Loading...
HomeMy WebLinkAboutItem 036/10/2015 1 1 Mental Health Work Session Lakeville City Council ISD 194 School Board June 18, 2015 Shannon Bailey Adolescent Health Coordinator Dakota County Public Health Department Agenda 1.Welcome and introductions 2.Objectives for today 3.Approach and framework 4.Data and evidence 5.Recommendations for suicide prevention 6.Current efforts in Dakota County 7.Next steps 2 Objectives At the conclusion of our session today, you will be able to: 1.Discuss the continuum of mental health promotion. 2.Discuss suicide data and trends. 3.Summarize best-practice recommendations for suicide prevention. 4.Describe potential stakeholder roles in suicide prevention. 5.Recommend next steps to address suicide in Lakeville. 3 Continuum of Mental Health Promotion Prevent risk factors from developing across the lifespan. 4 Enhance protective factors such as coping skills. Provide social supports and recreational programs. Promote early detection for those who are struggling. Increase access to support services and treatment. Framework for Reducing Suicide 5 Suicide is a community-wide concern - There are no easy or straightforward answers. Everyone has a role. Suicide prevention requires a comprehensive approach -Research shows that no single intervention can prevent all suicides. Public health approach - Using evidence-based practices for community-wide impact. Focus on prevention - Reduce factors that put people at risk for suicidal behaviors and increase factors that protect people from risk. Long-term commitment - Creating lasting changes in community norms is challenging work. Data Reporting Data help us understand the scope and nature of a suicide problem, as well as develop effective activities to prevent suicide. Data help us understand who is at risk for suicide, why they are at risk, what we can do about it, and whether our efforts are preventing suicides. Other data on mental health issues can potentially provide a more complete picture of the problem of suicidal behavior, because most suicide attempts do not result in death. 6 6/10/2015 2 Age-Adjusted Suicide Rate, 2013 Number of suicides Rate per 100,000 Lakeville 5* Dakota County 42 9.8 Minnesota 683 12.2 Source: Minnesota Department of Health *Number of deaths too small to compute a stable rate 7 * 21.8 12.0 17.3 11.9 0 5 10 15 20 25 15-17 18-24 25-44 45-64 65+ Ra t e p e r 1 0 0 , 0 0 0 Suicide rate by age Dakota County, 2009-2013 Source: Minnesota Department of Health, Vital Statistics Interactive Queries, www.health.state.mn.us * Number of deaths too small to compute a stable rate 8 ISD 194 MN Student Survey Data 2013 student perception survey Grades: 5, 8, 9 and 11 Emotional well-being/distress Self-inflicted injury Suicidal thoughts and behaviors Destructive and antisocial behavior Substance use Source: http://education.state.mn.us/MDE/StuSuc/SafeSch/MNStudentSurvey/ 9 A Comprehensive Approach to Suicide Prevention Identify people at risk Increase help seeking Provide access to mental health services Establish crisis management and postvention procedures Restrict access to lethal means Enhance life skills Promote social networks and connectedness Source: Suicide Prevention Resource Center, www.sprc.org 10 We All Have a Role in Promoting Good Mental Health Suicide prevention is the responsibility of the whole community. Reduce stigma by making it okay to talk about mental health and mental illnesses. Improve screening and recognition of mental heath disorders and illnesses. Improve access to treatment and support services. 11 City Strategies Review and strengthen policies and practices Establish internal data reporting protocols Partner with law enforcement Define and promote chaplain services Coordinate employee education Promote EAP to employees - secondary trauma Distribute information to residents 12 6/10/2015 3 Community Strategies Establish a shared purpose or vision Define roles, responsibilities, policies and practices Establish partnerships among key stakeholders Promote community-building and educational opportunities Provide education and outreach initiatives Promote messages about hope, resiliency and recovery 13 District Strategies Review and strengthen district policies and practices Promote and expand district mental health services Coordinate employee education Promote EAP to employees - secondary trauma Promote parent, student and faculty education and increase help seeking behaviors Distribute information to students and families 14 Suicide Prevention in the Transition Years Campaign A team of multi-disciplined professionals will develop suicide prevention protocols to address the unique issues of transitioning young adults. This task force will recommend best practices for consideration and will work with county and district leadership on implementing the recommendations. The outcome will include the development of a set of protocols and materials that can be used to assist young adults and their families during the transition from high school into young adulthood. 15 Responsible Messaging and Reporting Reports, depictions, and discussions of suicide can strengthen risk or protective factors, depending on how they are framed and disseminated. They can encourage hope or discourage people from seeking help. They can celebrate life or romanticize death. They can help people understand that suicide is preventable and mental illnesses are treatable or reinforce inaccurate beliefs that nothing can be done about these problems. 16 Increasing Awareness and Skills through Training and Education Make It OK Mental Health Stigma Prevention Question, Persuade and Refer Suicide Prevention Recognizing Early Warning Signs of Mental Illnesses in Children and Youth Restricting Access to Lethal Means Suicide Postvention Youth Mental Health First Aid 17 A 45-minute facilitated discussion about mental illnesses, how to combat stigma and effective ways to talk about mental illnesses. Make It OK 18 6/10/2015 4 Question, Persuade, Refer A one-hour gatekeeper training for suicide prevention will equip anyone to help prevent suicide. QPR is an emergency response to someone in crisis and can save lives. 19 Recognizing Early Warning Signs of Mental Illnesses in Children A two-hour class provides information on the biological nature of mental illnesses and how educators and parents can work together as allies to support young people. 20 Restrict Access to Lethal Means This two-hour class provides information about limiting the ability of vulnerable people to obtain and use highly lethal methods of self-harm can significantly reduce the risk of their dying by suicide. 21 Suicide Postvention Providing individuals and communities with timely and appropriate postvention strategies and interventions not only offers support to help survivors of suicide loss grieve and promote healing, but it can also serve as a vehicle to reduce the risk for future suicide incidents. 22 Youth Mental Health First Aid An 8-hour evidence-based certification course for professionals and parents. Identify common mental health challenges for youth Review typical adolescent development Implement a 5-step action plan to help young people in a crisis or a non-crisis situation 23 2015 5th Annual Mental Health Summit Thursday, November 5 – Hosanna! Lutheran Church 24 6/10/2015 5 Reducing Stigma By Increasing Public Awareness 25 26 Make It OK – 30 sec. PSA “Silent Bubble” 27 Take the “Make It OK” Pledge http://makeitok.org/take-the-pledge/28 Dakota County Mental Health and Substance Abuse Resources Crisis Response Unit -Consultation and crisis intervention Health Profiles -On-line key facts and data Public Health -Consultation and training, public health nursing Social Services -Case management, access to services, referrals 29 Metro and Minnesota Resources National Alliance on Mental Illness – Minnesota 651-645-2948 http://www.namihelps.org/ Mental Health Consumer/Survivor Network of Minnesota 1-800-483-2007 http://www.mentalhealthmn.org/ Minnesota Association for Children's Mental Health 651-644-7333 http://www.macmh.org/ Suicide Awareness Voices of Education 952-946-7998 www.save.org Suicide Survivor Grief Support Groups 952-946-7998 https://www.afsp.org/ 30 6/10/2015 6 Priority Setting What are the common priorities between the city council and the school board? What are the differing priorities for each entity? What are appropriate roles? 31 Potential Next Steps Identify city and district champions to determine next steps. Schedule separate or combined work groups to identify next steps. Schedule educational opportunities. Invite key community stakeholders to participate. Other recommendations? 32 Questions & Answers Reactions 33 Shannon Bailey Adolescent Health Coordinator Dakota County Public Health Department 1 Mendota Road West, Ste. 410 West St. Paul, MN 55118-4771 651-554-6164 Shannon.Bailey@co.dakota.mn.us 34 More than 18 percent of adults in the U.S. suffer from a mental illness in any given year, with four percent experiencing a severe mental illness. Mental health illnesses are the leading cause of disability in the U.S. for 15-44 year olds. According to the U.S. Surgeon General, a range of effective treatments exist for most mental illnesses, yet nearly half of all Americans who have a severe mental illness fail to seek treatment. Good mental health is essential to leading a healthy life. Mental illness in Dakota County • Hospitalizations of Dakota County residents for mental illnesses generally increased from 2008 to 2012. • Eight percent of Dakota County 8th and 9th graders and 10 percent of 11th graders were treated for a mental illness in the previous year (2013). More females than males reported treatment for a mental illness. Depression • In 2013, an estimated 18 percent of Minnesota adults 18 and older reported having ever been told they have a form of depression. An estimated seven percent of adults reported having at least one episode of major depression in 2012-13. • In 2013, 24.5 percent of Dakota County 8th graders, 28 percent of 9th graders and 34 percent of 11th graders said they had significant problems with feeling very trapped, lonely, sad, blue, depressed or hopeless about the future, during the past year. The percents were slightly below the state for 8th and 9th graders and slightly above the state for 11th graders. Anxiety and stress • Eighteen percent of the U.S. population 18 and older has an anxiety disorder in any given year. • In 2013, 30.5 percent of Dakota County 8th graders, 31.5 percent of 9th graders and 35 percent of 11th graders said they had significant problems with feeling very anxious, nervous, tense, scared, panicked or that something bad was going to happen, during the past year. The percents were similar to the state for 8th and 9th graders and above the state for 11th graders. Mental Health Mental health hospitalizations in Dakota County and the rates for suicide have increased. More than 30 percent of students in all grades have experienced anxiety. Autism spectrum disorders have increased. Students who feel they can talk to their father or mother some or most of the time has increased. Key facts about Mental Health Community Health Profiles Suicide • There were 42 suicides in Dakota County residents in 2013. • Suicide was the second leading cause of death in 15-24 year olds in 2013. The rate is higher for males than females. The rate increased by 42 percent from 2006 to 2012 after several years of relative stability. The Dakota County rate was the same as the state for the period 2011-2013. • In 2013, 14 percent of Dakota County 8th and 11th graders and 15 percent of 9th graders said they had significant problems with thinking about ending their life or committing suicide during the past year. These percents are similar to the state for 8th and 9th graders and slightly above the state for 11th graders. • In 2013, 3.5 percent of Dakota County 8th graders, four percent of 9th graders and three percent of 11th graders reported they had actually attempted suicide during the past year. These percents are similar to the state. Self-injury • The rate of non-fatal, self-inflicted injuries requiring emergency room or inpatient care decreased in Dakota County from 2012 to 2013 after an increase over several years. The rate is highest for 15-24 year olds, and females have a higher rate than males (2013 data are preliminary). • In 2013, 16.5 percent of Dakota County 8th graders and 14 percent of 9th and 11th graders reported hurting themselves on purpose during the last year. These percents are slightly higher than the state for 8th and 11th graders and slightly below the state for 9th graders. Eating disorders • During their lifetime, an estimated 0.6 percent of females suffer from anorexia or bulimia, and three percent from binge eating disorders. Autism spectrum disorders (ASD) • An estimated 1 in 68 U.S. children are affected by an ASD. • More children than ever before are being classified with ASDs. This increase may be due to improved diagnosis. • Children with autism enrolled in special education in Dakota County schools increased by 81 percent from school years 2005-06 to 2014-15. For more information: • Mental Health Association of Minnesota www.mentalhealthmn.org • Minnesota Department of Health (MDH) www.health.state.mn.us • National Institutes of Mental Health www.nimh.nih.gov • U.S. Centers for Disease Control and Prevention (CDC) www.cdc.gov • Substance Abuse and Mental Health Services Administration (SAMHSA) www.samhsa.gov Family connections • Dakota County students who reported that they can talk to their father or mother some or most of the time increased in 9th graders from 1992 to 2013. About this Community Health Profile For more information about the Dakota County community health assessment, contact: Melanie Countryman, Epidemiologist (melanie.countryman@co.dakota.mn.us or 651-554-6131). Dakota County Public Health Department 1 Mendota Road West, Suite 410 West St. Paul, MN 55118-4771 651-554-6100 www.DakotaCounty.us DCPHD-HR-2579 March 30, 2015 Attention deficit hyperactivity disorder (ADHD) • ADHD is one of the most common neurobehavioral disorders in children. It can persist into adolescence and adulthood. About half of those with ADHD also have other behavioral disorders. • 9.5 percent of U.S. children ages 3-17 were ever diagnosed with ADHD (2012). 9.1 8.6 10.3 12.2 0 2 4 6 8 10 12 14 2002-2004 2005-2007 2008-2010 2011-2013 Ra t e p e r 1 0 0 , 0 0 0 Suicide Rate Dakota County, 2003-2012 Minnesota Department of Health, Vital Statistics Interactive Query Minnesota Department of Health, Vital Statistics Interactive Query RECOMMENDATIONS FOR REPORTING ON SUICIDE Developed in collaboration with the American Association of Suicidology; American Foundation for Suicide Prevention; Annenberg Public Policy Center; Associated Press Managing Editors; Canterbury Suicide Project-University of Otago, Christchurch, New Zealand; Columbia University Department of Psychiatry; ConnectSafely.org; Emotion Technology; International Association for Suicide Prevention Task Force on Media and Suicide; Medical University of Vienna; National Alliance on Mental Illness; National Institute of Mental Health; National Press Photographers Association; New York State Psychiatric Institute; Substance Abuse and Mental Health Services Administration; Suicide Awareness Voices of Education; Suicide Prevention Resource Center; Centers for Disease Control and Prevention (CDC); and UCLA School of Public Health, Community Health Sciences. IMPORTANT POINTS FOR COVERING SUICIDE • • • More than 50 research studies worldwide have found that certain types of news coverage can increase the likelihood of suicide in vulnerable individuals. The magnitude of the increase is related to the amount, duration, and prominence of coverage. Risk of additional suicides increases when the story explicitly describes the suicide method, uses dramatic/ graphic headlines or images and repeated/extensive coverage sensationalizes or glamorizes a death. Covering suicide carefully, even briefly, can change public misperceptions and correct myths, which can encourage those who are vulnerable or at risk to seek help. Suicide is a public health issue. Media and online coverage of suicide should be informed by using best practices. Some suicide deaths may be newsworthy. However, the way media cover suicide can influence behavior negatively by contributing to contagion or positively by encouraging help-seeking. References and additional information can be found at: www.ReportingOnSuicide.org. Suicide contagion or “copycat suicide” occurs when one or more suicides are reported in a way that contributes to another suicide. • • • • • • • • • • • • • • • • INSTEAD OF THIS: Big or sensationalistic headlines or prominent placement (e.g., “Kurt Cobain Used Shotgun To Commit Suicide”). Including photos/videos of the location or method of death, grieving family, friends, memorials, or funerals. Describing recent suicides as an “epidemic, ” “skyrocketing,” or in other strong terms. Describing a suicide as inexplicable or “without warning.” “John Doe left a suicide note saying….” Investigating and reporting on suicide similar to reporting on crimes. Quoting/interviewing police or first responders about the causes of suicide. Referring to suicide as “successful,” “unsuccessful,” or a “failed attempt.” Seek advice from suicide prevention experts. Describe as “died by suicide” or “completed” or “killed him/herself.” DO THIS: Inform the audience without sensationalizing the suicide and minimize prominence (e.g., “Kurt Cobain Dead at 27”). Use school/work or family photo; include hotline logo or local crisis phone numbers. Carefully investigate the most recent CDC data and use nonsensational words like “rise” or “higher.” Most, but not all, people who die by suicide exhibit warning signs. Include the “Warning Signs” and “What to Do” sidebar (from p. 2) in your article if possible. “A note from the deceased was found and is being reviewed by the medical examiner.” Report on suicide as a public health issue. • • • • • • • • • • • • • • • • • • • Talking about wanting to die Looking for a way to kill oneself Talking about feeling hopeless or having no purpose Talking about feeling trapped or in unbearable pain Talking about being a burden to others Increasing the use of alcohol or drugs Acting anxious, agitated, or recklessly Sleeping too little or too much Withdrawing or feeling isolated Showing rage or talking about seeking revenge Displaying extreme mood swings The more of these signs a person shows, the greater the risk. Warning signs are associated with suicide, but may not be what causes a suicide. WARNING SIGNS OF SUICIDE HELPFUL SIDE-BAR FOR STORIES WHAT TO DO If someone you know exhibits warning signs of suicide: Do not leave the person alone. Remove any firearms, alcohol, drugs, or sharp objects that could be used in a suicide attempt. Call the U.S. National Suicide Prevention Lifeline at 1-800-273-TALK (8255). Take the person to an emergency room or seek help from a medical or mental health professional. THE NATIONAL SUICIDE PREVENTION LIFELINE 1-800-273-TALK (8255) A free, 24/7 service that can provide suicidal persons or those around them with support, information, and local resources. SUGGESTIONS FOR ONLINE MEDIA, MESSAGE BOARDS, BLOGGERS, AND CITIZEN JOURNALISTS Bloggers, citizen journalists, and public commentators can help reduce risk of contagion with posts or links to treatment services, warning signs, and suicide hotlines. Include stories of hope and recovery, information on how to overcome suicidal thinking and increase coping skills. The potential for online reports, photos/videos, and stories to go viral makes it vital that online coverage of suicide follow site or industry safety recommendations. Social networking sites often become memorials to the deceased and should be monitored for hurtful comments and for statements that others are considering suicide. Message board guidelines, policies, and procedures could support removal of inappropriate and/or insensitive posts. AVOID MISINFORMATION AND OFFER HOPE • Suicide is complex. There are almost always multiple causes, • • • • • • including psychiatric illnesses, that may not have been recognized or treated. However, these illnesses are treatable. Refer to research findings that mental disorders and/or substance abuse have been found in 90 percent of people who have died by suicide. Avoid reporting that death by suicide was preceded by a single event, such as a recent job loss, divorce, or bad grades. Reporting like this leaves the public with an overly simplistic and misleading understanding of suicide. Consider quoting a suicide prevention expert on causes and treatments. Avoid putting expert opinions in a sensationalistic context. Use your story to inform readers about the causes of suicide, its warning signs, trends in rates, and recent treatment advances. Add statement(s) about the many treatment options available, stories of those who overcame a suicidal crisis and resources for help. Include up-to-date local/national resources where readers/viewers can find treatment, information, and advice that promotes help-seeking. MORE INFORMATION AND RESOURCES AT: www.ReportingOnSuicide.org SMA-11-4640 Providing crisis intervention for Dakota County residents Available: 24 hours/day, 7 days/week 952-891-7171 (TDD: 952-891-7202) FAX: 952-891-7335 Crisis Response Unit ACCESS Dakota County Crisis Response Unit 14955 Galaxie Ave Apple Valley, MN 55124 The Crisis Response Unit maintains client confidentiality in accordance with the Minnesota Data Practices Act. The Dakota County Crisis Response Unit is available 24 hours per day, 7 days per week, for any County resident facing a crisis. Service also supports law enforcement working in the community on issues of safety and well being of any County Resident 1. Response is immediate The Crisis Response Unit uses one number, county- wide. 2. Response is community-based Dakota County Crisis Response, when appropriate, provides on-site visits and seeks to work with clients in their own homes and communities. Dakota County Crisis Response Unit: 952-891-7171 24 hours per day • 7 days per week Who we serve The Crisis Response Unit consists of Dakota County Social Work staff with backgrounds in crisis intervention, child protection, family services, mental health treatment and correctional issues. Staff Program Philosophy The Crisis Response Unit provides the following emergency services to residents of Dakota County: 1) Brief and supportive telephone counseling 24 hours per day. 2) On-site response to assess and stabilize an immediate crisis 24 hours per day. 3) Access to psychiatric hospitalization, or an adult protection/psychiatric crisis bed 24 hours per day. 4) Authorization of emergency food and shelter during non-business hours. 5) Short-term Crisis Stabilization services for children and families The Crisis Response Unit can respond by telephone and/or on-site. Consultations and interventions for family crisis situations, parent- child conflicts, suicide prevention and community education are also available. Unit staff are available to community providers to assist in the identification and development of additional resources for clients. 3. Response is comprehensive The Crisis Response Unit provides comprehensive response to the many needs of clients, families and the community. Clients’ own resources and supports are often used to develop a plan to stabilize the situation. Services are client/family centered and designed to improve well-being of the client or family. The unit believes that a crisis can be an opportunity for clients and families to develop new problem solving skills and that appropriate and timely intervention can help to facilitate a faster recovery. Whenever possible, intervention should occur in the community and should draw on community resources, i.e., family, friends and religious institutions. The primary goal of the Crisis Response Unit is to assist in stabilizing the immediate crisis, ensure safety for the client, the family and/or the community, and assist with referrals to appropriate county or other agency staff as necessary. Services N A T I O N A L P R E V ENTION C O U N C I L 2010 Positive mental health allows people to realize their full potential, cope with the stresses of life, work productively, and make meaningful contributions to their communities. National Prevention Strategy Mental and eMotional Well-being Mental and emotional well-being is essential to overall health. Positive mental health allows people to realize their full potential, cope with the stresses of life, work productively, and make meaningful contributions to their communities. Early childhood experiences have lasting, measurable consequences later in life; therefore, fostering emotional well-being from the earliest stages of life helps build a foundation for overall health and well-being. Anxiety, mood (e.g., depression) and impulse control disorders are associated with a higher probability of risk behaviors (e.g., tobacco, alcohol and other drug use, risky sexual behavior), intimate partner and family violence, many other chronic and acute conditions (e.g., obesity, diabetes, cardiovascular disease, HIV/STIs), and premature death. Actions: the FederAl Government Will ` Improve access to high-quality mental health services and facilitate integration of mental health services into a range of clinical and community settings (e.g., Federally Qualified Health Centers, Bureau of Prisons, Department of Defense, and Veterans Affairs facilities). ` Support programs to ensure that employees have tools and resources needed to balance work and personal life and provide support and training to help them recognize co-workers in distress and respond accordingly. ` Provide tools, guidance, and best practices to promote positive early childhood and youth development and prevent child abuse. ` Provide easy-to-use information about mental and emotional well-being for consumers, especially groups that experience unique stressors (e.g., U.S. Armed Forces, firefighters, police officers, and other emergency response workers). ` Research policies and programs that enhance mental and emotional well- being, especially for potentially vulnerable populations. recommendAtions 1. Promote positive early childhood development, including positive parenting and violence-free homes. 2. Facilitate social connectedness and community engagement across the lifespan. 3. Provide individuals and families with the support necessary to maintain positive mental well- being. 4. Promote early identification of mental health needs and access to quality services. N A T I O N A L P R E V ENTION C O U N C I L 2010 Actions: PArtners cAn Individuals and Families ` Build strong, positive relationships with family and friends. ` Become more involved in their community (e.g., mentor or tutor youth, join a faith or spiritual community). ` Encourage children and adolescents to participate in extracurricular and out-of- school activities. ` Work to make sure children feel comfortable talking about problems such as bullying and seek appropriate assistance as needed. Community, Non-Profit, and Faith-Based Organizations ` Provide space and organized activities (e.g., opportunities for volunteering) that encourage social participation and inclusion for all people, including older people and persons with disabilities. ` Support child and youth development programs (e.g., peer mentoring programs, volunteering programs) and promote inclusion of youth with mental, emotional, and behavioral problems. ` Train key community members (e.g., adults who work with the elderly, youth, and armed services personnel) to identify the signs of depression and suicide and refer people to resources. ` Expand access to mental health services (e.g., patient navigation and support groups) and enhance linkages between mental health, substance abuse, disability, and other social services. Early Learning Centers, Schools, Colleges, and Universities ` Implement programs and policies to prevent abuse, bullying, violence, and social exclusion, build social connectedness, and promote positive mental and emotional health. ` Implement programs to identify risks and early indicators of mental, emotional, and behavioral problems among youth and ensure that youth with such problems are referred to appropriate services. ` Ensure students have access to comprehensive health services, including mental health and counseling services. Health Care Systems, Insurers, and Clinicians ` Educate parents on normal child development and conduct early childhood interventions to enhance mental and emotional well-being and provide support (e.g., home visits for pregnant women and new parents). ` Screen for mental health needs among children and adults, especially those with disabilities and chronic conditions, and refer people to treatment and community resources as needed. ` Develop integrated care programs to address mental health, substance abuse, and other needs within primary care settings. ` Enhance communication and data sharing (with patient consent) with social services networks to identify and treat those in need of mental health services. Businesses and Employers ` Implement organizational changes to reduce employee stress (e.g., develop clearly defined roles and responsibilities), and provide reasonable accommodations (e.g., flexible work schedules, assistive technology, adapted work stations). ` Ensure that mental health services are included as a benefit on health plans and encourage employees to use these services as needed. ` Provide education, outreach and training to address mental health parity in employment-based health insurance coverage and group health plans. State, Tribal, Local, and Territorial Governments ` Enhance data collection systems to better identify and address mental and emotional health needs. ` Include safe shared spaces for people to interact (e.g., parks, community centers) in community development plans which can foster healthy relationships and positive mental health among community residents. ` Ensure that those in need, especially potentially vulnerable groups, are identified and referred to mental health services. ` Pilot and evaluate models of integrated mental and physical health in primary care, with particular attention to underserved populations and areas, such as rural communities. More information can be found at: Website: www.surgeongeneral.gov/ nationalpreventioncouncil Email: prevention.council@hhs.gov Twitter: #NPSAction Make it OK A 45-minute facilitated discussion about mental illnesses, how to combat stigma and effective ways to talk about mental illnesses. AUDIENCE: Everyone Recognizing Early Warning Signs of Mental Illnesses in Children and Adults This two-hour workshop provides information on the biological nature of mental illnesses and how educators and parents can work together as allies to support young people. Early intervention and treatment is essential for success. AUDIENCE: Educators This workshop meets the continuing education requirement for licensed MN teachers. 2015 Dakota County Mental Health Training for Community Partners To schedule the Youth Mental Health First Aid course, please contact Kayla Rojas at 651-554-6099 or email kayla.rojas@co.dakota.mn.us. To schedule Make it OK, QPR, Recognizing Early Warning Signs or for other consultuation, please contact Liz Oberding at 651-554-6182 or email Elizabeth.Oberding@co.dakota.mn.us. Youth Mental Health First Aid An 8-hour evidence-based certification course for professionals and parents. • Identify common mental health challenges for youth • Review typical adolescent development • Implement a 5-step action plan to help young people in a crisis or a non-crisis situation • Self-care AUDIENCE: • Non-mental health professionals in Dakota County who serve young people up to age eighteen. • Parents of young people up to age eighteen. CLASS FEE: • $10 (includes lunch) TO GOOD HEALTH Question, Persuade and Refer Gatekeeper Training for Suicide Prevention A one-hour presentation covering the three steps anyone can learn to help prevent suicide. Just like CPR, QPR is an emergency response to someone in crisis and can save lives. AUDIENCE: Everyone Presented by Shannon Bailey, Adolescent Health Coordinator, Dakota County Public Health Department, Shannon.Bailey@co.dakota.mn.us. Contact Public Health to arrange for one of these trainings at your organization