TENNESSEE GOAL: REDUCE SUICIDE ATTEMPTS AND DEATHS IN TENNESSEE - - PowerPoint PPT Presentation

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Jan 10, 2024 302 likes •433 views

TECHNOLOGY ASSISTED RECOVERY, GROWTH, EMPOWERMENT, AND TREATMENT (TARGET) ZERO SUICIDE & TENNESSEE LIVES COUNT-CONNECT (TLC-CONNECT) M O R E N I K E M U R P H Y , P R O J E C T D I R E C T O R J E N N I F E R A R M S T R O N G , C L I

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M O R E N I K E M U R P H Y , P R O J E C T D I R E C T O R J E N N I F E R A R M S T R O N G , C L I N I C A L C O O R D I N A T O R S C O T T R I D G W A Y , T R A I N I N G C O O R D I N A T O R B R E A N N A B A N K S , L E A D E V A L U A T O R ( C O N N E C T ) A M Y C A M P B E L L , L E A D E V A L U A T O R - ( T A R G E T ) J E N N I F E R L O C K M A N , E V A L U A T I O N C O N S U L T A N T

TENNESSEE

TECHNOLOGY ASSISTED RECOVERY, GROWTH, EMPOWERMENT, AND TREATMENT (TARGET) ZERO SUICIDE & TENNESSEE LIVES COUNT-CONNECT (TLC-CONNECT)

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GOAL: REDUCE SUICIDE ATTEMPTS AND DEATHS IN TENNESSEE

 Enhanced Follow-Up Services (EFS) Program-Statewide

Centerstone of Tennessee

 Suicide Prevention Training Program-Statewide

Tennessee Suicide Prevention Network

 Evaluation

Centerstone Research Institute

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ENHANCED FOLLOW-UP SERVICES (EFS) PROGRAM

All clients All clients will receive intensive follow-up services for up to 30 days. This includes (at minimum):

 Contact within 24 hours of receipt of referral  Weekly contact with Follow-Up Specialist

Each contact Each contact will include the following:

 Risk assessment will be completed  Crisis Management Plan review/development  Means restriction education  Referral/Linkage to additional needed services

TARGET clients TARGET clients (ages 25-64) will receive additional contact with Follow-Up Specialist for up to one year in the form of a phone check-in at months 3/6/9/12.

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Referral Partners

TLC-CONNECT

TARGET Inpatient Psychiatric Facilities Emergency Departments Primary Care Providers Mobile Crisis Teams Behavioral Health Providers 6 4 4 5 4 6 4 4 5 4 Memorandum of Understanding 23

14 finalized 9 pending

Clients enrolled in the program 138 260 Clients successfully discharged from the program 48 81 Clients discharged prior to the end of the 30 day service component 53 80 Clients linked to behavioral health services 138 260 Crisis Management Plans Developed 138 260

ENHANCED FOLLOW-UP SERVICES (EFS) PROGRAM

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TENNESSEE TARGET EFS SERVICES

R ate pe r 100,000, 2014

Suic ide Atte mpt Ho spitalizatio ns by T SPN Re gio n

R ate pe r 100,000, 2014

Suic ide s by T SPN Re gio n

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R ate pe r 100,000, 2014

Suic ide Atte mpt Ho spitalizatio ns by T SPN Re gio n

R ate pe r 100,000, 2014

Suic ide s by T SPN Re gio n

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Evidence-Based Suicide Prevention & Intervention Training Models

TLC-CONNECT TARGET A&D (Alcohol and Drug) 465 1,871 AMSR (Assessing & Managing Suicide Risk) 92 161 ASIST (Applied Suicide Intervention Skills Training) 135 205 Postvention Training 563 128 QPR (Question, Persuade, Refer) 3,496 4,067 s2H (suicide2Hope) 6 7 Suicide Prevention Among LGBT Youth: A Workshop for Professionals Who Serve Youth 535 N/A Emergency department online training N/A 53 THESPN (Tennessee Higher Education Suicide Prevention Network) 3,120 N/A TOTAL 11,718

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TARGET / ZERO SUICIDE TARGET / ZERO SUICIDE

 Governor-appointed Advisory Council

(governing body of TSPN)  TSPN, in partnership with TDMHSAS, co-chair ZSITF

 22 appointed members of statewide suicide prevention task force

 Statewide Zero Suicide Coordinator  Zero Suicide Initiative participating agencies

 12 community mental health centers  6 hospitals (including one VA center)  4 behavioral health organizations (including one RMHI, Youth Villages, and CCS)  2 community organizations (FCS and TVC)  1 substance abuse treatment facility

 Learning collaborative of implementation teams holds monthly conference calls

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TENNESSEE SUICIDE TENNESSEE SUICIDE PREVENTION TRAINING PREVENTION TRAINING

Word-cloud analysis of comments from QPR evaluations. Larger words = most frequently mentioned.

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EVALUATION PLAN

Enhanced Follow-up Program:

Enhanced Follow-up Program: Evaluation of Comparative Evaluation of Comparative Clinical Outcomes Clinical Outcomes

Participants randomized to treatment condition
Telephone
Telephone + Caring Texts
Telephone + Caring Texts + Face-to-Face Contacts
Data collected at Intake, Discharge, and EHR Record Review
Assessing participant outcomes such as the following: Perceived Burdensomeness, Thwarted

Belongingness, Internalized Self-Stigma, Recovery Orientation, Depression symptoms (PHQ-9), Suicidal Ideation

Clinical

Clinical Trainings Evaluation (ASIST Trainings Evaluation (ASIST, AMSR, Suicide to , AMSR, Suicide to Hope) Hope)

Collecting pre-survey, post-survey, 3 month follow-up survey data
Assessing proximal and distal outcomes such as the following: Perceived knowledge of suicide,

attitudes about suicide preventability, suicide intervention skills, zero suicide culture and policies, and behavioral intentions to prevent suicide.

Zero Suicide Coalition Evaluation

Zero Suicide Coalition Evaluation

Examination of Tennessee Epidem

Examination of Tennessee Epidemiology Data iology Data to to Measure State- Measure State- wide Program Impact wide Program Impact

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