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Montana׳S Cast-S Montana CAST-S 2017 MONTANA’ S CAST- S Crisis Action School Toolkit on Suicide 2017 1 Montana CAST-S 2017 2 Montana CAST-S 2017 Montana’s CAST-S Crisis Action School Toolkit on Suicide 2017 This Montana CAST-S Toolkit was developed by co-authors Dr. Scott Poland and Dr. Donna Poland in collaboration with Montana OPI, SAM, DPHHS, Big Sky AACAP, and NAMI Montana for the express use by Montana schools. Other agencies or individuals wishing to use materials must obtain permission from the authors by contacting [email protected]. Published November 2017 3 Montana CAST-S 2017 Editorial and layout support was provided by Peter Christensen, Punchline Communications Inc. 4 Montana CAST-S 2017 About the Authors Scott Poland, EdD Currently a professor at Nova Southeastern University’s College of Psychology, Dr. Scott Poland is also the co- director of the NSU Office of Suicide and Violence Prevention in Fort Lauderdale, Florida. He has worked in schools as a psychologist or a director for twenty-six years and is still very involved in school crisis response and consultation. He has recently provided on-site assistance after suicides in several school districts. As survivors of the suicide of his father, he and his family are examples of those who never believed a suicide could happen. After being promoted to director of psychological services in Cypress-Fairbanks ISD and facing the suicides of several students, Dr. Poland became dedicated to suicide prevention. In 1982, the district superintendent asked him what he was going to do about these suicides. At the time, he answered that he did not know. Figuring out how to prevent youth suicide has been his highest professional priority ever since, and he has presented more than 1,000 times on the topics of school crisis and suicide intervention. Dr. Poland is a licensed psychologist and an internationally recognized expert on youth suicide and school crisis, and he has authored or coauthored five books on the subject. Additionally, with his wife, Donna, he has authored the Suicide Safer Schools Plan for the state of Texas. Dr. Poland is a past president of the National Association of School Psychologists and a past director of the Prevention Division of the American Association of Suicidology. He has testified about the mental health needs of children before the U.S. Congress on four occasions and has personally assisted school communities after sixteen school shootings and after acts of terrorism, natural disasters, and numerous suicide clusters. Donna Poland, PhD Dr. Donna Poland has been a professional educator for thirty-seven years, of which twenty-seven years were in public schools in the great state of Texas where, she says, “everything is BIG!” She remembers her surprise, as a first-year teacher, when she discovered that her middle school classes averaged over thirty students, and she had six classes each day! She very quickly discovered that she needed to get to know her students and build a respectful and nurturing environment before she could even consider teaching the curriculum. Having that vital connection with each student was the reason she walked joyfully into the building every day. After seventeen years in the classroom, Dr. Poland began her administrative journey as a director of instruction, an at-risk coordinator, an associate principal, and, finally, a principal. Immediately upon taking a leadership role, she was faced with the tragedy of a scholar athlete taking his life by suicide just days before he was due to enter ninth grade. Tragically, that was not the only suicide she experienced. Every year resulted in working with parents, staff, and children in the aftermath of a death by suicide or an accidental death. The next ten years (at a small private college-preparatory school in Florida), Dr. Poland continued to need her skills for developing programs, educating staff, and working with parents regarding the signs of depression and suicide. After experiencing a death by suicide, especially of a young person, she says one never forgets the details of a life ended too soon and the haunting questions of “What did I not see?” and “What could I have done?” Dr. Poland hopes the information contained in this toolkit will help you in your work with young people. 5 Montana CAST-S 2017 Acknowledgements The following individuals were interviewed and generously provided input on the development of CAST-S: Karl Rosston, Suicide Prevention Coordinator, Montana DPHHS Edith McClafferty, Montana Senator Kirk Miller, Executive Director, School Administrators of Montana Matt Kuntz, Executive Director, NAMI Montana Tiffany Hanson, Treasurer, NAMI Montana Dr. Keith Foster, Medical Director of Psychiatry, Shodair Children’s Hospital Dr. Heather Zaluski, Shodair Children’s Hospital Dr. Len Lantz, Big Sky Psychiatry Steve Thennis, Principal, Helena High School Administrator Health Education Division, Montana Office of Public Instruction Coordinated School Health Unit Director, Montana Office of Public Instruction School Mental Health Coordinator, Montana Office of Public Instruction Coordinator Project Aware, Montana Office of Public Instruction 6 Montana CAST-S 2017 We Would Like to Hear from You We encourage schools that are using or have used the CAST-S to update us on their stories and successes. Please send your stories to either of the following: NAMI Montana: Matt Kuntz, [email protected] Montana Suicide Prevention Coordinator: Karl Rosston, [email protected] Big Sky Chapter of AACAP: Len Lantz, [email protected] 7 Montana CAST-S 2017 8 Montana CAST-S 2017 Table of Contents Introduction ................................................................................................................................................. 15 Why We Have the CAST-S ....................................................................................................................... 15 The Importance of Crisis-Response Protocols ......................................................................................... 15 The Unique Needs of Montana for Suicide Awareness, Prevention, Intervention, and Postvention in Schools......................................................................................................................................................... 16 Native American Youths .............................................................................................................................. 18 How to Use the CAST-S ................................................................................................................................ 19 Background .............................................................................................................................................. 19 Section 1: Suicide Prevention .................................................................................................................. 20 Section 2: Suicide Intervention ............................................................................................................... 20 Section 3: Postvention After a Suicide .................................................................................................... 20 Tools for Schools ..................................................................................................................................... 21 Appendices .............................................................................................................................................. 21 Section 1: Suicide Prevention ...................................................................................................................... 25 The Process for Developing Suicide-Prevention Programs ..................................................................... 25 Key Components of a Model Policy for Suicide Awareness, Prevention, and Response ........................ 26 Well-Trained Staff and Students ............................................................................................................. 27 Training Goals .......................................................................................................................................... 30 Section 2: Suicide Intervention ................................................................................................................... 33 How FERPA Applies to a Potentially Suicidal Student Intervention ........................................................ 33 Treatment for the Student Who Is at Risk of Suicide .............................................................................. 34 Assessment Procedures for the Suicidal Student .................................................................................... 35 Safety Plans ............................................................................................................................................. 38 Notifying Parents of Child at Risk of Suicide ........................................................................................... 40 Transfer of Responsibilities to Parents: Notification and Making the Call.............................................. 40 Community Resources ............................................................................................................................. 40 Student Reentry After Hospitalization for Suicidal Behavior .................................................................. 41 Section 3: Postvention After a Suicide .......................................................................................................
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