Goals, Strategies & Tactics www.SuicideAwarenessAndPreventionCouncil.org Overall Challenge Cut-back of hospital services due to financial instability Fewer housing, education, employment and transportation optionsGreater geographic and distance barriers Limited broadband internet Higher uninsured rates Difficulty of safely aging in place in rural America Education Roll of schools Student Suicide Prevention Shows Results Parents/Guardians Funding Opportunities Training Opportunities Empower schools to address bullying Encourage schools to strengthen rules and policies How each school currently meets the social-emotional needs of students. An evidence-based analysis of Positive Discipline (BHSD) An evidence-based analysis of Restorative Practices (BHSD) Train all staff, teachers and students in at least grades 7-12: To recognize the depression and suicidal warning signs Know what to do and say and not do and say To understand the Crisis Text Line 741741 and use it To find out if all students have the SafeOregon apt on their phones and if they are using it and if not why? Have ongoing training's and programs to keep bully prevention on the top of mind To treat all bullies equally whether their regardless of where their parents work (the district, sports coaches, the city, etc.) Ensure that all sports coaches are well trained on bully prevention and problems are addresses and not covered up Complete the Suicide Crisis Plan Have a fully trained on-campus crisis team Include a check for depression annually Encourage school districts to approve proclamations to go along with on campus programs during awareness months like March - Self-Injury; April - Alcohol, May-Mental Health, September - Suicide,October - Bullying, Depression, November - Anti-drunk driving (See Events Calendar), Developing Comprehensive Suicide Prevention, Intervention and Postvention Protocols: A Toolkit for Oregon Schools (95 page PDF) National Center for Transgender Equality Start with training people whose professions would make them likely to hear/observe suicidal ideation Peer support programs Elders Reach out to those who are not connected to the community Encourage depression testing Peer support programs Develop an elder needs survey Faith Faith-based groups can contribute to suicide prevention by increasing hope, supporting emotional well-being, and fostering the development of positive social connections. Encourage each religious organization to develop support programs that make it safe for members to ask for help, and get it. Work with youth to spot fellow students dealing with depression, anxiety and suicidal thoughts Make it okay to support students in asking a friend "R U OK?" Teach youth who have access to a cell phone to know and use the 741741 Crisis Text Line service. Start with training people whose professions would make them likely to hear/observe suicidal ideation Celebrate Mental Health Sunday, May 17, 2020 with a sermon and support groups First Responder/ER Current protocal on suicidal subject That all personel who might particiated in a 911 call be trained in CIT including fire Start with training people whose professions would make them likely to hear/observe suicidal ideation Government City governments Support awareness months by: (1) approving a proclamation and let the local press know that it means more to the City Council than just signing a piece of paper Encourage cities to work with local non-profits to coordinate city wide events Legislation Contact legislators to endorce SB-52 and other important, related bills. Encourage lawmakers to strengthen rules and policies (i.e., Currently only "protected Class" students are protected from bullying in Oregon law and Board of Education OARs. Only protect students from retirbution against whistle blowers.) Juvenile Programming Depression check Peer support programs Law Enforcement Emergency Log Reports Current protocal on suicidal subject That all personel who might particiated in a 911 call be trained in CIT including dispatch Firearms & Suicide book mark Lethal Means & Suicide Prevention: A Guide for Community & Industry Leaers (24 page PDF) How to Address Firearm Safety with the Rural Suicidal Patient - Clackamas County, February, 2019 (18 page PDF) Start with training people whose professions would make them likely to hear/observe suicidal ideation Coronavirus takes toll on rural police agencies Media Let's Talk: Monthly topic emphasis. Write a 500 word story for print media; PSAs for broadcast Possible request for a proclamation from County and City governments and schools. Possible speech for animal clubs, school clubs, Rotary, talk shows, etc. Inspire others to get involved via social media Consider developing a social media program Involving People with Lived Experience Design a Council logo 7 Mental Health Campaigns that Made a Difference Calendar Self-Injury Awareness Month - March Media Campaign Recommendations for reporting on suicide (2 page PDF) Reduce stigma, fear, Uniform definitions/language (include an Acronym Dictionary. 2012 National Strategy for Suicide Prevention Acronym detection - directory Not normalize or sensationalize Prevent/reduce copy cat No front page story. Careful wording - suicide not the solution (13RW) Avoids place, personal/family details, methods, photo, video, PAS/story to promote ways to get better. Development and evaluation of a youth mental health community awareness campaign – The Compass Strategy Breaking the Silence: addressing the need to raise awareness and support effective treatment all year long. Therefore, releasing a monthly story to print media, a PAS to broadcast, and a Proclamation to County, City and School Boards as appropriate to the issue. See Event Calendar Break the Silence is your story up to 500 words that would be placed on this web page. See information here. Follow the Clackamas Model and understanding of how to talk "lethal means." PR/News/Commercials to put a face on individuals at risk and those who have died Medical Health Obtain and review previously prepared community improvement plans Are these plans enough? Seriously. What is being missed, maybe just because we didn't think it could be done or it wasn't in the realm of our funding model? Start with training people whose professions would make them likely to hear/observe suicidal ideation Peer support programs Open letter to Clinicians (Approved April 1, 2020) Health Issues – addiction, gambling, dementia, physical health problems Share screening toolsHealth Issues – addiction, gambling, dementia, physical health problems Follow-up after ER, medicine change, bereaved friend, reduce copy cat Depression check part of annual medical checkup, eespecially for Medicare patients Common protocol between ER, law enforcement, first responders, 911, safety plan, pharma No hold room GP ask two questions of every patient. Train in C-SSRC How to help the uninsured How to acquire Medical Examiner's demographics data around suicide Why We Need to Include Chronic Pain in Suicide Prevention Mental Health Challenges Correct estimate of prevalence of mental health problems in Curry County-north, mid, south county Determine barriers to help seeking Reducintg stigmas Increased awareness of suicide risk The population's capacity to recognize mental health problems Improving self-recognition The population's actally seeking appropriate help for themselves Self-Injury Awareness Month COVID-19 and Suicide" awareness Mental health professionals and policy makers Share screening tools Develop behavioral health Community resiliency strategies Develop localized “toolkits” and referral tools? Start with training people whose professions would make them likely to hear/observe suicidal ideation Peer support programs Support SB-52 currently being debated in the Oregon Legislature Current protocal on suicidal subject That all personel who might particiated in a 911 call be trained in CIT LHF - Disseminate educational materials to clinics and therapists Depression check part of annual medical checkup, eespecially for Medicare patients Drug reduction, refill, alter with timely follow-pup appointment Henry Ford Suicide Training Academy Clinician Suicide Survivor Survey - Rev 4/5/19 (5 page PDF) Media as Partners in Suicide Prevention (18 page PDF) Complicated, potentially traumatic grief process Profoundly disturbing event of professional career, particularly true for those who haven't had suicidality training in order to be able to practice in Oregon Impacts clinicians both personally and professionally Also true for clinician’s family suicide loss! Loss of confidence, competence, particularly in relation to suicidal clients Common reactions: hyper vigilance/minimization of suicide potential Impairment of empathic responses, defensive avoidance of clients own pain Difficulty trusting clients Open Letter to Clinicians (Approved 4/1/2020) Care transition - Close common gaps in care in outpatient treatment settings to reduce increased suicide risk Firearms & Suicide book mark Lethal Means & Suicide Prevention: A Guide for Community & Industry Leaers (24 page PDF) How to Address Firearm Safety with the Rural Suicidal Patient - Clackamas County, February, 2019 (18 page PDF) Substance Abuse/Recovery Stakeholder Group Goals Lack of access to MAT (#1 issue in Curry County) - Longterm/high priority Behavioral Health –Increase access to services, residential treatment, increase outreach, education, & awareness – Short term (BOC, City Council, CAC, LPSCC, DA, ADA(s) Talk about suicide in the context of addiction and not just mental health – this seems like outreach and education to me – redundant? Depression check – I'm not sure what this means??? Organize a “Walk Out of Darkness” event in Curry County to support AFSP. (This event will be impacted by COVID-19. Rethinking a virtual event – spoke with Will Wasson in June – he was going to connect me with his replacement and promised to honor the request for support.) Develop a recovery fitness program. COVID impact (#2 explore virtual fitness opportunities.) Why We Need to Include Chronic Pain in Suicide Prevention Start with training people whose professions would make them likely to hear/observe suicidal ideation (I feel what needs to happen first is to actually get buy-in from PCPs. Help PCPs understand why it’s important to screen and provide examples of how best to engage/ask.) Share personal story – Providence hospital Peer support programs – COVID impact. Checking in ROC program in Medford. The goal is to see if we can bring training to Curry. We could cut costs tremendously if we don’t have to cover travel and lodging for participants, just the trainer. Three words: Accountability Awareness Advocacy Other considerations Health Issues – addiction, gambling, dementia, physical health problems Talk about suicide in the context of addiction and not just mental health Depression check Organize a “Walk Out of Darkness “ event in Curry County to support AFSP. Develop a recovery fitness program. Why We Need to Include Chronic Pain in Suicide Prevention Start with training people whose professions would make them likely to hear/observe suicidal ideation Peer support programs Tribal Funding Opportunities Depression check Reduce copycat Start with training people whose professions would make them likely to hear/observe suicidal ideation Peer support programs Develop a tribal needs survey Veterans June 16, 10a-2p, Veterans Stand Down, Brookings-Harbor High School football field. Approved 4/1/20 Postponed. Start with training people whose professions would make them likely to hear/observe suicidal ideation Peer support programs Develop a veterans needs survey Reduce Stigma and Promote Help-Seeking Promote Lethal Means Safety Provide Suicide Prevention Training Enhance Primary Care Suicide Prevention Improve Access to Primary Care Assessments conducted by the community Interviews and observations Evaluation informs program development and improvement locally and nationally Community Requirements Local Veteran-majority steering committee Coordinator and facilitator to implement program Organizational capacity to receive funds Community Activities Engage community partners in regular meetings Develop action plan in alignment with strategies Implement action plan Practice skills to implement program Build relationships with other communities implementing program Depression check Uninsured Veterans that don't qualify for services. Why We Need to Include Chronic Pain in Suicide Prevention Youth Challenges Factors associated with an increased risk of suicide among youth include prior attempts, depression, family discord, substance abuse, relationship problems, discipline or legal problems, and access to firearms. Protective factors include inclusive enviroments, effective care for mental, physical and substance abuse disorders, access to mental health care, support for seeking help, reduced access to lethal means, discussing problems with friends or family, emotional health, strong connections to family and community, and life skills such as problem-solving, conflict resolution and anger management. Development and evaluation of a youth mental health community awareness campaign – The Compass Strategy Support Youth Who Have Addicted Parents Depression check Keep school based clinics separate from school hired therapists. Many Oregon families don't trust the government connection with behavioral health Start with training people whose professions would make them likely to hear/observe suicidal ideation Peer support programs Develop a youth needs survey Other Lethal Means Reducing Access to Lethal Means among People at Risk Develop a strategy on how best to reach the target market and communicate the reality that access to lethal means is the number on cause of death for most males, especially young males Trust in the person asking the individual to relinquish their firearm is deemed fundamental. Train trusted friends or family members to successfully broach the Firearm Taboo. Develop a brochure to address the situation Homeless Use Google Maps to locate encampments Develop a homeless needs survey Poverty Develop a needs survey Promoting High-Impact Research Enhancing Data Collection and Surveillance Suicide Develop a needs survey Develop information PSA, articles, lived experience stories from prominent people in the community Action Plans Move Goals to Action Plan when developed and ready to implement Activities Monthly Event Calendar Lessons: Respect for all week - February 10-14 News & Events Educational Resources Social Emotional Learning Legislative Create a suicide prevention education program like New Hampshire’s to teach firearm dealers to identify suicidal customers and avoid selling or renting them firearms. The bill would also provide funding to offset costs. Crisis phone and text lines on back of student ID cards Create a position in the Department of Health to collect detailed suicide-related data. When an individual dies by suicide, a police officer writes a basic report, but it doesn't provide enough information about what led the individual to kill himself — information that could substantially inform suicide prevention efforts. Under the bill, a licensed social worker would be hired to delve more deeply into the underlying causes of suicide, conducting a “psychological autopsy” to see if the individual experienced bullying, spent time in the criminal justice system, struggled with gender identity or was receiving mental health treatment at the time of death. The investigation could include hair samples to see what drugs were in one’s system and if he had stopped taking a prescribed psycho tropic medication. Increase funding to hire more crisis counselors for and design a higher education version of SafeOR, a smartphone app that allows someone in crisis or a concerned friend to call or text a crisis hotline and speak to a licensed clinician 24/7. Crisis counselors at the University Neuropsychiatric Institute at the University of Utah take 5,000 crisis calls and 1,000 texts a month, many from SafeOR, which is rolling out a teen-targeted live-chat function in partnership with all Oregon schools. SafeOregon - results - contacts per year, month? Est preventing attempts. Mental health professionals and policy makers The uninsured and underinsured don’t have adequate access to mental health treatment, and those who do have coverage struggle to get an appointment. Access issues are particularly prevalent in rural Oregon, where psychiatrists are few and far between. While crisis intervention may be available, long-term treatment often entails long waits for an appointment. Expand access to care by increasing the state’s mental health workforce and bringing more telepsychiatry services to rural areas Offer a $10,000 tax credit to attract new psychiatrists. Payoff student loan debt Fund statewide training of mental health clinicians to use empirically supported treatments. This training should go beyond workshops or continuing education … to include ongoing supervision, consultation and monitoring of clinicians.” Only programs with “demonstrated outcomes” should be funded Satisfaction does not necessarily constitute outcomes. If we want to save lives, we have to move upstream. Right now, we’re not investing in primary prevention. We’re rescuing people from the river. Roll of schools Source: www.nasponline.org/resources-and-publications/resources/school-safety-and-crisis/preventing-youth-suicide/preventing-youth-suicide-tips-for-parents-and-educators Student Suicide Prevention Shows Results Attempts declined by 40 percent where program was used. Source: www.healthcentral.com/news/NewsFullText.cfm?id=517754 Parents/Guardians In addition to all of the teens who successfully commit suicide, there are many more who attempt suicide. Experts estimate that 20 to 25% of teens admit to thinking about suicide at some time in their lives and for every suicide, there are between 5 to 45 suicide attempts. In Curry County according to the 2018 Students Wellness Survey, in the 12 months prior to the survey, 26% of 6th, 36% of 8th and 44% of 11th graders said they felt so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities (depressoin) 11% of 6th, 24% of 8th and 20% of 11th graders seriouly considered suicide and 11% of 6th, 8% of 8th and 9% of 11th graders attempted. According to the 2019 Healthy Teen Survey, in the 12 months before the survey, 33% of 8th and 53% of 11th graders said they felt so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities (depressoin) 16% of 8th and 26% of 11th graders seriously considered suicide, and 7% of 8th and 9% of 11th graders attempted. Source That makes it even more important for parents, pediatricians, and everyone else that is regularly around teenagers to understand how to try and prevent suicides. Law Enforcement Emergency Log Reports - Primary interest: suicidal subject, mental subject, suicide attempt, suicide for the year 2020. Please send to gordonclay@aol.com   ©2017-2023, www.zeroattempts.org/ccspc/task-group-goals.html or https://bit.ly/39RqCLA 080122