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Idaho Lives Project

Idaho Lives Project. SAMHSA State / Tribal Youth Suicide Prevention Grant (GLSMA) grant awarded to Idaho on 10/7/2013. 3 year award totaling $1,295,745.00 1 of seven grantees nationwide. Organizational Structure. Grant Administration. Program Implementation. BSU Ctr for Health Policy.

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Idaho Lives Project

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  1. Idaho Lives Project • SAMHSA State / Tribal Youth Suicide Prevention Grant (GLSMA) grant awarded to Idaho on 10/7/2013. • 3 year award totaling $1,295,745.00 • 1 of seven grantees nationwide

  2. Organizational Structure Grant Administration Program Implementation BSU Ctr for Health Policy Program Evaluation School / Community Impact Strategies

  3. Suicide Statistics US 2010ID 2010ID 2011ID 2012 Total Deaths 38,364 290 284 299 Deaths/week 738 6 5.5 6 Suicide Rate 12.4 18.5 17.9 18.7

  4. Where Does Idaho Rank?US Suicide Death Rate Rankings (CDC 2010) 23.3 12.4 8.0 17 26 4 U.S. New York Wyoming Idaho

  5. Youth Suicide Facts • Idaho high school students, 2013 YRBS shows • 1 in 7 have considered suicide • 1 in 13 have attempted suicide • 1 in 8 actually have a suicide plan

  6. Youth Prevention Survey • Administered in Spring, 2014 • Sample size: 12,650 (grades 6, 8, 10 & 12)

  7. School Changes

  8. Suicide Ideation by County

  9. Protective Factors

  10. School-Age Children • Idaho has lost 83 school-aged children to suicide in the last 5 years. • 16of those children were age 14 or younger

  11. What are you seeing? • Indicators of ideation • ATOD issues • Dating relationship violence • Bullying / harassment • Self-harm • Toxic family / community influences • GLBTQI discrimination • Others???

  12. Interpersonal-Psychological Theory of SuicideThomas Joiner, PhD Why People Die by Suicide Those Who Desire Suicide Those Who Are Capable of Suicide Di s t a l Fac t or s Perceived Burdensomeness Fearlessness about Pain, Injury & Death Acquired Ability or Self-Harm Thwarted Belongingness Serious Attempt or Death by Suicide Derived from Sketch of a Theory Power Point presentation, 2013 Thomas Joiner, PhD

  13. Goal 7: Data Collection, Evaluation & Reporting Idaho Lives Project Goals Model Goal 2: School & Community Gatekeeper Training Goal 3: Suicide Assessment Training for BH & PC Professionals Goal 6: Shield of Care for Juvenile Justice Facilities Goal 5: Connectedness & Capability Strategies for All Schools Goal 4: College & University Involvement Goal 1: Sources of Strength in Schools

  14. Goal 1 • Sources of Strength conducted • 8 pilot schools trained in year 1 Provided by Sources professionals • 10 – 14 schools trained in year 2 Provided by Sources professionals and Idaho trainees • 15 – 21 schools trained in year 3 Provided by Idaho Sources trainers • 12 – 14 Idaho Sources trainees trained and certified over two-year period • After training, adult advisors and peer leader teams carry out Sources activities in the school TM

  15. Goal 2 • Gatekeeper training – “QPR Plus”* (Question, Persuade & Refer) • Training for personnel of all Sources schools • Training for communities around Sources schools and Shield of Care facilities • Targeted outreach to special populations for training * “QPR Plus” adds to QPR: • The Interpersonal-Psychological Theory of Suicidal Behavior • State/Regional/Local statistics • Sources of Strength overview • Suicide survivor issues • Information specific to the audience

  16. Goal 3 • Training for Behavioral Health and Primary Care providers • Suicide assessment training for BH and PC providers in Sources school communities • Training provided by recognized national expert on suicide assessment • BH and PC providers will be available and trained to meet the needs of identified youth

  17. Goal 4 • Universities and Colleges involvement • Reach out to Colleges in Sources school communities to participate in gatekeeper training • College interns recruited to be involved with Sources trainings • Interns distribute materials • Outreach to 18-24 year-olds with materials • Targeted outreach and coordination with U of I (SAMHSA college grant recipient)

  18. Goal 5 • Promoting connectedness and capability in Idaho schools • Strategies for increasing connectedness, belonging and capability among students and staff are made available to all Idaho schools • Feeder schools to Sources schools are targeted for distribution of materials • National expertise on strategies provided at Annual Prevention Conference • Formal recognition for individual and organizations demonstrating effective or innovative strategies

  19. Goal 6 • Shield of Care for juvenile justice facilities • Juvenile justice facility mental health contacts trained to train Shield of Care • Trained mental health contacts train facility staff in Shield of care • SPAN Idaho provides support

  20. Goal 7 • Data collection, evaluation and reporting • Data is collected and evaluated for all activities • Boise State University College of Health Sciences provide project evaluation. • ILP Advisory Committee is created and assists in reviewing project evaluations and developing data-driven improvement plan • Reports on evaluation findings and improvement plan

  21. ILP Programs

  22. Goal 1 Status:School Community Selection • 8 school communities for cohort 1 and 7 school communities for cohort 2 were selected based upon : • Demonstrated need • Readiness to Benefit • Level of interest/commitment • Needs of special populations

  23. Cohort 1: Schools Selected & Trained 1.Priest River Lamanna HS, Priest River 2.Lapwai MS-HS, Lapwai 3.Parma HS, Parma 4.Parma MS, Parma 5.Nampa HS, Nampa 6.Silver Creek Alternative HS, Hailey 7.Salmon MS-HS, Salmon 8.Teton HS, Driggs Trained March 3-14, 2014

  24. Cohort 2: Schools Selected 1.Emmett HS, Emmett 2.Homedale HS, Homedale 3.Frank Church HS, Boise 4.Rimrock Jr/Sr HS, Bruneau 5.Pocatello HS, Pocatello 6.Preston Jr HS, Preston 7.Preston HS, Preston

  25. Goal 2 Status:Community & School Staff Training Community Gatekeeper Training • February 13th - Priest River • February 18th – Parma • February 19th – Nampa • February 27th – Lapwai • March 3rd – Driggs • March 5th – Salmon • March 6th – Hailey, Staff Gatekeeper Training • January 20th – Parma • February 14th - Priest River • February 19th – Nampa • February 24th– Hailey • February 28th – Lapwai • March 3rd – Driggs • March 5th – Salmon

  26. Goal 3 Status: Suicide Assessment Training Schedule Round 1 • February 24th – Caldwell • February 25th – Hailey • February 25th – Twin Falls • February 26th – Idaho Falls • March 24th – Coeur d’Alene • March 25th – Lewiston Round 2 • Three locations and video teleconference to rural areas, early 2015 M. David Rudd, PhD

  27. Goal 4 Status: University Involvement& Young Adults • Training • June 5th – BSU TRiO Upward Bound Residential Mentor staff • August 20th or 21st – CSI staff • Interns • One identified for cohort 2 from NNU • Young Adult Outreach • Young adult-serving entities identified • Man Therapy contract secured www.mantherapy.org

  28. Goal 5 Status: Belongingness & Capability • Research completed • Strategies developed • Belongingness session at SDE’s Prevention Conference • Prepared to provide strategies/activities to elementary and middle feeder schools fall 2014

  29. Goal 6 Status: Juvenile Justice • February 4th - Shield of Care Train the Trainer • May 2014 – Scheduling individual facility training for entire staff • June – Shoshone-Bannock Juvenile Justice Center • September – Snake River Juvenile Detention Center

  30. Goal 7 Status: Data

  31. Important Notes about Warning Signs • The more signs, the greater the risk. • Warning signs are especially important if the person has attempted suicide in the past. • One sign alone may not indicate suicidality butall signs are reason for concern and several signs may indicate suicidality, and any one of three signs alone is cause for immediate action. R I SK 1. 3. 4. 5. 6.

  32. Warning Signs • Previous suicide attempts • Talking about, making a plan or threatening to complete suicide • Isolation, withdrawal from friends, family or society • Agitation, especially when combined with sleeplessness • Nightmares

  33. Warning Signs • Changed eating habits or sleeping patterns • Giving away prized possessions, making final arrangements, putting affairs in order • Themes of death or depression in conversation, writing, reading or art • Recent loss of a friend or family member through death, suicide or divorce • Sudden dramatic decline or improvement

  34. Warning Signs • Feeling hopeless or trapped • Use or increased use of drugs and/or alcohol • Chronic headaches and stomach aches, fatigue • Major mood swings or abrupt personality changes • Neglect of personal appearance • Taking unnecessary risks or acting reckless • No longer interested in favorite activities or hobbies

  35. Signs of Immediate Risk =Take Immediate Action • Talking about wanting to die or to kill oneself • Looking for a way to kill oneself • Talking about feeling hopeless or having no reason to live

  36. How to Ask • Direct: Are you thinking of suicide/killing yourself? • Less Direct: You seem to be ________. Sometimes when people are ________, they think about suicide. Are you thinking of suicide?

  37. How to Listen • Listen well • Non-judgmentally • Non-condescendingly • Matter-of-fact yet caring approach • Reflective listening • Not problem solving

  38. Helping & Getting Help • Ensure the person is not left alone • Get a commitment to accept help • Make arrangements/help the person contact mental health help • Get others involved; a family member, friend, clergy, someone whom the person trusts. Ensure that the trusted person will get the person in crisis to help

  39. Getting Help • 1-800-273-TALK (8255) • Call police if person is in possession of a weapon • Follow up • Self care

  40. Remember Have the courage to ask Listen well Watch for signs/clues Get help Instill hope

  41. Your Assistance • Educate Schools about the Project • Cohort 1 – 18 school applications • Cohort 2 – 11 school applications (3 repeats) • Share community and clinical training announcements • Implement upstream approaches at your school

  42. Resources • Idaho Lives Project www.idaholivesproject.org • Dedicated SDFS $$$ ($2.2 million) • Postvention protocol http://www.spanidaho.org/youth-suicide-forschools.shtml • Surveillance data (YPS / YRBS) http://www.sde.idaho.gov/site/safe_drugfree/ • Idaho hotline- 1-800-273-TALK (8255)

  43. Likely keynotes: • Dr. James Garbarino • Keith Orchard • RFP for workshops coming soon • Currently searching for counselor scholarships

  44. For More Information

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