Mental Wellness RFP Application: Beaver Lake Middle School Beaver Lake Middle School 2019-2020 City of Sammamish – Youth Mental Wellness Grant

1. Description: Describe your proposal. As part of a new procedure, Beaver Lake Middle School is in the process of developing resources to support students in the event of a crisis. These Grief Kits are currently equipped with tissues and some other basic supplies for coping during a difficult time. As one of the school counselors, my hope is to build upon this kit with additional tools to allow us to better support students. Our goal is to add additional art supplies and calming items, with an estimated cost of just under $400.

2. Logistics: How and where will the services be provided? The services will be available to students of Beaver Lake Middle School during a crisis situation.

3. Accessibility: How will you ensure services are accessible to Sammamish residents? These items will be available to Beaver Lake Middle School students, which are residents of Sammamish.

4. Implementation: How soon would you be able to implement the services? If granted funds, we can immediately purchase to have available in times of need.

5. Outcomes: How will the success of this program be measured? Specify service units to be used.

Our primary success will be measured based on providing access to students in a time of need. We plan to have student check in/check out sheets to better understand the length of time students were supported during a time of crisis.

6. Qualifications: Relevant skills, experience and demonstrated ability to provide proposed services. As a counselor, I have a strong understanding of items that can support students in the time of grief and difficulty. Understanding various response to grief and how individual students can cope in a variety of ways can lead to a need for different options to support in the situation.

7. Cost: Please complete the budget worksheet in Attachment A.

Item Quantity Cost Per Total Cost Fleece Blankets 5 $15.00 $75.00 Fine Line Markers 5 $11.91 $59.55 Colored Pencils 5 $8.90 $44.50 Crayons (6 pack) 1 $10.14 $10.14 Coloring Books 5 $10.00 $50.00 Sensory Fidget Toys 1 $15.99 $15.99 Bean Bag Toys 2 $11.95 $23.90 Pipe Cleaners 1 $17.99 $17.99 Infinity Cube 5 $8.99 $44.95 Essential Oil Spray 2 $8.36 $16.72 Altoid Mints (Pack of 8) 1 $8.98 $8.98 Tech Decks 5 $3.99 $19.95 Total $387.67 Beaver Lake Middle School 2019-2020 City of Sammamish – Youth Mental Wellness Grant

Expenses City Funds + Agency/Other Funds = Total Expenses Personnel Costs $0 + $0 = $0 Office/Operating Expenses $387.67 + $0 = $387.67 Consultant/Purchased Services $0 + $0 = $0 Communications $0 + $0 = $0 Travel/Training $0 + $0 = $0 Other $0 + $0 = $0 Total Expenses $387.67 + $0 = $387.67

Thank you for your consideration in supporting us with supplementing our grief kits for a time of need.

Please let me know if you have any questions,

Tim Hemker School Counselor (Q - Z) Administrative Intern Beaver Lake Middle School 425-837-4162 [email protected] Mental Wellness RFP Application: Lake Schools Foundation Balance in Mind: Youth Mental Health First Aid in the School District

The Lake Washington Schools Foundation (LWSF or “foundation”) has identified Youth Mental Wellness as a core priority, and we are excited by the possibility of a partnership with the City of Sammamish in this effort.

Lake Washington School District (LWSD) encompasses the cities of Kirkland, Redmond, and Sammamish, and is the second largest district in Washington with 31,267 students. Mental and behavioral health support is a growing need in the middle and high schools of the LWSD. In eighth grade, 56% of students report high levels of anxiety with 39% “unable to stop worrying.” By tenth grade, three in four students report high levels of anxiety and three in five are “unable to stop worrying” (Healthy Youth Survey, 2016). One in three twelfth graders reported lingering sadness and hopelessness, and 18% of twelfth graders considered suicide. More than 300 high school seniors had a plan to follow through. One high schooler stated, “I don’t know a single person who hasn’t personally been touched by someone who deals with anxiety or depression.”

In 2018, following the suicides of two local teens, community members came to the Lake Washington Schools Foundation to discuss strategies to target youth mental wellness in our community. The result was the LWSF “Balance in Mind” task force. “How many kids that we don’t know about are struggling?” said one group member. “We’ve got to get to them.” Balance in Mind works to disseminate critical information and training on youth mental wellness within the boundaries of the Lake Washington School District, through offerings such as Youth Mental Health First Aid trainings, webinars featuring mental health experts, film screenings and speakers about youth mental wellness and anxiety, and the creation and distribution of mental health information and resources, including a Facebook group addressing youth mental wellness.

The Lake Washington Schools Foundation has set a goal to educate more than 400 adults in the Lake Washington School District in Youth Mental Health First Aid over 12 months, and we would like to partner with the City of Sammamish to provide these trainings.

The best opportunities to identify and support students in mental health crises lie with the adults who work with students daily: teachers, paraeducators, coaches, school volunteers, parents, and family members. Most of these individuals do not have mental health training and may not recognize the symptoms of mental health crisis. They may not be familiar with appropriate resources and may lack confidence in their ability to help. They may fail to act when faced with a student in crisis, or they may take actions that make the situation worse.

Adults who complete the YMHFA program learn the signs and symptoms of a mental or behavioral health crisis and will obtain both the skills and the resource knowledge to intervene appropriately, providing referrals to community agencies. Peer-reviewed studies of the YMHFA program show that participants grow in knowledge of mental-health issues, can identify community mental health resources, are more confident and likely to help when they recognize a crisis, and demonstrate increased personal mental wellness (Mental Health First Aid USA). One member of the task force who took the training stated that her teenage daughter has begun referring friends to her. “I’m glad I took the class,” she stated. “I’ve been less afraid to step up and ask questions and be there.” The City of Sammamish identified this course as a preliminary idea for city actions to support Health and Human Services in its March 2018 Health and Human Services Needs Assessment.

Proposal

The LWSF would like to partner with the City of Sammamish in the amount of $7,500 to provide Youth Mental Health First Aid, part of the work being done by the foundation’s Balance in Mind Task Force.

The Lake Washington Schools Foundation (LWSF or “foundation”) will offer monthly Youth Mental Health First Aid (YMHFA) courses during 2020, including at least one course held in the Eastlake Learning Community (Sammamish). At least one additional course will be held in each of the Redmond, Juanita, and Kirkland learning communities. Courses are open to the community but advertised heavily to those who work closely with middle and high school students in the LWSD: teachers, administrators, families, coaches, volunteers, and others. The City of Sammamish will be included on marketing materials as a sponsor for these courses and may also promote them.

Participants are enrolled on a first-come, first-served basis, up to the enrollment limit of 25 per class. Courses are priced at $75 to cover the cost of materials and program administration, while remaining accessible to community members. Past courses have demonstrated that the classes operate consistently at capacity at this price, while keeping no-shows to a minimum. However, any member of the community may request a partial or complete waiver of the class fee, with no qualification. The foundation anticipates offering scholarships for approximately 10% of attendees, and has provided several to date.

The foundation has been providing Youth Mental Health First Aid workshops several times per year since 2018, at a steadily increasing rate. Response from community members has been overwhelmingly positive. Some comments from our most recent class survey: The class was a great introduction to mental health first aid and the instructor was amazing…there was a lot that I learned from the class and I'd definitely be open to taking another!

Was wonderful, good information and good approach. The instructor very capable, well organized and a lot of insight.

Classes are scheduled with approximately six weeks’ notice, depending on facility availability. The curriculum comes from Mental Health First Aid USA, listed in the Substance Abuse and Mental Health Services Administration’s National Registry of Evidence-based Programs and Practices. All classes use certified local instructors identified and engaged by the Lake Washington Schools Foundation. In 2019, the foundation partnered with King County to train three additional local providers to ensure instructor availability throughout the year. These instructors have donated $6,000 in stipends back to the foundation for 2020.

The foundation primarily uses the Lake Washington School District Resource Center at Redmond Town Center for YMHFA courses. This facility is centrally located, handicapped-accessible, has adequate parking, and is easily accessed from Sammamish. LWSD supports the program by making this facility and audiovisual equipment available free of charge. To make classes even more locally

accessible in 2020, the foundation plans to secure additional district facilities for training located in each of the four district learning communities: Eastlake, Redmond, Kirkland, and Juanita.

Outcomes

The service unit used to measure outcomes is the number of residents successfully completing the course and earning their YMHFA certificate. Participants must attend the entire class and must pass all course requirements set forth by Mental Health First Aid USA for successful completion. We anticipate that 95% of those enrolled will complete the class successfully.

At the 12 classes offered at the LWSD Resource Center, we anticipate 30 percent of the attendees (7 out of 25) will be from Sammamish (84 attendees), and at a class offered in the Eastlake learning community, we anticipate 85 percent of attendees will be from Sammamish (20 attendees.) We anticipate approximately 20% in the Redmond learning community class (5 attendees) and none in the Juanita and Kirkland learning communities. Over the course of 16 classes, this response will result in more than 100 Sammamish residents trained in Youth Mental Health First Aid.

We ask that the City of Sammamish join the Lake Washington Schools Foundation to increase the knowledge of youth mental health and the community resources available to youth in crisis.

This knowledge will increase the community’s recognition of mental and behavioral health issues and their confidence in stepping in to assist when they recognize a crisis. Adults who access this course may also feel that they have increased personal mental wellness. These adults will identify as advocates and ambassadors for youth mental health in their school communities and will demonstrate this by sharing knowledge and information with others in their community, encouraging others to become educated, participating with the school district and foundation in conversations around mental health. They will stay engaged with the foundation through surveys and specific foundation communication around youth mental health, including the foundation’s Balance in Mind Facebook group.

Youth Mental Wellness is an ongoing priority for the foundation and the LWSD – one that we share with the City of Sammamish. This partnership will allow YMHFA training to benefit more individuals in Sammamish and will raise awareness and reduce stigma around youth mental health in our community.

Balance in Mind Youth Mental Health First Aid Training

Amount requested: $7,500

Budgets Revenue City of Sammamish Youth Mental Wellness Grant $ 7,500 In-kind donation of instructor stipends (3 instructors, 4 classes each @$500) $ 6,000 In-kind support from LWSD (facilities and audiovisual) $ 4,200 Lake Washington Schools Foundation $ 5,420 YMHFA Class Fees @ $75/person, 270 attendees $20,250 TOTAL $43,370

Expense YMHFA Training - 16 events @ $2,280 estimated value each. (see below) $36,480 Program administration (non-class staff time, calculated at 10% of training cost) $3,640 Scholarship fund for fee waivers (30 scholarships) $2,250 Printing, brochures, and marketing (non-class materials) $1,000 TOTAL $43,370

YMHFA Training Expenses Amount Description $20/person, incl. shipping, for 25 participants; paid by YMHFA Manuals $500 foundation. Program Supplies $75 Project supplies, name tags Staff costs for setup and event support, per-event; Program Management $297 calculated at 15% of event cost Printing of handouts & certificates for course - up to 200 Printing (in-class materials) $28 pages for a course of 25 Instructor travel $30 $0.55/mile reimbursement for auto use Instructor stipend $500 Trainer stipend for an 8-hour training Room Rental $250 $250/day Audio/Visual Equipment $100 Projector, $75/day for one day; flip chart(s) Lunch/Snacks $500 $20/person/day for one day Total Expenses $2,280 Per-attendee cost $91.20

*Admin and staff expenses to cover staffing costs for proposed program only.

Budget Narrative 1.1 Youth Mental Health First Aid Training Materials: The cost of the class manuals, including shipping, is $20 per person. 1.2 Program supplies: Covers the cost of name tags, as well as supplies for in-class activities. 1.3 Class printing: Some class handouts and the class completion certificates are printed in-house. 2.1 Instructor travel: Calculated at $.55 per mile, instructors within 25 miles (50 miles round trip) of

the class location. Instructors may donate these miles back to the foundation. 2.2 Instructor stipend: Instructors receive a stipend of $500 for the 8-hour class. 3.1 Room rental: Room rental value is calculated at $250/day. 3.2 Audio visual equipment: Price is value of a local daily projector and screen rental. 3.3 Breakfast, Lunch, and Snacks: Calculated at $20 per person for two meals and a snack during an 8-hour training. 4.1 Non-class staff time: $15 per hour staff time; 200 hours for coordination, communication, survey development, and follow-up. 4.2 Class management staff time: $15 per hour staff time; 9 hours per class with 1 staff member for set-up, clean-up, and on-site event support. 5.1 Non-class printing, brochures, and marketing: $600 in staff time ($15/hour@ 40 hours) and printing costs ($400) to create and put out marketing materials for YMHFA classes and registration.

Attachment A: Budget Worksheet

Program Expenses:

City Expenses + Agency/Other Funds = Total Expenses Funds Personnel Costs 1,350 + 7,042 = 8,392 Office/Operating Expenses 270 + 1,378 = 1,648 Consultant/Purchased Expenses 5,230 + 24,370 = 29,600 Communications 200 + 800 = 1,000 Travel/Training 80 + 400 = 480 Other 370 + 1,880 = 2,250 Total Expenses 7,500 + 35,870 = 43,370

Budget Narrative

Personnel Costs: Direct program management, program administration Office/Operating Expenses: Printing of in-class materials, program supplies Consultant/Purchased Expenses: Instructor stipends, YMHFA manuals, food and snacks, room rental, audiovisual Communications: Marketing Travel/Training: Instructor mileage Other: Scholarship fund Mental Wellness RFP Application: YMCA

City of Sammamish 2020 - Youth Mental Wellness Services Proposal Submitted by the YMCA of Greater

1. DESCRIPTION: DESCRIBE YOUR PROPOSAL

Problem statement: The long-term trends of mental health prevalence have been increasing in adolescents and young adults across WA State including the City of Sammamish. While many Sammamish youth have reported poor mental health symptoms and can identify some of the sources of those stressors and trauma, youth and their families lack the skills and pathways to seek help, access healthcare, and manage acute and chronic stressors before an emergent crisis occurs. Places like the YMCA where professionals have regular contact and trusting relationships with local youth are uniquely positioned to identify, intervene and respond to emergent mental health conditions, like suicide, among youth. Moreover, social environments like the YMCA, where youth go to for healthy living and community activities can serve as a critical place for detection and early intervention on adverse mental health issues. Unlike school and family, which can be sources of stressors, the YMCA facility and staff can have a protective effect where help-seeking can be associated with building skills in healthy living related to recreation, diet and exercise routines.

Proposed programming: To enhance currently funded efforts in providing access to mental health treatment and services through a licensed behavioral health professional located at the Sammamish Community YMCA, this proposal aims to increase suicide prevention, detection, and early intervention efforts through environmental and community-wide strategies. The strategies are comprised of trainings on suicide prevention, the development of Sammamish Community YMCA branch crisis response procedures, and a youth-led mental health promotion campaign.

The YMCA of Greater Seattle (YGS), through an intra-agency collaboration between the Sammamish Community YMCA and the social services branch, Accelerator YMCA, have already responded to Sammamish’s call for youth-focused mental health services by providing mental health services since 2018. YGS is currently a 2019-2020 recipient of the City of Sammamish funding to increase access to youth mental health services by providing a licensed behavioral health staff position at the Sammamish Community YMCA to focus on providing

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individual and group mental health and wellness services for youth at the YMCA and the larger community (e.g. ). This position is also partially funded by the members of the Sammamish Community YMCA who raise $35,000 annually in funds during their annual fund drive, and the Accelerator YMCA (in-kind clinical supervision) to respond to local mental health community needs.

This proposal for additional funding in 2020 aims to enhance the existing efforts to increase mental health and wellness access for Sammamish youth, as well as address some significant challenges YGS has faced in implementing mental health services at the Sammamish Community YMCA in 2019. The proposed yearlong project does not need to be sustained at the same level past 2020. The activities focus on building a broader environmental response among Sammamish Community YMCA staff and community members to suicide and mental health. Not only will the activities build skills among youth professionals and community members, it also builds protective environments where the mental health and wellness of local youth is the responsibility of the community and community institutions like the YMCA.

YSG, in partnership with UW Forefront Suicide Prevention (UW Forefront), recently received funding from the WA State Health Care Authority to conduct a suicide prevention project in East King County through the Sammamish Community YMCA. UW Forefront (https://www.washington.edu/research/research-centers/forefront-suicide-prevention/) is a Center of Excellence at the University of Washington focused on reducing suicide by empowering individuals and communities to take sustainable action, champion system change, and restore hope. YGS and UW Forefront will collaborate to deliver an adapted model based on Forefront in Schools, a best practice in youth suicide prevention identified by the Substance Abuse and Mental Health Services Administration (SAMHSA). The WA State Health Care Authority grant funding covers UW Forefront services and partial YMCA staff oversight. The proposed service activities complement UW Forefront’s capacity building activities by funding the local Sammamish community (youth board members) and Sammamish Community YMCA staff to implement the suicide prevention project at the local level. Sammamish Community YMCA will serve as the model branch for suicide prevention for other branches and communities throughout King County.

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Program Goals: The proposed program goals directly address the four recommendations in 2018 City of Sammamish Health and Human Services Needs Assessment that are the most significant ways to improve mental health in the community.

1. To improve opportunities for help-seeking skills development and early intervention before a mental health issue becomes a crisis by providing evidence based training on suicide detection, intervention, and response to YMCA staff and community members. 2. To improve crisis response systems within youth environments that develop opportunities for youth to access help and services by establishing YMCA branch-specific suicide prevention policies and protocols. 3. To decrease mental health stigma and increase mental health promotion including the effect of substance use by establishing a youth-led focused mental health campaign.

2. LOGISTICS: HOW AND WHERE WILL THE SERVICES BE PROVIDED?

Since 2018, a Behavioral Health therapist has been located at the Sammamish Community YMCA and clinically supervised by Accelerator YMCA. This position has been funded by annual investments from multiple sources: local community/member donations to the Sammamish Community YMCA, the City of Sammamish (2019-2020), YGS, and Eastside Catholic. This position has been responsible for developing outreach and engagement group activities, providing individual or family therapy sessions, and making culturally competent referrals to local and regional services. The staff in this position was well received by the YMCA staff and local community members and was able to generate more discussion on mental health and stigma, link youth and families to crisis response systems, and engage youth and families in short and long term therapeutic interventions. The staff left the position in April 2019 and YGS has not been able to fill the position since. Feedback from multiple potential candidates have indicated that there is a strong job market for behavioral health professionals, which has driven up salary expectations, and that the location and high cost of living in Sammamish is a deterrent. YGS has increased salary for this position and increased its recruitment efforts and expects to make a hire in early 2020. YGS intends to maintain the existing goals for the current 2019-2020 grant from the City of Sammamish, and increase the salary range to be able to better recruit and retain behavioral health staff.

3 The implementation of the activities in this proposal are not contingent on the successful recruitment of a Sammamish based mental health therapist since activities can be conducted by existing behavioral health staff from Accelerator YMCA’s Seattle office. Currently, Accelerator YMCA staff have trained 5 behavioral health staff on “train the trainer” dialectical behavioral therapy, a clinical component in the LEARN curriculum. Accelerator also has a crisis response clinician that provides additional services specific the rural and suburban communities in East King County. However, successful recruitment and retention of a Behavioral Health staff at the Sammamish Community YMCA would greatly enhance the ability to conduct the proposed activities and achieve outcomes, so this remains as YGS’s top priority. It is important to note that while there have been barriers to implementation of mental health services at the Sammamish Community YMCA, the Sammamish community and East King County region has continued to be served by the YMCA through the 24/7 Children’s Crisis Outreach and Response Service (CCORS). Crisis teams respond to youth and/or families throughout King County including the City of Sammamish requesting assistance via the Crisis Clinic. There are additional resources allotted for East King County families with a locally-based clinical crisis responder through the TRACE-Timely Response to Adverse Childhood Events program.

This proposal employs three strategies to increase prevention, detection, and early intervention efforts on mental health and specifically suicide ideation and expands upon existing programming for mental health services:

A. Trainings on Suicide awareness, intervention and response skills All levels of the Sammamish Community YMCA staff have multiple interactions with youth throughout the week in both youth and family activities as well as group and individual activities. Having authentic relationships with community members and being a welcoming hub for youth and families is one of the central roles YMCA branches play in every local community. The health and wellness of the community members is not relegated to solely to one staff person or specialized role, but a branch-wide responsibility. Staff at the membership desk, aquatic instructors, trainers, and coaches need to have the skills and readiness to identify youth who are experiencing mental health

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or behavioral issues, intervene early by engaging youth in expressing their concerns and willingness to seek help, and to connect youth to culturally competent health care providers.

Training activities include one (1) “Train the Trainer” on an adaptation of the University of Washington (UW) Forefront LEARN Suicide Prevention curriculum, and up to three (3) LEARN trainings, one (1) delivered to community members (youth, parents, other youth-serving professionals), and two (2) delivered to Sammamish Community YMCA staff. The LEARN Suicide Prevention training has achieved widespread recognition coupling life-saving skills with additional emphasis on locking and limiting access to lethal means. LEARN develops 5 distinct skills among a wide range of youth professionals: Looking for signs, Empathize and Listen, Ask about Suicide, Remove the Danger, and Next Steps. The train the trainer component is important to invest in deeper knowledge among staff and build in a sustainable way to conduct regular yearly trainings to new staff and community members.

The “Train the Trainer” will be led by UW Washington Forefront trainers. Their services will be paid for through YGS’s WA State Health Care Authority grant. A group of at least 10 Sammamish Community YMCA staff representing a cross-section of youth- serving departments will be trained on the LEARN curriculum. The 3 trainings of the LEARN curriculum to community and YMCA staff will be co-led led by the trained Sammamish Community YMCA staff and University of Washington Forefront staff.

B. Branch Protocols Development Staff at the Sammamish Community YMCA staff will form an ad-hoc committee to develop protocols and procedures on suicide prevention and intervention tailored for the branch and local community. The aim is for all staff to know how to use the knowledge and skills in the LEARN training in their everyday work and increase the level of responsibility and responsiveness among all staff. The ad-hoc committee will include at least 4 staff (2 supervisors, 2 direct service) from youth-serving departments such as sports, membership, and drop-in, who have worked for the Sammamish Community

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YMCA for at least 1 year. They will be able to bring in their knowledge of the YMCA, Sammamish area, and community members into the development of protocols. The committee will meet for an average of 1 hour a week from March to December 2020 to assess the current protocols, draft revised protocols, pilot, evaluate and revise the protocols, and assess the effectiveness of the protocols on staff competency and youth awareness. Accelerator YMCA Behavioral Health staff and UW Forefront staff will be available for ongoing support in the development and implementation of the protocols.

C. Youth-Led Mental Health Promotion Campaign All YMCA branches have active youth boards that the staff rely on to advise their programming, and gain knowledge of daily life of local youth. Youth board members will be asked to develop a mental health promotion campaign that incorporates principles from the LEARN curriculum from a youth perspective. Incentives through stipends and food during meetings will be used to sustain participation in the youth-led mental health promotion campaign.

Youth board members will meet at least 2 hours per week from March to September 2020 where they will work on developing and launching a mental health promotional campaign to launch when school begins in September 2020 and run for the length of the school year. YMCA staff trained in LEARN and behavioral health staff will facilitate the work sessions and obtain resources for the youth board members. Marketing and other promotional material development will be conducted in-kind through YGS’s marketing department.

All proposed activities (trainings, suicide prevention protocol development meetings, and youth mental health promotion campaign meetings) will occur at the Sammamish Community YMCA or at another Sammamish community venue if more space is needed.

6 ACCESSIBILITY: HOW WILL YOU ENSURE SERVICES ARE ACCESSIBLE TO SAMMAMISH RESIDENTS? YGS plans to follow these guidelines for accessibility:

• Affordability: All services, trainings, participation in youth-led health promotion campaign, access to mental health services (i.e. brief intervention, social-emotional support counseling, consultation, teen community groups and community forums) will be provided without cost to participants. Staff will work with participants seeking longer- term services on insurance options to minimize barriers to ongoing/long-term service utilization. • Transportation: The Sammamish Community YMCA is within a four minute walk from a public transit stop. Behavioral health staff employs a community-centered approach to service provision where staff meet participants or families “where they are at” (YMCA branch, home, school) to lessen barriers to services. Settings are chosen where the participant is most comfortable and where safety and confidentially can be secured. • Consent: All participants will be asked for their informed consent and release of information. The legal age of consent for behavioral health services is age 13. If a youth desires to receive brief intervention services and does not want to have their parents or their parent’s insurance to know about their medical care, the YMCA is committed to continuing assistance and maintaining privacy. • Accessibility: The Sammamish Community YMCA, where most proposed activities will occur, is ADA accessible. As part of YMCA provision of counseling and behavioral health treatment, language interpretation is provided through staff or an interpretation service. Essential documents are also presented in different languages.

3. IMPLEMENTATION: HOW SOON WOULD YOU BE ABLE TO IMPLEMENT THE SERVICES?

YMCA of Greater Seattle (YGS), in partnership with UW Forefront, will be able to start services in mid-February 2020. YGS still needs to conduct a final contract negotiation with WA State Health Care Authority on the final contract details for a grant that will leverage funding from the

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City of Sammamish. The contract is anticipated to be finalized by end of January 2020 and then subcontracting can begin with UW Forefront after. YGS continues to actively recruit for the full time Behavioral Health therapist at the Sammamish Community Y. With the changes in recruitment strategies and salary range, the position is expected to have been successfully filled by mid-February.

Currently, 5 behavioral health staff from Accelerator YMCA have been trained in dialectical behavioral therapy. These staff have already providing training in suicide prevention in other branches and be able to provide support and guidance to trainings and protocol development to the Sammamish Community YMCA staff as soon as mid-February. For emergent crises, YGS currently provides 24/7 crisis services through our Children’s Crisis Outreach Service. This service will continue throughout 2020.

Sammamish Community YMCA staff will form an ad-hoc committee to develop suicide prevention protocols in mid-February 2020. Their first task will be to review existing protocols and work with UW Forefront on setting training dates.

YMCA youth boards are active throughout the year. There will be active recruitment of at least ten (10) youth board members in February and March 2020 to start working on the mental health promotion campaign in March 2020. The campaign launch goal will be September 2020 so youth can complete their project before they go back to school and they can also monitor the results of their work while school is in session.

4. OUTCOMES: HOW WILL THE SUCCESS OF THIS PROGRAM BE MEASURED? SPECIFY SERVICE UNITS TO BE USED.

Goals and Program strategies:

1. To improve opportunities for help-seeking skills development and early intervention before a mental health issue becomes a crisis by providing evidence based training on suicide detection, intervention and response to YMCA staff and community members.

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2. To improve crisis response systems within youth environments that develop opportunities for youth to access help and services by establishing YMCA branch-specific suicide prevention policies and protocols. 3. To decrease mental health stigma and increase mental health promotion including the effect of substance use by establishing a youth-led locally-focused mental health campaign.

Outcomes and Evaluation Measures

1. Outcome: At least 80% of staff and youth and community members participating in LEARN trainings will have a greater knowledge to identify the signs of suicide, to understand how to help youth at risk, and to remove immediate dangers. The outcome will be measured by a pre/post-test of participants during the LEARN training, and a skills and knowledge assessment of YMCA staff during the implementation of branch-wide policies and procedures.

2. Outcome: At least 70% of full-time per personnel, and 90% of management at the Sammamish Community YMCA will agree that suicide prevention is broadly understood to be a branch-wide responsibility rather than a domain of a few staff members. This outcome will be measured with a bi-annual survey of staff assessing their knowledge, readiness, and willingness to implement best practices on suicide prevention protocols.

3. Outcome: By December 31, 2020, the Sammamish Community YMCA will have a model crisis response and prevention plan in place and prepared to consistently use it. This outcome will be measured by evidence of timely implementation policies and procedures including safety planning, and at least 70% of staff who have started working at the Sammamish YMCA on or before February 2020 having completed a suicide prevention training.

9 4. Outcome: At least 65% of YMCA youth and parent members know where to access to mental health services, and knowledge of how to intervene early and where to seek help. This outcome will be measured after the implementation of a youth-led mental health campaign, service enrollments to YMCA Mental Health Services, and a bi-annual survey asking community members if they know of a place to go for youth and family behavioral health services, and what to do/where to go if they know a youth has suicidal thoughts or other mental health symptoms.

5. QUALIFICATIONS: RELEVANT SKILLS, EXPERIENCE AND DEMONSTRATED ABILITY TO PROVIDE PROPOSED SERVICES

Sammamish Community YMCA serves over 18,000 children, youth and adults yearly through facility based and other YMCA services such as camp, social services, childcare, housing, and youth in government. Accelerator YMCA, as the social services branch of YMCA of Greater Seattle, has been serving youth and young adults since its founding in 1973. Last year, it served 4,835 young adults and their families through its comprehensive list of services. Over 2,200 young people and their families were served through behavioral health services programs in 2018. Accelerator YMCA has integrated behavioral health services with the Auburn and Sammamish YMCA branches since 2018.

For this proposal, YMCA of Greater Seattle plans for these staff to be involved:

• Sammamish Community Y staff: Committee members of at least 2 supervisors and 2 direct service staff. Eligible members will have been employed by the YMCA for at least 1 year and work in youth-serving departments to ensure knowledge of both YMCA procedures and youth members.

• Behavioral Health staff: Licensed mental health, substance use, and crisis response professionals trained and experienced on providing crisis and non-emergent services for children, youth, young adults and their families. Existing Accelerator YMCA staff from Seattle and East King County will implement activities in lieu of a successful recruitment of Sammamish Community YMCA Behavioral Health staff person. When a successful

10 recruitment occurs, existing staff will remain as ongoing support for trainings, protocol development and youth campaign. Weekly clinical supervision will be provided (in-kind) by the Clinical Director of Behavioral Health at Accelerator YMCA, Dianne Boyd, who will also be coordinating staff between Accelerator YMCA, Sammamish Community YMCA and UW Forefront.

• Youth board members: At least 10 members of the youth board who are active members of the YMCA, school or arts/sports community in Sammamish.

• UW Forefront Suicide Prevention: Started in 2013, UW Forefront has trained more than 30,000 health and school professionals and community members statewide in suicide awareness, intervention and response skill using their LEARN curriculum. UW Forefront will provide at least one trainer and coach for ongoing support who has at least a Masters Level degree and clinical training including Dialectical Behavioral Therapy (in-kind).

6. COST: PLEASE COMPLETE THE BUDGET WORKSHEET IN ATTACHMENT A.

11 City of Sammamish Youth Mental Health Proposal. Budget submitted by the YMCA of Greater Seattle ATTACHMENT A - BUDGET

Line Item Description 2020 City Funds YMCA/ Other Funds Total Expenses PERSONNEL COSTS based on 10.5 months FTE Sammamish Therapist 1 FTE (partially funded by City of Sammamish 2019-2020 grant) $ 66,218.00 $ 66,218.00 Accelerator Behavioral Health Trainer/Support 2 Behavioral Support Specialists at 5 hours per week $ 15,450.00 $ 15,450.00 Clinical Supervision and Coordination 3 hours per week $ 3,423.00 $ 3,423.00 4 staff in a committee meeting to create and test suicide/crisis response protocols and work with overall branch staff- 3 hours per Sammamish YMCA Staff week (Sports, membership, teen drop-in and supervisor) $ 16,201.00 $ 16,201.00 CONSULTANT Train-the trainer lead, LEARN training co-lead, and coaching on protocol UW Forefront trainers/coaches development $13,577 $ 13,577.00 COMMUNICATIONS Professional services and materials for implementation of youth-led Marketing and campaign production mental health promotion campaign $1,500 $ 1,500.00 TRAVEL Costs of travel between Seattle and East King County Accelerator Travel/Mileage to/from Sammamish Behavioral Health staff to Sammamish Branch $ 1,000.00 $ 1,000.00 OTHER Program food (Youth Board and trainings) Food and refreshments for youth meetings and trainings $ 1,000.00 $ 1,000.00 Meeting with 10 young people for 2 hours a week for 7 months (paid Youth Board Stipends $25 per session for 28 weeks) $ 7,000.00 $ 7,000.00 15% of direct costs (including administrative support, space rental, ADMINSTRATION (includes office/operating expenses) insurance, etc.) $ 6,097.65 $ 12,707.70 $ 18,805.35

TOTAL EXPENSES $ 46,748.65 $ 97,425.70 $ 144,174.35 Mental Wellness RFP Application: Encompass City of Sammamish Youth Mental Wellness Services Proposal

1. Description: Describe your proposal. Encompass requests $16,269 from the City of Sammamish to support Connected Caregivers Training workshops. Encompass would like to offer Connected Caregivers Training workshops to parents and caregivers in Sammamish. While all families will be welcome to participate, outreach for the program will target families of children who are birth through age eight and have experienced trauma. Each session will be held for 15 to 25 participants for a total of between 30 and 50 participants. To remove barriers to participation, childcare would be offered onsite.

Connected Caregivers Training is a Trust-Based Relational Intervention (TRBI®) and is an attachment- based, trauma-informed intervention that is designed to meet the complex needs of vulnerable children. TBRI® uses Empowering Principles to address physical needs, Connecting Principles for attachment needs, and Correcting Principles to disarm fear-based behaviors. While the intervention is based on years of attachment, sensory processing, and neuroscience research, the heartbeat of TBRI® is connection.” (https://child.tcu.edu/about-us/tbri/#sthash.Iap1SOMY.dpbs)

The Sammamish Human Services Needs Assessment indicates that Sammamish youth and adults feel stressed, depressed, and anxious at relatively high levels. According to 2017 data from the Washington State Department of Social and Health Services (DSHS), in Sammamish, 572 children received Children’s Services including adoption support, child and family welfare services, foster care placement and support, and child protective services.

Research shows that children who have experienced early adverse childhood experiences (ACES) such as maltreatment, deprivation, and institutionalization, are at risk for poor developmental outcomes, including behavioral challenges. In addition to high rates of maltreatment, children in institutional or foster/kinship care have, by definition, experienced separation from or loss of their caregiver. These children are also at risk for having experienced other traumatic circumstances, including witnessing violence and other chaotic or threatening situations. These experiences change children’s brain development and brain chemistry, leading to a higher risk of emotional problems and accompanying dysfunctional behaviors. The resulting behavioral challenges can persist or get worse over time.

“The long-term trajectory for children who experience early adversity is often troublesome, with longitudinal research suggesting that at-risk adopted children exhibit increasingly more problem behaviors as they reach adolescence (Verhulst and Versluis-Den Bieman 1995; Verhulst 2000) and that early adversity increases the level of behavioral problems into adulthood (van der Vegt et al. 2009). These studies provide evidence that the long-term effects of early adversity are often pervasive and persistent even after removal from adverse circumstances.” https://link.springer.com/article/10.1007/s40653-015-0055-y

Encompass Early Learning Center  1407 Boalch Avenue NW  North Bend, WA 98045  425.888.2777  Fax 425.888.2010 Encompass Pediatric Therapy Clinic (no mail delivery)  209 Main Avenue S #111, North Bend  425.888.3347  Fax 425.888.3348 Encompass Carnation Preschool (no mail delivery)  4950 Tolt Avenue, Carnation  425.844.4548 encompassnw.org Encompass Page 2 of 5

Researchers at the Karen Purvis Institute of Child Development created the Trust-Based Relational Intervention (TRBI®) and the Connected Caregivers Training to help decrease or prevent behavioral problems and reduce trauma symptoms. TBRI® is designed for children who have lived through difficult situations such as abuse, neglect, and/or trauma. Because of their histories, it is often difficult for these children to trust the loving adults in their lives, which often results in behavioral challenges.

TBRI® offers practical tools for parents, caregivers, teachers, or anyone who works with children, to see the “whole child” in their care and help that child reach his highest potential.

• TBRI® is effective because it is founded in research & theory and how optimal development should have occurred. • TBRI® is designed for children from “hard places” but can be used with children from all risk levels. • By applying these principles, TBRI® helps a child or youth return to their natural developmental trajectory.

The Connected Caregiver Training consists of six two-hour workshops that are designed to give parents and caregivers tools to provide for their child holistically, understand what causes difficult behavior and how to respond to it, replace their child's maladaptive survival skills, Identify and disarm fear responses, teach new life values, and navigate personal challenges as a parent or caregiver. Each participating family will receive a copy of Trust-Based Caregiving: A TBRI® Pocket Guide, to help reinforce their experiences at home. Encompass would also like to purchase two sets of the Connected Caregiver Training DVD series to lend to families if they miss a session or want to share what they have learned with a family member. This training will also provide a bridge to services by allowing families who are on waiting lists for behavioral health services to begin to help their children on their own at home.

Remarkably, scientists have discovered neuroplasticity in the human brain. The detriment of ACES can be reversed. Families who participate in the Connected Caregiver Training can help change the neural structure of emotional-resilience and change the future trajectory of their children’s lives, helping them to avoid a potential future of risky behaviors, mental health challenges, and addiction.

2. Logistics: How and where will the services be provided? With funding, Encompass will present two series of six two-hour workshops (one will occur winter through spring and one late summer through fall) to present the Connected Caregivers Training curriculum. We expect to serve at least 15 and up to 25 participants per workshop series.

Encompass currently works with several community partners such as the Sammamish YMCA, CWU Sammamish Campus, Sammamish Library or local churches that donate or rent space for our community programs. If awarded funding, Encompass will seek to utilize one of these spaces for the Connected Caregiver Training. Training workshops will be scheduled once or twice per month depending on schedule allowances and will be held on Saturday mornings. In order to remove barriers to participation, Encompass will offer onsite childcare and snacks will be provided.

Megan Walsh, Encompass Behavioral Health Manager is a trained TBRI® practitioner and will present the training along with organizational support from a behavioral health intern. As our Behavioral Health Manager, Megan’s schedule is already full, but she knows firsthand, the lifelong benefits the TBRI® Connected Caregivers Training can bring to families in Sammamish and will augment her schedule to Encompass Page 3 of 5 incorporate this training. With this in mind, as part of this request, Encompass seeks funding for a second staff member to complete TBRI® Practitioner Training. With a second trainer, Encompass will have more flexibility and will be able to serve more families with multiple Connected Caregiver Training sessions in the future.

The initial TBRI® Practitioner Training includes approximately eight hours of an online training course with supplemental readings. Once that is completed, our staff member will have to attend a week-long group TBRI® Practitioner Training. These trainings are offered periodically throughout the United States. The next training with open seats is scheduled in Shreveport, LA on September 21 – 25, 2020.

3. Accessibility: How will you ensure services are accessible to Sammamish residents? Our Caregiver Connections Training workshops will be held at a location in Sammamish. Encompass will target outreach activities to families of children who have experienced trauma including those in foster or kinship care or who have adopted a child. We will work with hospitals, pediatricians, and the Department of Youth and Families to disseminate information to Sammamish families. Encompass provides Kinship Care and CHERISH (CHildren Encouraged by Relationships in Secure Homes) Programs for children who have been removed from their home environment. This gives us direct access to families in need. We plan to connect with Kindering staff to make sure information about the Connected Caregivers Training is distributed to families they may see as well.

4. Implementation: How soon would you be able to implement the services? Encompass would be able to launch its first workshop training series within one month of notification of funding. The second workshop series will likely launch in September.

With funding, a second staff member will participate in the TBRI® Practitioner Training in Shreveport, LA from September 21 – 25, 2020.

Once this program is launched, it is our intent to seek funding from the City of Sammamish and other sources to support its continued implementation.

5. Outcomes: How will the success of this program be measured? Specify service units to be used. Participation in this evidence-based training will indicate success. In addition, each participant will be asked to complete an anonymous evaluation survey after each workshop session. This survey tool is provided with the Connected Caregivers Training materials with topics and activities rated as not helpful, helpful, and very helpful. An average 85% rating of helpful or very helpful will indicate success.

TBRI® Connected Caregivers Training is an evidence-based practice. The Karyn Purvis Institute of Child Development has published many peer reviewed journal articles which provide evidence for the success of the intervention. For instance: Howard, A.R., Nielsen, L., Parris, S.R., Lusk, R., Bush, K., Purvis, K.B., & Cross, D. R. (in press, 2015). Keeping adoptive families together: Predicting changes in parenting stress and child psychiatric behaviors from parental investment in a trauma-informed intervention. Child Welfare.

Key Findings: This study is a secondary analysis, using pre- and post-data from a clinical adoption preservation program. TBRI® training was provided to adoptive parents as a complementary intervention added to the normative treatment prescribed for the family. Based on post-data collected six months after treatment began, the adoptive children (n = 82) of these parents demonstrated significantly improved global functioning based on the Brief Psychiatric Rating Scale for Children (BPRS-C), and a Encompass Page 4 of 5 significant decrease in psychiatric symptom levels based on the Child’s Global Assessment Scale (CGAS). In addition, post-data showed that caregiver’s stress levels as reported on the Parental Stress Scale (PSS) significantly decreased.

Trust-Based Relational Intervention® is currently listed on the California Evidence-Based Clearinghouse for Child Welfare (CEBC) registry, and is rated as being “Highly” relevant in the child welfare system based upon the program being designed to meet the needs of children, youth, and families receiving child welfare services. Trust-Based Relational Intervention® is listed as a promising intervention in two categories: TBRI® Online Caregiver Training & TBRI® Caregiver Training in the area of Parent Training Programs that Address Behavior Problems in Children & Adolescents.

6. Qualifications: Relevant skills, experience and demonstrated ability to provide proposed services. At Encompass, our mission is “to partner with families to build healthy foundations for children.” We envision a community where all children thrive. The mission and vision were drawn from the following organizational beliefs: we believe what happens early in life matters; we believe children need opportunities to flourish and reach their full potential; and we believe supported families strengthen communities. We passionately believe that every family deserves a place to turn when they need help. Encompass began in 1966 as a school for children with special needs and has grown over the last 53 years, into a comprehensive early childhood development center. During this time, the organization has become an integral part of the Snoqualmie Valley and the greater Eastside, responding to community needs by providing programming designed to meet those needs. This includes the 1980 addition of our home-based early intervention services, the 1988 addition of the Snoqualmie Valley’s only free preschool through the Early Childhood Education Assistance Program (ECEAP), the 2008 opening of our Pediatric Therapy Clinic to complement Early Intervention services, and in 2017 we were named as one of only 19 Neurodevelopmental Centers (NDC) in Washington State. We employ a staff of almost 100 full and part-time employees, who are experts in their fields. All Early Learning teachers have degrees in early childhood education. Therapy services are provided by licensed therapists many of whom are trained in several different evidence-based programs including: Incredible Years, Promoting First Relationships, and Parent-Child Interaction Therapy/Training.

Megan Walsh, who will present the Connected Caregivers Training serves as Behavioral Health Manager at Encompass and holds a Bachelor of Science, Family Studies and Human Services; a Masters in Social Work, Direct Practice; is a Licensed Independent/Clinical Social Worker (LISW, LICSW); and is trained to provide several intervention programs including Trust-based Relational Interventions.

7. Cost: Please complete the budget worksheet in Attachment A. Encompass Page 5 of 5

Attachment A: Budget Worksheet

Program Expenses:

Expenses City Funds + Agency/Other = Total Funds Expenses Personnel Costs + = Connected Caregivers Trainer + = ($40/hour x 4 hours/ workshop x 12 workshops) $1,920 0 $1,920 TBRI® Practioners Trainee + = ($38/hour x 50 hours for training) $1,750 0 $1,750 Office/Operating Expenses + = Admin 10% $1,479 0 $1,479 Consultant /Purchased Services + = Interpreters ($80 per session) $960 + 0 = $960 Childcare ($5/child x 15 children + = per workshop session) $900 0 $900 Communications + = Printing $300 0 $300 Marketing and Outreach $500 0 $500 Travel/Training + = TBRI® Practioners Training $3,500 + 0 = $3,500 Roundtrip Flight to Shreveport, LA $400 + 0 = $400 Hotel and Per Diem (5 nights) $750 + 0 = $750 Mileage to Sammamish x 12 trainings $420 0 $420 Other + = Facility Rental $100/month x 12 sessions $1,200 0 $1,200 Training Supplies and Snacks for wkshps $1,200 + 0 = $1,200 DVD Video Series ($275 each x 2 sets) $550 + 0 = $550 Pocket Guide for families ($11 each x 40) $440 + 0 = $440 Total Expenses $16,269 + = $16,269

Mental Wellness RFP Application: YMCA & PROPOSAL REQUIREMENTS Please include the following information in your proposal:

1. Description: Describe your proposal.

Combining Outreach Recreation and Education (CORE) is a community partnership program between Sammamish Community YMCA and the Issaquah School District. This program was modeled after a Yakima YMCA program that served students in the Yakima Valley Middle Schools with great success. We chose this program because of the belief that when students are engaged with positive adult experiences and gain social-emotional learning skills they tend to do better in school.

Beaver Lake Middle School (BLMS), our pilot school, saw a need to connect students at the seventh- grade level. They wanted to find a creative and effective way to engage their students in school through a positive and proactive way. BLMS decided to pilot CORE during the 2018-2019 school year, found great success, and continued the program in 2019-2020.

This program serves a select group of about 13-14 seventh grade students through YMCA Outdoor Experiential Education once a month. The student’s outdoor experiences are connected to the school’s Social Emotional Learning (SEL) curriculum. Once a month, students join their teacher, homeroom class, and YMCA staff in outdoor adventures that reinforce leadership skills, communication and resilience. Students have to opportunity to challenge their own skills sets and work together as a team to rock climb, kayak, hike and much more. Following an outdoor experience, the YMCA staff come to BLMS and join the students in their homeroom and participate in a social- emotional learning lesson. The YMCA supports these students in making connections with outdoor adventures to the school’s SEL, while also connecting the content to the students’ lives.

BLMS is in their second year of implementing of the CORE program and are submitting this proposal to help fund the continuation of this amazing program. Pacific Cascade Middle School would like to as for funding to start planning the program this Spring 2020 for implementation in the 2020-2021 school year.

2018-2019 BLMS CORE Video https://drive.google.com/file/d/1B7SODTDJB03D9Z0TRiN9B_rWG59MmTiU/view?ts=5c7c4a84

Photos of BLMS CORE

2. Logistics: How and where will the services be provided?

All seventh grade Beaver Lake students are invited to complete an application and interview for the CORE program. Out of the applicants thirteen students are selected to be a part of the Beaver Lake CORE Group. The school selects those students they feel will most benefit from the mentorship, skill building experiences, and supplemental social-emotional and leadership development. Students are scheduled to be together in an advisory period that meets four days a week for 25 minutes. Every Tuesday, all students at BLMS participate in an SEL lesson.

Before each YMCA trip the school sends out an email or a letter home with students which includes further details, including the specific timing of each field trip. Students in the CORE program attend a field trip with the YMCA once a month on a Saturday. Their Saturday adventure includes arriving at BLMS around 9:00am, making their lunch with food supplies that are provided, riding the bus with their peers, enjoying the scheduled activity, and returning back to BLMS around 3:00pm. The YMCA provides all of the necessary clothing and equipment for each adventure, which proves to be an important equity component, as students who may not otherwise have these opportunities, are able to engage in the program.

On the Tuesday following the outdoor event, the YMCA staff comes to the BLMS advisory class to partner with the school in bridging the connections between the outdoor experience, the curriculum, and the daily lives of the students. The CORE group engages in the 7th grade Social-Emotional Learning Curriculum, Second Step. This research-based curriculum teaches students about goal-setting, building and strengthening friendships, responsible digital citizenry, avoiding and resolving conflicts, growth mindset, gender equity and brain science for success. Our qualified teachers and YMCA facilitators intentionally weave these topics throughout the monthly outdoor adventures, giving students ample opportunities to practice and reinforce these prosocial skills.

3. Accessibility: How will you ensure services are accessible to Sammamish residents?

The Program will start and end at Beaver Lake Middle School / Pacific Cascade Middle School and the YMCA provides the bus to transport students and teachers to and from the event. The program is limited to 13-14 students because of the capacity of the YMCA bus. Currently, it is free to students and is covered through building budget and district stipends for our staff advisors. Students who attend BLMS and PCMS have a Sammamish residence. You must be a BLMS or PCMS student to participate in our CORE program. All seventh grade BLMS and PCMS students are invited to complete an application and interview for the CORE program thereby creating access to Sammamish residents.

4. Implementation: How soon would you be able to implement the services?

The program is currently active at Beaver Lake Middle School (Sept 2018-Current) and Maywood Middle School (Sept 2019- Current). Our hope is to start the application process at Pacific Cascade Middle School in the Spring 2020, with full implementation in the 2020-2021 school year. We hope to continue to expand the program to additional middle schools around the district.

The current request is for Beaver Lake Middle School and Pacific Cascade Middle School (PCMS) since they are both located in the City of Sammamish. Beaver Lake Middle School is currently using their building budget to fund the program. The payment is due at the end of the school year and they would use these grant funds to pay for the cost of the program for the 2019-2020 school year. Therefore, BLMS would implement the services immediately and PCMS would start in the Spring 2020, if funding is secured.

5. Outcomes: How will the success of this program be measured? Specify service units to be used.

Our schools use the Strengths and Difficulties Questionnaire (SDQ) data to identify students that would benefit from this program. The SDQ is a snapshot of students’ social-emotional status on a given day (see attached information sheet). During the application and interview process, the SDQ scores are considered in selecting student candidates, specifically the SDQ question, “I have one good friend or more.” Additionally, BLMS monitors student attendance, visits to the health room and trimester grades. Participation in the CORE program has resulted in improvement in attendance, grades and engagement in school (as shown below). Note: YTD, 2019 in progress As a school, Beaver Lake Middle School is always working to build a sense of belonging for students. Research shows that students who are confident they belong and are valued by their teachers and peers are able to engage more fully in learning. They have fewer behavior problems, are more open to critical feedback, take greater advantage of learning opportunities, build important relationships, and generally have more positive attitudes about their classwork and teachers. In turn, they are more likely to persevere in the face of difficulty and do better in school (Mindset Scholars Network, Stanford, 2015).

Furthermore, anecdotal information is used through an end of the program evaluation along with questions that relate to the YMCA CORE Outcomes.

C.O.R.E. OUTCOMES:

Increased Resiliency in Youth: Participants will gain skills to cope with and respond successfully to various life stressors.

Increased Self-esteem: Participants will gain an increase in their self-esteem, self-respect, self-worth, and ability.

Responsibility: Participants will grow in an environment that fosters good behavior, hard work, personal responsibility and fairness.

Civic Responsibility: Participants will gain greater community awareness, knowledge, and investment in helping to improve their community.

Social Support: Participants will gain greater social support and understanding from their interactions with each other, the environment and activities that build communication and understanding of peer interactions.

6. Qualifications: Relevant skills, experience and demonstrated ability to provide proposed services.

The YMCA staff are outdoor professionals who have worked in the mountaineering, paddling and rock climbing industries. They hold certifications from these industries, including advanced wilderness first aid training.

Our Beaver Lake Middle School staff advisors are teachers employed by the Issaquah School District. They are certified teachers with asters degrees and specialized training in the STEM fields. They are both members of the school’s Tier 1 Intervention Team and have received training on the Social- Emotional Learning Curriculum. They are passionate about developing positive relationships with students to help them succeed in all areas of life.

If students are identified as needing additional supports, the school can make a referral to our Issaquah School District Swedish School-Based Health Counselor and connect them to outside services or they can be connected to their Behavior Health Specialist at the YMCA.

7. Cost: Please complete the budget worksheet in Attachment A.

Overview of budget from building expenses as well as YMCA.

Detailed Budget Breakdown from the YMCA for the expense for each school site

We hope that you consider the amazing impact this program has on our students’ health and wellbeing. It is a great example of a preventative intervention program designed to give students the necessary skills and competencies to build resilience and effectively manage their emotions, behavior and relationships with others.

Thank you for your consideration,

Pam Ridenour, Director of Student Interventions / Issaquah School District [email protected] Stacy Cho, Principal / Beaver Lake Middle School

Jeff McGowen, Principal / Pacific Cascade Middle School Mental Wellness RFP Application: Influence the Choice City of Sammamish REQUEST FOR PROPOSALS Youth Mental Wellness Services PROPOSAL REQUIREMENTS Please include the following information in your proposal:

1. Description: Describe your proposal. Positive Community Norms training/conference/campaign.

In collaboration with a host of community stakeholders Influenced the Choice would coordinate a positive community norms training/conference and campaign. This training will build upon the recent training conducted in November of 2019. It will include as many as 50 project staff, partners, potential collaborators, and key stakeholders, and will be focused specifically on advancing the goals and objectives of the PCN project in our community.

Brief overview of Positive Community Norms:

To improve the health of our community Positive Community Norms (PCN), is an approach that promotes protective factors, increases healthy norms, and changes community cultures on issues including substance use, safety, child maltreatment, youth suicide, and more. PCN allow us to design and implement powerful communications campaigns that shift perceptions, attitudes and behaviors to achieve authentic community transformation using positive psychology.

What is the Science of the Positive?

The Science of the Positive is the study of how positive factors impact culture and experience. It focuses on how to measure and grow the positive, and has been applied over decades with agencies, communities, and businesses. It is based on the core assumption that the positive is real and is worth growing – in ourselves, our families, our workplaces, and our communities (Linkenbach, 2007).

Those who work as health and safety professionals can sometimes become so focused on the dangers and problems we are trying to decrease that we forget this core truth. The Science of the Positive reverses this problem-centered frame, and focuses on growing the healthy, positive, protective factors that already exist in our communities. When we start to look at the world through this positive, hopeful lens, it has a profound on impact the questions we ask, the data we collect, and the way we address health and safety issues.

The Science of the Positive should not be confused with simple “positive thinking.” It is a rigorous process that works across entire cultures. And while the Science of the Positive is based on the core assumption that the positive exists in every community and culture, it recognizes that suffering, pain, and harm are very real. One of its principal outcomes is to reduce suffering in our families, our communities, and ourselves. http://www.montanainstitute.com/

Note: The November training referenced above was attended by a productive cross-section of the community including representation by: City of Issaquah, City of Sammamish, The Kiwanis Club of Issaquah, The Garage, a Teen Cafe, Gibson Ek High School, Downtown Issaquah Association, Issaquah School District, Rotary Club of Sammamish, King County Library System, Lake Washington PTSA Council 2.8, YWCA Passage Point, Issaquah School District-PTSA Council, the Issaquah School Board, Eastside Fire & Rescue, Issaquah/Sammamish interfaith Coalition, and more. 2. Logistics: How and where will the services be provided? The conference will be organized by ITC staff to be held in accordance with participant guidelines outlined by The Montana Institute (The PCN foundation).

3. Accessibility: How will you ensure services are accessible to Sammamish residents?

At a minimum, 50% of conference attendance space will be earmarked for Sammamish representation. The subsequent community collaboration and implementation of a PCNs campaign will directly serve the Sammamish Community. Stakeholder invitations will include but not limited to: City of Sammamish Staff, LWSD Staff, ISD Staff, Sammamish YMCA staff, LWSF Staff, LWSD PTSA, Crosspath Counseling, Friends of Youth, Youth Eastside Services, and other youth serving/supporting organizations.

4. Implementation: How soon would you be able to implement the services? Conference scheduling/coordination will begin in early 2020 with the goal of a PCN conference in August/Sept 2020.

5. Outcomes: How will the success of this program be measured? Specify service units to be used. Success measures regard qualitive data found in the Issaquah and Lake Washington School Districts Health Youth Surveys specific to the behaviors that are being addressed by individual service providers of collaborative systems of support. The PCN models works to impact community cultures and subsequently supports reductions in a host of problematic behaviors.

Example:

20% of ELHS 10th graders report current alcohol use (2018 LWSD HYS)

PCN Messaging- 8 out of 10 Eastlake High School 10th Graders choose NOT to use Alcohol. (See Appendix A for examples of a PCN campaign posters)

6. Qualifications: Relevant skills, experience and demonstrated ability to provide proposed services. Influence the Choice is a nonprofit, community-based, coalition that has been working to prevent substance use and promote the mental, physical, and social wellness of our youth since 2011. ITC engages a prevention science approach design to support protective factors and decrease risk factors that lead to maladaptive patterns of behavior. The goal of our work regards community transformation through environmental change strategies, community collaboration and partnership and promotion of the positive. This approach has resulted in significant success in the form of substance use rate decreases for all grades specific to targeted data points (see Appendix B, HYS result 2010-18)

7. Cost: Please complete the budget worksheet in Attachment A.

Expenses City Funds Other Funds Totals Personnel/Operating $1000.00 $1000.00 $2000.00 Estimated Travel (2 trainers) $750.00 $750.00 $1500.00

Montana Inst. Onsite Training $7500.00 $7500.00 $15,000.00 6 months Tech Assist. $2700.00 $2700.00 $5500.00 Venue/Food (2 days) $750.00 $750.00 $1500.00 Posters/Printing $1000.00 $1000.00 $2000.00

Total Expenses $13,750.00 $1,3750.00 $27,50.00

Appendix A

PCN Campaign Posters

Appendix B

HYS Data Mental Wellness RFP Application: India Association of Western Washington (IAWW) City of Sammamish India Association of Western Washington (IAWW) ______

YOUTH MENTAL WELLNESS SERVICES GRANT APPLICATION

1. Description: Describe your proposal.

India Association of Western Washington (IAWW) is proposing to provide multifaceted youth mental wellness programing for residents of the City of Sammamish. This will be open to those between the ages of 10 and 18 from all backgrounds, although the program has been developed on the basis of the needs of youth within the Asian-Indian community. Challenges faced by Asian-Indian immigrants include language barriers, bicultural assimilation issues, isolation, and lack of safe spaces to connect with peers experiencing similar challenges. Unprecedented changes in immigration policy have caused significant anxiety, uncertainty and friction within our community of visa holders, permanent residents and citizens in recent years. Families with temporary visas and green card holders awaiting citizenship live in extreme uncertainty. Asian-Indians have experienced increased racially driven bullying or hate incidents in schools, at workplaces and on the road. Immigrant children not only face a higher risk of outright bullying than non-immigrant children, they often deal with frequent micro-aggressions related to their choice of food, clothing, religion, manners, and other customs. All these factors have culminated in an increased rate of attempted and documented suicides within our community youth.

We plan to offer a once-weekly, weekday evening mentoring and homework assistance group for the youth of Sammamish, with mental health counselors in attendance at the meetings twice monthly. During these sessions the facilitator and contracted mental health specialists will talk to and build a strong rapport with attendees, offering them a platform to address struggles they may be facing. Secondly, each month we will offer a weekend family support group run by a South Asian therapist and psychiatrist. We will bring parents and youth together to work as a family to deal with any mental health issues, connecting them to partner organizations for resources where appropriate. Thirdly, we will organize quarterly paneled community conversations for families to raise awareness of issues that may adversely affect mental health. These will cover topics such as substance abuse, sexual identity and LGBTQ awareness, dealing with anxiety and depression, bullying (including cyberbullying) and bullying resistance. Our youth leadership program is planning a Youth Mental Health Summit in Summer 2020 to be hosted in Sammamish. Families from throughout the region will be invited and our program youth will present research, and provide resources, while parents are able to facilitate and sit on a panel, provide their opinions on the matters being discussed, helping families connect on this stigma area. Healthcare agencies, counseling centers, police and other resource providers will also be present.

In addition to these weekly, monthly, quarterly and annual events, we would offer an option for youth participants or their parents in need of confidential support to be able to reach out to program staff or counselors on a daily basis. Advice and referrals can be provided over the phone or by email. Finally, we plan on organizing at least four youth community service projects in the Sammamish area.

2. Logistics: How and where will the services be provided?

Services will be provided at the Sammamish Teen Center at 825 228th Ave NE, Sammamish, WA 98074. IAWW currently operates a pop-up community center event at this location weekly so has an existing relationship with this venue. We would reserve this venue for one weeknight evening per week, one Saturday afternoon per month, and an additional weekend day quarterly for 2020.

3. Accessibility: How will you ensure services are accessible to Sammamish residents?

Page 1 of 4 City of Sammamish India Association of Western Washington (IAWW) ______

Services will be provided at the centrally located Sammamish Teen Center, easily accessible by public transportation. IAWW already hosts weekly pop-up community centers for seniors at this venue, so many Sammamish families are familiar with our organization and the services it offers. There will be no charge for participants attending our events, so financial hardship will not be a barrier to involvement.

We plan to advertise our proposed Sammamish youth mental wellness events in the local Asian Indian community events, Issaquah-Sammamish Reporter newspaper, by posting flyers at the Sammamish Community YMCA, Sammamish City Hall, Skyline High School, at the Sammamish Farmers Market during the summer months, and in other locations Sammamish youth and families frequent. We will also publicize our new programming electronically on the IAWW social media pages and WhatsApp groups, the IAWW electronic newsletter circulated to 30,000 individuals each week, and to local Homeowners Associations for distribution to their homeowners via neighborhood newsletters.

4. Implementation: How soon would you be able to implement the services?

We would be able to implement this service approximately six weeks from when funding became available. We have already created a vision of how weekly mentoring and support groups would look and have a list of topics ready to be covered in community conversations based on needs expressed by youth and their parents within the community.

As soon as our project is funded, we would make rental reservations for the Sammamish Teen Center facility for one evening a week, one weekend day per month and an additional quarterly weekend date for the entirety of 2020. Once the dates of our events are established, we will contact mental health specialists to book their services for our weekly youth mentoring groups and monthly family support groups, and designate a topic for the first quarterly community conversation workshop on the basis on needs established by our research within the community. When the venue, counselors and any guest speakers have been secured, we would design marketing materials and advertise our events via many approaches as described in question 3 to reach the maximum audience.

5.Outcomes: How will the success of this program be measured? Specify service units to be used.

Success of our program will be measured in terms of the number of youth attending our weekly youth mentoring groups, and monthly family support groups and quarterly community conversations. The number of individuals engaged in our program will be our service unit. We will document attendance at each meeting and store basic personal information of all attendees in our electronic database. Our youth leadership program based in Redmond is currently attended by twenty-two Sammamish families twice monthly and many more Sammamish-area youth attend our four-night Summer camp in Port Townsend. With the creation of youth mental wellness services located in Sammamish that this funding would allow, we believe we can work with these individuals locally and with many more Sammamish area youth. Our program success will be evaluated by participants using several approaches, such as anonymous electronic surveys and in-person focus groups. Feedback given by youth and their families will be used to implement improvements to our program, such as focusing on new topics or adjusting our approach.

Program success will also be determined by the differences our program makes in the lives of each individual. These qualities are often unquantifiable, but may make an immense difference in the life-path of a participant in the program. Our goal is to offer a platform for our community youth to connect with

Page 2 of 4 City of Sammamish India Association of Western Washington (IAWW) ______each other, learn coping mechanisms, discover communication strategies that are successful in conveying the message to their parents, peers and teachers. We aim to create a safe space for youth to meet with peers and role models and discuss topics considered taboo in our culture, such as gender identity and body image. We hope to shape participants to be more confident, have improved leadership and communication skills, increased engagement in civic matters, have learned to embrace the differences between their Indian heritage and American society, as well as developing lifelong supportive friendships within their cohort.

Our existing youth programming based in Redmond has had many successful outcomes to date. We have worked with youth dealing with substance abuse issues. We have counseled them, referred them to organizations providing focused support groups for both youth and their parents, and continued to follow up with the family to ensure they are making progress in addressing the issues they are facing. A teenager in our community left the program but messaged the director one evening in a distressed state, showing signs he may be considering self-harm. We were able to talk to this individual to help him deal with the depression he was experiencing, and provide additional resources to him to obtain the support he needed. We reached out to the parents, who were unaware there was a problem, and provided them with support group information. We have worked with youth experiencing anxiety, simultaneously opening up a dialogue with youth and parents and encouraging youth to talk to their parents about how they are feeling. We have directed them to other opportunities to focus their attention, and have continued to reach out periodically to ensure positive progress is being made. We are excited for the prospect of offering this type of support locally in Sammamish.

6. Qualifications: Relevant skills, experience and demonstrated ability to provide proposed services.

IAWW is extremely well positioned to offer this program to youth in the City of Sammamish, due to its number of years of experience offering a similar service in other King County locations, our staff background, and strong connections with local partner organizations. IAWW was founded in 1984 and has been both led by and served Asian-Indian residents of Western Washington for the last 35 years. The IAWW four-night youth summer camp has been offered for the last 30 years. Fourteen years ago, our community made us aware there was a need for year-round support for our community youth and so the youth leadership program was established. This has been fine-tuned over time as needs evolved, but the program has existed its current structure for the last five years. In November 2019 we expanded our program to include 6th and 7th graders after listening to our community and hearing the need to offer support during the difficult middle school years.

Our youth program director has seven years of experience in this role. Before taking on this position she worked with young people in several capacities, as an assistant college counselor and within her school PTSA. She has taken additional training courses to provide her with the full skillset needed for this job, such as a mental health first aid certification to help identify mental health concerns and bystander intervention training.

IAWW has built strong alliances with many local organizations who provide resources our youth members can benefit from or offer volunteer projects our youth members can take part in. These include: API CHAYA, National Alliance on Mental Illness (NAMI), Crisis Connections, Youth Eastside Services, Birthday Dreams, Emergency Feeding Program, Eastside Baby Corner, Bellevue Parks and Medical Teams International. Having such a well establish organization with many existing partnerships puts IAWW in a strong position to offer such a program to families in the Sammamish community.

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City of Sammamish India Association of Western Washington (IAWW) ______

7. Cost: Please complete the budget worksheet in Attachment A.

Attachment A: Budget Worksheet

Program Expenses:

Agency/Other Expenses City Funds Total Expenses Funds Personnel Costs: Youth $18,000 + $27,000 = $45,000 Program Director salary Office/Operating Expenses: $5,000 + 0 = $5,000 facility rentals Consultant/Purchased Services: specialists for $5,000 + 0 = $5,000 support group therapy and counseling Communications - + - = - Travel/Training - + - = - Other: supplies $2,000 + - = $2,000 Total Expenses $30,000 + $27,000 = $57,000

We are requesting funding for a portion of the compensation of our Youth Program Director who would set up and oversee Sammamish youth mental wellness programming, and payment for mental health counselors and specialists we would contract to attend our weekly support groups to work directly with youth. We are also requesting funding for rent of the Sammamish Teen Center at a rate of $500 per month for the weekly evening teen groups, monthly family support groups and quarterly community conversation events proposed for 2020. Finally, we are applying for $2,000 for supplies necessary to advertise and run these events such as printing flyers, agendas and feedback surveys.

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Mental Wellness RFP Application: Crisis Connections Crisis Connections YMW Proposal Dec 2019

1. Description: Adolescence is a turbulent time for many youth. In addition to “regular” stressors such as peer, family and school challenges, many youth are dealing with serious life issues such as anxiety or depression, homelessness, substance use, suicide or self-harm urges, dating violence and more. Per the March 2018 Sammamish Human Services Needs Assessment, many Sammamish youth are struggling.

• 21% of Sammamish teens have considered suicide in the past year • 77% of 12th grade students report significant anxiety symptoms in the past 2 weeks • 22% of 6th graders report having been bullied in the past month

Crisis Connections (www.crisisconnections.org) has been serving King County since 1964 and specializes in the continuum of care around crisis. This means all programs are aimed at crisis prevention, intervention, and post-vention support. Our mission statement says, “Our passion is caring and listening; empowering people to make positive life changes. We do this through connections between people and critical resources.”

Crisis Connections (CC) is thrilled to currently provide support to the City of Sammamish through our Teen Link, King County 2-1-1, and Crisis Line Programs. CC proposes expanding existing services via funding a .5 FTE Youth Mental Wellness (YMW) Specialist to focus specifically on the City of Sammamish. This position will focus on prevention and intervention efforts, education (training, outreach, and awareness), coping skills, and connection to resources in order to decrease stress, depression, anxiety, substance use, and suicide rates of Sammamish youth. Efforts will decrease risk factors and improve the well-being of Sammamish residents. Specific strategies to enhance youth mental wellness include:

1. Comprehensive Youth Suicide Prevention Trainings at each Sammamish middle and high school 2. Community Outreach and Awareness around youth mental wellness resources including: • Teen Link – emphasize new texting option for peer to peer support • Community training opportunities (including inviting feedback and creation of specific tailored trainings) • Phone or text consultation with a Crisis Connections Adolescent Substance Use Prevention Clinician from 1pm – 10pm Tuesdays through Saturday. • Local resources such as Youth Eastside Services, Friends of Youth, and more. 3. Youth Mental Wellness trainings for families, schools, and professionals working with youth specifically tailored to the City of Sammamish’s needs. 4. Additional youth mental wellness support services as deemed helpful

Youth Suicide Prevention Trainings: In 2019, Crisis Connections has already trained 479 Sammamish students on Youth Suicide Prevention (YSP). 468 of these students have been at Eastlake High School and the 11 additional students were from a variety of Sammamish schools during summer school. CC proposes to expand YSP trainings to include Beaver Lake Middle School, Eastside Catholic Middle School, Inglewood Middle School, Pacific Cascade Middle School, Pine Lake Middle School, Eastside Catholic High School, Skyline High School, Tesla STEM High School, and Renaissance School of Art and Reasoning. Trainings use the most up-to-date research and information on suicide and are interactive. Content includes:

1 Crisis Connections YMW Proposal Dec 2019

• Learning about suicide in WA State • Identifying stressors that affect young people • Exploring coping strategies and the difference between healthy and unhealthy coping • Learning warning signs of suicide • How to have conversations with a peer who may be at risk for suicide (listen, ask directly about suicide, importance of not “keeping secrets” around safety issues for friends) • Knowing how to access resources for support • All students are provided pocket-sized “Where to Turn” booklets which include comprehensive information and resources for youth on over 20 topics

CC has been providing Youth Suicide Prevention Trainings since 2004 and these occur monthly in schools across King County. In 2018, CC trained 7,986 middle and high school students. Evaluations found that an average of 82.5% of students felt their awareness of suicide increased and that the presentations were helpful.

Community Outreach and Awareness around Youth Mental Wellness Resources: CC proposes to provide focused outreach and awareness support to the City of Sammamish around youth mental wellness prevention and intervention resources. The following resources would be emphasized

• The Teen Link Program is a confidential and anonymous help line for teens. Trained teen volunteers are available to talk with their struggling peers around any issue or concern – no matter how big or small every day from 6-10pm. In 2019, the Teen Link line added texting as an option for youth to seek support. Based on similar national programs such as Crisis Text Line, we anticipate a large increase in youth seeking support services via text versus solely calling on the phone. The Youth Mental Wellness Specialist would be promoting this service as an option to the City of Sammamish youth. • In November 2019, Crisis Connections added a Youth Substance Use Prevention position, https://www.teenlink.org/resources/#SubstanceUsePrevention. A Substance Use Disorder Professional is available from 1-10pm Tuesdays through Saturdays via phone or text to connect with adults or teens who are concerned around youth substance use. Individuals such as teachers, parents, coaches, youth, and anyone else can easily consult with a clinician around a variety of topics including strategies to prevent teen drug use, access to drug education materials, finding ways to talk to teens about drug use, referrals to treatment, organizing outreach, and more. The Youth Mental Wellness Specialist would promote awareness of this new resource among youth, families, schools, and community organizations (YMCA, Boys and Girls Club, Friends of Youth, YES, Hopelink, libraries, etc.) • The Youth Mental Wellness Specialist will evaluate existing services and resources in the City of Sammamish and invite feedback from youth, parents, professionals, and community members around the need for additional training opportunities. Additional youth mental wellness trainings will be offered reflecting specific community needs. The YMW Specialist will provide outreach and promote awareness around existing and newly created youth mental wellness community training opportunities. • Promotion of existing youth mental wellness local resources including Youth Eastside Services, Friends of Youth, CrossPath Counseling and Consultation, Avanti Adolescent Services, Resource Lists, and more.

2 Crisis Connections YMW Proposal Dec 2019

Trainings tailored to City of Sammamish needs: Crisis Connections has been specializing in providing trainings to professionals and community members across King County for decades. In addition to the Youth Suicide Prevention trainings in schools, Crisis Connections currently provides the below trainings and would be able to provide any of the below trainings to the City of Sammamish.

• Suicide Assessment, Screening and Referral • Suicide Assessment, Intervention & Treatment • Applied Suicide Intervention Skills Training • Mental Health First Aid • The Art of Referral and Accessing Community Resources • De-escalation • Compassion Fatigue • Train the trainer would be offered and encouraged for any of the above trainings (to ensure long-term continuity and sustainability of programs in the community)

Additionally, the YMW Specialist would be able to provide custom group trainings. For instance, a tailored training for school staff on youth substance use assessment, screening, and referral. Less formal community education formats such as presentations at PTSA or community workshops would also be an option. Specific training schedule and content would be chosen based on an evaluation of City of Sammamish’s needs.

Additional Youth Mental Wellness support services would be available as deemed helpful by the community.

2. Logistics: While CC would need to wait until funding was awarded to hire the YMW Specialist, we have two existing staff that could immediately provide support once the grant award is announced in mid-February. Both our Youth Suicide Prevention Trainer and our Substance Use Prevention Specialist would be able to provide support services to the City of Sammamish during the weeks between job posting and hiring of the YMW Specialist.

CC would immediately reach out to the 10 Sammamish middle and high schools to begin relationship building with staff and coordination around providing the Youth Suicide Prevention trainings. Feedback would be gathered around preferences for delivery of trainings (classroom versus assembly, etc). Teachers would be contacted and offered training opportunities at convenient times. Existing CC staff would be available to start providing Youth Suicide Prevention trainings in mid-February.

CC staff would also immediately begin performing an assessment of community needs around the City of Sammamish’s specific youth mental wellness needs. This would involve reviewing the current landscape of services and resources as well as identifying gaps in services. CC staff would reach out, have conversations, and seek feedback from families, schools, professionals who work with youth, and the community to identify priorities around trainings, workshops and other needed services for the remainder of 2020.

Once the YMW Specialist is hired and on-board likely in March, they would be able to begin community outreach and awareness around youth mental wellness resources including Teen Link peer support and specifically the addition of texting as an option for support, consultation with the Adolescent Substance Use Prevention Clinician, community trainings, and local resources.

3 Crisis Connections YMW Proposal Dec 2019

All services will be provided either in-person or over the phone/email for coordination and logistics. The YMW Specialist would be consistently physically present in the City of Sammamish. If possible, CC would prioritize hiring a Specialist from the local community.

3. Accessibility: A priority for the YMW Specialist would be to ensure that services are accessible to Sammamish residents. It is not uncommon for services to be available but unutilized by residents because individuals need to come to agencies to get the support. CC’s strategy would be to “meet the community where they’re at” and bring services to residents in convenient locations at convenient times.

By bringing the Youth Suicide Prevention Trainings to the schools, CC feels confident we will reach the vast majority of middle and high school aged youth.

The YMW Specialist would gather feedback from families, professionals, and community members around the most convenient locations and times for additional trainings and schedule them accordingly. For instance, if school staff are interested in training on Suicide Assessment, Screening and Referral or The Art of Referral and Accessing Community Resources, the YMW Specialist would work with the school’s schedule to determine the best timing such as during professional development time blocks.

Regarding community outreach and awareness around youth mental wellness resources, CC would determine the best ways to disseminate information. For instance, the following strategies would be used: school bulletins and listserves, partnering with trusted local agencies such as Boys and Girls Club or YMCA, information through local media (Sammamish Comment, patch.com, Issaquah-Sammamish Reporter, etc), and more.

4. Implementation: In mid-February following the award from the City of Sammamish, Crisis Connections would immediately post and hire the Youth Mental Wellness Specialist. While hiring and onboarding would likely take 2-4 weeks, CC would be able to immediately provide support services to the City of Sammamish utilizing our existing staff including our existing Youth Suicide Prevention Trainer and our Substance Use Prevention Specialist.

5. Outcomes: CC carefully tracks both quantitative and qualitative data for all our programs. Teen Link is nationally accredited by CONTACT USA. We track number of contacts as well as the impact of our services using the Crisis Caller Outcome Rating Scale (CCORS) – the standard for measuring outcomes on helplines. In 2018, Teen Link supported 2,759 teens via calls, chats, and emails and trained 7,986 youth in suicide prevention. Using CCORS, in 2018, scores around distress reduction, engagement, and appreciation for support averaged 80% across all 3 metrics.

The YMW Specialist would track all outreach, education, and intervention efforts in order to be able to report back to the City.

For all trainings the YMW Specialist would track both number of attendees and collect post-presentation data including knowledge gained and perceived competency around the topic via a series of 5-10 questions. Students regularly share similar feedback as below on their post-training evaluations:

4 Crisis Connections YMW Proposal Dec 2019

“Thank you for coming to our school today. I used to be really suicidal and suicide has had a huge impact on my life. I’ve found ways to cope and your presentation helped a lot!” – Student from Meeker Middle School

“This helped me a lot. I have a friend who talks about suicide every few months because her stress just builds up and now I know how to help her.” – Student from Pacific Middle School

“I was amazed at how well this topic was presented. I’ve had a suicide in my family and you made it easier to talk about.”– Student from Roosevelt High School

Specific objectives for the Youth Mental Wellness Specialist from February through Dec 31, 2020:

1) Provide approximately 10-12 Youth Suicide Trainings in classrooms/month (training ~250-300 students/month). Evaluations will indicate at least 80% of students will gain understanding and knowledge around suicide and ways to get help if someone is at risk. 2) Provide approximately 4 Outreach and Awareness efforts/month in the City of Sammamish 3) Provide 1-2 additional trainings/month for families, school personnel, or other providers on other topics related to youth mental wellness (train the trainer, substance use, assessing and screening for suicide, etc). Evaluations will indicate that at least 80% of attendees will gain understanding, knowledge, or competency around the training topic.

6. Qualifications: Crisis Connections has been providing safety net services to King County residents since 1964 when the Crisis Line began. We’ve been offering trainings and educating community members in topics such as crisis intervention, suicide prevention, and accessing community resources for 50+ years. Specifically, CC has been thrilled to partner with schools and provide youth suicide prevention trainings across King County since 2004. Our staff receive quality training prior to delivering the youth suicide prevention trainings in schools.

Crisis Connections is seen as a local expert in suicide, crisis, and prevention and we provide a robust Community Training Program. In 2018, CC trained 1,738 adults including community members, social workers, school personnel, counselors, public safety officials, and other service providers.

CC has received several awards in recent years including NAMI Eastside’s Citizen Award and the Outstanding Organization Award through the Seattle Human Services Coalition. We are nationally accredited by CONTACT USA.

Crisis Connections is dedicated to providing quality support services to our community. In all our programs, we regularly receive high satisfaction outcomes. In addition to the Teen Link outcomes provided above, 2018 data from our King County 2-1-1 Program found,

• 96% of callers received new information • 99% of callers intended to contact the resources provided • 99% found 2-1-1 staff and/or information helpful

Crisis Connections is uniquely positioned with the experience, expertise, and infrastructure and would be thrilled to provide trainings, workshops, outreach, and awareness around youth mental wellness in the City of Sammamish. Emphasizing prevention efforts, education, coping skills, and connection to

5 Crisis Connections YMW Proposal Dec 2019

resources in order to decrease stress, depression, anxiety, and suicide rates of Sammamish youth will decrease risk factors and improve the wellbeing of youth and all Sammamish residents.

7. Budget:

Expenses City Funds + Agency/Other = Total Expenses Funds Personnel Costs .5 YMW Specialist with $24,821 + 0 = $24,821 benefits and taxes Supervisor Time $2,482.10 + 0 = $2,482.10 Office/Operating Expenses – $4,395 + 0 = $4,395 Admin 15% Consultant/Purchased Services $0 + 0 = $0 Communications - Marketing $500 + 0 = $500 Travel/Training $500 + 0 = $500 Other-Supplies $1,000 + 0 = $1,000 Total Expenses $33,698.10 + 0 = $33,698.10

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Mental Wellness RFP Application: Eastside Catholic High School Eastside Catholic High School Youth Mental Wellness Proposal

Contact:

Frances Carhart Director of Student Services Eastside Catholic High School 232 228th Avenue SE Sammamish, WA 98074 425-295-3128 [email protected] City of Sammamish Youth Mental Wellness Proposal

1. Description: Describe your proposal.

Suicide is the second leading cause of death for youth ages 10-24 in Washington and the United States. Two youth are lost to suicide each week in Washington State. In King County, 16-percent of youth report having thoughts of suicide and 7-percent have attempted suicide (King County, DCHS). Due to complex cultural factors, rates of youth depression, anxiety, suicidal thoughts, and attempts are at an all-time high.

Our goal in Student Services is for every student at Eastside Catholic to be known and have a relationship with one of the counselors in our office. Eastside Catholic Student Services (1 director, 2 college counselors, 2 high school counselors and 1 middle school counselor) collaborates with Campus Ministry and the Schoolhouse to design and implement our mental health and wellness curriculum and resources. We want to proactively provide resources to teach students about suicide prevention, resilience, balance, mindfulness and self-acceptance. To this end, our proposal helps us to create a calm space in Student Services where students can destress and practice mindfulness, a high school screener to regularly measure mental health concerns, resources for our teachers, students and families to proactively learn and teach coping skills, resources to design a schoolwide crisis plan as well as an innovative partnership with Eastlake High School, Skyline High School, and Forefront Suicide Prevention at the University of Washington to change the trajectory of youth suicide.

Although we understand that the Issaquah and Lake Washington Public Schools may not be willing to implement the Forefront in Schools model across each of their respective districts, we would like to partner with the Sammamish high schools to share suicide prevention tools and resources. We serve the same Sammamish community so benefits of this grant should be shared among all providers working with students. We are also open to working with the Sammamish YMCA, Sammamish Youth Board and other Sammamish non-profits supporting youth. After learning the results of this proposal, we will contact Eastlake and Skyline high schools as well as any other Sammamish nonprofits, working in collaboration with Forefront, to better support youth wellness.

Objectives Suicide Prevention The project is based on the Forefront in Schools (FIS) model of suicide prevention, which was developed by University of Washington faculty using the Substance Abuse and Mental Health Services Administration’s (SAMHSA) best practices in youth suicide prevention. It is grounded in dissemination and implementation research and draws on Forefront’s experience implementing the program in 39 schools. Forefront will help Eastside Catholic to collaborate with all Sammamish stakeholders to provide resources and training.

Forefront in Schools will undertake the following suicide prevention work: 1. Strengthening school policies, procedures, and messaging 2. Cultivating youth leadership and voice in mental health literacy 3. Training school-based staff, parents, students, community members 4. Enhancing behavioral health referral networks and linkages to community-based resources 5. Establishing peer-led trainings for staff, parents, and youth 6. Integrating mental health literacy and social-emotional learning curriculum into the ongoing work of participating schools.

Eastside Catholic Youth Mental Wellness Proposal Page 2 Project elements are based on SAMHSA’s recommendations for successful suicide prevention and Forefront’s experience implementing similar work in 39 high schools across Washington State. The project includes both Youth Mental Health First Aid training for staff, youth, and parents and youth-led community awareness efforts.

School Teams. Each school (and nonprofit) participating in the FIS collaboration in Sammamish will assemble a project team of six to eight members comprised of a director, two or three front-line staff, two or three parents, and two or three students. Teams are responsible for the implementation of the program for two years. Community stakeholders such as the PTSA, community-based mental health providers, and law enforcement, as well as other stakeholders may also be represented on the team. Each site will work with an implementation team at Forefront, made up of a program director and site coaches who have prior experiences working in community-based mental health settings. The director is responsible for oversight of all major training events, program development, evaluation/ functions, and community engagement to inform sites about the program. The coaches provide coaching and support to sites on barriers to program implementation and help support them by gently holding them accountable to meeting program milestones. Coaches also provide support in the event of a youth suicide. Teams will also include a training coordinator, who will work to set up trainings within their school, coordinate with facility-based staff, and ensure that their team is fully staffed and assembled. Additionally, the Forefront team includes faculty who provide short courses on mental health promotion and suicide prevention, lead program implementation such as developing fidelity tools and developing culturally adapted versions of curricula and conducting research on the efficacy and effectiveness of the program components and overall.

Crisis Plan Creation Forefront in Schools can help Eastside Catholic to create and implement a schoolwide crisis plan. Although EC has an initial plan, we could use the professional resources of FIS to create a relevant and timely plan in the case of a crisis. While we will be applying to participate in the FIS 2020 Cohort (if they open applications), but need help creating a crisis plan now.

Support Mindfulness Our office is a busy flow of students, teachers and administrators on any given day. Many students come to our offices to meet but cannot be seen immediately. So that we can better serve our students, we would like to create a calm space where students can be quiet, practice deep breathing and reflect. The Quiet Pods will teach our students the impact of quiet in their lives (no technology) and will help us better manage the flow of students needing attention. This dovetails with our fall speaker on the dangers of technology and overuse of phones and computers. With the Quiet Pods, we can triage students based on their needs while knowing that all students are having time to calm down.

At the same time, we are building more space in Student Services to hold small groups, offer wellness workshops and give students a quiet space to unwind. We are covering the costs of this renovation to better serve our EC students.

Teach Coping, Mindfulness, Balance, Self-Acceptance iPads at the front of Student Services will allow students to electronically “sign-in” or schedule appointments with each counselor (Calendly). However, the true value of the iPads will be the loaded apps that creatively teach middle and high school students about mindfulness, emotions, resilience and self-acceptance. The following apps recommended by school counselors will be loaded onto the iPads and assigned to students when they come into Student Services depending on our availability or can be

Eastside Catholic Youth Mental Wellness Proposal Page 3 completed after a counselor visit to those students needing a bit more time before returning to class. Some of these apps include:

• Smiling Minds. A daily mindfulness and meditation application that teaches mindfulness to students and adults. • Middle School Confidential. The award-winning Middle School Confidential series written by nationally recognized teen expert and anti-bullying activist Annie Fox, M.Ed. is an interactive comic book which appeals to children of all ages and has good messages relating to social emotional learning throughout. • Emotionary. App that is designed to teach students different types of emotions so they can fully describe how they are feeling and develop their emotional intelligence. • Live Happy. Scientifically proven tips and techniques to live happier and a more meaningful life. It includes educational tidbits and videos that can help students better understand what is known about the attainment of happiness and resilience, as well as features that encourage us to engage in happiness-promoting activities.

As we partner with other Sammamish grant recipients, we would like to consider adding other applications or curriculum that could better serve our students.

Mental Health Screening Currently, our high school counselors conduct a needs assessment in the fall of the school year using a Microsoft forms questionnaire. It takes two months from start to finish in order to go into each of the mentor classrooms and then follow up with Tier 1 and Tier 2 students. Since we have two high school counselors following up, they only present to small groups each day so they can follow up individually as needed.

Purchasing the Mindwise Screener would allow us to conduct a needs-assessment at one time and respond quickly to the results. So that we can assess the appropriate audience for this assessment, we can start the rollout with juniors and seniors this spring. With the one-time survey, we have requested counseling services (using Sammamish-area counselors) on site so we follow-up with all Tier 1 and Tier 2 students within 24-48 hours. With this junior/senior rollout, we can determine if the screener can be used for all of high school in the fall of 2020. In the fall of 2020, we would do a schoolwide needs- assessment with outside counselors onsite. (Note: Forefront also offers a screener for high school students that could be purchased in lieu of Mindwise. Because of the quick turnaround of this grant proposal, we were unable to get a firm quote on implementing the screener. We would like the flexibility to purchase the best screener for EC students with the counseling support to respond to Tier 1 and Tier 2 students.)

Our middle school is working with Youth Eastside Services and King County to try the SBIRT screener with Eastside Catholic seventh graders so this Mindwise screener would be available for high school students.

Anxiety Resources While Frontline in Schools helps Eastside Catholic provide resources for suicide prevention, anxiety affects all of our students. We would like to bring in a mental health speaker who specializes in teenage anxiety to speak with our faculty/staff, students and parents. Dr. O’Rourke from EBT Centers of Seattle can provide education to our teachers about handling stress in the classroom in a morning talk, strategies for dealing with stress to our students during a daytime presentation and an evening presentation to EC parents as well as the Sammamish community.

Eastside Catholic Youth Mental Wellness Proposal Page 4

We would like to purchase activities, group work and parent resources to proactively teach our students about managing anxiety and stress. These books will provide a valuable resource library for Student Services with lesson plans, specific classroom activities, talking points and suggestions for parents. Our plan would be to assign Student Services, Campus Ministry and the Schoolhouse one book to read and review. We would set a time for everyone to come together and share their book reviews, discuss the salient points from the literature and then plan out how we will use the resources.

Training for Counselors Forefront provides on-site training for all stakeholders that is designed to be self-sustaining over time. Training includes: • For site administrators and mental health staff on crisis prevention, postvention and reentry planning, messaging, and communication strategies • For mental health staff on suicide intervention skills including screening and assessment of suicide risk and safety planning • To train the trainer for staff, parents, and youths to be able to conduct peer-led trainings on recognizing the signs of suicide and how to support someone • Youth Mental Health First Aid training for staff and parents to help identify and act on signs of suicide

EBT Centers of Seattle offers a DBT 3-day training program for school counselors and administrators. DBT is regarded as one of the most effective ways to teach students how to manage difficult emotions which will help our counselors cover a wide range of youth wellness issues. The DBT approach was developed by a UW professor who works at the EBT Centers of Seattle who periodically offers local workshops for schools. The skills that the DBT approach develops coping skills that will help adolescents well beyond high school.

The Guildford Practical Intervention in Schools offers many several books that provide useable, printable resources for counselors to use with students. We would like to purchase several of these hard copy and online books to start a Student Services counselor resource library. These provide ready-to-use techniques and strategies. These books as well as the anxiety resources, will help to give us tools to work with students around a wide range of mental health issues.

Collaboration We would like to partner with the other grant recipients, including Skyline and Eastlake High School, to share our learnings and resources. Frontfront in Schools could help to facilitate our shared resources for the Sammamish community. Additionally, we would be happy to share our book and iPad application reviews with other schools as well as the community through blogs, book “reports” at the library or any other Sammamish events. We are also willing to share our reflections about the Mindwise (or Forefront) screener, anxiety materials/resources and any workshops and trainings. Eastside Catholic would open Dr. O’Rourke’s anxiety presentation to the entire Sammamish community and invite Skyline and Eastlake counselors to join us for the DBT Training so that we could train and debrief together. Most importantly, we would like to create a Sammamish high school mental health team that would have members from all of the Sammamish high schools (Eastlake and Skyline) that could discuss trends, share resources, provide support and proactively create resources for the entire Sammamish community. Eastside Catholic can organize and host this quarterly meeting so we can better support all Sammamish residents.

Eastside Catholic Youth Mental Wellness Proposal Page 5

2. Logistics: How and where will the services be provided?

Most of these resources will be housed in a new Student Services resource library where all faculty and staff can access practical strategies to support our students. While every counselor will have a DBT Strategies book in their offices, the remainder of the books will be housed in one area that Student Services can manage (the library will be built with the Student Services renovation.) The Quiet Pods will be placed throughout the school and the iPads with socio-emotional resources will reside in the Student Services offices. Karin House, the Student Services coordinator, will help to manage the use of the iPad and all counselors and deans can send kids to the Quiet Pods.

The anxiety resources (recommendation by Dr. O’Rourke and workbooks) will be rolled out through EC middle and EC high school mentor periods throughout the school year. Student Services will work with Campus Ministry, the Schoolhouse, and the Dean of Student Life (new position in 2020) to coordinate the rollout of these many important mental health resources which will include a training for the teachers and a feedback loop to gather suggestions along the way.

The DBT Training in Schools can be attended at UW Seattle (they also have national workshops). We will wait for their next Seattle workshop. The EC team attending will consist of the high school and middle school principals, school deans, curriculum developers and all of the counselors. DBT skills can be used by all admin who work regularly with students so we can consistently apply the same tools and approaches.

The anxiety speaker, Dr. O’Rourke, will speak at Eastside Catholic but we will open this presentation to the entire Sammamish community. His presentation to faculty/staff will occur during one of our morning faculty meetings with follow up feedback/support throughout the year and we would like a daytime presentation to EC students. The evening talk will also occur at EC but will be hosted in the gym, open for all Sammamish residents.

Forefront in Schools will provide their services at the Sammamish high schools although some training may need to happen at their UW offices.

Eastside Catholic Youth Mental Wellness Proposal Page 6 3. Accessibility: How will you ensure services are accessible to Sammamish residents?

As stated above, we would like to share the anxiety and DBT book reviews with Eastlake and Skyline counseling departments so we can better support those who support Sammamish residents. Our counseling offices are busy so it’s difficult to proactively review helpful resources and literature. Taking our time to read these resources, share them as a team, write one-page reviews and then share them with other Sammamish counselors will allow us to collaborate with neighbors and better serve all adolescents in our community. We are open to posting these on the EC blog or other outlets to share our learnings. We will also be building more resources into our EC Student Services webpages so all Sammamish residents will have access to resources and tools to support mental health in students.

Additionally, we would like to open Dr. O’Rourke’s presentation about anxiety in teens to the entire Sammamish community.

We would also like to create a Sammamish high school mental health team with representatives from Skyline and Eastlake counseling departments. In this way, we can share issues we are experiencing with teens, brainstorm better ways to collaborate and serve students, discuss effective strategies that have worked and pool our resources to bring in more speakers and resources for the entire Sammamish community.

Eastside Catholic Youth Mental Wellness Proposal Page 7

4. Implementation: How soon would you be able to implement the services?

Projected Timeline February 2020 - Meet with Schoolhouse, Campus Ministry and Student Services to explain what money is awarded from the grant and the overall intention behind it. Explain timeline and garner buy-in. - Present to PFSA and PTA about grant award and overall plan to support emotional well-being for our students. - Order books, assign mental health book reviews (anxiety and Guildford press resources) Order iPads, iPad stands. - Order Quiet Pods. - Schedule Dr. O’Rourke for Sept/Oct 2020 presentations - Meet with Schoolhouse and Leadership team to determine when to start (and plan to rollout). - Meet with Forefront to start creating crisis plan and implement Sammamish community youth wellness resources. March 2020 - Install software on iPads (IT). - Prepare screener for juniors and seniors. - Student Services learn the different online apps and create “cheat sheet” for different apps so all counselors and admin know the different options. - Student Services discuss book reviews as a team before writing final review. Bring in Mindwise SOS Train the Trainer (March/April, depending on availability) - Create and lead Sammamish high school mental health team to start sharing resources and create plan to work together. - Finalize EC Crisis Plan with Forefront in Schools. - Support Forefront in implementing Sammamish community youth wellness resources. April 2020 - Mental health book reviews completed. Send to Skyline and Eastlake High School. (available to write book review for Sammamish blog or website) - iPad set up and ready for students. - Quiet Pods set up and ready for students. - Meet with Schoolhouse, Campus Ministry and Student Services to review resources, apps on iPad, suggestion referrals for Quiet pods (coordinated rollout) - Support Forefront in implementing Sammamish community youth wellness resources. May 2020 - Run Mindwise (or Forefront) screener for juniors and seniors (start with just these two grades) Follow up with Tier 1 and Tier 2 students with support counselors on hand. - Assess iPad and Quiet Pods to determine whether we need to add, tweak, better manage, etc. - Mental Wellness curriculum for high school and middle school in mentor period. - Support Forefront in implementing Sammamish community youth wellness resources. June 2020 - Email to Sammamish high school mental health team about meeting in August to set goals for school year. - Support Forefront in implementing Sammamish community youth wellness resources.

Eastside Catholic Youth Mental Wellness Proposal Page 8 July 2020 - Create resource webpage page on EC Student Services to all Sammamish residents can access - Attend DBT in Schools training with EC faculty/staff - Support Forefront in implementing Sammamish community youth wellness resources. August 2020 - Presentation to faculty/staff about focus on mental health. Half-day training on seriousness of the issues, how they can help, schedule for the year to support students and trainings available for teachers to get more tools. - Presentation to EC Faculty Council about resources and measurements. - Schoolhouse, Campus Ministry, Student Services review of upcoming events, resources, priorities for school year. Brainstorm any tweaks or changes that need to be made. - Sammamish high school mental health team meet. - Support Forefront in implementing Sammamish community youth wellness resources. September - Run Mindwise screener for juniors and seniors (maybe all high school grades 2020 depending on success from May) Follow up with Tier 1 and Tier 2 students with support counselors on hand. - Anxiety speaker, Dr. O’Rourke, for full day of presentations. - Meet with Sammamish high school mental health team. - Mental Wellness curriculum for high school and middle school in mentor period. - Support Forefront in implementing Sammamish community youth wellness resources. October 2020 - Start Wednesday Wellness sessions to follow up on anxiety speaker, provide timely topics, resources for students (45 minute “mini-lessons” that students can sign up to attend.) - Assess mental health resources with Eastside Catholic faculty/staff (get feedback on the August in-service and what additional resources are needed) and EC Faculty Council. - Mental Wellness curriculum for high school and middle school in mentor period. - Support Forefront in implementing Sammamish community youth wellness resources. November - Wednesday Wellness sessions to follow up on anxiety speaker, provide timely 2020 topics, resources for students. - Mental Wellness curriculum for high school and middle school in mentor period. - Support Forefront in implementing Sammamish community youth wellness resources. December - Wednesday Wellness sessions to follow up on anxiety speaker, provide timely 2020 topics, resources for students. - Assess mental health resources with Eastside Catholic Faculty Council. - Mental Wellness curriculum for high school and middle school in mentor period. - Support Forefront in implementing Sammamish community youth wellness resources. January 2021 - Schoolhouse, Campus Ministry, Student Services review what services to continue, what needs still not met, strategize ways to better reach our students.

Eastside Catholic Youth Mental Wellness Proposal Page 9

5. Outcomes: How will the success of this program be measured? Specify service units to be used.

• Student Services meets weekly to review the mission, assess how we can support one another and brainstorm how better to support our students. Once a month at these meetings, we will check-in on the youth mental wellness proposal plan and timetable. • The team implementing all aspects of these resources – the Schoolhouse, Campus Ministry and Student Services, Student Life – will meet quarterly to assess the implementation and resources. • The Emotional, Social and Spiritual team (Student Services, Schoolhouse, Deans, Campus Ministry, Academic Resources, Student Life) will utilize these tools and resources when addressing students of concern. At every monthly meeting, we will be assessing overall mental health at EC and identify EC students needing more help or outside resources. • The Sammamish high school mental health team (comprised of Eastlake, Skyline and EC counselors) will meet quarterly to share resources and better reach all Sammamish residents. • Forefront in Schools can provide their assessment measures. Certainly, one measurable goal would be to have a working Crisis Plan for Eastside Catholic. • Book reviews will be completed and shared with neighboring high schools (and available to Sammamish residents) • Rollout of Mindwise (or Frontline) screener in spring to juniors/seniors as well as fall screener. Assess what new information was revealed, follow-up, and whether it best serves our students. We can analyze data from the screener to see if reported anxiety, depression levels have decreased between the spring and fall assessments. • Anxiety speaker in fall of 2020 to EC and Sammamish community. • Resources on EC Student Services page completed by December 2020. • We are happy to provide a summary in February 2021 with the results of these different programs and quantifiable results.

Eastside Catholic Youth Mental Wellness Proposal Page 10

6. Qualifications: Relevant skills, experience and demonstrated ability to provide proposed services.

Student Services Frances Carhart, Director of Student Services, M.Ed. Autumn Slater, High School Counselor, M.Ed. Jena Ayers, High School Counselor, ESA Certificate, M.S. Marjorie Hayton, High School College Counselor, ESA Certification. M.Ed. Samantha Baker, Middle School Counselor, M.Ed.

Schoolhouse Barbara Swann, High School Principal, M.Ed. Ashley Hylton, Middle School Principal, M. Ed. Ryan, Aiello, Director of Curriculum and Instruction, M.Ed. James MacIntyre, Middle School Dean of Students, M.Ed. Erin Vickers, Middle School Science Teacher, Instructional Coach, M.S., M.I.T, National Board Certified

Campus Ministry Kate Brown, Campus Minister, B.A.

Collectively, we have attended hundreds of hours of workshops on curriculum design, counseling middle and high school students, understanding depression and anxiety in adolescents, etc. We all attend regular professional development to refine how we work with kids, learn new techniques and share professional practices with others. We are all committed to supporting adolescents, not just Eastside Catholic students, but all Sammamish teens who face many social, emotional and academic challenges through the middle school and high school years. As demonstrated by our detailed proposal, we are committed to an intentional rollout with measurable objectives.

Forefront Forefront Suicide Prevention has significant expertise and experience in implementing programming outlined in this proposal and is recognized as a Center of Excellence at the University of Washington. Forefront has operated programs in more than 39 high schools and on 60 college campuses in Washington State and trained more than 75,000 people in suicide prevention.

Dr. Larry Wright is the Chief Operating Officer for Forefront Suicide Prevention. His career has focused on helping others lead full and healthy lives. As CEO of MENTOR/the National Mentoring Partnership, he worked with a network of state partnerships to close America’s mentoring gap. As COO of the state’s largest private scholarship provider, the College Success Foundation, he helped first generation college students in Washington State and in Washington, DC find success in and out of the classroom.

Dr. Wright is committed to community service and has been a board member for a number of organizations including the National Human Services Assembly, America’s Promise, Big Brothers Big Sisters of Puget Sound, and the League of Education Voters. Dr. Wright received his Ph.D. in journalism and mass communication from the University of Wisconsin-Madison and his MA in mass communication and BA in English from Washington State University.

Eastside Catholic Youth Mental Wellness Proposal Page 11 7. Cost

High School Expenses City Funds + = Total Expenses Funds Personnel Costs - FIS .175 salary/benefits - Onsite mental health $35,360 + $0 = $35,360 professionals for screener responses

Office/Operating Expenses - Skyline, Eastlake, EC quarterly $20,0001 meeting (we are getting - FIS prof services, program $4800 + = $24,800 contractor supplies and printing estimates) - New room in EC’s Student Services Consultant/Purchased Expenses - Anxiety speaker - Mindwise (or Forefront) $5600 + $0 = $5600 Screener - FIS Crisis Plan Communication + $5002 = $500 $0 Travel/Training - FIS travel $9300 + $0 = $9300 - DBT training Other - Apple iPad and stands - Quiet Pods $9010 + $5003 = $9510 - Guildford resources - Anxiety resource books

Total Expenses $64,070 + $21,000 = $85,070

1 We are currently getting estimates to create a separate room in Student Services to provide many of these resources. Low-end estimates put the total costs at $20,000. 2 Our Communications and Marketing department can help to promote our initiative to get youth applications and advertise the anxiety speaker to the entire Sammamish community. 3 The EC IT department will help get everything installed and connected.

Eastside Catholic Youth Mental Wellness Proposal Page 12 Addendum A

Eastside Catholic Cost Breakdown

Quantity Cost Per Total Unit Apple iPads 4 $400 $1600 iPad Kiosk Stands 4 $40 $160 Quiet Pods 6 $1000 $6000 Mindwise Screening (used by many colleges) 1 $600 $600 Mental Health Professionals to support screener responses (in 24 hours $100/hour $2400 spring and fall 2020). 3 counselors for 8 hours for the spring and fall screenings. DBT in Schools Training (EBT of Seattle) in conjunction with 10 $850/person $8500 Forefront Guildford Practical Intervention in Schools resources Multiple $750 (online $750 - Academic and Behavior Supports for At-Risk Students and print - Child and Adolescent Suicide Behavior: School-Based copies) Prevention, Assessment and Intervention - Classwide Positive Behavior Interventions and Supports: A Guide to Proactive Classroom Management - Coaching Students with Executive Skills Deficits - DBT Skills in Schools: Skills Training for Emotional Problem Solving for Adolescents (DBT STEPS-A). Copies for every counselor - Helping Students Overcome Depression and Anxiety - Helping Students Overcome Social Anxiety: Skills for Academic and Social Success (SASS) - Promoting Student Happiness: Positive Psychology Interventions in Schools - Safe and Healthy Schools: Practical Prevention Strategies Anxiety speaker, Daniel O’Rourke (EBT of Seattle). Awaiting 1 $2000 $2000 exact cost for his speaking. With the quick turnaround, we were unable to get a firm estimate for his services. Anxiety Resource Books Multiple $500 $500 - 101 Ways to Conquer Teen Anxiety: Simple Tips, Techniques, and Strategies - Essential Strategies for Managing Trauma in the Classroom - Mindfulness for Teen Anxiety: A Workbook for Overcoming Anxiety at Home, at School, and Everywhere Else - Using Social Emotional Learning to Alleviate Back-to-School Anxiety - The Anxiety Survival Guide for Teens: CBT Skills to Overcome Fear, Worry, and Panic - The Anxiety Workbook for Teens: Activities to Help You Deal with Anxiety and Worry - The Brain Power Classroom: 10 Essentials for Focus, Mindfulness, and Emotional Wellness

Eastside Catholic Youth Mental Wellness Proposal Page 13

- The Real and Lasting Impacts of Social Emotional Learning with At-Risk Students Skyline, Eastlake and EC Mental Health Team (quarterly 4 $250 $1000 meetings). Printed resources, agenda, food and supplies. Forefront in Schools Crisis Plan Creation $3000 Total $26,510

Eastside Catholic Youth Mental Wellness Proposal Page 14

Addendum B

Forefront in Schools Addendum

The following detailed use of funds and description of services was provided by Forefront. This proposal allows more Sammamish community involvement and allows all high schools and Sammamish non- profits reach a greater number of Sammamish students.

Suicide Prevention Activities. At the start of the project, all school teams will come together for an Academy. School-team introductions and team planning, opportunities for sharing lessons learned and break-out sessions make up the day. During the year, each school team will receive on-going coaching by Forefront, based on their site’s specific challenges in implementation of the program. Teams meet with a coach monthly to help with implementing school-specific strategies. During these coaching sessions, in addition to a focus on developing crisis response and prevention plans and case-based consultation regarding youth of concern, schools will map all activities currently taking place that address mental health and suicide prevention and will examine any relevant data they have that sheds light on risk and protective factors. Sites that experience a suicide death will receive intensive consultation from the project team in the days and weeks following to ensure that the response is consistent with best practice (SAMHSA, 2013). The Forefront coach will also provide support to debrief the school community safely after these tragic events. When suicides occur, it is recommended that prevention activities are postponed allowing time to focus on grief and loss. At the end of project year, teams from participating schools will convene again for a Capstone Meeting. The Capstone meeting will provide an opportunity to recognize school teams for their hard work, and for teams to highlight their biggest accomplishments.

Youth Engagement. The proposed project offers an opportunity to develop peer youth leaders to enhance protective factors. Youth teams form under the supervision of a trusted adult advisors at Sammamish high schools and youth nonprofit sites. Youth are required to develop an application that describes their proposed project and the anticipated impact it will have in their community over the course of a year. Project messaging guidelines will be provided, and proposals will be reviewed by EC, Skyline, Eastlake and Forefront staff. Youth submitting proposals will receive written feedback provided by program staff. Those groups that implement their projects will be invited to a Day of Hope, which provides a forum to showcase their work and to participate in youth empowerment and leadership skills training activities.

Outcomes. The initial focus will be on formative evaluation to ensure high levels of feasibility, acceptability, and fidelity of all program components. A summative evaluation using a socioecological approach to community-based suicide prevention will be undertaken in year two.

Development Phase. Forefront will work with representatives from Skyline, Eastlake, EC and other Sammamish nonprofits to develop a plan for training and technical assistance that responds to the needs of our community. The initial discovery phase would take approximately six weeks to complete. Tasks associated with this phase of the project are outlined in Table 1 below. Table 2 presents a full project timeline.

Cost. Forefront provided the detailed costs of hiring a “coordinator” to help the Sammamish community create a more comprehensive suicide prevention strategy. Table 3 breaks down the specific costs.

Eastside Catholic Youth Mental Wellness Proposal Page 15 Table 1: Timeline to Start Program within Two Months of Executed Contract

Table 2: Full Project Timeline

Eastside Catholic Youth Mental Wellness Proposal Page 16 Table 3: Annual Project Budget (as provided by Forefront)

Eastside Catholic Youth Mental Wellness Proposal Page 17 Addendum C

Considerations Collaboration with the Sammamish community We would like to collaborate with all recipients of this money to better serve the entire Sammamish community. Forefront can help to navigate this across schools and nonprofits in the neighborhood. We also have a collaboration initiative with Skyline and Eastlake in hopes to establish better communication channels between our schools about youth wellness. These are separate initiatives but could be combined if all aspects of the proposal are approved. We want to be cognizant of everyone’s time but also spend the money wisely by sharing our resources, learnings and speakers.

Partnership with Forefront Forefront is a unique local resource for the entire community. Partnering with Forefront, particularly when including all stakeholders in youth wellness from the Sammamish community, can be a very supportive partnership. While we only had a quick conversation with Dr. Larry Wright the day before Christmas break, we would like to find a way to bring Forefront in Schools to Sammamish. Since we believe (and Forefront asserts) that youth are vital to leading these initiatives, I would like to suggest that our Sammamish Youth Council take more responsibility working with Forefront to create a self- sustaining committee that will continually provide training and resources for all aspects of the community. EC is happy to help coordinate this initially and generate resources but would like to consider long-term systems that will outlive any personnel fluctuations.

Final Costs A few aspects of the EC proposal are estimated. While we reached out to the anxiety speaker, Dr. O’Rourke, we were unable to get costs to have him speak to the entire Sammamish community. We put in a $2000 placeholder and can cover additional costs, as needed. Additionally, we met with Forefront briefly before the holidays. Their proposal covers a project to bring together Skyline, Eastlake, EC and possibly YMCA but could cost more if we try to include all Sammamish stakeholders.

Quiet Pods are shown to provide a quiet place for students (and adults) to decompress, think and relax. Modholic created this perfect place for sound isolation, and a comfortable area to sit and read. Its chamber-like shape cancels out most outside noise, providing a unique environment for meditation, relaxation and just getting away from it all. We believe these chairs will provide a great transition area for students before and after counselors meet with them.

EC Commitment In July 2019, Eastside Catholic hired the Director of Student Services to better coordinate all aspects of our student support services. It has been and continues to be a commitment for EC. We are working internally to add another school counseling position so we can provide more time and resources to a greater number of our EC students. We did not propose another EC position in this proposal because we would like a full-time long-term counselor committed to high school youth but are hoping to hire for this position in the upcoming spring.

Eastside Catholic Youth Mental Wellness Proposal Page 18 Mental Wellness RFP Application: Crosspath & Youth Eastside Services Youth Eastside Services

Proposal to the City of Sammamish for Youth Mental Wellness Services

Dec. 30, 2019

I. Description of Proposal

Youth Eastside Services (YES), Friends of Youth and CrossPath are collaborating on a model of youth mental wellness services for Sammamish residents. As the lead on this proposal, YES is a state- licensed Community Mental Health Center and state-certified Outpatient Chemical Dependency Treatment Program, providing comprehensive, evidence-based behavioral health services for children and youth from birth to age 22, and their families, regardless of the ability to pay. YES and Friends of Youth are the two youth-serving agencies that serve Sammamish, through the Lake Washington School District (YES) and the Issaquah School District (Friends of Youth). In 2010, YES and Friends of Youth together formed CrossPath Counseling & Consultation in Sammamish, in partnership with the City of Sammamish, to provide direct, accessible behavioral health services for Sammamish residents. Since 2010, CrossPath counselors have provided individual and family counseling for more than 1,250 Sammamish clients. Just this past year, YES has provided substance use education and prevention services for 128 Sammamish youth, and their families, and mental health counseling and substance use treatment for another 85 Sammamish clients. Friends of Youth has provided mental health and substance use counseling for 126 Sammamish clients (to date) in 2019.

In Washington, an increasing number of youth are facing life-altering, and often life-threatening, challenges to their physical, emotional, and psychological well-being, and Sammamish is no exception. Recent (2019) Sammamish Area Healthy Youth Survey data reports rates of depression as high as 33% among Sammamish 12th graders. Researchers have linked depression to low academic achievement, school suspensions, and decreased ability to concentrate and to attend class. As well, this survey data reports that 34% of 12th graders currently use alcohol. Recent (2018) Healthy Youth Survey data for Eastlake High in Sammamish shows that 12th graders reported higher rates of substance use than 12th graders statewide, including current e-cigarette smoking or vaping, current binge drinking, and current alcohol use. Vaping among 10th graders at Eastlake High was also higher than the statewide rate (25% versus 21%), as was current alcohol use (20% versus 10%).

To help address this mental health crisis among young people in Sammamish, our collaborative is proposing a model of prevention and treatment services for Sammamish youth delivered through existing behavioral health infrastructure and community partnerships, designed to ensure fully accessible prevention and treatment services for all Sammamish youth in need, and their families. With this initiative, we propose hiring a Master’s-level, dually-certified (in mental health and substance use disorders) 1 FTE Behavioral Health Support Specialist (BHSS) to provide outreach and

1 | Page prevention services in collaboration with the Lake Washington and Issaquah School Districts, at Eastlake High School and Skyline High School, as well as providing support for students at Eastside Catholic (middle and high school), as needed and appropriate. For example, in 2020 YES plans to support Eastside Catholic in implementing the SBIRT (Screening, Brief Intervention and Referral to Treatment) among middle school students there, and this BHSS position will be able to liaison between students who screen in with a need for more intensive mental health services and this project. In addition, this position will support students in need at Inglewood, Pine Lake and Beaver Lake Middle Schools, by helping students, and their parents, navigate the existing behavioral health services available and get the most appropriate level of services needed. The BHSS will work in collaboration to engage Sammamish youth in a variety of prevention and pro social activities.

Secondly, in this initiative, treatment services will be provided by a 1 FTE Master’s-level, dually- certified Therapist, to provide screening and assessments, individual and family counseling, and referrals for longer-term services to YES, Friends of Youth, and other community partners, with 0.75 FTE charged to this grant and 0.25 FTE to be billed to other funding sources. This therapist will be located in Sammamish at the CrossPath site. This position, while located in Sammamish, will function as part of a much broader continuum of services for Sammamish youth in crisis. Depending on the service needs that are assessed, this project’s clinician can provide a “warm handoff” to a full range of behavioral health services locally, ranging from YES’ psychiatric services, evidence-based substance use treatment services including vaping assessments and a Nicotine Diversion program, to programs at Friends of Youth as appropriate, or to programs run by local community church groups or other local community organizations.

II. Logistics

In the prevention component of this project, the 1 FTE BHSS position will provide a menu of prevention interventions, along with navigating between youth (and their families) and the most appropriate local service partners, whether it is YES, Friends of Youth, CrossPath, the YMCA, community church youth groups, or other local partners. The scope of work will include education and prevention presentations for parents, students, and school staff, mental health and substance use screenings and assessments, consultation with staff student care teams, facilitating referrals, and providing short-term (brief) counseling interventions in individual and/or group format. This project’s BHSS will provide crisis support and Intervention to students and the school community. Services will be provided at the schools, in community centers, and at the partner sites of YES, Friends of Youth, and CrossPath. This position will be supported with professional supervision.

In addition to individual assessments and counseling, the BHSS position will provide a menu of evidence-based prevention interventions for parents, student groups, and the Sammamish community, including providing the research-based, teen Mental Health First Aid (tMHFA) training curriculum. Developed in Australia, this evidence-based curriculum has been adapted for teens in the US and teaches 10th, 11th and 12th graders how to provide Mental Health First Aid to their friends and peers. Students are then taught to seek the help of a trusted adult who can get their friend help as soon as possible. Students learn how to 1) recognize the signs of a developing mental health and substance use problem; 2) recognize the signs of a mental health or substance use crisis, particularly suicide; and 3) get a responsible and trusted adult to take over as necessary.

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Other evidence-based prevention interventions to be provided include Life Skills curriculum and vaping assessments and brief intervention. The BHSS position will be trained in the Botvin Life Skills Training (LST) curriculum, a highly effective, evidence-based substance use prevention program. This approach is also shown to be effective at teaching youth emotional regulation. LST has been proven to reduce the risks of alcohol, tobacco, drug use, and violence among young people by targeting the major social and psychological factors that promote the initiation of substance use and other risky behaviors.

In the treatment component of this project, the dually certified Therapist will be located at CrossPath in Sammamish, easily accessible to Sammamish residents. The Therapist will conduct mental health and/or substance use assessments using evidence-based assessment tools, to screen for substance use and/or mental health issues, as well as physical health and risk factors. In the individual and family therapy sessions to be provided in this project, the Therapist will utilize evidence-based cognitive behavioral therapy (CBT) and trauma-focused CBT, along with motivational interviewing (MI) techniques, both of which have demonstrated efficacy in treating youth. While this project’s Therapist will integrate CBT into sessions, motivational interviewing is used in particular early in treatment, to support youth in developing the self-efficacy needed to change behaviors.

For clients who screen in with self-harming behaviors and suicidality, the Therapist will be trained in the use of evidence-based dialectical behavioral therapy (DBT), a proven therapy for treating adolescents with self-harming behaviors. While DBT is used in individual therapy session, it also includes 16-week DBT Skills Groups that clients can access at YES. These classes support youth in developing and practicing effective coping skills. DBT teaches core mindfulness skills, interpersonal effectiveness skills, how to regulate emotions, and distress tolerance skills.

Along with DBT Groups, in this initiative youth can be referred to other evidence-based group interventions developed specifically for adolescents that address substance use and co-occurring mental illness, either ay YES or at Friends of Youth. For example, Sammamish youth can be referred to YES’ Seven Challenges, an evidence-based group intervention designed specifically for adolescents. Seven Challenges, with a minimum of 12 group sessions, uses journals and interaction to help youth better understand their reasons for using substances, identify the benefits or consequences of their use, and identify alternatives to using. Youth can also be referred to YES’ evidence-based Adolescent Community Reinforcement Approach (A-CRA), designed specifically for adolescents. A-CRA works with family members/caregivers to help create a family and community for the young person that supports recovery.

III. Accessibility

In this project, accessibility for Sammamish residents is ensured in several ways. In the first place, this project will reduce any financial and/or insurance barriers to services. Comprehensive behavioral health services for Sammamish youth in need, and their families, will be provided regardless of the ability to pay. When families have a source of coverage through insurance, or economic ability to pay, the project will optimize all billable sources. For those with an inability to pay, or pay full-fee, this project will provide free or low-cost mental health and substance use

3 | Page treatment services for youth/families on a sliding scale that goes all the way to zero. These families may be uninsured, or their medical benefits do not include enough mental health coverage, or they are unable to afford high deductibles/co-pays. This project will also serve youth who seek services on their own (required and allowed by Washington State minor consent law defining age of consent being 13 and older) and cannot pay for services.

Secondly, in order to increase the immediacy of treatment services in this program, we will use an Open Access model of intake. In this model, the Therapist located at CrossPath will provide mental health and/or substance use assessments to those Sammamish residents seeking services on a “walk-in” basis, with no appointment necessary. In this model, clients complete their intake and are assigned to their counselor on the day of their “walk-in” assessment and leave with their next appointment scheduled to occur within a week. Additionally, for those who prefer, there remains the ability to schedule an intake appointment at a time convenient for the client. Open Access is based on research showing that a long wait period is one of the main barriers to a young person accessing mental health care, and that offering same-day access can improve retention, reduce no- shows, increase capacity, and improve client follow-through and adherence to treatment.

IV. Implementation

For this project, the partners YES and Friends of Youth, along with Lake Washington and Issaquah School District staff, will initiate the final planning process as soon as funds are awarded. After that, we will recruit and hire the 2 FTE positions outlined in this proposal – 1 FTE Behavioral Health Support Specialist and 1 FTE dually certified Therapist, of which 0.75 FTE will be charged to this grant and 0.25 FTE will be reimbursed through other billing sources. Services will be implemented as soon as these positions are hired, trained and oriented to the program, usually within 4 weeks of receiving a grant award.

V. Outcomes

Client progress in the clinical component of this project will be measured by treatment goal progress/attainment on individual treatment plans, reviewed quarterly, along with a survey at the termination of treatment. Improvements in mental health functioning and/or reductions in substance use are rated using the following measures: 1) Child/Youth report a reduction in one or more problem areas and attribute this to counseling services; 2) Child/Youth report they are better able to cope with and manage one or more problems as a result of the counseling services they received; 3) Child/Youth report a reduction in or elimination of alcohol or drug use after counseling/treatment; and 4) Child/Youth successfully/substantially meet individualized treatment goals. Project staff will review and evaluate service outcomes quarterly using an agency scorecard that summarizes progress on key operational metrics, and these quarterly reviews guide program decision-making.

For the teen Mental Health Frist Aid (tMHFA) component of this project, this is a research-based training program for students in grades 10 through 12, and this manualized curriculum contains evaluation measures that have been tested and shown to be effective. Among program participants,

4 | Page outcomes include: increases in mental health literacy; changes in attitudes about mental illness and substance use disorders; increases in confidence level in providing Mental Health First Aid to a peer; and the ability to perform Mental Health First Aid action steps to peers within several months after the training.

Overall in this project, we will collect and track the numbers of clients served, and for prevention activities, we will administer pre/posttest surveys, as appropriate and needed. The service units to be used in this program include counseling, measured in 60 minute sessions, and youth and community services (to include case management, parent support, community education, outreach and prevention services) measured in 60 minute sessions.

VI. Qualifications (See attached letter of support)

Founded in 1968, Youth Eastside Services (YES) is critical to our community’s efforts to stem the steadily increasing numbers of children and youth in East King County with serious behavioral, mental health and substance use issues. YES helps children and youth from birth to age 22, and their families, overcome the devastating effects of behavioral issues, mental illness, substance use, and trauma. Services include mental health counseling, substance use treatment, treatment for co- occurring substance use and mental disorders, early childhood behavioral health, and psychiatric services, provided on-site by two board certified child psychiatrists. YES has core competencies in addressing the social-emotional skills and health of young people, and we offer a range of education and prevention programming that supports young people’s efforts to avoid negative and risky behaviors. Our service area focuses on the Bellevue and Lake Washington School Districts, and YES staff members are fully integrated into more than 55 elementary, middle, and high schools and teen/community centers across these two districts.

Friends of Youth is a non-profit organization that provides services for youth and their families. Services include drug and alcohol treatment programs, counseling, foster care program, parenting classes, and teen homeless shelters across King County and Snohomish County in Washington State. With 68 years of experience, national COA accreditation, 27 program sites and services in 18 cities, Friends of Youth annually addresses the needs of over 4,900 children, youth, young adults and their families in King and Snohomish counties. Friends of Youth provides WISe (Wraparound with Intensive Services) to the Skykomish, Riverview, Snoqualmie, Issaquah and Tahoma school districts.

YES and the Lake Washington School District (LWSD) have collaborated since the early 1990s to support the behavioral health needs of students within the sixth largest school district in the state of Washington, with a population approximately 29,000 students. Currently, YES provides behavioral health staff in nearly 30 schools throughout this district. In planning for this project, our collaborative has additionally secured commitments of collaboration from the Issaquah School District and from Eastside Catholic.

5 | Page Key leadership staff in this collaborative include:

YES’ Chief Operating Officer (COO) is David Downing, MS, LMHC, CMHS. Since 2006, David has been YES' Associate Director/COO, and he oversees all services and programs. David has 26+ years of leadership experience, including 13 years with YES. He is both a Licensed Mental Health Counselor and Child Mental Health Specialist. David has been recognized by the Child Welfare League of America for his advocacy for youth in the child welfare system.

Kristie Neklason, MC, SUDP, is YES’ Director of School-Based Behavioral Health Services. Kristie will engage with this project’s community partners to help develop the program and ensure appropriate referrals. Kristie earned her Master’s in Counseling degree from Seattle University, and is a SUDP. She has worked in the behavioral health field for 30+ years, with a focus on youth with co-occurring disorders, and she is certified to supervise CBT+ Cognitive Behavioral Therapy for Anxiety/Depression/Behavior and Trauma, Dialectical Behavioral Therapy (DBT), Motivational Interviewing (MI), Seven Challenges, ACRA, EMDR, and the Global Appraisal of Individual Needs (GAIN).

Sarah Dochow, MS, LMHC, CN will provide supervision and support onsite for therapist activities at CrossPath in her role as Clinical Director. Sarah Dochow has been employed through YES since 2012 and has been at CrossPath since 2015, serving the Sammamish community. She is a Licensed Mental Health Counselor, Child Mental Health Specialist and Certified Nutritionist. She has worked with youth in mental health and substance use/abuse settings since completion of her BA in developmental psychology in 2001 and has provided services at YES, CrossPath, Allegro Pediatrics, and local Lake Washington and schools. She is trained in Trauma-Focused Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Eye Movement Desensitization and Reprocessing (EMDR), and Family-Based Therapy for eating disorders. She has been supervising mental health clinicians since 2015.

Brooke Drennon, LMHC, CMHS, has been the Director of Youth and Family Services at Friends of Youth since May of 2019. She has been with Friends of Youth for the past 6 years serving in a variety of positions. Her background in mental health services includes training in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Grief and Loss trainings and group facilitation, and prevention and intervention services within the local school districts.

VII. Cost

See Attachment A.

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Attachment A: Budget Worksheet

Program Expenses:

Agency/Other Expenses City Funds + = Total Expenses Funds Personnel Costs $130,895 + $18,699 = $149,594 Office/Operating Expenses $1,320 + = $1,320 Consultant/Purchased Services + = Communications + = Travel/Training $9,000 + = $9,000 Other - Overhead $8,785 + = $8,785 Total Expenses $150,000 + $18,699 = $168,699

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