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Suicide Prevention at NACA, Inc. Native Americans for Community - PDF document

Tallerita Tunney Rogers, LMSW MPA Suicide Prevention at NACA, Inc. Native Americans for Community Action, Inc. (NACA) http://www.nacainc.org Presenter About the Director of Community Development, Reach UR Life Program Manager Native


  1. Tallerita Tunney Rogers, LMSW MPA Suicide Prevention at NACA, Inc. Native Americans for Community Action, Inc. (NACA) http://www.nacainc.org Presenter About the Director of Community Development, Reach UR Life Program Manager Native Americans for Community Action, Inc. Trogers@nacainc.org 10/5/2020 1 Native Americans for Community Action, Inc. (NACA) MISSION STATEMENT • The mission of Native Americans for Community Action, Inc. is to provide preventive wellness strategies, empower, and advocate for Native people and others in need to create a healthy community based on Harmony, Respect, and Indigenous Values. NACA Inc. Vision • NACA’s vision is that all people in the greater Flagstaff area will model wellness, respect, and self-sufficiency, go without need, and contribute to a thriving community where indigenous values and cultural traditions are celebrated. 2 3 1

  2. 10/5/2020 Learning Objectives • Participants will learn how NACA, Inc. is addressing Suicide Prevention. • Participants will learn the elements of whole system Suicide Prevention. • Participants will learn how the National Suicide Prevention Strategy and CDC Strategy on Suicide Prevention are whole-system interventions. 4 NACA, Inc. Suicide Prevention • Reach UR Life • Native Connections • Behavioral Health Department • Zero Suicide Framework (Zero Suicide Institute) – Focus on 7 elements – Policies and Procedures – PHQ-9 screening at Family Health Clinic 5 Suicide Prevention History at NACA  Technical assistance - Zero Suicide Framework  Suicide Prevention Trainings  TA - Collaboration with NACA’s Native Connections program  Data collection activities  Workforce development  For clinicians – clinical trainings  For educators/youth-serving professionals – self care, etc. 6 2

  3. 10/5/2020 Zero Suicide Framework Toolkit 7 CDC Technical package • “a compilation of a core set of strategies to achieve and sustain substantial reductions in a specific risk factor or outcome” – Three components • Strategy: the preventive direction or actions to achieve the goal of preventing suicide • Approach: the specific ways to advance the strategy (programs, policies, and practices) • Evidence: activities that meet one of 3 criteria 8 National Suicide Prevention Strategies • Strategic Direction 1: Healthy and Empowered Individuals, Families, and Communities • Strategic Direction 2: Clinical and Community Preventive Services • Strategic Direction 3: Treatment and Support Services • Strategic Direction 4: Surveillance, Research, and Evaluation (HHS, September 2012) 9 3

  4. 10/5/2020 Whole system approach Systems theory: “that systems or organizations are characterized by order, rationality, and stability 10 CDC Suicide Prevention Strategies • CDC S1: Strengthen economic supports • CDC S2: Strengthen access and delivery of suicide care • CDC S3: Create protective environments • CDC S4: Promote connectedness • CDC S5: Teach coping and problem-solving skills • CDC S6: Identify and support people at risk • CDC S7: Lessen harms and prevent future risk 11 Strengthen economic supports (CDC S1) • Overlook/Economic Development Program • Supportive Services – Navajo Way Program (lodging assistance related to medical stays in Flagstaff) – Sack lunch program – Ceremonial Assistance, with Navajo United Way – Social Support Case Manager • Family Health Center – Patient Benefits Coordinator Correlates to NSPS SD 1: Healthy and Empowered Individuals, Families, and Communities 12 4

  5. 10/5/2020 Strengthen access and delivery of suicide care (CDC S2) • Organization-wide adoption of Zero Suicide policy • Behavioral Health (BH) Department and Family Health Center (FHC) screen for depression – PHQ-9 – PHQ-A • Brief Intervention Coordinator/Psychotherapist • RUL Suicide Prevention Program – Case Manager Correlates to NSPS SD2: Clinical and Community Preventive Services and NSPS SD3: Treatment and Support Services 13 Create protective environments (CDC S3) • Primary focus on reducing lethal means • Prompt response times in the form of Zero Suicide policies and culture • Correlates to NSPS SD2: Clinical and Community Preventive Services and NSPS SD3: Treatment and Support Services 14 Promote connectedness (CDC S4) • Community Engagement activities – All programs and departments – Community Development Department – Interdepartmental and Interorganizational collaborations – Use of evidence-based programming (SOS, CAST) – Life skills trainings Correlates to NSPS SD1: Healthy and Empowered Individuals, Families, and Communities and NSPS SD 2: Clinical and Community Preventive Services 15 5

  6. 10/5/2020 Teach coping and problem-solving skills (CDC S5) • BH – Groups – SA Talking Circle – Pathways after school program • Community Development – Supportive Services: COVID-19 Talking Circle – LIFE programming: Indigenous lifestyle – exercise, gardening, etc. – RUL: Life skills and Social skills (SOS, CAST) Correlates to NSPS SD1: Healthy and Empowered Individuals, Families, and Communities and NSPS SD2: Clinical and Community Preventive Services 16 Identify and support people at risk (CDC S6) • Suicide Prevention Trainings • Crisis Intervention – Brief Intervention Coordinator – Zero Suicide Initiatives • Treatment for risk of suicide – Screening – Referrals – Treatment with therapy Correlates to NSPS SD2: Clinical and Community Preventive Services and NSPS SD3: Treatment and Support Services 17 Lessen harms and prevent future risk (CDC S7) • Postvention – Bereavement groups (forthcoming) – Access to therapy • Youth Psychtherapists • Safe reporting and messaging • Organizational membership to American Association of Suicidology • Ongoing suicide prevention trainings Correlates to NSPS SD3: Treatment and Support Services and NSPS SD4: Surveillance, Research, and Evaluation 18 6

  7. 10/5/2020 Resources • U.S. Department of Health and Human Services (HHS) Office of the Surgeon General and National Action Alliance for Suicide Prevention. 2012 National Strategy for Suicide Prevention: Goals and Objectives for Action. Washington, DC: HHS, September 2012. • Stone, D.M., Holland, K.M., Bartholow, B., Crosby, A.E., Davis, S., and Wilkins, N. (2017). Preventing Suicide: A Technical Package of Policies, Programs, and Practices. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention. • Substance Abuse and Mental Health Services Administration. Preventing Suicide: A Toolkit for High Schools. HHS Publications No. SMA-12-4669. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2012. • Zero Suicide Institute. Zero Suicide Toolkit. Retrieved from https://zerosuicide.edc.org/about. 19 7

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