Project Resiliency - Project Resiliency, led by Community Alliance Rehabilitation Services (CA) will expand community capacity to respond to suicide risk among adults, 25 or older, who have been affected by the COVID-19 pandemic, with special attention to victims of domestic violence, those living with serious mental illness or substance use disorder, and people who have experienced trauma, anxiety, grief, loss or attenuated behavioral health needs as a consequence of COVID-19.
CA will strengthen its integrated physical and behavioral health services and partner with the Women’s Center for Advancement (WCA) to increase suicide risk identification, rapid response and access to prevention, treatment, care coordination and recovery services for those at risk for or who have attempted suicide, who are referred by health care, domestic violence or other community partners, or who self-refer. With the Nebraska Chapter of the American Foundation for Suicide Prevention (AFSP-NE), CA and WCA will provide training on suicide prevention and risk assessment for clinicians and general audiences as well as cross training on suicide prevention and domestic violence. The project will serve Nebraska’s Behavioral Health Region 6 which encompasses a 5 county area surrounding metro Omaha, encompasses 40% of the State’s population, and has incurred the largest number of confirmed COVID-19 cases in Nebraska. Grant funding will add the following strategic resources: A full time CA trainer to offer AFSP education and training modules, both virtually and face-to-face, on evidence-based suicide risk identification, rapid response and prevention to more than 420 community health and behavioral health providers and community groups connected to people at risk, including hospital emergency rooms and primary care practices, behavioral health and domestic violence professionals, churches, senior centers, the LGBTQ community, and organizations serving racial, ethnic and linguistic minorities; a full time Licensed Mental Health Professional (LMHP) and full time Care Coordinator to join CA’s Integrated Care Team and provide specialized support for people at heightened suicide risk and/or experiencing domestic violence; a WCA Advocate to provide added support to individuals affected by domestic violence including coordinating legal, financial, and support services vital to affected individuals and, with CAs LMHP, co-leading group therapy for domestic violence victims and community cross training in suicide prevention and domestic violence; and a full-time Project Director to lead the multi-agency effort, engage community stakeholders and oversee the achievement of program objectives and evaluation. Service access and responsiveness is further enhanced through the ability to purchase safe housing for those seeking safety and telephone, tablet and internet resources for client use. Evidence based practices employed include: National Institutes of Health Zero Suicide Framework, Columbia Suicide Severity Rating Scale, Cognitive-Behavioral Therapy, Trauma Informed Care, Motivational Interviewing, Seeking Safety, and the AFSP tools ICAR2E for suicide assessment in hospital emergency rooms, and SafeSide in primary care practices.