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9-8-8 Promotion, Awareness and Education, and Accessibility Workgroup Kick Off Meeting - Shared screen with speaker view
Chris Harms/CSSRC
20:32
I apologize but prior to setting this meeting, I have a 1:00 meeting that I will have to switch off to attend. So sorry!
Kelly Bowman (she/her/hers)
35:45
Kelly Bowman for Health Colorado is on too!
Sarah Brummett (she, her, hers)- CDPHE
36:06
Lena's also from the Office of Suicide Prevention- she might join meetings in the future where I can't be there, so wanted her to join from the get go
Lena Heilmann, she/hers
36:08
Hi, I'm Lena Heilmann (she/hers) with the Colorado Office of Suicide Prevention
Abe Laydon
36:50
Hi Kate and Jess, so great to have folks on with lived in experience - thankful you have joined us here and looking forward to your input.
Jess SR She/Her
48:01
Can I say a couple of things related to these more generally?
Elizabeth Richards-she/her/hers
48:14
we need to keep the ccs hotline
Laquisha Grant
48:23
Absolutely Jess
Elizabeth Richards-she/her/hers
48:40
988 calls get routed to area code of caller, not everyone has CO area code
Holly Bise (she/her)
50:24
I do apologize that I will need to hop off shortly due to another meeting I already had scheduled prior to joining this workgroup. Will this recording be sent out via email?
Chris Harms/CSSRC
51:34
Before I switch to my other meeting, I think we need to include someone(s) from the Native American community in Colorado. Having read the materials, I think having input from someone from Safe2Tell would also be helpful. See you all next time!
Maria Livingston - CDHS
51:52
Thanks Chris.
Dr. Anthony P. Young
52:01
Absolutely.
Chris Miller (He/Him/His)
52:20
At Holly this will be uploaded here: https://cdhs.colorado.gov/behavioral-health/9-8-8-planning
Chris Miller (He/Him/His)
53:42
@Chris- we are currently looking into this and have few asks out to there.
Scott Snow
01:03:08
As a baseline we could look at known suicide data (attempted and completed) and look at any identifiers / factors, i.e. veteran status, youth / age-based, etc. to identify groups to target for messaging and promotion
Kristy Jordan
01:03:49
Perhaps this was already talked about, and I'm sorry if I missed it. Will this get to the point where we'll want to hire a marketing/advertising firm to help implement our strategies?
Sarah Brummett (she, her, hers)- CDPHE
01:04:02
Scott- good question
Sarah Brummett (she, her, hers)- CDPHE
01:04:31
we do have data around populations that are disparately impacted by suicide fatalities, suicide attempts, and suicidal despair
Chris Miller (He/Him/His)
01:05:01
@Kristy that is a great question and I think we could bring that up as a recommendation from this group
Sarah Brummett (she, her, hers)- CDPHE
01:06:30
Across that continuum we'd suggest priority populations of: older adults, LGBTQ+ Coloradans, BIPOC communities; men in the middle years, veterans and military-involved families;
Katie Cue (she/her/hers)
01:07:17
Refugee populations too?
Dr. Anthony P. Young
01:07:24
Also, we need to specifically include racial (Black/African American and Asian American Pacific Islander) and ethnic identification data for the completed suicides.
Kate Fitch
01:10:02
I am particularly concerned about how formerly incarcerated people and survivors of police violence will respond to 9-8-8's resemblance to 9-1-1, and would love to have more representation there.
Cody Hickman
01:10:07
Apologies if I missed someone from this group, but someone from the Department of Education would be helpful
Jess SR She/Her
01:12:07
Re: confusion with 911. I find geolocation deeply concerning as a person with lived experience. I think it would be extremely damaging to our ability to support people with a history of incarceration, people using substance, Disabled, Black and Brown communities that have reason to fear law enforcement interactions. I think it would be a significant access barrier to already marginalized people.
Abe Laydon
01:13:27
The research has also shown that veterans and suburban fathers are also disproportionally affected by suicidal ideation and mental health issues which merit inclusion here as well.
Cody Hickman
01:13:48
Jess, absolutely agree. Definitely a great need for clear delineation of roles, that is publically and proactively provided, as well as cross-system training, including cultural competencies related to all of the groups we represent, and have identified as needing representation.
Omar Norgaisse
01:15:11
@Jess: I would imagine that if 988 can use the same technology that 911 uses, the geolocation issue could be mitigated. Mandy, could you offer guidance on this?
Jess SR She/Her
01:17:21
@Omar - The technology for 988 is being decided at the national level, the Lifeline network provides the platform for it. We would have to add something locally if we wanted to do anything different than the feds provide.
Cody Hickman
01:18:05
Perhaps, a great opportunity for us to look into outreaching local Non-profits and groups (such as GLBT community center, Veteran groups, BLM, etc.), in the future, to give them a public forum for airing concerns that affect the demographics they represent, and get first hand reporting on the fears or hesitancies they may have in using this resource.
Jess SR She/Her
01:19:21
https://suicidepreventionlifeline.org/best-practices/
Dr. Anthony P. Young
01:20:03
It would also be useful to include and/or engage key members/organizations of the faith-based community in some manner.
Jess SR She/Her
01:20:24
https://www.fcc.gov/suicide-prevention-hotline
Cody Hickman
01:20:42
Great point Dr. Young
Sarah Brummett (she, her, hers)- CDPHE
01:20:52
For suicide fatalities, we have a dashboard here: https://cohealthviz.dphe.state.co.us/t/HSEBPublic/views/CoVDRS_12_1_17/Story1?:embed=y&:showAppBanner=false&:showShareOptions=true&:display_count=no&:showVizHome=no#8
Sarah Brummett (she, her, hers)- CDPHE
01:21:10
this wouldn't include emergency department or hospital visits for suicide related events
Sarah Brummett (she, her, hers)- CDPHE
01:21:33
or self-report suicide attempt or despair survey data from HKCS (youth) or BRFSS (adults)
Sarah Brummett (she, her, hers)- CDPHE
01:23:20
these data sources aren't perfect- and do not always capture race and ethnicity data accurately.
Cody Hickman
01:23:28
It does appear that there will be a gap in data for those individuals who do not interact with traditional systems, such as Colorado Crisis, ERs, etc. Not sure how to address this, and we may need to consider a broad approach in our considerations, knowing that there are demographics that will not be represented in data
Sarah Brummett (she, her, hers)- CDPHE
01:23:58
_YES to what Jess said.
Katie Cue (she/her/hers)
01:24:16
I would also be curious about data related to how many calls are via video relay interpreters/relay operators from deaf, hard of hearing, and deafblind folks as well as the cultural understanding of the deaf communities from the responders to these calls
Sarah Brummett (she, her, hers)- CDPHE
01:24:56
I think we'd be doing Coloradans a disservice if this is limited to only a self-defined suicide-related crisis
Chris Miller (He/Him/His)
01:24:59
That is a great point Katie. Jess do you have any numbers on this?
Jess SR She/Her
01:25:25
I don't have them accessible, I will have to see what we can pull
Abe Laydon
01:26:20
Absolutely Maria, have been asking our federal stakeholders for several years to ensure this resource is not just suicide but all mental health crisis. That is important.
Lena Heilmann, she/hers
01:26:30
One thing I would like to see in terms of identifying populations and messaging is to share that people can call to ask questions for how to support someone they care about. Most people I talk to think *only* the person in distress can call. Telling family members, for example, that they can call CCS to help identify resources or ask for some guidance regarding other people is always met with immediate relief.
Cody Hickman
01:26:35
I would be hesitant in limiting it or narrowing it, as "prevention" needs to be broadened to a more upstream and inclusive view, so that it doesn't seem that "prevention" or "crisis" is only an emergency situation, but rather, for those who need help at any point of their personal experience
Kate Fitch
01:26:40
Agree that limiting only to suicide crisis would be doing a disservice. I think because 988 is accessible and easily remembered, a lot of people who may otherwise call more specific hotlines (like domestic violence, sexual assault, etc) may be more likely to call 988 because they know they need help but don't have the interest or capacity to seek out something for their specific issue.
Cody Hickman
01:28:35
Thank you Mary! Yes, we should offer support whenever the caller needs it, and not constructively force people into a more severe or crisis situation before they can reach out.
Kelly Bowman (she/her/hers)
01:28:37
Echoing what all of you are saying, want to encourage upstream support and connection to resources.
Jess SR She/Her
01:29:40
I would be extremely surprised if 988 was interpreted only as a suicide prevention line. Crisis in general, third party professionals, and concerned others all call both through the lifeline and through CCS.
Scott Snow
01:31:06
does the language in the federal requirements make this a suicide hotline or can other, self-identified, crisis be supported through 911 that don't involve suicide?
Jess SR She/Her
01:31:59
It is called "Suicide Prevention and Mental Health Crisis"
Cody Hickman
01:32:22
This will likely align with the work from the Behavioral Health Task Force, and create an opportunity for the 988 line to help connect an individual to the forthcoming BHA, and their as-yet-defined care-coordination role
Chris Miller (He/Him/His)
01:35:24
That is a great point Cody. We should make sure that we align with the BHA and potentially make a recommendation?
Cody Hickman
01:36:11
I think so Chris. Especially in those preventative situations where supports or services are the primary need for the call.
Cody Hickman
01:39:06
Great point Maria. There is a need for "code switching" and finding community leaders who can help us to not only ensure that we are meeting the needs of those communities, but also, messaging and communicating in a way that is relevant and respectful to those communities. Stakeholder engagement is key here.
Jess SR She/Her
01:44:52
Looking at the framework, I think the space where our energy can be best utilized is first accessibility and then educating stakeholders. What comes before that is identifying and learning from those communities. Some of the other pieces are so connected to national decisions and work of other groups, that it may be difficult to give guidance.
Scott Snow
01:45:21
looking forward to working with you all.
Cody Hickman
01:45:36
I second that Scott!
Cody Hickman
01:47:17
April 21
Omar Norgaisse
01:51:13
Thank you, look forward to the next meeting.