1. OPHI Program Outcomes. Presented April 2, 2014
Oregon’s State Garrett Lee Smith Youth Suicide Prevention Grant:
Creating System Change through Community Coalitions and Prevention Trainings
Oct 2014-Sept 2019
Presented at the Oregon Youth Suicide Prevention Conference, Clackamas OR, March 13, 2018
Presented by Karen Cellarius, PSU Regional Research Institute,

2. OPHI Program Outcomes. Presented April 2, 2014
Agenda
Introductions
GLS Grant Goals & Overview
Strategies from 3 GLS Counties:
Jackson, Umatilla, and Washington
Developing a Community Coalition
Promoting Continuity of Care
Questions/Comments?
If time: Grant accomplishments to date
Presented by Karen Cellarius, PSU Regional Research Institute,

3. OPHI Program Outcomes. Presented April 2, 2014
Presenters:
GLS Grant Evaluator:
Karen Cellarius, MPA
Portland State University
County GLS Suicide Prevention Coordinators:
Kristin Parrish, MS
Jackson County Mental Health
Amanda Walsborn, MLS
Umatilla County Public Health
Deb Darmata, MS
Washington County Public Health
Presented by Karen Cellarius, PSU Regional Research Institute,

4. Garrett Lee Smith Memorial Act (GLSMA) (2004 )
OPHI Program Outcomes. Presented April 2, 2014
Garrett Lee Smith Memorial Act (GLSMA) (2004 )
In memory of OR Senator Gordon Smith’s son
Funds State, Tribal & Campus Youth Suicide Prevention Programs
Youth aged 10–24
Established Suicide Prevention Resource Center (SPRC)
Funding Agency:
Substance Abuse Mental Health Services Administration (SAMHSA)
Center for Mental Health Services (CMHS )
Presented by Karen Cellarius, PSU Regional Research Institute,

5. GLS Priority populations:
OPHI Program Outcomes. Presented April 2, 2014
GLS Priority populations:
Lesbian, gay, bisexual, transgender and questioning (LGBTQ) youths
American Indians and Alaska Native (AI/AN) residents
Youths in contact with juvenile justice systems
Military family members
Veterans
Survivors of suicide attempts
Those who have experienced suicide
Presented by Karen Cellarius, PSU Regional Research Institute,

6. Types of Suicide Prevention Strategies Implemented by GLS Grantees

7. OPHI Program Outcomes. Presented April 2, 2014
GLS Grants in Oregon
Campus:
-Western Oregon University
-OSU Cascades (ended 2016)
Tribal:
-Native American Rehabilitation Association of NW (NARA)
-NW Portland Area Indian Health Board
-Yellow hawk (Umatilla)
State:
-Oregon Caring Connections Initiative
Presented by Karen Cellarius, PSU Regional Research Institute,

8. Oregon Caring Connections Initiative:
OPHI Program Outcomes. Presented April 2, 2014
Oregon Caring Connections Initiative:
SAMHSA Garrett Lee Smith (GLS) State/Tribal Youth Suicide Prevention Grant
Awarded to: Oregon Public Health Division
Focus: Systems Change
Grant Period: Oct 2014–Sept 2019
Cohort 9: 26 sites funded in U.S.
Counties with Suicide Prevention Coordinators:
Deschutes
Jackson
Josephine
Umatilla
Washington
Presented by Karen Cellarius, PSU Regional Research Institute,

9. Oregon Caring Connections Components:
OPHI Program Outcomes. Presented April 2, 2014
Oregon Caring Connections Components:
Gatekeeper Trainings: Community members, schools and veterans organizations (QPR, Safetalk)
Clinical Trainings: Behavioral Health Clinicians (ASIST, AMSR, CALM,
Implementation of guidelines for continuity of care: Youth discharged from E.D.s/inpatient psychiatric units. Improvements to county crisis response plans.
Promotion of the National Suicide Prevention Lifeline (NSPL)
Implementation of Zero Suicide: Washington County
Evaluation: PSU Regional Research Institute for Human Services
Presented by Karen Cellarius, PSU Regional Research Institute,

10. OCCI GLS Prevention Activities
Gatekeeper Training through ASIST, QPR, and Kognito
Clinical Trainings in Assessing and Managing Suicide Risk (AMSR)
Improving county crisis response plans and the Continuity of Care.
Implementing Zero Suicide
Promoting the National Suicide Prevention Lifeline (NSPL)

11. GLS Goal #4: Improving county crisis response plans and the Continuity of Care
Community Coalitions

12. Promoting Continuity of Care through Community Coalitions
Jackson County Suicide Prevention Coalition
Medford, Oregon
Umatilla County Suicide Prevention Coalition
Pendleton, OR (Meets by teleconference)
Washington County Suicide Prevention Coalition
Hillsboro, Oregon
Josephine County Suicide Prevention Taskforce
Grants Pass, Oregon
Central Oregon Suicide Prevention Alliance (COSPA)
Rotates meeting locations.

13. Non-GLS Suicide Prevention Coalitions
Mid-Valley Suicide Prevention Coalition
Oregon Alliance to Prevent Suicide
Others?

14. Jackson County Suicide Prevention Coalition, Medford, Oregon
History
Development 
Planning
Programs represented at the coalition
Topics discussed during meetings

15. Central Oregon Suicide Prevention Alliance (COSPA)
Meets quarterly. Leadership team meets at least quarterly and sometimes more frequently
Sub-committees meet more regularly as needed
Outreach
Primary care
Veterans 
suicide-prevention-alliance-cospa
Wednesday, March 14th, 10:30-Noon in Room 2119: Firearm Safety in Rural Primary Care. Presenters: Susan Keys and COSPA member Laura Pennavaria (CEO of St. Charles Medical Group)

16. Umatilla County Suicide Prevention Coalition, Pendleton, OR
How long has the Coalition been meeting?
How did the Coalition come together?
How often do you meet and where?
Who attends?
What are you currently working on?
Major accomplishments?

17. Washington County Suicide Prevention Coalition, Hillsboro, OR
How long has the Coalition been meeting?
How did the Coalition come together?
How often do you meet and where?
Who attends?
What are you currently working on?
Major accomplishments?

18. Developing a local suicide prevention coalition (Panel Discussion):
What works?
What doesn’t work?
Who needs to be at the table
Local factors to be aware of:
Rural/Urban
Local communities
Existing Response system
Other tips?

19. Promoting Continuity of Care around Suicide Prevention and Response

20. State Continuity of Care Model
OPHI Program Outcomes. Presented April 2, 2014
Continuity of Care
State Continuity of Care Model
Presented by Karen Cellarius, PSU Regional Research Institute,

21. Continuity of Care Partnerships Advisory Team Systems of care
Crisis Response
Follow-up care
MOUs
EDs, BH, Primary Care, Schools, School-based Health Centers, First Responders, Crisis Teams & Crisis Lines, etc.
Supporting Foundational Documents

22. Promoting continuity of care around suicide prevention and response (Discussion):
Local factors to be aware of:
Rural/Urban
Local communities
Existing Response system
In which setting(s) or systems is there the greatest need and/or opportunity?
Emergency department discharge
Referrals from school to mental health
Other?
Where might you have the greatest success?
At the local level, the regional level?
What partnerships need to be in place?
Who is already at the table? Who needs to be added?
What are your expected challenges and how will you overcome them?

23. Questions? Comments?

24. Oregon Caring Connections Initiative
Year 3
Accomplishments
Oct 2016-Sept 2017
Presented at the OCCI Annual Meeting, Bend, Oregon
PSU Regional Research Institute for Human Services
November 29-Dec 1, 2017
Updated Dec 21, 2017

25. OCCI GLS Prevention Activities: What have we done so far?
Gatekeeper Training through ASIST, QPR, and Kognito
Clinical Trainings in Assessing and Managing Suicide Risk (AMSR)
Improving county crisis response plans and the Continuity of Care.
Implementing Zero Suicide
Promoting the National Suicide Prevention Lifeline (NSPL)

26. OCCI Prevention Activity 1:
Gatekeeper Trainings (ASIST, QPR and Kognito)

27. Completed QPR, ASIST Trainings in Year 3 (Objective: One training per County per Quarter) (Data source: TASP forms )
County
ASIST
QPR
Total
Deschutes
2 (86)
8 (193)
10 (279)
Jackson
7 (172)
34 (943)
41 (1,115)
Umatilla
1 (15)
5 (67)
6 (82)
Josephine
3 (40)
19 (555)
22 (595)
State Total*
13 trainings
(313 people)
66 trainings
(1,758 people)
79 trainings
(2,071 people)
*Washington County trainings do not use GLS funds

28. Total QPR, ASIST and safeTALK Trainings (Objective: One training per County per Quarter) (4 Quarters x 5 Counties=20 trainings/year) (Data source: TASP forms )
Year
ASIST
QPR
SafeTALK
Annual Total 1
21 trainings
(567 people)
10 trainings
(274 people) -
31 trainings
(841 people) 2
(492 people)
42 trainings
(1,300 people)
1 training
(17 people)
64 trainings
(1,809 people) 3
13 trainings
(313 people)
66 trainings
(1,758 people)
79 trainings
(2,071 people)
State Total
55 trainings
(1,372 ppl)
118 trainings (3,332 ppl)
(17 ppl)
174 trainings
(4,721 ppl)

29. Location Where Training Occurred
Kognito: At Risk for High School Educators (Data source: Automated Kognito reports) (Objective=100 schools & 20,000 educators and staff by Jan 15, 2018)
Location Where Training Occurred
Schools
Users Completed
Jackson 2 4
Washington 17
Deschutes 1
Non-GLS counties* 11
129
Non-Schools+
N/A 22
Year 3 Total 16
173
Year 2 Total
234
Year 1 Total 3 10
Total to date 35
417

30. Kognito: At-Risk in Primary Care in Year 3 (Objective to complete by Sept 30, 2019: Train staff at all 103 School-Based Health Centers in state and to pediatricians in three counties)
Organization
Location
Users Completed
Bend LaPine School Nurses
Deschutes 5
Bend High School 1
Ensworth Elementary School
Pendleton High School
Umatilla 2
Sunridge Middle School
Merlo Station High School
Washington
Tigard High School
Rogue Community Health Center
Jackson 3
Non-GLS Counties
Multiple 11
Other+
Unknown
Year 3 Total
(includes 8 SBHCs & 2 PCPs)
16+ 29
+Participants grouped into the “Other category” could not be identified, so the exact number of locations is unknown.

31. Kognito: At-Risk in Primary Care (Promoted in Years 2 & 3 only) (Objective to complete by Sept 30, 2019: Train staff at all 103 School-Based Health Centers in state and to pediatricians in three counties)
Locations
Users Completed
Year 2 Total
(includes 1 PCP and 1 SBHC) 2+ 17
Year 3 Total
(includes 8 SBHCs & 2 PCPs)
16+ 29
Total to Date
(includes 3 PCPs and 9 SBHCs)
18+ 46
+Participants grouped into the “Other category” could not be identified, so the exact number of locations is unknown.

32. Kognito: At Risk in the ED (Promoted in Years 2 & 3 only) (Data source: Automated Kognito reports) (Current Objective=Emergency Department staff in all Oregon counties) (Original Objective: ED staff in all four Portland metro health systems that treat more than 300,000 patients annually)
Institution Name
Location
Users Completed
Providence - Milwaukie Hospital
Clackamas 2
Providence - St. Vincent Medical Center
Washington 1
Tuality - Tuality Community Hospital
Year 2 Total 3 4
Providence Medford Medical Center
Jackson
Randall Children's Hospital at Legacy Emanuel
Multnomah
St. Charles Health System - Redmond
Deschutes
Other+
Unknown 7
Year 3 Total 3+ 10
Total To Date* 6+ 14

33. OCCI Prevention Activity 2:
Trainings for Clinicians (AMSR)

34. Total remaining to train
AMSR Trainings: (Objective=11 Trainings & 550 participants by Dec 29, 2019)
Training Date
Training Location
Clinicians Trained
2/27/2015
Washington 49
10/30/2015
Jackson 42
03/30/2016
Josephine 41
07/12/2016
Deschutes
08/05/2016
Malheur 47
09/16/2016
Lane/Douglas 51
09/22/2016
Multnomah 46
09/01/2017
Umatilla 17
09/22/2017 20
Total to date 9
362
Total remaining to train 2
188

35. OCCI Prevention Activity 3:
Improve continuity of care and follow-up of youth identified at risk for suicide discharged from EDs and inpatient psychiatric units

36. Youth identified as at-risk for suicide and subsequent referrals to mental health or related services following a GLS gatekeeper training or other GLS system effort (Years 1-3) Source: Early Identification and Referral Forms/Organizational Data (EIRF s)
County
Data Source
GLS Connection
Responses to crisis calls involving youth
Youth ID’d as needing referral
Percent
referred
Percent seen within 3 months
Washington
Hillsboro School District
Schools trained in Kognito 18 11
(61.1%) 7
(63.6%)
Not tracked
Jackson
Jackson County Mental Health
GLS Prevention Coordinator housed here & coordinates continuity of care. Responds to all youth crisis calls in county.
289
(100%)
283
(97.9%)
237
(83.7%)
Josephine
Options for Southern Oregon
232
185
(79.7%)
184
(99.5%)
167
(90.8%)
Total (Y1 – Y3 Combined)
539
485
(90.0%)
474
(97.7%)
405
(85.4%)
-Crisis response data were received for 742 calls from three counties, however data on the result of those calls were
not available for 203 of those cases.
-Crisis response data for Umatilla and Deschutes County were not available at the time of this report.

37. OCCI Prevention Activity 4:
Implementing Zero Suicide

38. Oregon Zero Suicide Timeline
Original GLS OCCI proposal
Promote Zero Suicide in one urban county
Years 1&2
Zero Suicide promoted in Washington County & adopted by major mental health provider (Lifeworks NW)
Year 3
Zero Suicide adopted as goal for all counties
State Zero Suicide Coordinator position created
Zero Suicide Trainings during monthly coordinator calls
Year 4
Statewide Zero Suicide Academy in September

39. OCCI Prevention Activity 5:
Promoting the
National Suicide
Prevention Lifeline
(NSPL)

40. Callers thinking of suicide on day of call
Crisis Calls Made in GLS Grant Counties from October 2016 thru September 2017 Total calls based zip code or other information provided by caller. (Data source: Lines for Life, statewide NSPL responder)*
County
Number of Calls
Callers thinking of suicide on day of call
Deschutes
625
211
Jackson
958
246
Josephine
465 87
Umatilla
346 86
Washington
2,117
548
Total
4,511
1,178
-Includes calls to the NSPL Helpline, the Lifeline, the Portland Lifeline, the VA Crisis Line and the Oregon Youthline.
-Additional contacts were made via the Youthline’s text line, chat line and address
-Does not include calls that rolled over to overflow responders if Lines for Life lines were all occupied.

41. Suicide-related Crisis Calls from GLS Grant Counties – Years 1-3 Caller responded Yes to the question: “Are you thinking about suicide today?” (Data source: Lines for Life, statewide NSPL responder)
County
Year 1
Year 2
Year 3
Deschutes 62
161
211
Jackson 82
171
246
Josephine 21 81 87
Umatilla
N/A 86
Washington
125
335
548
Total
290
748
1,178
-Includes calls to the NSPL Helpline, the Lifeline, the Portland Lifeline, the VA Crisis Line and the Oregon Youthline.
-Additional contacts were made via the Youthline’s text line, chat line and address
-Does not include calls that rolled over to overflow responders if Lines for Life lines were all occupied.

42. Recap: OCCI Prevention Activities
Gatekeeper Training through ASIST, QPR, and Kognito
Clinical Trainings in Assessing and Managing Suicide Risk (AMSR)
Improving county crisis response plans and the Continuity of Care.
Implementing Zero Suicide
Promoting the National Suicide Prevention Lifeline (NSPL)