b'|Suicide Prevention Workplan - Los Angleles |15 |16 Implementing a peer and community-based approach to suicide prevention will support a long term vision of zero suicides in Los Angeles County by. Strengthening protective factors and promoting well-being and connectedness through education, Connectedness (Place, People, Purpose) P outreach, and stigma reduction.Care ResponseLOSSEducation and Awareness Promoting early help-seeking because people know the warning signs, resources, and are condent Team Pto intervene or get help for themselves.Team Mobile Stabilization COMMUNITYP Providing a safe and compassionate response during and after a crisis by focusing on stabilizationCrisis Support andand linkage to services in the least restrictive setting. LinkagesSupporting individuals, families, schools and communities with short and long term response after a P suicide attempt or death.Population Higher Risk Suicidal Suicide AttemptSuicidePrevention Identify Problems Early Respond to Crisis After a Suicide Attempt Postvention Means RestrictionGoal: More workplaces implementGoal: Individuals at risk for suicide are identified through effectiveGoal: Youth and adults at risk for suicide areGoal: After a suicide attempt, all youth andGoal: Short and long-term supports are Goal: Develop and implement tailored wellness programs, have staff trainedinscreening and assessment and connected to resources. assessed effectively and connected to crisisadults receive continuity of care and follow-upavailable to suicide loss survivors. means safety strategies to reduce access to suicide prevention, and foster a culture of1. Create a workgroup to develop a comprehensive cross agency training andresources and school or community-based supportsafter discharge from the hospital.1. Identify a Core Team of individuals who can providelethal means for those considering suicide.employee engagement and connectedness. outreach plan to ensure people and organizations from all sectors are trained asin the least restrictive setting possible. 1. Conduct an assessment with local hospitals and ERrapid response after asuicide death of well-known or1. Partner with the community and key 1. Promote wellness and suicide preventiongatekeepers utilizing models that are trauma-informed and culturally responsive.1. Establish a workgroup to map out the existingdepartments to assess availability of follow-up carepublic figure that is receiving media attention,includingstakeholders to review and expand existing efforts toolkits and suicide prevention trainings toPrioritize trainings for gatekeepers of populations at disproportionate risk forcrisis response system across all regions andprograms after a suicide attempt (and suicide preventioninterface with the media, assistance with publicand strategies to reduce access to lethal means.workplaces throughout Los Angelessuicide in Los Angeles County. Plan for sustainability across systems by usingsystems, public and private, in Los Angeles Countyacross all spectrums of the suicidal crisis path) in Loscommunication, and mobilization of appropriate means of County. train-the-trainer models or evidence-based online trainings. and provide a recommendation to improve theAngeles County. support to those impacted by a suicide death. 2. Establish a Means Safety Workgroup to review 2. Create system/setting specific workgroups to facilitate implementation of bestcontinuum of crisis services, continuity of care, and2. Convene a workgroup including hospital and ER staff,2. Utilizing existing models, develop a communityLos Angeles County suicide means data on an 2. Increase collaboration and linkagespractice screening, assessment and safety planning practices. Encourage thelinkage to community-based services. DMH, the VA, Didi Hirsch staff, and others, to discuss thepostvention plan template, share with workplaces,annual basis, to develop a workplan and guide between school, community, public andcreation of uniform policies and procedures to make screening, assessments, andexisting continuity of care system discuss best practicehospitals, health care settings, correctional facilities, andactivities.private programs to integrate suicidedecision-making routine. Clarify billing methods for services. These settings2. Explore and pilot a neighborhood andinterventions and models to implement or expand in Losothers, and provide technical assistance with3. Increase the number of health care professionals prevention with other public health issues. should include schools, corrections, juvenile justice, health care, mental healthcommunity-based Care Response Team (PSW2,Angeles County. Identify barriers that need to be overcomeimplementation. trained in counseling on lethal means, with focus on and substance use service delivery systems. Medical Case Manager, Community Health Worker)(system, financial, human) and provide a recommendation. locations where individuals would receive care 3. Expand and promote programs andthat respond to 5150/5585 linkages that did not3. In partnership with Los Angeles County Office of initiatives that build community3. Create population-specific workgroups to address comprehensive prevention,result in a hold to provide a warm hand-off to3. Host a focus group with, or involve in workgroup,Education, increase the number of districts that havefollowing a suicide attempt.engagement, volunteerism, fosterearly intervention, treatment and postvention strategies, prioritizing but notservices and continuity of care . (Address needs ofattempt survivors (people with lived experience), and theirpolicies on how to handle a suicide death as part of their4. Expand on existing efforts to partner with the connectedness, and strengthen protectivelimited to: men, youth, older adults, veterans, incarcerated individuals, homelesshigh utilizers). families to review proposed approaches. safety plans. firearm community and implement a county-wide factors for suicide prevention. individuals, and individuals experiencing mental illness and substance use3. School district specialized staff are trained in4. Promote and expand availability of Attempt Survivor4. Reduce the amount of time between a suicide loss andfirearm suicide prevention means safety campaign, 4. Promote, and if needed create,disorders. Support Groups across Los Angeles County. access to bereavement services by expanding the existingincluding information for spouses and friends of peer-based programs and support groups4. Implement suicide prevention awareness campaigns targeted for populations atrisk assessment and have protocols in place toLOSS Team model to provide proactive and timely supportfirearm owners.to foster connectedness. disproportionate risk for suicide in Los Angeles County. provide care and transitions for students. 5. Develop a training plan to increase the number ofto individuals exposed to suicide, including witnesses and 4. Promote Crisis and Warm Lines. Exploreclinicians that are trained in suicide risk specifically.those directly impacted by the death. 5. Support existing projects to increase barriers and 5. Promote programs that foster social5. Host annual Suicide Prevention Summit to engage public and privateexpanding or adding peer-based crisis resourcesProvide a roster of trained professionals to follow-upsignage at sites and locations vulnerable to suicide emotional learning and coping skills,organizations and providers across the county in suicide prevention. for youth, LGBT, first responders, Veterans, andcounselors, ER physicians, and in-patient treatment5. Increase the number and capacity of peer-basedattempts.including innovative technologies thatother high risk groups. facilities, including those specializing in substance abusesuicide bereavement support programs as well as other6. Promote existing suicide bereavement support promote self-care and mindfulness. 6. Integrate information about suicide prevention and resources into communityrecovery. means (e.g. newsletters) to promote healing among outreach, coalitions and strategic plans addressing other health issues across Los5. Increase availability of hospital beds forsuicide loss survivors. groups and resources.6. Implement strategies to reduce stigmaAngeles County. Medi-Cal patients. 6. Partner with LACOE and offer trainings so that schools6. Promote existing suicide bereavement support groups7. Identify and collaborate with existing prescription about mental illness and promote local7. Empower people, families and communities to reach out for help when mentalhave effective re-entry protocols for students returningand resources. drug and substance use coalitions and programs to resources. health and substance use disorders emerge. Identify barriers that community6. Improve timely response by improving structureafter a suicide attempt. integrate suicide prevention and means safety, of existing crisis response teams using the Crisis7. Explore legislation such as HB3090 passed in Oregon in7. Increase the number of clinicians and providers that arepromote gatekeeper trainings, and raise awareness members face in seeking services for behavioral health needs, and developNow model as a guide. trained in suicide loss bereavement.strategies to make services more accessible, convenient and culturally respectful. 2018 which requires caring contact within 48 hours ofof safe storage practices and safe disposal sites for discharge. unused medications.8. Develop a network of peer support providers to help people navigate health, Draft 3.3.2020 Not For Distribution mental health, and substance use disorder care systems. Draft 3.3.2020 Not For Distribution'