CONNECTICUT SUICIDE PREVENTION STRATEGY 2013 PLANNING NINA ROVINELLI HELLER PH.D. UNIVERSITY OF CONNECTICUT AREAS FOR CONSIDERATION 1. THE NATIONAL SUICIDE PREVENTION STRATEGY 2. 3. 4. 5. 6. 7. 2012 SAMHSA GUIDELINES FOR STATE SUICIDE PREVENTION LEADERSHIP AND PLANS EXEMPLARS FROM OTHER STATES OVERVIEW OF 2005 CT SUICIDE PREVENTION PLAN PRELIMINARY AREAS FOR FOCUS FOR 2013 CT PLAN PROCEDURAL ISSUES DISCUSSION 1. 2012 NATIONAL STRATEGY HIGHLIGHTS • 10 YEAR PLAN • 13 GOALS AND 60 OBJECTIVES • MAJOR DEVELOPMENTS IN THIS UPDATE: • RELATIONSHIP BETWEEN SUICIDE AND MENTAL ILLNESS, SUBSTANCE ABUSE, TRAUMA, VIOLENCE, AND RELATED ISSUES. • NEW INFORMATION ON GROUPS THAT MAY BE AT ELEVATED RISK FOR SUICIDAL BEHAVIORS • INCREASED KNOWLEDGE OF TYPES OF EFFECTIVE INTERVENTIONS; • INCREASE RECOGNITION OF IMPORTANT OF COMPREHENSIVE AND COORDINATED EFFORTS NAT’L CONT’D • COMPREHENSIVE APPROACH MUST INCLUDE: • COMMUNITY, FAMILY, LEVEL • PRIMARY CARE AND EMERGENCY DEPARTMENTS • COMMUNITY WHILE RECEIVING CARE • COMMUNITY AFTER RECOVERY DOCUMENTS THAT INFORMED NATIONAL STRATEGY • National Prevention Strategy, National Prevention, Health • • • • • • Promotion and Public Health Council, 2011 HealthyPeople 2020, U.S. Department of Health and Human Services Charting the Future of Suicide Prevention, SPRCm abd SPAN USA Preventing Mental, Emotional and Behavioral Disorders Among Young People: Progress and Possibilities, 2009 Reducing Suicide: A National Imperative; World Report on Violence and Health, WHO, 2002 Prevention of Suicide: Guidelines for the Formulation and Implementation of National Strategies, UN, 1996 Organization of National Strategy Directions • Healthy and empowered individuals, families and communities; • Clinical and Community preventive services; • Treatment and support services; • Surveillance, research and evaluation. THEMES SHARED ACROSS DIRECTIONS: • Foster positive public dialogue; THEMES SHARED ACROSS DIRECTIONS: • Foster positive public dialogue; • Address needs of vulnerable groups, eliminate disparities; • Be coordinated and integrated with existing health and • • • • behavioral health systems; Promote changes in systems, policies that will support prevention; Bring together public health and behavioral health; Promoted efforts to reduce access to lethal means among those with identified risk; Apply the most up to date knowledge 13 Goals National Strategy Strategic Direction # 1 – Healthy individuals, families, communities 1. Integrate prevention efforts across sectors and settings; 2. Implement research-informed communication efforts for prevention by changing knowledge, attitudes and behaviors; 3.Increase knowledge of factors offering protection and that promote wellness and recovery; 4. Promoted responsible media reporting, accurate portrayals in entertainment, and safety of online content. Strategic direction #2: Clinical and Community Prevention Goals 5. Develop, implement, monitor effective programs that promote wellness and prevent suicide and related behaviors; 6. Promote efforts to reduce access to lethal means of suicide among individuals with identified risk; 7. Provide training to community and clinical service providers on prevention of suicide and related behaviors; Strategic Direction #3 – Treatment and Support Services 8. Promote suicide prevention as a core component of health care services; 9. Promote and implement effective clinical and professional practices for assessing and treating those identified as being at risk for suicidal behaviors; 10. Provide care and support to individuals affected by suicide and attempts to promote healing and implement community strategies to help prevent further suicides; Strategic Direction #4 – Surveillance, Research, and Evaluation Goals 11. Increase timeliness and usefulness of [state] surveillance systems and improve ability to collect, analyze, and use this information; 12. Promote and support research on suicide prevention; 13. Evaluate the impact and effectiveness of suicide prevention interventions and systems and synthesize and disseminate findings. From the National to the State – SAMHSA SUGGESTS: Behavioral Health agencies play a leadership role. Key Plan Elements and Characteristics. Plans should be: 1. data driven, while strategies can be flexible [Delaware] 2. comprehensive, but set priorities [Massachusetts] 3. incorporate a collaborative effort by multiple public and private organizations, while focusing on what can be done first [naasp/clinical care] 4. clinically informed, but based on the public health approach; [North Carolina] SAMHSA RECOMMENDATIONS, con’t 5. focus on a lifespan approach [Wisconsin] 6. utilize research and safety informed communications [Oregon] 7. promote accountability and be regularly monitored, updated, and revised [Nebraska]. Connecticut Suicide Prevention Plan 2005 Addressed the following goals: 1. Reduce the suicide rate 2. Reduce suicide attempts 3. Increase the number of persons in primary health care who receive mental health screening and assessment 4. Increase the proportion of children with mental health problems who receive treatment 5. Increase the proportion of juvenile justice facilities that screen clients for mental health problems. CT 2005 Five categories for recommendations 1. Life span or overarching prevention strategies, access to quality mental health care, enhance data collection, surveillance, research, etc. [many of these are repeated and expanded in sections below] 2. Children and Youth – Birth through 19 3. Adults 20-64 4. Elders – 65+ 5. Criminal Justice System, all ages. Then and Now • Suicide Advisory Board is a much broader coalition than the previous Interagency Suicide Prevention Network, representing a wide mix of public state agencies, private not for profits, professions, survivors, veterans, military, clergy, schools, universities, health care agencies, police, and communities. • Preliminary thoughts: • Need for greater focus on ethnic, racial, cultural differences, • Clear plan for monitoring and evaluating ongoing progress on the goals and objectives • Structure for managing the “moving targets” of groups at risk • Increased focus upon suicidal intent and related behaviors. OUR TASKS: DEVELOP PRIORITY • GOALS • POPULATIONS • SETTINGS PLAN: • REVIEW OF LATEST DATA; [SMALL WORKGROUP] • DEVELOPMENT OF OF SURVEY DOCUMENT WITH STRUCTURE PARALLEL TO NATIONAL STRATEGY • DISSEMINATION OF SURVEY VIA SURVEY MONKEY TO DEVELOP CONNECTICUT PRIORITIES • REPORT BACK ON RESULTS (NH) OUR TASKS, con’t • Full group review of results; development of small group teams to work on each priority section. • Writing tasks.