TC Suicide Prevention Strategic Plan - Appendix A

8/14/2019 TC Suicide Prevention Strategic Plan - Appendix A

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APPENDIX ASUICIDE PREVENTION STRATEGIC PLAN TRAINING< PREVENTION and INTERVENTION CORE PROPOSALS

YEAR ONEProgram Brief Description Target Audience/

TargetPopulation/Presentation

Group Size

Age Groups Outcomes Annual Costs Agency toprovideoversight

Inkind/Caand Nonc

QPR CommunityGatekeeper

QPRstands forQuestion, Persuade and Refer, anemergency mental health gatekeeper trainingintervention that teaches lay (businesses, agencieswith peripheral contact to populations at risk of suicide,

teachers, church staff, etc) and professionalgatekeepers to recognize and respond positively

to someone exhibiting suicide warning signs andbehaviors. QPR does not include suicide riskassessment training. QPR uses a chain ofsurvival approach in which the gatekeeper learnsto recognize early suicide warning signs,Question their meaning to determine suicideintent or desire, Persuade the person to accept orseek help, and Refer the person to appropriateresources. QPR gatekeepers receive a QPRbooklet and wallet card as a review and resourcetool that includes local referral resources. Thetraining is delivered in a standardized 1-2 hourmultimedia format by certified QPR gatekeeperinstructors.Gatekeeper instructors receive an eight hour

online training (www.qprinstitute.com ). They areprovided technical and web-based support,educational materials including booklets andwallet cards, a tool kit, quarterly newsletters, andfree program upgrades after they are trained.

All ages and sectors ofcounty including youth(schools, coaches,Columbia college campusand forms, 4-H, Boy/GirlScouts, Youth Athleticgroups, Community

Services, Health care reps,)adults (businesses) all ages(, faith based community

All ages 1)By the end of year one, 12community members will betrained as trainers andprovide up to tenpresentations each to diversesectors of the community(total of 120 presentations to

average group size of up to35 participants each)2) 12 trained trainers willmeet at least every othermonth to share challengesand successes

$5,940 total which covers

costs for 12 selectedcommunity members to be

trained as certifiedinstructors. Trainersreceive a minimum of

eight hours of formalinstruction, are certifiedfor 3-year intervals,

CommunityBasedOrganization

$6,000 ofvolunteer itime to propresentatio25 hours pvolunteer y12 volunte

$20/hour

QPR Suicide

Triage Training

Course

QPR Suicide Triage Training Course is an online andmultimedia course for all first responders including:law enforcement, fire fighters, EMTs, clergy, casemanagers, correctional personnel, and others who comein contact with people at risk for suicide. The coursecovers risk factors for suicide, current status of suiciderisk assessment; how to determine immediate risk forsuicide, how to document a basic suicide riskassessment, how to Question, Persuade and Refer(QPR) suicidal people to accept help and resources.

Law Enforcement Officersand First Responders(EMTs,fire fighters, etc)

All ages 1) Up to 6 identif ied f ir stresponders will be trained ascertified trainers to providean eight hour staff training toSheriff Dept, Sonora PoliceDepartment, Tribal Police,Fire Department, andEMTs.

Total $2,970 total whichcovers costs for 6 selectedlaw enforcement officers andfirst responders to be trained

as certified instructors @$495 each.

Note the tuition for QPRSuicide Triage training is$229.00 per 1 universitycredit, or $159.00 for CEUor non-credit. Coursematerials are included andwill be sent to eachparticipant. This onlinecourse comes with a CD-ROM

TuolumneCountySheriffDepartmentand theTuolumneCounty EMSagency
http://www.qprinstitute.com/http://www.qprinstitute.com/


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Group Size


Inkind/Caand Nonc

ASIST ASIST (Applied Suicide Intervention SkillsTraining)provides practical skills training to prevent theimmediate risk of suicide Content:Teaches suicide first aid helping a person at risk tostay safe and to seek further help, andTeaches to identify persons with thoughts of suicide,seek a shared understanding of reasons for dying andfor living, review current risk, develop a safe plan andfollow up and become involved in suicide-safercommunity networks

All Tuolumne Countypublic schools

Target school socialworkers, psychologists,counselors, teachers andsupport staff,

School ageyouth

Train up to five schoolcounselors in year one astraining of trainers

Five counselors available totrain school staff from 10to 30 participants at eachtraining

Total $18,500 and includes:$3,500 for initial communityschool wide training

$15,000 to train fiveidentified school counselorsas trainers

TuolumneCounty ofEducation

RRSR-Recognizing andResponding toSuicide Risk:Essential Skills forClinicians)

RRSR(Recognizing and Responding to Suicide Risk:Essential Skills for Clinicians) is an advanced,interactive two day training based on established corecompetencies that mental health professionals need inorder to effectively assess and manage suicide risk. Thetraining includes:

A web-based assessment

A two day face to face workshop

An online post workshop mentorship

A competency-based curriculum

Updated participant and resource materials

Continuing education credits

www.suicidology.org/trainingRRSR

Training involves workingwith up to 40 public andprivate clinicians for twofull days

Clinicians/Therapists(both public

and private)

Train up to 40 clinicians inTuolumne County to beconfident, competent andprepared to meet the needsof distressed clients and theirfamilies after two daytraining by end of year one

Total $5,590 to cover cost oftrainer, travel and lodging fortwo day workshop held inTuolumne County

TuolumneCountyBehavioralHealthDepartment

U. S. Air Force

Suicide Prevention

Program

U.S .Air Force Suicide Prevention Program is acomprehensive, workplace intervention that focuses onenhancing protective factors and decreasing risk factorsfor suicide,Major goals of the program include:

Promoting awareness of the range of risk

factors related to suicide

Educating the community regarding available

mental health support services and

Reducing the stigma related to help-seeking

behaviorThese goals are achieved by targeting the programs 11initiatives that strengthen social support, promotedevelopment of effective coping skills, and changepolicy and norms in workplace so as to encourageeffective help-seeking behaviors.

Tuolumne CountyBusinesses

Youngadults,adults, olderadults

Train up to 15 communitybusiness leaders annually inprogram (2 hour training) toprovide training in theirwork environments

Total of up to$1,000 tocover cost ofconsultant/trainer andclinician, in addition tominimal costs ofrecruitment/outreach, andtraining materials

TuolumneCountyBehavioralHealth
http://www.suicidology.org/trainingRRSRhttp://www.suicidology.org/trainingRRSR


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Group Size


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Emergency

Department Means

ReductionProgram

Emergency Department Means ReductionEducation Program (limiting access to lethal meansfor suicide)www.sprc.org/featured_resources/bpr/ebpp_PDF/emer_dept.pdf-The goal of this intervention is to educate parents ofyouth at high risk for suicide about limiting access tolethal means for suicide. Education takes place i nemergency departments and is conducted bydepartment staff Emergency department staffs aretrained to provide the education to parents of child whoare assessed to be at risk for suicide. Lethal meanscovered include firearms, medications (over-the-counter and prescribed), and alcohol.

Families of youth andyoung adults receivingservices at the SonoraRegional MedicalEmergency Room, andtrained Emergency Roomstaff providing theintervention

Families ofyouth andyoung adults

1) X number of SRMCEmergency Room(ER)personnel trained inintervention by July, 20092) Trained ER personnelintervene and provideeducation to parentsrequesting services throughthe ER Dept. because youthare threatening suicide bylethal methods. Educationinvolves problem solvingwith parents about how tolimit access to lethal means

Estimate of $2,000 forannual training costs.Protocols are available, forfree, and training costs foremergency room personnelare variable.

SonoraRegionalMedicalCenterEmergencyRoom

Estimated$10,000 anof cash mafrom agenprovidingoversight asupervisiointerventio

Native American

Life SkillsDevelopment

The Native American Life Skills Developmentprogram for youth is based upon a model generated bythe University of Wisconsin. This is a school-based,culturally tailored, suicide-prevention curriculum forAmerican Indian adolescents. The curriculum isdesigned to build self-esteem, identify emotions andstress; increase communication and problem-solving

skills; and recognize and eliminate self-destructivebehavior, including substance abuse.

Native American youth School age9-12

1) Up to 4 Native Americanyouth counselors/teacherswill be trained b y end ofyear one2) 40 Native Americanyouth participating incurriculum will demonstrate

a higher level of suicideintervention skills and lessfeelings of hopelessness.

Estimate of $10,000 tocover staff training and costof materials

Me-WukSocialServices(Lisa Ames)

Intervention

provided by otherareas of

community

including privatepractitioners,

medical practices,

etc.

Community Intervention is the development of anetwork of providers who intervene with suicidalindividuals in various settings, including privatepractices, medical settings, faith-based or othercommunity services

Any community memberseeking assistance while incrisis

All agegroups

Identification of patientsdisplaying signs andsymptoms placing them atrisk of suicide andstrengthening knowledge ofcoordination of suicideprevention services acrossthe community

$2,000 for training of localhealth care providers as aCME activity

TuolumneCountyMedicalSociety

TuolumneCounty MSociety in resources
http://www.sprc.org/featured_resources/bpr/ebpp_PDF%20/emer_dept.pdfhttp://www.sprc.org/featured_resources/bpr/ebpp_PDF%20/emer_dept.pdfhttp://www.sprc.org/featured_resources/bpr/ebpp_PDF%20/emer_dept.pdfhttp://www.sprc.org/featured_resources/bpr/ebpp_PDF%20/emer_dept.pdf


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Group Size


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LOSS Team LOSS Teams (Local Outreach to Suicide Survivors) isa program that coordinates survivor groups to provide acommunity of support to help manage the difficultgrieving process felt by survivors. A team is formed tohelp survivors of suicide find the resources they need,

and are made up of trained suicide survivors and asocial worker/clinician. They go to the scenes ofsuicide to spread information about resources and toprovide hope for the grieving survivors. The goal of theLOSS Team is to let suicide survivors know thatresources exist as soon as possible following the death.The volunteers work as peer facilitators in weeklysurvivors groups, participate in survivor assessments,and mentor new team members.

Contact www.brcic.org for additional information.www.helpstartshere.org/mind_and_spirit/suicide_prevention/you_options.html

Families in TuolumneCounty who have lostloved ones to suicidewithin 24 hour period

All ages 1)10 to 15 volun teersparticipating with the LOSSTeam will complete trainingby July, 2009.2)Each family of a suicide

victim will be offered theservices of the local LOSSTeam in a 24 hour periodafter loss

Estimate $8,000 whichincludes:1)Cost of socialworker/clinicians timeproviding support and

training to the volunteerteam2) Cost of stipends formileage

Additional costs for trainingof trainers will be through aprogram such as the QPRCommunity GatekeeperTraining of Trainers forCommunity.

CommunityBasedOrganizationwith thecapacity to

oversee newservice(DawnsLight

$14,400 ofinkind thatincludesvolunteerstrained and

meetingregularly fongoing suand assista(15 volunt$20/hour (value) x t60 hours mtotal x 12months)

BOB Mobile

Health Clinic

BOB the Tuolumne County Student Health Vanprovides health services to students at 12 schoolcampuses, visiting eight schools per week. Servicesinclude crisis mental health services and referral incoordination with a Clinical Case Manager from theBehavioral Health Department. Approximately 20% ofthe 78 students seen per month have behavioral healthconcerns.

Tuolumne County youthand, in some cases, theirfamily members. Servicesprimarily target residentswith limited access tohealth care, but for crisiscare there are no economiceligibility requirements.

School-agedyouth inTuolumneCounty. Thepopulationincludesnewbornsand mothersfor youngmothers inthe Cal Safeprogram

1) Increased registrationstudents in public healthinsurance programs likeFPACT and MediCal2) Increased access of youthto Behavioral HealthServices3) Bob staff training insuicide prevention skills(two primary providers)

$45,000 for 2009-10 schoolyear, then $48,000 for 2010-11, and $51,000 for 2011-12(Based upon 20% of the Bobvan budget for years threeand four) for a total three-year cost of $144,000

TuolumneCountyHealthDepartment

Estimated$180,000 omatch in yone providthroughTuolumneCounty HeDepartmenSonora ArFoundatio
http://www.brcic.org/http://www.helpstartshere.org/mind_and_spirit/suicide_prevention/you_options.htmlhttp://www.helpstartshere.org/mind_and_spirit/suicide_prevention/you_options.htmlhttp://www.brcic.org/http://www.helpstartshere.org/mind_and_spirit/suicide_prevention/you_options.htmlhttp://www.helpstartshere.org/mind_and_spirit/suicide_prevention/you_options.html


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PROSPECT PROSPECT (Prevention of Suicide in Primary CareElderly Collaborative Trial) is an intervention thatcombines treatment guidelines for community-dwellingelderly populations with care management for patientsdiagnosed as depressed. Care management is conductedby a depression care manager who works with the

primary care physicians (PCP) and a supervisingpsychiatrist.

www.sprc.org/featured_resources/bpr/ebpp_PDF/prospect.pdfwww.sprc.org/featured resources/bpr/ebpp_PDF/

prospect.Pdf

Tuolumne County olderadults and caregivers;primary care physiciansand their office staff, andcase manager/social workertrained in program no

economic eligibilityrequirements forparticipants receivingservices

Older adults Intervention seeks to providesuicide preventioninterventions for 40 olderadults with depression and orsigns of suicidal risk. Theintervention components are:

(1) recognition of depressionand suicide ideation byprimary care physicians, (2)application of a treatmentalgorithm for geriatricdepression in the primarycare setting, and (3)treatment management byhealth specialists (e.g.,nurses, social workers, andpsychologists) incoordination with primarycare practitioners

$100,000 for a full time casemanagers time to work withprimary physician offices (upto 10) to help train, identify,assess and provide casemanagement (including

therapy for 16 weeks)

Area 12Agency ofAging

Estimated$10,000 ofmatch fromagency prooversight asupervisio

case mana

Safety Nets Safety Nets is the identification of public sites openand available to community members with staff trainedto provide resources, support and assistance if needed.(Sites could include libraries, Family Resource Centers,FNL sites, Dawns Light, Recreation Department YouthCenters, BOBs Health Van,, Lambert Center, SeniorCenter, )

All Ages All agesseekingsupport andassistance

1) Up to 16 persons trainedat identified 8 to 16community sites to providesupport and assistance toyouth seeking help2) Up to 100 communitymembers documentedreceiving support andresources in year one?

Estimate of $20,000annually to cover costs forstaff costs to monitor andimplement program. Costsinclude training for 8 safeplace sites, and one to twostaff identified at each sitefor training

ProbationDepartment/ChildProtectiveServices/Community BasedOrganizationsincluding theRotary Club

Estimated annually omatch fromagency prooversight asupervisiocontract
http://www.sprc.org/featured_resources/bpr/ebpp_PDF/prospect.pdfhttp://www.sprc.org/featured_resources/bpr/ebpp_PDF/prospect.pdfhttp://www.sprc.org/featured%1F%20resources/bpr/ebpp_PDF/http://www.sprc.org/featured_resources/bpr/ebpp_PDF/prospect.pdfhttp://www.sprc.org/featured_resources/bpr/ebpp_PDF/prospect.pdfhttp://www.sprc.org/featured%1F%20resources/bpr/ebpp_PDF/


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Girls Circle Girls Circle is a structured support group thataddresses the specialized needs of girls ages 918 byimplementing relationalcultural theory (RCT),resiliency practices, and skills training to counteractsocial forces that impede girls growth and

development. The Girls Circle model aims to increaseprotective factors for resiliency.

Girls age 9 to 18 Youth 1) Training for twofacilitators to provide three10 week (90 to 120 minutesessions each) curriculumsupport groups in one year

period for up to 25 girls ofsimilar age and development

Total of $12,000 whichincludes:1)Cost of social worker/clinicians time leading thesupport groups

2)Cost to train twofacilitators (two day training)3)Cost of materials

ProbationDepartment/ChildProtectiveServices/Com

munity BasedOrganizationsthat provideservices toyouth

Estimated$10,000 ofmatch fromagency prooversight a

supervisiosocialworker/cliand commservice spo(i.e.Soroptomi

Documents

TC Suicide Prevention Strategic Plan - Appendix A