APPENDIX B

SUICIDE PREVENTION STRATEGIC PLAN TRAINING, PREVENTION and INTERVENTION EXPANDED PROPOSALS
YEARS TWO AND THREE
Program Brief Description Target Audience/ Age Groups Outcomes Annual Costs Agency to Inkind/Cash and
Target provide Noncash
Population/Presentation oversight
Group Size

SOS Signs of SOS Signs of Suicide is a 2-day secondary school-based 9th – 12th grade Youth School counselors and teachers Total Cost of SOS program Individual Unknown
intervention that includes screening and education. trained and implementing kit is $300, @ 10 kits for 4 School Districts
Suicide School Students are screened for depression and suicide risk and curriculum by end of year one. implementing
grade levels in high schools =
Based Intervention referred for professional help as indicated. Students also $3,000 (Pending additional curriculum
view a video that teaches them to recognize signs of The nationally recognized high funds for school counselors
depression and suicide in others, and taught that the school version, evaluated in a
through the Student Mental
appropriate response to these signs is to acknowledge them, randomized-control study, has
let the person know you care, and tell a responsible adult demonstrated a reduction of Health initiative) Costs for
(either with the person or on that person's behalf). Students suicide attempts by 40% staff training not included. A kit
also participate in guided classroom discussions about (Aseltine & DeMartino, 2004) of materials is available that
suicide and depression. The intervention attempts to and a dramatic increase in help- includes a staff procedure
prevent suicide attempts, increase knowledge about suicide seeking behavior (Aseltine, manual and training video,
and depression, develop desirable attitudes toward suicide 2003), a critical element in student screening forms, an
and depression, and increase help-seeking behavior. preventing suicide. educational video and
Note the education part of the SOS program can be . discussion guide, and brochures
implemented in one class period, such as in a health class. on suicide and depression for
The main teaching tools are a video and discussion guide, students and parents.. The SOS
and a brief 7-question, non-diagnostic screening tool for
program kit provides extensive,
depression Students are then given the opportunity to meet
detailed step-by-step
with counselors following the program, for themselves or
for a friend. information on how to
implement the program.

Bullying The expanded Bullying Prevention Program “I Choose 4th graders in 9 schools Youth ages 5 1) 400 4th graders educated Total of $60,000 which Mountain $55,000 2009-2010
Respect” consists of two components: 1) A 45 minutes of Identified bullies and victims to 12 years old annually in “I Choose Respect” includes Women's $55,000 2010-2011 if
Prevention education annually to 4th grade students in 8 elementary of bullying in 2009-2010 and 2010-2011 1)$20,000 for school presenters Resource Center MWRC still receives
Schools schools in the recognition of bullying behavior, discussion and teachers and school staff 2)500 students educated in “I in 2009-2010 and (MWRC) money from the state
of tolerance, experiential role plays in respect and empathy, of Jamestown Choose Respect” 5 years to 12 2) $40,000 for school
intervention strategies for students using role plays, and Kindergarten through 8th years old in one school 2010- presenters and trainers for
how to get help in 209-10 graders in Jamestown 2011 intensive training and
2) An intensive one year bullying Prevention Program in Elementary School 3) 25 core students trained to prevention activities in one
one elementary school for grades K-8th which includes 3 facilitate Restorative Justice school for 2010-2011
components: 1) The above “I Choose Respect” program; Circles in one school 2010-
2)Conducting Restorative Justice Circles in which the 2011
victim of bullying behavior and the perpetrator of bullying 4) 25 teachers, staff able to
behavior choose friends, relatives to sit in a circle and facilitate Restorative Justice
identify needs and feelings of everyone in the circle, and circles and provide intervention
together develop strategies to restore balance and strategies for bullying in one
accountability for the incident including follow up: 3) school 2010-2011
Training teachers, staff, and students on how to conduct
Restorative Circles so that the program is self sustaining.
This intensive program will be conducted in a total of 2
schools over 2 years.

1
APPENDIX B
SUICIDE PREVENTION STRATEGIC PLAN TRAINING, PREVENTION and INTERVENTION EXPANDED PROPOSALS
YEARS TWO AND THREE
Program Brief Description Target Audience/ Age Groups Outcomes Annual Costs Agency to Inkind/Cash and
Target provide Noncash
Population/Presentation oversight
Group Size

Student Assistance A SAP is a school-based approach to providing focused School personnel School aged Outcomes vary pending model Costs Associated with SAPS: Tuolumne
services to students in need of help for a variety of at-risk (counselors/teachers) youth K-12 selected on school site estimate up to $250,000 - County Office
Program (SAP)– behaviors of concern including substance abuse, suicide Across all models - SAPs $300,000 for three school of Education
Schools and depression. It is a systematic program utilizing an address the barriers to student districts to cover ongoing and Individual
interdisciplinary team to screen all students, assess priority academic success and create a personnel costs for school School Districts
of need, develop service plans, refer to appropriate school environment that is counselors/paraprofessionals.
resources for remediating issues and evaluate effectiveness conducive to learning.
of interventions. Experience dictates that between 10-20 % The cost for SAP is related to
of the student population have mental health conditions that the model a site chooses.
interfere with effective school performance. 1)Volunteer/Staff Model least
SAP Training expensive using existing staff
Training can be provided through the California Masonic and reallocation of time and
Foundation. Cost for training is free; however, it requires duties
three days off-site training of the SAP Core Team 2)Core Team Model – Requires
trained SAP Counselor or para
professional estimate $25,000
to $55,000 excluding benefits
per school
3) Counselor Model based on
hourly cost for services.
4) Community Agency Model –
More comprehensive uses
outside agency to manage.
Dependent on breadth of
service $20-80,000
The costs are directly related to
the number of students
receiving services.

Behavioral Health The Behavioral Health Dept. currently responds to SRMC Individuals presenting with Emergency Reduction of individuals Estimated $100,000 annually Tuolumne
after hours and on weekends for crisis evaluation, and is immediate crisis needs Response requiring acute psychiatric for full county response with County
Department/Sherif expanding this spring to include a mobile response program agencies (Law hospitalization; reduction of Behavioral Health and Behavioral
f Department with Sonora Police Department from 3 to 11 PM 7days a enforcement, repeat Law Enforcement calls Tuolumne County Sheriff’s Health
Mobile Crisis week. Once implemented, staff will respond to potential Ambulance to homes or individuals in Department Department
5150 calls, or other mental health crisis calls, in the Sonora staff, Firemen) community by offering
Response Team City area as requested by Sonora Police Department referrals and services at time of
crisis.
Future Expansion could include a full county response to
Sheriff’s Office calls as well from 3 to 11PM 7days a
week..

2
APPENDIX B
SUICIDE PREVENTION STRATEGIC PLAN TRAINING, PREVENTION and INTERVENTION EXPANDED PROPOSALS
YEARS TWO AND THREE
Program Brief Description Target Audience/ Age Groups Outcomes Annual Costs Agency to Inkind/Cash and
Target provide Noncash
Population/Presentation oversight
Group Size

Yellow Ribbon The Yellow Ribbon Suicide Prevention Program provides All Tuolumne County High High school 1) By the end of the first year, $11,055 which includes direct Dawn’s Light, In-Kind Cash and
teen and youth suicide education and prevention by Schools age youth we will have established expenses of Coordinator, Center for Non-Cash:
Suicide Prevention distributing life saving Yellow Ribbon “It’s OK To Ask For Target Juniors and Seniors Yellow Ribbon Clubs on two Speakers and Trainers Children and $9,320.00 of in-kind
Program Help” cards. Training is provided to high school students students high school campuses (Sonora including staff costs to monitor, Adults in Grief that includes
on how to start a Yellow Ribbon Suicide Prevention Club H.S., Summerville H.S.). supervise and implement the Volunteers trained
on campus. These clubs provide a safe place for students to 2) Train 4-6 students to Yellow Ribbon Program to the and meeting weekly
go and distribute Yellow Ribbon cards to the student body broaden our effectiveness and high schools. Suicide on school campuses
and teach coping strategies and educating youth re: risk ensure sustainability. We will Prevention educational for clubs
factors. meet with them to plan club materials and Yellow Ribbon Total of 44 hrs in
activities monthly. Cards. Spring and 34 hrs in
Trained students will sustain the clubs year after year and 3) Distribute Yellow Ribbon Fall X 2 high schools
hold fundraisers to support the Yellow Ribbon Clubs on Cards to 50% of the student For 2 volunteers @
campus. body by the end of 2009. $20.00 per hr.(in kind
4) Speak to school assemblies value) =
regarding Yellow Ribbon Cards $3,120.00
and how to use them. Summer time club
5) Three fundraisers to support meets weekly at
Yellow Ribbon Clubs held by Dawn’s Light
the end of 2009 Total of 11 hours @
$20.00 per hr for 2
volunteers = $440.00
Fundraising for clubs
will be done by 36
volunteers for a total
of 288 hours
X $20.00 per hr =
$5,760.00

Program Brief Description Target Audience/ Age Groups Outcomes Annual Costs Agency to Inkind/Cash and
Target provide Noncash
Population/Presentation oversight
Group Size

3
APPENDIX B
SUICIDE PREVENTION STRATEGIC PLAN TRAINING, PREVENTION and INTERVENTION EXPANDED PROPOSALS
YEARS TWO AND THREE
Selected Mental Elementary Schools use a variety of programs that support K-8 Grade Students Youth Provide half-time counselors One time match to Student Tuolumne
the guidelines of the California Health Framework for on each school site to Mental Health Initiative grant County Student Mental
Health Programs Public Schools that promote positive mental health. specifically teach skills and —currently unknown Superintendent Health Initiative
at Elementary Examples include “Be Cool,” a K-12 curriculum that address behaviors, on the of Schools Grant
Schools teaches skills for coping with everyday conflicts through playground, in the classroom,
problem solving and positive assertiveness, “Second Step,” and during school activities,
a PreK-8 violence prevention program in which students related to positive mental
learn and practice vital social skills, such as empathy, health
emotion management, problem solving, and cooperation,
and a series of classes offered in grades 4-7 through
MWRC such as Bullying/Bystander Training, Keeping
Kids Safe, and Prevention/Hurting/Flirting. Schools with
counselors provide training in tolerance, conflict resolution,
grief/loss, problem solving, and anger management.

The goal of mental health programs at the elementary level

is to use counselors to address the areas of drug and
alcohol, anger management, coping skills, self soothing
skills, crisis, coping mechanisms, cutting, suicide, healthy
living, asking for help, to work one on one with parents, to
train and support school staff, and to be the liaison to
community resources in severe situations.

C-Care/CAST C-Care/Cast is a school based intervention for students at School-aged high school Youth School counselors trained and Estimate of $10,000 to cover Individual Cost for selected and
risk for suicide. It combines one-on-one counseling with a youth ages 14 to 18 implementing program by end costs for staff training and School Districts trained school
series of small-group training sessions. of year one. materials per school personnel to
C-Care (Counselors-Care) provides an interactive, This high school program has participating in new program – implement program
personalized assessment \ and a 2-hour motivational demonstrated a reduction in (pending additional funds throughout school
counseling intervention designed to deliver empathy and suicidal ideation and in needed for school counselors) year
support, provide personal information, reinforce coping favorable attitudes towards
skills and help-seeking behaviors; increase access to help suicide risk behaviors for C-
and enhance access to social support. Care and CAST students
CAST (Coping and Support Training) is a small group participating in program. Also
skills training intervention. Twelve one-hour sessions greater reductions in anxiety
incorporate key concepts, objectives and skills that are and anger, and enhanced and
outlines in a standardized implementation guide. Sessions sustained personal control,
target mood management (depression and anger problem-solving and coping
management), drug use control, and school performance by skills
helping youth apply newly acquired skills and gain support
from family and other trusted adult leaders.