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North Island Suicide Protocol Development

North Island Suicide Protocol Development. Historical Background. “Old Protocol” c. 1998 Jan 2009 – Present process begins GN invites partners Common concern Need to engage more partners, especially mandated services (e.g. VIHA, RCMP) Small group meetings. April 14 2009 @ SWFC.

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North Island Suicide Protocol Development

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  1. North Island Suicide Protocol Development

  2. Historical Background • “Old Protocol” c. 1998 • Jan 2009 – Present process begins • GN invites partners • Common concern • Need to engage more partners, especially mandated services (e.g. VIHA, RCMP) • Small group meetings

  3. April 14 2009 @ SWFC • Managers, counsellors, administrators, school staff, nurses, political leaders, concerned community members (c. 60 participants) • MCFD • VIHA (MH/A, Hospital, Public Health, Family Place, Public Health, YFAS) • RCMP • KDC • Kwakiutl • Gwa’sala-’Nakwaxda’xw • Quatsino • ‘Namgis • Gwawaenuk • Whe La La U • Whe La La U • Mt. WHN • NICCCS • NICS • SWFC

  4. Issues • No accurate statistics for the North Island • RCMP, Hospital, Fed. vs Prov., inconsistent policies • Suicide is under reported in North Island • Differing models of response • Training, policies & procedures, varying points of access, lack of information sharing • Geography a barrier to services

  5. Learnings • Suicide is being responded to regularly in all our N.I. communities – inconsistently • General commitment to development of a coordinated suicide response protocol in N.I. • Need an Education/Early Intervention process as well • Protocol must serve all people/communities in N.I. • ASCIRT training provides an effective response model • 24 hr local crisis line could provide single point of access

  6. Outcomes • Gift of Life • Education/Early Intervention • Provide information and education to community members to reduce isolation, de-stigmatize suicide, and make aware of community support services • Blend of Aboriginal/Non-Aboriginal helping systems • Rotates between communities (GN June 2009, Kwakiutl Aug 2010) • Suicide Protocol Development

  7. Suicide Protocol Development • Small committee developed Draft Vision for N.I. Suicide Protocol based on needs, strengths and principles identified at April 14 meeting • Discussion with out-of-community funders • ITHA – ASCIRT Training – 25% of seats • Health Canada • Draft of Proposed Regional Team, Community Teams and 24 hr single point of access

  8. Crisis Line contracts cancelled on V.I. • Discussion with VIHA about role of new contractor for V.I. • Completed Draft of plan based on N.I. needs • Circulated Draft to agencies, communities, etc. for feedback/survey • Overwhelmingly supportive responses for process in principle

  9. Regional Team • Members from all communities involved, as well as partnered with mandated agencies/emergency services, and others. • Ongoing development and maintenance of the region wide Suicide response Protocol • Provide ongoing training to all new team members and refresher training for existing members • Quarterly meetings for skill development, mutual support of team members, team building, and review of protocol procedures for improvement and quality assurance • Review records of Intakes, Case Management and Statistics • Ensure follow-up debriefing for sub-team members after suicide concern

  10. Community Teams • Each community will be assisted by the larger Team to develop a “Sub-team” in their community. • Each sub-team will respond to suicide concerns in their community. • If a community sub-team cannot respond effectively (e.g. members away, affected by the suicide themselves, etc.) then the nearest sub-team from another community will be called in to respond

  11. Accessing Help • A 24 hr call line – from community members in crisis or professionals seeking assistance. • Crisis calls assessed to determine immediacy of risk. Short term responses may include listening and encouraging the individual to seek assistance. This may be followed with a referral to an agency/community for follow-up the next day. If immediate crisis intervention is required, the Line will determine which community should respond and alert the appropriate sub-team, and emergency services if required. • An Intake will be generated that will be tracked throughout the intervention, as well the line will collect all stats on attempts, completed suicides, interventions and follow up care planning.

  12. Present Situation • Gift of Life very successful • NICCCS has agreed in principle • ASCIRT Training continues in FN communities • Need to formalize and seek community commitment for protocol • Instability of 24 hr point of access/coordination • Suicides continue to be attempted and completed

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