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Project Name: National University Wellness Program National University (NU) is proposing to implement the NU Wellness Program, including the creation of NU’s first cross functional Campus Assessment Response and Evaluation (CARE) team with Wellness resources, such as individual case management, assessment, online treatment opportunities, and referral services for the targeted community. The target population of the program includes all current students attending NU either onsite or online, both undergraduate and graduate. a total of approximately 29,000 students. NU is a Hispanic serving institution with a Latino population of 25%. Ten percent of the population is African American; 58% are female, and 21% are Veterans/Active Duty Military. The Program will augment its current infrastructure to improve effective identification, intervention, and prevention services for all students, including those at risk for the development of suicidal behavior, serious mental illness, and/or substance-related overuse or injury. Activity #1: Create a network infrastructure to link the institution of higher education with appropriately trained behavioral healthcare providers and community stakeholders. Activity #2: Train college students, faculty, and staff to respond effectively to college students with mental and substance use disorders. Activity #3: Administer voluntary mental/substance use disorder screenings and assessments. Activity #4: Provide outreach services to inform and notify college students about available mental and substance use disorder services. The goal of the proposed program is: The NU Wellness Program will augment its current infrastructure to improve effective identification, intervention, and prevention services for all college students, including those at risk for the development of suicidal behavior, serious mental illness, and/or substance-related overuse or injury. Objective #1 - By month three, develop and implement a centralized reporting system and awareness trainings. Objective #2 - By month four, utilize the newly-developed centralized reporting system to collect and analyze data Objective #3 - Beginning in month six, develop and provide online and onsite trainings for students, faculty, and staff. Objective #4 - In month three, develop case management processes and procedures, and by month four, roll out these policies and procedures to key stakeholders including faculty and staff to begin managing student cases. Objective #5 - Beginning in month six, offer and expand resources and information for mental health treatment to all students at the University. Number of people to be served annually: 1,000 and over the 3-year life of the project: 5,000

The Texas A&M University Department of Suicide Awareness and Prevention will develop a comprehensive, collaborative, well-coordinated approach to enhance efforts to reduce risk of suicide and substance-related death for over 63,000 Texas A&M students. Efforts include a mental health stigma-reduction campaign and training to improve the identification and referral of at-risk students so they can safely and successfully complete their studies. The project will serve the 63,000 Texas A&M students on the main campus, as well as an additional 5,000 distance learners located at special purpose campuses. Texas A&M is a Tier 1 research institution with a student population that is 57% White, 21% Hispanic, and 7% Asian. Texas A&M is consistently one of the top-ranking schools in the country for Veterans. A&M is also home to the Corps of Cadets, a leadership training program that commissions more military officers than any other institution with the exception of the nation’s service academies. The estimated rate of college student suicides is 7.5 per 100,000 students. This equates to between 4 and 5 deaths by suicide per year. With 9 deaths by suicide in calendar year 2017, the rate is nearly double the predicted number. The Student Counseling Service will take the lead in the creation of a campus-wide effort to collaborate in support of at-risk students. A comprehensive awareness campaign will focus on the availability of supportive resources to assist students both on and off campus. Existing Suicide Prevention Gatekeeper training will be provided with the goal of increasing capacity to train faculty, staff and students to identify and refer students that are in psychological distress. In addition, a 3-year license will be purchased for Kognito, an evidence-based computer simulation that teaches techniques to provide support to distressed students. This tool will be available for all faculty, staff and students. Project goals include the creation of a single point of coordination for campus-wide primary, secondary and tertiary response to reduce the risk of suicide on campus; to increase the capacity of students, faculty and staff to identify and support at-risk students; to increase the awareness of available services; and to form partnerships with student organizations that focus on student well-being. Objectives include holding meetings with community stakeholders, holding 2 general mental health and 2 suicide-specific awareness events, providing monthly promotion via email 100% of the Texas A&M faculty, and the provision of 5 trainings to the 180-member staff of Residence Life. Over the life of the grant, 100% of the student body and faculty will receive information about suicide prevention efforts and will have the opportunity to receive gatekeeper training. A projected 1,000 students will participate in suicide prevention events. Through this effort, the number of trained suicide prevention gatekeepers will double from 12,000 to 24,000.

Northwest Missouri Stated University (Northwest) is home to 6,338 undergraduate and graduate students. It is located in Maryville, Missouri which is situated in the northwest corner of the state. It is a rural area (population 11,900) located in the center of Nodaway County. The closest metropolitan area is Kansas City, approximately 95 miles to the south. Northwest has recognized the need to identify, intervene, and treat our at-risk population while supporting the growth and resiliency of the entire Northwest community. The need to develop and enhance the current infrastructure to identify and support all college students, especially those with both identified and unidentified mental and substance use disorders in addition to suicidal behavior, has never been greater. While Northwest is currently utilizing a number of best practices in suicide prevention, there is a need to continue with, and expand upon, current interventions. Northwest staff have reviewed mental health, suicide, and substance use data, both campus specific as well as regional/national information. Ongoing interaction with Northwest and community stakeholders continues to be informative regarding collaborative ways to deliver timely, effective, and meaningful services. The program goals are founded in best practice and when implemented together will inform Northwest policy and processes surrounding student mental health. Based on the Suicide Prevention and Resource Center (SPRC) model, focus will be placed on the four areas of 1) Identify and Assist, 2) Increase Help-Seeking, 3) Connectedness, and 4) Life Skills and Resilience, all under the umbrella of “Hope 4 All”. The target population of this proposal will include high-risk groups at Northwest; however, recognition of the need to support resiliency and growth among all Northwest students is paramount to the work of changing the current trajectory of the ever-expanding mental health and substance use disorder needs of students.

Miami Dade College’s Project ECHO (Engagement, Connection, Help-seeking, Outreach) will create an infrastructure that saturates Miami Dade College’s eight campuses with suicide prevention and mental health awareness. It will provide training, screening, and outreach to increase the help-seeking behavior of 165,000 students. As one of the largest and most diverse colleges in the nation, Miami Dade College, located in Miami-Dade County, Florida, has designed ECHO to strengthen the college-community help network infrastructure to one that is agile, capacity fluid, and sustainable; increase campus knowledge capital on suicide prevention; and reduce stigma surrounding suicide and help-seeking among a highly-diverse student population. To assess progress toward attainment of its goals, ECHO has the following objectives: ? Objective 1 - Network and Infrastructure - By the end of the project period, a comprehensive help network will have been developed as indicated by execution of a minimum of three Memorandums of Understanding with appropriate community providers. ? Objective 2 – Training - By the end of each project year, a minimum of 200 core college students, faculty, and staff will receive training on QPR. ? Objective 3 – Screening and Assessment - By the end of the project period, a minimum of eight “I Screen, You Screen” screening events will occur (Yr. 1 = 2 campuses, Yr. 2 = 4 campuses, Yr. 3 = 2 campuses) ? Objective 4 – Outreach - By the end of each project year, a minimum of 15,000 students will participate in one or more #realtalk outreach events. Project ECHO objectives reflect an effort to reduce the stigma associated with mental health and behavioral health issues college-wide in a culturally competent manner and reaching special populations; and to promote help seeking among those at-risk, as well as increasing the knowledge base of the college community to facilitate awareness and early identification of mental and behavioral health issues. The project will directly serve approximately 16,000 students, faculty, and staff annually and nearly 48,000 over the three-year project period, with a potential college-wide impact to 165,000 students plus faculty and staff. All of the program’s activities have been formulated to meet the needs of the commuter college aspect of Miami Dade College and to provide flexibility in implementation across the institution’s eight campuses, which each have a uniquely diverse student population makeup.

This comprehensive project is designed to improve the mental health for all San Jose State University students using the public health approach. A caring, connected, and informed SJSU, filled with 850 Gatekeepers, 7,000 mental health informed individuals, 250 peer-lead outreach activities, and 100 community partners, will be created to increase service capacity, early identification, and treatment engagement for all students by August 2021. The objectives for this project are developed based on the key unmet mental health needs for SJSU students: Underdeveloped network infrastructure and low service capacity, low numbers of trained gatekeepers to effectively respond to students with mental health needs or in crisis, lack of early identification mechanisms for mental health and substance use disorders, and low help-seeking and treatment engagement rates. We plan to meet these needs by implementing eight evidence-supported activities: 1) Strengthening the current network infrastructure and increasing service capacity, 2)Increasing numbers of trained gatekeepers on campus, 3)Providing mental health and substance use disorder screenings, 4)Increasing SJSU CAPS outreach activities through peer programs, 5) Promoting linkage to the National Suicide Prevention Lifeline, 6) Hiring a Community Mental Health Coordinator (CMHC), 7) Assessing and systematically improving SJSU's suicide prevention and intervention efforts using JED Campus program (an approach and an SPRC/Suicide Prevention Resource Center Best Practice Registry program), and 8) Increasing student engagement in activities for improving wellness, reducing suicide, and reducing mental health and substance use disorders through mini-grants. We will strive for culturally responsive and inclusive practices in all aspects of our project and project activities. We will also use data-driven analyses to identify service and outcome disparities and areas of improvements for all project activities. Finally, we aim at creating sustainable and systematic changes through building partnership and community through collaborative and coordinated efforts.

The University of Hawai?i Suicide Prevention Program will serve a highly diverse student population and will target sub-populations that are at high risk for depression, suicide, and substance use issues, including Native Hawaiian and Pacific Islanders, LGBTQ students, students with disabilities, veterans, and students who stigmatize mental health and / or rarely access mental health care prevention and support services. The goals of this grant project are to reduce mental health disparities related to our students’ race, ethnicity, gender and/or sexual identity; decrease reported levels of student distress and suicidal ideation on campus; and educate students and campus community about alcohol and substance use and abuse as a means of reducing high-risk and harmful student behaviors. Interventions and strategies used will include suicide prevention gatekeeper trainings, mental health and substance use focus groups, mental health screening, alternative mental health wellness intervention / prevention programming, and stigma reduction education. The project’s objectives are as follows: (1) to develop a Community Stakeholder Communication Protocol and establish a Community Prevention Network, (2) facilitate completion of Kognito for 40% of targeted student leaders / employees, and 30% of targeted faculty / staff by end of grant period, (3) train two new QPR facilitators to offer this suicide prevention gatekeeper training to 210 students over three years, (4) establish sustainable protocols and management systems for ongoing suicide prevention gatekeeper training, (5) train 40 student leaders over three years in using and sharing Hei, an indigenous strategy for well-being, (6) increase student participation in mental health / substance use screening events by 10% each year, (7) roll out No Shame, No Blame stigma reduction campaign particularly targeting Hawaiian and Pacific Islander men, (8) by the end of three years, produce six video clips aimed at increasing targeted students’ access of counseling services by 15%, (9) deliver evidence-based substance use intervention program(s) to 30% of students who have identified themselves as needing this support, (10) develop culturally relevant alternative mental health prevention and intervention strategies by conducting focus groups, allowing at least 120 students over three years to access mental health care services who otherwise would not, (11) expand access to HeartMath software by at least 25 students a year as part of a campaign about stress, anxiety and sleep management, and (12) revitalize Men of Strength programming as a means of increasing participant’s help-seeking, well-being, and knowledge of campus and community support resources.

Connect to Wellness at Monmouth University: A Competent Community Initiative (CONNECTWELLMU) is a comprehensive program to address the mental health, health and substance use issues that lead to increased risk for suicide and suicide-related behavior among college students, including military-affiliated (still in service)/veteran, first-generation, transfer and graduate students. CONNECTWELLMU widens our safety-net and competent community by expanding connections between campus service providers, between students and services, and between the community and campus to create a deeper level of support for students experiencing mental health and substance use issues, or at-risk for suicide. Goal 1. Improve the connection/infrastructure between students and appropriately trained behavioral healthcare providers who treat mental health and substance use disorders. Objective 1.a. Increase the communication and collaboration between campus mental health (CPS), health and substance use providers. Objective 1.b. Increase the communication and collaboration between campus and off-campus resources for general population and high-risk populations (i.e. military-affiliated/veteran students, students reintegrating from hospital; first-generation, and transfer students). Objective 1.c Improve access to timely mental health and substance use services on campus Goal 2. Improve college students', faculty, and staffs' ability to effectively respond to college students with mental health and substance use disorders. Objective 2.a. Improve clinicians ability to effectively assess and manage suicide risk Objective 2.b Improve student and adult gatekeepers' ability to identify mental health and substance use issues among peers and students. Goal 3. Improve early identification of students at-risk for mental health and substance use issues Objective 3.a. Implement selective screening for mental health and suicide risk, using PHQ-9 in health, CPS and substance use services Objective 3.b. Increase identification of students with mental health challenges on campus Objective 3.c. Improve knowledge of sending high schools in suicide prevention Objective 3.d. Develop and disseminate resources for parents/families of general population of students as well as special populations (i.e. military-affiliated/veteran students, students reintegrating from hospital; first-generation, and transfer students). Goal 4. Increase awareness of available mental health and substance use services on- and off-campus Objective 4.a. Create a CONNECTWELLMU web-based portal for campus services and wellness Objective 4.b. Increase student awareness of services and promote help-seeking Objective 4.c. Promote National Suicide Prevention Lifeline and crisis services Objective 4.d. Increase faculty (full-time and adjunct) awareness of mental health, substance and other services on campus

Azusa Pacific University serves just over 10,000 undergraduate, graduate, and doctoral students annually. This project will enhance our university crisis response system by creating a campus infrastructure for seamless integration of prevention, intervention, outreach and linkage to address student mental health and substance use. APU will implement the National Standards for Culturally and Linguistically Appropriate Services to ensure the needs of vulnerable student populations are included throughout project planning and implementation. Goal one is to develop infrastructure that would increase the knowledge and capacity of APU faculty, staff, and students to identify risk factors, response protocol, and resources for the prevention, treatment, and intervention of issues related to mental health, substance use, and suicide prevention. Objective 1: Project staff will train 75% of APU faculty, staff, and students by December 15, 2020, via a mental health symposium on protective and risk factors, response protocols, and linkage resources for student behavioral health and substance use needs. Objective 2: Staff will develop and distribute an updated directory of internal and external resources for mental health and substance use services to 100% of APU faculty, staff, and students by January 31, 2021. Goal two is to increase the skill set of campus behavioral health staff and students on conducting culturally sensitive assessment and outreach for mental health, substance use, and suicide prevention. Objective 1: Project staff will train 90% of therapists at the University Counseling and Community Counseling Centers by September 30, 2019, to conduct brief psychosocial, substance use, and suicide assessments. Objective 2: Project staff will train 50 faculty, staff and behavioral health graduate students as peer educators on conducting linguistically and culturally sensitive outreach and messaging strategies by June 30, 2020. Objective 3: Staff will distribute four strategically timed quarterly campus-wide risk reduction messages by June 1, 2021.

The More Aware Initiative (MAI) is a comprehensive, collaborative, innovative, and unified approach to improving student mental health and wellness, while working to eliminate suicide among Kent State University (KSU) students. In fall 2017, 39,367 students were enrolled at KSU, with 71.2% at the main campus. About 60% are female and 70% are Caucasian. Recent data indicate that KSU students have a higher rate of depression, anxiety, suicidal ideation, and attempted suicide in the last 12 months as compared college students nationally. Over the past five years, suicide attempts, ideation, and threats have generally increased for KSU students. To promote positive mental health and decrease suicidal ideation and attempts at KSU, the initiative will achieve five primary objectives: 1) Infrastructure: develop a comprehensive and coordinated network infrastructure to expand and enhance mental health, substance abuse and related programming and services for the KSU community. The network infrastructure will include peer-led programming and activities designed to improve student mental health and wellness and reduce incidents of students in crisis, 2) Gatekeeper Trainings: offer expanded and comprehensive options for students, faculty, staff, and families to become gatekeepers through online Kognito and QPR trainings and in-person Mental Health First Aid gatekeeper trainings, 3) Mental Health Screenings: promote and offer expanded in-person and online mental health and substance abuse screenings, 4) Increase Awareness of Mental Health Services: develop and implement a comprehensive campaign to promote and raise awareness of mental health and substance use and related issues and services. The campaign will include the creation of branding, developing student service materials, and unification and enhancement of campus mental health web pages, and 5) Increase Prevention Efforts: raise awareness and provide education to students through a peer-led initiative to provide innovative programming and activities. The initiative will develop and host Flash-Up events on the KSU main and all 7 regional campuses that will substantially increase the current reach of mental health and wellness-related programming and activities. Programming will be used to disseminate educational materials, improve mental wellness, raise awareness, increase coping skills and improve resiliency among approximately 39,000 students annually and 117,000 throughout the lifetime of the project. Aspects of the initiative, will specifically focus on at-risk groups such as students identifying as LGBTQ. The initiative will collect data from a variety of sources and levels not only to evaluate the effectiveness of the initiative as a whole, but to assess individual programs and activities as promising practices.

Fulfilling our land grant mission of open access and serving the state of Iowa, this grant affords Iowa State University (ISU) the opportunity to strengthen efforts around suicide and substance abuse prevention. Using a public health approach, including strategies to increase capacity, build infrastructure, conduct strategic planning, and institutionalize efforts, this project will positively benefit students at ISU, the City of Ames and other institutions of higher education in Iowa. National and ISU data indicate at risk populations as veterans, LGBTQIA+, racial and ethnic minorities, students with disabilities, low-income, and first generation students, who are a focus of this project. Summarized project goals and objectives follow: Goal 1 - Increase capacity by establishing a well-coordinated suicide and substance abuse prevention infrastructure. Goal 1 Objectives – Restructure/expand the Campus Suicide Prevention and Mental Health Team; create a community-based coalition; implement a statewide prevention conference. Goal 2 - Increase number of students, faculty, and staff receiving training to respond effectively to students with mental and substance use disorders by developing a strategic, tiered training approach. Goal 2 Objectives – Develop and implement a three-tiered training infrastructure including programming and funding. Goal 3 - Increase evidence-based screening strategies to identify students with mental and substance use disorders. Goal 3 Objectives –Conduct Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol/other drug issues on campus; increase screening, assessment, and treatment of student substance use disorders; expand usage of online and anonymous screening and referral option for students. Goal 4 - Increase knowledge about available mental and substance use disorder services and resources by implementing targeted strategies that reach at risk student populations and the broader campus community. Goal 4 Objectives - Develop social marketing strategic plan; utilize student ambassadors to conduct outreach and promotion; create a searchable community provider database to increase access to referral options. Goal 5 - Increase mental health promotion, suicide, and substance use prevention FTE on campus. Goal 5 Objectives - Hire a full-time employee to serve as a dedicated Suicide and Substance Abuse Prevention Coordinator; secure funding for the sustainability of this position. Goal 6 - Increase institutional support by empowering students to reduce stigma associated with mental health and substance abuse issues. Goal 6 Objective - Facilitate coordination between student leaders from across the university to increase strategic partnerships within their initiatives. Given the initiatives in this project, we estimate reaching 14% or 5,000 students in year 1, 28% or 10,000 students in year 2, and 42% or 15,000 students in year 3. Over the 3 years of this project, we estimate minimally serving 30,000 students.

The One-of-Us Initiative at Valparaiso University (ONUS VU) will create a more connected and safer campus community focused on decreasing risk by collectively promoting life. This program will serve our general student body, but will specifically target student veterans, LGBTQA and commuter students (populations at increased risk for suicide). University leaders and several VU campus departments and programs have volunteered their time and expertise to help develop sustainable partnerships and create a systemic structure for managing critical student incidents, mental health emergencies, and suicide. ONUS VU will bring together VU Counseling Services and other Student Affairs offices, Inclusion & Student Success Services (which includes Veterans Programs), Academic Affairs, Campus Ministry, and the Departments of Psychology, Social Work, and Education. ONUS VU has four primary goals. 1) Enhance mental health services for all college students; including those at risk for suicide, depression, serious mental illness, and/or substance use disorders that can lead to school failure. 2) Increase the capacity to prevent mental and substance use disorders among college students. 3) Promote help-seeking behavior and reduce negative public attitudes among students, faculty, and staff at Valparaiso University. 4) Implement and continue evidence-based programs to improve the identification and treatment of at-risk college students so they can successfully complete their studies. We will meet these goals through creating a network infrastructure between the campus and local communities and providing evidence-based trainings, awareness and stigma reduction programs, connectedness assessments and interventions, and increasing our capacity to screen for, assess, and treat suicide risk and mental and substance use disorders. We will add 12 new QPR (Question, Persuade, and Refer) trainers to our campus community and provide QPR gatekeeper trainings to at least 500 students, faculty, staff, and community members by the end of the grant. We also will provide information and outreach about mental health/substance use disorder services, and about suicide and suicide prevention, to our students and the local communities in coordination with Counseling Services and the Office of Alcohol & Drug Education, and via the following activities: an aggressive media and social media campaign, external speakers, and two annual courses on suicide.

The University of Arizona (UA) Campus Health Service (CHS) and the Southwest institute for Research on Women (SIROW), propose Project Lifeline, a comprehensive suicide prevention strategy to reduce the incidence of suicide, suicide attempts, and their related risk factors such as alcohol and other drug (AOD) misuse/abuse among students at the UA with a special emphasis on high-risk student populations, such as LGBTQ students and veterans. Located in Tucson, UA is a large public institution (over 43,000 students) with over 45% of its student population from an ethnic/racial minority and 52% female. Approximately 5-6% of the population identifies as LGBQ and over 1,000 students are veterans receiving GI Bill benefits. On a 2017 survey 63% of UA students reported having consumed alcohol, 28% reported having used marijuana, 2% reported having used pain pills, and 6% reported having used sedatives not prescribed to them in the past 30 days. Seventeen percent had been diagnosed with depression and 19% with anxiety. Forty five percent had felt hopeless, 81% had felt overwhelmed, 30% felt so depressed it was difficult to function at least once during the past year. Seventeen percent reported at least mild suicidality, 1.4 reported attempting suicide, and 3 committed suicide in the past school year. These risk factors indicate the strong need for comprehensive suicide prevention on campus. In collaboration with a wide variety of campus and community partners, CHS and SIROW’s Project Lifeline will address the following objectives: (1) Increase collaboration among campus departments and the Tucson community to address student mental and behavioral health needs; (2) Increase knowledge and willingness of students and campus personnel (gatekeepers) to respond effectively to students with mental health (MH) and behavioral health (BH) problems that can lead to school failure, such as depression, substance abuse, and suicidal thoughts and attempts; (3) Increase students who are screened and assessed for MH and substance use disorders; (4) Increase awareness of campus and community resources that can identify, assess, and treat MH and MH problems; (5) Increase help seeking for MH and BH problems; (6) Decrease suicide attempts and related risk factors; (7) Institutionalize effective program components and disseminate information at local, state, and national levels. To address these project objectives, the project team will utilize gatekeeper training to 400 individuals/year, educational presentations and curriculum infusion to a minimum of 400 individuals/year and campus-wide efforts such as student driven activities and media (videos, posters, pamphlets, articles) with the potential to be seen by most students (43,000), as well as local, state and national dissemination (presentations, technical assistance and publications).

Marshall University Suicide Prevention Education Across Campus (MU-SPEAC) program is a collaborative approach between multiple academic and campus departments, including: Social Work, Psychology, Counseling, Public Health, Nursing, Physical Therapy, the School of Pharmacy, Joan C. Edwards School of Medicine, Counseling Center, MU Wellness Center, Office of Veteran's Affairs, Behavioral Health and Psychology Clinic, LGBTQ Office, Women's Center, Office of Student Conduct, MU INTO Program, University Residence Halls, Student Support (first generation support), and the Athletic Department. MU-SPEAC will create a comprehensive public health approach to assist individuals at risk for suicidal behavior and to create a safer campus community. The program will also partner with state and community organizations that provide behavioral health support and suicide prevention education. MU-SPEAC will create a campus Advisory Team to provide education and services to prevent suicide among Marshall students. ALL MU students, including specific targeted populations (veterans, athletes, individuals who identify as LGBTQ, first generation, freshmen, medical students, professional groups and other at-risk groups) will be the population served by the programs and services provided in this grant. The taskforce will be comprised of campus and community stakeholders, including students. MU is a multi-campus, public university that provides undergraduate and graduate education to 13,000 students in West Virginia. MU-SPEAC is a public health approach that will consist of developing and providing culturally sensitive training to teach staff and faculty the necessary skills to provide evidence-based screening and intervention for individuals who are at risk for suicidal behavior and other related risk factor behaviors, such as substance misuse. This public health approach will target students at the universal, selective, and indicated levels. Universal strategies will target the entire MU student body to increase population based health and prevention. Specific programs at the level will include: education, gatekeeper training, awareness activities, social marketing, and working to increase help-seeking behavior, while decreasing stigma. Selected populations who have been shown to be at risk for suicide behavior, mental health concerns, and substance misuse will be targeted with suicide prevention strategies. Finally, MU-SPEAC will provide targeted clinical and prevention strategies toward Indicated groups on campus. These will be students who have made a suicide attempt, are in treatment for depression and anxiety, express suicidal thoughts/ideation and plans, are survivors of loss due to suicide, are recovering from substance misuse, and who are survivors of loss due to substance misuse. The MU-SPEAC grant will provide a collaborative framework to develop and implement a comprehensive public health approach using evidence-based programs and practices to address suicide on Marshall University's campus

To meet the needs of the campus community, Boise State is seeking the GLS grant to help fill current education, resource, and infrastructure gaps that exist for students that may be struggling with mental health and/or substance use. Boise State is committed to implementing the Caring Broncos Project, a comprehensive suicide prevention program to enhance efforts already initiated to offer education, resources, early intervention, and a continuum of care for students. From fall 2012 to fall 2017, Boise State University had ten students complete suicide. In January 2018, two Boise State students completed suicide. Students, faculty, and staff at Boise State University are severely impacted by each completed suicide; often, the campus community is left with feelings of sadness, frustration, unease, and uncertainty due to limited awareness and access to support resources for mental health and substance abuse. Current efforts at Boise State are disjointed and lacking coordination: there is no central office currently maintaining primary responsibility for training and education, there are gaps in campus-wide policies and protocols, and limited collaboration between area hospitals and other community agencies. The project name centers on one of Boise State's Shared Values of Caring. The purpose and use of grant funds will be to develop comprehensive, coordinated, and sustainable suicide prevention efforts on the Boise State campus. To achieve this purpose, Boise State has established four primary goals: (1) Implement evidence-based programming to increase campus awareness of warning signs and high-risk behavior associated with suicide and mental illness. (2) Decrease the number of students seriously considering suicide by implementing a comprehensive wellness model that promotes help-seeking amongst diverse student groups. (3) Increase the University's capacity to provide students a continuum of care post-hospitalization to reduce the number of acute crises. (4) Increase outreach efforts to students at high-risk with mental health and substance abuse needs. Measurable objectives for this program include increased education, training, and outreach for the campus community, increased utilization of mental health and substance use screening tools, a more streamlined approach to identifying and responding to mental health concerns, and increased collaboration with community providers to help support a continuum of care for Boise State students. These strategic efforts will strengthen infrastructure, community relationships, promotion of wellness and help-seeking, and outreach to vulnerable student populations, with a focus of student veterans. Boise State is committed to implementing a comprehensive prevention program to help meet student needs. Estimated number of people to be served in year one of the project - 700, year two - 3300, and year three - 4000. Total number of people served: 8,000.

ONU is requesting funds to enhance infrastructure, awareness, and education related to mental health and substance use disorders on the ONU campus. These disorders can cause serious consequences including suicidal behavior, injury, or school failure. This project will enhance services in an effort to prevent mental and substance use disorders and increase help-seeking behaviors to protect ONU students and help students successfully complete their studies. ONU’s students, faculty, and staff is the population to be served, with an emphasis on LGBTQ, racial/ethnic minority, veteran, and athlete students. ONU has 3,088 students, 2,312 of whom are undergraduates. Of all students, 5% are international, 77% are white, 4% are African-American, 9% are of unknown race, and students of other races comprise under 3% each. ONU has 489 first-generation college students and 10 veterans receiving benefits, and the university hosts degree-seeking and exchange students from 23 countries. Unfortunately, ONU has seen an increase in 1. student-of-concern referrals, 2. the percentage of students presenting for counseling with suicidal ideations, and 3. the number of ER visits and hospitalizations for suicide ideation, attempts, or substance use crises. In 2016-17, 11% of the student body requested counseling services on campus. ONU’s GLS Project has three goals with nine objectives, in summary: Goals: 1. equip the campus to assist students at risk for mental health problems and/or suicidal behavior; 2. increase protective factors in students; 3. increase collaborations with local behavioral health care providers and community stakeholders. Objectives: increase awareness of mental and substance use disorders by 20%; increase the percentage of faculty and staff trained to respond effectively to students at risk of mental and/or substance use disorders over years two and three by 10% and 25%, respectively; increase the percentage of Residence Life student staff trained to respond effectively to students at risk of mental and/or substance use disorders by 75% and 100%, respectively; increase the number of outreach efforts on mental and substance use disorders by 10%; increase the percentage of students who complete mental and substance use disorder screenings by 25%; increase involvement with student organizations/groups by 25%; increase the number of activities on campus to educate students and reduce negative attitudes about mental and behavioral health disorders by 15%; increase student satisfaction rate of behavioral health care providers by 25%; and increase involvement with public and private entities trained in behavioral health care by 10%. It is estimated that 770 students will be reached each year.

Integration of Technology and Behavioral Economic Approaches to Enhance Mental Health and Substance Abuse Prevention and Intervention Services on Stony Brook University Campus The primary goal of the project is to improve population-level mental health and substance use disorder (SUD) prevention/ promotion services using behavioral economic principles (decision science) to increase the baseline mental health of our student community, decrease stigma and expand "gatekeeper" effectiveness. Furthermore, by to improving efficiencies within our mental health care system, we will increase access to care, improve clinical outcome, reduce treatment dropout that will ultimately impact academic success. Parallel to the national trend, Stony Brook University is experiencing an increase in demands for counseling services. However, data indicate that over 70% of students who access counseling may be better served by multimodal prevention and early intervention services. Meanwhile, SBU's prevalence rates for depression, suicidal ideation, affect regulation issues and substance use disorder is on the rise in the student community (anonymous needs assessment data). Therefore, this project is committed to reimagining mental health services into a collaborative, comprehensive data-driven public health approach designed to reach students who don't/won't utilize traditional counseling services. If funded, the project will serve all our student population (n= 25,989) with special attention to the needs of LGBTQ, Veteran, and International Students. This project will focus on developing an integrated community of care by incorporating community partners, campus stakeholders, students, and parents. The four primary goals of the project are: 1) increase access, efficiency, treatment compliance and positive clinical outcomes for students seeking counseling services by implementing telecounseling, evidence-based tools for clinical outcomes monitoring and reducing treatment dropout, 2) expand scope and increase effectiveness of voluntary screening by utilizing multimodal (in person and online) evidence-based screening approaches (SBIRT), 3) develop and augment outreach directed at students, faculty and staff to enhance awareness of mental health and substance use issues, build effective gatekeeper referrals tactics, reduce stigma, increase access to services and promote the national suicide prevention lifeline (QPR, Kognito, communication campaign), and 4) using SAMHSA's Strategic Prevention Framework create a task force of on-and-off campus behavioral health providers and suicide prevention organization to ensure effective prevention by implementing iterative data driven population level changes. At the conclusion of this project, we aspire to build a sustainable and comprehensive repository of strategies and tactics that connect prevention, treatment, and community outreach into a seamless continuum of care supporting wellbeing and student success.

St. Petersburg College (SPC), representing eight campuses across Pinellas County, FL, proposes Project HEAL (Healthy Emotions and Lives) to build a collaborative infrastructure targeting mental health and substance abuse awareness. Project HEAL will strengthen a community-wide provider network, implement a comprehensive suicide prevention plan, and increase awareness of and access to resources for nearly 30,000 credit seeking students. Currently, no mental-health centered crisis response protocols or on-campus mental health services exist for SPC students, and in particular for vulnerable populations including minority students, veterans, and LGBT. Although students have access to a 24/7 free telephonic Student Assistance Plan, less than 1.08% of students (233) utilized this service in 2017. Faculty and staff indicate little knowledge of how to help a student experience a mental health crisis. In addition, community partner services vary widely across SPC’s large campuses and lack coordinated efforts. To bridge these service gaps, Project HEAL will achieve the following goals and objectives by the end of the project period: 1) Establish a systematic infrastructure of SPC’s mental health referral and on-campus network, including the development of a Suicide Prevention Plan with Crisis Prevention Protocol and suicide tracking system, where 75% of College faculty and staff demonstrate knowledge of proper procedures and protocols; 2) Offer a tiered system of Gatekeeper training for faculty, staff, and students on suicide prevention, substance abuse, and mental health promotion, where 80% of those trained indicate an increased ability to recognize students at risk; 3) Promote access to mental health and substance abuse counseling with network partners, including on-campus screenings, where the number of students accessing help increases by 75% each year; and 4) Provide mental health and substance abuse resources, materials and events on campus and online to increase awareness and understanding of mental health issues, including promotion of the National Suicide Prevention Lifeline, where 75% of students, faculty, and staff indicate an awareness of community resources and where to turn for help. Leading the program is a Project Taskforce of key College personnel experienced in mental health promotion and high-risk populations, students representing high-risk populations, and new and existing community mental health agency partners to ensure a robust network of providers and referral sources for students, These partners, along with former GLS grantees, will inform program planning, activities, and best practices in evidence-based care. Over a period of three years, Project HEAL will train approximately 845 faculty, staff, and students in a Gatekeeper model and SPC mental health resources to increase student utilization of community mental health resources and referrals. More than 3,000 students will be reached through on-campus awareness and screening events. Finally, over 2,370 students will seek help through the Student Assistance Plan and other community resources. SPC pursues these goals with the belief that supporting mental health is everyone’s charge, and that one death as a result of substance abuse, mental illness, or suicide is one too many.

National-Louis University, a broad-access institution in Chicago, proposes NLU-SPI, a suicide prevention approach in which a network of internal and external partners will develop a university-wide process for responding to students’ mental health needs; oversee training for staff and students; implement social media and other outreach to increase awareness of services; and increase knowledge of how to understand and respond to the impact of adverse childhood experiences (ACES). The project will focus on three vulnerable populations: an undergraduate program designed specifically for first-generation, predominately low-income students; veterans and military-connected family members; and young adults with intellectual and multiple emotional disabilities. Over 1,500 primarily African-American and Hispanic students will be served annually, for a total of 4,500 students over the three years of the project. The six project goals are: Goal 1: Create a comprehensive infrastructure and collaborative network of internal and external partners that will establish a proactive and cohesive plan to monitor and respond to student mental health needs; Goal 2: Implement a comprehensive training program to increase student, faculty and staff capacity to recognize and effectively respond to warning signs of self-harm, suicidality, and substance abuse in others ; Goal 3: Increase student knowledge of mental and substance use disorder services by developing a student outreach plan focusing on the three target populations; Goal 4: Increase student access to voluntary mental and substance use disorder screenings and assessments; Goal 5: Increase student knowledge of the National Suicide Prevention Lifeline (TALK) as well as others other relevant lifelines; Goal 6: Create a Trauma Informed culture that starts with an understanding of the life-long impact of Adverse Childhood Experiences (ACEs). The impact objectives focus on increasing faculty, staff and student knowledge and changing responses to mental health needs: • By Y3/Q4 faculty, staff and students will show a 20% increase over Y1 baseline in knowledge about how to recognize and effectively respond to warning signs of self-harm, suicidality, and substance abuse in others; • By the end of Y3/Q4 there will be a 20% increase over Y1 baseline in faculty and staff reporting on student mental health needs; • By the end of Y3/Q4 students will show a 20% increase over Y1 baseline in knowledge about mental and substance use disorder services as measured by SPEAKS survey, designed for GLS campuses. • By Y2/Q4, students will show a 25% increase over Y1 baseline data in participating in voluntary mental and substance use disorder screenings and assessments

The Cleveland State University Building Partners for Suicide Prevention project will build on campus and community partnerships to strengthen suicide prevention infrastructure. The project will expand gatekeeper training, promote awareness to decrease stigmatization of mental health concerns, engage student leaders, improve communication between providers, and provide follow up care for high risk students. The project focuses on suicide prevention for CSU students and will attend especially to outreach and prevention with two higher-risk groups: LGBTQ+ students and veteran students. In expanding and strengthening the infrastructure, the CSU Building Partners for Suicide Prevention project will meet the following goals: Goal 1: Increase capacity to deliver campus wide trainings that will increase the ability for students/campus members to take appropriate action when there is a mental health crisis. Objective: Train 3700 students and staff. Goal 2: Decrease stigma and encourage help-seeking behaviors and screenings. Objective: Reach 2900 students and staff with de-stigmatizing campaign and screenings. Goal 3: Increase the capacity of the Counseling Center to provide clinical case management and post-hospitalization follow-up care. Objective: Provide direct service for 200 high risk students. Goal 4: Create and maintain system for tracking student suicidal behavior, identifying trends, and measuring the success of suicide prevention efforts.

The Rollins College Suicide Prevention Project will increase institutional capacity to implement, sustain, and improve effective identification, intervention and prevention services for students at risk for the development of suicidal behavior, serious mental illness, and/or substance related overuse or injury. The primary purpose of this project is to build necessary infrastructure to allow the Rollins Wellness Center to effectively respond to an alarming rate of suicidal ideation and mental illness among students on campus. While this project will aim to address the entire campus’ vulnerability to suicide and substance use disorders, there are several populations identified as being particularly vulnerable. These include a growing number of students of color; lesbian, gay, bisexual, and transgender (LGBT) students; student veterans; and those with pre-existing mental health conditions. The project's overall goal of building a comprehensive, collaborative, well-coordinated, and evidence-based approach to suicide prevention will be achieved through six key activities over the three-year period: (1) creating a network infrastructure to link Rollins College with appropriate care providers from the community; (2) training gatekeepers (students, faculty, and staff) to respond effectively to those at-risk for suicide (3) administering effective voluntary screenings and assessments; (4) providing outreach and information to promote suicide prevention efforts, encourage help-seeking, and increase awareness of crisis resources; (5) providing mental and substance use disorders prevention and treatment services to college students by employing appropriately trained staff; and (6) developing and supporting evidence-based and emerging best practices, including a focus on culturally and linguistically appropriate care. The activities undertaken will support an estimated 3,200 college students, staff, and faculty annually and over 5,000 students throughout the life of the project. The project will focus on the following core strategies: development of an advisory board of on- and off-campus care providers and experts in suicide and mental health; enhancing the existing QPR Gatekeeper program, including the addition of supplemental gatekeeper programs (i.e., Mental Health First Aid); increased promotion of screening tools currently in place; implementation of universal screening for depression, anxiety and suicide ideation at all Rollins Wellness Center appointments; and extensive outreach aimed at increasing help-seeking, decreasing high-risk behaviors such as binge drinking, and increasing awareness of resources. The project will also conduct focus group research with students from identified high-risk populations to increase awareness and understanding of the unique needs, barriers and protective factors of, and most effective strategies for reaching these targeted students. Lastly, the project will adopt evidence-based practices focused on the mental health and well-being of college students of color and train all Wellness Center mental health providers to engage in culturally competent, best practice treatment of suicide, severe mental health and substance abuse.

Purpose: This proposal, entitled Implementing a Social-Ecological Suicide Prevention Program (SESPP) at Old Dominion University (ODU), adopts a public health approach to suicide prevention among 24,000 college students. The program seeks to build sustainable infrastructure at ODU to enhance mental health service provision, improve campus-wide mental health-related attitudes, and reduce college student stress, suicide risk and substance abuse. Populations Served: The following specific groups are served across SESPP program components: (1) faculty, staff, and administration; (2) at-risk student groups (e.g., military, LGBTQ, students with disabilities); (3) students experiencing stress, mental health and/or substance use concerns; (4) police officers, and; (5) a range of Norfolk, VA area community partners (e.g., VA Medical Center, LGBT Center). Strategies/Interventions: A number of programs will be implemented to serve ODU stakeholders. First, an integrated Campus-Community Suicide Prevention Taskforce will be assembled to formulate a strategic plan, establish a regional campus-community referral network, and provide other project guidance. Second, a campus awareness program will be instituted, including weekly emails, campus flyers, a mental health resources website, and free on-campus mental health screenings. Third, Counseling Services and Student Health service providers will receive a series of trainings in evidence-based practices (e.g., brief psychotherapies). An annual undergraduate suicide prevention course for health professions students will augment training efforts. Fourth, QPR and Safe Talk gate-keeper trainings will be implemented for all stakeholder groups. Finally, a series of campus outreach programs (i.e., LGBTQ Safe Space, military Green Zone, and Life Skills Training) will be conducted on campus. Project Goals & Objectives: Goal 1 holds the objectives to enhance suicide prevention skills among 20 health service providers and 75 total undergraduate health professions students. Goal 2 features the objective to provider gate-keeping training for a total of 480 students, staff, faculty, administrators, and police officers. For Goal 3, the awareness campaign holds objectives to reach 6,000 students, family members, staff and faculty through electronic means, as well as 300 students via free on-campus mental health screenings. Goal 4 addressing at-risk groups possesses the objectives to educate 100 students, faculty and staff via outreach programming each on LGBTQ concerns and military student needs. Goal 5 holds the objectives to add a total of 9 community members to the Campus-Community Taskforce, and implement a referral resource network. Goal 6 seeks the following student well-being objectives: 5% reduction in financial stress, 10% reduction in mental/emotional difficulties impacting academic work, 3% decrease in 12-month self-harm prevalence, 2% reduction in 12-month prevalence of suicidal ideation, 5% reduction of binge drinking, 10% increase in student willingness to use health services, and 10% reduction in suicide-related stigma beliefs. Goal 7 holds the objective to establish a campus-wide suicide prevention strategic plan.

Gettysburg College (GC) proposes the Suicide Prevention Initiative (SPI) to train our community to recognize and respond to students at risk, strengthen coalitions across campus in a united effort to educate and intervene with students, strengthen partnerships with external resources, build the capacity of Counseling Services (CS) to respond to increased demand, and create a template and schedule for sustaining ongoing efforts. SPI activities include creating an organized network and safety net for students: campus community training, preventative education and intervention, ongoing screenings, postvention preparation and training, and additional clinical hours. We will be especially attentive to student groups that are at higher risk for 1) mental illness and associated self-harm and/or 2) mental illness that is untreated or undertreated, especially students who identify LGBTQ (2.9%), students of color (21.4%), first-generation college attendees (17.4%), international students (6.8%), and athletes (24%). SPI interventions will reach at least 1000 persons per year and 3000 by the end of the grant period, with an exponential impact on community members given that GC is a smaller, residential institution. GC CS staff see approximately 25-30% (higher than the national average of 15-17%) of all students who are on campus each year. The number of client sessions has risen substantially, from 3628 (2012) to 4114 (2017) and a projected 4350 in 2018. CS staff find that on average each year 30% report passive suicidal ideation, 10% thoughts of harming others, 7% were hospitalized for psychiatric care before college matriculation, 19% admit to committing self-harm, 23% report active suicidal ideation, and 6% have attempted suicide. CS is experiencing the increasing complexity of presenting problems that most CS directors are reporting nationwide. Goal 1: Increase the capacity of the GC community to recognize and respond to at-risk students, and reduce/eliminate symptoms and factors associated with greater risk of self-harm and mental illness. Objectives: by January 2019, provide up to 20 hours/week of outreach planning and directed programming; by January 2019, provide up to 12 additional clinical hours/week; by January 2019, train 15 trainers to provide Question, Persuade, and Refer Gatekeeper training to campus community; by May 2019, add 1 partner to network of campus and community resources for treating students; by summer 2021, add 3 additional partners; by September 2019 and each September thereafter, provide QPR training to 1000 students (at-risk student groups targeted first); by January 2019 and each September thereafter, provide QPR Gatekeeper and/or ALR training to 200 staff; by January 2020, develop and test a suicide postvention plan; by fall 2019 and each fall thereafter, provide information about suicide and resources to 90-100% of the campus community; by September 2021, publish a plan for sustainability of programming efforts. Goal 2: Identify and respond to areas of unmet need. Objectives: beginning January 2019 and every two years thereafter, evaluate need based on the results of the Healthy Minds Study; by January 2021, complete remediation of physical areas of high-risk to suicidal students.

Camel Wellbeing will prioritize student mental health and wellbeing while promoting suicide prevention at Connecticut College. Leveraging existing infrastructures, Camel Wellbeing will utilize the JED Campus Framework to enhance growth, coordination, and collaboration in the identification of students at risk; provision of mental health/substance use disorder services; development of life skills, and provision of wellness (wellbeing). Camel Wellbeing will target all Connecticut College students with focused attention on underrepresented populations, including veterans. Connecticut College enrolls approximately1,800 students from 45 states and 44 countries, of which 25% are students of color and 85% of the incoming class received institutional grant funding. Internal measures indicate that 26% of the students receiving mental health care over the last year reported suicidal ideation. CORE (2014) indicates, that 90% of the students reported consuming alcohol in the past year; 68% reported binge drinking in the previous two weeks; 58% used marijuana in the past year; and 23% used an illegal drug (other than marijuana) in the past year. The specific goals/objectives of Camel Wellbeing are: (1) Increase effective identification of students at risk by implementing enhanced mental health screening and campus-wide training: ? 100% of students will receive screening through a variety of methods ? Faculty, staff and students will receive enhanced training to identify and support students at risk (2) Provide enhanced mental health and substance use disorders services, with special attention to crisis and after hours resources: Build increased capacity through triage; clinical staff professional development; provision of skills training/treatment; identification of community providers; utilization of ProtoCall Services (all after hours calls); by safe e-prescribing (100%). (3) Utilize evidence-based approaches and resources to develop student life skills: ? Increased number and promotion of well-coordinated life skills opportunities including workshops, groups, counseling and a wellbeing room for use by students (4) Create a collaborative and integrated campus approach to student wellness (wellbeing): ? College Wellbeing Steering Committee formulates mission, strategic plan and branding to unify campus and community in efforts for student wellbeing Camel Wellbeing will engage campus stakeholders and local/regional/national stakeholders including community providers, hospital, CT DMHAS, NAMI, PFLAG, CT SEMHA, JED, ASPF, SAMHSA, SPRC, all through the Mental Health Coalition and/or through direct request. All objectives will be evaluated to assess impact and success of Camel Wellbeing.

The UWEC Thrive: Pathways to Success and Well-Being program aims to build capacity to help students thrive and reduce risk for school failure due to mental illness, substance use problems, and suicide. This goal will be accomplished by building an integrated, multidisciplinary, and comprehensive prevention infrastructure focusing on (1) better identification and assistance of students at-risk through screening programs, (2) building resilience, life skills, and social connections through outreach programming, (3) strengthening care linkages with campus and local providers, and (4) enhancing mental health services. Our program will be delivered to the 10,000+ enrolled students annually, targeting our campus’ high-risk groups such as LGBTQ+ (16%), Veteran (3%), racial/ethnic minority (9%), and first/second-year students, along with faculty/staff and community members. The proposed program has three primary objectives driving our activities: 1. By the end of the grant, there will be a 30% reduction in student failure/attrition due to suicide, mental health, and substance use problems. 2. There will be a 10% reduction, each year of the grant, in the number of students in crisis due to suicide, mental health, or substance use concerns. 3. By the end of the grant, have a formalized care network including county crisis teams, hospitals, and outpatient behavioral health providers that will grow by at least 2 new providers each year to facilitate safe care transitions for students between campus and local providers. To achieve these objectives we will implement comprehensive, voluntary screening practices for early identification of students at-risk, connecting them to support resources. Information and trainings regarding effectively responding to students with mental health and substance use disorders will be provided to students, faculty, and staff multiple times throughout the year. The group program at Counseling Services will be expanded in addition to creating and providing resilience and life-skills workshops. Active bystander and wellness outreach programs will work towards reducing negative attitudes and assisting others in accessing help. A peer support specialist program will be implemented to build social connections. We plan to strengthen care transitions by creating a formal network with local providers and by providing training in evidence-based assessment, intervention, and prevention practices. This program is guided by the SPRC comprehensive approach to suicide prevention to ensure a solid, well-coordinated, and sustainable infrastructure is created in order to reduce the adverse consequences of mental health and substance use disorders, including suicides and school failure, on our campus.