American Health Center, Inc. (NAHC), located in Oakland, California, proposes the implementation of COVID-19 Emergency Response for Suicide Prevention for adults ages 25 and older that are: 1. Urban American Indian/ Alaska Native (AIAN) and other underserved member living with or at-risk for mental health including suicidality and/or substance use disorders; and 2. Urban AIAN and other underserved members that are victims of domestic violence or are at-risk for exposure to violence and their dependents.
The proposed project will serve 500 members over the 16-month project period. Goals and objectives are as follows: 1. Develop and implement a plan for rapid follow-up of adults who have attempted suicide or experienced a suicidal crisis after discharge from emergency departments and inpatient psychiatric facilities including care transition and care coordination services. 2. Establish follow-up and care transition protocols to help ensure patient safety, especially among high risk adults in health or behavioral health care settings who have attempted suicide or experienced a suicidal crisis, including those with serious mental illnesses and/or substance use disorder(s). 3. Provide, or assure provision of, suicide prevention training to community and clinical service providers and systems serving adults at risk including Question, Persuade, Refer (QPR) gatekeeper training and clinical training related to selected evidence based practices. As a result, 20 staff and 50 community members/ partners will be trained. 4. Work across relevant or community departments and systems in order to implement comprehensive suicide prevention such as recovery and social support and crisis intervention. 5. Provide suicide screening and assessment and appropriate clinical treatment services required as a result of the assessment, including options for tele-health. As a result, 100 members will be screened/ assessed and 80 members will receive appropriate treatment. 6. Provide Traditional Health activities and community recovery supports to assist individuals who have attempted or are at risk for attempting suicide, including supports for impacted household members. As a result, 300 members will receive recovery community support. 8. Provide enhanced services for victims of domestic violence and their dependents including appropriate treatment, care coordination, and emergency linkages. As a result, 125 domestic violence victims or members at- risk for domestic violence will be served. As indicated, NAHC will coordinate with state or local health agencies as appropriate in order to provide comprehensive suicide prevention programming for the target population.