Santa Clara County Behavioral Health Board Discussion Mary/Victor - PowerPoint PPT Presentation

Santa Clara County Behavioral Health Board Discussion Mary/Victor Ojakian BHB Sept 12 2016

Data on California Youth Suicides  Suicide Prevention Policy  Santa Clara County Suicide Prevention Actions  Youth Suicide Clusters  LGBTQ Youth and Suicide Prevention  Current Events  Youth Involvement  Current California Legislation  Suicide Prevention Toolkit for Schools  Questions and Answers  Mary/Victor Ojakian BHB Sept 12 2016

Excellence is the result of caring more than others think is wise, risking more than others think is safe, dreaming more than others think is practical, and expecting more than others think is possible. - Anonymous Mary/Victor Ojakian BHB Sept 12 2016

California children/youth (0-19 years old) suicides data (1991 – 2013): ◦ Total suicide deaths: 3,962 ◦ Average annual number of suicide deaths: 172 ◦ Youth percentage of total suicides(all ages): 5% Source: California Epicenter database Mary/Victor Ojakian BHB Sept 12 2016

California children/youth (0-19 years old) suicide attempt data: ◦ Hospitalizations (1991 – 2014):  Total non-fatal injuries: almost 71,000  Average annual number of suicide attempts: About 3,000 ◦ Emergency room visits (2006 – 2014):  Total non-fatal injuries: almost 78,000  Average annual suicide attempts: about 8,600  Trending upward recently with a high of 11,779 attempts (2014) ◦ Youth percentage of total suicide attempts(all ages): 25% Source: California Epicenter database Mary/Victor Ojakian BHB Sept 12 2016

Californi rnia Childre ren/Y /You outh th (0 (0-19) 19) 1991 to 2012 2012 1991 to 2012 2012 2006 2006 - 2012 2012 County Suicide de Deaths Hospi pita talizat zations ER Visits ts Los Angeles 891 17,269 11,445 San Diego County 314 5,512 4,489 San Bernardino County 253 3,956 3,785 Orange County 248 6,104 3,767 Riverside County 189 4,643 3,666 Sacramento County 179 2,000 2,573 Mary/Victor Ojakian BHB Sept 12 2016

Questions:  ◦ Are there prescribed student suicide policies and procedures pre-written and available for school district adoptions? ◦ Have Santa Clara County public schools adopted student suicide prevention policies and procedures (administrative regulations)? ◦ What should a student suicide prevention include? ◦ Why would a school district adopt a student suicide prevention policy and procedures (administrative regulations)? Mary/Victor Ojakian BHB Sept 12 2016

The California School Board Association has templates for:  Standard suicide prevention policy (BP 5141.52) ◦ Administrative regulation (AR 5141.52) ◦ The California Office of Education is working on a new, detailed, student  suicide prevention policy Santa Clara County:  Thirty-two (32) school districts and the Santa Clara County Office of ◦ Education (SCC OoE) Twenty-eight (28) districts and OoE have student suicide prevention policies ◦ Twenty-six (26) districts have administrative regulations ◦ Mary/Victor Ojakian BHB Sept 12 2016

Yes, most Santa Clara County school districts have a suicide prevention policy  per this schedule: ◦ Five school districts: SP policy & ARs prior to 2010 ◦ Four school districts: SP policy & ARs in 2010 ◦ Five school districts: SP policy & ARs in 2012 ◦ Ten school districts: SP policy & ARs since June 2013 ◦ Four school districts: SP policy & ARs since 2013 ◦ Three school districts: no indication of any action ◦ One district: unique, so no request was made Santa Clara County Office of Education: SP policy & ARs  Mary/Victor Ojakian BHB Sept 12 2016

Alum Rock Union School District Fremont Union High School District Milpitas Unified School District Orchard School District Berryessa Union School District Gilroy Unified School District Moreland School District Palo Alto Unified School District Lakeside Joint School District Campbell Union High School District Morgan Hill Unified School District San Jose Unified School District Campbell Union School District Loma Prieta Joint Union School District Mount Pleasant School District Saratoga Union School District Los Altos School District East Side Union High School District Los Gatos Union School District Mountain View Whisman School District Sunnyvale School District Evergreen School District Los Gatos-Saratoga Joint Union H.S. District Mountain View Los Altos High School Union Elementary School District District Franklin-McKinley School District Luther Burbank School District Oak Grove School District Santa Clara County Office of Education Mary/Victor Ojakian BHB Sept 12 2016

ALPINE COUNTY UNIFIED SCHOOL DISTRICT Fairfield -Suisun Unified School District Salinas Union High School District Beaumont Unified School District FORTUNA UNION HIGH SCHOOL DISTRICT SANTA MONICA-MALIBU UNIFIED SCHOOL DISTRICT Claremont USD Gonzales Unified School District SANTA YNEZ VALLEY UNION HIGH SCHOOL DISTRICT Chula Vista Elementary School District Lompoc Unified School District SCOTT VALLEY UNIFIED SCHOOL DISTRICT Davis Joint USD Murrieta Valley Unified School District Woodland Joint Unified School District EL RANCHO UNIFIED SCHOOL DISTRICT Pleasanton Unified School District Mary/Victor Ojakian BHB Sept 12 2016

Check the Board Policy section of your school district website  Access Gamut (an online tool that tracks school district’s policies)  Go to the 5000 Student section  Check for BP 5141.52 and AR 5141.52  Check the approval date and resources to ensure they are current and  maintained Mary/Victor Ojakian BHB Sept 12 2016

 Here are some criteria: Communication approaches and plan  Education and training program to improve awareness  Data/surveillance collection and analysis  Interventions and Screening programs  A peer support organization  Crisis planning including follow-up response (i.e. crisis response team)  Parental involvement  Reference existing state, county, and other school district suicide  prevention plans Timeline to implement strategies  Funding suggestion(s)  Distribution plan  An annual update of accomplishments and next steps  Mary/Victor Ojakian BHB Sept 12 2016

A policy authorize and legitimizes suicide prevention actions  Here are some justifications:  A critical time for mental heath conditions: the teenage years ◦ Suicide: the second leading cause of death for 10 – 19 year olds ◦ A call to have school suicide prevention strategies: Superintendent Tom ◦ Torlakson’s January 2013 letter A call for a student suicide prevention policy: Superintendent Tom Torlakson’s ◦ July 2014 letter http://www.cde.ca.gov/nr/el/le/yr14ltr0721.asp Parental concerns are about children mental-emotional health: Lucile Packard ◦ Children's Health Council Bay Area parents survey(2006) School children do exhibit mental health conditions: Santa Clara County study - ◦ - Every Child Has a Story: The Need For Mental Health Prevention and Early Intervention Services (2008) School psychologists have concerns: National Association of School Psychologist ◦ (NASP) Presidents’ Call To Action letter (2009) Mary/Victor Ojakian BHB Sept 12 2016

“ Even if legal liability is uncertain, however, no agent of a school board should ignore a student’s cries for help; and no school board should ignore the possibility that a well-defined suicide prevention policy, combined with staff training and accessible higher officials, could further reduce the chances that this sort of suit will ever be considered.” (Student Suicides and School System Liability by Cindy Singer Cafaro , page 28) http://sogpubs.unc.edu/electronicversions/slb/slbsprsum00/article2.pdf Mary/Victor Ojakian BHB Sept 12 2016

In Santa Clara County these actions occur/occurred:  ◦ A Santa Clara County Suicide Prevention Oversight Committee (SPOC):  Responsible for Suicide Prevention Strategic Plan (2010) https://www.sccgov.org/sites/mhd/Providers/SuicidePrevention/Docum ents/Suicide-Prevention-Strategic-Plan-Final-Draft-for-BOS-_5_.pdf  Strategy Four: Implement Policy and Governance Advocacy to Promote Systems Change in Suicide Awareness and Prevention  Section IV: Local Needs Across the Age Span:  For children (0 - 15) and young adults (16 – 25) the following was done:  Identified Needs and Concerns  Recommended Priority Populations  Recommended Suicide Prevention Strategies  See Appendix I for details Produces an annual data analysis report of all county suicides  Mary/Victor Ojakian BHB Sept 12 2016