K-1K-12 Toolkit for Mental Health Promotion and Suicide Prevention
Compiled by: Shasha nk V. J oshi, MD Ma ry O jak ia n , R N Li n d a Lenoi r, RN, MSN, CNS Jasmine Lopez, MA, NCC
1 CONSULTANTS FOR VERSION 2017: Shashank V. Joshi, MD, DFAACAP, FAAP Associate Professor of Psychiatry, Pediatrics & Education Stanford University Director of School Mental Health Lucile Packard Children’s Hospital at Stanford Steering Committee: Project Safety Net Palo Alto Executive Board, HEARD Alliance
Mary Ojakian, RN AFSP: Greater San Francisco Bay Area Chapter Board Member Santa Clara County Suicide Prevention Oversight Committee Su icide-‐Prevention and Mental Health Advocate Project Safety Net Coordinator -- Palo Alto Suicide Prevention Task Force Tall Tree Award Recipient, 2010
Linda Lenoir, RN, MSN, CNS Retired Certificated School Nurse Founding Member of Project Safety Net Executive Board, HEARD Alliance Suicide-Prevention and Mental Health Advocate Tall Tree Award Recipient, 2008
Jasmine Lopez, MA, NCC 2015-Present School Mental Health Team Coordinator Stanford University - Child & Adolescent Psychiatry Project Coordinator for the HEARD Alliance
Project Staff 2017:
HIPPA/FERPA Young Minds Advocacy, San Francisco, Ca, Senior Attorney (Licensed in NM, Registered Tara Ford Legal Services Attorney in CA)
Mindfulness John P. Rettger PhD; Director of Mindfulness Early Life Stress and Pediatric Anxiety Program, Lucile Packard Children’s Hospital at Stanford University, Department of Psychiatry and Behavioral Science, Stanford University School of Medicine Renee Burgard LCSW; Mindfulness and Health
Social Emotional Learning Amy Heneghan MD; Palo Alto Medical Foundation and Sutter Health Christine Wang Project Director, Education and School Partnerships, Teen Mental Health Initiative Children’s Health Council Eduardo L. Bunge Ph.D; Associate Professor, Palo Alto University Ramsey Kasho Psy.D; Director of The Center at Children’s Health Council, Clinical Director of The Sand Hill School at CHC Sarah Klem University of Michigan, Ann Arbor Sarah Kremer LPCC, ATR-BC; Director of Resilience Consultation Program at Acknowledge Alliance Taylor N. Stephens Palo Alto University/ Clinical Psychology Ph.D Student
Research Team from Palo Alto University, Palo Alto, CA: Narey V. Kelediian, Shweta Ghosh, Caitriona Tilden
i Red Folder Initiative Becky Beacom Manager, Health Education—Palo Alto Medical Foundation Karen Li MD; Wellness Coordinator, Sequoia Union High School District
Resources Lauren Olaiz MPH; Community Liaison Specialist Behavioral Health Services-El Camino Hospital
Self-Care/Grief Sarah Kremer LPCC, ATR-BC; Director of Resilience Consultation Program at Acknowledge Alliance Shelly Gillan Director, KARA, Grief Support for Children, Teens, Families and Adults Jaymie Byron Director of Community Outreach, Crisis Response Coordinator, KARA
Sleep Darin Conway LCSW, PPSC; Adolescent, Family Counseling Parenting Coach
Social Media Vicki Harrison MSW; Manager, Center for Youth Mental Health and Wellbeing, Manager of Community Partnerships, Stanford Department of Psychiatry and Behavioral Science Elizabeth Li UC Berkeley, Class of 2018 Public Health and Media Studies major/Public Policy minor
Means Matter Madelyn Gould
Transitions Samantha N. Hartley PhD Student in Clinical-Community Psychology, University of South Carolina
Bharat R. Sampathi 3rd Year Medical Student at UC Irvine School of Medicine, Stanford School Mental Health Research Assistant
PDF and Web Design Wen Pin Lai, MA
SPECIAL ACKNOWLEDGEMENT
We are deeply grateful for the ongoing financial support from the Lucile Packard Children’s Hospital @ Stanford Office of Government and Community Relations. We also thank the founding members of Project Safety Net and the HEARD Alliance (Health Care Alliance for Response to Adolescent Depression and related conditions). Their dedicated efforts provided the basis upon which the 2013 version of the Toolkit was built.
HEARD Alliance 2017 HEARD Alliance 2013 Project Safety Net 2013 Dr. Shashank Joshi Dr. Frances Wren Dr. Shashank Joshi Dr. Amy Heneghan Dr. Meg Durbin Dr. Carol Zepecki Mary Ojakian, RN Dr. Shashank Joshi Wes Cedros Linda Lenoir, RN, BSN, MSN, CNS Dr. Manpreet Singh Robert DeGeus Lauren Olaiz, MPH Dr. Daniel Becker Mary Ojakian, RN Becky Beacom, BS Dr. Carol Zepecki Victor Ojakian Dr. Ramsey Khasho Wes Cedros Becky Beacom Dr. Steven Adelsheim Mary Ojakian, RN Linda Lenoir, MSN Michael Fitzgerald, RN, PMHCNS Victor Ojakian Dr. Daniel Becker Becky Beacom Ellen Hayenga, MFT Susan McKenzie, LCSW Dr. Meg Durbin Hinda Weber, Case Manager Dr. Jeremy Wilkinson Linda Lenoir, MSN ii CONSULTANTS FOR VERSION 2013: Shashank V. Joshi, MD Director of School Mental Health Lucile Packard Children’s Hospital at Stanford University Steering Committee: Project Safety Net Palo Alto Executive Board, HEARD Alliance
Mary Ojakian, RN AFSP: Greater San Francisco Bay Area Chapter Board Member Project Safety Net Coordinator --‐ Palo Alto Suicide Prevention Task Force Suicide--‐Prevention and Mental Health Advocate Santa Clara County Suicide Prevention Oversight Committee Tall Tree Award Recipient, 2010
Linda Leno ir, RN , MSN District Nurse, PAUSD Founding member of Project Safety Net Executive Board Member, HEARD Alliance Project Safety Net Steering Committee Tall Tree Award Recipient, 2008
Sami Hartley, Stanford University SSRA 2012-‐2015 Project Coordinator and Community Liaison for the HEARD Alliance Stanford University School Mental Health Team Coordinator
Erica Weitz, MA 2009--‐2012 Project Coordinator and Community Liaison for the HEARD Alliance Stanford University School Mental Health Team Coordinator Field Investigator for the American Association of Suicidology
Jonathan Frecceri, MFT Director of Community Outreach and Education, KARA Grief Support
PROJECT STAFF 2013: Brenda Carrillo Student Services Coordinator, PAUSD Kathleen Blanchard Parent Consultant Mary Sue Budrow Psychologist: Fairmeadow and Hoover Elementary Schools Kimberley Cowell Assistant Principal, Gunn High School Todd Daly Psychologist, Jordan Middle School Roni Gillenson, LMFT Adolescent Counseling Services On--‐Campus Counseling Program Director George Green, PhD Psychologist, Gunn High School Tom Jacoubowsky Assistant Principal, Gunn High School Bridget Johnson Health Secretary, PAUSD Bhavna Narula Assistant Principal, Terman Middle School Victor Ojakian Santa Clara County Mental Health Board Rita Rodriguez, PhD Psychologist, Palo Alto High School Margaret Sachs Psychologist, Ohlone and Palo Verde Elementary Schools Selene Singares Counselor, Palo Alto High School Stephanie Sheridan, PhD Psychologist, Jane L. Stanford Middle School Katya Villalobos Principal, Gunn High School
iii DEDICATION
This document is dedicated to the memory of all the youth whom we have lost to suicide. It is our hope that its regular use may help provide better support for those who struggle with thoughts of suicide, and ultimately prevent the loss of life to the causes of suicide.
iv PREAMBLE
To Be Well… What does that mean, exactly? What is well-being? Can it be achieved? Can it be taught? Can it be fostered among individuals and within a community?
The World Health Organization (WHO) proposed a definition that linked health to well-being, in terms of "physical, mental, and social well-being, and not merely the absence of disease and infirmity" (World Health Organization (1958). The first ten years of the World Health Organization. Geneva: WHO.). This includes wellness in physical, emotional, social, and academic domains. Each of these areas is important; each is intertwined with the others. In essence, well-being is a wholeness, a completeness, a balance. And this is true for individuals as well as for communities.
The goal of this Toolkit, developed with the above definition of well-being, is to support school communities in improving their well-being. It is designed with parents, students, teachers, school personnel, counselors and health providers in mind. The Toolkit provides tools to help promote mental health, intervene in a mental health crisis, and support members of a school community after the loss of someone to suicide. It is divided into three sections: Promotion of Mental Health and Wellness, Intervention in a Suicidal Crisis, and Postvention Response to Suicide. This Toolkit is designed to prevent the most heartbreaking event, youth suicide. Our hope is to promote well-being and prevent suicide through the measures described in this document.
REQUIRED SUICIDE PREVENTION POLICY Model Youth Suicide Prevention Policy for California Assembly Bill 2246, Approved September 26, 2016
This Toolkit has been created to help schools comply with and implement AB 2246, the Pupil Suicide Prevention Policy. This California State law requires all local educational agencies (LEA): county offices of education, school districts, state special schools, or charter schools to have a Pupil Suicide Prevention Policy. The policy applies to all students at LEAs in grades 7 to 12. It must be in place by the beginning of the 2017-18 school year. It must be developed in consultation with school and community stakeholders, school-employed mental health professionals, and suicide prevention experts. And it must address procedures relating to suicide prevention, intervention and postvention. Some of the criteria outlined by the law are: - Address the needs of high risk groups such as youth bereaved by suicide, youth with disabilities, mental illness, or substance use disorders, youth experiencing homelessness or in out-of-home settings, and LGBTQ youth - Ensure that teachers are trained on suicide awareness and prevention - Ensure that a school employee acts only within the authorization and scope of their credential or license
Schools without policies can be guided by the California Department of Education model policy. Schools with policies can review and modify as needed to comply with AB 2246.
http://www.cde.ca.gov/ls/cg/mh/index.asp
Text of AB 2246; https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB2246
v Accurate Language and Concepts About Suicide
By changing the way we talk about suicide, we change the way we think of it. In general the language used for any other illness-based death or sudden loss (such as a heart attack or car accident) is a guiding principle.