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Rhode Island Youth Suicide Prevention and Early Intervention Program

Goals, objectives and activities are aligned with the 2012 National Strategy for Suicide Prevention. Goal 1: Enhance state agency infrastructure and capacity required to successfully execute all aspects of the proposed project, including program implementation and evaluation, for grant period 2014-2019 and beyond. Goal 2: Implement and evaluate RI's first multifaceted youth suicide prevention program, using a combination of universal, selective and indicated strategies. Goal 3: Implement a novel streamlined crisis evaluation assessment tool and selective intervention strategies for at-risk youth ages 10-24 in multiple settings. Goa1 4: Implement RI's first systematic linkage of health and non-health organizations to improve continuity of care and follow-up for youth aged 10-24 at risk for suicide. Expected outcomes: Increased numbers of persons trained to identify and refer at risk youth. Increased number of clinicians trained to assess, manage and treat at risk youth. Increased identification of risk, referral and utilization of behavioral health services. Improved continuity of care, follow-up and accountability for youth with suicidal ideation, substance abuse disorders and/or depression, or identified as at risk for suicide seen in outpatient mental health centers, hospital EDs and inpatient psychiatric units. Reduced ED use for mental health evaluations. Increased promotion of utilization of the National Suicide Prevention Lifeline.

Goals, objectives and activities are aligned with the 2012 National Strategy for Suicide Prevention. Goal 1: Enhance state agency infrastructure and capacity required to successfully execute all aspects of the proposed project, including program implementation and evaluation, for grant period 2014-2019 and beyond. Goal 2: Implement and evaluate RI's first multifaceted youth suicide prevention program, using a combination of universal, selective and indicated strategies. Goal 3: Implement a novel streamlined crisis evaluation assessment tool and selective intervention strategies for at-risk youth ages 10-24 in multiple settings. Goa1 4: Implement RI's first systematic linkage of health and non-health organizations to improve continuity of care and follow-up for youth aged 10-24 at risk for suicide. Expected outcomes: Increased numbers of persons trained to identify and refer at risk youth. Increased number of clinicians trained to assess, manage and treat at risk youth. Increased identification of risk, referral and utilization of behavioral health services. Improved continuity of care, follow-up and accountability for youth with suicidal ideation, substance abuse disorders and/or depression, or identified as at risk for suicide seen in outpatient mental health centers, hospital EDs and inpatient psychiatric units. Reduced ED use for mental health evaluations. Increased promotion of utilization of the National Suicide Prevention Lifeline.

Goals, objectives and activities are aligned with the 2012 National Strategy for Suicide Prevention. Goal 1: Enhance state agency infrastructure and capacity required to successfully execute all aspects of the proposed project, including program implementation and evaluation, for grant period 2014-2019 and beyond. Goal 2: Implement and evaluate RI's first multifaceted youth suicide prevention program, using a combination of universal, selective and indicated strategies. Goal 3: Implement a novel streamlined crisis evaluation assessment tool and selective intervention strategies for at-risk youth ages 10-24 in multiple settings. Goa1 4: Implement RI's first systematic linkage of health and non-health organizations to improve continuity of care and follow-up for youth aged 10-24 at risk for suicide. Expected outcomes: Increased numbers of persons trained to identify and refer at risk youth. Increased number of clinicians trained to assess, manage and treat at risk youth. Increased identification of risk, referral and utilization of behavioral health services. Improved continuity of care, follow-up and accountability for youth with suicidal ideation, substance abuse disorders and/or depression, or identified as at risk for suicide seen in outpatient mental health centers, hospital EDs and inpatient psychiatric units. Reduced ED use for mental health evaluations. Increased promotion of utilization of the National Suicide Prevention Lifeline.

Florida Linking Individuals Needing Care (Florida LINC) Project

The goals/measurable objectives are to: (a) continue to enhance the SOSP by cultivating sustainable partnerships; (b) expand the number of culturally competent trainers; (c) increase the quantity/quality of adult prevention gatekeepers; (d) utilize innovative training to increase: (i) the number of community and school personnel trained to manage crises associated with suicide, (ii) the number of youths/family members taught coping and support skills to prevent the development of suicide risk, and (iii) the quantity/quality of care coordinators able to link and track at-risk youths to cross-system, wrap around services; (e) increase distribution of prevention materials; (f) increase family involvement; (g) increase the number of at-risk youth identified by gatekeeper activities; (h) improve the quantity/quality of professional assessments of at-risk youth especially in high risk settings; and, (i) increase the number of referrals and successful, sustainable treatment, recovery, and support linkages for at-risk youth. Over 5 years, the project will prevent suicide morbidity and mortality by (1) conducting EBP training of adults [Question, Persuade, Refer, with 6,000 adults trained]; (2) training 300 mental health professionals [QPR's Suicide Risk Assessment and Management training] and 465 care coordinators [Linking Individuals Needing Care] with EBP/evidence-informed (EIP) programs; (3) providing skills training to 220 students [Penn Resiliency Program] and 720 family members [It's Time to Talk about It Family Training] with EBP/EIP programs; (4) disseminating suicide prevention materials [16,000 National Lifeline materials and It's Time to Talk about it Family Guides distributed]; and (5) training 450 school/community personnel with an EIP program [Pillars of Postvention for Suicide Events]. Prevention efforts will target specific service sectors and at-risk youth (10-24), young adults not in school, and youths involved with juvenile justice.

The goals/measurable objectives are to: (a) continue to enhance the SOSP by cultivating sustainable partnerships; (b) expand the number of culturally competent trainers; (c) increase the quantity/quality of adult prevention gatekeepers; (d) utilize innovative training to increase: (i) the number of community and school personnel trained to manage crises associated with suicide, (ii) the number of youths/family members taught coping and support skills to prevent the development of suicide risk, and (iii) the quantity/quality of care coordinators able to link and track at-risk youths to cross-system, wrap around services; (e) increase distribution of prevention materials; (f) increase family involvement; (g) increase the number of at-risk youth identified by gatekeeper activities; (h) improve the quantity/quality of professional assessments of at-risk youth especially in high risk settings; and, (i) increase the number of referrals and successful, sustainable treatment, recovery, and support linkages for at-risk youth. Over 5 years, the project will prevent suicide morbidity and mortality by (1) conducting EBP training of adults [Question, Persuade, Refer, with 6,000 adults trained]; (2) training 300 mental health professionals [QPR's Suicide Risk Assessment and Management training] and 465 care coordinators [Linking Individuals Needing Care] with EBP/evidence-informed (EIP) programs; (3) providing skills training to 220 students [Penn Resiliency Program] and 720 family members [It's Time to Talk about It Family Training] with EBP/EIP programs; (4) disseminating suicide prevention materials [16,000 National Lifeline materials and It's Time to Talk about it Family Guides distributed]; and (5) training 450 school/community personnel with an EIP program [Pillars of Postvention for Suicide Events]. Prevention efforts will target specific service sectors and at-risk youth (10-24), young adults not in school, and youths involved with juvenile justice.

The goals/measurable objectives are to: (a) continue to enhance the SOSP by cultivating sustainable partnerships; (b) expand the number of culturally competent trainers; (c) increase the quantity/quality of adult prevention gatekeepers; (d) utilize innovative training to increase: (i) the number of community and school personnel trained to manage crises associated with suicide, (ii) the number of youths/family members taught coping and support skills to prevent the development of suicide risk, and (iii) the quantity/quality of care coordinators able to link and track at-risk youths to cross-system, wrap around services; (e) increase distribution of prevention materials; (f) increase family involvement; (g) increase the number of at-risk youth identified by gatekeeper activities; (h) improve the quantity/quality of professional assessments of at-risk youth especially in high risk settings; and, (i) increase the number of referrals and successful, sustainable treatment, recovery, and support linkages for at-risk youth. Over 5 years, the project will prevent suicide morbidity and mortality by (1) conducting EBP training of adults [Question, Persuade, Refer, with 6,000 adults trained]; (2) training 300 mental health professionals [QPR's Suicide Risk Assessment and Management training] and 465 care coordinators [Linking Individuals Needing Care] with EBP/evidence-informed (EIP) programs; (3) providing skills training to 220 students [Penn Resiliency Program] and 720 family members [It's Time to Talk about It Family Training] with EBP/EIP programs; (4) disseminating suicide prevention materials [16,000 National Lifeline materials and It's Time to Talk about it Family Guides distributed]; and (5) training 450 school/community personnel with an EIP program [Pillars of Postvention for Suicide Events]. Prevention efforts will target specific service sectors and at-risk youth (10-24), young adults not in school, and youths involved with juvenile justice.

South Dakota Youth Suicide Prevention Project (SDYSPP)

The populations of focus include youth who have made a suicide attempt or expressed suicidal ideation at an emergency department or inpatient psychiatric unit, youth attending institutions of higher learning, immigrant youth, LGBTQ youth, youth at K-12 school districts, American Indian youth in the juvenile justice system and military family members and veterans. The project strategies include: 1) Partnering with hospitals to provide extended follow-up support services to youths admitted to emergency departments and inpatient psychiatric units for suicide attempts or suicidal ideation. 2) Partnering with three institutions of higher learning to introduce a crisis texting program for students and training staff in identifying, supporting and connecting students at risk. 3) Providing training to clinical service providers on assessing, managing and treating at risk youth. 4) Providing training to youth serving organizations to identify and refer youth at risk. The objectives of the project include: 1) Improving the continuity of care and follow-up with youth identified at risk for suicide discharged from emergency departments and inpatient units. 2) Increasing the number of staff at juvenile justice programs, colleges, universities, high schools and middle schools that are trained to identify and refer youth at risk for suicide. 3) Increasing the number of clinical service providers (behavioral health providers and health professionals) trained to assess, manage and treat youth at risk for suicide. 4) Increasing the number of behavioral health referrals and the utilization of behavioral health services for youth at risk by improving the system across the state. 5) Increasing the access points for youth at risk to receive assistance through a public awareness campaign, promoting the NSPL crisis line and promoting a crisis texting service.

The populations of focus include youth who have made a suicide attempt or expressed suicidal ideation at an emergency department or inpatient psychiatric unit, youth attending institutions of higher learning, immigrant youth, LGBTQ youth, youth at K-12 school districts, American Indian youth in the juvenile justice system and military family members and veterans. The project strategies include: 1) Partnering with hospitals to provide extended follow-up support services to youths admitted to emergency departments and inpatient psychiatric units for suicide attempts or suicidal ideation. 2) Partnering with three institutions of higher learning to introduce a crisis texting program for students and training staff in identifying, supporting and connecting students at risk. 3) Providing training to clinical service providers on assessing, managing and treating at risk youth. 4) Providing training to youth serving organizations to identify and refer youth at risk. The objectives of the project include: 1) Improving the continuity of care and follow-up with youth identified at risk for suicide discharged from emergency departments and inpatient units. 2) Increasing the number of staff at juvenile justice programs, colleges, universities, high schools and middle schools that are trained to identify and refer youth at risk for suicide. 3) Increasing the number of clinical service providers (behavioral health providers and health professionals) trained to assess, manage and treat youth at risk for suicide. 4) Increasing the number of behavioral health referrals and the utilization of behavioral health services for youth at risk by improving the system across the state. 5) Increasing the access points for youth at risk to receive assistance through a public awareness campaign, promoting the NSPL crisis line and promoting a crisis texting service.

The populations of focus include youth who have made a suicide attempt or expressed suicidal ideation at an emergency department or inpatient psychiatric unit, youth attending institutions of higher learning, immigrant youth, LGBTQ youth, youth at K-12 school districts, American Indian youth in the juvenile justice system and military family members and veterans. The project strategies include: 1) Partnering with hospitals to provide extended follow-up support services to youths admitted to emergency departments and inpatient psychiatric units for suicide attempts or suicidal ideation. 2) Partnering with three institutions of higher learning to introduce a crisis texting program for students and training staff in identifying, supporting and connecting students at risk. 3) Providing training to clinical service providers on assessing, managing and treating at risk youth. 4) Providing training to youth serving organizations to identify and refer youth at risk. The objectives of the project include: 1) Improving the continuity of care and follow-up with youth identified at risk for suicide discharged from emergency departments and inpatient units. 2) Increasing the number of staff at juvenile justice programs, colleges, universities, high schools and middle schools that are trained to identify and refer youth at risk for suicide. 3) Increasing the number of clinical service providers (behavioral health providers and health professionals) trained to assess, manage and treat youth at risk for suicide. 4) Increasing the number of behavioral health referrals and the utilization of behavioral health services for youth at risk by improving the system across the state. 5) Increasing the access points for youth at risk to receive assistance through a public awareness campaign, promoting the NSPL crisis line and promoting a crisis texting service.

Suicide Prevention in Schools and Colleges

Building on the Student Assistance Program in Pennsylvania schools, we will provide gatekeeper training and state of the art screening tools to appropriate school personnel and the behavioral health systems that serve these schools. Building on the work of past Campus Grants, we will organize a coalition of community college and university representatives to develop model suicide prevention plans and processes for higher education throughout the Commonwealth. Project goals and measurable objectives include: a) increasing the number of persons in schools, colleges, and universities, trained to identify and refer youth at risk for suicide, b) increasing the number of clinical service providers (including those working in schools, mental health, and substance abuse) trained to assess, manage, and treat youth at risk for suicide, c) increasing awareness about youth suicide prevention, specifically including the promotion and utilization of the National Suicide Prevention Lifeline, d) comprehensively implementing applicable sections of the 2012 National Strategy for Suicide Prevention to reduce rates of suicidal ideation, suicide attempts, and suicide deaths in their communities, and e) promoting state systems-level change to advance suicide prevention efforts in our public schools. With gatekeeper training and awareness campaigns, we plan to reach 186,000 youth over five years. With screening in schools, colleges, and primary care practices, we plan to reach approximately 26,000 indicated youth over five year. Thus, our total impact will be felt by nearly 212,000 youth across Pennsylvania.

Building on the Student Assistance Program in Pennsylvania schools, we will provide gatekeeper training and state of the art screening tools to appropriate school personnel and the behavioral health systems that serve these schools. Building on the work of past Campus Grants, we will organize a coalition of community college and university representatives to develop model suicide prevention plans and processes for higher education throughout the Commonwealth. Project goals and measurable objectives include: a) increasing the number of persons in schools, colleges, and universities, trained to identify and refer youth at risk for suicide, b) increasing the number of clinical service providers (including those working in schools, mental health, and substance abuse) trained to assess, manage, and treat youth at risk for suicide, c) increasing awareness about youth suicide prevention, specifically including the promotion and utilization of the National Suicide Prevention Lifeline, d) comprehensively implementing applicable sections of the 2012 National Strategy for Suicide Prevention to reduce rates of suicidal ideation, suicide attempts, and suicide deaths in their communities, and e) promoting state systems-level change to advance suicide prevention efforts in our public schools. With gatekeeper training and awareness campaigns, we plan to reach 186,000 youth over five years. With screening in schools, colleges, and primary care practices, we plan to reach approximately 26,000 indicated youth over five year. Thus, our total impact will be felt by nearly 212,000 youth across Pennsylvania.

Building on the Student Assistance Program in Pennsylvania schools, we will provide gatekeeper training and state of the art screening tools to appropriate school personnel and the behavioral health systems that serve these schools. Building on the work of past Campus Grants, we will organize a coalition of community college and university representatives to develop model suicide prevention plans and processes for higher education throughout the Commonwealth. Project goals and measurable objectives include: a) increasing the number of persons in schools, colleges, and universities, trained to identify and refer youth at risk for suicide, b) increasing the number of clinical service providers (including those working in schools, mental health, and substance abuse) trained to assess, manage, and treat youth at risk for suicide, c) increasing awareness about youth suicide prevention, specifically including the promotion and utilization of the National Suicide Prevention Lifeline, d) comprehensively implementing applicable sections of the 2012 National Strategy for Suicide Prevention to reduce rates of suicidal ideation, suicide attempts, and suicide deaths in their communities, and e) promoting state systems-level change to advance suicide prevention efforts in our public schools. With gatekeeper training and awareness campaigns, we plan to reach 186,000 youth over five years. With screening in schools, colleges, and primary care practices, we plan to reach approximately 26,000 indicated youth over five year. Thus, our total impact will be felt by nearly 212,000 youth across Pennsylvania.

Maryland?s Suicide Prevention and Early Intervention Network (MD-SPIN)

MD-SPIN will increase the number of youth, ages 10-24, identified, referred and receiving quality behavioral health services, with a focus on serving high risk youth populations (LGBTQ, transition age, veterans and military families, youth with emotional and behavioral concerns) and in target settings (schools, colleges/universities, juvenile services facilities, primary care, emergency departments). Led by the Maryland Mental Hygiene Administration, key partners include the University of Maryland Department of Psychiatry, the Johns Hopkins University Bloomberg School of Public Health, the Maryland Coalition of Families for Children’s Mental Health, the Community Behavioral Health Association of Maryland, and the public education system (1424 public kindergarten to 12th grade schools, 30 public university/ college/community colleges, and 12 juvenile facilities programs). Goals are to 1) enhance culturally competent, effective, and accessible community based services and programs by developing a network that includes technical assistance and support, 2) broaden public awareness of suicide by utilizing MD-SPIN to support marketing and dissemination/ diffusion efforts related to suicide prevention for youth/young adults, 3) increase evidence-based training opportunities for professionals and others who work with high risk groups by training a diverse, multidisciplinary group of youth and adults across the state using online suicide prevention programs (Kognito) and evidence-based resources to promote continuity of care, and 4) assure effective services to those who have attempted suicide or others affected by suicide attempt or death by developing a state training and technical assistance model to promote referral and access to and follow through with high quality care.

MD-SPIN will increase the number of youth, ages 10-24, identified, referred and receiving quality behavioral health services, with a focus on serving high risk youth populations (LGBTQ, transition age, veterans and military families, youth with emotional and behavioral concerns) and in target settings (schools, colleges/universities, juvenile services facilities, primary care, emergency departments). Led by the Maryland Mental Hygiene Administration, key partners include the University of Maryland Department of Psychiatry, the Johns Hopkins University Bloomberg School of Public Health, the Maryland Coalition of Families for Children’s Mental Health, the Community Behavioral Health Association of Maryland, and the public education system (1424 public kindergarten to 12th grade schools, 30 public university/ college/community colleges, and 12 juvenile facilities programs). Goals are to 1) enhance culturally competent, effective, and accessible community based services and programs by developing a network that includes technical assistance and support, 2) broaden public awareness of suicide by utilizing MD-SPIN to support marketing and dissemination/ diffusion efforts related to suicide prevention for youth/young adults, 3) increase evidence-based training opportunities for professionals and others who work with high risk groups by training a diverse, multidisciplinary group of youth and adults across the state using online suicide prevention programs (Kognito) and evidence-based resources to promote continuity of care, and 4) assure effective services to those who have attempted suicide or others affected by suicide attempt or death by developing a state training and technical assistance model to promote referral and access to and follow through with high quality care.

MD-SPIN will increase the number of youth, ages 10-24, identified, referred and receiving quality behavioral health services, with a focus on serving high risk youth populations (LGBTQ, transition age, veterans and military families, youth with emotional and behavioral concerns) and in target settings (schools, colleges/universities, juvenile services facilities, primary care, emergency departments). Led by the Maryland Mental Hygiene Administration, key partners include the University of Maryland Department of Psychiatry, the Johns Hopkins University Bloomberg School of Public Health, the Maryland Coalition of Families for Children's Mental Health, the Community Behavioral Health Association of Maryland, and the public education system (1424 public kindergarten to 12th grade schools, 30 public university/ college/community colleges, and 12 juvenile facilities programs). Goals are to 1) enhance culturally competent, effective, and accessible community based services and programs by developing a network that includes technical assistance and support, 2) broaden public awareness of suicide by utilizing MD-SPIN to support marketing and dissemination/ diffusion efforts related to suicide prevention for youth/young adults, 3) increase evidence-based training opportunities for professionals and others who work with high risk groups by training a diverse, multidisciplinary group of youth and adults across the state using online suicide prevention programs (Kognito) and evidence-based resources to promote continuity of care, and 4) assure effective services to those who have attempted suicide or others affected by suicide attempt or death by developing a state training and technical assistance model to promote referral and access to and follow through with high quality care.

CTUIR Yellowhawk Tribal Health Center Circles of Hope

Yellowhawk Tribal Health Center, a tribally operated health clinic located in Pendleton, Oregon is requesting funding from SAMHSA to implement a five year tribal youth suicide prevention project for the Confederated Tribes of Umatilla Indian Reservation (CTUIR). The project will provide a broad based program of trainings, systemic improvements to assure continuity of care and implementation of best practices, increased treatment efficacy, and culturally-attuned prevention services in collaboration with a wide range of program partners. Goal 1 - To engage the tribal community in promoting healthy and empowered individuals and families; Goal 2 - To build youth resilience by strengthening connections to community and culture through experiential learning and life skills development; Goal 3 - To strengthen the tribe's ability to prevent youth suicides and support healing of those affected by suicide; Goal 4 - To initiate system change in the delivery of behavioral health services by providing integrated preventative and follow-up care; Goal 5 To facilitate regional system change to address youth suicides through partnerships, and; Goal 6 - To collect data to facilitate program improvement and assess impact.

Yellowhawk Tribal Health Center, a tribally operated health clinic located in Pendleton, Oregon is requesting funding from SAMHSA to implement a five year tribal youth suicide prevention project for the Confederated Tribes of Umatilla Indian Reservation (CTUIR). The project will provide a broad based program of trainings, systemic improvements to assure continuity of care and implementation of best practices, increased treatment efficacy, and culturally-attuned prevention services in collaboration with a wide range of program partners. Goal 1 - To engage the tribal community in promoting healthy and empowered individuals and families; Goal 2 - To build youth resilience by strengthening connections to community and culture through experiential learning and life skills development; Goal 3 - To strengthen the tribe's ability to prevent youth suicides and support healing of those affected by suicide; Goal 4 - To initiate system change in the delivery of behavioral health services by providing integrated preventative and follow-up care; Goal 5 To facilitate regional system change to address youth suicides through partnerships, and; Goal 6 - To collect data to facilitate program improvement and assess impact.

Yellowhawk Tribal Health Center, a tribally operated health clinic located in Pendleton, Oregon is requesting funding from SAMHSA to implement a five year tribal youth suicide prevention project for the Confederated Tribes of Umatilla Indian Reservation (CTUIR). The project will provide a broad based program of trainings, systemic improvements to assure continuity of care and implementation of best practices, increased treatment efficacy, and culturally-attuned prevention services in collaboration with a wide range of program partners. Goal 1 - To engage the tribal community in promoting healthy and empowered individuals and families; Goal 2 - To build youth resilience by strengthening connections to community and culture through experiential learning and life skills development; Goal 3 - To strengthen the tribe's ability to prevent youth suicides and support healing of those affected by suicide; Goal 4 - To initiate system change in the delivery of behavioral health services by providing integrated preventative and follow-up care; Goal 5 To facilitate regional system change to address youth suicides through partnerships, and; Goal 6 - To collect data to facilitate program improvement and assess impact.

Oregon Caring Connections Initiative