If you or someone you know are experiencing suicidal thoughts, call the Suicide Prevention Lifeline at 1-800-273-8255 for confidential support.

Alliance Quarterly Meeting Notes – 7/24/2018

Committee Progress Reports:

  • Executive Committee (Gary)
    • Running into challenges implementing bylaws, will discuss proposed changes
      • Annette requests feedback on existing bylaws
    • Next quarter is last quarter for Gary as chair – we will need to begin considering replacement
      • Q: What is the process for replacing chair? Not in the bylaws, so will need to incorporate process for selecting chair. If individuals are interested at this point, let Annette know.
    • Need loss survivor to represent survivors formally on Exec Committee
  • Schools Committee (Jonathan)
    • Problem: There’s no system to track programs being implemented in schools
    • Committee put together survey to assess local programming
      • To establish baseline to track growth
      • Correlate efforts with aggregate data related to suicide increase/decease
      • Determine patterns, i.e., urban vs. rural
    • Initial dissemination in June was at challenging time, but endorsement of COSA and OSCA was helpful
    • We should keep in mind what is happening with schools that didn’t respond – we are reaching out by phone currently
    • Report in September; highlights:
      • 20% not implementing – probably a lot higher given non-responders
      • 30% used some form of curriculum
      • 25% do not have clear procedure for identifying and referring
      • 61% have a postvention plan
      • 40% uncomfortable with suicide prevention efforts at the school
      • 77% would like to be contacted by the Alliance for follow-up support
    • Q: Is it possible to know which schools responded so local staff
      • We can provide regional report, but key is how to respond better/in a more tailored way: more active follow-up
    • Q: Situation is different for rural areas compared with urban – what was the distribution of responses?
      • We don’t know yet; but matching with ODE data
    • Q: What format was the survey in, for those with limited access to computers?
      • List-servs used reached most key staff; greater issue is high turnover leading to dead emails
    • Q: Plans for reaching tribal communities
      • We worked with masters student to adapt survey for tribal communities – has not been distributed yet – bring back to Government-to-Government caucus. Also brings up private schools, charter schools, online schools.
    • Athletic Staff Survey
      • Major take away: 50% knew about procedures for responding to suicide – administrators rated 75% reflecting different knowledge level
      • Training most needed: Tips for talking to at-risk youth, warning signs and symptoms, in-person training
  • Continuity of Care
    • Developing template – what the rules and laws are for practitioners and patients
    • Parts of the plan include; inpatient, exceptions to HIPPA, suite of mental health laws
    • Note: Coordinated specialty care and OHSU team (collect data for quality assurance and development > provide recommendations) to address gap in emergency room data.
      • We don’t know what happens to people once they leave the emergency room.
  • Workforce
    • [Annette] Collaborating with DHS – child welfare to identify better ways to train workers around suicide prevention and intervention resources
    • Focus on faith community
      • Organizing half day meeting to bring together faith community members
      • Contact Annette and she will coordinate with Jill to connect
  • Communications (AKA: Outreach and Awareness Committee)
    • Focus on development of communication plan
      • Mapping out the local, state, and national resources is major need!
      • Take National campaigns to raise awareness (e.g., Be the One)
      • Track legislation efforts
    • (next 2 months) Continue working on Communications plan
      • Finalize logo …. Annette suggested to use “Hope, Help, Healing”
  • Evaluation and Data
    • Schools survey – development and administration, data analysis
    • Alliance Website – external plus portal for members and portal for data collection (e.g., CONNECT trainers)
    • Data analysis – look at concordance at baseline (Oregon Healthy Teens, National Death Reporting System)
    • Evaluation of CONNECT postvention outcomes
    • Survey – Fill out Scan
    • Q: Data evaluation and policy implementation?
      • Hospitals don’t have time and resources to implement senate bills and the consequence is minimal and no incentives to implement … even though legislation to
      • We need to have better data collection during implementation and strategies
      • Ties back into identifying regional/local organizations and coalitions
  • Youth and Young Adults Update (YYEA)
    • Introductions – name and fun fact
    • History of YYEA
    • 2018 Happenings so far ….
      • SMILE Guide - Mental health tipsheet for tough times
      • Support the Alliance efforts and create safe messaging
      • Work on social media presence
    • Continue developing activity book for youth
    • Reach out to YYEA to work together
      • Go to meetings
      • Support us to skill up
      • Give guidance on our priorities and projects
      • Support our involvement in committees
      • Help recruit!
      • Meet monthly at Milwaukie office
      • Contact [email protected]
  • OHSU CAP Inpatient Consultation Liaison Program
    • OHSU Fellows present on data (Dr. Johnson)
    • Consult Liaison Program team – for children in hospital with multiple factors (including suicide attempts), support facilitation of evaluation and discharge
    • Dr. Johnson has been collecting this data single-handedly for years
      • Overview of tracking spreadsheets
      • 2018 – 287 cases (suicide attempts: 32% of cases)
      • Data shown on graphs (2013-2018) with dramatic increase in last 2 years, with seasonal pattern increases in winter and spring
      • More attempts over last 4 years, but all consults have increased
      • Medication Lockboxes
        • Lock away medication
        • floor of Doerenbechers sells lockboxes. Dr. Johnson received funding to provide boxes to families who may not be able to afford them.
      • Number of ED consults have increased in last 2 years
      • Fellows also provided overview – about 50% Medicaid eligible
    • Q: Cable locks for firearms?
      • Recommendation is to not have firearm in home and if so, be locked out. In some locations, cable locks are handed out.
    • Q: October spike?
      • May is highest month … with the seasonal component with disorders in spring (exams, etc.).
    • Comment: USA today article yesterday, is this heat related? Tied to bullying – in summer there is a break from it, and back at school
    • Comment: Increases in number of calls (Lines for Life) for 2016-17 … would Dr. Johnson be willing to share slides for 2016-18.
    • Comment: Lockboxes might be difficult for parents if they get frustrated with trying to open it.
    • Q: Any collection on data on following up on referrals for family?
      • Write down and provide feedback for data we would like to know more about – when there is more data the Crisis and Transition Services team can come give a presentation.
    • Q: Clarify “transition”? Some families refuse to sign release of information/waiver for service … from educational system.
      • Consultants have not had problem with families signing consent.
  • Looking forward: Policy Development
    • By-Laws reviewed and open for feedback – voting at next meeting in October 2018
    • Define roles and responsibilities
      • Including guidance on getting quick turnaround from Executive Committee
    • Legislative Ideas (5 - 10 year plan)
      • Fully fund YSIPP (6.4 million)
      • Write Alliance into statutes
        • Good news: Julie, Jerry and Stephanie report positive signs with Senator
      • Suicide Prevention Plan across the lifespan
        • Oregon has an older adult suicide prevention plan (it’s old) but we need one that is across the lifespan
      • Senate Bill 48
        • Require counselors and social workers to take suicide prevention CEUs
        • Washington has an organization called Forfront
          • Some groups have once in a career and some groups are required to multiple times depending on client contact
    • Feedback from Alliance
      • See Annette’s notes

Alliance Quarterly Meetings

December 13, 2019 (Portland)
March 13, 2020 (Salem)
June 12, 2020 (Location To Be Determined)

For further information about our quarterly meetings, please contact Annette Marcus at [email protected].