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 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
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
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.
ENHANCED FOLLOW-UP SERVICES (EFS) PROGRAM Referral Partners TLC-CONNECT TARGET Inpatient Psychiatric Facilities 6 6 Emergency Departments 4 4 Primary Care Providers 4 4 Mobile Crisis Teams 5 5 Behavioral Health Providers 4 4 23 23 Memorandum of Understanding 14 finalized 14 finalized 9 pending 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 53 80 component Clients linked to behavioral health services 138 260 Crisis Management Plans Developed 138 260
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
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
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 535 N/A for Professionals Who Serve Youth Emergency department online training N/A 53 THESPN (Tennessee Higher Education Suicide 3,120 N/A Prevention Network) TOTAL 11,718
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
TENNESSEE SUICIDE TENNESSEE SUICIDE PREVENTION TRAINING PREVENTION TRAINING Word-cloud analysis of comments from QPR evaluations. Larger words = most frequently mentioned.
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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