2018 Public Safety Summit January 29, 2018 Twin Arrows Casino - PowerPoint PPT Presentation

2018 Public Safety Summit • January 29, 2018 • Twin Arrows Casino Resort

Navajo Nation Mortality Report 2006- 2009

Suicide Key Finding (per 100,000) • Suicide contributes to 3 percent of total deaths for Navajo • Suicide is the 7th leading cause of death for Navajo (both genders) • Suicide is the 2nd leading cause of death for age group 10-19 • Suicide is the 3rd leading cause of death for age group 20-29 • Suicide is the 3rd leading cause of death for age group 30-39 • Suicide is the 5th leading cause of death for age group 40-49 Navajo Morality Report, 2006-2009

BCOH: The First Steps • We have to instill HOPE - Siihasin • Administration Pillars • Support from Tribal Leadership • Increase Collaborative Efforts • Interdisciplinary Teams • Address FEAR. Start the conversation • Suicide Prevention and Awareness • Promote Resiliency • “One Life Loss is One Too Many”

NN Executive Order No. 03-2015 • Catalyst to Develop Suicide Prevention Strategies, Response, and Postvention Programs and Efforts • Identified Suicide Prevention Weeks • Second Week of June • Third Week of December • Provide Suicide Prevention Education • Suicide Prevention is High Priority

NN Proclamation: Suicide Prevention • Declared NN Suicide Prevention Week • Third week of December • Priority to Promote Suicide Prevention and Education • Encourage Collaboration amongst NN entities “One life loss by death of suicide is one life too many” - Vice President Jonathan Nez

BCOH Synopsis • Mission • “Awaken life and welcome a new dawn by empowering individuals, families and communities to make positive choices to restore hope, self- sufficiency and determination through comprehensive suicide prevention strategies” • Values • Life, Family, Happiness, and Health • Vision • “One Voice, One Nation – Protect Life”

BCOH Goals • To teach and discuss the signs/symptoms of suicide emphasizing the need to be resilient and teachable to 1000 youth and families across the Navajo Nation. MET • To establish a working team; comprehensive of health, youth, data, education, public safety, and business professionals. MET • Plan, provide and move the initiative to address the prevention, intervention, and postvention tasks related suicide within a sixty (60) day period and continue year around. MET • To define and establish four (4) local crisis response/postvention teams within the first year; to provide immediate community support and suppress suicide contagion. MET • To identify funding sources and develop two (2) grant proposals within the first year to attend to postvention, a Navajo Nation crisis hotline, data surveillance tools, community policing or ongoing prevention activities. MET - Epidemiology/DBHS

BCOH Events • Dec. 14, 2015 – Present • 2015 – 13 Events • 2016 – 35 Events • 2017 – 21 Events • 2018 – 2 Events • Overall 71 Locations • 34 Middle/High Schools Locations • 3 Combined Middle and High Schools Events • 3 University Locations • 20 Community/Event Locations • 9 Locations NN Employees Attended • 4 Being Resilient and Coping with Stress Events

BCOH Presentation • Speakers • NN OPVP/Legislative Branches • NN DBHS Clinical Personnel • Motivational Speakers • Clinical Personnel Monitoring during Presentation • Traditional Practitioner and Faith Based Counselor Onsite • DBHS and Additional Resources Prevention Booths • BCOH Evaluation

BCOH DBHS Clinical • “How Can I Help or Be Helped” Presentation • Empower Native Youth, Families, and Communities • Signs & Symptoms of Suicidal Behaviors • Verbal, Behavioral, Situational Clues • Promote Protective Factors • Cultural Teachings/Stories, Language, Prayers, Songs, Landmarks, Animals/Pets, Ceremonies/Spiritual events , Family, and Kinship • Clinical Support Available at BCOH events for debriefing

BCOH Motivational Speaking • We have to instill HOPE – Siihasin • Personal Experience • Grief/Loss • Coping Skills • Healing • Promote Protective Factors • Music, Sports, Education, and Humor, Resources, and Kinship • Encouragement • Reaching out for Help

BCOH Prevention & Planning • We have to instill HOPE – Siihasin • Resource Information Dissemination • Promote Resilience • Mental. Emotional, Physical, and Spiritual Wellness • Promote Protective Factors • Promote Kinship • Prior Arrangements with Schools and Communities • Logistics of Events • Preparation of the BCOH Team

BCOH: Being Resilient and Coping with Stress • Follow Up Session to BCOH • Overview of BCOH • Public Safety Message • Cultural Resiliency • Stress Management • Coping with Stress • Resource Information Dissemination

BCOH: Making A Difference • “Coming from a suicidal point of view this presentation was so helpful to me. I learned that I am not alone and that I shouldn’t resolve my temporary problems with a permanent solution. We should have more assemblies like this. ” - March 2016 • “Thank you for your experiences/strength/hope. Was very powerful message. Alcohol & drugs is a real serious problem on the Navajo Nation. ” - March 2017

BCOH: Making A Difference • “Thank you for your experiences/strength/hope. Was very powerful message. Alcohol & drugs is a real serious problem on the Navajo Nation.” - March 2017 • “The presentation is making me feel better so I can do better to the future.” - July 2017 • “This is a very good program. I appreciate all the work everyone does to protect our people.” - August 2017

BCOH Evaluation • After each BCOH, evaluations are completed • 3,915 Evaluation Analyzed Throughout 2015-2017. • Evaluation collects: • Demographics • Utilizes Likert Scale on Perception on Event • Comments and Recommendations • Standardized Evaluation Form • Compare • Develop Trends • Enhance Services

BCOH Demographics: Gender 47% of the participants were male, 52% were female, and a less than 2% reported LGBTQ.

BCOH Demographic: Age Group In the BCOH events, 83% of the participants were youth ages 0-17, followed by those aged 18-29. Adult participation was at 17%.

BCOH Question: Presentation is Useful to Me The following chart reports the information presented was useful to the participants. Approximately 4% did not consider the presentation useful at all.

BCOH Question: Help/Support Out There Most participants believe there is help/support out there. About 2% did not believe there is help/support is out there. Recommendations include media coverage in schools, school events and outreach, events for youth in the communities.

BCOH Question: Over Satisfaction Approximately 80% of the participants were satisfied with the BCOH event.

BCOH Lessons Learned • Cultural Sensitivity • Crisis Response Teams Development • Limited Resources • Collaboration Barriers • Distance between Communities • Stigma of Mental Health • Need more collaboration

Future Projects & Next Steps • Data, Data, Data • Diné Action Plan (DAP) • Cyber Bullying Law • Enhance Crisis Response Team Efforts • Continue Building Collaborative Efforts • Crisis Response Hotline

BCOH Partnerships • Community Members • NN Office of the President and Vice President • Navajo Nation Council • NN Dept. of Behavioral Health Services • Office of Diné Youth • NN Special Diabetes Project • Dept. of Public Safety • Navajo Police Department • NN Judicial Branch • NN Division of Social Services • Indian Health Services (IHS) • 638 Programs • MSPI Programs • Native American for Community Action, Inc. • Navajo Epidemiology Center • Consultants • NN Youth Advisory Council

One Voice, One Nation – Protect Life