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In both Pasco and Hernando County, Florida there is a significant need for increased mental health awareness training for individuals who come in contact with both adults and children in need of mental health services. The local environments where the highest prevalence of training needs were identified are: Child Welfare, Schools, Law Enforcement, Emergency Departments and Veterans Services. Pasco County has high indicators related to suicide, unintentional injury hospitalizations among youth aged 15-19, the 5th highest drug mortality rate in the state, and is facing a continued epidemic with opioids and methamphetamine use. Hernando County has continuously experienced significant high disability and poverty levels, has one of the lowest state funding level for mental health, a county profile that indicates worsening health indicators/increasing mortality rates and during the first 6 months of school year 17-18, there were 283 assessments conducted to threats of homicide, suicide, or self-mutilation. CAP will work to increase the availability of training on mental health awareness and support SAMHSA's interests in preparing and training others on how to appropriately and safely respond to individuals with mental disorders, particularly those with severe mental illness and the severely emotionally disturbed. Objective 1: Train a minimum of 1,452 individuals in prevention of mental health through Mental Health First Aid (MHFA) over 3 years. Objective 2: 95% of MHFA trainees will successfully complete MHFA, de-escalation and community resources training. Objective 3: 100% of trainees will complete pre and post-test, key signs of SED and/or SMI. Objective 4: 100% of trainees will increase their intervention skill set with identifying mental health indicators. Objective 5: 15% increase over established year 1 baseline for individuals referred for mental health services post MHFA training. CAP strategies include: ~ Identifying target groups and populations of focus for Mental Health First Aid training plan, ~ Implement culturally and developmentally appropriate Evidence Based training. ~ Train on de-escalation technique. ~ Train on screening, referral process and community resources. ~ Launch marketing and education campaign. ~ Implement Inter-Agency Advisory Committee. ~ Build capacity to sustain strategies. ~ Identify opportunities for additional cross-discipline training.

Kendall County Health Department (KCHD) will provide the Mission Wellness program to improve mental health wellbeing in Kendall County, Illinois through a coordinated community wide plan that significantly increases the number of mental health literate community members who are able to proactively respond to behavioral health issues of veterans and senior citizens and to increase access to care through a seamless admission process to mental health screening, assessment and services at KCHD. The Health Department will have three of its Mental Health First Aid instructors train to a minimum of 335 adults focusing on Kendall County senior citizens, senior citizen care providers, senior citizen family members, veterans, and veteran family members, training a minimum of 1,005 First Aiders during the three year project period. KCHD will engage and provide mental health treatment to 150 individuals including veterans, veteran family members, senior citizens, and senior citizen family members, who have been referred by KCHD trained and certified Mental Health First Aiders. KCHD will also develop and implement an evidence-based social marketing and awareness campaign to reduce stigma about persons with mental illness and to raise awareness of the need for culturally relevant treatment services for veterans, veteran family members, senior citizens, and senior citizen family members. Kendall County Health Department is a leader in outpatient mental health and substance abuse treatment in Kendall County. KCHD Outpatient Mental Health Services deliver comprehensive and holistic services designed to meet diverse needs of the child, adolescent, and adult populations. KCHD takes an integrated approach on all service endeavors, so that individuals with multiple diagnostic features may be served. Services include, but are not limited to, individual, group, and family counseling, as well as psycho-education. KCHD delivers preventative and emergency crisis services designed for the assessment and immediate stabilization of acute symptoms of mental illness, alcohol and other drug abuse, and emotional distress or in response to acts of domestic violence or abuse/neglect. These services are designed to provide thorough assessment, intervention, and closure strategies to suicidal and crisis episodes. KCHD prevention and diversion services deliver proactive services designed to reduce individual, family, and environmental risk factors, increase resiliency, enhance protective factors, and achieve individual and comprehensive community wellness. Mission Wellness offers KCHD the opportunity to educate and equip the community?s adult population to proactively recognize the signs of adult mental health illness in an effort to guide and refer seniors and veterans to locally accessible mental health screening, assessment consultation and treatment. In addition, KCHD is confident that the social stigma around mental illness will be reduced and a culture of compassion around mental health illness will be further cultivated in the community.

The Ohio Mental Health Network for School Success (OMHNSS), the Center for School-Based Mental Health Programs (CSBMHP), a cadre of Youth Mental Health First Aid (YMHFA) instructors, referral agencies in the 6 OMHNSS regions of Ohio, and the Discovery Center for Evaluation, Research, and Professional Learning will partner in a proposed initiative entitled Youth Aid Ohio: Mental Health Training, Resources, Referrals. This initiative will provide YMHFA training to school personnel (e.g., educators, administrators, school support staff, school resource officers), behavioral health providers (e.g., behavior specialists, social workers, counselors), youth-serving organization staff (e.g., mentors, coaches, tutors), and parents and family members so they can recognize signs and symptoms of mental health concerns among school-age youth in pre-kindergarten through grade 12, and refer those youth to services, as appropriate. YMHFA will be delivered throughout each of the 6 regions of the OMHNSS, providing opportunities for adults throughout the entire state of Ohio to participate. The goal of the proposed project is to raise awareness of mental health needs among school aged youth and to build statewide and local capacity of the behavioral health workforce to develop integrated, comprehensive, data-driven strategic plans that will prevent, delay the onset, mitigate the seriousness of mental health and behavioral health problems, and ensure that youth have access to timely and effective services. The unduplicated number of individuals to be trained annually through YMHFA is 750 people, with a total of 2,250 people trained as ?first-aiders? over the entire 3-year project period. The proposed initiative?s objectives are 1) expanding the current capacity of OMHNSS individuals certified as instructors to deliver YMHFA training by engaging at least 13 certified YMHFA regional instructors through contracted services and additional regional instructors on a volunteer-basis (as needed); 2) increasing the number and competence of local school personnel, youth-serving organization staff, and family members who are trained to detect and respond to mental illness in school-aged youth by coordinating training schedules statewide to accommodate 25 (or more) YMHFA training events with a total of 750 participants certified as ?first-aiders? annually (75 trainings/2,250 participants certified over 3 years); 3) improving the referral pathway to local mental health services by increasing the total number of local school-aged youth with mental health signs and symptoms who are identified by ?first-aiders?; 4) increasing the number of local school-aged youth who received school-based mental health services; and 5) increasing the percentage of local mental health service referrals for school-aged youth that resulted in mental health services being providing in the community. By providing this type of support to our school-age youth, Youth Aid Ohio will ensure that mental health training, resources, and referrals are key priorities in Ohio.

Allegheny County Department of Human Services (ACDHS), in collaboration with the nonprofit Allegheny Health Choices, Inc. (AHCI), proposes Mental Health First Aid training for staff (and resident leaders) from subsidized housing and homeless service providers. The population for which the training is intended to help is those who are housing insecure, experiencing homelessness, or at risk of experiencing homelessness. The goal is to equip non-clinicians who serve and interact with these populations to identify mental health needs, learn referral options, and develop de-escalation techniques. Both ACDHS and ACHI have extensive experience with similar projects.

Southeast Texas is comprised of significant mental health needs, highly rural and underserved areas, and a culturally diverse population. Texas' unique geography and population characteristics present challenges for delivery of all healthcare related services. Access to mental health services in Texas is a significant challenge. A major barrier for Texas families in accessing treatment is the limited behavioral health system capacity. Across the State of Texas, over 80% of the counties are designated by the Health Resources and Services Administration (HRSA) as Mental Health Professional Shortage Areas (HPSAs). The partner sites included in the current application are both located within designated mental health HPSAs. Clover Educational Consulting Group (Clover) proposes to bring evidence-based mental health training to college faculty and staff, professionals serving college student Veterans, college student peer leaders, providers and staff who work with juveniles on probation, and rural behavioral health service recipients within the highly culturally diverse region. The trainings will focus on serving youth and adults at high risk of mental health disorders in southeast Texas, to include college students, college student Veterans, juveniles on probation, and rural behavioral health service recipients. The identified populations of focus were chosen due to their high risk of mental health symptomatology and suicide and the underserved nature of the populations. Clover has developed collaborative partnerships with 2 local agencies in the region who have committed to hosting trainings, assisting with the response to mental health issues, and to improving the coordination of services to the populations of focus. These organizations are the University of Texas Rio Grande Valley and Harris County Juvenile Probation Department. Each organization has attested, via a Letter of Commitment, to their support for the project and has described in the LOC how they will facilitate the recruitment of a sufficient number of individuals to be trained. The three goals of the project are as follows: Goal 1- Improve the capacity of college faculty, staff, and student peer leaders to identify and respond to signs and symptoms of MH issues in college students, including student Veterans, in Texas Rio Grande Valley; Goal 2- Improve the capacity of local providers, community members, and first responders within the community to identify and respond to signs and symptoms of MH issues in rural populations, including rural Veterans; and Goal 3: Improve the capacity of juvenile probation staff to identify and respond to signs and symptoms of MH issues in juveniles on probation in Harris County. If funded, the proposed project will provide training for 1,040 individuals over the three-year grant term.

Youth in rural Tulare County, California face multiple risk factors and have limited access to support. Tulare County has the 5th highest rate of adolescent suicide in the State of California. To address the need for increased awareness of mental health in the community the Tulare County Office of Education proposes the implementation of a Mental Health Awareness Training (MHAT) Project for Tulare County, California that will utilize Youth Mental Health First Aid (YMHFA) and Applied Suicide Intervention and as the evidence-based training to be provided to school staff (teachers, administrators, coaches, etc.), first responders (law enforcement, fire, paramedic), and community members with regular contact with youth (foster parents, after-school programs, service providers). The TCOE population of focus is youth ages 12-18. There are 144,922 youth under the age of 18 in Tulare County, greater than 65% are Hispanic and over 65% are economically disadvantaged. The youth in Tulare County face a myriad of risk factors. The Tulare MHAT has Three goals: 1. Increase mental health awareness; 2. Increase youth access to mental health screening and services; and 3. Reduce adolescent suicide in Tulare County. The goals have seven objectives: 1. Provide YMHFA to 1,140 for school staff, first responders (law enforcement, fire, paramedic) and community members who have regular contact with youth ages 12 to 18; including veterans and their families over the life of the Project. 2. Increase capacity for YMHFA training by increasing the number of certified YMHFA trainers in Tulare County by providing training to 16 new YMHFA Instructors in Year One. 3. Increase the use of de-escalation techniques by school personnel, emergency first responders, law enforcement, and community stakeholders when engaging youth through YMHFA training to 1,140 adults over the life of the Project. 4. Establish linkages between trained YMHFA First Aiders and community-based mental health agencies for referrals to services. 5. Establish 15 formal linkages between schools and community-based mental health agencies for resources for youth with SED or SMI. 6. Increase access to ASIT by having 9 new ASIST Instructors trained by the end of the Project. 7. Provide ASIST Training to 300 adults by the end of the Project.

Miami Mental Health Awareness Initiative is a community-academic partnership for raising mental health awareness in Miami-Dade County Schools. In three years, this initiative seeks to provide Youth Mental Health First Aid (YMHFA) training to 750 school personnel and 30 college student Education majors. Participants will learn to identify the signs and symptoms of serious mental illness (SMI), and serious emotional disturbance (SED) in adolescents, as well as to safely address an emotional crisis using de-escalation techniques. This multitier program hopes to address the mental health disparities in Hispanics, as Miami-Dade County is home to 67.7% of Hispanics and has the fourth largest public-school district in the nation. This will be accomplished by reaching the following goals: 1) building capacity among school personnel who are on the frontlines working with youth 12-18 years old residing in underserved areas of the county; 2) building capacity among Education and School Guidance Counseling students via incorporating training opportunities on campus and infusing course curriculum with YMHFA;3) reducing the gap between identification of mental health signs in youth 12-18, assessment and service delivery by increasing knowledge among all trainee participants regarding mental health services in the community via comprehensive referral network/guide; 4) reducing mental health illness stigma in the community, by providing mental health awareness outreach events, and designing an online portal with mental health literacy modules, including a community mental health services directory. The Miami Mental Health Awareness initiative also seeks to achieve the following outcomes: increase in pre-post training test by 80% in mental health awareness in school personnel participating in YMHFA training; increase their self-efficacy in applying de-escalation strategies during crisis and increase knowledge regarding mental health services in the community via comprehensive referral network/guide.

Population to be served: The Children's Cabinet, working alongside Washoe County School District and Quest Counseling and Consulting has selected the Youth Mental Health First Aid training to deliver parents, teachers, school staff, community members, youth service professionals, foster parents and caring citizens that work with youth ages 12-18 years old. The targeted community is located in Northern Nevada, in Washoe County. At least 100 individuals will complete this training in year One of the grant, and at least 250 individuals will complete the 8-hour training in each of Years Two and Three. Services to be provided: The overall goal of the project is to improve mental health outcomes for Washoe County, Nevada youth. Specific objectives include: 1. Increase awareness of mental health issues among youth 12-18 via the approved SAMHSA YMHFA 40 trainings over the life of the grant. 2. Conduct outreach and engagement strategies with youth 12-18 and their families to increase awareness of and promote positive mental health via social media, website and community health forums. 3. Increase the mental health literacy of school personnel and other adults who interact with youth 12-18 years old via 10 YMHFA trainings in Year One (100), 15 YMHFA trainings in Year Two (250) and 15 YMHFA trainings in Year 3 (250) for a total of 600 individuals trained over the life of the grant. 4. Increase the capacity to respond to the behavioral health issues and developmental needs of youth ages 12-18, through arming individuals who work with youth and providing the educational and referral tools needed as depicted through the SAMHSA YMHFA 40 delivered trainings over the life of the grant. Coordination with local health agency: To establish efforts to focus community resources on enhancing prevention and awareness activities aligned to the tragedy of teen suicide, a partnership has been established with Quest Counseling and Consultation. Coordination with Washoe County School District: To establish training efforts to focus on parents, teachers, school staff, community members, youth service professionals, foster parents and caring citizens that work with youth ages 12-18 years old a partnership has been established with Washoe County School District. Evaluation: A full evaluation of the project will be conducted by a third party professional and experienced evaluator to conduct all summative and formative data collection, project monitoring, quality assurance, and program reporting activities.

The Community Synergy AWARE project will increase mental health literacy, reduce stigma and increase responsiveness and referrals for mental health issues in children and adolescents in Orange County, New York through the implementation of the Youth Mental Health First Aid (YMHFA) program. Those who work with youth will be trained as YMHFA instructors and they in turn will train individuals who interact with children and youth throughout the county. Instructors to be trained will include law enforcement, first responders, coaches, school personnel, Spanish speaking professionals, and counselors, culminating in 28 certified local instructors trained. Instructors will then formally train and prepare 500 individuals who interact with children and youth in year one of the project, 640 persons in year two and 680 in year three, for a total of 1,820 people prepared to help youth ages 12 to 18, the target population. Committed partners in this project include the Department of Mental Health, Youth Bureau, Alcoholism and Drug Abuse Council, Catskill Regional Medical Center. This project will serve a diverse community; Orange County is made up of urban, suburban, farmland and rural areas, and is racially, ethnically and culturally mixed. Twenty-four percent of the entire population resides in rural areas, twice the average of New York State. Demographically, the County has a large Hispanic and Latino nonwhite population facing language barriers, socioeconomic uncertainty and high risk for substance abuse involvement. Adolescence is the peak age of onset for mental illness and early onset of mental illness is a significant predictor for future episodes. Yet, adolescents and young adults are less likely than adults to seek or receive treatment for a mental illness. This project will address this critical need within the community.

The Early Childhood Mental Health Awareness Training (ECMHA): Promoting Social-Emotional Health of Head Start Children in the District of Columbia led by trainers at Children's National in partnership with the District of Columbia Public School System will train more than 300 Head Start early childhood educators, across 58 centers, to help build the capacity of DCPS Head Start to address early childhood mental health problems among children ages 3-5 years. Children connected to Head Start in the District predominantly come from marginalized and under-resourced families and communities, and are disproportionately African-American and Latino. Using the Mental Health First Aid (MHFA) USA curriculum, the primary goals of the ECMHA training are: 1. To increase the capacity of DCPS Head Start educators to identify social-emotional problems among preschool-aged children (3-5 years) warranting clinical intervention, and 2. To increase knowledge among DCPS Head Start educators of available internal and external mental health resources for young children and their families. By the end of the training, it is expected that at least 90% of Head Start staff trained will be able to identify common behavioral challenges in preschool-aged children and will be familiar with and have the capacity to operationalize the MHFA core 5-step action plan at their respective sites. It is also anticipated that 100% of Head Start educators trained will develop increased comfort with screening and will have greater awareness of mental health resources available to young children. Building capacity in the early childhood educational setting to address the behavioral health needs of young children presents a unique an important opportunity to improve early identification and intervention for a population whose behavioral health needs are often overlooked and unmet.

The PACT-MHAT will provide mental health awareness training to elementary, middle, and high school teachers and staff within the service area of PACT (Putting All Communities Together) for Families Collaborative in west central Minnesota. We will train school personnel in our member school districts, help high school youth learn peer support skills and equip parents with increased knowledge of mental health resources in their community. We will impact 19,000 students in grades K-12 attending one of the 14 participating school districts through training 2,200 school personnel, utilizing the 'At-Risk for PK-12 Educators' suite of trainings with simulation software through Kognito. Included in our project will be Kognito's 'Transitions Supporting Military Children.' This component will provide schools and families with resources for children whose parents are involved with the military. These will be accomplished by the following: Goal I: Increase the capacity of PACT member school personnel to gain competency to manage critical conversations in the areas of mental health and non-academic issues that impact school success, and increase early referrals for mental health services. Objective I: By October 1, 2021, PACT-MHAT will have trained at least 2200 (one third each program year) teachers and school staff utilizing 'At-Risk for PK-12 Educators' training simulation through Kognito in school districts within the PACT service area. Goal II: To increase peer-to-peer support in middle and high school through training of youth in a peer support model. Objective I: By October 1, 2021, PACT-MHAT will have trained at least 150 youth in Friend2Friend simulation trainings through Kognito in member school districts (one third each year). Goal III: To increase understanding by parents and school personnel of social/emotional development, mental health indicators, and available mental health resources. Objective I: By October 1, 2021, PACT-MHAT will have supported 14 parent/school nights in PACT elementary school buildings to increase mental health awareness to parents with information on the PACT-MHAT initiative, community mental health resources, distribution of MACMH (Minnesota Association for Children's Mental Health) parent handbooks and other resources, and how to access the Kognito parent training, 'Calm Parents/Healthy Kids.' Objective II: By October 1, 2021, PACT-MHAT will have distributed the 'Children's Mental Health Resource Guide: An Educator's Guide to Children's Mental Health' (fact sheets for teachers on mental health diagnostic categories by MACMH) and other mental health information to the approximately 2200 education personnel in member school districts.

Fewer than half of 7.9 million adults with a serious mental illness (SMI) or serious emotional disturbance (SED) receive treatment in the United States. These individuals are involved in one out of every five police calls, occupy 20% of the beds in America's prisons, and are the victims of over one quarter of fatal police shootings in the nation. The high level of interaction between law enforcement officers (LEOs) and individuals with SMI and SED is particularly pronounced in the State of Alabama, where fewer than 12.3% of these individuals receive treatment. Though evidence-based mental health awareness training (MHAT) models exist, implementation is lacking, particularly for LEOs in Alabama. In this project, we propose to develop a mobile Mental Health Education, Awareness, and Learning (mHEAL) program, an 8-hour online MHAT training course for LEOs, which will increase LEOs' mental health awareness and efficacy with de-escalation techniques while simultaneously decreasing stigma associated with mental illness. We will target 405 LEOs in Tuscaloosa County, Alabama, to provide the mHEAL training program. The proposed project will have two phases: (1) the development of the mHEAL training program and (2) the implementation of the program in Tuscaloosa County. Throughout the project, we will use the principles of a community-based participatory research approach and the Consolidated Framework for Implementation Research framework to develop, implement, and disseminate the mHEAL program. We will use two evidence-based mental health practice models, Mental Health First Aid and Crisis Intervention Training, to develop the program. The two models will be combined and tailored into a single 8-hour online training program for LEOs. Content will include detailed mental health information and wellness programming that will help LEOs serve specific at-risk populations, including veterans who suffer from SMI or SED. We will also create an awareness campaign using social and print media to draw attention to the significance of MHAT and to motivate LEOs to participate in the mHEAL training program. By working with the police chiefs in Tuscaloosa County, the program will be implemented in all nine police departments in the county. LEOs will volunteer to participate in the program, which will be completed at their own pace. Data will be collected at three time points, pre-, post-, and 6-month follow-up tests, to assess the program's efficacy and feasibility. Should the mHEAL training program prove to be successful, we will work with law enforcement partners to disseminate and sustain the program statewide to reduce mental health training disparities for LEOs in Alabama.

Upstream Prevention in Johnson County, Indiana is proposing to implement the SOS, QPR, MHFA, CIT and a stigma reduction campaign in order to decrease the rate of suicide, promote positive mental health and help seeking behaviors, and increase the capacity of the county to address mental health issues.

The Northeast Florida Coalition for Mental Health is a collaborative initiative between Managed Access To Child Health and the Jacksonville Nonprofit Hospital Partnership to provide Mental Health Awareness Training to 5,400 community members in the Northeast Florida region by the end of 2021. With the undersupply of mental health providers in the NEFL region and suicide behaviors on the rise, this regional, multi-agency public health approach to addressing the mental health crisis in both youth and adults will not only increase the community's capacity to help identify adolescents and adults experiencing a mental health crisis, but also link those individuals to the necessary resources for treatment and care.

Training public service professionals is key to raising awareness of mental health issues and developing appropriate responses to assist individuals experiencing mental health crises. Paired with coordinated treatment and referral infrastructure, gains can be achieved in reducing the individual and public burden of mental illness and emotional distress. Given the national rates of serious mental illness, substance use disorders, suicide, and other indicators of health, combined with well-known gaps in treatment access, there is a clear need for systematic evidence-based programs to improve the capacity of the public service sector to respond. The purpose of Aware-Houston is to implement a community-wide mental health awareness training program for healthcare providers, first responders (firefighters/Emergency Medical Services professionals), and school personnel in a variety of settings throughout the Greater Houston area. The project will also provide training and disseminate awareness materials to the general public through its collaboration with the Tejano Center for Community Concerns (TCCC). This project will leverage the collective expertise within the Baylor College of Medicine (BCM) Department of Family & Community Medicine and a coalition of community partners, including Harris Health System, Baylor Family Medicine, the VA Medical Center Women's Health Program, San Jose Clinic, and the City of Houston Fire Department to increase mental health awareness and knowledge and skills related to de-escalation strategies for individuals experiencing a mental health crisis. The project's overarching goal is to: Increase the capacity of healthcare professionals, first responders, and school personnel in identifying and responding to individuals experiencing mental illness, particularly those with serious mental illness (SMI) and/or severe emotional disturbance (SED) and will be accomplished through the following objectives: (1) By June 1, 2019, the project team will develop and begin implementing an evidence-based training curriculum based on the Mental Health First Aid (MFHA) course; (2) By March 1, 2019, the project team will develop a training plan for online, in-person, and conference style training sessions targeting high yield audiences via community outreach and advisory network and building a train the trainer network; (3) Develop a practical guidebook (and other print materials) for trainers and trainees to reinforce training and serve as a standalone resource for identifying and responding to SMI/SED, crisis de-escalation techniques, and reducing mental health stigma in the public sphere; (4) Develop and disseminate an annually updated local/regional resource listing of service providers; (5) Collaborate with community partners to develop a mechanism for referral tracking and; (6) Assemble an advisory group of local, regional, and national experts and leaders in mental health and target audience fields, including key stakeholder representatives. The project will serve approximately 1,000 unduplicated individuals per year and a total of 3,000 during the entire project period. In addition to providing training to staff of the participating organizations, the project will also develop print materials and provide training to the general public in the East End neighborhood of Houston.

Hope Harbor's Youth Mental Health First Aid Training Workshops Abstract Hope Harbor is a residential care facility that takes care of at-risk teenagers with the idea of reconciling and reuniting them with their families. Funds from this grant will be used to promote and present Mental Health Awareness Training (MHAT) to mental health professionals, school staff, law enforcement, first responders, and community and church groups. The training will help adults know what to do for youth up to age 18 after traumatic events (school shootings or natural disasters). The population of focus for which training are youth under the age of 18 years old. Hope Harbor will reach out to schools, community and church groups within 100 miles of our campus in Claremore OK (in the Tulsa OK metropolitan area). Major metro areas include Tulsa OK, Fayetteville AR, Bentonville AR, and Joplin MO. Our primary target will be those towns in the Northeast corner of Oklahoma. We will use the curriculum entitled Youth Mental Health First Aid. The Project Director for this project is certified to present this material. Our goal is to have 20 workshops each year of the grant term, having 30 participants in each workshop, with a total of 1800 participants trained by the end of the three-year grant. We will facilitate the collection of data such as number of mental health professionals trained, number of other professionals trained, and the number of community and church members trained. We will also facilitate the collection of data concerning how many youth are referred on to mental health professionals by our workshop participants. We will also have a pre-survey to determine how confident participants feel about helping teens in crises and a post-survey to determine how much confidence is gained because of the workshops. Hope Harbor has had many years of experience in working with teens who have experienced Adverse Childhood Experiences (ACEs). Most of the teens at Hope Harbor have experienced an average of 7 ACEs in their lives. This project for which we seek grant funds will be a great extension of the work we already do.