Proposal to reduce suicide deaths via expansion of 988 follow-up and integration of appropriate aftercare resources - netcare's 988 follow-up initiative addresses the acute behavioral health (BH)…

Proposal to reduce suicide deaths via expansion of 988 follow-up and integration of appropriate aftercare resources - netcare's 988 follow-up initiative addresses the acute behavioral health (BH) needs of franklin county, ohio, home to approximately 100,000 residents with SED/SMI & 93,000 people with SUD. This region witnessed 140 suicide fatalities in 2020 & a 46% surge in drug overdoses from 2019 to 2020. The project will establish partnerships, improve follow-up protocols/BH services, & bolster culturally sensitive crisis care. Project goals/objectives include goal 1 improve netcare's crisis follow-up protocols & crisis follow-up team performance. OBJ. Within PY1 Q1, review & analyze current follow-up procedures post-crisis encounter & first responder intervention, identifying areas of improvement & gaps. OBJ. B within PY1 Q3, implement & train all relevant clinical staff on the 988 follow-up protocol that incorporates best practices for client engagement. OBJ. C within PY1, establish a follow-up protocol monitoring system that tracks client engagement & outcomes for 90 days to 12 months post-crisis. OBJ. D within PY2, increase follow-up rates by 20% within 90 days post-crisis relative to PY1, & 30% in PY3 relative to PY1. Goal 2 establish formal crisis system partnerships to increase access to 988 follow-up best practices across the crisis system. OBJ. A within PY2, establish formal collaborative agreements with three additional franklin county mobile crisis teams. OBJ. B within PY3, conduct a comprehensive training program for 100% of netcare's frontline staff to enhance coordination with the partnered mobile crisis teams & ensure optimal crisis response. OBJ. C within PY3, provide joint crisis intervention services with the partnered mobile crisis teams to at least 30% more individuals in crisis than the previous year. Goal 3 enhance accessibility to same-day/next-day appointment availability for people with BH crisis in the community. OBJ. A within PY2, revise the current scheduling system & procedures to allow for at least a 20% increase in same-day & next-day appointment slots, according to ccbhc guidelines. OBJ B. Within PY2, achieve a 10% increase in total appointments scheduled & kept compared to the previous year. OBJ. C after implementing new follow-up program components and beginning PY2, evaluate appointment availability, scheduling efficiency, & patient satisfaction to guide necessary adjustments. Goal 4 enhance analytic capacity to monitor & reduce crisis contacts requiring police engagement in the community. OBJ. A within PY1 Q2, monitor key caller characteristics for those referred to 911 related to BH crises. OBJ. B within PY1 Q3, based on identified trends & training needs, conduct a comprehensive crisis intervention training for staff. OBJ. C after PY1, achieve an annual 10% reduction in the frequency of 911 referred calls related to BH crises through effective intervention & proactive support compared to the prior year. Goal 5 improve cultural competency across franklin county's crisis response continuum. OBJ. A within PY1, develop a culturally responsive care training curriculum. OBJ. B within PY2 Q1, train at least 75% of the 988 follow-up service staff in culturally responsive care & demonstrate a high cultural competency (80% or better) on training post-tests. OBJ. C within PY3, through client surveys, 90% of clients receiving crisis services will indicate staff honored their cultural values & preferences. Goal 6 enhance county crisis continuum's collaborative efforts & information sharing. OBJ. A within PY1 Q1, identify key data points that must be shared with the franklin county suicide prevention coalition (FCSPC) to improve care coordination. OBJ. B within PY1 Q3, formalize a data-sharing agreement with the FCSPC, detailing the data to be shared, the frequency of data sharing, & data security measures. OBJ. C within PY2 Q3, establish a regular review process to evaluate the efficacy & efficiency of these data-sharing agreements, ensuring they meet all parties' needs and contribute to improved outcomes.