Kentucky initiatives for zero suicide - expansion (KIZS-X) - bordered by the appalachian mountains on the east and mississippi river to the west this kentucky communities are rural and white yet…

Kentucky initiatives for zero suicide - expansion (KIZS-X) - bordered by the appalachian mountains on the east and mississippi river to the west this kentucky communities are rural and white yet diverse in community culture. More than 90% of those counties are designated rural and 55% of the state population lives in a rural community. Those living in rural communities have disparate suicide risk compared to urban residents. In the northeast corner of the state comprising 10 of kentucky's most rural communities, pathways incorporated provides behavioral health services to more than 14,000 unduplicated clients annually and nearly 7% of the region's population. This application to samhsa by the kentucky department for behavioral health, developmental and intellectual disabilities is in response to samhsa announcement SM-23-011, cooperative. Agreements to implement zero suicide in health systems (zero suicide). Frequent mental health distress has increased in KY by more than 22% since 2017 and the state is ranked 45TH for this indicator. Covid-19 exasperated an existing deficit in mental health providers in the state with every community mental health center (CMHC) reporting in early 2021 issues with recruitment and retention of staff. Those issues continue more than two years later. Kentucky is ranked 28TH.in available mental health providers with 285.3 per 100,000 population. All counties in pathways region are appalachian. All 10 are designed by hrsa as having a mental health provider shortfall. Efforts will focus on those over the age of 18, who visit a PC or ED, with risks of suicide. And substance use. The kdbhdid proposes to use a combination of evidence-based practices: QPR, asist, amsr, cams, and CBT-SP to increase the capacity of the workforce to adequately support those at risk of suicide attempts and death. Dbhdid will partners with pathways, ST. Claire healthcare, mental health america kentucky, and reach evaluation