1. From Prevention to Postvention: One County’s School-based Approach
Monroe County, New York

2. Mission
To implement and maintain a community and school-based consortium of culturally sensitive and clinically appropriate training, support, and resource services to assist schools in responding to the emotional needs of children, teachers, and other school personnel, which arise from trauma, violence, illness, grief and loss.

3. The Prevention-Postvention Cycle within a Multi-Tiered System of Support
Intervention
Postvention
Prevention
Tier 1
Tier 2
Tier 3
Student

4. Structure and Philosophy
“Children carry more between home & school than lunch and a backpack. Working together we can lighten their load.”
~National Association of School Psychologists

5. Structure of TIG Core Curriculum Back-up Support
Increases efficacy of response County Leadership
Five day sequence
Players on the bench
Centralized communication
Appropriate for any staff
38 component schools/districts
Neutral facilitation
Increases awareness
Initial Planning & Funding
Evidence informed response model
Increases capacity to respond
Access to resources
Decreases vicarious trauma

6. Essential Infrastructure
Sustainable training model
Memorandum of Understanding
Primary Contacts
Advisory Board
Centralized request process
Crisis Response Plans
Collective learning

7. Essential Elements Trauma-Informed Positive School Climate Equity
Suicide Knowledgeable

8. TIG & Suicide Prevention
Tier 1: What you do for all…

9. TIG Core Curriculum Trauma Grief & Loss at School
Suicide Risk & Intervention
Chronic Illness
School Violence: Prevention & Intervention
Team Development & Back-Up Support
Critical Incident Stress Management (CISM)
Curriculum delivered over ½ a year
Three full days of training 1 per month +
Two full days of CISM by national expert
Dual aspect of training

10. Trauma-Informed…
n=1464
Monroe County YRBS-ACEs Analysis 2015

11. 49% of student with 4 or more ACEs reported engaging in self-injury
42% of students with 4 or more ACEs reported considering suicide in the past year
34% of students with 4 or more ACEs reported attempting suicide in the past year
% total non-suicidal self-injury ever
% total considered suicide in the past year
% total attempted suicide in the past year

12. Positive School Climate…
Establishes connections
Fosters help-seeking
Ability to Be in the Know
Positive collective experience

13. Knowledgeable about Suicide…
Suicide Prevention is Everyone’s Job
Knowledge of:
Atypical vs. typical
Warning signs/risk factors
Connections/referral options

14. TIG & Suicide Intervention
Tiers 2 & 3: What you do for some…

15. TIG Core Curriculum Trauma Grief & Loss at School
Suicide Risk & Intervention
Chronic Illness
School Violence: Prevention & Intervention
Team Development & Back-Up Support
Critical Incident Stress Management (CISM)
Curriculum delivered over ½ a year
Three full days of training 1 per month +
Two full days of CISM by national expert
Dual aspect of training

16. Equity…

17. Knowledgeable about Suicide…
Consistent Assessment
Core competencies:
Knowledge of Crisis Services
Ability to communicate
Wrap-around/sustained support plans

18. TIG & Suicide Postvention
Tiers 1, 2, & 3: There’s something for everyone…

19. TIG Core Curriculum Trauma Grief & Loss at School
Suicide Risk & Intervention
Chronic Illness
School Violence: Prevention & Intervention
Team Development & Back-Up Support
Critical Incident Stress Management (CISM)
Curriculum delivered over ½ a year
Three full days of training 1 per month +
Two full days of CISM by national expert
Dual aspect of training

20. Strategic Plan
Who
What
When
How

21. Essential Skills: Critical Incident Stress Management (CISM)
Crisis Management Briefing
CISM Defusing
CISM Debriefing
1:1

22. Ensure Health: Use Wellness Plans Flexible response Process review
CISM Debrief responders

23. Monitor over Time Strategic Check-ins Communication Options:
Anniversaries
Memorials
Milestone events
Additional Referrals
Individualized Support Planning

24. Lather - Rinse - Repeat
Intervention
Postvention
Prevention

25. Next Steps & New Opportunities
The Consortium on Trauma, Illness & Grief in Schools

26. TIG Districts 2005-06 Gates-Chili Hilton Pittsford West Irondequoit
Aquinas Institute
Fairport
Penfield
Spencerport
Honeoye Falls-Lima
East Rochester
Churchville- Chili
Gananda
Caledonia-Mumford
McQuaid Jesuit
Our Lady of Mercy
Kendall
Rochester City
Canandaigua
Palmyra-Macedon
Williamson Central
New
Bishop Kearney
Byron-Bergen
Discovery Charter
Genesee Valley Educational Partnership
North Rose-Wolcott
Red Creek
Renaissance Academy
Victor
Waterloo
Monroe-Orleans #2 BOCES
Brighton
Brockport
East Irondequoit
Rush Henrietta
Webster
Monroe #1 BOCES
Greece
Wheatland-Chili
Over 500 school personnel have been trained. Since 2013 we’ve offered two trainings per year, allowing us to train up to 90 staff annually.
Mental health, school nurse, teachers, media specialists, deans, administrators – principals, directors, CSE chair, school safety, assistant supers, super
Larger teams – trained up to 45 staff members

27. Essential Collaborations
Suicide Prevention Coalition
School – MH Clinic
School – Hospital
Directors of Community Services
URMC – Program Evaluation
Monroe 2 BOCES
Essential Collaborations

28. The Road to Resilience
Dr. Kenneth Ginsburg

29. Amy H Scheel-Jones Chief, Planning Monroe County Office of Mental Health 1099 Jay St. Building J Rochester, NY