1. Zero Suicide in Texas (ZEST) Zero Suicide in Texas (ZEST) Collaborative Call DSHS: DSHS: Jenna Heise TIEMH: TIEMH: Dr. Molly Lopez Dr. Erica Shapiro

2. WELCOME AND GET TO KNOW YOUR PEERS  Introduce yourself and your role in your agency  What agency do you work for and what area does it cover?  What are you most excited about after attending the kick-off?

3. REMINDERS Technical Assistance calls If you have not yet had your TA call to review your organizational readiness assessment, please contact me to schedule a date and time for your organization. Erica.Shapiro@austin.utexas.edu

4. WORKFORCE SURVEY Keep an eye out for the Zero Suicide Workforce Survey! We will sending this out soon and be asking each organization to have their staff complete this online survey. If your organization has already participated in the 2012 workforce survey, we ask that you do so again.

5. LEADERSHIP & ORGANIZATIONAL SUPPORT  Creating a Zero Suicide Culture  Unwillingness to accept even one death by suicide  Combat Skepticism (fear & stigma associated with deaths by suicide) - support staff members so they do not fear blame instill the core believe that suicides can be prevented A major task for organizations to effectively eliminate suicide among their members is to instill the core believe that suicides can be prevented within their organization and manage service delivery systemically around that core belief. --National Action Alliance for Suicide Prevention

6. LEADERSHIP & THE IMPORTANCE OF BUY-IN How to establish a Zero Suicide culture? Strategic plans, values statements, staff meetings Importance of communication with external stakeholders (including referring agencies, emergency departments, psychiatric hospitals, police, emergency responders, consumers, family members…) A video messaged prepared by DSHS that can be utilized for stakeholder messaging is available online: https://www.youtube.com/wat ch?v=bMFa03Lqn90&feature=pl ayer_embedded

7. POLICY DEVELOPMENT Goal 2: Written organizational policies & procedures support suicide safe care practices

8. Implementation teams have been shown to greatly increase the chance of successful implementation (from 20% to 80%) and to greatly reduce the time taken to reach fidelity practice (Fixsen, Blase, Timbers, & Wolf, 2001) IMPLEMENTATION TEAMS Goal 1: Suicide safe care organizations have a multi-disciplinary committee tasked with overseeing the implementation of the zero suicide effort

9. IMPLEMENTATION TEAMS Possible team members…. Suicide Prevention Coordinator Clinic Manager Case Manager MCOT Staff Wraparound Facilitator Family Partner Medical Director Loss Survivor Nurse Therapist ACT Team Lead Peer Specialist Attempt Survivor *Important to include individuals empowered to make changes to policies & procedures

10.  Planning Tools & Quality Improvement Processes Plan, Do, Study, Act (PDSA) Planning worksheet  Role & function of Implementation Teams Meet regularly, identify targets/goals, action steps, identify barriers, monitor outcomes etc. IMPLEMENTATION TEAMS

11. LET’S SHARE

12. ZEST GROUPS & MEETING DATES Wednesdays, 2pm CST Fridays, 9am CST Pecan ValleyAndrews Center Gulf Bend CenterHeart of Texas Center for Life Resources Nueces County Texana CenterTri-County Services Betty Hardwick CenterHarris County participants Helen Farabee Center Brazos Valley Star Care Lubbock Month Wednesdays, 2pm CST Fridays, 9am CST November Nov 18 h Nov 20 th December TBA January (2016) Jan 27 th Jan 29 th February Feb 24 th Feb 26 th March Mar 23 rd Mar 25 th April Apr 27 th Apr 29 th May May 25 th May 27 th June Jun 22 nd Jun 24 th July Jul 27 th Jul 29 th August Aug 24 th Aug 26 th