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Step 4. Problem. Depression among teens Many teens will not tell parents or school personnel about their problems According to one survey, 93% of the students reported that they would turn to a friend before a teacher, parent or spiritual guide in a time of crisis (TEENAGERS IN CRISIS l983).

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  1. Step 4

  2. Problem • Depression among teens • Many teens will not tell parents or school personnel about their problems • According to one survey, 93% of the students reported that they would turn to a friend before a teacher, parent or spiritual guide in a time of crisis (TEENAGERS IN CRISIS l983). • Students may not make use of services if it is at school

  3. Program • Teen Peer Support • Consider also having a teen drop in center staffed (3:00-7:00 week days)

  4. Where • Community Center

  5. When • If only a support group you may only be able to offer it once or twice a week (maybe once for high school and once for middle school)

  6. Who • Services provided by college interns under the supervision of a licensed independent practitioner (L.C.P.C. or L.C.S.W.) • Services available to any Bartlett high school or junior high school student

  7. Services • One-on-one counseling, education about suiciMay come about themselves or about someone else they are concerned about • Find out what student wants • Screen student • Make a referral, if necessary (referral sources are local organizations funded by the 708 Board) • Peer Support group facilitated by student interns from (Elgin Community College Human Services Program or Judson University Human services Program) • Interns will need clinical supervision – perhaps Hanover Township Youth and Family Services or one of the agencies funded by the local 708 Board could provide supervision

  8. Legal • Confidentiality laws only allow 5 45 minute sessions without notifying a parent • Limits – may need to hospitalize patient or violate confidentiality if the patient is suicidal and a danger to him/herself

  9. Liability • Interns and professionals would have to have insurance to provide services • If it was simply peer to peer it would have higher risk, using supervised interns would reduce risk as they will have protection through insurance

  10. Screening • Could do screening only on National Depression Screening Day (1st Thursday in October) • If someone is a high risk they can be referred to one of the agencies that are part of the 708 Board • Use a screening tool such as: • The Columbia Suicide Screen (CSS) • The Risk of Suicide Questionnaire (RSQ) • The Suicidal Ideation Questionnaire (SIQ), • The Suicidal Ideation Questionnaire JR (SIQ-JR) • The Diagnostic Predictive Scales (DPS) • The Suicide Risk Screen (SRS) • The Suicide Probability Scale (SPS)

  11. Community Resources • Partner with Hanover Township Community Resource Center/Hanover Township Youth and Family Services • Other services funded by local 708 Board: • The Community Crisis CenterEcker Mental Health CenterFamily Services Association of the Greater Elgin AreaNorthwest Center Against Sexual AssaultRenz Addiction Counseling Center • Crisis Hotlines to refer people to: • DUPAGE COUNTY, Health Department Behavioral & Mental HealthAccess & Crisis Center, 24 hours / 7 days (630) 627-1700 • KANE COUNTY, Suicide Prevention Services, Depression Hotline 24 hours / 7 days (630) 482-9696 • Crisis Line of Fox Valley, 24 hours/7 days (630) 966-9393

  12. Cost • Minimal to none if space is provided by the community center and services are provided by Hanover Township Youth and Family Services • HTYFS could get a grant to provide services • If screening for suicide – being a screening site for National Depression Screening day you can get materials for over 100 participants for under $200 and you can use tool any time not just that day

  13. Potential Barriers • Parents may be concerned if they are not involved • Community agencies may be upset if they are not included • High risk if someone commits suicide and the program is sued because they knew the person was suicidal or if parents are upset about a recommendation • A survey of high school principals found that curriculum based programs and staff in-service training offerings were more acceptable to them than student screening programs (Miller et al., 1999) • While a promising approach to identify youth at risk for suicides or suicide attempts, there is a lack of evidence that screening programs reduces or prevents either suicides, suicide attempts, or the antecedent risk factors for suicides. • You may not have enough students willing to participate

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