Pathway to hope - OK narrative - grants to implement zero suicide in health systems - no

SM-20-015 the oklahoma department of mental health and substance abuse services will build upon our statewide zero suicide initiative to create the pathway to hope initiative (PTH). This initiative is a partnership to reduce the number of suicides by 15% in 18 counties. Creoks, green country behavioral health (GC), and the lighthouse behavioral health centers (LH) will take PTH to scale throughout three behavioral health systems for persons 25 years and older. These three cmhc service areas were chosen through: 1) mining data and identifying highest need areas; 2) requesting information to determine readiness to implement, and 3) establishing a commitment to a partner. With the increased resources, technical assistance, and training provided through PTH, we can move the needle toward eliminating suicides. Furthermore, PTH will provide leadership and a pathway for other community mental health centers (cmhcs) statewide. The odmhsas and our cmhc partners embarked on a statewide zero suicide initiative in 2016 with our first-ever state zero suicide summit. Through clinical workgroup recommendations adopted by directors, a common screening, assessment, and treatment protocol was adopted throughout our oklahoma system. Providers moved at different speeds toward implementation. We will utilize samhsa funding to: and 1) bring creoks, GC and LH to full implementation of the essential elements of the zero suicide model throughout their entire behavioral health systems; and 2) provide further training and technical assistance to all 13 of our cmhcs, moving the needle statewide. This will be guided through a clinical leadership workgroup taking recommendations to the cmhc directors' monthly meetings. The result will be fewer suicides. PTH will screen all adults served who are over 25 years. Of these, we project PTH will serve 408 in year 1; 449 in year 2; 494 in year 3; 543 in year 4; and 597 in year 5, for the project total. Highlights of goals and objectives include: 1) lead: a) convene the local and statewide zero suicide workgroups; b) conduct self-studies; c) modify existing protocol: 2) train: a) complete workforce surveys; b) arrange training and distribute training calendar, and train clinicians, case managers, and peer recovery support specialists; c) train all levels of staff at creoks, GC and LH; 3) identify: a) modify screening protocol statewide and current results; b) modify electronic health records to reflect suicide care pathway and create dashboards; 4) engage: a) make improvements in zero suicide care pathways starting with enhanced engagement protocols; b) provide targeted technical assistance to creoks, GC and LH to fully implement zero suicide care pathways and incorporate into their electronic health records; 5) treat: beginning day one: a) treatment begins in all areas; b) revise data reporting to track usage of CBT-SP and collaborative management of suicidality (cams); b) require everyone trained in ebps to commit to participate in ongoing consultation; 6 & 7) transition and improve: a) train and deploy outreach staff for rapid follow-up; and b) increase usage of mobile crisis 24/7 and outreach.