SAMHSA Garrett Lee Smith State & Tribal Grant

1. SAMHSA Garrett Lee Smith State & Tribal Grant The Ohio Department of Mental Health The Ohio Suicide Prevention Foundation

2. Key Strategies 1. Utilize and Enhance Existing Infrastructures 2. Increase number of qualified clinical providers 3. Research Evidenced-Based Screening Program 4. Online Data Collection for Outcomes 5.Rapid Cycle Continuous Improvement Model

3. Utilize and Enhance Existing Infrastructures

4. Utilize and Enhance Existing Infrastructures EXISTING INFRASTRUCTURE Ohio’s TeenScreen Program • 13 Programs • 81 Individual Sites ENHANCE Offer Grants to Support: • Existing Evidence-based Youth Suicide Programs • Recruit New Programs in High Suicide Rate Counties

5. Utilize and Enhance Existing Infrastructures Columbia University TeenScreen Program Active Screening Sites Total – 439 Active Sites 41 States and Washington DC

6. Utilize and Enhance Existing Infrastructures EXISTING INFRASTRUCTURE: State TeenScreen Program Coordinator Current Role Enhanced Role • Program & Site Development • Program Training • Technical Assistance • Annual Data Collection & Analysis • Program & Site Development • Outreach to High Suicide Rate Communities • Program Training • Technical Assistance • Quarterly Data Collection & Analysis • Quarterly Feedback to Programs • Real Time Program Data Collection • Funding to expand local programs • Participant in OSU Program Evaluation Team Technical Assistance

7. Evidenced-Based Programs Columbia University TeenScreen Program Rationale • 10+ years of program research • Reliability and Validity Study Results • NYC Pilot Study Results • Teens at risk for suicide will be identified by screening • Teens who are experiencing depression and other mental health conditions will be identified by screening • Screening Identifies Unknown Teens • 4-6 Year Outcome of Youth Screened • Ohio Pilot Results Technical Assistance

8. The Screening Process Debriefing No Referral Middle and High School Students Parental Consent and Participant Assent Screening Tool Clinical Interview Re-consent, Referral and Case Management

9. Screening Attrition • CDC Research • 28.3% met criteria for clinical depression • N 283 • 20.5% had seriously considered attempting suicide • N 205 • 15.7% had made a specific plan • N 157 • 7.7% had attempted suicide • N 77 • 2.6% had a suicide attempt that required medical attention • N 26

10. Outcome: Program Expansion Adolescents at risk for suicide due to undiagnosed mental Illness will have increased access to prevention and mental health services 18 New Programs Over 3 Years, 50% expansion per year of Existing Programs

11. Outcome: Improved Active Consent Increased percentage of students with active consent Best practice Feedback Perception of innovation adoption

12. Outcome: Increased Clinical Resources Increased number of trained clinicians Timeliness of evaluations Provide SPRC Core Competencies Training

13. Outcome: Number of Referral Completions More Parent Education & At Risk Youth Linked to Needed Services Increased Percentage of referral completions Healthcare climate indicators

14. Outcome: Program Fidelity 100% of youth with active consent will be offered screening 100% of youth identified with risk will be interviewed by a licensed professional 100% of youth identified as at risk by a professional will be referred for further mental health services Fidelity to Evidenced-Based Screening Model

15. Outcomes: Sustainability Ohio Sustains Evidence-Based Programs Sustainability as evidenced by 75% of suicide program coordinators reporting perceptions of evidence-based screening and referral practice that predict their ability to sustain their commitment

16. Real Time, Online Data Collection • All Ohio Sites Input Program Data to a Secure Online Website

17. Evaluation Feedback Loop Technical Assistance