Integral Care's "Advancing Zero Suicide as Integral to Care" will fully implement the Zero Suicide intervention and prevention model throughout our system of care. The goal is to reduce suicide ideation, attempts and deaths for adults in Travis County. Interventions will be based on evidence-based practices that have been shown to reduce suicide risk and will be used and delivered to sub-populations where gaps and disparities exist. This includes racial, ethnic, LGBTQIA+, and individuals of Limited English Proficiency (LEP). Research shows that the rate of suicide in Travis County has fluctuated over the past ten years, with a 22% increase in the rate of suicide between 2018 and 2019 and a 40% increase in the rate of suicide from 2020 to 2021. This project will reach 550 individuals over the course of 5 years - Year 1=75. Year 2=100. Year 3=125. Year 4=125. Year 5=125. We will achieve the following goals and objectives:
Goal 1 - Reduce the risk of suicide ideation, attempts, and self-harm among individuals living in Travis County by implementing the Zero Suicide Framework within the Integral Care System. Objective A: By January 2024, Integral Care will have recruited and hired 3 Suicide Care Specialists and the Project Evaluator. Objective B: By January 2024, Integral Care will design and implement suicide care management guidelines and policies. Objective C: By September 2028, Integral Care will reduce suicide ideation, attempts and self-harm for participants service by the Suicide Care Specialists as evidenced by 40% improvement C-SSRS scores. Objective D: By April 2024, Integral Care will develop outreach and referral pathways with 3 partnering organizations - APD Victim Services, Travis County Jail Behavioral Health services, Dell Medical and Behavioral Health services.
Goal 2 - Reduce measurable disparity gaps in sub-populations at risk of suicide in Travis County. Objective A: By March 2024, Integral Care will complete review of all plans and trainings to ensure health equity and CLAS Standards are incorporated. Objective B: By September 2024, Integral Care will have implemented targeted interventions to address disparity gaps for 50% of identified sub-populations. Objective C: By September 2028, Integral Care will have reduced disparity gaps in sub-populations at risk of suicide served by 50% as reflected in the annual internal Population Health analysis reports.
Goal 3- Increase Integral Care's capacity to deliver evidence-based treatments to clinical and non-clinical staff serving populations with increased risk of suicide. Objective A: By January 2024, Integral Care will train the 3 clinical staff Suicide Care Specialists in evidence based trainings which include: Applied Suicide Intervention Sills Trainings, Counseling on Access to Lethal Means, Columbia-Suicide Severity Rating Scale, Safety Planning Intervention and Chronological Assessment of Suicide Events. Objective B: By Septembers 2028, Integral Care will have trained 50% of non-clinical staff in Suicide Alertness for Everyone: Tell, Ask, Listen, and Keep Safe. Objective C: By December 2023, Integral Care will have developed a training for tobacco cessation programs, activities and/or strategies.