2014 NC Suicide Prevention Plan April 30, 2014 Working Group Meeting Summary
Hosted by: Injury and Violence Prevention (IVP) Branch NC Chronic Disease and Injury Section NC Division of Public Health
Policy Development/Prevention and Early Intervention Team NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services NC Department of Health and Human Services
Facilitated by: Carolyn Crump PhD, Robert Letourneau MPH & Rachel Page MPH The University of North Carolina Gillings School of Global Public Health Department of Health Behavior
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan
A. Background On April 30, 2014, planning team members from the University of North Carolina Gillings School of Global Public Health’s Department of Health Behavior (Carolyn Crump, Robert Letourneau, Rachel Page), the Injury & Violence Prevention Branch at the NC Division of Public Health (Allan Dellapenna, Jane Miller, Margaret Vaughn, Anna Austin, Kathleen Creppage), and the Policy Development/Prevention and Early Intervention Team at the NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (Sarah Potter) facilitated a 2014 NC Suicide Prevention Plan Working Group meeting at the Unitarian Universalist Fellowship in Raleigh, NC. Sixty-two of the 104 Working Group members attended the meeting (Appendix A), with the following stakeholder groups represented: 1) Health Care System, Insurer, or Clinician; 2) Nonprofit, Community- or Faith-based Organization; 3) Government Agency/Dept. (Federal/State/Local); 4) Tribal Government; 5) College or University (direct student involvement); 6) Primary or Secondary School; 7) Military; 8) Business/Employer/ Professional Association; 9) Individual/Family/Concerned Citizen; and 10) Research Organization (including universities). The goal of the meeting was to engage stakeholders in the process to develop a 2014 NC Suicide Prevention Plan that identifies collective efforts to address suicide in NC. To reach this goal, the following three objectives were highlighted throughout different sessions of the meeting. 1. Build shared understanding of suicide prevention in NC. 2. Conduct small group work to identify which/how NSSP Objectives ‘fit’ with NC efforts to prevent suicide and examples of stakeholder group roles/opportunities to address NSSP Objectives. 3. Provide opportunities for networking within/among stakeholder groups. This meeting was the first of two in-person gatherings to engage Working Group members in the process to develop the 2014 NC Suicide Prevention Plan (a second Working Group meeting is scheduled for June 24, 2014). Members of a Consulting Group (Appendix B), along with Working Group members (Appendix B), will participate in other activities (e.g., emails, on-line surveys) to inform the content of the state plan.
B. Summary of Agenda The meeting agenda (Appendix C) was organized into ten parts: 1. Welcome, Review of Agenda and Introductions/Networking 2. Overview of the 2014 Suicide Prevention Plan Development Process 3. Interactive Stakeholder Small Group Activity 4. Overview of the Burden of Suicide in NC 5. Overview of State-wide Efforts to Prevent Suicide 6. Call to Action for Preventing Suicide in NC 7. Working Lunch 8. Breakout Session Parts I&II (Identify/discuss how NSSP Objectives ‘fit’ with NC suicide prevention efforts and examples of stakeholder group roles/opportunities to address objectives); and Part III (review the work of parts I & II) 9. Next Steps Discussion 10. Wrap Up and Meeting Feedback Discussion/Form collection
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan
C. Major Findings from Interactive Activities Two meeting activities involved discussion and the collection of Working Group ideas about the 2014 NC Suicide Prevention Plan. During a morning Stakeholder Group Activity, participants worked to answer two questions: 1) How their group may benefit from having a state plan; and 2) Who may be missing from the stakeholder group/how can they try to get them involved? Worksheets were provided for groups to document and submit one set of answers discussed per table. Groups were also asked to describe 3-5 examples of how they would like to use this plan and/or who might be missing from the stakeholder group. Participants used large post-it notes to display their responses. Attendees reviewed stakeholder postings throughout the day. Appendix D lists the results from this networking activity. The majority of the afternoon sessions at the meeting involved a three-part Breakout session. Breakout Session Part I: Revising/Refining Objectives and Identifying Examples to Address Suicide in NC Organized in small groups by strategic direction expertise (including a diversity of stakeholder groups when possible), attendees worked in assigned groups to complete the following steps (Appendix E includes one example of a set of worksheets provided for small groups to complete each step): Step 1: Reviewed a list of NSSP objectives (that correspond to each Strategic Direction/Goal) to determine if/how the objectives should remain for consideration in the plan. Decided if the objective ‘fits’ for North Carolina and if not, removed it from further consideration. Noted ideas for how the objective could be revised to better fit were recorded when applicable. Identified additional objectives, when necessary, to support the related NSSP Goal in NC Step 2: Identified stakeholder groups that have a ‘opportunities’ to address the objectives selected in Step 1. Identified examples of stakeholder groups who could be/are already working to prevent suicide in NC. Breakout Session Part II: Revising/Refining Objectives and Identifying Examples to Address Suicide in NC Share results from small group work within a Strategic Direction. Participants discussed which objectives were kept as is, modified or added within each strategic direction. Facilitators identified 1-2 ‘points of contact’ (for each Goal group) who agreed to review a summary of goal group discussions (documented by a note-taker) following the meeting. Breakout Session Part III: Review of Breakout Session Results To share results from, and collect comments about, small group work across Strategic Directions, attendees visited visual lists for each Strategic Directions to study the Goals, Objectives, and Stakeholder Group Role Examples identified by goal groups in Steps #1 and #2. Throughout the day, meeting attendees were encouraged to submit written questions or comments using halfsheets of paper provided on each table. Table 1 summarizes the list of questions/comments submitted during the day, as well as a summary of the follow-up actions being considered/taken to address them. In late May 2014, all members of the Working and Consulting Groups will be contacted by the planning team to provide additional input on the results generated from Breakout Session activities conducted at the April 30, 2014 meeting.
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Table 1. Plan Development Process Questions/Comments Received April 30 and Follow-Up Actions Comments/Questions Missing Stakeholders 1.
Attendees provided several suggestions for additional stakeholders that could be invited to participate in the plan development process. Please see Appendix D for suggestions received during the Stakeholder Small Group Activity.
Follow Up Status
Suggestions for additional stakeholders are under review by the planning team. Additional invitations will be sent inviting participation in the Working or Consulting Group.
Data 2.
Look into connecting with other data sources, for example, IRIS System; Military data (Army STARRS); Law enforcement data; and/or First Responders/EMS
Incorporating additional data sources would provide more detailed data related to special populations (military), treatment for suicidal behavior, suicide attempts, and first responder interventions. Gaining access to multiple data sources can be difficult, however efforts will be made to do so.
3.
Report out on unintentional overdose and unknown (intent) for overdose, especially in cases of opioid overdoses
The IVPB has a report on the Burden of Unintentional Poisoning in North Carolina available on the branch website: http://injuryfreenc.ncdhhs.gov/About/UnintentionalPoisoning Burden2013.pdf)
4.
Need to investigate/gather better data to show what happened/happens between the two weeks that someone is seen by a medical professional and when they complete a suicide, e.g. why weren’t they effectively screened and intervened with in order to prevent?
This is an important question, but may be difficult to address. One potential way would be to link data regarding suicide deaths to mental health treatment received by LME/MCOs to examine if individual completing suicide had been treated for mental health issues. This could require time and resource intensive “look-backs” or chart reviews.
5.
Why has suicide increased? We need to know the answer to those questions before we can adequately remedy the rising rates.
Allan Dellapenna shared that suicide rates in North Carolina have remained rather constant between 2004 and 2011, however death rates from Motor Vehicle Crashes have decreased. This, in part, has caused suicide to become the leading cause of death from injury in North Carolina.
6.
Has the "Cost" of suicide/suicidal ideation been calculated (i.e.., people out of work, ED Visits) in a similar fashion to the ACE study by calculating cost to state/public for not addressing suicide?
Data regarding ED visits for self-inflicted injuries are available in NC. Hospital discharge datasets include information on charges for hospitalizations due to self-inflicted injuries. Through CDC’s WISQARS database, years of potential life lost due to suicide can be calculated for North Carolina specifically (http://www.cdc.gov/injury/wisqars/index.html). A review of the scientific literature might reveal studies into the economic and productivity costs associated with suicide.
7.
Can disability status be identified as a distinct demographic (people with physical, sensory and intellectual limitations?) People with disabilities experience higher rates of risk factors (e.g. higher rates of depression, substance abuse.) BRFSS data and other data sets support this. The plan should support outreach efforts that reach all people, regardless of ability, through accessible forms of media and properly designed education.
We can identify disability status through certain datasets. The presentation at the meeting only highlighted a subset of at-risk populations for suicide.
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan
D. Summary of Meeting Feedback UNC planning team members summarized meeting feedback collected using a brief, six-question form. Of the 62 meeting attendees, 38 submitted a feedback form (Response Rate = 61%). Using a six-point Likert scale (1=not at all and 6=very), participant were asked three questions about: communication prior to the meeting; the meeting’s purpose; and the opportunity to provide input to the 2014 NC Suicide Prevention Plan. The average response and standard deviations for questions 1-3 are presented in Table 2. Table 2. Average Response and Standard Deviation for April 30 Feedback Questions.
Average
Standard Dev.
1.
Prior to today’s meeting, how well did the planning team communicate with you about the purpose of the meeting?
5.6
0.7
2.
How well did this meeting help you understand the purpose of the 2014 North Carolina Suicide Prevention Plan?
5.4
1.0
3.
How effectively did this meeting provide an opportunity for you to provide input into the 2014 North Carolina Suicide Prevention Plan?
5.4
1.0
Using an open-ended question format, participants were asked to share what they hope to accomplish at the June 24, 2014 Working Group meeting (Table 2). The most common responses were: Clarity and Ease of Understanding Plan (n=15); Summary of April 30 Activities (n=5); and Identification of Goals (n=4). Table 3 summarizes specific responses, organized by theme(s): Table 3. Summary of what Working Group members hope to accomplish at the June 24, 2014 Working Group Meeting. Clarity and Ease of Understanding Plan (n=15) 1. Ensuring a product that is clear, concise and realistically achievable. 2. Have a strong and concrete prevention plan. 3. A consistent approach for a state plan 4. FOCUS. Maybe do some surveying prior to get a top tier or priorities? 5. Practical application for the plan 6. A much clearer and understandable plan. 7. Flesh out solid framework for plan. 8. Framework for a solid publication pulling all of this together. 9. Refinement of the plan 10. Working on the "meat" of the plan. Focus on prevention rather than interventions. 11. I hope to see specific steps we can all follow in whatever capacity to reduce death and injury by suicide. 12. Draft action items for NC Suicide Prevention Plan. 13. Refine the plan 14. Assisting w development of plan. 15. Clear focus on where we are going with this effort. Great job!
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Table 3. Summary of what Working Group members hope to accomplish at the June 24, 2014 Working Group Meeting. Summary of April 30 Activities (n=5) 1. Clarity of action steps moving forward. Written documentation of all info formed by the working group at this meeting. 2. For IVP to gather useable information and feedback to write the plan. 3. I hope that at the June meeting all the thought and information provided by the stakeholder groups are actually put into play when the revisions are made. 4. See final product from this mtg that will move us forward rather quickly. 5. Further progress in the development of a draft plan. I hope what was done today will be typed up and emailed to participants well in advance of the next meeting. Identification of Goals (n=4) 1. A more synthesized process for the planning, distilling down some of the info into more palatable goals. 2. Working more [unclear: explain?] the goals 3. I hope we will begin to establish specific goals for addressing suicide prevention. 4. Compile a "set" of goals and move forward with action, not more research or requests for data. Additional Stakeholder Involvement (n=4) 1. Bring to the table individuals with their own personal experience of having had SI (suicidal ideation) or suicide attempts. What are we talking about persons with Suicidal ideation without them being in this stage of conversation? People who have lived there SI/SA are the true experts and should not just be limited to focus on groups but should be at these working group meetings. 2. NC State Certification for Peer Support Specialists might be able to recommend individuals to invite. Or Recovery Innovations (offices in Durham, Greenville, New Bern, Henderson) or NAMI (they have peer to peer facilitators who may have this lived experience). Procedural comments: Caffeine (iced tea) at lunch would keep everyone going in afternoon. Lunch was great. Location/place was great. Very well organized. 3. RAFI Inc a possible stakeholder nonprofit group RAFIUSA.org 4. Include more faith based organizations. Final Plan (n=3) 1. I hope that we are able to create a helpful, successful plan that can help universal groups across our state. 2. The final product 3. To see the actual plan coming together Recommendations for Implementation (n=2) 1. Recommendation for funding this epidemic MH problem. 2. Recommendations for programs and aggressive implementation plan Activity Style of June 24 Sessions (n=2) 1. Smaller group work. 2. Identify general what's working Materials/Activities before June 24 (n=1) 1. Could do a teleconference/webinar take care of some of the ground work. Prioritization of Strategies and Identification of Leaders for Strategies (n=1) 1. Prioritize strategies, lead stakeholder groups to lead, tailor to rural/underserved areas where there are shortages of all types of healthcare providers/services/resources.
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Using an open-ended question format, participants were asked two questions to identify what they liked best and what they liked least about the meeting. For what they liked best, the most common responses were: Networking /Diversity of Stakeholders (n=16); Organization of materials/activities (n=10); and Presentations (n=6). Table 4 summarizes specific responses provided, grouped by theme(s): Table 4. Summary of what Working Group members liked best about the meeting. Networking/Diversity of Stakeholders (n=16) 1. Networking and sharing of ideas across a large spectrum of goals. The mix of professions was well thought and well planned. The contact list was phenomenal- Thanks! 2. Sharing by participants 3. The creative energy that was in the room 4. Ability to meet so many like minded people 5. Diversity of people 6. The wide variety of professions and disciplines represented with the unique perspectives brought to the group 7. The informal networking with participants. 8. I loved being able to collaborate with others who are passionate about suicide prevention and who had different ideas. I also appreciated feeling like a valuable equal in every discussion. 9. The mix of people! Lots of Great people. 10. The opportunity to interact with a diverse group of people representing many areas of suicide prevention. 11. Discussing the issue of suicide prevention with different participants with varied perspectives. 12. Informal discussion and networking. Opportunity to hear about other's work. 13. Networking- lots of interesting people. Thank you for all the hard work you put into this event! 14. Partnering/networking 15. Met good people. 16. Collaboration and input of stakeholders from diverse backgrounds. Organization of materials/activities (n=10) 1. The organization! Color codes, assigned seating, organized agenda… arranged very efficiently! 2. Very organized, efficient use of time. Opportunity to network with a diverse group of stakeholders. Opportunity to share ideas and information. 3. Well organized. 4. Very well organized, good meeting space, excellent and clearly written handouts. 5. Organization, color coding forms/highlighted on Ppt, flow, table materials, use of time, data presentation. 6. Well organized! 7. Organization was great 8. Well organized 9. Thorough breakout session handouts provided good starting point. 10. Nice mix of being talked to and getting to share. Presentations (n=6) 1. The welcome and appreciation of our input 2. The morning presentations 3. AM Sessions- sharing of information, keynote address 4. SOS (Survivors of Suicide) Presentation 5. Data 6. Data from UNC. Group Work/Breakout Sessions (n=5) 1. Part I of our breakout session 2. Group work collaborating with individuals/organizations that I typically wouldn't work with 3. Working groups 4. Small group work on goals 5. Group discussion.
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Table 4. Summary of what Working Group members liked best about the meeting. Gaining Knowledge on NC Suicide Prevention Activities (n=5) 1. Increased understanding of purpose of NC suicide prevention plan and awareness of partners 2. Update of issues on suicide in NC 3. Learned a great deal 4. Inclusion of variety of stakeholders for input. 5. I learned about some state resources I didn't know about. Facilitators (n=3) 1. Monitors for afternoon sessions served as great guides for those of us that were confused about the process of looking at the goals. 2. Very well facilitated 3. Open communication. The facilitators and staff made the process enjoyable. Identification of Breakout Sessions (n=3) 1. I like that we were grouped as stakeholders, so we could discuss our own investment w/those who have similar professional goals and responsibilities. 2. Well organized, but I lacked background in my goal assignment so I didn't get to talk about what I care + know about. 3. The set up and the grouping worked very well. Communication/Process of Engagement for Participants (n=3) 1. I was kept up to speed via email with detailed info about the meeting with attachments. This really helped me prep before the mtg. 2. I liked being able to give my input in the meeting and converse with the other stakeholders about what could be done in our communities to help reduce the amount of suicide in North Carolina. 3. The format was set to give ownership of the process to the individual participant.
For what they liked least, the most common response was lack of time (n=14). Table 5 summarizes specific responses provided, grouped by theme(s): Table 5. Summary of what Working Group members liked least about the meeting. Lack of Time (n=14) 1. Felt slightly rushed through activities-- needed more time 2. Lack of time during small group 3. Probably needed more time to work on goals, especially in indentifying roles of stakeholders in each objective 4. The small workgroup was a little heavy… it was hard to adequately address the objectives in the time given 5. Amount of time given for small group work- ran out of time 6. Time allotted for afternoon sessions. A lot to cover. 7. Needed more time during analyzing groups. 8. Limited/lack of [time] to overview national recommendations. 9. The structure of the afternoon session was pretty challenging and the time available was not sufficient. 10. PM Breakout session - too short (To work on all items, unable to complete) 11. Not enough time 12. Not enough time to delve into the goals. 13. Time 14. Not enough time for each objective during the breakouts. Breakout Sessions (n=4) 1. Possibly working groups that are different and by adult and youth practitioners 2. Group work was a bit challenging, picked the wrong facilitator. 3. Afternoon exercise was a little complicated! 4. Directions to afternoon sessions too detailed. Better to give them just prior to beginning without lunch interference.
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Table 5. Summary of what Working Group members liked least about the meeting. Sound System (n=3) 1. Recommend using a sound system that works throughout the room. 2. Audio- hand held microphone 3. One of the presenters spoke a little too quickly Data (n=2) 1. Data presentation was too fast it was hard to formulate questions because the slides when so fast. Speaker spoke fast as well. Either that or I process information slower past 60. 2. Limited stats on NC suicide RE emerging trends, i.e. growing Latino population, economic factors, aging population/chronic illness, mental illness, etc. Including suicide risk among NC farming community. Missing Stakeholders (n=2) 1. More stakeholder groups should have been present. I.e. suicide attempt survivors. 2. The representatives from law enforcement, faith groups, medical groups etc who were not present. Concentration of Participants (n=2) 1. Being in a small afternoon group where most participants were focused on a side conversations (networking, venting about the desperate state of MH in NC) and not on the 'assignment' 2. There were a lot of directions for the breakout sessions that lead to deep discussion- this was good, however it made the latter part of the day draw out and many people lost interest and left early. Variety of Snacks/Beverages (n=2) 1. Lack of caffeinated cold beverages. 2. NO chocolate Focus on Intervention (not prevention) (n=1) 1. A lot of focus on intervention would like to see prevention. Weather. The breakout in afternoon was a little rushed, hard to stay on track. Progress/Usefulness of National Plan (n=1) 1. Doesn't feel like we are moving anywhere. These federal things are inherently squishy and it feels like a concept instead of action. I get that we want some list everybody can pick up and chose what makes sense to them as an individual or agency, but it doesn't seem like we will make progress as a state if we end with a laundry list of concepts. That all start at crisis at that. Technical Jargon (n=1) 1. Not understanding some of the jargon in the beginning. Presentations (n=1) 1. Overview Past/present efforts Accessibility of Location (n=1) 1. Meeting space was not initially wheelchair accessible. Inclusion/Appreciation for all Stakeholder Groups (n=1) 1. It was obvious that some representatives from other stakeholder groups do not understand or respect why school personnel should be involved in this initiative as evidence by both their behaviors and lack of inclusion of schools in most objectives and strategies. It is critical that schools be expected to be involved in suicide prevention and intervention and be prepared to do so. Should counselors are frequently the first to learn of suicidal ideation by youth. None (n=3) 1. None. Had lots of fun and very informative. 2. N/A 3. None.
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan
Appendix A -- List of Meeting Attendees
2014 NC Suicide Prevention Plan Working Group April 30 Attendees Name 1. Austin, Margaux 2.
Batts, Renee
3.
Benfield, Paul
4.
Bernstein, Larry
5. 6. 7. 8. 9. 10.
Boyd, Kathy Brown, Rebecca Burgess, Erica Byrd, Genele Carden, Paula Casstevens, W.J.
11. Chansen, Kimberly 12. Coyne-Beasley, Tamera 13. Crawford, Vaughn 14. Dihoff, Deby 15. Douglas, Amy 16. Edwards, Brenda 17. Farmer, Sandra 18. Farrington, Debra 19. Flick, Jodi 20. Floyd, Cynthia 21. Gibson, Matthew 22. Gibson, Tony 23. Gibson, Windy 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39.
Gobble, James Gregg, Whitney Hamm, Chris Hedgepeth-Smith, Michelle Holden, Paul Hudgins, Elizabeth Karim, Nicholle Lehman, Sherry Mackey, Chris Marowski, Ed Martin, Glen Minard, Chris Morrow, Vicki Neely, Gail Nelson, Erica Norwood, Tammy
40. Orji, Carol 41. Orji, Jamachi 42. Phillips, Kay 43. Ray, Stacey
Organizations Raleigh HopeLine NC Community College System (Education Consultant, Health Sciences Academic Programs) First Health of the Carolinas Holly Springs Counseling Center; Triangle Survivors of Suicide (SOS) National Association of Social Workers-North Carolina Chapter NC DPH - Women & Children’s Health Section Methodist Home for Children North Carolina School Health Training Center (NCSHTC) Local Health Directors Association NCSU GLS Grant Coordinators Recovery Innovations, Durham Wellness City
Email
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] kimberly.chansen@recoveryinnovati ons.org
UNC CH School of Medicine
[email protected]
Family Preservation Services, Inc. North Carolina National Alliance on Mental Illness (NAMI) – NC Affiliate NC Office of Emergency Medical Services (Hospital Preparedness Response & Recovery Prog Liaison) NC Child Fatality Task Force Brain Injury Association of North Carolina (BIANC) Cardinal Innovations Healthcare Solutions (Orange, Person, Chatham (MCO/LME) UNC CH School of Social Work, Chapel Hill Survivors of Suicide Support Group Wilson County Schools- Student Support Services Supervisor Youth Advisory Council Representative Parent of Suicide Prevention Youth Advisory Council Representative Parent of Suicide Prevention Youth Advisory Council Representative Veterans Group Representatives Peace of Mind North Carolina School Psychology Association
[email protected] [email protected]
Durham Public Schools, Student Services Watauga County Schools, Student Services NC Child Fatality Task Force National Alliance on Mental Illness North Carolina (NAMI-NC) Department of Public Instruction North Carolina Office on Disability and Health NCSU Violence Prevention and Threat Management Program NC Psychological Association Department of Public Instruction Pioneer Community Hospital of Stokes North Carolinians Against Gun Violence North Carolina Hospital Association Division of Public Health, CDI Section Parent of Suicide Prevention Youth Advisory Council Member, Wake County Smart Start Youth Advisory Council Representatives Adolescent Pregnancy Prevention Campaign of NC North Carolinians Against Gun Violence
[email protected] [email protected] [email protected] Debra.Farrington@cardinalinnovatio ns.org
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan
Appendix A -- List of Meeting Attendees
2014 NC Suicide Prevention Plan Working Group April 30 Attendees Name 44. Rhyne, Sharon 45. Ries, Michelle 46. Robbins, Ray 47. Robinson, Susan 48. Rothman, Jennifer 49. Sammis, Matt 50. Smith, Jennifer 51. Smock, Roger 52. Soto, Maria 53. Southerland, Harriet 54. Stallings, Karen 55. Stewart, Wendy 56. Swann, David 57. Towe, Teneisha 58. Trantham, Doug for Michael Toedt 59. Weeks, James 60. White, Leanna 61. Wright, Doug 62. Zahnow, Carolyn
Organizations NC DPH, Chronic Disease and Injury North Carolina Institute of Medicine Central Region EAP Consultant Community Policy Management - DMH/DD/SAS National Alliance on Mental Illness (NAMI) – NC Affiliate Individual and Family Advocate (Survivor Representative) Capital Regional Advisory Committee (CapRAC)–Trauma Care, Eastern Carolina Injury Prevention Program ND DOT Rail Safety Consultant Parent of Suicide Prevention Youth Advisory Council Member Youth Advocacy and Involvement – Department of Administration, SADD North Carolina Area Health Education Centers (AHEC) Program Orange County Schools Partners Behavioral Health Management (MCO/LME) Methodist Home for Children Cherokee Indian Hospital Individual and Family Advocate (Survivor Representative) Youth Advisory Council Representative Alliance Behavioral Healthcare (Durham, Wake, Johnson, Cumberland) (MCO/LME) The Shore Grief Center
Email
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] rg
[email protected] [email protected] [email protected]
PLANNING TEAM MEMBERS Last Name, First Name 1. Dellapenna, Alan 2. Miller, Jane 3. Vaughn, Margaret 4. Austin, Anna 5. Creppage, Kathleen
Organization/Entity NC Div. of Public Health, Chronic Disease & Injury Section, Injury & Violence Prevention Branch
Email Address
[email protected] [email protected] [email protected] [email protected] [email protected]
6.
Potter, Sarah
NC Division of Mental Health/Developmental Disabilities/Substance Abuse Services
[email protected]
7. 8. 9.
Crump, Carolyn Letourneau, Robert Page, Rachel
UNC Chapel Hill Gillings School of Global Public Health, Department of Health Behavior
[email protected] [email protected] [email protected]
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix B -- List of Working Group and Consulting Group Members
A. WORKING GROUP MEMBERS Last Name
First Name
Organization
Email Address
Health Care System, Insurer, or Clinician 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.
Benfield Brandyberry CoyneBeasley Greg Hord Humes Johanson Jones Martin Morrow Nelson Newton Perry Rich
Paul Lisa
First Health of the Carolinas Daymark Recovery Services
[email protected] [email protected]
Tamera
UNC CH School of Medicine
[email protected]
Whitney Jessica David Amanda Ken Glen Vicki Erica
Peace of Mind Triangle Family Services Community Care of Wake and Johnston Counties Holly Hill Hospital Eastpoint (MCO/LME) NC Psychological Association Pioneer Community Hospital of Stokes North Carolina Hospital Association NC AHEC Cone Health Center for Children Carolinas HealthCare System Capital Regional Advisory Committee (CapRAC)–Trauma Care, Eastern Carolina Injury Prevention Program NC Area Health Education Centers (AHEC) Program NC Hospital Association CoastalCare Teen Health Connection/ Carolinas Healthcare System Cherokee Indian Hospital North Carolina Foundation for Alcohol and Drug Studies; NC A&T University Center for Behavioral Health and Wellness Cherokee Indian Hospital East Carolina Behavioral Health Alliance Behavioral Healthcare (Durham, Wake, Johnson, Cumberland) (MCO/LME) Wake Area Health Education Center (AHEC) Program (Veterans Mental Health Project)
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
Martha Chris
15. Smith
Jennifer
16. 17. 18. 19. 20.
Karen Stephanie Susan Mary Michael
Stallings Strickland Taggart Tayal Toedt
21. Townsend
Christopher
22. Trantham 23. Wainwright
Doug Leza
24. Wright
Doug
25. Yelverton
Diane
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
Nonprofit, Community- or Faith-based Organization 26. Austin 27. Bamberg 28. Bennis
Margaux Bob Victoria
29. Bernstein
Larry
30. Burgess
Erica
Raleigh HopeLine Alleghany Lives Save A Life Holly Springs Counseling Center; Triangle Survivors of Suicide (SOS) Methodist Home for Children
[email protected] [email protected] [email protected]
31. Chansen
Kimberly
Recovery Innovations, Durham Wellness City
32. Crawford 33. Dihoff 34. FalboWoodson 35. Farmer 36. Gobble 37. Goble-Clark 38. Hennighausen 39. MacLachlan 40. Neely
Vaughn Deby
Family Preservation Services, Inc. North Carolina National Alliance on Mental Illness (NAMI) – NC Affiliate
[email protected] [email protected] g
[email protected] [email protected]
Kathryn
Mental Health Association of the Central Carolinas
[email protected]
Sandra James Jane Lynn Elizabeth Gail
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
41. Orji
Carol
42. Phillips 43. Ray
Kay Stacey
Brain Injury Association of North Carolina (BIANC) Veterans Group Representatives Center for Prevention Services Davidson LIfeLine NC Public Health Foundation North Carolinians Against Gun Violence Parent of Suicide Prevention Youth Advisory Council Member, Wake County Smart Start Adolescent Pregnancy Prevention Campaign of NC North Carolinians Against Gun Violence
[email protected]
[email protected] [email protected] [email protected]
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix B -- List of Working Group and Consulting Group Members
A. WORKING GROUP MEMBERS Last Name 44. Rothman 45. Sammis
First Name Jennifer Matt
46. Soto
Maria
47. Swanner 48. Towe 49. Zahnow
Jerry Teneisha Carolyn
Organization National Alliance on Mental Illness (NAMI) – NC Affiliate Individual and Family Advocate (Survivor Representative) Parent of Suicide Prevention Youth Advisory Council Member LivingWorks Education Methodist Home for Children The Shore Grief Center
Email Address
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
Government Agency/Department (Federal/State/Local) 50. Addams 51. Brown 52. Carden
Susan Rebecca Paula
53. Douglas
Amy
54. Edwards
Brenda
55. Farrington
Debra
56. Gibson
Tony
57. 58. 59. 60. 61. 62. 63. 64.
Harris Hudgins Lehman Lenhart Welsh Mackey Minard Norwood
Gibbie Elizabeth Sherry Scott Luckey Chris Chris Tammy
65. Oelslager
Matthew
66. 67. 68. 69.
Rhyne Robbins Susan Smock
Sharon Ray Robinson Roger
70. Southerland
Harriet
71. Swann
David
North Carolina Department of Commerce NC DPH - Women & Children’s Health Section Local Health Directors Association NC Office of Emergency Medical Services (Hospital Preparedness Response & Recovery Prog Liaison) NC Child Fatality Task Force Cardinal Innovations Healthcare Solutions (Orange, Person, Chatham (MCO/LME) Parent of Suicide Prevention Youth Advisory Council Representative Local Health Directors Association NC Child Fatality Task Force Department of Public Instruction Local Health Directors Association (Stokes County) DSOHF North Carolina Office on Disability and Health Department of Public Instruction Division of Public Health, CDI Section Coastal Care (Onslow, Cataret, Pender, New Hanover, Brunswick) (MCO/LME) NC DPH, Chronic Disease and Injury Central Region EAP Consultant Community Policy Management - DMH/DD/SAS ND DOT Rail Safety Consultant Youth Advocacy and Involvement – Department of Administration, SADD Partners Behavioral Health Management (MCO/LME)
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
College or University (direct involvement with students) 72. Allen
Kim
73. Batts
Renee
74. Byrd 75. Casstevens 76. Dennis
Genele W. Kimya
77. Nelson-Moss
Tina
78. Marowski
Ed
North Carolina State University Cooperative Extension/4H Youth Development NC Community College System (Education Consultant, Health Sciences Academic Programs) North Carolina School Health Training Center (NCSHTC) NCSU GLS Grant Coordinators Salem College NC State University - Violence Prevention and Threat Management Program NCSU Violence Prevention and Threat Management Program
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
Primary or Secondary School 79. Balance
Landry
80. Floyd
Cynthia
81. Gibson 82. Hamm 83. HedgepethSmith
Matthew Chris
Youth Advisory Council Representative Wilson County Schools- Student Support Services Supervisor Youth Advisory Council Representative North Carolina School Psychology Association
Michelle
Durham Public Schools, Student Services
[email protected] [email protected] [email protected]
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix B -- List of Working Group and Consulting Group Members
A. WORKING GROUP MEMBERS Last Name 84. Holden 85. Orji 86. Robertson 87. Stewart 88. White
First Name Paul Jamachi Tanner Wendy Leanna
Organization Watauga County Schools, Student Services Youth Advisory Council Representatives Youth Advisory Council Representative Orange County Schools Youth Advisory Council Representative
Email Address
[email protected]
Enrique
NC National Guard (NCARNG) Suicide Prevention Program
[email protected]
[email protected]
Military 89. McClymont
Business, Employer or Professional Association 90. Boyd
Kathy
National Association of Social Workers-NC Chapter
[email protected]
Individual, Family or Concerned Citizen 91. Gibson
Windy
92. Weeks
James
Parent of Suicide Prevention Youth Advisory Council Representative Individual and Family Advocate (Survivor Representative)
[email protected] [email protected]
Research Organization (including universities) 93. Barbee
Jim
94. Bower
Meredith
95. Bunch
Shelia
96. Ennett
Susan
97. Flick
Jodi
98. Marshall
Steve
99. Ries 100. Silberman 101. Stefureac
Michelle Pam Kristen
Last Name
First Name
1.
Booth
Chelsea
2. 3.
Bowers Chung
Angel Richard
4.
Coates
Cecil
5. 6. 7. 8. 9. 10. 11.
Cook Cooke Cunha Davies DuPre-Rogers Eads Edwards
McKenzie Ester Gary Megan Ann Jeffery Mary
North Carolina Center for Excellence in Youth Violence Prevention (NC-ACE) NC Center for Excellence in Youth Violence Prevention (NC-ACE) School of Social Work East Carolina University Department of Health Behavior & Injury Prevention Research Center, UNC-Chapel Hill UNC CH School of Social Work, Chapel Hill Survivors of Suicide Support Group Injury Prevention Research Center, University of North Carolina North Carolina Institute of Medicine North Carolina Institute of Medicine Duke University Department of Psychiatry
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
B. CONSULTING GROUP MEMBERS
12. Edwards
Virginia
13. 14. 15. 16. 17. 18. 19.
Ashley Kristen Gregory Catherine Andy Jodi Ranota
Fiore Frankel Griggs Guerrero Hagler Hall Hall
Organization/Entity Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services North Carolina State University Counseling Center Duke University Medical Center North Carolina School Counselor Association; Wake County Public School System North Carolina Office of Emergency Medical Services NC Youth Suicide Prevention Council Durham VA Medical Center DPH Epidemiology Section Smoky Mountain Center CenterPoint Human Services Division of Aging and Adult Services Department of Public Safety, Division of Adult Corrections and Juvenile Justice Barium Springs North Carolina Air National Guard NC Academy of Family Physicians North Carolina Coalition Against Domestic Violence Mental Health Association in Forsyth County NC State University North Carolina Psychiatric Association
Email Address
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix B -- List of Working Group and Consulting Group Members
B. CONSULTING GROUP MEMBERS Last Name 20. Hawks
First Name Stacy
Email Address
[email protected]
Dawn Robin Anne Jen Liz Daniel
Organization/Entity Alleghany Lives Center for Behavioral Health and Wellness at NC A&T State University Winston-Salem State University NC Psychiatric Association Sandhills Center Partners for Healthy Youth UNC Injury Prevention Research Center Wake Forest School of Medicine
21. Hedgecock
Blair
22. 23. 24. 25. 26. 27. 28.
Suzanne
AARP NC
[email protected]
Marni
Mecklenburg Child Fatality Prevention and Protection Team
[email protected]
Kimberli Kelly Denise Katherine
North Carolina Business Group on Health Wake County Public Schools appalachian state university counseling center Chapel Hill-Carrboro City School District
34. Matkins
Preeti
Teen health Connection/Levine Children's Hospital
35. Mattson
Gerri
36. Matula
Danielle
37. Murphy
Snow
NC Division of Public Health NC Division of Public Health - NC Office on Disability and Health NC Suicide Prevention Youth Advisory Council
[email protected] [email protected] [email protected] [email protected] [email protected] rg
[email protected]
38. Mele
Connie
Mecklenburg County Provided Behavioral Health Services
39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60.
Denise James John Rebecca Ellen Gregory Ruth Parrish Gregory Randi Larry Frank Ted Florence Jacqueline MaryBeth Mary Karen Rodney Molly Tom Leeanne
Caldwell County Health Department LGBT Center of Raleigh Pitt County Public Health Family services inc Duke Fayetteville State University Divison of Public Health Youth Empowered Solutions (YES!) NC Commission of Indian Affairs Education for Successful Parenting UNC at Chapel Hill, Injury Prevention Research Center Stop Soldier Suicide Children's Home Society of North Carolina El Pueblo NC Office on Disability & Health (DPH) NC Office of EMS REAL Crisis Intervention Inc. Charlotte-Mecklenburg Schools Time Out Youth Center Peace of Mind, Inc. NC Child Alexander County Health Dept. Survivor Representative----Breaking the Silence---Identifying Depression/Suicide Prevention National Association of Students Against Violence Everywhere (SAVE) NC Division of Social Services/Child Welfare
29. 30. 31. 32. 33.
Henderson Huffman Kimball Kimbrough Knight Krowchuk LaFolletteBlack LangbertEisner Lasyone Lister Lovin Marshall
Michaud Miller Morrow Nagaishi Parks Perkins Petersen Ravelli Richardson Rubenstein Scholl Segal Sikes Siman Simmons Skarote Smith Thomas Tucker VanDuser Vitaglione Whisnant
61. Williams
Kathy
62. Wray
Carleen
63. Zechman
Rick
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
[email protected] [email protected] v
[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]
Developed by the University of North Carolina | 15
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan
Appendix C – Meeting Agenda
Time Agenda 9:30 am Meeting Start 9:30 – 9:50 Welcome, Review of Agenda, and Introductions/Networking 9:50 – 10:10 Overview of the 2014 Suicide Prevention Plan Devt. Process and Progress to Date 10:10 – 10:30 Stakeholder Group Networking Activity 10:30 – 10:45 Break 10:45 – 11:10 Overview of the Burden of Suicide in NC 11:10 – 11:30 Overview of Past and Present State-wide Efforts to Prevent Suicide 11:30 – 11:50 Keynote address from Larry ‘Bernie’ Bernstein about preventing suicide in NC 11:50 – 12:15 Overview of small work to be conducted during the afternoon sessions
12:15 – 1:00 Working Lunch: Review of reference materials to prepare for small group work Breakout Session Part I: Small group work (organized by Strategic Directions/ Goals) to identify which/how NSSP Objectives ‘fit’ with NC efforts to prevent 1:00 – 2:00 suicide and examples of stakeholder group roles and opportunities to address NSSP Objectives Breakout Session Part II: Facilitated discussion about the work conducted for each 2:00 – 2:30 goal within a Strategic Direction and preparation of visual displays to share results from small group work with other meeting attendees 2:30 – 2:45 Break Breakout Session Part III: Attendees will circulate around the meeting venue to 2:45 – 3:15 see the results of small group work completed for other strategic directions and provide input/ask questions of the group’s work 3:15 – 3:30 Review/Discussion of Next Steps 3:30 – 4:00 Wrap-Up and Meeting Feedback 4:00 pm Meeting End
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Stakeholder Group Networking Activity Summary Question: Who may be missing from the group/how can they try to get them involved? (n=36) Missing Populations (n=9) 1. Faith based missing?? 2. Aging population (Division of Aging) 3. Disappointed not more university representation 4. Attempters 5. Dept. of Social Services 6. DSS 7. CANC 8. Building administrators (NCPAPA) 9. CME's Office (medical examiners) School (n=6) 1. School security/SROs 2. People from the school counseling group, especially primary schools. 3. teachers- PE or Healthful Living, EC 4. School based health ctrs or sch nurses 5. School Resource Officer 6. School districts Medical/Mental Health Professionals (n=5) 1. Child health care 2. Therapists trained in suicide survivor issues (not just regular grief and loss counseling) 3. North Carolina School of Social Workers Association (NCSSWA) 4. School social work/ not psychological association 5. Mental health representatives working within the schools but from community agencies Law Enforcement/Legal (n=4) 1. law enforcement 2. Local law enforcement 3. law enforcement 4. Prison/jail Other (n=4) 1. mobile crisis 2. Increased attention public awareness on safe gun storage and drs/clinicians having conversations with pts about lethal means 3. Website for resources for survivors- like: a. SOS groups b. suicide walk/NAMI walk c. Helpline d. Other helping/health profs 4. Neat to have all the groups together as it is Location/Rural (n=2) 1. Farmers' groups (Eastern AHEC) 2. Scott, ED of RAFI (Rural Advancement Foundation, Pittsboro)
Developed by the University of North Carolina | 17
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Stakeholder Group Networking Activity Summary Military/Veterans (n=2) 1. DOD/Veterans assoc 2. Vets Support Groups (n=2) 1. Encourage forming survivor support groups in areas where they do not currently exist 2. Support groups for children and youth Specific Names/Individuals (n=2) 1. David Humes:
[email protected] 2. Tara Tucker: Center Ponte Question: How may your stakeholder group benefit from having a 2014 NC Suicide Prevention Plan? Benefits and Uses Identified for 2014 NC Suicide Prevention Plan by Stakeholder Table Groups. Table # Health care/ insurer/ clinician (Tables 1-3)
Most important uses of the state Create guidelines for professionals Educating key professionals about suicide prevention Giving validity to treatment/prevention measures Screening/treatment options broadened Expanding knowledge to rural areas Understanding the role of mental health in prevention measures Addressing all age groups Help community become better educated on resources to encourage earlier intervention (i.e. law enforcement, clergy, schools) Identify desired ratio of population to providers to ensure access to services Identification of core competency strategies for professionals with regard to suicide. Use the standards for training provided through professional organizations. Health care system policy changes for discharge safety including physician/clinician identification and safety planning Implementation guide- what your organization can do Community wide planning and allocating resources ID research and best practices for suicide prevention Tools/billboards: easy to implement Need to include: Faith based organizations Farmer advocacy/health CCNC Suicide survivors/attempters Community Problem (not BH alone) Hosp Based Injury Prev Prog has not addressed suicide Regional Adv. Hosp. and "Business" Interest in Comm Health Help Hosp ID comm resources- learning needs of hosp. Rural areas of NC MH First aid mil & Trad. First Aid Education/awareness resources
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April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Stakeholder Group Networking Activity Summary Benefits and Uses Identified for 2014 NC Suicide Prevention Plan by Stakeholder Table Groups. Table # Primary and secondary schools (Tables 5-6)
Non-profit/ community/ Faith-based (Tables 7-9)
Colleges and universities/military/ employer/professional assoc
Most important uses of the state Provide consistent guidance for local school organizations Educate youth on signs of suicide and how to respond Will promote expectations for school organizations to have a written plan Promote effective prevention/intervention professional development for school support staff Will support the appropriate use of student support services personnel Will provide an advocacy tool School districts need an updated plan to refer to Helps schools deal with properly addressing the situation Help schools come together on their independent planning and uniformity Help guide training efforts/improve guidelines and protocol Action focused Education component Setting goals More friendly language (inclusive) Recovery Prevention to local leaders- connecting Have a central plan to turn to Sharing info with the public Work with schools to create awareness Creating awareness at young age Identify those that have contact with high risk individuals Increase outreach and marketing opportunities Increase info sharing and resources Increase funding sources Consistency in program development and evaluations Enhance information and resource sharing Pregnancy prevention= help with answers hotline calls/text messages regards suicide "Red Flag" and sexual health - provides a plan to enhance their plan Gun violence- help inform programs - the data is substantial and helps evaluations Try to represent all age groups Recognizing thin lines between ideations and attention-seeking behaviors Builds consistency of shared ideas for non-profits and can increase outreach and marketing advocacy - truly follow the plan
Resources within community Identifying resources for training and prof development Knowing who to network with for consultation Network- who to consult with additional advice
(Table 10)
Developed by the University of North Carolina | 19
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Stakeholder Group Networking Activity Summary Benefits and Uses Identified for 2014 NC Suicide Prevention Plan by Stakeholder Table Groups. Table # Govt agency/depts (Fed, state, local) (Tables 11-13)
Most important uses of the state To build synergy around common agreed-upon goals Identify areas where we can contribute Leverage resources to address plan Alignment of work Connect strengths, network Allows us to [spur (?)] "on the ground" new initiatives We can improve on areas where we have not made good inroads (like detention) Need adult surveillance improved (focus more on child fatality) Using EBP to reach everyone (incl. physical and cognitive abilities) Implementation strategies for the road map- using Q1 to assure use of validated screening tools at local levels, etc. More age disaggregation (<15s not listed, 15-24 all together) Improved training for educators (quality and more widespread) How to plan and reach everybody (abilities, cognitive functions, etc) Mandated professional training for educators Plan could include protocols which could be pushed down to local EMS systems Can be used as guidance for school RNs Plan could identify resource for individuals who are unfamiliar with what supports are available in the community Statewide plan could offer guidance to peer support professionals (state patrol) to help prevent suicides State plan will assist (offer guidance) Health Depts in operationalizaing contract mandates esp. since all 100 Health Depts operate a little differently Enable agencies on 100 Child Fatality Prevention Teams to develop protocols/suicide prevention contagion Adolescent Health- interface with School RN Help identify resources for individuals who are Law Enforcement- give guidance for peer support to try to prevent suicide deaths
Developed by the University of North Carolina | 20
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix E – Breakout Session Instructions & Worksheets Example
PART I (1:00 – 2:00 pm) The primary purpose for small group work conducted during breakout sessions is to: 1. Identify NSSP objectives that are relevant to NC and/or if additional objectives should be added. 2. Identify examples of stakeholder group roles to address NSSP/newly added objectives. Strategic Direction 1: Healthy and Empowered Individuals, Families, and Communities GOAL 1. Integrate and coordinate suicide prevention activities across multiple sectors and settings. GOAL 2. Implement research-informed communication efforts designed to prevent suicide by changing knowledge, attitudes, and behaviors. GOAL 3. Increase knowledge of the factors that offer protection from suicidal behaviors and that promote wellness and recovery. GOAL 4. Promote responsible media reporting of suicide, accurate portrayals of suicide and mental illnesses in the entertainment industry, and the safety of online content related to suicide.
Step #1: Identifying Which NSSP Objectives ‘Fit’ with North Carolina Efforts to Prevent Suicide. Please devote approximately 15-20 minutes (or less) on this step. 1. Identify a note-taker for your table to document your discussion. At the end of this session, your group’s note-taker will submit one set of worksheets for all Goals discussed by your small group.
2. Read the list of NSSP objectives for the Goal(s) assigned to your small group.
3. Determine if/how each NSSP objective should remain for consideration the 2014 NC Suicide Prevention Plan by assessing if the objective ‘fits’ here in North Carolina (see more specific instructions listed for Part I/Step 1). 4. If applicable, identify new/additional objectives to support the related NSSP Goal in NC.
Step #2: Identifying Examples of Stakeholder Group Roles to address NSSP Objectives Please devote approximately 40-45 minutes (or less) on this step. For each objective your small group decided ‘fit’ for North Carolina (i.e., those identified as ‘Yes’ or ‘Maybe’ from step 1, or new objective(s) added (if applicable), small groups will…. 1. Identify which stakeholder groups have ‘opportunities’ to address the objective in NC.
2. For stakeholder groups you feel apply, list examples that describe what that stakeholder group could be doing or is already doing to prevent suicide in NC. Please use the reference materials provided for your Strategic Direction to identify examples.
Developed by the University of North Carolina | 21
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix E – Breakout Session Instructions & Worksheets Example Step #1 Instructions: 1. 2. 3.
Review the list of NSSP objectives that correspond to the Goal(s) assigned to your small group. Determine if/how each objective should remain for consideration in the 2014 NC Suicide Prevention Plan by indicating ‘Yes’, ‘No’, or ‘Maybe.’ If Yes or Maybe, provide comments/ideas for how the objective could ‘fit’ in NC. If applicable, add objectives to support the goal in NC (blank rows at end of this page).
GOAL 1. Integrate and coordinate suicide prevention activities across multiple sectors and settings. Current NSSP Objective
1.1
Integrate suicide prevention into the values, culture, leadership, and work of a broad range of organizations and programs with a role to support suicide prevention activities.
1.2
Establish effective, sustainable, and collaborative suicide prevention programming at the state/territorial, tribal, and local levels.
1.3
Sustain and strengthen collaborations across federal agencies to advance suicide prevention.
1.4
Develop and sustain public-private partnerships to advance suicide prevention.
1.5
Integrate suicide prevention into all relevant health care reform efforts.
Does this Objective ‘fit’ in NC: (Yes/No/Maybe)
List comments or ideas about the objective ‘fitting’ in NC
If applicable, list additional Objective(s) that could be added to support Goal 1:
Developed by the University of North Carolina | 22
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix E – Breakout Session Instructions & Worksheets Example Step #2 Instructions: For each objective your small group identified as ‘Yes’ or ‘Maybe’ and/or as a new objective from Step 1… 1. List examples that describe what each relevant stakeholder groups could be doing or is already doing to prevent suicide in NC. Identify examples for all stakeholder groups you feel are relevant for the objective. Examples are provided in italics to help clarify some objectives.
GOAL 1. Integrate and coordinate suicide prevention activities across multiple sectors and settings. 1.1 Integrate suicide prevention into the values, culture, leadership, and work of a broad range of organizations and programs with a role to support suicide prevention activities. Stakeholder Grp.
Examples of what this stakeholder group could be or is already doing to prevent suicide in NC
Govt. Agency/Dept (Fed., State, Local)
The State Health Plan created a partnership with North Carolina’s Division of Public Health, Office of State Personnel, and other key state agencies to identify bureaucratic obstacles to providing worksite wellness programs for state employees and to develop a state policy to address them. The Division of Public Health established a model worksite program to guide development of the worksite wellness policy and pilot wellness interventions.
Tribal Government
Health Care Sys., Insurers, Clinicians
Business, Employer, Professional Assoc.
Primary or Secondary Schools College or University (dir. involvement w/students) Nonprofit, Community & Faith-based Orgs
NC Mental Health and Aging Coalition provides opportunities for professional, consumer, and government organizations to work together towards improving the availability and quality of mental health preventive and treatment strategies to older Americans and their families through education, research, and increased public awareness.
Research Organizations (incl. Universities) Individuals, Families, Concerned Citizens
Military
Developed by the University of North Carolina | 23
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix E – Breakout Session Instructions & Worksheets Example
GOAL 1. Integrate and coordinate suicide prevention activities across multiple sectors and settings. 1.2 Establish effective, sustainable, and collaborative suicide prevention programming at the state/territorial, tribal, and local levels. Stakeholder Grp.
Govt. Agency/Dept (Fed., State, Local)
Examples of what this stakeholder group could be or is already doing to prevent suicide in NC State Bill 526: School Violence Prevention- “Anti-bullying” law --Bullying or harassing behavior; Identify a lead agency to coordinate and convene public and private stakeholders, assess needs and resources, and develop and implement a comprehensive strategic suicide prevention plan.
Tribal Government
Health Care Sys., Insurers, Clinicians
Business, Employer, Professional Assoc.
Primary or Secondary Schools
College or University (dir. involvement w/students)
Nonprofit, Community & Faith-based Orgs
Research Organizations (incl. Universities)
Individuals, Families, Concerned Citizens
Military
Developed by the University of North Carolina | 24
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix E – Breakout Session Instructions & Worksheets Example
GOAL 1. Integrate and coordinate suicide prevention activities across multiple sectors and settings. 1.3 Sustain and strengthen collaborations across federal agencies to advance suicide prevention. Stakeholder Grp.
Examples of what this stakeholder group could be or is already doing to prevent suicide in NC
Govt. Agency/Dept (Fed., State, Local)
Tribal Government
Health Care Sys., Insurers, Clinicians
Business, Employer, Professional Assoc.
Primary or Secondary Schools
College or University (dir. involvement w/students)
Nonprofit, Community & Faith-based Orgs
Research Organizations (incl. Universities)
Individuals, Families, Concerned Citizens
Military
Developed by the University of North Carolina | 25
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix E – Breakout Session Instructions & Worksheets Example
GOAL 1. Integrate and coordinate suicide prevention activities across multiple sectors and settings. 1.4 Develop and sustain public-private partnerships to advance suicide prevention. Stakeholder Grp.
Examples of what this stakeholder group could be or is already doing to prevent suicide in NC
Govt. Agency/Dept (Fed., State, Local)
Tribal Government
Health Care Sys., Insurers, Clinicians
Business, Employer, Professional Assoc.
Primary or Secondary Schools
College or University (dir. involvement w/students)
Nonprofit, Community & Faith-based Orgs
Research Organizations (incl. Universities)
Individuals, Families, Concerned Citizens
Military
Developed by the University of North Carolina | 26
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix E – Breakout Session Instructions & Worksheets Example
GOAL 1. Integrate and coordinate suicide prevention activities across multiple sectors and settings. 1.5 Integrate suicide prevention into all relevant health care reform efforts. Stakeholder Grp.
Examples of what this stakeholder group could be or is already doing to prevent suicide in NC
Govt. Agency/Dept (Fed., State, Local)
Tribal Government
Health Care Sys., Insurers, Clinicians
Business, Employer, Professional Assoc.
Primary or Secondary Schools
College or University (dir. involvement w/students)
Nonprofit, Community & Faith-based Orgs
Research Organizations (incl. Universities)
Individuals, Families, Concerned Citizens
Military
Developed by the University of North Carolina | 27
April 30, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix E – Breakout Session Instructions & Worksheets Example
GOAL 1. Integrate and coordinate suicide prevention activities across multiple sectors and settings. TBD. NEW OBJECTIVE ADDED BY GROUP (if applicable): ____________________________________________ Stakeholder Grp.
Examples of what this stakeholder group could be or is already doing to prevent suicide in NC
Govt. Agency/Dept (Fed., State, Local)
Tribal Government
Health Care Sys., Insurers, Clinicians
Business, Employer, Professional Assoc.
Primary or Secondary Schools
College or University (dir. involvement w/students)
Nonprofit, Community & Faith-based Orgs
Research Organizations (incl. Universities)
Individuals, Families, Concerned Citizens
Military
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