'1 FISSHERS MENTAL HEALTH INITIATIVE REPORT TO THE COMMUNITY 2017 If a community was to marshal its collective resources around the challenges of mental health, what could and what should be done? CITY OF FISHERS MENTAL HEALTH INITIATIVE A LETTER FROM THE TASK FORCE In 2015, we embarked on an incredible journey to make a meaningful impact on the mental health of our community. Throughout the last two years, the Mental Health Task Force has convened dozens of meetings to bring together members of the Fishers community to achieve the ultimate goal: to develop a community that embraces mental health treatment before crises occur, protect the welfare and safety of Fishers residents and take a systemic approach to mental health challenges in the community. The following pages of this report share the strategies and outcomes from the work of the Task Force. As the community comes together to combat mental illness, influence policy, and create a #StigmaFreeFishers, we believe our collective impact will change the culture around mental health and create an environment in which all Fishers residents are healthy and thriving both physically and mentally. CITY OF FISHERS, ADMINISTRATION Mayor Scott Fadness Chris Greisl, City Attorney Ashley Elrod, PR Director FISHERS FIRE AND EMERGENCY SERVICES Chief Steven Orusa Steve Davison, Division Chief, EMS FISHERS POLICE DEPARTMENT (FPD) Chief Mitch Thompson Asst. Chief Ed Gebhart Lt. Dave Seward HAMILTON SOUTHEASTERN SCHOOLS Dr. Mike Beresford, Assistant Superintendent of Student and Staff Services John DeLucia, Vice President Hamilton Southeastern School Board Brooke Lawson, Mental Health Coordinator TASK FORCE CHAIR Suzanne Clifford President, Inspiring Transformations FISHERS CITY COUNCIL John Weingardt, District 4 Todd Zimmerman, At-Large COMMUNITY STAKEHOLDERS Joan Reed, Director of School-Based Services Community Health Network Kimble Richardson, Manager, Business Development and Referrals Community Health Network Mike Riekhof Peyton Riekhof Foundation for Youth Hope Lynda Carlino Executive Director S.P.O.R.T.S. STATE OF MENTAL HEALTH IN FISHERS In 2015, Fishers Mayor Scott Fadness launched the city’s Mental Health Initiative. By design, the initiative has a focused mission: to develop a community that embraces mental health treatment before crises occur, protect the welfare and safety of Fishers residents and take a systemic approach to mental health challenges in the community. BENCHMARKS SUICIDES 10th leading cause of death in the U.S. 11th leading cause of death in Indiana 7th leading cause of death in Hamilton FISHERS BEHAVIORAL RESPONSE DATA (2016) 178 total behavioral health incidents 36% female, 64% male all 18+ 47% female, 53% male Age: • 11-20 - 23% • 21-30: 25% • 31-40: 21% • 41-50: 16% • 51-60: 8% • 61 +: 7% Attempts in Fishers: 17 & under: 36% 18 +: 64% Immediate Detentions • 17 and under: 31% • 18 +: 69% County 13.6 suicides per 100,000 people nationally 14.4 suicides per 100,000 people in Indiana 11 suicides in 2016 in Fishers (pop. 89,000) TRACKING PROGRESS OBJECTIVE ONE IMPROVE EDUCATION AND TRAINING Develop an education and training program for public safety officials. Conduct a quarterly audit and review of mental health incidents. Develop a systemic comprehensive plan for HSE schools. Develop a youth training plan for public safety departments. Develop a communitywide communications campaign. Develop an awareness training program for coaches. OBJECTIVE TWO ENHANCE LOCAL RESOURCES AND ACCESS TO SERVICES Remodel the community para-medicine program to include protocols for mental health calls. Enhance the City’s partnerships with behavioral health specialists. TABLE OF CONTENTS Letter from the Task Force State of Mental Health in Fishers Goal One: Education and Training City of Fishers Public Safety Hamilton Southeastern Schools Sports Programs and Coaches Community Awareness and Outreach Inter-Faith Task Force Goal Two: Resources and Services Community Paramedicine Program Intensive Care Coordination for Youth Appendix A: Mental Health Initiative Project Management Document B: HSE Schools Documentation C: Outreach Resources D: Mental Health and Suicide Prevention Resources STAKEHOLDER TESTIMONIALS The City of Fishers and its Fishers Mental Health Task Force are creating a national model that mayors and communities can use to address suicide and other key issues impacting our nation’s mental health crisis. This partnership demonstrates that complex problems can be addressed when a diverse team of city leaders, the media, police, firefighters, paramedics, schools, youth, coaches, healthcare providers, faith based leaders, businesses, advocates, survivors of suicide attempts and survivors of suicide loss unite to achieve a common goal. The results of this task force, especially its work to prevent youth suicides, is making an impact. After reviewing the detailed data, I am convinced that this work saved lives. We will not rest until we have done everything that we can to spare moms, dads, children, families and friends from the pain of losing a loved one to suicide. Suzanne Clifford Inspiring Transformations “Our mental health initiative with the City of Fishers has made it possible, more acceptable, to discuss what has previously been taboo subjects. Warning signs, suicidal ideations, and the impact of adverse childhood experiences have long been quietly considered and monitored by staff. Our mental health initiative has brought research and attention into common open dialogue for better understanding and application by students, teachers, and parents.” Dr. Allen Bourff Superintendent, Hamilton Southeastern Schools “I have been treating families in Fishers with children who struggle with mental health issues for over a decade now. Over the past year, I have seen families approach treatment more willingly and more open to the process. Parents are more open to treatment and embrace the treatment process quicker now that stigma and shame have been reduced. The community embracing mental health as a medical condition that does not define your worth or who you are has greatly impacted families’ ability to engage in the therapeutic process. As a clinician in this community, I am so thankful for this shift and see the amazing benefits when families don’t have to hide their mental health issues and can seek help and support from not only the professionals who can provide treatment, but also their neighbors, school staff, church leadership and community.” Dawn Crossman, LCSW, RPT-S Licensed Clinical Social Worker Registered Play Therapist Supervisor Center for Hope and Family Solutions GOAL ONE: IMPROVE EDUCATION AND TRAINING EDUCATION AND TRAINING GOALS ENCOURAGE THOROUGH AND CONSISTENT TRAINING AMONG PROFESSIONALS MOST LIKELY TO ENCOUNTER RESIDENTS THAT MAY REQUIRE CARE, AS WELL AS COMMUNITY EDUCATION TO ELIMINATE THE STIGMA SURROUNDING MENTAL ILLNESS AND MENTAL HEALTH. In 2014, Mayor Scott Fadness received training on how to joined a Fishers police officer for respond to a person who is in a ride-along overnight. What a mental health crisis. Officers Mayor Fadness experienced and firefighters in Fishers will first-hand would mark the receive ongoing mental health beginning of the Fishers Mental education as part of their Health Initiative. On that trip, regular training regimen. In the Mayor Fadness asked the officer future, Fishers first responders about the most stressful aspect and public safety officers will of his duties. The officer replied, have direct access to mental “IDs.” An ID is an “immediate health professionals who can detention” and occurs when a help assess situations and person is in such a state of crisis direct best care on-scene. As that he presents harm to himself part of a data modernization or to others. project, Fishers Police and Fishers Fire and Emergency Services During the discovery phase Departments will operate from of this initiative, it was clear single-source information in the City of Fishers could do order to effectively approach more to equip first responders situations with an individual with training and education under mental distress with vital, around mental health. Today, accurate data on past incidents, all FPD and FFD members have recovery plans, and more. DEVELOP AND IMPLEMENT MENTAL HEALTH TRAINING AND OPERATIONS PROGRAMS FOR FISHERS’ FIRST RESPONDERS AND HSE SCHOOLS KEY OUTCOMES FIRST RESPONDERS HSE SCHOOLS • Crisis Intervention Team (CIT) 101 training completed • Screening, Brief Intervention, and Referral for Treatment (SBIRT) training completed • Motivational Interviewing training implemented • Hamilton County CIT Youth training implemented • Columbia Suicide Severity Rating Scale (CSSRS) training completed and incorporated into the electronic patient care report for Fishers EMS incidents. • Crisis Intervention Team (CIT) training implemented for school resource officers. • Policing the Teenage Brain program completed • Mental Health class implemented as part of the junior high character education classes BY THE NUMBERS 100 1st 47 7 percentage of Fishers Fire and Emergency Services Department and School Resource Officers trained in Crisis Intervention Team (CIT) Training. Screening, Brief Intervention, and Referral for Treatment (SBIRT) training for a fire department in the country. Fishers Police Officers completed Hamilton County Crisis Intervention Team (CIT) training. number of Fishers first responders (2 FPD, 5 Paramedics) completed Motivational Interviewing training. 130 FFD completed Columbia Suicide Severity Rating Scale (CSSRS) training to incorporate into systems and operations. 7 HSE School Resource Officers completed CIT for Youth training. 816 HSE teachers, grades 5-12, completed Question, Persuade, and Respond (QPR) suicide prevention training with a custom elementary training being developed to implement in 2017-2018. DEVELOP COLLABORATIVE RELATIONSHIPS TO SHARE INFORMATION AND CONDUCT QUARTERLY AUDIT/ REVIEW OF MENTAL HEALTH RUNS KEY OUTCOMES FIRST RESPONDER DATA SHARING PROVIDER COLLABORATION • Full implementation of the audit and review of mental health runs with all Fishers Fire Department and Emergency Medical Service (EMS) personnel. • Conducted an analysis of providers servicing Fishers to identify full resource list and potential gaps. • Committee review of past Immediate Detentions for consultation and learning purposes. • Data sharing process created and implemented between Community Health Network (CHN) and Fishers Fire and Emergency Services via phone and in person during crisis situations resulting in process improvements and greater situational awareness. • Launched process for regional data sharing between Fishers Fire Department and Emergency Medical Service (EMS) and Indianapolis-Marion County. • Identified and engaged key partners that deliver a broad continuum of mental health services such as Community Health Network and ASPIRE. • Identified volunteer opportunities to engage the broader service provider community in the Initiative with successful results. • Local mental health professionals volunteered to answer clinical questions at public awareness events such as the Stigma Free Fishers booth at the Fishers Farmers’ Market and Fishers Freedom Festival. • Opportunities for further collaboration lie within culture and policy with providers and other stakeholders. “WE DON’T KNOW WHAT WE DON’T KNOW.” This common adage is the reason behind collaboration and data sharing. Prior to the Mental Health Initiative, the City of Fishers gathered little data on mental health runs outside of runs that resulted in an immediate detention. Today, the City of Fishers shares and audits data with regional and state partners. All data is confidential and complies with HIPAA federal privacy laws so that personal identifying information is not shared. In the future, by sharing data and analytics on a regional and statewide scale, it’s possible to develop regional strategies for addressing mental health and public safety educational and training needs. The reality of people struggling with mental health is not a ‘Fishers’ problem. It is a humanity problem, and it knows no municipal or county boundary. Working with our regional partners will ultimately allow us to all better serve our communities. Chief Orusa Fishers Fire and Emergency Services Department THE MOST IMPORTANT OUTCOMES ARE THE LIVES SAVED OR IMPROVED BECAUSE OF THIS WORK TODAY. Catalyzed by the need for services and the benefit of increased funding due to the passing of a referendum, Hamilton Southeastern Schools saught a complete change in the operations and culture around mental health. The impact of those efforts alongside partnerships with the City and clinicians has drastically changed the support and services available for HSE students and their parents. In 2016, the City of Fishers had a zero suicide rate for residents 18 and younger. DEVELOP AND IMPLEMENT SYSTEMIC COMPREHENSIVE PLAN FOR HAMILTON SOUTHEASTERN SCHOOLS KEY OUTCOMES • Established a partnership with Community Health Network (CHN) in January 2017 to provide 3 licensed providers for six schools. For the 2017-2018 school year, all twenty one schools in the district will have an on-site therapist along with a transition coordinator to assist students and families transition out of inpatient treatment back to school. • Implemented new, evidencebased mental health crisis screening, assessment, safety planning, and referral process within all schools. • Coordinated care with CHN to provide access to a free risk assessment to students with parents’ permission along with streamlined admissions process for students needing inpatient hospitalization. • For the 2017-18 school year, suicide prevention curriculum will be launched for students in grades 8-12. • Launched a mental health support group led by a licensed mental health therapist and school guidance counselor. The therapist also provides individual counseling to students who do not have access to services. This was funded by the school district and the Peyton Riekhof Foundation for Youth Hope. Students were referred by guidance counselors to participate. • Completed Question, Persuade, and Respond (QPR) suicide prevention training for all 816 teachers for grades 5-12. An adapted program is being developed for elementry school teachers. • Thirty three intermediate school teachers completed Mindful Schools courses over the 2016-2017 school year. • Proactively alerted parents via SkyAlert on the dangers of the 13 Reasons Why series. (see appendix B) pictured above, Hamilton Southeastern Schools administration attends Campaign to Change Direction kickoff event in May 2017. Left to right: Emily Pace Abbotts, Brooke Lawson, Dr. Bourff, Dr. Beresford. HSE SCHOOL DATA AT-A-GLANCE 2016-2017 SCHOOL YEAR 116 total reported incidents. An incident is defined as suicidal ideation prodedural response to suicide ideation (PRSI). A PRSI is completed any time school staff are made aware that a student has made comments about wanting to harm themselves. 42% 58% female male INCIDENTS REPORTED BY GRADE 1-4 30 5-6 39 7-8 21 9-12 26 INCIDENTS REPORTED BY EXPRESSION Attempt w/o prior assessment 3 Other 5 Thought/Statement 75 Thought/Statement w/ Plan 28 Thought/Statement, Plan, 5 and Attempt Key Achievements PARENT TESTIMONIALS “Can I just say how grateful I am that you called us yesterday and tried to get our son the help he needed. I think you saved his life and I am so grateful for that. I kept hearing your voice after we left. You saying that he needed help and you were uncomfortable with the plan. So I called the numbers on the card the Community Health Network Therapist gave us.” “As the mother of a child who struggles with severe depression, I wonder frequently what we as parents have done wrong or what we have not provided for our child. I was extremely moved by Mr. Riekhof’s presentation and the information he shared about parenting Peyton. I especially appreciate Mr. Riekhof sharing that he did not know what to do to help his daughter. His words, for the first time, validated what my husband and I experience.” “A friend of our daughter’s attended the Night of Hope with us. After the event we got in our car and she shared that she had submitted a question. She shared with us that she had been fighting urges to harm herself. She asked if I would help her talk to her mother. We went to her house, talked to her mom, and this friend is now in therapy.” “Despite all that I learned, the greatest benefit for me was that prior to the Night of Hope I felt that our family is alone on this journey of parenting a suicidal child. This was the first time I learned that there is a community who understands our struggle.” “I know that putting on this type of event takes a great deal of resources. I am grateful for all the efforts from everyone involved in putting on the Night of Hope. I know that not meeting attendance expectations can be disheartening. I assure you that the best measure of success for the Night of Hope is quality and not quantity. I look forward to attending next year’s Night of Hope.” HSE OUTREACH AND CULTURE CHANGE 1 2 Students created a Stigma Free HSE club at Hamilton Southeastern High School with 30 students attending the first meeting and 50-70 students attending five subsequent club meetings. Student club Stigma Free FHS partnered with teachers to create a Mental Health Awareness Week where students were encouraged to take the Stigma Free Fishers pledge, mental health information was shared each day on the announcements, and a promotional video was created to help reduce the stigma of mental illness. 3 The Peyton Riekhof Foundation for Youth Hope sponsored convocations for the junior classes at each high school featuring a suicide survivor sharing his story. That evening, the Night of Hope featured the same speaker for approximately 350 people. The event included parents, several service and support providers and a panel discussion featuring the survivor. 4 Stigma Free HSE students organized a Stress Free HSE event for their peers to relieve stress before finals that was attended by 50 students 5 Approximately 2,000 people attended the Girls’ Softball opening day. The focus of the day was mental health and the Peyton Riekoff Foundation for Youth Hope. During opening day, the Stigma Free HSE members volunteered and participants were able to help decorate a snow plow in service by City of Fishers. 6,7 Developed a Journey of the Heart, Mind and Soul educational event for intermediate school families that was attended by approximately 400 people. Program overview located in Appendix. Sports are often used as a critical outlet for mental wellness. Studies have shown how vital physical wellness can be for mental health and sports are often used as a critical outlet. The close relationship teammates, coaches, and leagues have with each other can be compared to the closeknit relationship of family. With an annual enrollment of thousands of athletes and volunteers, S.P.O.R.T.S. provides a unique opportunity to engage youth, parents, and community stakeholders in an honest dialogue around the impact of sports on mental health. CREATE AND IMPLEMENT AN AWARENESS TRAINING PROGRAM FOR S.P.O.R.T.S. COACHES KEY OUTCOMES AWARENESS OUTREACH COACH-PARENT EDUCATION • Rob Bell, a national speaker on sports psychology spoke at the opening S.P.O.R.T.S. Boys’ Basketball event to 2,000-3,000 kids. • S.P.O.R.T.S. shares HaveHope.com as a suicide prevention resource for parents, youth and schools. • Mental health educational brochures are available in the coaching office for S.P.O.R.T.S. • The Play for Peyton Softball Tournament featured Rob Bell as a speaker and raised $5,000 for the Peyton Reikhof Foundation for Youth Hope. • Mayor Fadness and Reverend Hoops (Dave Sumrall) spoke at the 2016 S.P.O.R.T.S. Basketball Opening Day covering good sportsmanship, teamwork, family and other positive topics. • Mental health presentations educating S.P.O.R.T.S. League boards on signs of mental illness were shared to increase awareness. • S.P.O.R.T.S. includes mental health tips in their e-newsletter and website which reach approximately 8,000 parents. • Presented the “Mental Fitness” fact sheet to coaches and parents. DEVELOP AND IMPLEMENT COMMUNITY-WIDE OUTREACH AND COMMUNICATIONS STRATEGY KEY OUTCOMES #STIGMAFREEFISHERS THOUGHT LEADERSHIP TASK FORCE • 100+ pledges have been • Suzanne Clifford presented at the Open Minds conference about the Fishers Mental Health Task Force and creating broad partnerships to address key public health issues. • 8 meetings which were open committed at school events, Fishers Farmers’ Market, Fishers Freedom Festival, online, and at community events. • 68 community members signed up to receive e-mail updates about the Fishers Mental Health Task Force in addition to the existing sixty one task force members. • Implemented No Shave Movember to raise awareness: 8 teams consisting of 89 members committed to spreading awareness about men’s mental health challenges and raised $3,387 in Movember Foundation donations. • Mayor Fadness and FFD Chief Orusa presented at the Cities Conference. • Jennifer Pope Baker from the Women’s Fund of Central Indiana presented at the Global Summit to Change Culture regarding efforts taking place in Fishers and other communities in the region. • 120 students from Hamilton Southeastern Schools met with Mayor Fadness and Suzanne Clifford in October, 2016 to discuss mental health. to the public encouraged many organizations and individuals to include faithbased organizations of diverse denominations, businesses, volunteers, clinicians, service providers, support groups, non profits, and more. Meeting minutes available to the public at www.fishers.in.us/ mentalhealth • Over 60 participants in the greater Fishers Mental Health Task Force. • Intentional transparency and sharing of Task Force activities created an organic opportunity to spread the anti-stigma awareness. pictured above, Mayor Scott Fadness and FFD Chief Orusa film a video promoting the Five Signs of emotional suffering in partnership with the Women’s Fund of Central Indiana’s Campaign to Change Direction initiative. OUTREACH TIMELINE City of Fishers launches the #StigmaFreeFishers campaign to encourage residents to take the pledge to be stigma free against mental illness. MAR 2016 OCT 2016 Launched No Shave Movember campaign to spread awareness of men’s mental health. NOV 2016 MAR 2017 City of Fishers welcomes the Big Brains! art installation featuring 12 five-foot brains commissioned by Dr. Jill Bolte Taylor. Big Brains! encourages conversation around brain health with conversation starters located at each sculpture. Volunteers, clinicians, and students host the Fishers Mental Health Initiative booth at the Fishers Farmers’ Market and Fishers Freedom Festival to spread awareness about mental health in Fishers and encourage residents to pledge to be stigma free. MAY 2017 MAY 2017 JUNE 2017 Mayor Scott Fadness and FFD Chief Steven Orusa speak at the Cities Thrive Mental Health Conference. Jennifer Pope Baker and Suzanne Clifford attend the Global Summit on Mental Health Culture Change. Baker sits on a panel discussion about stigma. The City of Fishers and Hamilton Southeastern Schools pledged to change the culture around mental illness through the Campaign to Change Direction. Mayor Fadness addressed dozens of regional stakeholders on the steps of Monument Circle to announce the initiative alongside the Women’s Fund of Central Indiana. OUTREACH PROGRAMS #StigmaFreeFishers An outreach campaign to encourage residents to end the stigma toward mental illness. The #StigmaFreeFishers pledge is used as an engagement tool at community events to encourage residents to learn more about mental health and take action. Left: an example of the pledge participants take with them. (See Appendix C for full file). #StigmaFreeFishers campaign began attending mental health and community events to promote the pledge. Participants are asked to sign the pledge, document the experience with a photo and can take the pledge home with them. National Speaking Engagements Sharing best practices and lessons learned in our quest to end the stigma associated with mental health is a critical component of the Initiative. Mayor Scott Fadness and FFD Chief Steve Orusa speak at the Cities Thrive Mental Health Conference alongside mayors from New York City, Baltimore, Boston, Minneapolis, and others. Women’s Fund of Central Indiana Executive Director Jennifer Pope Baker speaks at the Global Summit on Mental Health Culture Change. No Shave Movember Men across Fishers pledged to raise money and awareness around mental health in 2016 Movember campaign. Left: The Fishers Movember team gathers for a photo at the Nickel Plate District Amp. Right: HSE Schools teachers commit to No Shave Movember. OUTREACH PROGRAMS Campaign to Change Direction A regional partnership to change the culture around mental health that focuses on knowing the Five Signs. Clockwise: Fishers Mayor Scott Fadness, Noblesville Mayor John Ditslear, Women’s Fund of Central Indiana’s Jennifer Pope Baker, Indianapolis Mayor Joe Hogsett, and Westfield Mayor Andy Cook gather at the press conference; Suzanne Clifford, Mayor Fadness and Kevin Moore, Director of Mental Health and Addiction for Indiana, share the five signs; Mayor Fadness addresses the crowd of media touching on the impact of mental illness in Fishers; Campaign to Change Direction’s know the five signs poster. (See Appendix D for file). Big Brains! Art Installation The community art installation impacts Fishers’ mental health discussions, opening dialogue across the city. Clockwise: Dr. Jill Bolte Taylor and Mayor Scott Fadness stand in front of the Out of the Box brain; WISHTV interviews Chief Orusa and Suzanne Clifford about the Big Brains!; Children enjoying the Big Brains! during Fishers’ Farmers Market; Senior Tom Finneran enjoys visiting the brains and learning about brain health; Stigma Free HSE students visit the Mental Health brain; Fishers family takes the #StigmaFreePledge and poses with the World Music brain. FACILITATE A PARTNERSHIP AND ACTION PLAN FOR THE INTERFAITH COMMUNITY TO ADDRESS AND SUPPORT MENTAL HEALTH WITHIN THEIR MISSION KEY OUTCOMES COLLABORATION SUBCOMMITTEES • Formed the first Fishers interfaith group to develop new relationships between different faiths. • Established subcommittees for 2017 to work on specific outcomes: • Identify ways the faith-based community can collaborate on community-wide efforts and resourcesto raise awareness and assistance for mental health. • A major outcome of the formation of this group has simply been the impact of establishing relationships with the interfaith community among the leadership. • Teen Mental Health Awareness and Suicide Prevention • Suicide Prevention • Interfaith Programming • Faith’s Impact on Mental Health • Human Trafficking INTERFAITH TASK FORCE MEMBERS* A Bridge to Excellence Alhuda Board Aspire Indiana Ben’s Ranch Chaucie’s Place Christ the Savior Christ’s Community Church Crosspoint Church Geist Christian Church Grace Church - Fishers Hazel Dell Christian Church Heartland Church Holy Spirit at Geist Parish HSE Schools Indiana Trafficking Victim Assistance Program iTown Leavener National Alliance on Mental Illness (NAMI) Faith Net National Network of Youth Ministries New Hope Fishers Northview Church Overdose Lifeline, Inc. Peyton Riekhof Foundation for Youth Hope Sikh Temple St. George Orthodox Christian Church St. Marks United Methodist Church - Carmel St. Louis de Montfort United Methodist Church of Indiana United Way Central Indiana - Hamilton County YMI Online Zoe Church *This task force is intended to be inclusive of all faiths and beliefs. The list included in this report is not intended to be exclusive of groups interested in being involved. For more information, visit www.Fishers.IN.us/MentalHealth. GOAL TWO: ENHANCE LOCAL RESOURCES AND ACCESS TO SERVICES RESOURCES AND ACCESS GOALS ARE AIMED AT ENHANCING THE DELIVERY OF SERVICES ACROSS THE SPECTRUM, INCLUDING THOSE SERVICES NEEDED WHEN A MENTAL HEALTH CRISIS OCCURS AND THOSE THAT WORK TO PREVENT CRISIS. Mental illness knows no responsibility and proactive geographic or jurisdictional efforts. Internationally boundaries. In moments of recognized for its impact, the mental suffering, access to WeCare program now integrates resources and adequate mental health support for services to assist patients, patients requiring follow up care. survivors, and their families is critical. Enhancing local resources and access to services starts with Just as it’s imperative that the data-driven analysis. The Task residents of FIshers and the Force collaborates with providers greater Indianapolis region both in Fishers and regionally have access to the best, most to innovate data gathering advanced resources in times of and analysis to better enhance mental distress, the post-incident delivery of services to all. action plan is euqally critical to the long term mental health of the patient. The CIty of Fishers’ paramedicine program leads the nation in innovating and re-tooling paramedics’ scope of REMODEL COMMUNITY PARAMEDICINE PROGRAM TO INCLUDE PROTOCOL FOR MENTAL HEALTH RUNS KEY OUTCOMES • All Community Health Network Paramedics completed the Adult Crisis Intervention Team training. • The City of Fishers and CHN collaborated to share mental health clinical data to develop algorithms to incorporate mental health runs into the Paramedicine program. • CHN and the Fishers Fire Department continue to develop a plan to embed a mental health professional in the Fishers Paramedicine program to conduct follow-up runs after a crisis. pictured above, FFD’s Josh Mehling presents Fishers’ WeCare program to peers in the United Kingdom. DEVELOP INTENSIVE CARE COORDINATION PROGRAM FOR YOUTH KEY OUTCOMES SERVICE PROVIDERS HSE SCHOOLS • The High Risk for Suicide Clinical Pathway program includes Intensive Care Coordination services for youth who need significant clinical support to prevent suicide. • HSE Schools hired its first Mental Health Coordinator, Brooke Lawson, charged with managing the district’s mental health programs and service providers. • Community Health Network’s Behavioral Health leadership team implemented Pathway in July of 2015. • The intensive care coordinators serve youth who are active Gallahue clients. • 396 unique youth from central Indiana served since July 2015 thru May 2017. • Community Health Network hired its first dedicated liaison between Hamilton Southeastern Schools and CHN to address consistency of care and transition support. THANK YOU THE FISHERS MENTAL HEALTH INITIATIVE WOULD NOT BE POSSIBLE WITHOUT THE SUPPORT AND EXPERTISE OF THE FOLLOWING RESIDENTS, STAKEHOLDERS, AND LEADERS IN OUR COMMUNITY. WORK GROUPS Education and Training Resources and Access Dr. Mike Beresford, HSE Schools Lynda Carlino, S.P.O.R.T.S. Suzanne Clifford, Inspring Transformations Chief Davison, FFD Lt. Angela Ellison, FPD Ashley Elrod, City of Fishers Mayor Scott Fadness Brooke Lawson, HSE Schools Captain Mehling, FFD Chief Orusa, FFD Kimble Richardson, Community Health Network School Resource Officers Fishers Police Department Dr. Mike Beresford, HSE Schools Suzanne Clifford, Inspring Transformations Chief Davison, FFD Lt. Angela Ellison, FPD Asst. Chief Ed Gebhardt, FPD Joan Reed, Community Health Network Kimble Richardson, Community Health Network Lt. Dave Seward, FPD A SPECIAL THANK YOU TO THE FOLLOWING INDIVIDUALS WHO HAVE SHARED THEIR STORIES, ADVISED, LISTENED, OR LED THE TASK FORCE SINCE 2015. Kenneth Allen Christi Anderson Rob Bell Mike Beresford Cathy Boggs Duncan Brown Beth Celie Suzanne Clifford Dawn Crossman Steve Davison John Delucia Angela Ellison Scott Fadness Autumn Gasior Ed Gebhart Chris Graves Chris Greisl Trusa Grosso Mary Halladay Tiffany Holbert Jody Horstman Diana Huddleston George Hurd Anthony Javorka Mike Johnson Steve Kawiecki Kristen Kelley Brooke Lawson Louann Lemaire-Pyle CJ McClanahan Karen Maher Paul McDaniel Leah McGrath Brose McVey Todd Melloh Darrell Mitchell Steve Orusa Justin K Phillips Toni Pickard Nate Piggush Sharon Rapnicki Joan Reed Kimble Richardson Mike Riekhof Betsy Rosiek Caryl Schlicher Barbara Scott Arman Siddiqui Dave Seward Michelle Standeford Melissa Stayton Mitch Thompson Nicole Wallace Barb Walters Curt Walters John Weingardt Paul Wilson Donna Yancey ...and the many others who believe in the mission to raise awareness about mental health and create a #StigmaFreeFishers. APPENDIX A: Mental Health Initiative Project Management Document B: HSE Schools Documentation C: Outreach Resources D: Mental Health and Suicide Prevention Resources APPENDIX A MENTAL HEALTH INITIATIVE PROJECT MANAGEMENT DOCUMENT Fishers Mental Health Initiative Project Management Working Document 2016 # Q Tactic Status Update Hamilton County CIT Training completed. Motivational Interviewing training completed. Hamilton County CIT Youth pilot class for those who have already had CIT. Q4 Columbia scale implemented. Tele-Health pilot needed before implementation and integration. ETA for pilot by October 2017. CIT 101 completed for all FD. Education/Training 1: Develop an education program for Fishers Police Department and Fishers Fire Department. PM Team Davison, Kimble Richardson Richardson, Ellison Need process for mining data for both crisis center and field. Kimble to address crisis center; Davison to address field. SBRIT training completed by Dr. Jim Carlson. He has offered to do another training called Motivational Interviewing. Davison, Davison working with IT department on IPad connectivity. Kimble Richardson Richardson, Q3 Fire department conducting quarterly trainings (PTSD, etc.). Columbia Scale has Ellison been placed on all patient care reports. Next goal is to get everyone trained in the field on using the Columbia Scale. May be able to use same training on Columbia scale from Zero Suicide program. Dr. Marlin Rollins took another opportunity in California. Just announced a replacement: Duncan Brown is the replacement. Most recently with ASPIRE; don't have start date yet. He will oversee crisis. Fire training for CIT in November. Creating program for Youth. TeleHealth is 80% Complete. Fire/EMS Education program is 100% complete and ongoing. Big accomplishment: June 20 training, 3 hours. Invited EMS/Fire and Police from Davison, Kimble Richardson Richardson, Q2 Fishers. Also opened up to Community Health Network and ASPIRE. SBIRT (Screening, Brief Intervention and Referral for Treatment. Ellison Q1 # Education/Training 2: Quarterly audit/review of mental health runs to see what can be learned. Status Comments Fire department training completed April 2016. Police department CIT training 50% goal by 2017. SRO Youth CIT Training 50% goal by 2017. Q Tactic Status Update In progress of doing internally with FD. Davison talking to PD about data sharing with hospitals on case/treatment. He will work with Davison on putting together seamless data, so we can each have access to each others. Merging data with hospitals is approximately 25% complete. Davison is working on getting our Q4 information to the IE board. All FD mental health runs are being audited. Challenges still prevalent for sharing data. IN Health Exchange - regional health database. We're working in conjunction with IMPD and IEMS to get access in addition to data from Community Health Network. Working with DHS on statewide data sharing system. Davison, Kimble Richardson Richardson, Ellison PM Team Motivational Interviewing class to be scheduled as part of another grant effort as well. Want to continue to look at iPad for tele-behavioral health. They were willing to look at costs, and conceptually it's still on the table. FD: Developed quarterly trainings for all members: immediate detention, excited delirium, traumatic brain injury, dementia/Alzheimer's. Davison and EDOs completed CIT cert with PD. PD: In process of having all officers CIT trained. PD mental health recertification implemented. Additional PD/FD training for alcohol/drug screening (May 5). CIT for Youth - consider fire EDOs. Held at Warren Central HS. Status Comments Steve Davison Davison, Richardson, Ellison Now working well to develop data sharing with PD administration change. Figuring out how to merge the information between police and fire. Davison has been emailing Capt. Gannon to pull out data and look at how improvements can Steve Davison Q3 be made. Still working on receiving outcome data from hospitals. We have a link to the Q/A side. Davison, Richardson, Ellison Complete merging data with PD is 25% complete. Merging data with hospitals is 25% complete. Columbia Scale is 75% complete/ Audit is 80% complete. Q2 Identifying and defining mental health stats from police and fire. Steve Davison Davison, Richardson, Ellison Currently cross referencing data for development of audit and review of those patients that have been contacted by police or fire. Q1 Program currently being developed for July 2016 completion. Steve Davison Davison, Richardson, Ellison Putting a comparison program for mental health incidents in field compared to what we're finding in the hospital. Retrospective review of mental health incidents. Working on design now. # Q Tactic Status Update PM Consultant hired to identify and define mental health initiative. Phase II will focus Mayor Fadness Q4 on culture and policy. Mayor requested an RFP for Community North to take the project to the next level Mayor Fadness Q3 Education/Training 3: Enhance the in 2017. November 9, 2016 is the Mental Health Summit. City’s partnerships with behavioral health providers. Mayor Fadness Q2 Continuing to meet with stakeholders. Q1 Ongoing meetings with stakeholders. # Education/Training 4: Develop systemic comprehensive plan for schools. Q Tactic Status Update Mayor Fadness PM Team Fadness, Orusa Fadness, Orusa Fadness, Orusa Fadness, Orusa Team Status Comments Team has been created to execute Phase II. Phase II kick-off scheduled for August. Mayor presenting at NYC Mental Health Summit in November. Many stakeholders have chosen to become involved, but those that haven't still support the program. Implementing them into the process has been successful. Many residents and professionals want to help. Creating ways to implement them into the process. Status Comments Entered into a partnership with Community Health Network. Therapists in 10 schools. Target goal is to have one in all 21 by August. Contract in place for any student in district, able to offer a free risk assessment by CHN therapist. 159 referrals. 47 assessments. 7 admitted by parents. Elementary school most frequent utilization. Statistics will be provided at the end Mike Beresford Q4 of the year. Brooke will see if parents are willing to share stories of how their child's life was impacted. Riverside event (Journey of the Heart, Mind, and Soul) was very successful; want to promote in other schools and coordinate events. Completed lifeline suicide prevention curriculum. Created crisis number cards for guidance counselors and kids. Beresford, Lawson HSE Schools hired Brooke Lawson as mental health coordinator for the district. Suicide prevention training is ongoing for elementary teachers and new staff Q3 members. Progressing with Chaucie's Place on vetting curriculum for suicide prevention for students in junior high and high school and some parent programming as well. Mike Beresford Beresford Q2 Mining first year of suicide ideation data. Created first draft of consent form. Mike Beresford Beresford In final draft phase of RFP for mental health services for schools. Beresford Completed all guidance counselors training (suicide prevention). Will complete grade 5-12 teachers suicide prevention training this year; K-4 next year. Goal to have all done by June 2017 for rest of staff. Have a support group for mental health going, started in spring. Board goal to provide wrap-around service is ongoing (includes mental health). Complete guidance counselor suicide prevention training. Increase ASPIRE mental health positions. Staff training in QPR suicide prevention. Agreement with Chaucie's Place "Lifelines" suicide prevention program. Q1 Complete administrative audit in spring 2015-2016. Support groups for mental health. High school mental health convocation. Tentative board goal to provide wrap-around services. Leverage mental health and suicide prevention resources. Mike Beresford Creating brochures for bathrooms, locker rooms, etc. # Q Tactic Status Update PM All School Resource Officers (SROs) are trained in some version of CIT. One officer needs CIT Adult (scheduled in October 2017) and one needs CIT Youth (scheduled in July 2017). SROs attended Policing the Teenage Brain in July 2016. Mental Health class is taught as part of the junior high character education Mike Johnson Q4 classes. Junior high classes on character education taught at Riverside and HSE Junior Highs. The weeklong classes contained segments on mental health for 7th and 8th grade students. Education/Training 5: Develop a Fishers Junior High and Fall Creek Junior High will be completed next school youth training plan for public safety year. departments. Mike Johnson Q3 No update. Q2 6 school resource officers attended CIT for youth last week. Q1 # Researching "Teenage Brain" education for public safety. Creating a junior high mental health module. Q Tactic Status Update Team School Resource Officers/FPD, The sustainability of CIT for Youth program is an important component. Mehling, Beresford SROs/FPD, Mehling, Beresford Mike Johnson SROs/FPD, Mehling, Beresford Mike Johnson SROs/FPD, Mehling, Beresford PM Status Comments Team No update. Junior high class on mental health is still being planned. 6 school resource officers and a few other officers from the PD will be attending "Policing the teenage brain" Need clarification on recommendation - unclear. DARE curriculum pretty set. Jr. high is follow-up to 5th grade. Junior high mental health program to be created - name TBD. Status Comments Sigma-free campaign, booth at events. Visual representation of people who have Q4 signed the pledge. Need measurable data for No Shave Movember. Monitor Ashley Elrod Elrod, Cawthon Phase II will fill current gaps. Autumn Gasior Gasior Autumn Gasior Gasior Autumn Gasior Gasior hashtags for social media viewing activity (#stigmafreefishers). Education/Training 6: Develop community‐wide communications campaign. # Education/Training 7: Develop an awareness training program for coaches. Q3 No update. Working with Parks on presence at Senior Eexpo. Working with ASPIRE and NAMI to attend farmer's market and senior expo. Creating ways to keep Q2 community conversation going. Scheduled YMI breakfast and challenge. Intern working on ideas for stigma-free campaign in schools. Q1 No update. Q Tactic Status Update PM Brochures in office. Need new resources for parents - intro to mental health for kids. Still sending out mental health tips in newsletters. Play for Peyton in Lynda Carlino Q4 September. Presentation on initiative league boards; want to schedule every few months for these leaders. Continuing to educate parents/coaches. Using e-newsletter and website which reach approximately 8,000 parents. Play for Peyton raised $5,000. Rob Bell is Lynda Carlino Q3 speaking at an opening basketball event to 2,000-3,000 kids at Fishers High School. Creating material for HSE SPORTS newsletter. Creating sample tweets for Lynda Carlino Q2 S.P.O.R.T.S. Meeting Dr. Rob Bell for his input and as a resource. Made presentation at coach's meeting. Presented "Mental Fitness" fact sheet for coaches and parents. Continue to Q1 provide awareness education on website and in e-newsletter. Create individual training program for 2017. Lynda Carlino Team Carlino, Orusa No update. No update. Status Comments Look at HaveHope.com for suicide prevention brochure. Most kids are 4-12, but there are also high schoolers. Carlino, Orusa 75% complete. Working with Mike Riekoff. Need to work more with travel coaches. Carlino, Orusa Peyton Riekoff Softball Tournament may provide us with an opportunity. Met to talk about coaches training, where they could go with it. With guidance from Lynda, gradually introduce. Katie created 1-page flyer Carlino, Orusa that went to parents at coaches meeting. #1 goal is to educate parents. S.P.O.R.T.S. has a lot of volunteers and additional training time could be a barrier. # Q Tactic Status Update Q4 Algorithms complete. Next steps to include follow ups. All Community Paramedics have been through CIT Adult. Creating follow-up program to include a partnership with the Community Paramedicine Program, ASPIRE, and Community Health Network for follow-up care for Fishers youth. Making good progress on the way we envision a 911 response to a behavioral health issue. In the research we've done, the PD does a good job at determining Q3 patients that need to be ID'd. Still working on response and transport models to make sure they go to the most appropriate place for treatment (hospital, Resources/Access 1: Remodel Fairbanks, etc.). After the patient is transferred, someone at Community Community paramedicine program Health/ASPIRE will follow-up to make sure they're successful in their recovery. to include protocol for mental Met with Hamilton County on resources for Veterans. health runs. Q2 Creating the following: adult discharge follow-up, school discharge follow-up, and Q1 improved 911 crisis response for September 2016. # Recourses/Access 2: Develop Intensive Care Coordination program for youth. Q Tactic Status Update PM Team Status Comments Steve Davison Davison, Richardson, Ellison, Gebhart Steve Davison Davison, Richardson, Ellison, Gebhart Community Paramedicine Program is 80% complete. Veteran's program is 20% complete. Steve Davison Davison, Richardson, Ellison, Gebhart Developing workflow for clinical pathways. Algorithms are in developmental phase to be included in HealthCall software. Creating models for additional programming. Davison, Richardson, Ellison, Gebhart Taken off to 3 separate programs. Discharge follow-up - home visits from Community or ASPIRE. School discharge program 911 Response - Crisis response, day to day behavioral response. Looking at the possibility of tele-consultations with crisis staff. Needs infrastructure/IT, but it's moving. Steve Davison PM Team Status Comments Community just hired someone from HSE to be a liaison to Community Health for Joan Reed/Mike Q4 2018. Beresford Richardson, Reed, Beresford, Ellison, Seward We are in the final stages of evaluating the Requests for Proposals to choose a Q3 mental health provider to partner with to provide services to all schools in our district. Joan Reed/Mike Beresford Richardson, Reed, Hired mental health liaison for school Beresford, Ellison, Seward Q2 Created job description for district mental health care coordinators. Joan Reed/Mike Beresford Richardson, Passing of referendum provides funding for program. Joan has a Reed, menu of education programs on mental health. Beresford, Public Safety and faith based groups are looking for training. Ellison, Seward Hiring 2-3 intensive care coordinators. Implementing Columbia Suicide Q1 Assessment. Joan Reed/Mike Beresford Richardson, Reed, HSE partnering with Community North and ASPIRE. Beresford, Ellison, Seward APPENDIX HSE SCHOOLS DOCUMENTATION HSE Schools: Mental Health Data 2016-2017 SCHOOL YEAR 2015-2016 SCHOOL YEAR Suicidal Ideation-Procedural Response to Suicide Ideation (PRSI) (After Guidance Counselor, school and student training and resources) Suicidal Ideation-PRSI (Before Guidance Counselor , school and student training and resources) 116 Incidents Reported (86 Students) 51 Reports 8 Students had 2 Reports 1 Student had 2 Reports 2 Students had 3 Reports 2 Students had 4 Reports 50 Referrals to Mental Health Provider Referrals were not clearly documented Total Incidents Reported 2016-2017 by Female/Male 80 70 60 50 40 Total 67 30 49 20 10 0 F M Total Incidents Reported 2016-2017 by Grade 30 25 20 15 Total 24 10 5 9 5 3 1 2 0 3 13 15 13 8 4 5 6 7 8 7 8 9 10 8 3 11 12 HSE Schools: Mental Health Data Total Incidents Reported 2016-2017 by Grade and by Female/Male 16 14 12 10 8 6 4 2 0 15 7 6 9 7 6 9 6 Total 5 F 2 F 3 F 4 F 5 F 6 F 7 F 8 F 9 F 10 F 11 F 12 M 1 M 2 M 3 M 4 M 5 M 6 M 7 M 8 M 9 M 10 M 11 1 4 8 4 1 4 5 4 3 4 3 2 3 Total Incidents Reported 2016-17 by Grade Level 45 40 35 30 25 Total 20 15 10 5 0 1-4 5-6 7-8 9-12 Total Incidents Reported 2016-2017 by Month 30 25 20 15 10 Total 26 21 17 11 5 10 0 Jan Feb Mar Apr May 8 1 Aug Sep 12 7 Oct 3 Nov Dec HSE Schools: Mental Health Data Total Incidents Reported 2016-2017 by Month and by Female/Male 16 14 12 10 8 6 4 2 0 12 12 7 5 F Jan F Feb 4 7 4 5 3 14 14 7 3 2 1 4 4 Total 7 1 F F Apr F F Sep F Oct F NovF Dec M M M M M M M M M M Mar May Jan Feb Mar Apr May Aug Sep Oct Nov Dec Total Incidents Reported 2016-2017 by Month and Time of Day 30 25 20 16 PM 15 13 9 10 5 0 8 1 9 0 7 8 0 4 4 0 6 Apr May 0 Jan Feb NG Mar 3 0 0 1 Aug 3 0 5 3 0 4 9 Sep Oct Nov AM 1 1 1 Dec Total Incidents Reported 2016-2017 by Time of Day 140 120 100 80 60 59 2 NG AM 40 20 PM 55 0 Total HSE Schools: Mental Health Data Total Incidents Reported 2016-2017 by Expression 80 70 60 50 40 75 Total 30 20 28 10 0 3 5 A O 5 T TP TPA EXPRESSION A: Attempt O: Other (i.e. poor choice of words) T: Thought/Statement TP: Thought/Statement with Plan TPA: Thought/Statement, Plan, and Attempt Total Incidents Reported 2016-2017 by Expression by Female/Male 50 40 30 44 20 31 10 2 AF 0 3 2 OF 1 AM OM TF TM Total 17 11 3 TP F TP M 2 TPA M TPA F Total Incidents Reported 2016-2017 by Month and by Female/Male TP Sep TP Oct 2 1 1 1 TPA May TP Apr 3 TPA Feb 1 TPA Mar 1 TP Nov 2 TPA Jan 4 TP May Total 5 TP Mar TP Jan 2 TP Feb O Oct 3 T Dec O Apr 4 T Nov O Mar 10 9 T Oct A Sep O Feb 1 6 T Sep 2 T Aug 1 6 T May 1 6 T Apr 1 T Mar 1 T Jan 1 T Feb 1 A Feb 13 13 14 A May 16 14 12 10 8 6 4 2 0 Procedural Response to Suicidal Ideation Form Student Name: School: Select: Student referred by: Date: Grade: Interview conducted by: Reason for referral: 1. Inform student that it is required to report harm to self or others 2. Date and time of student interview: 3. Summary of interview: 4. Notification of necessary parties: a. Name of Parent/Guardian Contacted: b. Name of Building administrator: Date Contacted: Time Contacted: Date Contacted: Time Contacted: 5. Result of Columbia Suicide Screener for Schools: Select: 6. Meeting with Parent/Guardian prior to student leaving school: a. b. c. Keep student under direct supervision at all times during the process. Do not send the student home on the bus or release to drive home alone or with other students. School staff will contact a Mental Health Provider to discuss a possible evaluation/hospital placement regarding the student’s risk level and suicidal ideation. The school requests, but does not require, a written report from the Mental Health Provider be provided to the school prior to the student’s return. HSE will offer the parents the opportunity to work with the Mental Health Provider, Community Health Network, in accordance with the mental health service agreement between HSE and Community. If the student is already working with an outside Mental Health Provider the family may choose to have the student evaluated by them. Seek a signed Release of Information granting permission to contact and discuss student’s needs with the Mental Health Provider, unless a release is already on file. Notes: 7. Parent follow-up: Select: If parent refused, was an additional referral made? Select: 8. School counselor will meet with parent/guardian and student prior to student’s return to school to establish a transition/safety plan to be implemented while student is in attendance or on school property. a. Date and time of meeting Attended by: Student: Parent/Guardian: School Counselor: Other: Title: Other: Title: Reviewed Student’s Safety Plan: b. Transition/School Safety plan(choose the options that best meet the needs of the student: a) Check-in with a school staff member (daily/weekly/bi-weekly) Staff Member: Frequency of Check-in: b) Involve student in a group led by school counselor (i.e. social skills, friendship group, coping strategies) c) Referral to Mental Health Provider d) Referral to Youth Assistance Program e) Supervised transportation to and from school: f) Escort plan outlining all aspects of the day, including student drop off and pick up from school, restroom, lunch, passing periods, extracurricular activities: g) Student shall remain under direct supervision for a determined amount of time Follow-up review scheduled for: h) If applicable, plan for student to attend field trips: 9. Notify school personnel (i.e. classroom teachers) to be alert of specific behaviors or discussions based on information shared in the safety plan: 10. Long-term plan to monitor student risk once direct supervision lifted : As data is collected and deemed necessary, based on patterns of behavior and continued needs, please consider eligibility for a 504 plan or Special Education referral if this becomes a pattern or there is a medical diagnosis. Please consult with the school psychologist assigned to your building as well as Special Education Administrators as needed. Notes: 11. Send completed form to the following Central office personnel as notification: Brooke Lawson, Mental Health Coordinator Julie Hays, Student Services and Business Secretary HSE Schools 13 Reasons Why SkyAlert Dear HSE Parents and Staff: Hamilton Southeastern Schools has become aware of a new series on Netflix called “13 Reasons Why,” which is quickly gaining popularity among our students. The story centers around a young girl, who leaves behind audio recordings for 13 people who she says played a role in her decision to take her own life. Mental health advocates have raised concerns over the message conveyed. Attached to this email is a resource from the National Association of School Psychologists (NASP) for educators and parents. The attachment has more detailed information and resources we believe you will find useful. A few important points include the following:    The National Association of School Psychologists does not recommend that vulnerable youth view this series. This is particularly important for adolescents who are isolated, struggling, or vulnerable to suggestive images and storylines. While older teens can differentiate between TV drama and reality, parents should consider watching the series with them, and engage in thoughtful conversation to help process the issues addressed. Review the warning signs of suicide. Common signs include:  Suicide threats, both direct (“I am going to kill myself.” “I need life to stop.”) and indirect (“I need it to stop.” “I wish I could fall asleep and never wake up.”). Threats can be verbal or written, and they are often found in online postings.  Giving away prized possessions.  Preoccupation with death in conversation, writing, drawing, and social media.  Changes in behavior, appearance/hygiene, thoughts, and/or feelings. This can include someone who is typically sad who suddenly becomes extremely happy.  Emotional distress.  Reinforce suicide is not a solution. It is an irreversible choice regarding a temporary problem. There is help and hope. HSE is a resource for your family. We stand ready to help. If you believe your child may be struggling, please contact your school guidance counselor. Sincerely, HSE Schools APPENDIX OUTREACH RESOURCES #StigrnaFreeFishers MY NAME IS AND I PLEDGE TO: 0 Learn more about Mental Health - See the Person, not the Illness . Join the effort to create a #StigmaFreeFishers Take care Check in Engage Relax Know Eat well, sleep well, exercise With family, friends & counselors You can’t be healthy emotionally if your relationships aren’t Be active, meditate, garden, dance, love, cook, sing... Know the Five Signs of emotional suffering www.changedirection.org JOURNEY OF THE HEART, MIND, AND SOUL EVENT OVERVIEW The HSE Foundation in partnership with FCI and RSI cordially invite you to JOURNEY OF THE HEART, MIND, & SOUL, an evening to celebrate the importance of a healthy mind and body. All intermediate families and students are welcome to spend the evening at Riverside Intermediate School exploring the different strategies, supports, and resources available in the Fishers’ community. Our focus will be to support healthy minds and bodies, and include hands-on experiences that create an avenue to happiness, joy and engagement for adults and children. This journey will also include the opportunity to enjoy special presentations on topics such as mindfulness, growth mindset, suicide prevention, building healthy relationships, positive body image, anxiety and more! As our city begins the second phase of its mental health campaign, we are excited to explore ways in which we can embrace being mentally healthy. This event will be a time for us to come together as a community to explore, learn, and create an awareness of the mental health issues facing our children in today’s fast-paced and ever-changing world. The intermediate years are such a pivotal time in a child’s life. The workshops at this event will give you and your family tools and strategies to help support healthy growth and development not only for your child but for your whole family! Important Information:  The event begins at 4:30, and breakout sessions for parents and intermediate students will be held at 6:00 - 6:30 and 7:00 - 7:30. Reserve your seat for all parents and students in your family on this one form.  A complimentary sandwich, chips, and a drink will be offered from 6:30 - 7:00 for all people in attendance. Please let us know how many meals your family requires by clicking the link and completing the survey below.  Child care will be offered, as sessions are for parents and students only. Please let us know how many children you will need child care for by clicking the link and completing the survey below.   Parent and student sessions will be running at the same time. Breakout sessions may have attendance limits, so register early and please release your seat (uncheck the bubble) if you are unable to attend or if you decide to choose a different session.  All events on this day will be held at Riverside Intermediate School: 11014 Eller Road, Fishers, IN 46038 Schedule for the evening: May 3, 2017 4:30-5:30 OPEN HOUSE: Community Resource Booths, Gallery Walk of Student Work, Animal Therapy 5:25-5:50 Welcome & Keynote Speaker - Scott Fadness (RSI Gymnasium) 6:00- 6:30 Break-Out Session 1 (Reserve your seat by selecting your session below) 6:30-7:00 Complimentary Dinner 7:00-7:30 Break-Out Session 2 (Reserve your seat by selecting your session below) 7:30-8:30 Family Group Activities: Art, Music, Team Building, Engineering, Animal Therapy and........ Do you love Survivor? Use your mind, heart and soul to get through Rupert’s challenge course. YES! RUPERT from CBS’s Survivor will be our special guest for Family Team Building! Wednesday, May 3 6:00pm Adults:  Differences Between Therapy Dogs and Assistance Dogs  Emotional Freedom Technique: Tapping  Growth Mindset  How To Keep Your Child Safe on Social Media  Mindfulness as a Life Skill  Parenting The Anxious Child  Suicide Prevention  The Effects of Trauma and Stress On the Childhood Brain  YMI Partnering With Parents  Yoga For Adults Students:  DeStress with Fidgets  Do you have a Busy Brain... Racing Thoughts...or a Worried Heart?  Growth Mindset  Healthy Body Image  Heart Mapping  Improv  Nutrition: Redefined    Self-Reflection-Self Discovery Journaling and Adult Coloring Books with Mr. Sergi and Mrs. Saunders Social Media & Healthy Relationships Yoga For Kids 7:00pm Adults:  Adverse Childhood Experiences Study and Trauma Informed Classroom Strategies.  Emotional Freedom Technique: Tapping  Food and Family  Growth Mindset  Heathy Body Image  How To Keep Your Child Safe on Social Media  Mindfulness as a Life Skill  Parenting The Anxious Child  Self-Reflection-Self Discovery Journaling and Adult Coloring Books with Mr. Sergi and Mrs. Saunders  Suicide Prevention  Yoga For Adults Students:  DeStress with Fidgets  Do you have a Busy Brain... Racing Thoughts...or a Worried Heart?  Growth Mindset  Improv  Mindfulness as a Life Skill  Social Media & Healthy Relationships  What Is A Youth Mentor?  Yoga For Kids 7:30pm  Family Art  Family Engineering  Family Music  Family Team Building >1_umz_u_x >20 m:_0_Um ammOCzOmm Mental Health Resources Inspiring Transformations, Inc. does not provide clinical recommendations or endorse any resources or organizations. 24-Hour Mental Health Crisis Services in Central Indiana:   Phone: 317‐251‐7575 Text CSIS to 839863 National 24-Hour Mental Health Crisis Services (National Suicide Prevention Lifeline):    Phone: (800) 273-8255 Text 741-741 Chat online: http://chat.suicidepreventionlifeline.org/GetHelp/LifelineChat.aspx Veterans and Military Personnel 24-Hour Mental Health Crisis Services:    Phone: (800) 273-8255 then press 1 Text 838255 Chat online: https://www.veteranscrisisline.net/ChatTermsOfService.aspx?accou nt=Veterans%20Chat Suicide Prevention Resources:   What to do if you or someone else is in crisis: o Immediately call, text or chat with a 24-hour mental health crisis service o Call 911 o Safely go to a mental health crisis center or emergency department o For youth: Contact a trusted adult immediately such as a parent, school counselor, coach or family friend. Tell them you need to speak with a mental health professional right away. o Do not dismiss what you or someone else is feeling. Get help immediately! Suicide Prevention Websites: o American Foundation for Suicide Prevention (AFSP): https://afsp.org  o Suicide Prevention Resource Center: http://www.sprc.org/about-sprc o National Action Alliance for Suicide Prevention: http://actionallianceforsuicideprevention.org o Have Hope Youth Suicide Prevention: http://www.havehope.com o Zero Suicide in Healthcare: http://www.sprc.org/zero-suicide A Friend Asks App: A free smart-phone app that helps provide the information, tools and resources to help a friend (or yourself) who may be struggling with thoughts of suicide. Search: “A Friend Asks” in the Apple App or Google Play stores. Mental Health Resources:  What to do if you or someone else needs mental health services:  o Ask your primary care doctor or another healthcare professional for a referral based upon your specific needs o For youth: Contact a trusted adult immediately such as a parent, school counselor, coach or family friend and ask them for help connecting you with a mental health professional o For adults: Leverage your employer’s Employee Assistance Program if one is available o Contact your insurance company or visit their website for a complete listing of mental health professionals in your area that accept your insurance and then discuss the list with a healthcare professional Mental Health Websites: o Substance Abuse Mental Health Services Administration: https://www.samhsa.gov o National Alliance on Mental Illness: https://www.nami.org o Mental Health America: http://www.mentalhealthamerica.net Examples of Innovative Mental Health Projects: o Fishers Mental Health Task Force: http://www.fishers.in.us/mentalhealth o Women’s Fund of Central Indiana’s Campaign to Change Direction: http://www.womensfund.org/campaigntochangedirection  For more information, follow us on twitter @TransformMH IN.us/ fa ., aFreeFi pm? igmaFreeFish