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EARLY START PEI SUICIDE PREVENTION AD HOC COMMITTEE PROPOSAL Olivia Celis Carlotta Childs-Seagle Rocio Gonzalez Sam Bloom & James Cunningham. WHO DIES FROM SUICIDE? (CALIFORNIA STRATEGIC PLAN ON SUICIDE PREVENTION). 10 TH ranking cause of death in California
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EARLY START PEISUICIDE PREVENTION AD HOC COMMITTEE PROPOSALOlivia CelisCarlotta Childs-SeagleRocio GonzalezSam Bloom & James Cunningham
WHO DIES FROM SUICIDE?(CALIFORNIA STRATEGIC PLAN ON SUICIDE PREVENTION) • 10TH ranking cause of death in California • Older adults over the age of 85 have the highest suicide rate in California • Suicide is the 3rd largest cause of death between the ages of 16 to 25 • Males are three times more likely than females to die by suicide than women • Women attempt suicide three times more than men, and are more likely to be hospitalized for self-inflicted injuries
CALIFORNIA DATASUICIDE ATTEMPTS (2006) Draft California Stategic Plan on Suicide Prevention
EARLY START PRINCIPLES • Coincide with statewide projects • Consistence with PEI & Early Start • Feasibility • Short start-up • Meets community needs • Leveraging • Transformation as necessary
MHSOAC RECOMMENDATIONS: • Build a system of suicide prevention at State and Local levels • Provide technical assistance, resources to develop and implement suicide prevention • Increase the capacity & quality of local suicide prevention hotlines • Increase the capacity of the workforce to effectively prevent suicide
Suicide Prevention Transformation: Didi Hirsch “24/7 Crisis Hotline” Increase County-wide capacity & quality of local suicide hotline (MHSOAC & CA DMH Guidelines) National Lifeline Certification Collaboration with NIMH & SAMHSA Transformed under ASIST (Columbia Univ.) 1. Prevention 2. Early Intervention
Suicide Prevention Transformation: Pacific Clinics Latina Youth Program High TAY suicide SA7 Underserved community EBP – CBT & Columbia Teen Screen • Prevention • Early Intervention
Suicide Prevention Expansion Suicide Prevention Specialist Teams CA DMH Early Start Guideline Recommendation: Liaison to State DMH infrastructure: Age group specialists 1. Prevention Training, Resources, Needs Assessment, Integration & Coordination of County-wide Suicide Prevention activities
Suicide Prevention Expansion Health Care Partners Specialty Program (>risk co-morbidity) 60+ Suicide Rate Co-location in Primary Care Centers EBP: PROSPECT (Prevention of Suicide in Primary Care Elderly: Collaborative Trial) 2. Early Intervention
Suicide Prevention Expansion Web-Based Training & Resources Partner with Educational Community Jason Flatt Act Increasing capacity of Workforce 1. Prevention Suicide Prevention Training
Suicide Prevention Expansion Service Programs: • Expansion of Local Hotline to underserved & ethnic communities • Promotion & Expansion of Peer Support for survivors & bereaved • Partner with hospitals for follow-up post suicide attempt • Partner with law enforcement & first responders • 1. Prevention 2. Early Intervention
Suicide PreventionEstimated Budget Transformation: “24/7 Crisis Hotline” $ 450,000 Latina Youth Program $ 375,000 Expansion of Services: DMH SP Teams $ 850,000 Health Care Partners $ 350,000 Web-based Training $ 255,000 Proposed New Services $1,050,000 TOTAL $3,330,000