Suicide Safer Care: Developing Comprehensive Care on Campuses

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Suicide Safer Care: Developing Comprehensive Care on Campuses May 2, 2016 Presented by: Julie Goldstein Grumet, PhD Director of Health and Behavioral Health Initiatives Suicide Prevention Resource Center Melissa Halter, PhD Assistant Vice President, Student Wellness

Zero Suicide Zero Suicide is a foundational belief that suicide deaths for individuals under care within health and behavioral health systems are preventable. While the Zero Suicide project was not developed specifically for campus health service or counseling centers, there are elements of the Zero Suicide framework that campus health systems may refer to in order to provide suicide safer care. www.zerosuicide.sprc.org

Suicide Prevention Strategies

Approaches to Suicide Prevention 1) Grant Goals 2) Overview of Processes, Trainings, and Collaborations a) Shared Processes and Tools b) Screenings c) Clinical Care on Campus d) Assessments e) Trainings f) Meetings g) Care Coordination / Collaborations 3) Moving Forward - On-going Enhancements, Challenges

Grant Goals Goal 1: Increase the USD community s awareness of mental health concerns, suicide risk and protective factors Goal 2: Enhance help seeking behavior among the USD community Goal 3: Create environmental change that promotes the overall health and wellness of the USD community.

Overview of Processes, Trainings & Collaborations Shared processes and tools Shared protocols within clinical services Shared clinical releases Shared electronic medical records

Student Health Center During intake for Counseling Center Services You are USD website: Online Screening for Mental Health Community Screenings: Mental Health Check-ins Screenings

Mental Health Check-ins A once-per-semester event held centrally in our university forums Average of 66 students screened Average of 3 presenting with Suicide Ideation

Mental Health Check-ins: Participant Handout

Online Screening for Mental Health screening.mentalhealthscreening.org/usd Screening For Mental Health access added to You Are USD site 276 students screened in the last 2 years

Clinical Care on Campus Use evidenced based treatments CBT and DBT Seek family or other support people involvement Releases for appropriate campus partners when possible (i.e. Athletics, Res. Life)

Assessments OQ 45 self report progress measure Clinical goals and monitoring Quality assurance measures

Trainings Continuing Education for Clinical Staff Gatekeeper Trainings (Kognito and QPR) Campus Faculty / Staff Orientations Folder

Trainings (continued)

Become a Trained Gatekeeper! Kognito: At-Risk is a 30-45 minute online, interactive gatekeeper training program to learn the common signs of psychological distress and how best to approach a friend or peer for referral to the Counseling Center. To Start Your Kognito Training: www.kognitocampus.com/login Log-in Instructions: www.sandiego.edu/youareusd/kognito/

SIGN UP for QPR! QPR = Question + Persuade + Refer Suicide Prevention QPR Training Thursday, March 19 12:15 PM 1:15 PM Register now by sending an email to youareusd@sandiego.edu with the subject, QPR Registration!

Get QPR Trained! Are you a leader in a student organization? Set up a private training for your group by emailing youareusd@sandiego.edu. www.sandiego.edu/youareusd

This folder serves as a quick reference guide for faculty. Trainings (continued)

Trainings (continued)

Training (continued)

Meetings Integrated Care Meetings (meets weekly) Student Assistance Coordination Committee (meets weekly) Sensitive Issues Team and Critical Incident Response Team

Care Coordination / Collaborations All clinicians trained in care coordination Two designated Care Coordinators Advisory boards (Community and Student) Formalized community partnerships and referral sources

Care Coordination / Collaborations (continued) Advisory Board (sample membership) Athletics Public Safety Residential Life San Diego Community Partners Student Leadership University Ministry Community Partnerships San Diego Suicide Prevention Foundation It s Up To US (San Diego County) The Trevor Project Suicide Prevention Council for Higher Education

Moving Forward On-going assessment and improvement loop Creating a culture of directly addressing challenges Questions?