TENNESSEE TECHNOLOGY ASSISTED RECOVERY, GROWTH, EMPOWERMENT, AND TREATMENT (TARGET) ZERO SUICIDE & TENNESSEE LIVES COUNT-CONNECT (TLC-CONNECT)

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1 TECHNOLOGY ASSISTED RECOVERY, GROWTH, EMPOWERMENT, AND TREATMENT (TARGET) ZERO SUICIDE & TENNESSEE LIVES COUNT-CONNECT (TLC-CONNECT) MORENIKE MURPHY, PROJECT DIRECTOR JENNIFER ARMSTRONG, CLINICAL COORDINATOR SCOTT RIDGWAY, TRAINING COORDINATOR BREANNA BANKS, LEAD EVALUATOR (CONNECT) AMY CAMPBELL, LEAD EVALUATOR- (TARGET) JENNIFER LOCKMAN, EVALUATION CONSULTANT TENNESSEE

2 GOAL: REDUCE SUICIDE ATTEMPTS AND DEATHS IN TENNESSEE Enhanced Follow-Up Services (EFS) Program-Statewide Centerstone of Tennessee Suicide Prevention Training Program-Statewide Tennessee Suicide Prevention Network Evaluation Centerstone Research Institute

3 ENHANCED FOLLOW-UP SERVICES (EFS) PROGRAM All clients will receive intensive follow-up services for up to 30 days. This includes (at minimum): Contact within 2 hours of receipt of referral Weekly contact with Follow-Up Specialist Each contact will include the following: Risk assessment will be completed Crisis Management Plan review/development Means restriction education Referral/Linkage to additional needed services TARGET clients (ages 25-6) will receive additional contact with Follow-Up Specialist for up to one year in the form of a phone check-in at months 3/6/9/12.

4 ENHANCED FOLLOW-UP SERVICES (EFS) PROGRAM Referral Partners TLC-CONNECT TARGET Inpatient Psychiatric Facilities Emergency Departments Primary Care Providers Mobile Crisis Teams Behavioral Health Providers Memorandum of Understanding finalized 9 pending finalized 9 pending Clients enrolled in the program Clients successfully discharged from the program 8 81 Clients discharged prior to the end of the 30 day service component Clients linked to behavioral health services Crisis Management Plans Developed

5 TENNESSEE TARGET EFS SERVICES Rate per 100,000, 201 Suicide Attempt Hospitalizations by TSPN Region Rate per 100,000, 201 Suicides by TSPN Region

6 Rate per 100,000, 201 Suicide Attempt Hospitalizations by TSPN Region Rate per 100,000, 201 Suicides by TSPN Region

7 Evidence-Based Suicide Prevention & Intervention Training Models TLC-CONNECT TARGET A&D (Alcohol and Drug) 65 1,871 AMSR (Assessing & Managing Suicide Risk) ASIST (Applied Suicide Intervention Skills Training) Postvention Training QPR (Question, Persuade, Refer) 3,96,067 s2h (suicide2hope) 6 7 Suicide Prevention Among LGBT Youth: A Workshop for Professionals Who Serve Youth 535 N/A Emergency department online training N/A 53 THESPN (Tennessee Higher Education Suicide Prevention Network) 3,120 N/A TOTAL 11,718

8 TARGET / ZERO SUICIDE Governor-appointed Advisory Council (governing body of TSPN) TSPN, in partnership with TDMHSAS, co-chair ZSITF 22 appointed members of statewide suicide prevention task force Statewide Zero Suicide Coordinator Zero Suicide Initiative participating agencies 12 community mental health centers 6 hospitals (including one VA center) behavioral health organizations (including one RMHI, Youth Villages, and CCS) 2 community organizations (FCS and TVC) 1 substance abuse treatment facility Learning collaborative of implementation teams holds monthly conference calls

9 TENNESSEE SUICIDE PREVENTION TRAINING Word-cloud analysis of comments from QPR evaluations. Larger words = most frequently mentioned.

10 EVALUATION PLAN Enhanced Follow-up Program: Evaluation of Comparative Clinical Outcomes Participants randomized to treatment condition Telephone Telephone + Caring Texts Telephone + Caring Texts + Face-to-Face Contacts Data collected at Intake, Discharge, and EHR Record Review Assessing participant outcomes such as the following: Perceived Burdensomeness, Thwarted Belongingness, Internalized Self-Stigma, Recovery Orientation, Depression symptoms (PHQ-9), Suicidal Ideation Clinical Trainings Evaluation (ASIST, AMSR, Suicide to Hope) Collecting pre-survey, post-survey, 3 month follow-up survey data Assessing proximal and distal outcomes such as the following: Perceived knowledge of suicide, attitudes about suicide preventability, suicide intervention skills, zero suicide culture and policies, and behavioral intentions to prevent suicide. Zero Suicide Coalition Evaluation Examination of Tennessee Epidemiology Data to Measure Statewide Program Impact

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