SAMHSA Garrett Lee Smith State & Tribal Grant

The Ohio Suicide Prevention Foundation The Ohio Department of Mental Health

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

Utilize and Enhance Existing Infrastructures SAMHSA GLS GRANT Columbia University TeenScreen Program The Ohio State University State of Ohio The Ohio Department of Mental Health The Ohio Suicide Prevention Foundation Dedicated Coordinator, Evidenced Based Program, RFP Development, Local Grants, Program/Site Development, Professional Training, Technical Assistance, Real-Time Data Collection, OSU Program Evaluation Program Sites

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

Utilize and Enhance Existing Infrastructures Columbia University TeenScreen Program Active Screening Sites 7 CA 12 WA 17 OR 8 NV 5 ID UT 1 AZ MT WY 1 CO 18 NM 2 ND SD 1 NE 8 TX KS 24 OK 2 MN 13 IA 2 MO 1 AR LA 19 WI 5 IL 2 MS 14 MI 9 IN 8 TN AL 81 1 KY OH 33 WV 1 GA 32 PA 2 VA 2 9 NC SC 18 NY 59 FL FL 3 ME 2 VT NH 1 MA 3 CT 6 NJ 3 RI 5 DC 7 DE MD 1 Alaska 1 S. Korea 2 Panama Total – 439 Active Sites 41 States and Washington DC

Utilize and Enhance Existing Infrastructures EXISTING INFRASTRUCTURE: State TeenScreen Program Coordinator

Current Role  Program & Site Development  Program Training  Technical Assistance  Annual Data Collection & Analysis Technical Assistance Enhanced Role  Program & Site Development  Real Time Program Data Collection  Outreach to High Suicide Rate Communities  Program Training  Technical Assistance 

Quarterly

Data Collection & Analysis 

Quarterly

to Programs Feedback  Funding to expand local programs  Participant in OSU Program Evaluation Team

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 Technical  Assistance  Ohio Pilot Results

The Screening Process

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

Screening Stage Active consent Positive screens Referred to MH for further evaluation and treatment Attended first MH appointment

Screening Attrition

2006 N 5333 1719 32% Reply 1189 69% YES 530 31% NO 1082 Actual (N 307) 28.3% Hypothetical School N 1000 320 220 62 (N192) 47.6% 29 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 (N109) 64% 14

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

Outcome: Improved Active Consent

Increased percentage of students with active consent

Best practice Feedback Perception of innovation adoption

Outcome: Increased Clinical Resources

Provide SPRC Core Competencies Training Increased number of trained clinicians Timeliness of evaluations

Outcome: Number of Referral Completions

More Parent Education & At Risk Youth Linked to Needed Services Increased Percentage of referral completions Healthcare climate indicators

Fidelity to Evidenced-Based Screening Model

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

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

Real Time, Online Data Collection



All Ohio Sites Input Program Data to a Secure Online Website

Evaluation Feedback Loop PROGRAMS INPUT REAL TIME DATA

FEEDACK LOOP

QUARTERLY REPORT TO PROGRAM

Assistance

TO PROGRAM