Zero Suicide in Texas (ZEST) - PowerPoint Presentation

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Zero Suicide in Texas (ZEST) Collaborative Call: July 2015

DSHS: Jenna HeiseTIEMH: Molly Lopez Erica ShapiroSlide2

Six slots for audiotape submissions on the 15th of each month, beginning this month, to ensure adequate time for review and feedbackSign up for a slot using Google Docs. Please let me know if you need it re-sent.Select whether an audiotape of an actual (or mock) session will be submittedIf a mock session is selected, have your “client” contact Erica Shapiro by email (

erica.shapiro@austin.utexas.edu) to be assigned a vignette Reminder: Sign up for Safety Planning Intervention Tape SubmissionSlide3

UPCOMING TRAININGs

Zero Suicide Academy: August 18, 2015

State Suicide Prevention Symposium: August 19, 2015

ASK: August 27-Austin; August 31-Houston; and September 17-Fort WorthSlide4

Successes & Challenges…

CAMS Implementation

What has been the feedback from staff taking the training?

How have you planned roll-out within your organization?

Have staff implemented the model and how are they doing?

How has the agency been supporting staff while learning this new practice?

How are you evaluating the impact?Slide5

Successes & Challenges…

Suicide Risk Pathways

How has your team thought about implementation of the pathways?

Have you begun steps towards measuring or implementing the pathways?

Where do you see the biggest challenge to implementation?

How can you evaluating the impact?Slide6

Postvention Planning

Goal: Agencies will develop a suicide postvention plan that addresses individuals who may be affected by the suicide death of an individual in care or an agency employee.Slide7

Rationale

An average of 4.5 to 7.5 immediate family members and around 15 to 20 extended family members, friends, and colleagues can be considered “intimately and directly affected” by suicide.Many others may also be affected, even if they did not have a relationship with the deceased.Exposure to suicide behaviors or death increases the risk of those exposed for suicide.

Suicide

Postvention

is PreventionSlide8

Although most work focuses on “Suicide Survivors,” more recent models argue for examining a broader population of focus

Cerel et al.’s model (2014)Exposed to suicideAffected by suicide Bereaved with short term impactBereaved with long term impact

Models of impactSlide9

Defining Postvention

Survivors of Suicide Loss Task Force (2015) define postvention as:

“An organized response in the aftermath of a suicide to accomplish any one or more of the following: (a) to facilitate the healing of individuals from the grief and distress of suicide loss; (b) to mitigate other negative effects of exposure to suicide; and (c) to prevent suicide among people who are at high risk after exposure to suicide.”Slide10

Postvention Planning

Organizational plan should address the possible death ofa consumer or former consumer a staff memberOrganizational plan should identify steps related to communication with

Family members

C

onsumers who may be impacted

Staff members

Check out the sample plan from

Centerstone

!Slide11

Stages of PostventionSlide12

Model of active suicide postvention where trained suicide loss survivors are dispatched to the scene of a suicide to provide information about community resources and begin to instill hope for the future.

Loss TeamsSlide13

Psychoeducation and Support GroupsPsychoeducation

Suicide Awareness Voices of Education (SAVE)Suicide Survivor Support GroupsSurvivors of SuicideSurvivors after SuicideAdditional ResourcesAFSP Facilitator Training programTowards Good Practice: Standards and Guidelines for Suicide Bereavement Support GroupsSAVE and AFSP maintain lists of support groupsSlide14

Research is limited, but would suggest that evidence-based trauma and grief interventions would be most beneficialSome suggestions:Trauma-Focused CBT for Traumatic GriefComplicated Grief Therapy

Prolonged Exposure TherapyCognitive Processing TherapyTreatment of trauma/complicated bereavementSlide15

Moving beyond-community expansion

Postvention response teamsPostvention responses within the community (schools, first responders, health care staff, clergy, funeral directors)Consultation to partner organizations on developing best practice postvention plansRaise awareness of local media on safe messaging guidelinesSlide16

ZEST Groups & Meeting dates

Wednesdays, 2pm CST

Fridays,

9am

CST

Border Region

Tropical

Coastal Plains

Harris

Hill Country

Bluebonnet

ATCIC

Spindletop

Tarrant

Tri County

*Denton

*Denton

Month

Wednesdays, 2pm CST

Fridays, 9am CST

October       (2014)

ALL GROUPS: Weds 2pm, Oct 29

th

ALL GROUPS: Weds 2pm, Oct 29

th

November

Nov 19

th

Nov 21

st

December

Dec 17

th

Dec 19

th

January        

(

2015)

Jan 28

th

Jan 30

th

February

Safety Planning TrainingSafety Planning TrainingMarchMar 25thMar 27thAprilApr 22ndApr 24thMayMay 27thMay 29thJuneJun 24thJun 26thJulyJul 29thJul 31stAugustZero Suicide SummitZero Suicide SummitSeptemberSep 23rdSep 25th