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The Tanana Chiefs Conference Transforming Our Services Communally (TASC) project provides a comprehensive, culturally appropriate response to the historical, cultural and personal trauma experienced by Interior Alaska Natives and the serious mental illnesses impacting their communities. We will enhance our existing behavioral health and primary care system by fully integrating mental health screening into primary care, creating a system where positive mental health screens are followed up immediately with further screening and assessment, and reframing the context of services to adapt Trauma-Informed Care (TIC) as the base for services. Our project offers community-based mental health outreach, prevention, screening and early intervention with volunteer peer advocates working in their communities to prevent the incidence of serious mental illness. We will also adapt the Seeking Safety evidence-based practice for clients experiencing trauma and will implement TIC as the basis for services in behavioral health through training of staff and administration.

The Menominee Indian Tribe of Wisconsin (MITW) will implement Trauma Informed Care for adult residents and veterans on the Menominee Indian Reservation and Menominee County, specific to co-morbid substance abuse and trauma induced stress disorders. Program anticipates increasing trauma screening to 1600 individuals and mental health treatment to 340 consumers over the life of the grant. Grantee has identified Seeking Safety as the Best Practice for serving these adults at risk of or experiencing serious mental illness. The goals and objectives of our project are to (1) improve mental health service infrastructure on the Menominee Indian Reservation through interagency planning efforts, as well as training on and implementation of Seeking Safety Program; (2) improve system of mental health service on Menominee Reservation and County to address trauma diagnoses through outreach to veterans and increased trauma screening; and (3) expand trauma treatment for individuals diagnosed with PTSD/ASD.

The Permanent Options for Recovery-Centered Housing (PORCH) project is designed to transform service delivery by promoting sustainable access to evidence-based Permanent Supportive Housing throughout one urban and two rural Washington Counties. PORCH provides consumers with meaningful choice and control of housing and support services, utilizes Peer Housing Specialists, reduces homelessness, and supports the recovery and resiliency of individuals with Serious Mental Illnesses. Services will be prioritized for adults and young adults in transition with severe mental illnesses who are homeless, at risk of homelessness, inappropriately housed, or transitioning from state institutions. Special training will be provided to the teams on the unique trauma-related needs of the population being served. The project team will work with local community and consumer groups/organizations to identify any modifications that may be needed to ensure services are culturally relevant. Consumers will be engaged in every aspect of the transformational activities of this project through direct involvement on the project development team; inclusion of six fulltime Peer Specialists on the Permanent Supportive Housing teams, and partnership with well-established consumer and family advisory groups at the state and local levels.

The Multnomah LAUNCH project will assure that all young children, ages 0-8, in Multnomah County will thrive: 56,050 children will benefit from increased pediatric primary care use of developmental and behavioral screenings, and increased community coordination around service provision, and 1,200 children particularly at risk of negative outcomes will receive mental health consultation support and improved care environments. Project strategies and their measurable outcomes in terms of numbers of individuals served are as follows: o Increase system capacity and coordination through hiring a Young Child Wellness Coordinator and enhancing the existing Early Childhood Council to act as a Young Child Wellness Council. Complete Environmental Scan and Strategic Plan to guide efforts. o 211 info/Parent Helpline will provide up-to-date inventory of community resources, provide on-the-phone assistance and referrals for callers, and track referral results. At least 5,000 calls will be answered annually (1,350 calls from organizations; 2,650 from families); 25,000 total calls over life of grant. o START training will be provided for pediatric primary care providers on use of evidence- based developmental assessments and screenings and strategies for linking to community resources. At least 60 PPCPs will be trained annually, resulting in 15,360 screenings for at least 7,560 unduplicated children; 37,800 children total. o Mental Health Consultation, Positive Behavior Support and Incredible Years will be provided to one Healthy Start home visiting program and two child care centers serving a high proportion of children experiencing risk factors for negative outcomes. At least 50 staff will be trained, resulting in improved care for at least 240 families each year; 1,200 children total. o A community outreach and education campaign will reach at least 100,000 people. o Workforce development activities will result in the training of at least 100 organizations and 1,000 staff.

Through the Boone County Project LAUNCH, the University of Missouri's Department of Psychiatry, Missouri Psychiatric Center (MUPC), in partnership with community agencies, families and state agency partners, will come together in a comprehensive county-wide approach to promote the healthy development of the county's youngest citizens. The project's purpose is to create a coordinated system to support children, ages 0-8, to thrive in safe, supportive environments and enter school ready to learn and able to succeed. Boone County, Missouri is the project site, capitalizing on the county's strong focus on the young child and rich cultural diversity. Through the proposed activities it is estimated that 1230 young children and their families will be served through out the life time of the project with 30 served in year one and 300 served annually in years two through five. This project has four goals: 1) Create a coordinated system to improve the integration and efficiency of the child-serving system in promoting the wellness of young children in Boone County; 2)Enhance and expand the delivery of evidence-based programs and practices that promote the wellness of young children and their families; 3) Enhance the expertise of child- serving agency personnel in young child wellness and healthy child development through workforce development activities; and 4) Increase public awareness and knowledge of child wellness.

Promising Starts: Early Childhood Wellness Consortium is designed to promote the positive development of at-risk children 0 to 8 years by (1) building a coordinated, community-based, enhanced capacity system of care, (2) providing universal behavioral health assessment in pediatric practices, (3) strengthening services through effective referral, collaboration, case management, and comprehensive pre-service and in-service training of providers, (4) implementing the evidence based Child FIRST parenting, mental health consultation, and home visiting model, and (5) building system-wide competency to address these needs. Promising Starts will serve over 300 high risk families with young children in the city of New Britain, CT. Universal assessment in pediatrician offices, screening in day care and early learning environments, and engagement with adult obstetric, mental health, and substance abuse treatment centers will help to identify children at risk. Development of a compendium of referral resources, provision of case management and consultation services to pediatric practices, and culturally sensitive, family friendly support to connect families with services will facilitate successful engagement of families with resources. Using the Michigan Association of Infant Mental Health competencies guidelines, representatives from multiple stakeholder groups, including faculty from local colleges, will complete training leading to endorsement, increasing the community's capacity to provide services to high risk families and to train the next generation of service providers.

Project LAUNCH will aid Weld County, Colorado, in implementing a community-wide systems navigation program to ensure young children (ages 0-8) and their families will receive a standardized screening package, referrals, and assistance navigating the system regardless of the point of access by professionals using evidence-based, culturally competent interventions. Over the course of the 5 years, 19,196 children and parents will be served and 248 professionals trained. This will be accomplished through four primary goals. Goal 1) Establish Project Launch and Develop a Community Vision and Plan that will expand on the work of the Local Early Childhood Council which has a commitment to promote school readiness, quality child care and early intervention, and physical health. Goal 2) Expand Multi-Agency Screenings, Referrals and Intervention Systems to integrate universal screenings in medical clinics, human services, community organizations, early childhood settings, public health and behavioral health agencies. Goal 3) Improve Collaboration and Integration to increase the use of the existing inter-agency electronic health record to track data and progress that supports seamless coordination between all agencies. Goal 4) Improve Children's Wellness by providing intervention at multiple agencies to promote school readiness, decrease impacts of trauma and increase protective factors and cooperative behaviors.

New York City's Project LAUNCH will support and expand existing partnerships among public and community stakeholders to re-design the early childhood system in Harlem and the South Bronx with the goal of improving wellness outcomes for 6276 children and their families. The Fund for Public Health in New York will serve as the applicant, and the New York City Department of Health and Mental Hygiene will be the critical implementation and policy development partner and provide direction to the Young Child Wellness Coordinator (YCW Coordinator). Utilizing the promulgated New York State Children's Plan, which serves as the policy framework for transformation of early childhood services statewide, the CYCW will work with national technical assistance resources to develop a common vision of a holistic system that supports children under 8 and their families in achieving healthy and productive lives in two of NYC's most distressed communities. Evidence based practices to be implemented in early childhood and primary health care settings include: 1) Utilization of a validated instrument, the Ages and Stages Questionnaires Social-Emotional to conduct developmental assessments 2) Utilization of the SAMHSA identified Georgetown Early Childhood Mental Health Consultation model. 3) Co-location of mental health consultants in primary care as a mental health integration model 4) Enhancement of our Nurse-Family Partnership Home Visiting Program with mental health consultation. 5) Expansion of the SAMHSA/CSAP promising program Strengthening Multi-Ethnic Families and Communities to assist parents and the SAMHSA/NREPP Incredible Years model to train child care workers and early childhood educators on positive approaches to meeting children's needs. The Project will serve 458 children and families in year 1; 1466 in year 2; 1459 in year 3; 1452 in year 4 and 1441 in year 5.

Aliviane, Inc. and its project partners, through "El Paso Project LAUNCH" will develop and implement a comprehensive Young Child Wellness System to serve the wellness needs of children in El Paso County, Texas ages birth through 8 years. In the first year of the project, a local Young Child Wellness Council will be formed, with the membership consisting of partner agencies, area stakeholders, parents representing the population of focus, and others committed to bringing about system change, developing strong and formal inter-agency collaboration and coordination, and forming a comprehensive network of young child wellness services. The youth to be served through El Paso Project LAUNCH consists of young children age 0 through 8. The overwhelming majority of the population to be served by this project will be Hispanic children living in a U.S./Mexico border community. It is projected that the majority of the clients to be served through the project will be living at or below poverty level. The project will serve at least 40 children and their families during the first project year, and 172 clients and families in each of the second through fifth years, for a total of 728 clients and families. Services will include developmental assessments in primary care and other settings, in home parent training and home visits, integration of mental health services into primary care, case management, mental health therapy, family strengthening, support service referrals, and "wraparound" support services.

The Kempe Imhoff Clinic provides mental health services to trauma-exposed children and families referred from several community sites using evidence-based treatment (EBTs). With this project, we will expand the EBTs offered in our Clinic and will develop specialty services for military families. We will also provide training and consultation to military and child welfare agencies with regard to implementing mental health screening for identification of children and families in need of mental health services. Project goals include: (a) continue clinical services at our Kempe Imhoff Clinic and expand the EBTs offered by clinical staff (e.g., AF-CBT), (b) increase capacity of our military partners to identify children and families in need of mental health services and develop specialty services for military families in our Clinic, and (c) expand the Colorado Evidence-Based Training Initiative to train mental health (civilian and military) and child welfare professionals in trauma-informed evidence-based treatment. The program plans to provide mental health services to 1,540 children/families (385 per year) and train 760 professionals (190 per year) throughout the Western Mountain region.

The Kempe Imhoff Clinic provides mental health services to trauma-exposed children and families referred from several community sites using evidence-based treatment (EBTs). With this project, we will expand the EBTs offered in our Clinic and will develop specialty services for military families. We will also provide training and consultation to military and child welfare agencies with regard to implementing mental health screening for identification of children and families in need of mental health services. Project goals include: (a) continue clinical services at our Kempe Imhoff Clinic and expand the EBTs offered by clinical staff (e.g., AF-CBT), (b) increase capacity of our military partners to identify children and families in need of mental health services and develop specialty services for military families in our Clinic, and (c) expand the Colorado Evidence-Based Training Initiative to train mental health (civilian and military) and child welfare professionals in trauma-informed evidence-based treatment. The program plans to provide mental health services to 1,540 children/families (385 per year) and train 760 professionals (190 per year) throughout the Western Mountain region.

The Georgia Department of Behavioral Health and Developmental Disabilities' (DBHDD) Comprehensive Local Awareness and Suicide Prevention (CLASP) project blends local coalition development and support, protocol development, community awareness, gatekeeper training, school/university-based peer leadership, and advanced training for direct service providers in nine counties and two separate community programs serving Latino and LGBTQ youth. Building on the success of the current GLS Youth Suicide Prevention Project, DBHDD and its partners will expand youth suicide prevention capacity according to the goals and objectives in the State Suicide Prevention and the Georgia Youth Suicide Prevention (in development) plans. The CLASP project will work with youth aged 10-24 in nine counties. Three of these counties are entering their third year of programming and will be creating linkages and sustainability plans. Two of the counties are in the early stages of development in the current GLS YSP Project and the four new counties have suicide death rates and/or hospital discharges for suicide attempts and/or self reported ideation above the state average, diverse populations and existing youth suicide prevention support. The project is projected to impact 10,000 new students and 500 adult staff per year as the number of participating schools increases to 40. In addition to working directly with six school systems to coordinate the CLASP project locally, DBHDD will expand to work with two community mental health and substance abuse services provider agencies to coordinate activities in the multiple counties they serve. In the proposed counties, the project will support local suicide prevention coalition development and enhance linkages among mental health, substance abuse, youth-serving agencies, schools, institutions of higher education, and military and veteran programs.

The Crow Creek Sioux Tribe of South Dakota will be used to enhance the activities and services now being provided through the Tribe's current SAMHSA suicide prevention program. This will enable the Tribe to reach a broader target population and fulfill the objectives of its suicide prevention plan. The target population of this program is youth aged 12 to 24 living on the Crow Creek Reservation. During the last 30 years, the Crow Creek Tribe has experienced a very high suicide rate that has had a devastating and demoralizing impact on the community, leaving service providers overwhelmed. Buffalo County, in which most of the population of the reservation lives, had a suicide rate of 49.2 per 100,000 population from 1980 to 2001, by far the highest rate in South Dakota and well over the national figure. By comparison, the state's rate during this period was 13.5 and the national figure was 10.8. The Tribe's current suicide prevention program has had a very positive impact on the youth, but much more needs to be done. Depression, violence, substance abuse, and physical and sexual abuse are still common - the people are in despair. Unfortunately, the Tribe's extreme poverty severely limits its ability to address the situation, and those working toward prevention are getting tired and are wearing out, their emotions stretched to the limit. The goals and objectives of the project include enhancing suicide awareness in the community and in the school system, enhancing and expanding effective prevention and intervention services, improving access to services for people who have been affected by suicide, enhancing service provider capabilities, enhancing collaboration among stakeholder groups, improving local data management techniques, and increasing capabilities of local partners involved in suicide prevention. The project will advance the goals and objectives laid out in the Tribe's suicide prevention plan, as well as those in the South Dakota Strategy for SP.

Prevent Suicide Wisconsin: Strengthening the Infrastructure will build on Wisconsin's accomplishment's to date by creating comprehensive local systems to prevent youth suicide, embedding suicide prevention training capacity into our child welfare and public education systems, enhancing suicide prevention skills for mental health clinicians, expanding efforts to reach high-risk populations, supporting local coalitions and increasing public awareness. The grant will support goals developed at a statewide planning summit in 2009 and the resulting strategic plan developed by our state-level steering committee: maintain strong state level leadership; develop and strengthen local leadership; raise public awareness; continue training and technical assistance, and; enhance access to mental health services. Comprehensive projects in three model communities will implement at least one evidence-based practice consistent with their local needs assessment, partner with a qualified treatment provider to address access to services, incorporate evidence-based lethal means restriction, conduct outreach to a high-risk population, incorporate more youth and family members, and mentor two neighboring communities that are developing their own coalitions. Contracts with the agencies responsible for training child welfare and school staffs will develop their capacity to provide sustainable suicide prevention training and result in training and education to 2500 child welfare staffs and over 5000 school staffs. 450 clinicians will increase core competencies in suicide prevention through Assessing and Managing Suicide Risk and Recognizing and Responding to Suicide Risk. 1050 civilian clinicians will be educated about veteran's mental health through three Wisconsin Warrior summits and at least five additional trainings each year of the grant. Three targeted efforts will outreach to high-risk populations.

The purpose of the Oglala Sioux Tribe Tribal Youth Suicide Prevention Program is to develop and implement a comprehensive and sustainable program to prevent suicide among Tribal youth, ages 15-24. The approach has been designed to increase community awareness and support, strengthen capacity and resources for early identification of at-risk youth, and develop comprehensive and sustainable systems to prevent youth suicide. It builds on the current 2008 Tribal Youth Suicide Program grant to the OST and proposes two evidence-based programs - American Indian Life Skills Development and SOS Signs of Suicide - to be implemented in middle and high schools on the Reservation. The suicide rate for South Dakota young people, ages 15 to 24, is double the average rate in the nation and young American Indian males in South Dakota die from suicide at a rate that is four to five times the national rate. The OST Tribal Work Group on Youth Suicide Prevention has identified several specific areas of need that, together, offer promise for developing a sustainable program for Tribal youth suicide prevention. These include: 1) need for greater community awareness, support, coordination, and resources for youth suicide prevention; 2) need to develop and establish linkages between Tribal and Indian Health Service to coordinate and support referral, and follow-up of at-risk youth; and 3) need to provide young people with the understanding and skills to cope with depression and problems. The OST Program has four primary goals: Goal 1: Increase community awareness, support, coordination, and resources for Tribal Youth Suicide Prevention; Goal 2: Strengthen capacity and resources for referral, and follow-up of at-risk youth; Goal 3: Extend American Indian Life Skills Development Curriculum and SOS Signs of Suicide Program to six middle/high schools; and Goal 4: Contribute to local, regional, and national knowledge and effective strategies for Tribal Youth Suicide Prevention.

The Chippewa Cree Tribe's (CCT) Cultural Support Services' (CCS) Youth Suicide Prevention Project (YSPP), hereafter referred to as YSPP, will employ evidence-based, culturally-appropriate, tribal youth suicide prevention and early intervention strategies that are grounded in public/private collaboration to reduce the incidence of suicide among at-risk, American Indian, youth, ages 13 to 17, on Rocky Boy's Indian Reservation, located in northern Montana. This approach is intended to do more than help young people choose life. They will also help them choose to live their life well, full of hope in themselves, their culture, and their community. The goal of this project is to "reduce the incidence of suicide by creating a prevention prepared community where Chippewa Cree Tribal members, families, schools, workplaces, and the community at-large take action to prevent and reduce mental illness and substance abuse across the lifespan." YSPP's measurable objectives include 1) implementation of American Indian Life Skills Development, an evidence-based practice that includes cultural education and activities modifications, to at least 60 American Indian youth, ages 13-17; 2) provision of at least 30 suicide education outreach sessions during established community events for the purpose of retaining and/or increasing participation in, and access to, treatment or prevention services to American Indian youth, ages 13-17; and, 3) enhancement of the CCT CSS Suicide Prevention Plan, as guided by the SAMHSA endorsed "To Live To See the Great Day That Dawns: Preventing Suicide by American Indian and Alaska Native Youth and Young Adults. "YSPP's primary population of focus is youth ages 13-17, of whom approximately 98% are of American Indian descent, with 89% qualifying for free or reduced lunch, 58% of their families live below the poverty level.

The Rosebud Sioux Tribe Wiconi Wakan Health and Healing Center is seeking funding in the amount $480,000 to continue implementation of the Tribal Youth Suicide Prevention and Early Intervention Project targeting Rosebud Sioux Tribal youth between the ages of 10-24 years old who reside within the boundaries of the Rosebud Sioux Reservation. For the past two years, the Wiconi Wakan Health and Healing Center has been the venue for providing successful culturally relevant and appropriate youth suicide prevention and early intervention strategies with the intent of reviving the life o f our people. The Wiconi Wakan Health and Healing Center's overall goal is to increase the number of at risk youth who are receiving referrals and treatment from behavioral health services. The goals of the program include: (1) Program staff will implement the public health approach to suicide prevention as outlined in the Institute of Medicine report, Reducing Suicide: A National Imperative. This approach focuses on identifying broader patterns of suicide and suicidal behavior, which will be useful in analyzing data collected and monitoring the effectiveness of services provided. (2) The WWHHC will provide outreach and prevention strategies to increase participation in, and access to, treatment and prevention services for Native American youth. (3) WWHHC will provide direct outpatient treatment (including screening, assessment and care management) or prevention services to Rosebud Sioux Tribal Youth at risk in an effort to increase the number of youth identified as at risk for suicidal behavior who are referred for and receive behavioral health care services. The Wiconi Wakan Health and Healing Center has been a pillar in tribal communities across the reservation in promoting suicide awareness and education.

The purpose of the Youth Suicide Prevention and Awareness Program is to implement a comprehensive suicide prevention, education, and awareness campaign, increase access to services, and increase suicide related surveillance across Alabama's resident and transient populations, via utilization of Crisis Centers, Universities, nonprofit organizations, and local and state resources. Alabama the Alabama Suicide Prevention and Resource Coalition (ASPARC), the Alabama Department of Public Health (ADPH), the University of Alabama at Birmingham, and three crisis centers located in north, central, and south Alabama will be engaged in this initiative, allowing for a dissemination range from the State level, to local and community level. This multifaceted approach will allow for a larger degree of community engagement and local buy in as well as a multiple exposure methods to Alabama's populations, which suffered from 14.2 suicides per 100,000 populations in 2009, and have seen higher rates than the U.S. average since 1989. An awareness and educational campaign, QPR training to increase the knowledge and self efficacy of individuals in recognizing and making referrals, educational sessions conducted in communities, schools, and universities, increased access to call line services, referrals, and counseling, and media exposure, will all work to increase the education of suicide prevention, and reduce the number of suicides in Alabama. These initiatives will include conducting a minimum of 72 educational sessions in schools, communities, universities and juvenile justice systems and veteran's organizations, training a minimum of 1,500 QPR Gatekeepers, increasing crisis call line availability, and lowering the number of students self-reporting suicidal ideation on surveys from 30% to 20%.

Mississippi's Youth Suicide Prevention Project, will be utilized to support Mississippi in strengthening and implementing statewide youth suicide prevention strategies through collaboration with youth-serving institutions and agencies such as educational institutions, providers of substance abuse prevention and treatment programs, providers of mental health programs, and community based coalitions reaching out to at-risk youth throughout our state. The population of focus will include youth, ages 15-24, throughout MS. The population of focus will also include community level gatekeepers throughout MS. Available, approachable, and accessible community level gatekeepers that blend public and private entities are key to motivating entire communities to take action to prevent youth suicide and promote good mental health. This project seeks to develop broad based support for youth suicide prevention from community level gatekeepers so that prepared community level gatekeepers are engaged in activities that are coordinated and address strategies outlined in Mississippi's Youth Suicide Prevention Plan. Additionally, Mississippi seeks to engage youth in planning and implementing youth suicide prevention strategies, particularly those activities that relate to social marketing and conducting information and awareness campaigns through the use of "new media". Mississippi's project will support SAMHSA's goals that include: increase the number of persons in youth serving organizations that are trained to identify and refer youth at-risk for suicide; increase the number of health, mental health and substance abuse providers trained to assess, manage and treat youth at risk for suicide; increase the number of youth identified as at risk for suicide, increase the number of youth referred for behavioral health care services; increase the number of youth at risk for suicide who receive behavioral health care services; and increase the promotion of the Lifeline.

No Abstract.

Summary: To support Native American youth and their families seeking solutions to suicide ideation, to help Native people gain access to appropriate treatment services and to reduce the suicide rate of youth in Lincoln, Omaha, and Scottsbluff. Project goals and objectives are: (1) Conduct outreach services to the Native American community of Lincoln designed to prevent suicide in 400 Native American youth per year. (2) Conduct outreach services to the Native American community of Omaha designed to prevent suicide in 500 Native American youth per year. (3) Conduct outreach services to the Native American community of Scottsbluff designed to prevent suicide in 300 Native American youth per year. (4) Develop a collaboration of public-private agencies in Lincoln, Omaha, and Scottsbluff to increase the network of services for Native American youth.

The New Mexico Department of Health (DOH) proposes a Statewide Suicide Prevention Project (SSPP) with the goal of reducing the rates of attempted and completed suicide among the state's youth. The proposed project expands youth suicide prevention by building statewide capacity in communities and schools to support populations who are at risk of suicide, with a specific emphasis on Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) youth. The SSPP will enhance efforts of DOH and its partners to provide a continuum of universal, selected and indicated strategies to support NM's strategic plan for suicide prevention. Primary partners include University of NM, Center for Rural and Community Behavioral Health, the NM Suicide Prevention Coalition, and the Santa Fe Mountain Center. SSPP is grounded in evidence-based practices, builds on culturally competent strategies and revolves around intensive gatekeeper training, school and community environment improvement, and means restriction. Gatekeeper and clinical training will focus on key groups that interact with youth: (1) educators and school health staff; (2) primary care and behavioral health providers, and (3) community stakeholders such as juvenile justice, foster care, social service and parents and family members. Training will use evidence-based practices such as Question, Persuade, Refer (QPR), selected training to address LGBTQ populations, a train the trainer component to build capacity and promote sustainability, and advanced clinical training for school nurses, primary care and behavioral health providers. This will include facilitated peer supervision, clinical behavioral health supervision and case consultation. Process objectives have been established for increasing the number and level of knowledge of individuals who are trained - including new trainers. Training will work toward outcome objectives for improving referral networks and data collection and sharing.

The Illinois Youth Suicide Prevention Project (1YSPP) supports the advancement of the Illinois Suicide Prevention Strategic Plan by building o the momentum of activities already occurring, improving cross-systems linkages to services and enhancing relationships to build networks of caring communities. The purposes of IYSPP are to: 1) enhance primary suicide prevention, 2) support local entities I the implementation of evidence based prevention, 3) increase linkage to prevention and treatment services for youth ages 10 to 24, 4) decrease risk factors for high school students, 5) increase protective factors for high school students, and 6) increase the degree of statewide support and among specific stakeholder groups for sustained suicide prevention activities. The statewide activities of the IYSPP are designed to increase the capacity to make system-wide changes. First, a consensus process will be designed with the many systems that serve adolescents and youth. This cross-systems series of meetings will: Share what is known about the scope of youth suicide in Illinois, identify strengths and gaps of current policies and practices, solicit and integrate recommendations for system improvements, and create linkages to strengthen the continuum of care. Second, a higher education systems strategy process will be initiated to help college and university campuses build on the initiatives made by the Campus Security Task Force. This task force was organized after a shooting involving suicide, ended the lives of multiple people at Northern Illinois University in 2008.

The program will reach Alaska Native youth at risk for suicide or suicide attempts by creating a comprehensive culturally appropriate safety net in each of these communities. The first step is to form a strong, widely represented, well-informed and trained Suicide Prevention Coalition in each community. The Coalition will draft a Suicide Prevention Plan. The Plan will have two purposes: to give the community direction and to get everyone thinking about suicide prevention. The Coalition will be the driving force behind incorporating cultural activities into the youth program; it is here that we will find adult volunteers to present traditional activities to youth such as building a qasiq, a fish camp, story circles, traditional crafts such as grass baskets and a mentoring program. The safety net will include the school as a strong and involved partner and implement the Zuni Life curriculum. A critical part of the safety net is to have a strong, vibrant, culturally-appropriate youth program; a place to implement cultural activities and traditional teachings, a place where the community can celebrate their young people. Sustainability is built into this program because a critical component to the program is recruiting, training and employing community volunteers. Strong partnerships with the schools are essential and part of this project. The project goal is the prevention of suicide in each community. The AVCP Healthy Families Program will serve the Alaska Native Villages of Alakanuk, Chevak, Hooper Bay and Scammon Bay. The villages are among the poorest in America, almost 100% Alaska Native and have the highest suicide rate in the country. 3,317 people will be served by this project.

The State of Kansas, through its agent, Headquarters, Inc., commonly known as Headquarters Counseling Center, proposes this initiative to increase and strengthen youth suicide prevention activities statewide, resulting in stronger linkages between youth settings and quality mental health care for suicidal youth between the ages of 10 and 24. The initiative promotes suicide prevention and intervention that enhances local and statewide identification and linkage that will highlight: 1) identifying at-risk youth and assessing access barriers within youth settings; 2) conducting evidence-based prevention interventions within each youth setting to enhance surveillance, linkage and self-referral; 3) promoting the viable connection of the young person to crisis line support and psychiatric care; 4) increasing the availability of mental health professionals trained in reducing suicide risk through evidence-based interventions; and 5) successfully retaining the identified young person in mental health treatment, to the point that meaningful suicide risk reduction has occurred. A state coordinating and resource center and website for youth suicide prevention will be developed. Capacity will be added to the Lifeline service in Kansas. The existing state suicide prevention committee will be expanded in representation and scope, and regional suicide prevention coalitions will be formed, to enhance youth suicide prevention. Consumers, including youth 10-24, families, mental health advocates, and survivors of suicide loss will be included in planning, information enhancement, and reducing barriers to obtaining help. Information exchange will be facilitated by the website and regional meetings. Locations for youth site - mental health provider partnerships will reflect the geographic and cultural diversity of Kansas.