1. 1 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Bullying and Suicide Prevention Tomei Kuehl, MPA Sexual Violence Prevention Unit Supervisor Violence and Injury Prevention – Mental Health Promotion Branch

2. 2 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Introductions Share your name, agency and role. Why are you interested in the bullying and suicide prevention priority? What is your experience working on this topic(s)?

3. 3 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Overview of today’s presentation Bullying and Suicide Data – see handouts State-level strategies Local-level vision Partnership Opportunities Discussion and feedback

4. 4 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. DATA Healthy Kids Colorado Survey data Child Fatality Review data Hospitalization/Emergency Department data

5. 5 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Healthy Kids Colorado Survey Bullying Data for 2013 Ever been bullied on school property (middle school) State: 49% Region 13 – 58% (Fremont, Custer, Chaffee, Lake) Region 12 – 54% (Eagle, Grand, Summit, Garfield, Pitkin) Region 6 – 52% (Kiowa, Crowley, Bent, Prowers, Otero, Las Animas, Baca)

6. 6 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Healthy Kids Colorado Survey Been bullied on school property 12 months (High School) State: 20% Region 19- 27% (Mesa) Region 11 – 24% (Routt, Moffat, Jackson, Rio Blanco) Region 3 – 20% (Douglas)

7. 7 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Healthy Kids Colorado Survey Ever seriously thought about suicide (middle school) State: 19% Region 7 – 25% (Pueblo) Region 15 – 25% (Arapahoe) Region 20 – 24% (Denver) Region 13 – 24% (Fremont, Custer, Lake, Chaffee)

8. 8 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Healthy Kids Colorado Survey Considered suicide past 12 months (high school) State: 14% Region 7 – 18% (Pueblo) Region 14 – 16% (Adams)

9. 9 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

10. 10 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. How do we address both bullying and suicide? Shared protective factors!

11. 11 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. State Strategies

12. 12 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. State Strategies 1. Provide training and technical assistance for implementation of evidence-based/research-informed programs that build life skills for young people in schools. 2. Provide training and technical assistance for implementation of evidence-based/research-informed policies and practices that increase school connectedness

13. 13 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. State Logic Model Provide training and technical assistance for implementation of evidence- based/research- informed programs that build life skills for young people in schools. Increased knowledge of evidence- based/research- informed programs focused on building life skills among youth. Increased life skills (conflict management, social competency, emotion regulation and resilience) among youth in funded communities. Increased school connectedness among youth in funded communities. Overarching Goal: Reduce suicide rates in Colorado for youth ages 12 through 17 and reduce bullying rates in Colorado for you ages 10 through 19. INPUTSSTRATEGIESSHORT - TERM OUTCOMES LONG - TERM OUTCOMES MEDIUM - TERM OUTCOMES Accomplished in 6 months - 1 yr. Accomplished in 1-3 yrs.Accomplished in 3-5 yrs. This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. # and type of technical assistance provided to local partners OUTPUTS Positive School Environment Toolbox developed and disseminated Increased number of schools in priority communities implementing policies that create positive environments for youth. Increased knowledge of policies and practices that impact school connectedness. Increased number of schools in priority communities implementing evidence- based/research- informed programs focused on building life skills. # and type of technical assistance provided to local partners Healthy Youth Team (HYT) Colorado 9to25 Framework Connecting the Dots research (shared risk and protective factors for violence prevention) Youth-serving organizations School Staff School Based Health Centers Local Public Health Agencies Violence & Injury Prevention-Mental Health Promotion (VIP- MHP) Programs Youth Advisors Healthy Kids Colorado Survey Child Fatality Prevention System (CFPS) multidisciplinary local review teams Longer Term Decreased rates of self reported suicidal thoughts and attempts. Decreased rates of self-reported bullying victimization. Provide training and technical assistance for implementation of evidence- based/research- informed policies and practices that increase school connectedness. # of partners trained and implementing policies/practices that increase school connectedness # of partners trained and implementing programs that build life skills Increased number of young people receiving life skills programming in prioritized schools. Increased number of policies and practices that create positive environments for youth.

14. 14 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. State Action Plan- Under Construction And we need your input on this new priority!

15. 15 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Vision for local level work Role of LPHA’s: 1. Participate in community coalitions that are focused on building life skills and increasing school connectedness. Examples of possible partners: TGYS grantees, SVP grantees, OSP grantees, School Based Health Centers, Substance Abuse Prevention Coalitions, Tobacco Prevention Coalition, Schools/Staff etc. 2. Help identify and support champions in schools to implement evidence- based/research-informed programs that build life skills. Example: Partner with School-Based Health Center staff in school to champion this work with their existing relationships or draw on existing relationships related to other programs (like tobacco) in schools or partner with your local violence prevention programs/coalitions that may already have connections in schools.

16. 16 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Vision for local level work Role of LPHA’s: 3. Support teachers or other school staff to be trained in evidence- based/informed programs Example: Leveraged CFPS funding to support implementation of Sources of Strength – currently in 7 schools across state for a pilot project. 4. Educate schools and other partners about evidence-based policies and practices that support school connectedness. Example: Hot spot mapping – more to come with our Positive School Environment Toolbox this summer/fall. 5. Identify existing organizations or programs in their local communities impacting the protective factors life skills and school connectedness. Example: Asset map of what is occurring in community/school related to protective factors.

17. 17 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Partnerships How many of you currently work with schools in your community? In what capacity? How many of you work with the Local Child Fatality Review Team in your community? How many of work with School Based Health Centers in your community? What is your interest in this topic?

18. 18 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Local Role in this priority? What do you see as your role? How do you interface with schools currently? What partnerships currently exist that you could leverage for this work? What seems challenging about this work?

19. 19 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Readiness Criteria Ability to partner with schools Leverage HB 11-1254, Colorado’s Bullying Prevention Law Existing partners working on this shared protective factor(s) with other funding in community (TGYS, SVP, SBHC, OSP, OBH grantees, CFPS) Burden of bullying and suicide identified for community

20. 20 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Next Steps Finalize state action plan Develop and finalize local logic model and action plan utilizing feedback from today’s session.

21. 21 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. FY16 Planning Process (March- May) Generalist Consultants (Julie and Isabel) will work with each of their agencies to schedule planning meetings. Tomei Kuehl (tomei.kuehl@state.co.us) is available to consult with LPHA staff to draft customized local action plans.  Ongoing Technical Assistance is Available! Depending on the number of LPHAs that select this priority, I will be reaching out via conference calls, webinars, or in-person technical assistance.

22. 22 This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government. Questions? Thank you! Tomei.Kuehl@state.co.us 303-692-2049 Tomei.Kuehl@state.co.us