SAMHSA Garrett Lee Smith State Tribal Grant The

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

Utilize and Enhance Existing Infrastructures EXISTING INFRASTRUCTURE Ohio’s Teen. Screen 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 Teen. Screen Program Active Screening Sites Total – 439 Active Sites 41 States and Washington DC

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

Evidenced-Based Programs Columbia University Teen. Screen 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 § 4 -6 Year Outcome. Assistance of Youth Screened §Ohio Pilot Results

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

Screening Attrition CDC Research Screening Stage 2006 N 5333 Hypothetical School N 1000 28. 3% met criteria for clinical depression N 283 20. 5% had seriously considered attempting suicide N 205 Active consent 1719 32% Reply 1189 69% YES 530 31% NO 320 220 Positive screens 1082 Actual (N 307) 28. 3% 62 15. 7% had made a specific plan N 157 29 7. 7% had attempted suicide N 77 Referred to MH for further evaluation and treatment Attended first MH appointment (N 192) 47. 6% (N 109) 64% 14 2. 6% had a suicide attempt that required medical attention N 26

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

Outcome: Program Fidelity to Evidenced-Based Screening Model 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 ØAll Ohio Sites Input Program Data to a Secure Online Website

Evaluation Feedback Loop Technical Assistance