Pathways for Suicide Prevention - Hegira Health, Inc.’s Pathways for Suicide Prevention (PSP) program will address the gaps in service delivery for adults who have attempted suicide or experienced a suicidal crisis by strengthening care transitions, enhancing treatment processes using evidence-based practices, and developing a suicide prevention campaign that includes education and training opportunities for staff and the community. The key priorities of PSP include: 1) increasing access during care transitions by offering expanded rapid, comprehensive treatment available through mobile crisis services, 2) increasing suicide prevention competency through training and public service campaigns 3) improving care outcomes through enhanced risk and treatment standards, 4) enhancing treatment for victims of domestic violence and sexual assault through training staff on screening, assessment and treatment for patient population, and 5) increase postvention supports for attempt survivors. Following the Zero Suicide framework PSP will provide immediate access to Mobile Crisis Stabilization teams upon discharge from inpatient hospitalization, emergency departments, or through a referral process with First Step, a domestic violence organization and shelter. PSP will expand screening, assessment and treatment capability for suicidality and domestic violence issues including use of the Danger Assessment and Columbia Suicide Severity Rating Scale (C-SSRS), and expanding capacity for utilization of EBP’s including Question, Persuade, Refer (QPR), Motivational Interviewing, and Collaborative Assessment and Management of Suicidality (CAMS). Staff will receive dedicated training on domestic violence and sexual assault and consultation from First Step experts. PSP will impact community awareness and prevention of suicide by obtaining QPR Master Trainer status, which will allow us to train community partners as QPR Trainers, and they can then train their staff and community partners as suicide prevention gatekeepers. In addition, HHI will launch a digital media campaign providing education and awareness of suicide prevention and suicide and domestic violence to help break down stigma and increase knowledge of community resources available. HHI’s intended catchment area for PSPo funding is Wayne County, Michigan (population 1,761,382) which includes the City of Detroit (population 659,135). U.S. Census data for 2019 reports 22.7% of Wayne County residents live below the federal poverty level (FPL) as compared to Michigan (14.2% FPL) and the nation (13.4% FPL). The Michigan League for Public Policy’s (MLPP, 2018) annual report identifies the racial profile of the County as 53.1% Caucasian, 39.1% African American, 5.7% Hispanic or Latino, and 2.0% “other” including Asian and Native American populations. Over 49% of families are single-parent and 30% have a High School diploma or less. Unemployment also remains higher with 5.2% for Wayne County, 4.2% for Michigan, and 3.7% nationally. PSP will 1) provide rapid response clinical services to 450 individuals during the grant period, 2) reach 3,500 individuals through community training, suicide prevention conference and digital media campaign.
