1. Zero Suicide in Texas (ZEST) Zero Suicide in Texas (ZEST) Collaborative Call: November 2015 DSHS: DSHS: Jenna Heise TIEMH: TIEMH: Dr. Molly Lopez Dr. Erica Shapiro

2. WORKFORCE COMPETENCY What is it? Why is it important? Goal 5: One hundred percent of staff employed by the organization will receive training in suicide safe care, appropriate to their role in the care of individuals at risk. All Staff ASIST SafeTalk Direct Care Providers CAMS or AMSR CSSR-S CTL Safety Planning CALM Specialty Providers CBT-SP DBT Note: Trainings recommended for staff listed above are not an exhaustive list of best practice suicide prevention trainings. These are practices that are currently being recommended within the Texas public mental health system in an effort to promote consistency across agencies. A more comprehensive list can be found on the Suicide Prevention Resource Center website at http://www.sprc.org/bpr as well as for Zero Suicide specific trainings go to http://www.zerosuicides.org ​. http://www.sprc.org/bpr http://www.zerosuicides.org

3. ALL STAFF ASISTSafeTalk

4. DIRECT CARE PROVIDERS The Collaborative Assessment & Management of Suicidality (CAMS) The Collaborative Assessment & Management of Suicidality (CAMS) Assessing & Managing Suicide Risk (AMSR) Assessing & Managing Suicide Risk (AMSR) Columbia Suicide Severity Rating Scale (CSSR-S) Columbia Suicide Severity Rating Scale (CSSR-S) Commitment To Living (CTL) Commitment To Living (CTL) Safety Planning Safety Planning Counseling on Access to Lethal Means (CALM) Counseling on Access to Lethal Means (CALM)

5. SPECIALITY PROVIDERS SPECIALITY PROVIDERS Evidence-based treatment Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP) Dialectical Behavioral Treatment (DBT)

6. WORKFORCE SURVEY AIM: ALL Staff to complete (takes approximately 10 minutes) ZEST Sites to complete 2015 workforce survey:  StarCare Lubbock  Center for Life Resources  Texas Panhandle Center  Andrews Center  Heart of Texas  Brazos Valley  Pecan Valley  Gulf Bend  Texana Center English: https://utexas.qualtrics.com/SE/?SID=SV_8iynDjGT0SRmC1vhttps://utexas.qualtrics.com/SE/?SID=SV_8iynDjGT0SRmC1v Spanish: https://utexas.qualtrics.com/SE/?SID=SV_b3Iy1iXpIc7U8TP

7. WORKFORCE SURVEY RESULTS “I have received the training I need to engage and assist those with suicidal desire and/or intent” Resulted in a statistically significant increase in those that agreed with this statement following ASIST training

8. WORKFORCE SURVEY RESULTS “I have the support/supervision I need to engage and assist those with suicidal desire and/or intent.” Resulted in a statistically significant increase in those that agreed with this statement following ASIST training.

9. ZEST GROUPS & MEETING DATES Wednesdays, 2pm CST Fridays, 9am CST Pecan ValleyAndrews Center Gulf Bend CenterHeart of Texas Center for Life Resources Nueces County Texana CenterTri-County Services Betty Hardwick CenterHarris County participants Helen Farabee Center Brazos Valley Star Care Lubbock Month Wednesdays, 2pm CST Fridays, 9am CST November Nov 18 h Nov 20 th December No Call January (2016) Jan 27 th Jan 29 th February Feb 24 th Feb 26 th March Mar 23 rd Mar 25 th April Apr 27 th Apr 29 th May May 25 th May 27 th June Jun 22 nd Jun 24 th July Jul 27 th Jul 29 th August Aug 24 th Aug 26 th