Martin O’Malley, Governor Anthony G. Brown, Lt. Governor



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GOAL 2: INTERVENTION






Culturally competent, effective and accessible community-based intervention services and programs for youth are in place.

OBJECTIVES/STRATEGIES




Responsible Person(s) & Involved Parties


TIME-LINES


OUTCOME


PERFORMANCE

MEASURE


2.1 By FY 2010, strengthen the State’s capacity to respond to crises and serve at risk youth in need of culturally competent and evidence-based or best practice mental health services to prevent suicide through public information dissemination and increasing access to hotlines; urgent care appointments; and crisis residential stabilization beds.

-DHMH


-Maryland Office of Suicide Prevention

-Core Service

Agencies

-Maryland Youth Crisis Hotlines

-Department of Juvenile Services

-Department of Human Resources

-Private providers

FY 2008 –

FY 2010

Twenty-four hour accredited crisis response/access exists statewide for youth at risk via telephone, utilization of alternative communication systems, and face-to-face mobile crisis team contact.


Early and immediate clinical intervention available through accessible urgent care appointments to prevent crisis situations from escalating, including an emphasis on substance abuse services and telepsychiatry in rural underserved areas of the State.
Crisis residential and/or 23-hour holding/stabilization beds accessible and available to each jurisdiction for youth in psychiatric crisis that have met the requirements for Emergency Petition.

-Every jurisdiction advertises and links at risk youth to MD Youth Crisis Hotline Network.

-MD Youth Crisis Hotline Network information available to discharge planners at youth facilities.

-Every jurisdiction has a plan for 24/7 crisis response for at risk youth, including access to urgent care appointments.

-MD Youth Crisis Hotline statistics.

-List of hospitals with youth psychiatric beds disseminated widely.



OBJECTIVES/STRATEGIES



INTERVENTION continued:



Responsible Person(s) & Involved Parties


TIME-LINES


OUTCOME


PERFORMANCE

MEASURE

2.2 By FY 2011, increase the number and quality of trainers in evidence-based or best practice suicide prevention and intervention for at risk youth in Maryland.

-DHMH


-Maryland Office of Suicide Prevention;

-Department of Juvenile Services.

-Department of Human Resources

- Core Service

Agencies;

- Maryland Youth Crisis Hotlines;

- Local advocacy groups: NAMI & MHA;

-Private providers.

-Maryland Interagency Transition Council

FY 2008 -

FY 2011

Throughout Maryland qualified instructors provide evidence-based training to youth, family members, professional providers and the faith community on suicide prevention and intervention.



25 Applied Suicide Intervention Skills Training (ASIST) or other evidence-based intervention model trainers are available throughout the State.
25 SAFETalk or other evidence-based prevention model trainers are available throughout the State.
Conduct ASIST or other evidence-based intervention model training with at least 5 faith based organizations.
Attendance tracking sheet.
Recipients report satisfaction with training and positive changes in knowledge, attitudes and behaviors.

OBJECTIVES/STRATEGIES



INTERVENTION continued:



Responsible Person(s) & Involved Parties


TIME-LINES


OUTCOME


PERFORMANCE

MEASURE


2.3 By FY 2011, increase the number of evidence-based or best practice suicide prevention trainings provided statewide to youth, family members and professional providers.

-DHMH


-Maryland Office of Suicide Prevention

-Department of Juvenile Services

-Department of Human Resources

-Core Service

Agencies

-Maryland Youth Crisis Hotlines

-First Responders

-Police Departments;

-ADAA

FY 2008


-

FY 2012

Suicide intervention information and training (including risk factors for suicide, such as depression, alcohol/drug abuse) provided statewide to varied audiences.

Training/attendance tracking sheet, including list of groups trained, dates and number of trainings provided, and number of people trained annually.


Presentations reviewed.
Recipients report satisfaction with training and positive changes in knowledge, attitudes and behaviors on evaluations.

OBJECTIVES/STRATEGIES



INTERVENTION continued:




Responsible Person(s) & Involved Parties



TIME-LINES


OUTCOME


PERFORMANCE

MEASURE


2.4 By FY 2011, increase knowledge, skills and ability of diverse religious leaders to intervene with at risk youth and their families using evidence-based or best practices.


- Maryland Office of Suicide Prevention

-Mental Health Associations

-NAMI

-Church Leaders



-Interfaith Alliances

- Maryland Youth Crisis Hotlines

-2-1-1’s

-Core Service

Agencies

-Crisis providers

-SPEAK

-Building Men and Women for Others, Inc.



-Pastoral Counseling Center

-Loyola Pastoral Counseling


FY 2008


-

FY 2011



Trained religious leaders are available in each jurisdiction and are working with at-risk youth and their families.


Religious leaders utilize resource lists and faith-based agencies to assure appropriate information and referrals are offered to youth and their families.
Ongoing work group of religious leaders and mental health providers convened in each jurisdiction/region to develop collaborative projects to reduce youth suicide.

Train at least 25 religious leaders (a limited number of which will be trained as trainers) from various groups in an evidence-based program (e.g., ASIST).


Religious leaders have suicide prevention materials including lists of mental health intervention and treatment resources for each jurisdiction.
Religious leaders report satisfaction with training and positive changes in knowledge, attitudes and behaviors on evaluations.

OBJECTIVES/STRATEGIES



INTERVENTION continued:




Responsible Person(s) & Involved Parties



TIME-LINES


OUTCOME


PERFORMANCE

MEASURE


2.5 By FY 2012, implement evidence-based or best practices programming, including follow-ups for at risk youth, especially suicide attempters, seen in Emergency Departments.

-DHMH


-Maryland Office of Suicide Prevention

-Maryland Youth Crisis Hotlines

-Local Emergency Departments

-Core Service

Agencies

FY 2010 -

FY 2012

Staff will be trained about how to better identify and work with youth at-risk for suicide and their families in the ED setting.


Consistent follow up procedures will begin to be utilized statewide for at risk youth seen in Maryland Emergency Departments.
More youth will receive follow up mental health care.
Fewer youth previously seen in Emergency Departments will return for suicidal ideation and behaviors.

Staff training tracking sheet.
Recipients report satisfaction with training and positive changes in knowledge, attitudes and behaviors.
Educational suicide prevention materials for youth and families distributed in EDs.
Systems (e.g., Hotline) to track follow-up procedures (e.g., postcards, telephone calls) with at risk youth who were treated in EDs developed and utilized.
Increased rates of youth attendance and adherence to follow up care.

Reduced recidivism rate of youth previously seen in EDs each year.


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