Goals www.ZeroAttempts.org Vision The vision of the Suicide Awareness and Prevention Council is zero attempts in Curry County, Oregon. Mission The mission of the Suicide Awareness and Prevention Council is to prevent suicide and its devastating consequences in Curry County. We believe this can best be accomplished through: Enhancing collaborations to promote a suicide-free community Understanding the strengths and gaps in suicide prevention services and supports Publicizing vital information on the signs of suicide, where to seek help and how to offer help. Facilitating resources to those affected by suicide and suicidal behavior Advancing policies and practices that contribute to the prevention of suicide Core Values The Suicide Awareness and Prevention Council believes that these core values best support suicide prevention in Curry County: Combining a public health and mental health approach to prevention Collaboration and non-competitive partnerships Evidenced-based and promising practices Cultural and linguistic sensitivity Policies and practices informed by those with lived experience Policies and practices that are trauma-Informed Coordinated and accessible services Support for individuals, families, communities and special segments within those communities. Purpose The Suicide Awareness and Prevention Council was formed to inform the development of a suicide prevention strategic plan to guide suicide prevention efforts and identifying recommendations, priorities and action steps. The Council will provide guidance and support in the implementation of the recommendations made in the strategic plan. Convene community partners and stakeholders to lead a public awareness drive for countywide adoption of the Zero Suicide Attempt aspirational approach. Work with community partners and stakeholders to promote trainings and assistance to behavioral health care organizations, on implementation. Reach out to appropriate resources to provide a health needs assessment to help identify where to focus efforts. Implement a cross-sector safety net that will prevent suicide attempts and save lives. Role The Suicide Awareness and Prevention Council in Curry County’s role is to lead the charge to make suicide prevention a priority in the county and create opportunities and recommendations for broad-based involvement through the strategic plan, by: Effectively engaging stakeholders and the community at large; Collaborating with one another and others in the community to make recommendations for and/or implement the activities and objectives in the strategic plan; and Providing guidance to program activities developed and implemented as a result of the recommendations put forth in the strategic plan, as needed. Exploration of Potential Goals Coordination/Collaboration/Addressing Suicide Risk in Emerging and New Ways What programs or initiatives do you know of now that work to promote access to services? Are there ideas from the National Strategy & CDC Strategic Directions that would be good to include? What ideas do you have that could increase access? Which ideas do you think we could move to “low hanging fruit?” Decrease/Eliminate Stigma/Discrimination/Fear What programs or initiatives do you know of now that work to decrease or end stigma? Trainings – Mental Health First Aid – Adult & Youth, S.A.F.E., QPR, Response, Kognito Schools-programs mental health Awareness Safe Oregon Peer support Resources for parents Provide safe spaces for youth Swag sparks conversation - Popsockets, wrist bands, semicolon buttons, t-shirts, water bottles Buddy Bench in high school lawn - remind students when they see someone sitting their alone. Safe places on campus Inform students that bathroom conversatoins may be recorded. Cuts down on illegal activities, sex, vaping, bullying What other ideas do you have that could decrease or end stigma? Which ideas do you think we could move to “low hanging fruit?” Value of Lived Experience in presenters Trainings – Applied Suicide Intervention Skills Training, ACEs, Youth Mental Health First Aid, Student Mental Health First Aid, Veterans, Older addults, QPR, Response, Kognito Sources of Strength, Challenge Day Schools/Student Councils Stress First Aid (especially for military, first responders) Peer support School Students ask at least 2 peers “R U OK?” 741741 on ID Badges Lunch buddy program for all groups Community Events 15 minutes between classes - Finland - return socialization vs cell phone Keep it light, good humor Everyone gets a voice Snakcs Handouts Value placed on lived experience Safe space Different perspective Hope Law enforcement, schools, sports coaches, social services represented No abbreviations/acronyms Invite/notify members of the legislature and other elected officials Promote Education/Training What programs or initiatives do you know of now that work to promote/provide education and training? Value of Lived Experience in presenters Avatar programs - Response, Kognito Youth Mental Health First Aid, Student Mental Health First Aid SafeOregon - did it work, was it really safe for whistle blowers? Applied Suicide Intervention Skills Training training for youth, especially leadership Mental Health Awareness at school assemblies School District Suicide Prevention Protocol and crisis team Campaign to start owning the word “suicide” – use it more often, like cancer, rape, domstic violence, etc. used to be Sports’ teams School theater Making trainings more accessible (both $ and location) – include how to access services Resource guides widely available (schools, libraries, etc.), maybe even retail like the R U OK? cards What other ideas do you have that could promote/provide education and training? Which ideas do you think are “low hanging fruit?” Increase early identification and support for people thinking about suicide Increase use of behavioral health services Strengthen community suicide prevention and response systems Reduce access to lethal means Improve messaging in media about suicide. Deeper dive into understanding more about people who have died Determine what's missing Establsih Council Goals Initial Goals Build partnerships 1. Needs assessment 2. Partnership development Target outreach to populations known to be at increased risk 3. Training and building a community of practice 4. Training implementation 5. Technical assistance and consultation 6. Evaluation and next steps Source: go.kognito.com/rs/143-HCJ-270/images/Santa-Clara-Case-Study.pdf Long Term Goals (2021 and beyond) Zero Attempts Transforming Health Systems Increase access and use of behavioral health services and supports/systems Barriers/Promote service Strengthen community suicide prevention and response systems Reduce access to lethal means Support advocacy efforts - AFSP, MHA, NAMI Other (from above lists) Short Term Goals (To complete in 2020) From above lists Low Hanging Fruit When we welcome newcomers and members of the public we encourage use of pronouns to support inclusiveness to our Council and its work. Explore the use of inclusive phrases like "gender spectrum positive" and MOGII - Marginalized Orientations, Gender Identities, and Intersex, etc. See here Talk openly, de-stigmatize conversations about suicide. Honor lives of those who have died Obtain and review previously prepared community improvement plans Are these plans enough? Seriously. What is being missed, maybe just because we didn't think it could be done or it wasn't in the realm of our funding model? Start with training people whose professions would make them likely to hear/observe suicidal ideation, especially teachers, bus drivers, cafeteria workes in the schools, faith base, barber shop Start education with younger kids to reduce stigma around suicide Peer support programs in workplaces and schools Create a list of locations throughout the county to post flyers Investigate what's on the top of the list for other stakeholders - Law enforcement, first responders, medical/mental health providers, 911, youth educators, substance abuse/recovery community, elders, tribal community, media, etc. Inspire others to get involved on social media Encourage open communication about mental health Share mental health screening tools Contact your legislators Open letter to Clinicians Other (from above lists) Education Empower schools to address bullying Encourage schools to strengthen rules and policies How each school currently meets the social-emotional needs of students. An evidence-based analysis of Positive Discipline (BHSD) An evidence-based analysis of Restorative Practices (BHSD) Train all staff, teachers and students in at least grades 7-12: To recognize the depression and suicidal warning signs Know what to do and say and not do and say To understand the Crisis Text Line 741741 and use it To find out if all students have the SafeOregon apt on their phones and if they are using it and if not why? Have ongoing training's and programs to keep bully prevention on the top of mind To treat all bullies equally whether their regardless of where their parents work (the district, sports coaches, the city, etc.) Ensure that all sports coaches are well trained on bully prevention and problems are addresses and not covered up Complete the Suicide Crisis Plan Have a fully trained on-campus crisis team Include a check for depression annually Encourage school districts to approve proclamations to go along with on campus programs during awareness months like March - Self-Injury; April - Alcohol, May-Mental Health, September - Suicide, October - Bullying, Depression, November - Anti-drunk driving (See Events Calendar), Developing Comprehensive Suicide Prevention, Intervention and Postvention Protocols: A Toolkit for Oregon Schools (95 page PDF) National Center for Transgender Equality Elders Reach out to those who are not connected to the community Encourage depression testing Faith Faith-based groups can contribute to suicide prevention by increasing hope, supporting emotional well-being, and fostering the development of positive social connections. Encourage each religious organization to develop support programs that make it safe for members to ask for help, and get it. Work with youth to spot fellow students dealing with depression, anxiety and suicidal thoughts Make it okay to support students in asking a friend "R U OK?" Teach youth who have access to a cell phone to know and use the 741741 Crisis Text Line service. First Responder/ER Current protocal on suicidal subject That all personel who might particiated in a 911 call be trained in CIT including fire Government City governments Support awareness months by: (1) approving a proclamation and let the local press know that it means more to the City Council than just signing a piece of paper Encourage cities to work with local non-profits to coordinate city wide events Legislation Encourage lawmakers to strengthen rules and policies (i.e., Currently only "protected Class" students are protected from bullying in Oregon law and Board of Education OARs. Only protect students from retirbution against whistle blowers.) Juvenile Programming Depression check Law Enforcement Current protocal on suicidal subject That all personel who might particiated in a 911 call be trained in CIT including dispatch Media Recommendations for reporting on suicide (2 page PDF) Reduce stigma, fear, Uniform definitions/language (include an Acronym Dictionary. 2012 National Strategy for Suicide Prevention Acronym detection - directory Not normalize or sensationalize Prevent/reduce copy cat No front page story. Careful wording - suicide not the solution (13RW) Avoids place, personal/family details, methods, photo, video, PAS/story to promote ways to get better. Development and evaluation of a youth mental health community awareness campaign – The Compass Strategy Breaking the Silence: addressing the need to raise awareness and support effective treatment all year long. Therefore, releasing a monthly story to print media, a PAS to broadcast, and a Proclamation to County, City and School Boards as appropriate to the issue. See Event Calendar Break the Silence is your story up to 500 words that would be placed on this web page. See information here. Follow the Clackamas Model and understanding of how to talk "lethal means." PR/News/Commercials to put a face on individuals at risk and those who have died Medical Health Health Issues – addiction, gambling, dementia, physical health problems Follow-up after ER, medicine change, bereaved friend, reduce copy cat Depression check part of annual medical checkup, eespecially for Medicare patients Common protocol between ER, law enforcement, first responders, 911, safety plan, pharma No hold room GP ask two questions of every patient. Train in C-SSRC How to help the uninsured How to acquire Medical Examiner's demographics data around suicide Why We Need to Include Chronic Pain in Suicide Prevention NEW Mental Health Current protocal on suicidal subject That all personel who might particiated in a 911 call be trained in CIT LHF - Disseminate educational materials to clinics and therapists Depression check part of annual medical checkup, eespecially for Medicare patients Drug reduction, refill, alter with timely follow-pup appointment Henry Ford Suicide Training Academy Clinician Suicide Survivor Survey - Rev 4/5/19 (5 page PDF) Media as Partners in Suicide Prevention (18 page PDF) Complicated, potentially traumatic grief process Profoundly disturbing event of professional career, particularly true for those who haven't had suicidality training in order to be able to practice in Oregon Impacts clinicians both personally and professionally Also true for clinician’s family suicide loss! Loss of confidence, competence, particularly in relation to suicidal clients Common reactions: hyper vigilance/minimization of suicide potential Impairment of empathic responses, defensive avoidance of clients own pain Difficulty trusting clients Open Letter to Clinicians Care transition - Close common gaps in care in outpatient treatment settings to reduce increased suicide risk Firearms & Suicide book mark Substance Abuse/Recovery Health Issues – addiction, gambling, dementia, physical health problems Talk about suicide in the context of addiction and not just mental health Depression check Organize a “Walk Out of Darkness “ event in Curry County to support AFSP. Develop a recovery fitness program. Why We Need to Include Chronic Pain in Suicide Prevention NEW Tribal Depression check Reduce copycat Veterans Reduce Stigma and Promote Help-Seeking Promote Lethal Means Safety Provide Suicide Prevention Training Enhance Primary Care Suicide Prevention Improve Access to Primary Care Assessments conducted by the community Interviews and observations Evaluation informs program development and improvement locally and nationally Community Requirements Local Veteran-majority steering committee Coordinator and facilitator to implement program Organizational capacity to receive funds Community Activities Engage community partners in regular meetings Develop action plan in alignment with strategies Implement action plan Practice skills to implement program Build relationships with other communities implementing program Depression check Uninsured Veterans that don't qualify for services. Why We Need to Include Chronic Pain in Suicide Prevention NEW Youth Development and evaluation of a youth mental health community awareness campaign – The Compass Strategy Support Youth Who Have Addicted Parents Depression check Keep school based clinics separate from school hired therapists. Many Oregon families don't trust the government connection with behavioral health Activities Monthly Event Calendar Lessons: Respect for all week - February 10-14 News & Events Educational Resources Social Emotional Learning Other Goals Strategies Low Hanging Fruit Suicide Attempts Suicide Statistics School Resources   ©2017-2023, www.zeroattempts.org/ccspc/goals.html 120122