Mental Health Services Act Steering Committee Meeting

1. Mental Health Services Act Steering Committee Meeting Monday, November 1, 2010 Health Care Agency Behavioral Health Services (BHS)

2. Local/State Updates Mark Refowitz, Behavioral Health Director

3. MHSA Update Clayton Chau , Associate Medical Director

4. The Suicide Prevention Center Didi Hirsch Mental Health Services/Suicide Prevention Center

5. History of Didi Hirsch MHS • Founded in 1942 • 10 sites in Los Angeles and Orange counties • Approximately 400 employees and 200 volunteers • Serves 58,000 people each year • Broad range of services • Severe mental illness • Financially challenged • Individuals, couples & families Didi Hirsch Mental Health Services/Suicide Prevention Center

6. SPC Services • 24-hour Suicide Hotline • 24 hour, confidential, free suicide counseling • First 24-hour crisis line in the US (1958) & model crisis line around the world • On track to take 45,000 calls this year (less than 4% are emergency calls) • Toll free in Los Angeles and Orange counties • One of over 140 certified crisis centers participating in the National Suicide Prevention Lifeline • Staffed by highly trained volunteers; supervised by staff • Suicide Attempt Survivors • Support group for those who have attempted suicide • Suicide Response Team • Immediate crisis counseling at the scene of a suicide • Survivors After Suicide • Bereavement Program to cope with loss due to suicide • Community Outreach • Educational presentations to the community Didi Hirsch Mental Health Services/Suicide Prevention Center Didi Hirsch Mental Health Services/Suicide Prevention Center

7. Suicide Statistics • SUICIDE DEATHS: 2007 • 34,000+ Suicides per Year in U.S. • 11th Cause of death in U.S. • 20+ per month in Orange County* • Increased middle age suicides* • 42 deaths • 2,700 Attempts in Orange County* • 62% were female • ED treatment costs estimated at $45 million per year* • Age group with highest number of attempts was 18 – 24* * SIIS report, OCHCA 2009 Didi Hirsch Mental Health Services/Suicide Prevention Center Didi Hirsch Mental Health Services/Suicide Prevention Center

8. Suicide Warning Signs • Present in 4 out of 5 suicides • Statements of hopelessness and/or helplessness • Threatening suicide and making a plan • Giving away possessions • Putting affairs in order • Decrease in performance/functioning • Risk taking behaviors • Social and emotional withdrawal • Writing or drawing about suicide or death Didi Hirsch Mental Health Services/Suicide Prevention Center

9. Resources • 911 Emergency Services • Suicide Prevention Hotline 1-877-727-4747(Toll free in OC) • ETS-Evaluation and Treatment Services 1-714-834-6900 • CAT-Centralized Assessment Team 1-866-830-6011 • Warmline Network Services 1-877-910-9276 • Teen Line 1-800-852-8336 (6pm to 10pm) • Trevor Line (LGBTQ) 1-866-488-7386 • National Suicide Prevention Lifeline 1-800-273-TALK • Survivors After Suicide 1-714-547-0885 • Bereavement support groups at Didi Hirsch Mental Health Services Didi Hirsch Mental Health Services/Suicide Prevention Center

10. Additional Training Available • 2 day training to prevent immediate risk of suicide • Recognize invitations for help • Reach out and offer support • Review the risk of suicide • Apply a suicide intervention model • Link people with community resources • 3 hour training to recognize persons with thoughts of suicide • Prepares participants to use TALK • Tell Ask Listen KeepSafe • Identify & engage people with thoughts of suicide • Connect people with thoughts of suicide with further help For more information call 310-895-2304 Didi Hirsch Mental Health Services/Suicide Prevention Center

11. Program Updates

12. Steering Committee Comments Sharon Browning, Facilitator

13. Public Comments Sharon Browning, Facilitator