“It Takes a Community”: Michigan’s · 2019-06-21 · “It Takes a Community”: Michigan’s...

“It Takes a Community”: Michigan’s Suicide Prevention Community

Brandon J. Johnson, M.H.S

Public Health Advisor

Substance Abuse and Mental Health Services Administration

U.S. Department of Health and Human Services

These slides are the property of the presenter. Do not duplicate without permission.

• The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services, the Substance Abuse and Mental Health Services Administration (SAMHSA), or the U.S. Department of Health and Human Services.

Disclaimer

Data Sources:A. CDC WISQARS 2016B. CDC WONDER 2014C. Bureau of Justice Statistics 2014D. DoDSER CY 2016 Q1-4 ReportsE. Department of Veterans Affairs 2016F. Luoma et al, 2002; Ahmedani et al 2014

G. Ahmedani, 2018. Personal communication

H. CDC WISQARS 2016I. CDC WISQARS 2016

Identifying Areas of High Need and/or Opportunity

Firearm Deaths 22,938A

Seen in ED

any reason

in past year

21,583G

Vehicle

emissions

Poisoning

~ 791B

Accessed healthcare within 30 days of death

~ 20,000F

Inmates

Military

________________

Veterans

~7,300E

Under 18

2,023H

Age 50+

20,532I

44,965 annual suicide decedents

Age 18-25580,000A

Outpatient

Treatment*

410,000A

Military

Treatment*

110,000A

Parole*

28,000A

________________

Probation*

79,000A

Age 50+

210,000A

College: Full Time90,000A

____________

Part time52,000A

Veterans?B

Data Sources:A. National Survey on Drug Use and HealthB. In progressC. In progress* Last 12 months

1.3 million annual suicide attempts

National Strategy for Suicide Prevention

• Goal 1-Integrate and coordinate suicide prevention activities across multiple sectors and settings- “Suicide prevention should be infused into programs carried out in diverse settings such as workplaces, schools, law enforcement and criminal justice, health care provider offices, community based agencies and faith based organizations.”

National Strategy Goal 1

Effective Prevention

Comprehensive Approach to Suicide Prevention

• Created by the National Action Alliance's Transforming Communities Workgroup

• Developed based on a review and synthesis of relevant programs, guidance, and models related to community-based suicide prevention

• Presents seven key elements for comprehensive community-based suicide prevention that should guide program planning and implementation

Transforming Communities

• Overview of reviewed programs, guidance, and models

• Seven key elements for implementation of comprehensive community-based suicide prevention

• Detailed explanation of each element

• Detailed appendices of all programs, guidance, and models reviewed

Transforming Communities

• Broad momentum and shared visionUnity

• Strategic planning processPlanning

• Multiple, integrated strategiesIntegration

• Aligned to culture, context, readinessFit

• Clear, open, consistentCommunication

• Guides action, process, informs changesData

• Focus on long-lasting changeSustainability

Seven Key Elements – Community Partnerships

Unity: Strategic Lane Work

Plans and Cohesiveness

State Suicide Prevention

Schools/Higher Education Health Care

Community-Based

Organizations

Local Health Departments VA

Crisis Centers

• Each component should have a plan/various procedures to address suicide in their arena

• Leadership and organizational buy-in and support is important for progress• Each plan should consider other players. BREAK DOWN SILOS!• Sustainability of these activities should be thought of in the beginning• EBPs and best practices should be the gold standard• However, innovation is needed

Faith and Resiliency

• Major Depression: Increased religious service attendance was associated with significantly reduced odds for mood disorder (by 43%) and any psychiatric disorder (by 53%).

• Prevention: Meta-analyses showed that religiosity/spirituality was associated with reduced mortality in healthy population studies (combined hazard ratio = 0.82, 95% CI = 0.76–0.87, p <0.001)

• Life Satisfaction: Research supports that these religious and spiritual forms of coping (e.g., meaning making, sense of hope, and sense of belonging), contribute to de-creased depressive symptoms, greater self-esteem, and overall greater life satisfaction (Good & Willoughby, 2008; Holder et al.,2010; Pargament, et al, 2001)

NATIONAL ACTION ALLIANCE FOR SUICIDE PREVENTION

• Data doesn’t always tell us to do what we want

• Quantitative and Qualitative Data

• Value your numbers and optics

Data and Fit

• Suicide rate in black boys between the ages of 5-12 has doubled in the past 15 years.

• YRBS: “The prevalence of having attempted suicide was higher among black (9.8%) than white (6.1%) students.”

• YRBS: “The prevalence of having attempted suicide was higher among female (9.3%) than male (5.1%) students; higher among white female (7.3%), black female (12.5%), and Hispanic female (10.5%) than white male (4.6%), black male (6.7%), and Hispanic male (5.8%) students, respectively”

Data and Fit: Black Youth Suicides

• Data wasn’t seen for years and was initially refuted

• Was likely seen on the ground for years

• Trend has continued and resources are few

• The ground informs the field; your vantage point matters

Data and Fit: Black Youth Suicides

Data can help!

• Establishes need/problem

• Shows your work is effective!

• Quantifies reach

• Demonstrates value

• Generates support

• Helps you tell the right story!

What’s My Next Move?

Use Your Voice! Use Your Experiences!

Thinking and planning that helps to make

messages succeed

Avoiding harmful

messaging (avoid “Don’ts”)

Promoting the positive and encouraging

hope, resilience

Using message-specific best

practices

National Action Alliance Safe Messaging Guidelines

Empower With Knowledge! Empower with Resources!

SPRC: The Nation’s first and only Federally funded suicide prevention resource center

• SAMHSA-funded resource center devoted to advancing the National Strategy

• Information on suicide prevention activities in every state (state plans, coordinators)

• Everyone has a role in preventing suicide: Information sheets for parents, teachers, co-workers, faith leaders, EMS, and more

• Clinical training for MH professionals

• Free on-line trainings

• Weekly newsletter- SPARK

• www.sprc.org• Zero Suicide lead

www.store.samhsa.gov

Change the Status Quo! Reform Systems!

• Implore leaders of your systems for changes that promote suicide prevention

• Use your interactions with populations to inform your work

• Be innovative! One size doesn’t fit all.

• Make the unusual connection

• Investments in suicide prevention for potential lives saved

Change the Status Quo! Reform Systems!

Maintain the Human Element

Finding Existing State Funding

SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities.

www.samhsa.gov

1-877-SAMHSA-7 (1-877-726-4727) ● 1-800-487-4889 (TDD)

Brandon J. Johnson, M.H.S.

Public Health Advisor, SAMHSA

brandon.johnson1@samhsa.hhs.gov

240-276-1222

“It Takes a Community”: Michigan’s · 2019-06-21 · “It Takes a Community”: Michigan’s...

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