2014 NC Suicide Prevention Plan June 24, 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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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan

A. Background On June 24, 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 (Alan Dellapenna, Jane Ann Miller, Margaret Vaughn, Anna Dover, Ranayda Drayton), 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 the second 2014 NC Suicide Prevention Plan Working Group meeting at the Unitarian Universalist Fellowship in Raleigh, NC. Sixty of the 118 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 (including the NC Suicide Prevention Youth Advisory Council members); and 10) Research Organization (including universities). The goal of the meeting was to continue engagement with 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 four objectives were addressed during the meeting: 1. Prioritize Goals-Objectives for inclusion in the plan. 2. Identify/fill gaps in a list of Stakeholders Opportunities/Examples to address suicide prevention in NC. 3. Discuss/identify next steps for the 2014 NC Suicide Prevention Plan development process. 4. Provide opportunities for networking within/among stakeholder groups. This meeting was the second of two, in-person meetings to engage Working Group members in the process to develop the 2014 NC Suicide Prevention Plan. In early September 2014, the Planning Team will be in communication with all members of the Working and Consulting Groups (Appendix B) to collect additional input on a full draft of the 2014 NC Suicide Prevention Plan.

B. Summary of Agenda The meeting agenda (Appendix C) was organized into twelve parts: 1. Welcome, Review of Agenda and Introductions 2. Overview of the 2014 Suicide Prevention Plan Development Process to Date 3. Introduction to Prioritization of Objectives by Importance and Feasibility 4. Small Group Work to Prioritize Objectives by ‘Importance’ and ‘Feasibility’ 5. Introduction to ‘Walkabout’ Activity 6. Walkabout Activity: Review Prioritization Results for each Strategic Direction 7. Discuss Observations from Walkabout Activity 8. Small Group Activity to Address Gaps in Stakeholder Group Suicide Prevention Examples for Prioritized Objectives 9. Small Group Activity to identify Communication, Dissemination and Endorsements Opportunities for the Completed 2014 NC Suicide Prevention Plan 10. Overview of Next Steps 11. Large Group Activity to Collect Feedback about Continued Engagement 12. Wrap Up and Completion of Meeting Feedback Forms

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan

C. Major Findings from Interactive Activities Conducted During Meeting Planning team members facilitated discussion using three interactive activities designed to inform content for and communication about about the 2014 NC Suicide Prevention Plan. This section summarizes major findings identified as a result of those activities. 1. Prioritization Activity The first activity was conducted in small groups, whereby participants worked to prioritize objectives, previously identified by Working Group members, by importance and feasibility. Attendees were divided into four breakout groups aligning with the strategic directions in the 2012 National Strategy for Suicide Prevention (NSSP) (Table 1). Group assignment was based on attendees’ self-reported area of expertise. Across the four strategic direction small groups, the number of attendees ranged from 7-19. Table 1. Strategic Direction Breakout Group Goals, Objectives and Attendees. Strategic Direction Goal #s #1 - Healthy & Empowered Individuals, Families, & Communities 1, 2, 3, 4 #2 - Clinical and Community Preventive Services 5, 6, 7 #3 - Treatment and Support Services 8, 9, 10 #4 - Surveillance, Research, and Evaluation 11, 12, 13

# of Objectives 14 12 21 14

# Mtg. Attendees 18 19 17 7

Each small group was facilitated by planning team members through a three-step prioritization activity, designed to assess ‘importance’ and ‘feasibility’ for the list of objectives previously identified for the strategic direction. Depending on group size and number of objectives for a strategic direction, each group was given a predetermined number of dots to use as votes for the first round of voting for ‘importance.’ The second round of voting was conducted for ‘feasibility.’ Step I: for Importance, participants were asked to vote (by placing a dot on large flip-chart paper) for objectives they identified as important. Participants were asked to consider importance as a combination of factors related to the objective: 1. Reduces the burden of suicide in NC 2. Uses strategies that employ evidence-based practices 3. Promotes sustained/long-lasting effects for NC residents 4. Uses a comprehensive approach that targets multiple levels (e.g., individual, relationship, community, society) 5. Uses interventions that are cost-effective 6. Addresses specific high-risk populations in NC 7. Addresses health disparities for suicide Following voting, planning team members facilitated group discussion to build consensus and understanding for importance. Step II: for Feasibility, participants were asked to assess the feasibility to achieve the objectives judged ‘important’ during the first round of voting. Feasibility was rated by participants placing a dot on large flipchart paper under the most appropriate column (High, Medium, or Low feasibility or attendees could also indicate Don’t Know). Prior to voting, participants were asked to consider whether the objective could be accomplished in the immediate short-term (e.g., next 2 years). Thus to judge the feasibility of an objective participants were asked to consider: a) work is already underway to accomplish the objective, and/or; b) current capacity exists to achieve the objective (e.g., resources, staffing, and expertise). Following voting, planning team members facilitated discussion to build consensus for the feasibility ratings identified. To complete the activity, each small group identified the objectives judged as Important and with High and/or

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Medium feasibility (i.e., ‘Prioritized Objectives’) using stars (*) on the flip-chart paper used in each small group. These flipcharts were then posted in the large meeting room. Step III: Following a brief lunch, all meeting attendees reconvened in the main room to conduct a ‘walkabout’ activity designed to build consensus about the voting conducted by small groups. Relevant comments and suggestions received during this exercise have been incorporated by planning team members elsewhere in this summary. Some of the information collected provided additional examples for how stakeholders can address suicide prevention in NC. As a final outcome of the three-part prioritization activity, a total of 32 objectives were identified as ‘Prioritized Objectives’ for emphasis in the 2014 NC Suicide Prevention Plan. A sequential list of ‘prioritized objectives’ is provided in Table 2 (for each objective, the feasibility rating with the greatest number of votes is shaded green). Table 2. 2014 NC Suicide Prevention Prioritized Objectives by Importance and Feasibility (n=32)a. Goal 1 2

3 4 5 6 7

8

9

10 11 13 a

Objective

Importance

1.1 1.5 2.1 2.2 2.4 3.1 3.2 3.3 4.1 5.1 5.2 5.3 6.1 7.1 7.2 7.3 7.5 8.2 8.3 8.8 9.1 9.2 9.3 9.4 9.5 10.1 10.3 10.5 11.2 11.3 13.3 13.6

14 7 6 6 8 11 4 3 12 10 19 9 14 17 5 12 6 13 14 6 14 10 4 2 5 8 10 6 5 6 5 4

High 9 2 11 3 15 17 2 3 4.5 9 16 13 15 18 10 3 13 10 5 4 13 6 7 5 8 4 4 11 4 2 3 7

Feasibility Med Low 6 0 5 0 4 1 8 6 2 0 0 9 6 8 5 8.5 3 12 1 4 0 3 3 6 0 3 0 6 3 13 3 5 2 8 0 12 1 8 6 5 0 10 2 8 0 11 1 8 3 12 2 15 0 5 2 3 0 5 0 3 0 0 0

DK 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0

No prioritized objectives for Goal 12.

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Following the meeting, planning team members created a weighted score to standardize ratings across small groups. To do so, the total number of votes cast for ‘importance’ for each objective was divided by the number of participants voting (small groups organized by strategic direction included a range of 7 to 19 participants). Table 3 provides the result of the weighted scoring of ‘prioritized objectives.’ For each objective, the level of feasibility with the highest percentage of votes is noted with yellow shading. The following colorcode legend indicates the strategic direction for each objective listed in column one of Table 3. SD #1 - Healthy & Empowered Individuals, Families, & Communities

SD #3 - Treatment and Support Services

SD #2 - Clinical and Community Preventive Services

SD #4 - Surveillance, Research, and Evaluation a

Table 3. WEIGHTED 2014 NC Suicide Prevention Prioritized Objectives by Importance and Feasibility (n=32) . Goal.Objective 5.2 7.1 11.3 9.1 8.3 1.1 8.2 6.1 11.2 13.3 4.1 7.3 3.1 9.2 10.3 13.6 5.1 5.3 10.1 2.4 1.5 10.5 8.8 2.1 2.2 7.5 9.5 7.2 9.3 3.2 3.3 9.4

Importance (percent of small group members voting for importance) 100% 90% 90% 80% 80% 80% 80% 70% 70% 70% 70% 60% 60% 60% 60% 60% 50% 50% 50% 40% 40% 40% 40% 30% 30% 30% 30% 30% 20% 20% 20% 10%

High

Feasibility Med Low

DK

2. Assessment of Gaps in Suicide Prevention Examples Activity Working by tables assigned by Stakeholder Groups, attendees completed an activity to 'fill in the gaps' in lists of examples for objectives identified (during the prior activity) as most important/most feasible. Table groups were encouraged to focus their efforts to identify additional examples for objectives that, previously, had no

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan or few examples identified for their specific stakeholder group (or other stakeholder groups, time permitting). The primary purpose of this exercise was to ensure comprehensiveness in the number and types of examples that describe how a variety of NC stakeholder groups can work to address the prioritized objectives. Table 4 lists the number of suicide prevention examples collected prior to and during the June 24 Working Group Meeting, by stakeholder group. In the to-be completed 2014 NS Suicide Prevention Plan, all examples collected will be included, to answer the key question: “What can we do to prevent suicide in North Carolina?” Table 4. Examples Identified for Objectives by Stakeholder Group (n=149). Stakeholder

# collected on 6/24

# collected prior to 6/24

Total

11 19 10 12 22 4 17 11 16 11 10 6 149

96 70 109 21 61 91 28 35 46 47 -0 504

107 89 119 33 83 95 45 46 62 58 10 6 653

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 (dir. involvement with students) 6. Primary or Secondary School 7. Military 8. Business, Employer or Professional Association 9. Individual, Family or Concerned Citizen 10. Research Organization (including universities) 11. All Stakeholder Groups 12. Unspecified Total

3. Communication, Dissemination, and Endorsements Activity During the third/final activity of the meeting, attendees were again organized into tables by stakeholder group. Each table was asked to brainstorm opportunities for communication and dissemination of the 2014 NC Suicide Prevention Plan. To guide this discussion, each table was provided with a worksheet including three questions: 1) What type of announcements or other events could be used to announce the plan’s completion; 2) Who should be notified directly about this plan’s existence; and 3) What are the ways we could notify them (e.g., what are our dissemination options). Table 5 lists the Communication and Dissemination Methods (n=172) identified by small groups (note: responses for questions 1 and 3 were combined to minimize overlap and redundancy). The most common responses were Media (n=43), social media (n=18), the use of professional boards, associations, societies and other groups (n=14) and the use of websites (n=11). Detailed responses for potential communication and dissemination methods are provided in Appendix D, Table D-1. Table 5. Communication and Dissemination Methods Summary Table (n=172). Communication/Dissemination Suggestion 1. Media a. Broadcast Media b. Print Media c. Online Content d. Other 2. Social Media Accounts to Promote Plan 3. Professional Boards, Associations, Societies and Other Groups to Promote Plan 4. Suicide-related Observances and Events 5. Websites to Promote Plan 6. Spokesperson/people to Promote Plan

N 43 20 16 2 5 18 14 12 11 9

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Table 5. Communication and Dissemination Methods Summary Table (n=172). Communication/Dissemination Suggestion 7. Public Schools to Promote Plan 8. Distribute and Post Information from the Plan 9. Mailings to Promote Plan 10. Government to Promote Plan 11. Listservs to Promote Plan 12. Specific Events and/or Activities to Promote Plan 13. Law Enforcement, First Responders to Promote Plan b 14. Other Means of Promoting Plan b

N 9 9 7 6 4 3 2 25

Detailed responses in Appendix D, Table D-1.

Table 6 summarizes the suggestions (n=159) provided about specific populations that can be targeted using Communication and Dissemination efforts for the 2014 NC Suicide Prevention Plan. The most common audiences/populations identified include: State, City and County Government Officials (n=17), professional organizations and associations (n=13), mental health promotion and suicide prevention organizations (n=13), medical providers and affiliated groups (n=12), nonprofit and community based groups (n=11), and mental health and substance abuse providers and systems of care (n=10). Detailed responses for potential communication and dissemination target populations are provided in Appendix D, Table D-2. Table 6. Communication and Dissemination Target Population(s) Summary Table (n=159). Target Populations for Dissemination 1. State, City, and County Government Officials 2. Professional Organizations and Associations 3. Mental Health Promotion and Suicide Prevention Organizations 4. Medical Providers and Affiliated Groups 5. Nonprofit and Community Based Organizations 6. Mental health and substance abuse providers and systems of care 7. Primary/Secondary School Staff and Affiliated Groups 8. Military Groups: Active Duty and Veterans 9. Professional Licensing, Certification, and Credentialing Bodies 10. Employers, Employee Groups, and Employee Assistance Programs 11. College and University Communities 12. Faith-based Organizations and Communities 13. Law Enforcement, First Responders 14. Aging Communities 15. State Government Agencies 16. Specific Populations 17. Working and Consulting Group Members and Other Stakeholders 18. Public Health Agencies and Professionals 19. Primary/Secondary School-affiliated Community Groups 20. Media 21. Locations that Sell or Loan Guns 22. Treatment and Support Groups 23. Federal Government 24. Other

N 17 13 13 12 11 10 8 8 7 7 6 6 5 4 4 4 3 3 3 2 2 2 2 7

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June 24, 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 60 meeting attendees, 51 submitted a feedback form (Response Rate = 85%). 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 7. Table 7. 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?

5.1

1.00

2.

How well did this meeting help you understand the purpose of the 2014 North Carolina Suicide Prevention Plan?

5.3

0.87

3.

How effectively did this meeting provide an opportunity for you to provide input into the 2014 North Carolina Suicide Prevention Plan?

5.1

0.99

Using an open-ended question format, participants were asked to share additional ways to continue engagement with the Working Group. The most common responses were: ongoing future meetings (n=12) and informational updates/sharing (n=8). Table 7 summarizes specific responses, organized by theme(s): Table 8. Summary of ways for continued engagement with the 2014 NC Suicide Prevention Working Group. Future Meetings (n=12) 1. Biannual conference to update on progress. 2. Follow-up meetings (in person or via technology) and emails/feedback on the plan. I am interested in implementation/dissemination. Listserv. 3. Yes. Possible conference with participants with volunteering expertise/ topics for presentation, etc. 4. It would be helpful to have ongoing communication/meetings. 5. Annual meetings to reassess plan/effectiveness of distribution, etc. 6. Follow-up meeting, webinar. 7. If there are any future meetings that the youth council could play a larger role in. 8. Future meetings? 9. Attending other meetings. Providing input to plan, work on any follow-up activities. 10. Voluntary meetings. Often this process to continue collaboration and keep the energy up and flowing. A directory of all participants with a description of what they/their organization does - where their expertise is. 11. Ongoing events/support. 12. Adopt a plan draft (perhaps via webinar). Informational Updates/Sharing (n=8) 1. Sharing/receiving information about what we’re doing in our agencies that is innovative and working. 2. Reviewing and giving feedback on draft plan, helping to disseminate the plan. 3. Continued review of plan/feedback opportunity dissemination and implementation. 4. Provide feedback. 5. Seeing the finished product, summaries and thoughts and transpired. 6. More collaboration among individuals and learning how we can achieve these goals together. Constant communication of what we are working on, struggles, accomplishments etc. 7. Please consider the same format for the overall national prevention strategy and NC’s priorities. Continued engagement as part of overall integrated health initiates

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Table 8. Summary of ways for continued engagement with the 2014 NC Suicide Prevention Working Group. 8. Continue to develop, promote launch of the plan/activities related to launch. Specific Group Involvement (n=2) 1. Youth advisory council. 2. There is a lot of funding available for ASIST programs. There is a need to identify ASIST trainers. There is a need to identify colleges, teachers associations, etc. that would be interested in being trained to put into NC AFSP budgets. Community Involvement (n=2) 1. Direct involvement with the community and research. 2. Collaborate at the community level on implementing these objectives. General/Nonspecific Involvement (n=7) 1. In any capacity that is useful. 2. Any way that can assist with this task. 3. Whatever is needed and has the most impact on suicide reduction. 4. I’ll provide whatever expertise I can as a survivor and non-profit organization. 5. I’m happy to attend but I don’t have a “plan” that requires this group. 6. Seeing the plan through completion and implementation. 7. How to be a good ambassador. No Interest/Personal Complication (n=2) 1. Not me. 2. Not sure, my time is very limited, I was on vacation from one of my jobs this week, so that is the only reason I was able to come today I think the plan will be more effective if it's concise, there is a lot of repetition. Positive Comments (n=1) 1. Thank you for your effective planning and facilitation.

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: workshop organization (n=11), small group activity (n=11) and collaboration (n=10). Table 9 summarizes specific responses provided, grouped by theme(s): Table 9. Summary of what Working Group members liked best about the meeting. Workshop Organization (n=11) 1. Very well organized and facilitated. 2. Well-organized and good opportunity for networking. 3. This meeting was still very full, but was broken up well and was digestible as a result. 4. Very well organized! I liked the facilitators. 5. Meeting was very well-organized, stayed on time and was productive. 6. Well-organized, opportunity to network, this was a huge undertaking. Good job with organizing and pulling it off! 7. Very organized, and the discussions were well-directed. 8. The structure and planning to break down such a large project into work groups and manageable chunks is great. Getting everyone's input was also great and no small feat! 9. Communication and knowledge was much easier at this meeting, breaking up goals and having examples helped to better explain. 10. You kept it moving. 11. The set-up. Small Group Activities (n=11) 1. Networking, great small group work opportunities. 2. Small group activity to address gaps in stakeholder examples, and the opportunity to network and brainstorm solutions with other members of my stakeholder groups. 3. Frequent breaks, time for conversation/networking, small group activities, very organized, great directions for activities and many visuals. 1. Group work in the afternoon with the tables.

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Table 9. Summary of what Working Group members liked best about the meeting. 2. 3. 4. 5. 6.

Small group activities in the afternoon. Activities and small groups were organized and productive. I liked the interactive process. I liked being integrated into each of the conversations that were had in each group. Afternoon meeting with group at table. The amount of brainstorming and group activities to address areas that were relevant to our professions and areas of expertise. 7. The discussions with the breakout group. It would have been great to be able to rotate into different groups to get to hear/participate in different perspectives conversations. 8. Discussing issues with colleagues. Collaboration (n=10) 1. The collaboration. Array of stakeholders - there were youth! 2. The collaboration. 3. Collaboration. 4. Well-organized planning, collaborative. 5. Collaborative nature. 6. Collaboration. 7. Integration of individuals and networking opportunity. 8. Discussion. 9. Interactive. 10. Meeting other people interested in this issue. Opportunity to Impact an Important Issue (n=7) 1. Networking opportunity, able to provide input into plan. 2. Opportunity to network with a diverse group on an important topic. Space, navigation. 3. Ownership given to each member attending, which promoted a sense of responsibility as contributors. 4. The opportunity to problem-solve with other professionals about suicide prevention. 5. To be able to input on topics. 6. Ability to have input into a state suicide prevention plan. 7. Learning about the plan and participating in prioritizing goals/objectives. Workshop Materials/Processes (n=5) 1. The process for providing input dot vote was a good idea. 2. Using dots/discussion. 3. Work space. 4. Opportunity to network, good mix of prescribed and non-prescribed activities. 5. The exercise to prioritize the objectives and then comment on the choices. Issue Clarification (n=3) 1. Further clarify goals and objectives. 2. Opportunity to learn about NC suicide prevention state plan and brainstorm with colleagues. 3. Seeing what progress is being made within NC towards suicide prevention/education and advocacy.

For what they liked least, the most common response was overwhelming/lengthy activities (n=10) and lack of time (n=9). Table 10 summarizes specific responses provided, grouped by theme(s): Table 10. Summary of what Working Group members liked least about the meeting. Overwhelming/Lengthy Activities (n=10) 1. Overwhelming amount of reading (objectives). It all started to (and in some cases DID) sound the same. Narrow things down. 2. The amount of information to narrow down was overwhelming. 3. Small group discussion in PM. Could have been broken down to make less overwhelming (tell each table to focus on one column only for example). 4. Felt a bit overwhelmed with second activity. 5. I think that the gap examples needed to be divided into groups just as in the morning breakout groups. It is/was overwhelming as well as seeming counterproductive. I think it would have been less confusing if information

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Table 10. Summary of what Working Group members liked least about the meeting. sheets had been sent out ahead of time in order to familiarize the group to the examples and objectives. The process seemed confusing to me. Perhaps had if I been in on the initial meetings it would not have been so confusing to me. 6. The small group activity of coming up with additional examples. The task was so large that that the group really struggled with understanding and executing the task. 7. Lengthy process to ID priority areas. 8. The length of some activities. 9. At some points it became redundant and tedious. 10. Details run together after a time. Timeframe (n=9) 1. Some tasks were a bit complex for the time allotted. 2. Overwhelming number of objectives to cover in limited time. 3. Not enough time to work on the goals with the tables. 4. More time discussing implementation of this plan, and success stories that can be implemented in other counties. 5. Not enough time to cover all the information. 6. The group activity from 1:45-2:30 was overwhelming. Too much to do in too little time. Should have assigned a specific goal for each table to work on. 7. Tasks often felt too large for the time allotted - felt rushed, and the quality of the work may have suffered. 8. Some small group work felt rushed. Would have liked more time. 9. Not enough time to thoroughly discuss each objective. Small Groups (n=6) 1. Assignment to small groups. 2. Small groups: address gaps in stakeholders, thanks for identifying the priority of looking at all the “zeroes”, but there were still too many to get to. 3. Afternoon small group activity to address gaps. 4. Different groups were given different instructions on the process. Some folks only need high level info, others need details. Some guessed/gave responses based on limited information, others were more strategic/fact-based. Feasibility is key! 5. I think I would have been more productive/engaged in the group that pertained to my work. I was in the wrong group (sort of). 6. Very difficult in the walk-about and small activities to give full effort. Absence of Key Stakeholders (n=4) 1. I missed someone like Bernie talking - his story - to remind us of the importance of what we do. Maybe a few statistics to engage the group. Global learners need to hear "why is this important?" 2. Missing stakeholders, more military and tribal representation. 3. Didn’t see a lot, if any, of mental health consumer input. Particularly suicide attempters who did not die. If invited, why did they not come? 4. Did not hear any voices of individuals who are "survivors" of their own suicide attempts or a significant other. Felt we were all of a similar demographic (educated professionals focused on social work/education/community service, supporting educational programs to prevent suicide). Would have like more voices such as: gun owners, gun store owner, other socioeconomic groups, persons without professional levels of education, persons with learned experience of own suicide attempts/thoughts and/or family/loved ones with suicidal thoughts/attempts. Hosting Logistics (Facility, Space, Food) (n=4) 1. Sitting… sitting… sitting… 2. Location of small groups (4th and 5th grade classroom) was very small. 3. The room is still a bit too cold in some areas. 4. Time consuming (and no cookies at break time ): ). I’d have brought cookies if I’d known there wouldn’t be any again. Positive Comments (n=1) 1. N/A, very well-organized, useful, collaborative.

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan

Appendix A – List of Meeting Attendees

June 24, 2014 Working Group Meeting Attendees Last Name, First Name 1. Alexander- Bratcher, Kimberly 2.

Allen, Kim

3.

Austin, Margaux

4.

Batts, Renee

5.

Benfield, Paul

6.

Bernstein, Larry

7. 8.

Brown, Rebecca Burgess, Erica

9.

Byrd, Genele

10. 11. 12. 13. 14. 15.

Caraca, Sal Carden, Paula Casstevens, Willa Chansen, Kimberly Count, Jen Coyne-Beasley, Tamera 16. Crawford, Vaughn 17. Dennis, Kimya 18. Douglas, Amy 19. Edwards, Brenda 20. Farmer, Sandra 21. Farrington, Debra 22. Floyd, Cynthia 23. Gibson, Matthew 24. Gibson, Windy 25. Goble-Clark, Jane 26. Hamm, Chris 27. Hennighausen, Lynn 28. Hord, Jessica 29. Karim, Nicholle 30. Lunsford, Cindy 31. Mackey, Chris 32. Marowski, Ed 33. 34. 35. 36.

Martin, Glen Mercer, Ashley Monteverdi, Rachel Neely, Gail

37. Nelson-Moss, Tina 38. Noffsinger, Lynda 39. Oelslager, Matthew 40. Orji, Carol 41. Orji, Jamachi

Organization/Entity North Carolina Institute of Medicine North Carolina State University Cooperative Extension/4-H Youth Development 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) NC DPH - Women & Children’s Health Section Methodist Home for Children North Carolina School Health Training Center (NCSHTC) Mental Health Association of Central Carolinas Local Health Directors Association NCSU GLS Grant Coordinators Recovery Innovations, Durham Wellness City NC Coalition Against Domestic Violence

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]

UNC CH School of Medicine

[email protected]

Family Preservation Services, Inc. North Carolina Salem College 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) Department of Public Instruction Youth Advisory Council Representative Parent of Suicide Prevention Youth Advisory Council Representative Center for Prevention Services North Carolina School Psychology Association

[email protected] [email protected]

Davidson LIfeLine

[email protected]

Triangle Family Services National Alliance on Mental Illness North Carolina (NAMI-NC) Recovery Innovations North Carolina Office on Disability and Health NCSU Violence Prevention and Threat Management Program NC Psychological Association Healthy Carolinians Coordinator NC State University Extension County North Carolinians Against Gun Violence NC State University - Violence Prevention and Threat Management Program Counseling Services, High Point University Coastal Care (Onslow, Cataret, Pender, New Hanover, Brunswick) (MCO/LME) Parent of Suicide Prevention Youth Advisory Council Member, Wake County Smart Start Youth Advisory Council Representatives

[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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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan

Appendix A – List of Meeting Attendees

June 24, 2014 Working Group Meeting Attendees Last Name, First Name 42. Robbins, Ray 43. Robertson, Tanner 44. Robinson, Susan 45. Rominger, Nina 46. Rominger, Robert 47. Rothman, Jennifer 48. Savery, Paul 49. Shakur, Shade' 50. Smith, Jennifer 51. Smock, Roger 52. Soto, Maria 53. Stallings, Karen 54. 55. 56. 57. 58.

Stewart, Wendy Swafford, Meredith Taggart, Susan Towe, Teneisha Webster, Debbie

59. Wright, Doug 60. Zahnow, Carolyn

Organization/Entity Central Region EAP Consultant Youth Advisory Council Representative Community Policy Management - DMH/DD/SAS

Email Address [email protected] [email protected] [email protected]

American Foundation for Suicide Prevention National Alliance on Mental Illness (NAMI) – NC Affiliate NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services Unlimited Success Eastern Regional Advisory Committee (E-RAC), Trauma Care, Eastern Carolina Injury Prevention Program ND DOT Rail Safety Consultant Parent of Suicide Prevention Youth Advisory Council Member North Carolina Area Health Education Centers (AHEC) Program Orange County Schools American Foundation for Suicide Prevention CoastalCare Methodist Home for Children Best Practice Team, NC DMHDDSAS Alliance Behavioral Healthcare (Durham, Wake, Johnson, Cumberland) (MCO/LME) The Shore Grief Center

[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]

June 24, 2014 Planning Team Member Attendees Last Name, First Name 1. Dellapenna, Alan 2. Miller, Jane 3. Vaughn, Margaret 4. Anna Dover 5. Ranayda Drayton

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]

Developed by the University of North Carolina | 13

June 24, 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 1. Addams, Susan 2. AlexanderBratcher, Kimberly 3.

Allen, Kim

4. 5. 6.

Austin, Margaux Balance, Landry Bamberg, Bob

7.

Barbee, Jim

8.

Batts, Renee

9. Benfield, Paul 10. Bennis, Victoria 11. Bernstein, Larry 12. Bower, Meredith 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24.

Boyd, Kathy Brandyberry, Lisa Brown, Rebecca Bunch, Shelia Burgess, Erica Byrd, Genele Caraca, Sal Carden, Paula Casstevens, Willa Chansen, Kimberly Count, Jen Coyne-Beasley, Tamera 25. Crawford, Vaughn 26. Dennis, Kimya 27. Dihoff, Deby 28. Douglas, Amy 29. Edwards, Brenda 30. Ennett, Susan 31. Falbo-Woodson, Kathryn 32. Farmer, Sandra 33. Farrington, Debra 34. Flick, Jodi 35. Floyd, Cynthia 36. Frankel, Kristen 37. Gibson, Matthew 38. Gibson, Tony 39. Gibson, Windy 40. Gobble, James 41. Goble-Clark, Jane 42. Greg, Whitney

Organization North Carolina Department of Commerce

Email Address [email protected]

North Carolina Institute of Medicine

[email protected]

North Carolina State University Cooperative Extension/4-H Youth Development Raleigh HopeLine Youth Advisory Council Representative Alleghany Lives North Carolina Center for Excellence in Youth Violence Prevention (NC-ACE) NC Community College System (Education Consultant, Health Sciences Academic Programs) First Health of the Carolinas Save A Life Holly Springs Counseling Center; Triangle Survivors of Suicide (SOS) NC Center for Excellence in Youth Violence Prevention (NCACE)Contact Jim Barbee National Association of Social Workers-North Carolina Chapter Daymark Recovery Services NC DPH - Women & Children’s Health Section School of Social Work East Carolina University Methodist Home for Children North Carolina School Health Training Center (NCSHTC) Mental Health Association of Central Carolinas Local Health Directors Association NCSU GLS Grant Coordinators Recovery Innovations, Durham Wellness City NC Coalition Against Domestic Violence

[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]

UNC CH School of Medicine

[email protected]

Family Preservation Services, Inc. North Carolina Salem College 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 Department of Health Behavior & Injury Prevention Research Center, UNC-Chapel Hill

[email protected] [email protected] [email protected]

Mental Health Association of the Central Carolinas

[email protected]

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 Department of Public Instruction North Carolina Air National Guard Youth Advisory Council Representative Parent of Suicide Prevention Youth Advisory Council Representative Parent of Suicide Prevention Youth Advisory Council Representative Veterans Group Representatives Center for Prevention Services Peace of Mind

[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 | 14

June 24, 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 43. Hamm, Chris 44. Harris, Gibbie 45. Hedgepeth-Smith, Michelle 46. Hennighausen, Lynn 47. Holden, Paul 48. Hord, Jessica 49. Hudgins, Elizabeth 50. Humes, David 51. Johanson, Amanda 52. Jones, Ken 53. Karim, Nicholle 54. Lehman, Sherry 55. Lenhart, Scott 56. Lunsford, Cindy 57. Mackey, Chris 58. MacLachlan, Elizabeth 59. Marowski, Ed 60. Marshall, Steve 61. Martin, Glen 62. McClymont, Enrique 63. Mele, Connie 64. Mercer, Ashley 65. Minard, Chris 66. Monteverdi, Rachel 67. Morrow, Vicki 68. Neely, Gail 69. Nelson, Erica 70. Nelson-Moss, Tina 71. Noffsinger, Lynda 72. Norwood, Tammy 73. Oelslager, Matthew 74. Orji, Carol 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88.

Orji, Jamachi Perry, Martha Phillips, Kay Ray, Stacey Rhyne, Sharon Rich, Chris Ries, Michelle Robbins, Ray Robertson, Tanner Robinson, Susan Rominger, Nina Rominger, Robert Rothman, Jennifer Sammis, Matt

89. Savery, Paul 90. Shakur, Shade'

Organization North Carolina School Psychology Association Local Health Directors Association

Email Address [email protected] [email protected]

Durham Public Schools, Student Services

[email protected]

Davidson LIfeLine

[email protected]

Watauga County Schools, Student Services Triangle Family Services NC Child Fatality Task Force Community Care of Wake and Johnston Counties Holly Hill Hospital Eastpoint (MCO/LME) National Alliance on Mental Illness North Carolina (NAMI-NC) Department of Public Instruction Local Health Directors Association (Stokes County) Recovery Innovations North Carolina Office on Disability and Health

[email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected] [email protected]

NC Public Health Foundation

[email protected]

NCSU Violence Prevention and Threat Management Program Injury Prevention Research Center, University of North Carolina NC Psychological Association

[email protected] [email protected] [email protected]

NC National Guard (NCARNG) Suicide Prevention Program

[email protected]

Mecklenburg County Provided Behavioral Health Services Healthy Carolinians Coordinator Department of Public Instruction NC State University Extension County Pioneer Community Hospital of Stokes North Carolinians Against Gun Violence North Carolina Hospital Association NC State University - Violence Prevention and Threat Management Program Counseling Services, High Point University Division of Public Health, CDI Section Coastal Care (Onslow, Cataret, Pender, New Hanover, Brunswick) (MCO/LME) Parent of Suicide Prevention Youth Advisory Council Member, Wake County Smart Start Youth Advisory Council Representatives Cone Health Center for Children Adolescent Pregnancy Prevention Campaign of NC North Carolinians Against Gun Violence NC DPH, Chronic Disease and Injury Carolinas HealthCare System North Carolina Institute of Medicine Central Region EAP Consultant Youth Advisory Council Representative Community Policy Management - DMH/DD/SAS American Foundation for Suicide Prevention American Foundation for Suicide Prevention National Alliance on Mental Illness (NAMI) – NC Affiliate Individual and Family Advocate (Survivor Representative) NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services Unlimited Success

[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] [email protected] [email protected]

Developed by the University of North Carolina | 15

June 24, 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 91. Silberman, Pam 92. Smith, Jennifer 93. Smock, Roger 94. Soto, Maria 95. Southerland, Harriet 96. Stallings, Karen 97. Stefureac, Kristen 98. Stewart, Wendy 99. Strickland, Stephanie 100. Swafford, Meredith 101. Swann, David 102. Swanner, Jerry 103. Taggart, Susan 104. Tayal, Mary 105. Toedt, Michael 106. Towe, Teneisha 107. Townsend, Christopher 108. Trantham, Doug 109. Wainwright, Leza 110. Warren, Newton 111. Webster, Debbie 112. Weeks, James 113. Welsh, Luckey 114. White, Leanna 115. Williams, Leona 116. Wright, Doug 117. Yelverton, Diane 118. Zahnow, Carolyn

Organization North Carolina Institute of Medicine Eastern Regional Advisory Committee (E-RAC), 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 Duke University Department of Psychiatry Orange County Schools

Email Address [email protected]

NC Hospital Association

[email protected]

American Foundation for Suicide Prevention Partners Behavioral Health Management (MCO/LME) LivingWorks Education CoastalCare Teen Health Connection/ Carolinas Healthcare System Cherokee Indian Hospital Methodist Home for Children 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 NC AHEC Best Practice Team, NC DMHDDSAS Individual and Family Advocate (Survivor Representative) DSOHF Division of State Operated Healthcare Facilities Youth Advisory Council Representative CenterPoint Human Services, LME, MCO Alliance Behavioral Healthcare (Durham, Wake, Johnson, Cumberland) (MCO/LME) Wake Area Health Education Center (AHEC) Program (Veterans Mental Health Project) The Shore Grief Center

[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] [email protected]

B. CONSULTING GROUP MEMBERS First Name 1.

Booth, Chelsea

2. 3.

Bowers, Angel Chung, Richard

4.

Coates, Cecil

5. 6. 7. 8. 9. 10.

Cook, McKenzie Cunha, Gary Davies, Megan DuPreRogers, Ann Eads, Jeffery Edwards, Mary

11. Edwards, Virginia 12. Fiore, Ashley

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 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

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]

Developed by the University of North Carolina | 16

June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix B – List of Working Group and Consulting Group Members

B. CONSULTING GROUP MEMBERS First Name 13. Follette-Black, Suzanne 14. Griggs, Gregory 15. Guerrero, Catherine 16. Hagler, Andy 17. Hall, Jodi 18. Hall, Ranota 19. Hawks, Stacy 20. Hedgecock, Blair 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49.

Henderson, Dawn Huffman, Robin Kimball, Anne Kimbrough, Jen Knight, Liz Krowchuk, Daniel Langbert Eisner, Marni Lasyone, Kimberli Lister, Kelly lovin, denise M.Cooke, Ester Mahan, Amelia Marlow, Scott Marshall, Katherine Matkins, Preeti Mattson, Gerri Matula, Danielle Michaud, Denise Miller, James Morrow, John Murphy, Snow Nagaishi, Rebecca Nichols, Ann Parks, Ellen Perkins, Gregory Petersen, Ruth Ravelli, Parrish Richardson, Gregory Rubenstein, Randi

50. Scholl, Larry 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61.

Segal, Frank Sikes, Ted Siman, Florence Simmons, Jacqueline Skarote, Mary Beth Smith, Mary Thomas, Karen Tucker, Rodney VanDuser, Molly Vitaglione, Tom Whisnant, Leeanne

62. Williams, Kathy

Organization/Entity

Email Address

AARP NC

[email protected]

NC Academy of Family Physicians North Carolina Coalition Against Domestic Violence Mental Health Association in Forsyth County NC State University North Carolina Psychiatric Association 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

[email protected] [email protected] [email protected] [email protected] [email protected] [email protected]

Mecklenburg Child Fatality Prevention and Protection Team

[email protected]

North Carolina Business Group on Health Wake County Public Schools appalachian state university counseling center NC Youth Suicide Prevention Council/Raleigh, NC Community Care of North Carolina Rural Advancement Foundation Chapel Hill-Carrboro City School District Teen health Connection/Levine Children's Hospital NC Division of Public Health NC Division of Public Health - NC Office on Disability and Health Caldwell County Health Department LGBT Center of Raleigh Pitt County Public Health Youth Advisory Council Family services inc NC DPH, CYB, Regional School Nurse Consultant Duke Fayetteville State University Divison of Public Health Youth Empowered Solutions (YES!) NC Commission of Indian Affairs Education for Successful Parenting University of North Carolina at Chapel Hill, Injury Prevention Research Center Stop Soldier Suicide Children's Home Society of North Carolina El Pueblo

[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]

NC Office on Disability & Health (DPH)

[email protected]

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

[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 | 17

June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix B – List of Working Group and Consulting Group Members

B. CONSULTING GROUP MEMBERS First Name 63. Wray, Carleen 64. Zechman, Rick

Organization/Entity National Association of Students Against Violence Everywhere (SAVE) NC Division of Social Services/Child Welfare

Email Address [email protected] [email protected]

C. 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]

Developed by the University of North Carolina | 18

June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan

Appendix C – Meeting Agenda

Time Agenda 9:00 am Networking, Coffee, and Light Breakfast Snacks 9:30 am Meeting Start 9:30 – 9:55 am Welcome, Review of Agenda and Introductions 9:55 – 10:05 am Overview of the 2014 Suicide Prevention Plan Development Process to Date 10:05 – 10:20 am Introduction to Prioritization of Objectives by Importance and Feasibility 10:20 – 10:40 am Break and Transition to Small Group Breakout Rooms Small Group Work to Prioritize Objectives by ‘Importance’ and ‘Feasibility’ Strategic Direction #1 (Goals 1-4): Clara Barton Room (upstairs, building #2) 10:40 – 12:00 am Strategic Direction #2 (Goals 5-7): Founders Hall (lower level, main building) Strategic Direction #3 (Goals 8-10): Waldo Emerson Room (downstairs, building #2) Strategic Direction #4 (Goals 11-13): Music Room (upper level, main building) 12:00 – 12:45 pm Lunch (provided) 12:45 – 12:55 pm Introduction to ‘Walkabout’ Activity 12:55 – 1:25 pm Walkabout Activity: Review Prioritization Results for each Strategic Direction 1:25 – 1:45 pm Discuss Observations from Walkabout Activity 1:45 – 2:30 pm

Small Group Activity to Address Gaps in Stakeholder Group Suicide Prevention Examples for Prioritized Objectives

2:30 – 2:45 pm Break 2:45 – 3:30 pm

Small Group Activity to identify Communication, Dissemination and Endorsements Opportunities for the Completed 2014 NC Suicide Prevention Plan

3:30 – 3:40 pm Overview of Next Steps 3:40 – 3:55 pm Large Group Activity to Collect Feedback about Continued Engagement 3:55 – 4:00 pm Wrap Up and Completion of Meeting Feedback Forms 4:00pm Meeting End

Developed by the University of North Carolina | 19

June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Communication and Dissemination Responses Introduction: During the June 24 Working Group 2014 NC Suicide Prevention Meeting participants were organized into tables by similar stakeholder group. Each table was asked to brainstorm opportunities for communication and dissemination of the 2014 NC Suicide Prevention Plan. To guide this discussion, each table was provided with a worksheet including three questions: 1) What type of announcements or other events could be used to announce the plan’s completion?; 2) Who should be notified directly about this plan’s existence?; and 3) What are the ways we could notify them (e.g. what are our dissemination options)? This document lists the responses collected during this activity. Questions 1 and 3 have been combined to minimize overlap and redundancy. Similar responses have been grouped into common themes. Responses are presented in descending order. Table D-1 lists the Communication and dissemination methods identified (n=173). TableD-2 lists the suggested populations to target for Communication and Dissemination efforts (n=159).

Table D-1. Open Ended Responses to Communication and Dissemination Methods (Questions 1 & 3). Question 1: What type of announcements or other events could be used to announce the plan’s completion? Question 3: What are the ways we could notify them (e.g. what are our dissemination options)? 1. Media (n=43) a. Broadcast Media (n=20) i. Television (n=3) ii. UNC public TV iii. Local news iv. PSA (n=4) v. Broadcast media vi. NRA do a PSA about gun locks vii. Media (commercial w/ survivor/family member) viii. Media campaigns: PSA ix. PSAs on NPR x. PSAs on NCA&TSU radio station xi. PSAs on Channel 14 xii. NPR xiii. WUNC (public radio) xiv. Radio b. Print Media (n=16) i. Press release (n=2) ii. Media campaigns: press release iii. Press release – media outlets iv. Press kit: to include templates and social media examples (including snail mail kits – not everyone checks email) v. School flyers vi. Use your non-profit organizations’ newsletters, etc vii. Organizational newsletters viii. Newsletter (n=2) ix. MCO weekly bulletin (announce event) x. News blurbs to media – newspapers, local resources xi. NC DHHS – local newspapers xii. Newspapers xiii. Media campaigns: news story xiv. Letters to editor c. Online Content (n=2) i. PSAs on YouTube

Developed by the University of North Carolina | 20

June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Communication and Dissemination Responses Table D-1. Open Ended Responses to Communication and Dissemination Methods (Questions 1 & 3). Question 1: What type of announcements or other events could be used to announce the plan’s completion? Question 3: What are the ways we could notify them (e.g. what are our dissemination options)? ii. PSAs on Its OK 2 Ask d. Other (n=5) i. Media ii. Media campaign iii. Press conference iv. Human interest stories, age specific (teenagers, elderly, military) v. Great human interest piece 2. Use Social Media Accounts to Promote Plan (n=18) a. Social media (n=8) b. Facebook (n=2) c. Facebook page NC-AFSP d. NC DHHS – FB e. Twitter (n=3) f. NC DHHS – tweet g. Agency social media pages h. Use your non-profit organizations’ social media 3. Use Professional Boards, Associations, Societies and Other Groups to Promote Plan (n=14) a. Contact suicidology.org (AAS) for dissemination b. Use AFSP NC list to contact partners and stakeholders c. NCNEA [NC branch of National Education Association?] d. Superintendents association e. State Employees Association of North Carolina f. NC Sociological Association g. Local chapters of national organizations h. NASW i. Contact specialty societies j. Contact professional boards k. Contact professional associations l. Contact medical societies m. Professional associations n. Licensing boards 4. Suicide-related Observances and Events (n=12) a. Suicide Awareness Week b. National Suicide Prevention Month in Sept 2014 c. Event – September Suicide Awareness Month (signing day) d. Partnering with other events like National Suicide Awareness Month e. Recovery Month (September) f. NC state Fair/Mental Health Awareness Week in Oct. g. ISOS – International Survival of Suicide [may refer to Loss Day – 11/22/14] h. Suicide prevention walks i. Need flyer and poster – Out of the Darkness Walk j. Out of the Darkness Walks k. Suicide Prevention Walks 5. Use Websites to Promote Plan (n=11) a. Agency websites b. Use LME/MCO websites c. Use your non-profit organizations’ websites

Developed by the University of North Carolina | 21

June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Communication and Dissemination Responses Table D-1. Open Ended Responses to Communication and Dissemination Methods (Questions 1 & 3). Question 1: What type of announcements or other events could be used to announce the plan’s completion? Question 3: What are the ways we could notify them (e.g. what are our dissemination options)? d. Organizational websites e. Post on agency websites f. Websites g. NC DHHS – website h. Internet i. Online j. Community colleges – link to websites k. Use college and university websites – health and wellness departments and counseling 6. Use Spokesperson/people to Promote Plan (n=9) a. Spokesperson b. Community ambassadors to present and get buy in c. Make a media contact a spokesperson so they have a reason to cover d. Identify “champions” to carry prevention messages to various sectors: family or survivor = champion; legislator = champion; veteran org = champion; movie star = champion e. Joe Pantilion f. Dorothy Hamill g. Coach K h. Hemmingways i. Zach Galifinakis 7. Use Public Schools to Promote Plan (n=9) a. Schools (admin) b. School system c. Student health d. Teacher workdays e. Principals (n=2) f. Guidance counselors g. School health nurses h. Teacher workdays 8. Through Distribution or Posting of Information from the Plan (n=9) a. PDF version available online for download b. Fact sheet/summary available for partners/stakeholders c. Fact sheets d. Brochure e. Need materials! f. Marketing materials for public places or public transportation g. Billboards (n=2) h. Hand to hand (?) 9. Use Mailings to Promote Plan (n=7) a. Mass mailing b. Postal mailings c. Mail d. Snail mail e. Physical mail f. Send white paper g. Postcards 10. Use Government to Promote Plan (n=6)

Developed by the University of North Carolina | 22

June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Communication and Dissemination Responses Table D-1. Open Ended Responses to Communication and Dissemination Methods (Questions 1 & 3). Question 1: What type of announcements or other events could be used to announce the plan’s completion? Question 3: What are the ways we could notify them (e.g. what are our dissemination options)? a. Governor’s office b. County government c. Congressional offices d. NC state government e. Notify sponsors of House Joint Resolution 1262 f. Legislative 11. Use Listservs to Promote Plan (n=4) a. It could go out on the superintendents’ listservs/email group b. Professional association listservs c. Listservs d. Use your non-profit organizations' distributions 12. Use Other Events, Activities to Promote Plan (n=3) a. Targeted training, train-the-trainers b. Health fairs c. Freshman orientation 13. Use Law Enforcement, First Responders to Promote Plan (n=2) a. Law enforcement b. EMS 14. Other Means of Promoting Plan (n=25) a. Text messages b. Phone calls c. Email (n=2) d. Email blast (n=2) e. Meter readers f. Collaboratives g. Community collaboration h. Community forums i. Use local stories/statistics to emphasize relevance j. Tie to integrated care model – NC Medicaid Reform k. Leader in variety of demographics l. Community Care of NC m. MCO announcement n. Use of Frameworks Institute Org. to develop positive, catchy message for public consumption o. NC Health Directors p. Health departments q. NC Institute of Medicine r. NC Mental Health Commission s. NC Medical Journal t. Boy Scout and Girl Scout troops u. Branding v. Logo w. Ask all stakeholders at meeting, all will have some sort of events

Developed by the University of North Carolina | 23

June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Communication and Dissemination Responses Table D-2. Open Ended Responses to Suggested Targeted Populations for Dissemination (Question 2). Question 2: Who should be notified directly about this plan’s existence? Bold indicates marked as ‘important’ 1. State, City, and County Government Officials (n=17) a. City council b. Statewide – mayors c. All state agency top administrators d. County commissioners (n=2) e. Governor (n=2) f. Governor and office g. State/local government officials h. State government – legislature, governor, secretary i. State Congress, local legislators j. Legislators k. Legislature should receive a copy along with governor’s office l. NC Legislature m. General Assembly n. Magistrates o. Tribal government 2. Professional Organizations and Associations (n=13) a. Professional associations (n=2) b. Heads of professional organizations c. NASW (n=2) d. Licensed Professional Counselors Association of NC (n=2) e. American College Counseling Association f. NC Association of Social Workers g. NC Psych Association h. NC Association of Substance Abuse (NC Substance Abuse Prevention Providers Association?) i. Hospital associations (n=2) 3. Mental Health Promotion and Suicide Prevention Organizations (n=13) a. NAMI (n=3) b. Statewide NAMI c. NC AFSP d. AFSP e. Statewide AFSP f. Statewide AAS g. APA h. Nat’l mental health orgs i. Statewide MHA j. Mental Health Association k. Ensure SPRC and MHCs are contacted 4. Medical Providers and Affiliated Groups (n=12) a. Medical professionals b. Medical providers c. Family practice doctor d. Dentists e. Statewide provider orgs f. Primary care org. g. Provider Council h. Visiting nurse programs

Developed by the University of North Carolina | 24

June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Communication and Dissemination Responses Table D-2. Open Ended Responses to Suggested Targeted Populations for Dissemination (Question 2). Question 2: Who should be notified directly about this plan’s existence? Bold indicates marked as ‘important’ i. AMA [American Medical Association] j. CCNC k. IOM l. Insurance companies (BCBSNC, etc) 5. Nonprofit and Community Based Organizations (n=11) a. Red Cross b. Civic groups c. Youth serving orgs d. United Way e. Latino-led organizations f. NAACP g. Disability orgs. h. FAN [Farmworker Advocacy Network?] i. NCFU [NC Families United?] j. Community coalitions/partnerships k. Inter-neighborhood councils 6. Mental health and substance abuse providers and systems of care (n=10) a. MCOs (n=4) b. MCO directors c. MCO/LMEs and contracted NC MH and SA providers d. LME e. MH/SA/DD providers f. Mental health agencies g. Group home providers 7. Primary/Secondary School Staff and Affiliated Groups (n=8) a. School administrators b. School administration c. Schools d. Teachers e. Students health f. School leaders g. School Health Advisory Groups h. School systems 8. Military Groups: Active Duty and Veterans (n=8) a. V.A.s b. Veterans Associations c. V.A. hospitals and clinics d. American Legion e. Veterans of Foreign Wars (VFW) f. Military g. Military leaders h. Local military groups 9. Professional Licensing, Certification, and Credentialing Bodies (n=7) a. Licensing boards b. Board of social work [NC Social Work Certification and Licensure Board?] c. NC Board of Psychologists

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Communication and Dissemination Responses Table D-2. Open Ended Responses to Suggested Targeted Populations for Dissemination (Question 2). Question 2: Who should be notified directly about this plan’s existence? Bold indicates marked as ‘important’ d. Substance abuse board [NC Substance Abuse Professional Practice Board?] e. Medical licensing personnel/boards f. Medical boards g. AHECs 10. Employers, Employee Groups, and Employee Assistance Programs (n=7) a. EAPs (n=3) b. Large employers c. SAS, et al. d. Unions e. NC Association for Business and Industry 11. College and University Communities (n=6) a. Community colleges b. University & community colleges health professions training programs c. Universities d. Universities across the state (students, parents, researchers) e. Historically black fraternities and sororities f. Nursing programs 12. Faith-based Organizations and Communities (n=6) a. Churches b. Faith-based orgs. c. Faith based community leaders d. Churches/faith-based organizations e. Faith-based organization f. Head faith-based associations 13. Law Enforcement, First Responders (n=5) a. EMS (n=2) b. First responders c. Police officers d. Firemen 14. Aging Communities (n=4) a. AARP b. Aging population c. Assisted living communities d. Groups for elderly 15. State Government Agencies (n=4) a. DHHS b. DPI (n=2) c. DPS 16. Specific Populations (n=4) a. NA/American Indian populations b. Refugee groups c. LGBTQ-2S d. Contact diverse partners

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June 24, 2014 Working Group Meeting Summary 2014 NC Suicide Prevention Plan Appendix D – Communication and Dissemination Responses Table D-2. Open Ended Responses to Suggested Targeted Populations for Dissemination (Question 2). Question 2: Who should be notified directly about this plan’s existence? Bold indicates marked as ‘important’ 17. Working and Consulting Group Members and Other Stakeholders (n=3) a. Ensure all partners receive copy of the report b. Work group members c. Stakeholders 18. Public Health Agencies and Professionals (n=3) a. NC Health Directors b. Local health departments c. Public Health 19. Primary/Secondary School-affiliated Community Groups (n=3) a. PTAs (n=2) b. Home school Associations 20. Media (n=2) a. Media b. Newspapers 21. Locations that Sell or Loan Guns (n=2) a. Wal-Mart b. Shooting ranges 22. Treatment and Support Groups (n=2) a. Peer support groups b. Statewide SOS 23. Federal Government (n=2) a. SAMHSA b. Contact SAMHSA project officer and committee charged with implementation 24. Other (n=7) a. ABC Board (Alcoholic Beverage Control) b. Jails/prisons c. President d. Local Child Fatality Prevention Teams e. Bartending schools f. Hairdressers g. All

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