Program Partners Key Activities and Contact Information · 2018-03-26 · The Southern CA Warmline Network has been established ... the amount of calls crisis lines receive from callers

Program Partners Key Activities and Contact Information

Program Partner: Didi Hirsch Mental Health Services Initiative and Program Name: Suicide Prevention; Statewide Suicide Prevention Network (SP#1) Regions served: Statewide Contact information: Lyn Morris, MFT: [email protected] Website: www.didihirsch.org Overview of Project: California Statewide Suicide Prevention Network (CSPN)

All regions are hosting quarterly task force meetings and serving as the focal point for suicide prevention activities.

These task forces will develop concrete steps to reduce the risk of suicide locally and then share their best practices with others across the state and nation.

CSPN will achieve a suicide prevention-informed California with the ultimate goal of saving lives.

Best Practices

The needs assessment being conducted by the Best Practices Division with guidance from CalMHSA is almost complete. It includes surveys, focus groups, SPRC consultation, key informant interviews (30+) and regional county liaison calls.

Regional planning committees that will meet in Oct/Nov will consider all the data collected from the needs assessment and determine the top 3 topics for their best practice.

Regional County Liaison calls will occur in Dec/Jan so they have input on the best practice selection for their region.

Best Practices workgroups will be formed in January 2013 and begin working on the chosen best practice for submission to the SPRC’s Best Practice Registry.

By the end of this grant, each region will have improved suicide prevention practices that are customized to meet local needs to reduce suicides.

Common Metrics for reporting on suicide

One of the goals of the CSPN is to develop a common set of metrics for unified reporting for crisis hotlines throughout the state. We are currently working with 11 crisis hotlines (9 of which are part of the National Suicide Prevention Lifeline). As a group and with consultation from RAND, we have agreed to develop common metrics for the following indicators:

1. Demographics 2. Reason for Call (Caller Concerns) 3. Risk 4. Call Volume 5. Follow up

6. Caller Satisfaction

Having consistent, reliable data from crisis lines will help each county understand the problem of suicide in their communities and take action steps towards reducing it. Program Partner: Didi Hirsch Mental Health Services Initiative and Program Name: Regional Local Suicide Prevention Capacity Building Program (SP#2) Regions served: Ventura, Los Angeles, San Bernardino, Riverside, Orange, Los Angeles, San Diego, Imperial Counties Contact information: Lyn Morris, MFT: [email protected] Website: www.didihirsch.org Overview of Project: Increasing language capacity on the Crisis Line

2 Korean and 2 Vietnamese crisis counselors completed the 90+ hours of Crisis Line training and now are working on the lines in the evening hours.

This provides counties a crisis line with greater language capacity to meet the needs of their stakeholders.

Dedicated Crisis Line—Collaboration and Training

Our County Liaison Director has completed all scheduled face to face meetings with County Liaisons to discuss the grant opportunities related to Crisis Line services and training.

She has emailed the individualized Crisis Line Report monthly to each county liaison.

She has also asked for input on resources in their county for referrals and dates for safeTALK trainings.

This provides counties with a 24/7 English/Spanish crisis line and provides individual reports to help guide counties in their suicide prevention efforts.

Warmline

LADMH hired 4 Warmline in June. 1 staff has dropped out, so currently there are 3 staff.

Didi Hirsch trained the Warmline staff on July 13, 14th.

Didi Hirsch has coordinated the 3 Warmlines technology in order for their lines to roll over to the LA Warmline

The Southern CA Warmline Network has been established and has met once so far, with the next meeting schedule for FY12-13 Q1.

The Warmline launched on July 16, 2012. In two weeks, they have taken 265 calls.

This provides counties with another resource for people in need. It also helps alleviate the amount of calls crisis lines receive from callers who just need to talk vs. those in actual suicidal crisis.

Program Partner: Transitions-Mental Health Association Initiative and Program Name: Regional Local Suicide Prevention Capacity Building Program (SP#2) Regions served: San Luis Obispo, Kern, Santa Barbara Counties Contact information: Barry D. Johnson: [email protected] (805) 540-6540 Website: www.t-mha.org ; www.slothestigma.org Overview of Project: Transitions-Mental Health Association is the lead agency for Suicide Prevention Project 2: Capacity Building for the Central Coast region, including San Luis Obispo, Santa Barbara, and Kern County. Our goal is to help each partner improve their capacity in providing community-wide suicide prevention and accessible crisis call and emotional support services. Stakeholder feedback and leadership is brought in at all levels and the programs are consistently connected to local and statewide PEI related projects. Accreditation and Program Capacity Building for San Luis Obispo and Kern Counties

San Luis Obispo:

Coordinator AAS certified

Two volunteer interns recruited and in place to assist with accreditation process

Development of task matrix for accreditation process

Development of database (icarol)

Afterhour’s contract and expansion of bilingual services

Hotline operating 24/7 with over 40 volunteers and average number of monthly calls increasing by 43% over the past year

Accreditation target date: July 2013 Kern:

Sub-contract authorized June 2012

Hired part-time volunteer recruiter support staff and has since more than doubled the number of volunteers with a total of 30 earlier this calendar year

Training boot camp doubled from 2 to 4 annually

Sent 3 employees to AAS conference/training in April 2012

Hotline operating 24/7 with average monthly calls increasing from 936 in FY 2011 to 1412 in FY 2012

Accreditation target date: June 2013 Santa Barbara County Warmlines

Northern SB County:

Coordinator identified

Service delivery model completed including hours of service, volunteer training, supervision and back-up, and marketing of program

4 Peer Call Handlers hired and trained

Warmline live May, 2012 Southern SB County:

Subcontractor identified – Santa Barbara Mental Health Association

Subcontract under development

Warmline start date target: January, 2013 Peer Leadership and Public Suicide Prevention Forums

PAAT (Peer Advisory and Advocacy Team): Over 25 San Luis Obispo residents made up of peers, family members, County and CBO staff, and NAMI leadership. Meets bi-monthly and focuses on eliminating mental health discrimination and improving accessibility to services in SLO County. Received the Paul Wolfe Accessibility Award in May, 2012. Members are actively involved in suicide prevention campaigns and several volunteer as Hotline call handlers

APAC (Area Peer Advisory Council): Santa Barbara Recovery Learning Community leaders, San Luis Obispo Wellness Center member leaders, and PAAT team members meet quarterly to network, update on activities, receive advocacy training, and celebrate the achievement of participants with the Rhythm of Recovery Award

Kern tour, Fall 2011: APAC members toured Kern County facilities and call center, met with peer staff, and developed an open line of communication for future information and resource sharing

Journey of Hope, Pismo Beach, February 2013: public mental health awareness and suicide prevention forum and info fair with focus on Veteran’s or TAY issues (in development)

Suicide Forum October 4th and 10th in Atascadero and San Luis Obispo: public suicide forum featuring local resources, suicide data and information, identification of risk factors, and the personal stories of survivors

Program Partner: San Francisco Suicide Prevention Initiative and Program Name: Regional Local Suicide Prevention Capacity Building Program (SP#2) Regions served: San Francisco, Contra Costa, San Mateo, Santa Clara Counties

Contact information: David Paisley: [email protected] (415) 984-1900 x106 Website: www.sfsuicide.org Overview of Project:

Research: An online survey and youth focus groups were completed in support of establishing electronic crisis counseling programs. A best practices report was developed on how to reach rural populations in a county. Electronic Counseling: Two of four counties (San Francisco and Contra Costa) have established electronic crisis programs. San Mateo and Santa Clara will be next. Warm Lines: Each participating county identified all warm lines in their region and developed letters of cooperation for better suicide prevention training of warm line staff and volunteers. Outreach: In each county, outreach was conducted targeting adolescents and the LGBT community. ASIST: Program staff of all four counties are now trained to provide ASIST training. During the first year (11 months), the four counties:

Responded to 87,108 crisis calls

Responded to 3,026 crisis chats

Conducted 521 adolescent trainings reaching 14,919 adolescents

Conducted 194 adult trainings reaching 5612 adults

Research reports can be found at www.sfsuicide.org

Program Partner: Institute on Aging, Friendship Line, San Francisco Initiative and Program Name: Statewide Suicide Prevention Services Program 2 Regions served: San Francisco Bay Area, Superior Counties Contact information: Patrick Arbore, Ed.D.: [email protected] (415) 750-4111 x230 Website: www.ioaging.org Overview of Project: Our primary goal as a partner in CalMHSA is to augment and strengthen our 24-hour Friendship Line for the Elderly hotline/warmline in order to complement the work of traditional hotlines currently operating in the targeted counties. To this end, Institute on Aging subcontracts with “the Effort” to provide suicide prevention/intervention across the lifespan in the Superior Counties. Friendship Line for the Elderly addresses the special needs of older adults in the region while “the Effort” directs its services to youth and adults through telephone hot lines as well as social media approaches. Key Activities:

To review and revise the subcontract with “the Effort” to better serve the needs of the community members across the lifespan in the Superior Region

“the Effort” will be able to respond to the needs of youth and adults in the region who prefer to make contact through social media

“the Effort” will expand their outreach efforts to include all the counties in the Superior

Region – their outreach worker will share information about “the Effort” as well as Friendship Line throughout the region

Institute on Aging will recruit a part time outreach worker who will interface with “the Effort” to promote Friendship Line services as well as “the Effort’s” services – the Institute on Aging’s outreach worker will be able to reach out, contact, and follow-up with organizations in the Superior Region who may benefit from information/training/in-services about the Friendship Line services

A part time bi-lingual crisis line worker will also be recruited to assist with older callers where Spanish is their first language – this worker will also help to respond to the increased volume of calls

Preparation has been ongoing for the AAS Accreditation; the onsite examination will take place on Thursday, September 27, 2012.

A key activity since the beginning of the grant has been the development of the data base. Testing and implementation began in earnest in 2012; the data base went live in April 2012

During Q4 Friendship Line logged 4,295 call-ins and 7,724 call-outs; For July 2012, Friendship Line logged 2,135 call-ins and 2,881 call-outs – For Q1 2012/2013, we are anticipating a 5 to 7% increase in volume of calls

In July, 2012, FL had contact with 160 older adults from the targeted counties; “the Effort” responded to approximately 100 calls from older adults from the targeted counties in July 2012 – These contacts are really the heart and soul of the contract, which is connecting with at risk older adults in the Superior Region – These numbers do not necessarily represent actual calls from these counties since many callers choose to be anonymous

During Q4, Friendship Line made 28 trainings/in-services to organizations in various counties; “the Effort” made 159 outreach contacts to counties during this same time period

The Scientific Advisory Panel met at Institute on Aging on 8/30/12 to go over progress made to date

The Stakeholder Advisory Panel will meet at a date TBD County Impact: All activity is focused on strengthening lifespan suicide prevention/intervention services to community members in the counties – Friendship Line services are dedicated to the needs of older adults; “the Effort” is increasing their social media capacity to engage with youth, younger adults and adults

Program Partner: Family Service Agency of Marin Initiative and Program Name: Regional Local Suicide Prevention Capacity Building Program (SP#2) Regions served: North Bay: Marin, Sonoma, Napa, Lake, Mendocino and Solano Counties Contact information: Amy Faulstich: [email protected] (415) 827-4843

Website: http://www.fsamarin.org/spcc.html Overview of Project: Goals:

Establishment of a local suicide prevention committee in each county, inviting

representatives from at risk and underserved populations;

Build a system of suicide prevention through 24/7 Hotline that addresses immediate

crisis response and follow-up support through coordination with emergency service

systems;

Identify community needs and build relationships by conducting surveys, key informant

interviews with emergency services personnel and focus groups for marketing the new

North Bay Hotline;

By 2014, North Bay residents will have access to accredited, locally responsive Crisis

Hotline services, reducing suicide rates in those counties;

Assure project sustainability after 3 years.

Major Accomplishments:

Increased internal capacity of hotline – new computers, iCarol database, upgraded phone system for increased call volume, and established toll free North Bay Hotline;

Established local suicide prevention committees in Marin and Sonoma developing and implementing 3 action plans in each county;

Compiled important emergency services contact information from the 5 new North Bay counties;

Began taking National Lifeline calls from Sonoma, Napa, Lake and Mendocino counties on January 10th, 2012;

Launched the North Bay Suicide Prevention Hotline of Sonoma County and disseminated marketing materials throughout Sonoma County;

Implemented community needs assessment survey and facilitated focus groups with two at-risk populations in Sonoma County- Native Americans and Older Adults;

Press releases to Sonoma County newspapers, article in Marin Independent Journal.

Upcoming Key Activities and how they affect counties:

8-30-12: Napa County Liaison, Rocio Canchola, will be appearing on Univision’s

television program, “Retrato Hispano” (Hispanic Portrait) which airs on Telefutura (KFSF). This activity will inform the Latino and Hispanic communities in North Bay region of the North Bay Suicide Prevention Project and the launch of the North Bay Suicide Prevention Hotline;

9-10-12: NAMI Sonoma County and World Suicide Prevention Day: Resource Table for the NBSP Hotline of Sonoma County. This activity will provide a venue to present the NBSP Project and to disseminate marketing materials to community members, providers and mental health consumers;

10-10-12: Suicide Prevention Training Part 2: Tools & Strategies at the Marin Justice Center in San Rafael. This activity will provide suicide prevention education to providers that work with at-risk and underserved children in Marin County. The host for this training is Marin Advocates for Children and CASA;

Week of 3-25-13 Suicide Prevention Network Meeting- Santa Rosa. This regional meeting of the Statewide Suicide Prevention Network will provide the most recent information for reducing suicide and connecting with resources. We are inviting key stakeholders to participate in these meetings and to join the Network, including school counselors, first responders, VA personnel, faith based community members and mental health and primary care providers.

Program Partner: Family Service Agency of the Central Coast Initiative and Program Name: Regional Local Suicide Prevention Capacity Building Program (SP#2) Regions served: Monterey Bay Area: Santa Cruz, Monterey Counties Contact information: Carly Galarneau, Project Coordinator: 831-459-9373 x17 Diane Brice, Program Director: 831-459-9373 x1 Administrative Office (Executive Director David Bianchi): 831-423-9444 Website: www.fsa-cc.org (new website launch anticipated by 12/31/12) Overview of Project: Family Service Agency of the Central Coast is an established provider of suicide prevention and intervention services (including prevention education and twenty-four hour suicide crisis response). Primary objectives to be accomplished through our contract include:

Researching and identifying best practices for suicide crisis response,

Implementing and enhancing necessary systems and services to achieve (and plan for long term maintenance of) accreditation status from the American Association of Suicidology,

Strengthening the safety net of local support services for high risk groups,

Building collaborative relationships with local, regional, and statewide partners, and

Integrating enhanced evaluation measures to assess the utilization and impact of services for different populations.

Key accomplishments to date:

Networked, building relationships with and sharing information and resources with other program partners across the state to integrate best practices and successes into enhancing and refining our own systems (in preparation for accreditation).

Strengthened our presence and accessibility via social networking applications such as Facebook; completing all planning and design for our new agency website.

Revised existing evaluation tools and systems to yield more complete demographic and service utilization data.

Updated technology by purchasing and drafting an integration plan for the iCarol call management software system, to facilitate greater communication and coordination amongst responders and staff and to enhance the consistency and quality control of suicide crisis line service delivery

Reorganized organizational staffing structure to facilitate the successful completion of all contract deliverables; prioritized the hiring of bilingual, bicultural staff for open positions to broaden our ability to provide services to and gain feedback and input from stakeholders in the Latino/a communities in our region.

Upcoming activities to enhance prevention and intervention services in our region include:

Integrate the newly purchased iCarol crisis line management system - training all staff and volunteers to utilize all features of the system and transitioning current information sharing, evaluation, and record keeping operations to the new online system.

Conduct education and outreach presentations and trainings for (as well as provide consultation to) a variety of local community partners (including outreach to youth, transition aged youth, seniors, survivors of suicide loss, and other high risk groups), as well as other program partners working locally on activities across the initiatives (e.g. partnering with CSU personnel at the Monterey Bay campus as they prepare to launch the suicide prevention and intervention component of their campus peer educator program).

Design and produce updated and enhanced promotional materials for various populations.

Create enahnced documentation (including internal program manuals) of procedures and policies for staff and volunteer responders.

Organize and facilitate annual Coastal Trail Walk and conduct bilingual media campaign in conjunction with walk activities, Fall Suicide Crisis Line responder recruitment and training, and World Suicide Prevention Day.

Launching agency website (by 12/31/12) - currently gathering and integrating feedback from various demographic groups prior to official launch.

Collaborate with regional representatives to engage in planning and design for the regional Suicide Prevention Task Force meeting in our community in 2013.

Design and Implement system enhancements for the remainder of suicide crisis response areas necessary to achieve accreditation status, including: Training and

utilizing experienced responders as Assistant Trainers for new responders, establishing revised procedures for conducting follow up calls, strengthening responder evaluation and monitoring tools and procedures, restructuring and enhancing the suicide crisis line responder training, and establishing a comprehensive backup/overflow call response system.

Program Partner: Kings View Behavioral Health Systems Initiative and Program Name: Regional Local Suicide Prevention Capacity Building Program (SP#2) Regions served: Central: Madera, Mariposa, Merced, Fresno, and Stanislaus Counties Contact information: Morrissa Holzman: [email protected] (559) 256-0100 x5001 Website: Unavailable until CVSPH goes “live.” Overview of Project: Goals: Establish and operate a 24/7 365 day Suicide Prevention Hotline. Accomplishments: Delivered, collected and entered data from survey distributed to 350 stakeholders in all five counties. Developed a marketing plan/strategy unique to each county.

Developed and hired additional paid staff positions to include : 3 FTE and 3 PTE to staff suicide prevention hotline.

Provided 40 hours of training to all staff including ASIST, and core competency areas as defined by American Association of Suicidology Accreditation Standards.

Developed and trained first cohort of volunteers to ASIST. Core Competencies to be covered in October, November, and December 2012.

Developed partnerships with all five county MHSA Coordinators and other key partners in the counties including LGBTQ community, NAMI, local churches, public health, CSUF departments of social work and criminology and CalMHSA Program Partner in Suicide Prevention on campus. Developed a strong relationship with SOSL in Fresno. Began outreach efforts to Older Adult Population and regional directors.

Developed agreements with law enforcement in all five counties in protocol for suicide rescues and potential 5150 residents.

CVSPH policies and protocols well under progress.

Physical site set up and the security, confidential records and IT infrastructure completed.

Recorded TV roundtable segment on local suicide prevention and awareness efforts.

This segment is to air beginning 9/24/12. This piece to be located onto the CVSPH website and YouTube.

Fresno County created and presented a Resolution on suicide.

Created artwork for posters and flyers highlighting the CVSPH hotline and number, and for people in crisis.

Key activities for the future: Going “Live” in phases. Phase I is 12pm to 12am schedule, 7 days a week with paid staff taking all calls. Phase II is Suicide Prevention Hotline Schedule 24hrs. 7 days a week with paid staff and well trained volunteers staffing suicide prevention hotline.

How this will affect counties: We will save lives. We will meet counties hopes for a centralized effort to meet the needs of their residents regarding suicide prevention hotline as a resource.

Other key activities will include ongoing volunteer engagement and training including ASIST, AAS Acreditation core competencies, and apprenticeship hours. This will affect counties positively knowing

CVSPH is building a strong, well trained volunteer base to staff the hotline and assist in outreach efforts in getting the word out to a diverse population and large geographic area of the central valley and foothills.

Program Partner: AdEase Initiative and Program Name: Regional Local Suicide Prevention Capacity Building Program: Social Marketing (SP#3) Regions served: Statewide Contact information: Stacey Nelson Smith: [email protected] Website: www.suicideispreventable.org Overview of Project: “Know the Signs” Campaign Overview and Timeline The goal of the statewide social marketing campaign is to prepare more Californians to prevent suicide by increasing knowledge of warning signs, resources and how to talk about suicide to someone they are concerned about. Strategies include: Accomplishments:

Completed literature review, catalog of existing suicide prevention campaigns, statewide baseline KAB study (RDD), and needs assessments with nearly all counties. (Report can be found at www.yourvoicecounts.org)

An analysis of media adherence to safe messaging recommendations. (Report can be found at www.yourvoicecounts.org)

Launched Your Voice Counts, a forum to facilitate information sharing and a dialog

about suicide prevention: www.yourvoicecounts.org

Launched high school student PSA contest Directing Change: www.directingchange.org

Students throughout California are invited to Direct Change by submitting 60-second

videos in two categories: suicide prevention and eliminating stigma about mental illness.

The winning teams and their associated schools will win cash prizes, qualify to win

suicide prevention programs for their schools and will be recognized at an award

ceremony at the end of the 2012-13 school year. Visit the campaign website for contest

rules and information. The submission deadline is March 1, 2013.

Upcoming Activities:

A statewide mass media campaign targeting “helpers” in the general public scheduled to launch after the election in November 2012.

Tool kits with campaign materials and culturally competent outreach materials for targeted populations. First materials will be available beginning September 2012.

Enhanced technical assistance and hands-on social marketing support in small and rural counties beginning in September 2012.

An interactive campaign website that will provide information about warning signs and local resources, and role model how to offer help to someone at risk for suicide anticipated to launch in September 2012: www.suicideispreventable.org

Additional activities of the campaign focus on media outreach and strengthening survivor support groups. Program Partner: LivingWorks Education Initiative and Program Name: Suicide Prevention Training Workforce Enhancement Program (SP#4) Regions served: Statewide Contact information: Jerry Swanner: [email protected] Website: www.livingworks.net Overview of Project: YEAR ONE SIGNIFICANT ACCOMPLISHMENTS (June 2011 – July 2012)

LWE has subcontracted with three CA Crisis Centers (Contra Costa Crisis Center, DiDi Hirsch, and The Effort) to hire CalMHSA Suicide Prevention Training Coordinators to manage the dissemination of contracted suicide prevention training within CalMHSA Partnering Counties/Communities.

These Trainer Coordinators have hosted five ASIST Training for Trainers (T4T) and two safeTALK Training for Trainers, certifying 115 new CalMHSA ASIST Trainers and 18 safeTALK Trainers.

To date, these trainers have conducted 38 ASIST Workshops in 22 different cities/communities, training 725 in suicide intervention skills.

YEAR TWO PLANNED EVENTS (June 2012 – July 2013)

There are two ASIST T4Ts and five safeTALK T4Ts scheduled for Program Year Two, certifying up to 48 additional CalMHSA ASIST Trainers and 50 safeTALK Trainers. In addition, there is another ASIST T4T scheduled for CSU in January 2013.

LWE will also release e-suicideTALK in 2013, providing up to 1,500 individual training licenses coordinated through CalMHSA County Liaisons and CalMHSA Training Coordinators.

LWE will also implement a new CalMHSA ASIST Participant Feedback Form to capture specific participant demographic information.

LWE will work with CIMH and RAND to support the CalMHSA cultural diversity and evaluation components.

CalMHSA Trainer Coordinators continue to support new trainers in conducting workshops/trainings throughout CalMHSA Partnering Counties.

ASIST T4T History/Schedule ASIST

T4T Dates Location Host Trainers Certified

1 7-11 Nov 2011 Contra Costa CCCC 24 Trainers 2 23-27 Jan 2012 Los Angeles DiDi Hirsch 20 Trainers 3 30 Jan – 3 Feb 2012 Sacramento The Effort 24 Trainers 4 26-30 Mar 2012 Contra Costa CCCC 23 Trainers 5 25-29 June 2012 Sacramento The Effort 24 Trainers 6 22-26 Oct 2012 Los Angeles DiDi Hirsch 24-person T4T 7 3-7 Dec 2012 (T) Southern CA DiDi Hirsch 24-person T4T 8 Program Year Three TBD TBD 24-person T4T safeTALK T4T History/Schedule safeTALK T4T Dates Location Host Trainers Certified 1 2-3 Jun 2012 Sacramento The Effort 10 Trainers 2 20-21 Jun 2012 Walnut Creek CCCC 8 Trainers 3 7-8 Nov 2012 Riverside DiDi Hirsch 10-person T4T 4 Program Year Two TBD The Effort 10-person T4T 5 Program Year Two TBD CCCC 10-person T4T 6 Program Year Two TBD DiDi Hirsch 10-person T4T 7 Program Year Two TBD DiDi Hirsch 10-person T4T 8 Program Year

Three TBD The Effort 10-person T4T

9 Program Year

Three TBD CCCC 10-person T4T

10 Program Year Three

TBD Didi Hirsch 10-person T4T

CalMHSA Partner County Trainer Coordinator Assignments Contra Costa Crisis Center

Didi Hirsch

The Effort

Contra Costa Fresno Amador Modoc Marin Imperial Butte Placer Merced Inyo Colusa Sacramento Mono Kern El Dorado Siskiyou Monterey Los Angeles Glenn Stanislaus Napa Orange Humboldt Sutter San Francisco Riverside Lake Trinity San Mateo San Bernardino Lassen Tuolumne Santa Clara San Diego Madera Yolo Santa Cruz San Luis Obispo Mendocino Yuba Solano Santa Barbara Sonoma Ventura

Contra Costa Trainer Coordinator: Kathleen Snyder, [email protected] Didi Hirsch Trainer Coordinator: Gina Found, [email protected] The Effort Trainer Coordinator: Liseanne Wick, [email protected] Program Partner: Runyon Saltzman & Einhorn, Inc. Initiative and Program Name: Stigma & Discrimination Reduction Program 1- Strategies for a Supportive Environment, Component 2: Social Marketing Regions served: Statewide Contact information: Norma Rivera, Social Marketing Director: [email protected] Scott Rose, Vice President: [email protected] Website: www.rs-e.com Overview of Project: The goal of the SDR social marketing campaign is to reduce and eliminate mental health stigma and discrimination through education, support and social norm change. To achieve this goal, we are targeting four key target audiences:

0-8 kids reached via parents and caregivers

We will develop strategic SDR messages to engage targeted bloggers across several key categories.

- We will model the SDR blogger outreach strategy on other successful health and wellness campaigns (Bullying Awareness; Childhood Obesity/Diabetes; Food Allergies Awareness)

- We will be targeting parents and caregivers who rely on each other for valuable information and topical stories. This mom-to-mom dialogue will be conversational and have a “did you know?” quality.

- A calendar will be developed with suggested topics to be discussed and sent to participating bloggers with concise messages and reminders to share with their readers on a regular basis.

Inoculation Target: 9-13 school-age kids We will be inoculating them from forming stigma and discrimination through education.

- We are currently finalizing the Inoculation plan that includes: radio, online and a school-based performance skit and reinforcement materials that will debunk myths about mental illness through education. We are collaborating with SMH and plan to pilot the school-based performance in FY2. A post evaluation will be conducted and a sustainability plan recommendation will be presented.

Mobilization Target: 14-24 year-old youth and young adults We have been running a radio, online and print campaign (May – Sept. 2012) that is

encouraging people experiencing mental health challenges and empathizers to go to ReachOutHere.com that promotes large-scale contact, disclosure and support, and converts self-stigma to energy, empowerment, and social influence. We have been collaborating with SMH by providing customized posters, flyers and postcards featuring the campaign message and ReachOutHere.com. These materials, as well as our radio spots, banner ads are also available to counties for use in their communities.

Decision Makers Target: 25+ year old adults (employers, teachers, law enforcement, healthcare, family and friends etc.) - We are currently partnering with Capitol Public Television (KVIE station) in the

development of a one-hour documentary. The goal of the documentary is to modify individual attitudes and influence new social norms and behaviors. The documentary will air on 13 CPT stations across the state. We have four screenings planned in Los Angeles, Bay Area, Sacramento and Fresno, along with community dialogues planned to engage communities and media around the events for the CPT documentary. RS&E and CPT are collaborating with the consortium and gaining input and guidance on the content and interviewee subjects. Target date for the launch of the documentary is Spring 2013.

- To extend the reach to decision makers, we are developing a Speakers Bureau Microsite that will serve as an online clearinghouse tool that makes the state’s existing speakers bureau resources discoverable by and accessible to the public. We are also finalizing a funding opportunity via mini-grants for the Speakers Bureau. The purpose of the mini-grants is to allow speakers bureaus throughout California to achieve three key goals:

Incorporate SDR messages into speakers presentations Increase the number of speaking placements on a quarterly basis

Provide stipend funds to individuals speaking about mental illness and SDR Program Partner: United Advocates for Children and Families

Initiative and Program Name: Stigma & Discrimination Reduction Program 1 - Strategies for a Supportive Environment, Component 3: Capacity Building Regions served: Statewide Contact information: Sireyia Ratliff: [email protected] (916) 643-1530 x102 Website: www.uacf4hope.org Overview of Project: In an effort to reduce stigma and discrimination, UACF, through the management of its Institute for Family and Youth Leadership initiates strategies to engage and empower local communities across the state to provide a supportive environment for consumers, families, youth, and children, building upon the recognition that mental health is integral to everyone’s well-being. Our strategies target people with lived experience, their family members, and caregivers across the lifespan. UACF established a Network Advisory Committee which provides oversight, planning, implementation, coordination, and feedback as the project expands. The Network Advisory Committee consists of community leaders, stakeholders, families, and those with lived mental health experience. During the first in-person meeting on April 23, 2012, members received a notable, introductory presentation by special guests John E. Chaquica, Executive Director of CalMHSA, and Stephanie Welch, Program Manager, CalMHSA, which was highly appreciated and well received. UACF has developed a Gaps Analysis Need Assessment that provided a snapshot of “where we are” and assisted in directing critical first steps in determining the vision of “where we’re going” relative to the deep impact of stigma. Focus groups were held across 7 regions with 154 participants, which provided a key component of UACF’s assessment. UACF has also implemented local community outreach strategies through efforts such as Community Roundtables. On June 27, 2012, UACF held a Community Roundtable planning meeting in Los Angeles with 24 stakeholders. Participants included Los Angeles County Department of Mental Health (LACDMH) staff, community leaders, and non-profit organizations. The event was facilitated by Sam Chan, District Chief, LACDMH Family and Community Partnerships, Children’s System of Care, and the PACTL organization. The focus areas discussed were developing and implementing local anti-sigma strategies, coordinating public awareness campaigns, and sharing best practices and successes statewide. The actual Community Roundtable event in Los Angeles is scheduled for October 29, 2012 with an anticipated 40 to 50 members. UACF will model this approach regionally, adapting as needed locally. Planning for additional Roundtables in other counties is currently underway including for San Diego, Humboldt, San Jose and San Bernardino counties. Program Partner: Mental Health Association of San Francisco Initiatives and Program Names:

1. Stigma & Discrimination Reduction Program 2: Values, Practices and Policies,

Component 1: Resource Development 2. Stigma & Discrimination Reduction Program 3: Promising Practices

Regions served: Statewide Contact information: Glen McClintock, MSW, Center Project Manager: [email protected] (415) 421-2928 x320 Website: www.mentalhealthsf.org ; www.dignityandrecoverycenter.org Overview of Project: Center for Dignity, Recovery, and Stigma Elimination (Goal) Mission: To advance human dignity and wellbeing on a sustained basis by changing behavior and bias associated with mental health and mental illness in California through integrated evaluation, refinement and dissemination of best practices in stigma reduction that are effective in the state’s many communities; and to advance the field of stigma and discrimination practice and research globally.

The Center provides direct training and technical assistance to:

Develop culturally relevant tools for fighting stigma within California's diverse cultural/ethnic/racial communities

Inform dialogue on how community-based programs address stigma around mental health conditions

Promote statewide initiatives that support community-led best practices Empower communities through collaborative input and action Increase visibility and exposure of community-based programs Share expertise with similar programs and programs focused on cultural/ethnic/racial

communites statewide Resource Development The Center’s Resource Development Program represents a unique effort to identify and support community-based, mental health stigma and discrimination reduction (SDR) programs across the state through a process of engagement, assessment and the provision of training and technical assistance. This highly collaborative program works in partnership with experts in stigma elimination, statewide consumer leaders and consumer-run organizations to provide resources and supports in ways that empower SDR programs to become effective agents for stigma elimination in their own communities. Major Accomplishments

Successfully developed cornerstone elements of SDR Toolkit (California Quality Improvement-Fidelity, Assessment, and Implementation Rating (CQI-FAIR), Platform Skills Fidelity Measure), plus created additional 14 tools in six categories to assist SDR programs to implement Best Practices;

Developed “Resource Development SDR Program Assessment and Engagement Plan” to be used in engaging with the California CDPs in a co-learning evaluation process;

Identified approximately 105 anti-stigma programs statewide; Developed system to classify anti-stigma programs entered into the database; Developed parameters for statewide index of Consumer-Run SDR Programs; Created Participatory Action Research team, including stakeholders from across the state

and inclusive of rural areas and representatives of different ethnic/cultural communities, to ensure program tools and protocols resonate with and are inclusive of the perspectives of these varies constituents.

Initiated Center website, dignityandrcoverycenter.org Upcoming Key Activities

Implement SDR Program Assessment and Engagement protocols -- including observation of program activities, interaction with program staff, and use of SDR Toolkit -- with 15 SDR programs statewide by end of FY 2012-13

Launch full Center website with SDR Program Registry (September 30) Develop and offer trainings on stigma reduction best practices (January 2013) Conduct an electronic survey (Qualtrics Study) of consumer advocates across the state to

determine their views regarding the relative importance of variables within the CQI-FAIR. (September, 2012)

Promising Practices The CalMHSA "Promising Practices" program engages directly with California communities to identify culturally, ethnically and racially specific attitudes towards mental health; examine cultural, ethnic and racial strengths and resources; and support approaches that reduce stigma within culturally, ethnically and racially diverse communities. Dr. Larry Yang, of Columbia University's Mailman School of Public Health, leads this research. With a focus on rapid knowledge transfer, the Center's professional teams work together to build a knowledge base for evidence-based community-driven stigma change. The teams integrate cutting- edge instruments for evaluation, strategies and resources that community organizations can utilize to strengthen their programs. Major accomplishments

Developed “Promising Practices Engagement Plan” to be used in engaging with the California CDPs in a co-learning evaluation process;

Developed parameters for identifying promising practices within cultural/ethnic/racial communities.

Identified approximately 122 promising practices programs statewide; Created Regional Population Structure to identify areas of need in each California

County. Developed framework for Young Investigators Project with CAYEN (California Youth

Empowerment Network) Developed web-based RFP Process. Brought on new Co-Investigator, Dr. Larry Yang at Columbia University’s Mailman

School of Public Health. Developed information brief/Invitation to Promising Practice Community Development

Partners. Upcoming Key Activities

Developing a T& TA training tool for Promising Practices (CDP's need assessment,

training guide, evaluation/feedback tool) (December 31, 2012).

Promising Practices Literature review (December 31, 2012)

Include Promising Practices in Center Web-based registry (September 30th)

Hold first Annual Stigma Conference (Scheduled for March 21-22, 2013)

Planning meetings with all County Ethnic Service Managers

Initiation of Young Investigators Project (November, 2012) How These Activities Affect Counties

The Center for Dignity, Recovery and Stigma Elimination will benefit counties by providing a registry of stigma and discrimination reduction programs and promising practices within cultural/ethnic/and racially diverse communities. This registry will help to network programs across the state serving similar populations and will highlight programs that are utilizing best practice strategies.

The Center will help develop quality SDR programming within counties by engaging with

programs as community development partners and bringing tools and trainings that support integration of best practices.

It will assist counties in identifying promising practices within culturally/ethnic/racially

diverse communities that assist in stigma reduction although that may not be the main focus of the program. As part of this identification process, the Center also will explore the interplay between culture/ethnicity/race and concepts of mental illness and stigma.

The Center also will build relationships with county representatives and programs as it

works with these programs as Community Development Partners, a process that emphasizes co-learning and cultural humility.

The Center will support counties by offering training on stigma reduction best practices

while also creating local Community and Youth Investigators who can continue such training and provide support to local stigma reduction initiatives.

Program Partner: Entertainment Industries Council, Inc. Initiative and Program Name: Stigma & Discrimination Reduction Program 2: Values, Practices and Policies, Component 2: Partnering with Media and the Entertainment Industry Regions served: Statewide Contact information: Nedra Weinreich, Program Manager: [email protected] (818) 840-2016 Website:www.eiconline.org/calif-mental-health/ (new website/URL coming soon) Overview of Project: Goals: To increase the level of mental health among Californians by working with

entertainment, news and social media professionals to:

Decrease the level of stigma felt by those who need to access mental health services or

have been diagnosed with a mental illness, leading to help-seeking behavior

Decrease the level of discriminatory and prejudicial actions toward people with mental health issues by others in their community

Objectives: Media professionals will have positive changes in:

Knowledge – mental illness facts, how to talk about mental health in a non-stigmatizing way, that EIC/TEAM Up is a resource they can use

Attitudes – level of stereotypes/prejudice, belief that what they do can affect their audience positively or negatively, self efficacy, accuracy as a value

Behaviors – attend TEAM Up events, contact us for assistance, consult our website/materials, create and report accurate stories following guidelines, adopt our recommendations as organizational policy

Major Accomplishments

Muestra Esto/Picture This Forum held at Univision bringing together stakeholders and journalists (6/7/12)

Mental Health for Storytellers Briefing held for entertainment industry at Universal Studios (8/16/12)

Two Lives a Day Lost in LA: Communicating About Suicide and Mental Health event in collaboration with program partners (9/10/12)

Development of news media style guide for reporting on mental health

News media analysis of mental health coverage in California newspapers

Entertainment media content analysis data collection

Culturally specific program scans for five priority audiences

Podcast series with Dr. Drew PInsky, Bernice Pescosolido, Rebecca Palpant

Ongoing outreach and technical assistance to entertainment industry and news media Upcoming Key Activities

Prism Awards Broadcast – September 16 and onward

Journalism Association of Community Colleges conferences

California Association of Social Rehabilitation Agencies (CASRA) conference, Burbank – Media Panel – 10/23/12

Picture This: San Diego – March 2013

Picture This: San Francisco – June 2013

Direct outreach to journalists/newsrooms and current television shows - ongoing Program Partner: Community Clinics Initiative – Integrated Behavioral Health Project Initiative and Program Name: Stigma & Discrimination Reduction Program 2: Values, Practices and Policies, Component 3: Promoting Integrated Health Regions served: Statewide

Contact information: Karen Linkins, PhD: [email protected] (480) 471-7516 Website: www.ibhp.org Overview of Project: The goal of the first year of the Integrated Care Initiative was to conduct a statewide assessment of the training needs to promote behavioral and physical health integration in counties, provider systems and health plans to transform programs and services, reduce stigma and discrimination, and improve the capacity and preparedness of the workforce for working in integrated settings. An additional goal was to promote integrated care by refreshing, updating, and expanding the IBHP website with specific technical assistance and training resources accessible across California. Statewide Assessment Accomplishments:

Analyzed data from over 100 Key Informant and Stakeholder interviews for key themes regarding the current environment for integrated care in California and nationally, as well as needs and gaps in training, resource development, and capacity to deliver sustainable, culturally responsive integrated care in a variety of settings (i.e., community health clinics, mental health and substance use provider organizations, health plans, and other community based organizations that provide supportive services).

Analyzed secondary data sources (e.g., 1115 Waiver needs assessment conducted by TAC; CiMH county mapping project; UCLA SUD reports; DHCS 1115 waiver reports)

Developed and administered web-based surveys (customized for each profession) of the MH/SU/PC workforce and pipeline (Social Workers, Nurses, AOD Providers, Psychologists, Family Medicine Physicians); obtained e-mail addresses of potential respondents through associated professional organizations and University training programs

Continued to update IBHP.org website, the IBH tool kit, and matrix of existing trainings and resources.

Identified key areas of need to target in years 2 and 3 with training resources, including: Peer involvement, Networking and Coalition Building, Substance Use Disorder services, workforce, data collection and outcome measurement, Health Plans, FQHCs and County Mental Health

Stakeholder Collaboration and Relationship Development

Collaboration with professional associations and programs in CA to develop and field the workforce survey (e.g., CalSWEC, WETs, National Association of Social Workers, CA chapter, American Psychological Association of CA, various nursing, physician, and SUD organizations (e.g., CADA) and accrediting bodies

Outreach to Working Well Together to better understand and identify opportunities to connect peers to integrated care teams in primary care

Collaboration with CiMH to plan strategies for strengthening and sustaining the current Learning Collaboratives working with 25 counties that are developing collaboratives spanning County Mental Health and safety-net providers

Collaboration with CiMH to provide feedback to the State (DHCS) Duals Pilot

Behavioral Health Stakeholder subcommittee on proposed behavioral health and primary care measures, emphasizing the need for measures that address client/consumer experience with health and behavioral health care and are developed with direct input by individuals with lived experience

Collaboration with CA Primary Care Association to identify and address the training needs of clinics participating in the Behavioral Health Network

Leveraging Federal and State Resources

Workforce Development and Standards: We are developing a

strategy to collaborate with and leverage the work of the Agency

for Healthcare Quality (AHRQ) at the Federal level. They have

funded a project to develop workforce competencies for

integrated care based on high performing clinics, which will help

standardize roles of professions/team members delivering care.

As part of this effort, California clinics will be included, and the

focus will be expanded to include issues of cross-provider stigma

and discrimination that affects care in clinic settings. The effort

will also address the role and scope of work for peers on

integrated teams.

Infrastructure for Training and Resource Dissemination: We are working with CiMH, CPCA, and CADA to build infrastructure to support integrated care training and resource dissemination to counties after the CalMHSA funding ends.

Program Partner: Mental Health Association in California Initiative and Program Name: Stigma & Discrimination Reduction Program 2: Values, Practices and Policies, Component 4: Promoting Mental Health in the Workplace Regions served: Statewide Contact information: Zima Creason, Associate Director: [email protected] (916) 557-1167 Website: www.mhac.org Overview of Project: The mission of the workplace mental health project is to address mental health in the workplace and to reduce stigma and discrimination related to mental illness by working with employers in California’s counties. The goals of the project include the development of products and trainings to make the business case to employers that it is worth their time and money to protect the mental health of their employees and to foster mental wellness. Specialists will be trained to deliver the program in November (target date). The project will coordinate efforts with county mental health leadership to support existing local efforts.

Program Partner: NAMI California Initiative and Program Name: Stigma & Discrimination Reduction Program 2: Values, Practices and Policies, Component 5: Reducing Stigma and Discrimination in Mental Health and System Partners Regions served: Statewide Contact information: Holly Davison, SDR Programs Coordinator: [email protected] (916) 567-0163 Steven Purcell, Deputy Director: [email protected] Website: www.namicalifornia.org Overview of Project: The Reducing Stigma and Discrimination in Mental Health System Partners program developed by NAMI California, in partnership with the Union of Pan Asian Communities (UPAC) and Pacific Clinics was created with the goals of enhancing existing, proven statewide stigma reduction programs; increasing capacity of NAMI CA’s statewide network of more than 70 local affiliates to deliver culturally and linguistically competent SDR programs; conducting and integrating efforts across the Student Mental Health Initiative and Suicide Prevention Programs; and ensuring that our statewide network of NAMI Affiliates have the capacity to continue providing these services beyond the funding period. NAMI California hit the ground running providing trainings and presentations to communities across the state in year 1. The major accomplishments to date include conducting over 300 In Our Own Voice (IOOV) presentations statewide, 3 Train-the-Trainer events for three of our four signature SDR programs including IOOV, Ending the Silence (ETS), and Parents and Teachers as Allies (P&TasA), 11 regional IOOV Presenter and 7 regional P&TasA Presenter trainings statewide, 11 webinar-based ETS Presenter trainings and convening a Cultural Competence Steering Committee composed of members from the African American, Latino, Asian/Pacific Islander, Native American, LGBTQ, Spirituality (Christian Faith), Older Adult, Transition Age Youth, Muslim and Rural Worker communities. In year 2 thus far, we’ve continued conducting IOOV presentations across the state and have begun conducting ETS and P&TasA presentations as well. One upcoming key activity is to get started rolling out the Provider Education program across the state by conducting a Train-the-Trainer Event in October. In addition, we will be collaborating with the Placer County Office of Education, a California Department of Education SMHI Program Partner, in their regional mental health education trainings across the state. At each training, we will promote our ETS and P&TasA programs to school professionals for them to use as a portion of their school’s mental health curriculum. The NAMI California Affiliates surrounding each training site will also have the opportunity to advertise the additional programs, services and support they provide to those affected by mental health conditions in their communities. Both of these key activities will be affecting counties across the state by bringing NAMI programs to their communities.

Program Partner: Disability Rights California Initiative and Program Name: Stigma & Discrimination Reduction Program 4: Advancing Policy to Eliminate Discrimination Program Regions served: Statewide Contact information: Margaret Johnson, Esq., Advocacy Director, [email protected] (916) 504-5937 Website: www.disabilityrightsca.org ; www.disabilityrightsca.org/espanol Overview of Project: Disability Rights California has four basic goals as follows: (1) Resource Development, (2) Training and Capacity Development, (3) Identify and Analyze Laws that Foster Discrimination, (4) Identify and Analyze Laws within Criminal Justice and Allied Systems Resource Development: Create an Advisory Group; Identify anti-discrimination laws, regulations, policies, and practices that reduce stigma and discrimination and encourage the provision of services in the community and in non-traditional settings; Establish a website or other social network site; Develop 20 to 30 user friendly fact sheets; Translate at least 50% of the fact sheets into Spanish, Asian and other languages. Training and Capacity Development: Develop 5-15 training or other educational materials; Conduct 50-150 outreaches, and trainings to 25-100 groups; Develop alternative ways of delivering training (e.g., web modules); Translate training materials into Spanish, Asian and other languages. Identify and Analyze Laws that Foster Discrimination: Identify existing anti-discrimination laws and policies that are not adequately enforced and identify laws and policies that may contribute to stigma and discrimination; Analyze laws and policies to determine if they are discriminatory, impinge on liberty or privacy, and whether they expand or contract resources; Develop position papers outlining findings and recommendations; Identify topic areas for in-depth policy papers that look at both laws and policies that prohibit discrimination but where additional enforcement is needed or look at those that may contribute to discrimination; Draft at least two instructive policy recommendation papers and begin implementation of recommendations. Identify and Analyze Laws within the Criminal Justice and Allied Systems: Identify laws and policies in the criminal justice system and partners that impact individuals with mental health challenges; Develop recommendations regarding mechanisms to more appropriately meet their needs; Develop strategies to address laws and policies within the criminal justice systems and partners that impede efforts to effectively meet the needs of people with mental health challenges. Major Accomplishments

- Created an Advisory Group - Subcontracted with Mental Health Advocacy Services to work on youth issues - Subcontracted with Mental Health Consumer Concerns to work on stigma and

discrimination in faith based communities - Identified four policy paper areas, incompetent to stand trial, housing issues related to

NIMBYism, diversion and aftercare, and first responders - Created a webpage for the project:

http://www.disabilityrightsca.org/CalMHSA/CalMHSA.html - Drafted 25 fact sheets and finalized seven, three of which have been translated into other

languages - Participated in two conferences related to youth issues and one for people with

disabilities who are Latino - Developed a training on LPS rights and stigma and discrimination reduction for public

defenders Upcoming Key Activities & How They Impact Counties

- Finalize fact sheets – Counties will find these useful to provide to their employees and the community in general; counties are providing input through our Advisory Group that includes county employees

- Develop and schedule training on housing rights, employment rights and mental health rights – counties may find these informative to attend and the community in general will benefit; counties are providing input through our Advisory Group that includes county employees

- Work on policy papers; these papers will address issues that may make positive changes and help counties serve people with disabilities more effectively; counties are providing input into these papers through a MHSA Coordinators mini-committee

Develop paper on recent changes in the law impacting stigma and discrimination reduction for people with mental health disabilities; counties may find this information helpful in knowing what changes have been made in the law Program Partner: California County Superintendents Educational Services Association (CCSESA) Initiative and Program Name: Regional K-12 Student Mental Health Initiative Regions Served: Statewide Contact information: Gaye Smoot, Assistant Executive Director, CCSESA: [email protected] Joyce Wright, Assistant Superintendent, Sacramento County Office of Education: [email protected] Cheryl Raney, Director, Sacramento County Office of Education: [email protected] Pamela Robinson, Director, Sacramento County Office of Education: [email protected] Website: In development Overview of Project:

GOALS:

Build capacity of schools to implement prevention and early identification strategies that promote student mental health, with an emphasis on grades K-8.

Build relationships among local agencies for effective use of resources and improved communication and information sharing.

Build capacity of county offices of education and school districts to educate and train school staffs and families.

Share resources and best practices through demonstration programs and an online clearinghouse.

MAJOR ACCOMPLISHMENTS TO DATE: Cross System Collaboration

In most of the 58 counties, a consortium that could collaboratively work on student mental health related issues was identified, augmented with members, or created. In a few smaller counties this work continues to evolve. In most counties, these consortia meet regularly and in some have begun to tackle how their collaboration can improve access and facilitate services with a focus on how to best meet the needs of students. Clearly, collaboration is a work in progress.

All identified consortium members were invited to participate in CCSESA’s online, baseline collaboration survey. The survey deadline was extended to June 30, 2012 to accommodate consortia. Regional leads worked extensively with their consortia to encourage participation. We are in the process of cleaning up the data and will have a complete analysis for the 2012-13 Q1 report. Preliminary analysis indicates that of 1,248 identified consortium members throughout the state, 441 (35 %) completed the survey. On average, online surveys generate a 26% response rate. For more preliminary results, see attachment. (See attached display of these results.)

School-Based Demonstration Programs

The Clearinghouse team completed the literature review, refined Resource Review guidelines and forms, and began reviewing resources. Resource reviews are being completed daily and are uploaded for final review by SCOE staff. The SCOE technical team is programming all components of the web site. The home page and static documents (About Us, Project Partners, etc.) have been reviewed and approved. The web site is expected to be launched in early September.

All regions report that work has either begun or completed on identifying target needs/detrimental behaviors as the focus of their school-based demonstration programs and how their regional program will be designed. Sites will be operational by the end of the calendar year and in some cases this fall. Program examples include:

- Northern CA: Community Transition Teams, Positive Parenting Program, Conscious Discipline Program

- Bay Area: Bullying Prevention, Positive Parenting Program, Aggression Replacement Training, Positive Behavioral and Intervention Strategies, Project Cornerstone

- Central CA: Positive Behavior Support Teams, Bullying Prevention, Mental Health First Aide, Coping and Support Training, Reconnecting Youth, Center for Social Emotional Foundations in Early Learning

- Southern CAL Insight and Peer Resource Leadership, Coordinated School Health, Youth Suicide Prevention Program, Bullying Prevention, Resiliency Training

Education and Training

All regions have identified trainers and continue to expand this pool. Many have conducted training for trainers opportunities. In some regions, the focus areas are common across the regions and in other regions they vary by county. Regions are developing or have completed their schedules of trainings for 2012-13 and into 2013-14.

Technical Assistance

Some regions have begun to compile the list of experts for technical assistance and are developing a plan for trainings.

UPCOMING KEY ACTIVITIES: Activities are conducted at the regional/county level. Contact regional leads for more information.

Program Partner: California Department of Education Initiative and Program Name: Statewide K-12 Student Mental Health Initiative Regions served: Statewide Contact information: Monica Nepomuceno, Education Programs Consultant: [email protected] (916) 323-2212 Website: Mental Health: www.cde.ca.gov/ls/cg/mh/ Student Mental Health Policy Workgroup: www.cde.ca.gov/ls/cg/mh/smhpworkgroup.asp Overview of Project: Training Educators through Recognition and Identification Strategies One goal of the Statewide Kindergarten through Twelfth Grade (K–12) Mental Health Program is to increase the capacity for local educational agencies to identify student mental health issues early on with the outcome of promoting school and student wellness and academic achievement. During fiscal year 2011–12, the California Department of Education (CDE) subcontracted with the Placer County Office of Education (PCOE) to deliver 11 Training Educators though Recognition and Identification Strategies (TETRIS) workshops. The PCOE identified the Substance Abuse and Mental Health Services Administration (SAMHSA) Eliminating Barriers to Learning (EBL) curriculum for use at the TETRIS workshops to train educators and school staff throughout the State of California. The PCOE modified and enhanced the SAMHSA EBL curriculum, which is geared towards high school teachers, to reach a wider audience that included K–12 educators and school staff in California. The EBL curriculum addresses awareness of student mental health through an in-depth view of mental illness, stigma discrimination, cultural competency, and student and family involvement. These trainings were conducted to increase awareness and the ability to recognize and address the needs of students who are impacted by mental health issues.

The 11 TETRIS workshops were conducted using a training-of- trainers (TOT) model in order to maximize the number of participants and provide knowledge and skills to a larger audience, thus creating a greater statewide impact. Individuals interested in participating in the TOT (level 1) were required to submit a short application, as part of a school or district team, to the PCOE. The application included a plan for the team in delivering the trainings in their school, district, county, or region (level 2), and clearly stated the commitments expected as a trainer. The TOTs were delivered in 9 of the 11 California County Superintendents Educational Services Association (CCSESA) regions. While the CDE anticipated conducting a TETRIS workshop in each of the CCSESA regions, geography and population played a large role in scheduling the TOTs. Some regions have large populations and warranted two trainings. For example, there is a greater need for more trainings in Orange County which has 515,464 students than in Tehama which has 10,694 students. The table below summarizes the completed 2011–12 TOTs:

Two-day Training-of Trainers

CCSESARegion

Location

Number of

Participants

Number of

Applications

Received

1 3 California State University, Sacramento 128 0

2 10 San Bernardino County Office of

Education

116 0

3 9 Orange County Office of Education 64 22

One-day Training of Trainers

4 2 Butte County Office of Education 26 8

5 4 Marin County Office of Education 34 34

6 9 Orange County Office of Education

33 0

7 5 Santa Clara County Office of Education 21 6

8 6 Stanislaus County Office of Education

28 28

9 3 Placer County Office of Education

20 6

10 8 Kern County Office of Education 34 0

11 4 Contra Costa County Office of Education 10 0

Totals 514 104

All TOT participants were asked to complete a likert-scale survey (ranging from one to seven) assessing the quality of the TOT. Survey Total Mean for Each Question Question EBL Two-Day

TOT Mean Score

EBL One-Day TOT Mean Score

Was today's content of this training relevant and applicable to your classroom/school/district?

5.8 5.8

Was the information presented today too simplistic or too detailed?

3.9 3.9

Was today's information new to you? 4.1 4.1 Was today's information well-organized? 5.5 5.5 Was there a sufficient amount of interactive training activities/discussion?

4.4 4.4

Were the materials (slides, handouts) clear and concise? 5.5 5.5 Overall, were today's trainers (i.e. speakers, presenters, facilitators) effective in addressing the topics on the agenda?

5.0 5.0

Did the two-day training provide you with concrete tools and strategies to take action?

5.1 5.1

Was the two-day training an appropriate length? 4.4 4.4 Student Mental Health Policy Workgroup Another goal of the Statewide K–12 Mental Health Program is to convene the Student Mental Health Policy Workgroup (SMHPW). The purpose of the SMHPW is to make annual policy recommendations to the State Superintendent of Public Instruction (SSPI) and the California Legislature that will favorably impact student mental health, and build capacity among K–12 schools, mental health providers, mental health organizations, youth development agencies, and others to appropriately refer and treat students with mental health needs. The CDE collaborated with the CCSESA to determine the SMHPW membership. Thirthy-five members were selected from diverse sectors and geographical locations with both an interest and experience in dealing with student mental health. On May 31, 2012, the CDE convened the first SMHPW Meeting at the Sacramento County Office of Education. The initial SMHPW was successful and group members identified top priorities on which to focus. The following were top priorities the work group identified that could be addressed through policy recommendations:

a. Improve access and funding for mental health services

i. Early intervention

ii. Ability to target mental health services for different segments (culturally and linguistically appropriate services, foster youth, etc.)

iii. Targeted funding for specific interventions

b. Collaboration to reduce mental health stigma and discrimination (race, sexual

orientation, classism, etc.)

c. Increased focus on wellness and resilience

i. Systemic cultural competencies training/curriculum for mental health (required curriculum for all key players)

d. Required statewide standards for student mental health services (common definitions, common core standards, consistent statewide data collection tool)

e. Mandated staffing ratios for student support services teams

f. Partnership funding to put a comprehensive student mental health system in place (e.g., "Kaiser on campus" idea)

g. Professional capacity to deliver matriculation of services (e.g., mandatory training in mental health first aid)

h. Inform and engage parents to ensure their involvement i. A model focusing on early intervention/prevention through collaboration of schools,

communities and other stakeholders that allows for funneling of money and resources in a sustained and braided approach

j. Inclusion of families and students

k. Mental health parallel to RTI

The ideas generated at the May 31, 2012, meeting were preliminary topics that required additional data and information for further consideration by the work group. The CDE reviewed the list of data needs identified and provided work group members information that was necessary to continue exploring the top priorities. The CDE developed next steps, determined interim work to be completed between SMHPW meetings, and communicated plans to work group members.

On August 31, 2012, the SMHPW will convene again with a clear purpose to:

Begin discussing and drafting preliminary policy recommendations as identified by SMHPW members, the public, and CDE staff.

Continue small group discussion of priority issues identified in the first meeting and development of topics for potential policy recommendations and next steps.

The intent is for the SMHPW to draft two policy recommendations by December 2012, to provide to the SSPI and the California Legislature.

Program Partner: California State University Office of the Chancellor Initiative and Program Name: Student Mental Health Initiative: California State University Student Mental Health Program (CSUSMHP) Regions served: Statewide Contact information: Ana Aguayo-Bryant, Assistant Director: [email protected] Website: Overview of Project: The California State University Office of the Chancellor received a $6.9 million grant from the California Mental Health Services Authority (CalMHSA). In accordance with CalMHSA, the Student Mental Health Initiative (SMHI) focuses on prevention strategies, which address the mental health needs of students within the California State University (CSU) system and advances collaboration between educational settings and county services. Three strategic deliverables have been prioritized: 1) faculty and staff training, 2) peer-to-peer support, and 3) suicide prevention. These sole source contracts will meet the faculty and staff deliverable. The SMHI Program has received the overwhelming support and has seamlessly integrated the program into the CSU Office of the Chancellor culture. These are our most significant program achievements to date:

The CSU Office of the Chancellor will implement Applied Suicide Intervention Skills Training (ASIST) and Mental Health Training First Aid (MHFA) as the system wide training program for all 23 campuses.

Student Health 101, an on-line magazine, was selected as the lead vendor for CSU Office of the Chancellor to implement the social marketing campaign.

On June 29, 2012, the first Coordinator’s Orientation Meeting was held at the CSU Office of the Chancellor’s facilities. Twenty-two campuses attended the meeting; the purpose was for the campus coordinators to have a better understanding of the program deliverables, strategic measures for implementation, and ways to build and strengthen relationships between campuses.

Campuses started implementing programs on July 1, 2012.

Campuses have collected benchmarking data and will continue to assess data for the development of comprehensive programs.

All campuses have an assigned campus coordinator but are in the process of hiring support staff and faculty.

Added resources to our campuses, was the creation and introduction of the SAS CalMHSA SharePoint. A web-based collaboration and content management portal to share and disseminate information efficiently.

Harder+Company Community Research has been selected to lead the evaluation for the CSUCO system; a formal contract is being negotiated.

To be well informed and to better support campus coordinators, the CSUCO initiated

monthly conference calls. The first conference call was held on August 14, 2012.

The CSUCO CalMHSA staff is dedicated on fostering relationships with partners and continues to collaborate and share resources with California Community College Chancellor’s Office and University of California Office of the President.

Each campus was strongly encouraged to establish partnerships with their local County Mental Health Office in order to significantly enhance the local resources. By leveraging key resources, campus and county staff have collaborated in coordinating trainings, workshops, and provided collaborative interventions. Below is a chart that highlights how each campus has partnered with their respective counties partners to leverage local resources. Some of the campuses have not collaborated with their local county in the past but are now looking forward to collaborative efforts and establishing a strong partnership with the county as a result of CalMHSA.

Campus CSU Campus and County Collaboration

Bakersfield No activity.

Channel Islands

Coordinator has made contact with their local county representative.

Chico Project Director is part of the Chico County Suicide Prevention Task Force.

Dominguez Hills

Coordinator will be meeting with Debbie Innes-Gomberg, District Chief, from Los

Angeles County Department of Mental Health.

East Bay Met with county partners.

PEERS is a nonprofit mental health organization in Alameda County that will be

providing Wellness, Recovery, and Action Planning (WRAP) training to our clinical

faculty and others on campus. Next PEERS will train Educational Psychology's

Community Counseling Center's (CCC) 30 School Counseling/MFT and School

Psychology/MFT trainees in WRAP.

Fresno Attended/ing Fresno County Mental Health training sessions.

Developed a strong partnership with Fresno County Behavioral Health.

Current member of the County of Fresno Suicide Prevention Task Force.

Fullerton Solicited assistance from the CSUCO to make contact with Orange County Health

Care Agency.

Humboldt Have contacted their county liaisons.

Long Beach Solicited assistance from the CSUCO to make contact with Los Angeles County

Health Care Agency.

Los Angeles No activity.

Maritime Academy

Established contact with Marty Mailin from Solano County Mental Health Services.

Monterey Bay

Suicide Prevention Service of the Central Coast (cover Monterey, Santa Cruz, and

San Benito Counties)

Northridge Coordinator met with Tony Beliz from Los Angeles County Health Department.

Pomona It has an established and strong partnership with Tri-City.

Sacramento It has an established and strong partnership with Sacramento County.

San Bernardino

Coordinator met with San Bernardino County Behavioral Health staff.

San Diego Joined the San Diego Suicide Prevention Council as well as CA Suicide Prevention

Network.

San Francisco

Has been working closely with their county representative. Their county

representative has been working in curriculum development, especially as it

pertains to indigenous populations.

San Jose 3 faculty and 5 students attended County training in ASIST.

80 individuals from SJSU have completed the on-line QPR training and promoted

by Santa Clara County.

Became part of the Santa Clara County Suicide Prevention Workgroup.

San Luis Obispo

Promoted “Mental Health First Aid” training offered through the county.

County partnership is well established.

San Marcos Information not provided.

Sonoma Coordinator has met with county representatives.

Stanislaus Had several meetings with Stanislaus County PEI Coordinator, Ruben Imperial.

County will be presenting four training programs to the community (MHFA,

Friends of Good Medicine, Referral Awareness, Established a county Suicide

Hotline).

Program Partner: California Community Colleges Chancellor's Office (CCCCO) And The Foundation For California Community Colleges (FCCC) Initiative and Program Name: Student Mental Health Initiative: California Community Colleges Student Mental Health Program (CCCSMHP) Regions served: Statewide Contact information: Chancellor's Office: Betsy Sheldon: [email protected] (916) 322-4004 Foundation: Colleen Ammerman: [email protected] (916) 325-8572 Website: www.cccco.edu/mentalhealth ; www.cccstudentmentalhealth.org Overview of Project: The goal of the CCC SMHP is to develop and implement a statewide mental health prevention and early intervention project that impacts the entire California community college system of 112 campuses, 72 districts, and 2.6 million students. The project includes activities that address the three strategic directions of faculty and staff training, peer-to-peer support, and suicide prevention. In addition, the CCC SMHP will include an evaluation component to address the grant requirements, as well as unmet needs, related to California community college student mental health data and research.

Accomplishments to date: 1. Completed RFP/RFA processes for all four components (Statewide training and Technical

Assistance (TTA); Suicide Prevention Training for Faculty and Staff (SPT); Campus Based

Grants (CBG) and Evaluation. Key activities and accomplishments related to each

component are detailed below.

2. Campus Based Grants.

Thirty-four (34) applications were submitted in response to the RFA for the CBG. Of

these, 23 grants to campuses or consortia of campuses (representing a total of 30

campuses) were selected to receive funding. This includes the initial funding that was

awarded to the CCC SMHP as well as the funds provided through the amendment.

Final work plan and budget negotiations are in progress and we have identified July 1,

2012 as the official start date for these grants.

A list of campuses and award amounts is included below.

3. Training and Technical Assistance (TTA)

The goals of the Statewide TTA project are:

Goal #1: Provide Effective Planning, Management and Coordination of all TTA

services

Goal #2: Provide TTA Services = to 1,500 days (700 Year 1 and 800 Year 2) serving

all colleges and campus-based grantees, with emphasis on suicide prevention and at-

risk populations, especially veterans.

Goal #3: Market and Distribute TTA services and products

The following are key activities accomplished to date by CARS:

- Developed, implemented and analyzed an initial needs assessment for

campuses to identify and prioritize TTA needs. This resulted in 79 responses

to date and a preliminary list of TTA services that are available through the

project.

Campus/consortia amount proposed county

1 Butte College 250,000.00$ Butte-Glenn

2 College of San Mateo 247,320.00$ San Mateo

3 College of the Canyons 170,282.00$ Los Angeles

4 College of the Desert 250,000.00$ Riverside

5 Columbia College 105,730.00$ Tuolumne

6 Cuesta College 154,543.00$ San Luis Obispo

7 Fresno-Reedley Consortia (2 Colleges) 246,747.00$ Fresno

8 Gavilan College 147,552.00$ San Benito

9 LA Harbor Consortia (6 Colleges) 250,000.00$ Los Angeles

10 MiraCosta College 112,409.00$ San Diego

11 Modesto Junior College 182,076.00$ Stanislaus

12 Orange Consortia (2 Colleges) 250,000.00$ Orange

13 Pasadena College 244,541.00$ Los Angeles

14 Rio Hondo College 245,517.00$ Los Angeles

15 Riverside College 249,672.00$ Riverside

16 San Bernardino Valley College 248,191.00$ San Bernardino

17 San Diego City College 236,760.00$ San Diego

18 Santa Monica College 189,646.00$ Los Angeles

19 Santa Rosa Junior College 227,605.00$ Sonoma

20 Santiago Canyon College 211,245.00$ Orange

21 Sierra College 249,370.00$ Placer

22 West Los Angeles College 88,738.00$ Los Angeles

23 West Valley College 248,273.00$ Santa Clara

4,806,217.00$

- A web presence and assessment tool for

- Continued development of a comprehensive database of CCC contacts

- Continue development of resources relevant to CCC student mental health to

include on website

- Continue development of spreadsheet of relevant meetings/conferences by

groups who would be interested in this project.

- CARS participated in a planning call with SMHP and Student Health 101

Magazine Reps.

CARS has 91 TTA days (representing 26 requests) in progress.

There has been a total of 20 TTA days completed (representing 22 assignments).

4. Suicide Prevention Training (Kognito).

Completed Suicide Prevention Plan.

Completed initial needs assessment in collaboration with CARS.

Conducted telephone interviews/focus groups with select campuses to assist in

adaptation/customization of the At-Risk training for the CCCs.

Began contacting select campuses to prepare for Fall implementation. A phased

approach to implementation and utilization of At Risk is based on a readiness

assessment (developed collectively by CARS and Kognito) administered to the

campus. Kognito has identified the following targets for their implementation roll

out:

Fall 2012 17 campuses or 15% Spring 2013 additional 28 campuses or 25%

Fall 2013 40 schools, 35% of all schools Fall 2013 additional campuses that have not yet participated Status to date: Phase 1 (complete): 29 colleges assessed (15 CBG): 14 onboard (7 CBG), 8 in-process (7 CBG), 7 defer (1 CBG). 22 colleges (14 CBG) rolling out Kognito training in Sept 2012. Phase 2: 14 College-Based Grant recipients, plus 6 former/current Kognito clients or outstanding requests Phase 3: 17 familiar with Kognito training (pilot, demo) Phase 4+: 46 additional CCCs, plus 7 colleges who deferred

Please note: upon request, we can provide copies of the most recent reports from the TTA and SP contractors that contain detailed information about the progress in implementing their scopes of works and deliverables.

5. Evaluation.

The Pacific Institute for Research and Evaluation (PIRE) was selected to be the

evaluation for the CCC SMHP. The contract for these services was finalized in August

2012.

The first deliverables for the evaluator include:

- Developing a quarterly report template for the campus based grants;

- Developing an evaluation framework;

- Developing an initial framework for the student mental health data and

evaluation issues (intended to be a product to benefit the entire system’s

capacity with respect to SMH data and evaluation issues).

PIRE evaluators have been conducting weekly calls with CARS and Kognito to begin

initial analysis of the evaluative elements for these components.

CCC SMHP staff met with the Chancellor's Office dean of research (August 2012) to

identify ways in which existing descriptive data can be used for the CCC SMHP

evaluation effort.

6. Other activities – Collaborative/Cross Cutting:

CCC SMHP had calls with Student Health 101 (online health magazine used by many

campuses) and Active Minds (Alison Malmon) to discuss ways that the work of the

SMHP can be leveraged with these efforts can be coordinated.

CCC SMHP staff met with Scott Rose of RSE to discuss ways that the two program

partners could collaborate on intersecting efforts.

Two webinars were held:

- 1) overview of TTA and Suicide prevention training resources (June 2012);

- 2) frequently asked questions about the campus based grant process (June

2012)

CCC SMHP staff and program contractors hold bimonthly collaboration calls to

discuss overlapping issues related to program implementation.

CCC SMHP staff participated in the K-12 regional training event on August 7, 2012.

CCC SMHP is coordinating with the CO’s veteran’s services coordinator, Mike Dear,

to implement a Train the Trainer event at Solano College on September 6-7, 2012.

Program Partner: University of California, Office of the President Initiative and Program Name: Student Mental Health Initiative: University of California Student Mental Health Program (UCSMHP) Regions served: Statewide Contact information: Jerlena Griffin-Desta,Executive Director, Student Services (510) 987-9756 Taisha Caldwell, Program Manager/Clinical Coordinator (510) 987-9353 Sharon Simms-Cooper, Project Manager (510) 987-9877 Website: TBA Overview of Project:

GOALS: University of California’s goal is to strengthen and expand existing services on all 10 UC campuses by implementing initiatives in 2 phases. Phase I The first phase of the initiative is to develop and/or enhance current campus programs and services, in the area of faculty, staff, student training, suicide prevention and social marketing and networking.

The training programs will consider the diversity of the UC community and their different ways of learning. To ensure that these efforts broadly reach faculty, staff and students, the programs will include in-person trainings as well as various forms of media, videos, on-line resources and workshops on various types of skill building.

The suicide prevention component requires cultural competency and sensitivity to highly diverse and vulnerable student populations. The goals of the suicide prevention strategy are to strengthen the campus safety net for students, with mental health problems; screen students of concern for key risk factors associated with suicide; empower faculty, staff and students by educating them on how to identify, respond and assist students at risk for suicide; develop effective response methods that assist in overcoming barriers in responding to mental health needs for students; and develop educational materials, training and best practices among the campuses to enable suicide prevention and intervention expertise throughout the UC system.

Towards stigma and discrimination reduction, UC will create and launch a system-wide social marketing campaign to disseminate information to students regarding wellness, mental health and depression, substance abuse and suicide prevention. In addition, the social marketing campaign will incorporate images and messages reflective of UC's student population and place emphasis on under-served populations.

Phase II The second phase of the initiative is to strengthen UC’s relationship with the CSU and CCC systems by collaborating on projects that increase access to services for all students within the three systems, as well as provide outreach for and extend resources via technology to communities at large in the State of California. Such programs include an Electronic Resource Clearinghouse, a comprehensive online resource repository for exchanging and sharing system-wide and inter-segmental resources. Major Accomplishments to Date:

All UC campuses have initiated the “Red Folder” training program. Faculty and Staff will have the opportunity to be trained on how to respond to students in distress.

UC has adopted the ISP program to anonymously screen students for depression. A total

of (4) campuses have launched the program and (6) campuses will launch the program in the coming months. Through the gradual roll-out process over time, all students will have the opportunity to communicate anonymously to UC Psychologists. example of impact:

- UCSF launched the Interactive Screening Program (ISP) for Suicide Prevention to 471 Graduate Students (15% of UCSF student population).

In preparation for the launch of the system-wide social marketing campaign, UC has selected a vendor to produce a series of PSAs and training videos.

Collectively, UC campuses provided over 300 outreach opportunities to students to prevent mental illness and reduce stigma and discrimination.

Some Campus Highlights:

UCB created a Suicide Prevention online training program, it is available for use by the campus and community on the University Health Services website.

UCLA provided the Question, Persuade and Refer(QPR) Suicide Prevention Gatekeeper training program for 965 students, faculty and administrators.

UCSD has partnered with the "It's Up to Us" San Diego-based suicide prevention campaign to promote pros-social behaviors. To date, 1925 brochures, 73 Displays, 262 Posters and 336 Display Points have been distributed to 28 unique departments across the UCSD community. At UCSD, the "It's Up to Us" campaign has also delivered 5,000 newsletters as mailers to students, faculty, staff, and to be made available to all student residents.

Upcoming Key Activities: Below are a list and a brief overview of (4) upcoming key activities for the 10 UC Campuses:

1. Mental Health Awareness Week – October 7 – 13, 2012

During this week in October, all 10 UC campuses will host events to increase awareness about Mental Health issues and screen students for depression. The purpose of this event is to screen students for suicide.

2. Staff Training: Ethnics in Social Media UC campuses are planning a training to help educate Mental Health Professionals on ethical and effective practices engaging college students through social media. The locations and dates will be provided once they have been determined. 3. Staff Training: Working with Immigrant and Undocumented students

UC campuses are planning a training to help educate Mental Health Professionals on what to expect when working with undocumented students. The training will be provided by E4FC. The locations and dates will be provided once they have been determined. 4. Step-Up Facilitator Training A Step-Up Facilitator Training is being planned for college Psychologists and Student Affairs Staff. They will be trained on how to implement the Step-Up Bystander Training Program. The locations and dates will be provided once they have been determined.

Program Partner: Rand Corporation Initiative and Program Name: Statewide Evaluation Regions served: Statewide Contact information: Nicole Eberhart, Project Director [email protected] Website: www.rand.org/ Overview of Project: RAND is conducting an evaluation of the CalMHSA PEI programs at the program, initiative, and statewide levels. Major accomplishments to date include conducting “Get to Know You” visits with all program partners (PPs), and using the information gleaned from these meetings to draft a comprehensive statewide evaluation strategic plan. RAND then revised this plan to incorporate feedback from PPs, CalMHSA, and the Statewide Evaluation Experts (SEE) team which includes stakeholders from across the state of California. Having completed the evaluation design phase, RAND is now in the first phases of implementing the evaluation plan. Key evaluation activities include designing and implementing statewide surveys of outcomes and population impacts; assessing program resources and implementation experiences; examining the extent, quality, and benefits of networks and collaborations; assessing reach of implemented program activities; examining utilization of online resources; studying the efficacy of media/social marketing messages; examining the quality of hotline calls; and assessing the short-term impact of trainings. Many of these tasks will involve working closely with PPs to collect the needed data, and providing technical assistance to PPs is another key RAND activity. In addition, RAND has developed a statewide framework for evaluating PEI activities and impacts at a statewide population level. This includes development of logic models and assessment of appropriate measurement. These materials have served as a basis for providing technical assistance and capacity building for CA counties through a series of six workshops conducted in June 2012.