1. SAMHSA Garrett Lee Smith State & Tribal Grant The Ohio Suicide Prevention Foundation The Ohio Department of Mental Health

2. Key Strategies 1. Utilize and Enhance Existing Infrastructures 2. Increase number of qualified clinical providers 4. Online Data Collection for Outcomes 5. Rapid Cycle Continuous Improvement Model 3. Research Evidenced-Based Screening Program

3. Utilize and Enhance Existing Infrastructures

4. EXISTING INFRASTRUCTURE Ohio’s TeenScreen Program ●13 Programs ●81 Individual Sites ENHANCE Offer Grants to Support: ●Existing Evidence-based Youth Suicide Programs ●Recruit New Programs in High Suicide Rate Counties

5. Columbia University TeenScreen Program Active Screening Sites Total – 439 Active Sites 41 States and Washington DC Utilize and Enhance Existing Infrastructures

6. EXISTING INFRASTRUCTURE: State TeenScreen Program Coordinator Technical Assistance Current RoleEnhanced Role  Program & Site Development  Program Training  Technical Assistance  Annual Data Collection & Analysis  Program & Site Development  Outreach to High Suicide Rate Communities  Program Training  Technical Assistance  Quarterly Data Collection & Analysis  Quarterly Feedback to Programs  Real Time Program Data Collection  Funding to expand local programs  Participant in OSU Program Evaluation Team

7. Evidenced-Based Programs Columbia University TeenScreen Program Technical Assistance Rationale  10+ years of program research  Reliability and Validity Study Results  NYC Pilot Study Results  Teens at risk for suicide will be identified by screening  Teens who are experiencing depression and other mental health conditions will be identified by screening  Screening Identifies Unknown Teens  4-6 Year Outcome of Youth Screened  Ohio Pilot Results

8. Middle and High School Students Parental Consent and Participant Assent Screening Tool The Screening Process Clinical Interview Re-consent, Referral and Case Management Debriefing No Referral

9. Screening Attrition Screening Stage 2006 N 5333 Hypothetical School N 1000 Active consent 1719 32% Reply 1189 69% YES 530 31% NO 320 220 Positive screens 1082 Actual (N 307) 28.3% 62 Referred to MH for further evaluation and treatment (N192) 47.6%29 Attended first MH appointment (N109) 64%14 CDC Research 28.3% met criteria for clinical depression N 283 20.5% had seriously considered attempting suicide N 205 15.7% had made a specific plan N 157 7.7% had attempted suicide N 77 2.6% had a suicide attempt that required medical attention N 26

10. Outcome: Program Expansion Adolescents at risk for suicide due to undiagnosed mental Illness will have increased access to prevention and mental health services Adolescents at risk for suicide due to undiagnosed mental Illness will have increased access to prevention and mental health services 18 New Programs Over 3 Years, 50% expansion per year of Existing Programs 18 New Programs Over 3 Years, 50% expansion per year of Existing Programs

11. Outcome: Improved Active Consent Increased percentage of students with active consent Increased percentage of students with active consent Best practice Feedback Perception of innovation adoption Best practice Feedback Perception of innovation adoption

12. Outcome: Increased Clinical Resources Increased number of trained clinicians Timeliness of evaluations Increased number of trained clinicians Timeliness of evaluations Provide SPRC Core Competencies Training Provide SPRC Core Competencies Training

13. Outcome: Number of Referral Completions Increased Percentage of referral completions Healthcare climate indicators Increased Percentage of referral completions Healthcare climate indicators More Parent Education & At Risk Youth Linked to Needed Services More Parent Education & At Risk Youth Linked to Needed Services

14. Outcome: Program Fidelity 100% of youth with active consent will be offered screening 100% of youth identified with risk will be interviewed by a licensed professional 100% of youth identified as at risk by a professional will be referred for further mental health services 100% of youth with active consent will be offered screening 100% of youth identified with risk will be interviewed by a licensed professional 100% of youth identified as at risk by a professional will be referred for further mental health services Fidelity to Evidenced-Based Screening Model Fidelity to Evidenced-Based Screening Model

15. Outcomes: Sustainability Sustainability as evidenced by 75% of suicide program coordinators reporting perceptions of evidence-based screening and referral practice that predict their ability to sustain their commitment Sustainability as evidenced by 75% of suicide program coordinators reporting perceptions of evidence-based screening and referral practice that predict their ability to sustain their commitment Ohio Sustains Evidence-Based Programs Ohio Sustains Evidence-Based Programs

16. Real Time, Online Data Collection  All Ohio Sites Input Program Data to a Secure Online Website

17. Evaluation Feedback Loop Technical Assistance