What story do we want to tell about California?

Transcription

1 CalMHSA Program 1 Common Metrics 1) Process 2) Status 3) Successes/Challenges 4) Data Analysis and Reporting What story do we want to tell about California? 1

2 Data Capture System Resources Needs Value and Utility of Data Identifying Service Gaps Staffing Crisis Line Operations Audience Technical Assistance 2

3 Question: What is the most useful information you collect from your Crisis Line calls? Prevelant Problems and Stressors (6 Crisis Lines) Demographic (5 Crisis Lines) Risk (5 Crisis Lines) Call Volume (4 Crisis Lines) Age Gender County Language Lethality of Caller Plans/Thoughts of Suicide Access to Gun Suicide in Progress Number of calls Unduplicated callers Unique number of calls Reason for call Type of call Identifying and Tracking Resolution (3 Crisis Lines) Access (1 Crisis Line) Was 911/EMS involved? Safety Planning Welfare Check Police/ER Referral How caller heard of us? Question: What do you wish you could collect about Crisis Line Calls but are not collecting now? and Why not? Call Demographics Subjectivity Rapport Training Limitations Risk Expense Call Answer Rate Technological Expense Efficacy Training Limitations Caller Experience Rapport Wishing to Collect Outcome Rapport Training Limitations 3

4 6 metrics Conference Call #1 (June 2012) Demographics Reason for Call Metric Selection Reach consensus on 6 metrics Call Volume Risk Follow Up Caller Satisfaction Defining Metrics Collaborative Input Conference Call #2 (July 2012) Conference Call #3 (August 2012) Conference Call #4 (Oct. 2012) Conference Call #5 (Nov. 2012) Conference Call #6 (February 2013) Develop Manual Conference Call #7 (May 2013) 4

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6 WHY are we collecting Common Metrics? WHAT are Common Metrics? HOW do we collect Common Metrics? 6

7 How can Didi Hirsch support your plan to train staff/volunteers on Common Metrics data collection? Provide Common Metric training manual Examples on how to gather information Define what terms mean Rationale on why we are collecting this data Make it meaningful to Crisis Counselors FAQ Data extraction tutorials Pivot Table Tutorial for Suicidal Intent Data Scripts/Scenario icarol Customization June 1 st 2013 Begin Common Metric Data Collection July 15th Submit data for June 1 st June 30th July 30th Receive Data Report on Common Metrics 7

8 Challenges Operationalizing Variables Call Volume Suicide Related Call Risk Successes Collaboration from Crisis Centers Bottom up approach 8

9 Suicide Related Suicide Related Wrong number Prank Wrong number Prank Information only Type of Call Silent Information only Type of Call Silent Third Party Hang up Third Party Hang up Call Volume Calculation: Standard Call Volume Calculation: Suicide Specific Suicide Related Call IF: Suicide Thoughts Lost someone to Suicide Attempted in Past Third Party Past Suicidal Ideation Information Only Low Risk or Higher With or Without Plan Expressing Grief Need Support and Resources Concern about Suicide Risk Answers "YES" when asked directly Spontaneously brings up Seeking Survivor Support How to prevent or intervene References thoughts of ending life Abstract exploration of suicide Need Resources 9

10 Crisis Line 1 High Risk Medium Risk Low Risk/Ideating Crisis Line 2 Highly Lethal Semi Lethal Non Lethal Imminent Risk to Life Attempt in Progress/Imminent Crisis Line 3 High Suicide Risk Moderate Suicide Risk Low Suicide Risk Crisis Line 4 High Risk High/Moderate Risk Moderate Moderate/Low Not Suicidal Low On a scale of 1 5, how likely are you to act upon your suicidal thoughts and feelings at this time? Where 1 represents Not Likely and 5 represents Extremely Likely. Note: Counselor can explore what at this time means for caller (i.e. 24 hrs., 48 hrs., one week) Not Likely Extremely likely 10

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12 Crisis Centers Monthly individual Common Metric report specific to Crisis Center Monthly aggregate Common Metric report 10 Crisis Centers CalMHSA Deliverable: Annual Report 6/1/2013 to 5/30/2014 Brief (2 3 page) for wider audience Dissemination Present at American Association of Suicidology Annual Conference April 2104 (Los Angeles,CA) Possibility: submit for publication Journal of Suicide and Life Threatening Behavior Possibility: submit Common Metric training manual to Best Practice Registry 40% Suicide Prevention Center Los Angeles 35% 33% 30% 27% Percental of Calls (out of total reported) 25% 20% 15% 10% 5% 18% 8% 7% 5% 0% Caucasian/White Hispanic/Latino Prefers not to answer African American/Black Asian 1% 1% 0% Native American/Alaska Native Other Native Hawaiian/Other Pacific Islander Did not Ask April 2013 (N=2702) 12

13 SPC Calls April 2013 AAS 2010 Suicide Rates 18% 19.6 Percent of Callers (of total reported) 4% 11% 6% 6% 3% % 0% 0% and over and over % of callers April 2013 (N=4,753) AAS 2010 Suicide National Rates Self Rated Suicidal Intent Suicide Prevention Center April Level of Suicidal Intent (of total reported) April 2013 (N=549) 0.0 Start of Call End of Call t(548)=18.4, p<