Children s System of Care Annual Work Plan Magellan Health Services October 1, 2012 through September 30, 2013

Transcription

1 Goal 1 Increase the percentage of children who live with their families Objective 1.1 Increase the percentage of families satisfied with access to services Strategy Develop and support the role of high needs case managers (HNCM) 1.1.1a Maintain an adequate number of designated case managers with reduced case loads to respond to the needs of children with complex needs, as defined by CASII scores and other high needs indicators. Senior Target 9/2013 Deliverable Case Manager Inventory 1.1.1b Support workforce development by offering learning tracks for clinical specialties (CFT, Transition Age Youth, Birth to Five). 9/2013 Training Calendar/ Learning Libraries/ Training reports 1.1.1c Monitor to ensure that children with high needs, including children entering the system through Rapid Response and/or crisis services, are assigned an HNCM and are connected with appropriate treatment services (including birth-to-five specialty services) in a timely manner. Senior ; Child & Youth Services; Outcomes and Quality Specialist 3/2013 CMDP Workgroup minutes; Claims reports; Treatment Record Reviews Strategy Monitor accessibility of community-based treatment and support services, including generalist direct support and rehabilitation services and specialty services Task Target Deliverable 1 of 25

2 1.1.2a Through partnerships with family members and the Meet Me Where I Am Design Team, conduct on-site reviews of Generalist Direct Support providers to monitor fidelity to the service model and outcomes of services. Child 9/2013 Site-monitoring feedback reports/ MMWIA Report Cards 1.1.2b Through the Meet Me Where I Am Design Team, provide monitoring and technical assistance activities with Generalist Direct Support providers to promote: Serving children with complex needs Capacity building in Functional Behavioral Analysis/ Positive Behavior Support Fidelity to ADHS/DBHS MMWIA Practice Protocol Capacity management Family/youth voice and participation at all levels Culturally and linguistically responsive services 1.1.2c Monitor Generalist Direct Support service utilization to promote the delivery of a full continuum of community-based, individualized support and rehabilitation services, available 24 hours a day, 7 days a week. Objective 1.2 Expand the use of best practices to improve outcomes Strategy Promote implementation of Trauma Informed Care (TIC) 1.2.1a Review information obtained through the Trauma Informed Care (TIC) Dialogs to identify opportunities to enhance trainings and tools for providers to increase their knowledge and skills related to Trauma Informed Care. Child Child Director, Individual and Family Affairs; 9/2013 MMWIA Design Team minutes/ Monitoring Activities (familyto-family surveys, case manager surveys, documentation review)/ TA and Training reports 9/2013 MMWIA Service Utilization reports/ MMWIA Design Team minutes/ MMWIA Report Cards/ Scopes of Work 9/2013 TIC Needs Assessment/ Training curricula and other guidance documents/tools 2 of 25

3 1.2.1b Offer Trauma Informed Care training on the Magellan quarterly training calendar and as an online course and track participation in the training. 9/2013 Quarterly Training Calendar/ Training reports Strategy Implement universal Child and Family Team (CFT) practice 1.2.2a Collaborate with family-run organizations and youth to provide initial and ongoing/enhanced training to provider personnel, family members, and other stakeholders on CFT practice per the revised ADHS/DBHS Practice Protocol. 9/2013 Quarterly Training Calendar/ Training reports 1.2.2b Provide technical assistance at the level of individual Child and Family Teams to promote fidelity to the practice model. Children s System of Care Coordinator 9/2013 CFT Documentation/ Summaries of TA provided 1.2.2c Utilize findings of System of Care Practice Reviews (SOCPR) and Brief Practice Reviews (BPR) to guide system level performance improvement efforts via the and Responsive Service Initiative. Child 9/2013 & Responsive Service Task Force minutes 3 of 25

4 1.2.2d Oversee development of provider Improvement Plans (PIP) to address opportunities for improvement identified through the SOCPR and BPR. Monitor provider implementation of their PIPs. Outcomes and Quality Specialist; Child 9/2013 SOCPR provider feedback reports; Improvement Plans; Interim Monitoring reports Objective 1.3 Improve assessment and service planning Strategy Monitor provider adherence to AHCCCS performance measures BH Service Plan and BH Service Provision 1.3.1a Conduct quality monitoring activities with providers to measure adherence to AHCCCS performance measures BH Service Plan and BH Service Provision and require written Improvements Plans from providers who fall below thresholds for these measures b Escalate response to providers who fall below thresholds for BH Service Plan and BH Service Provision measures across repeated audits with focused technical assistance and penalties, up to and including sanctions c Through SOCPR, BPR, and Treatment Record Review provider feedback sessions and performance improvement planning processes, monitor provider adherence to expectation for youth and family involvement in assessment and service plan development. Outcomes and Quality Specialist Chief Quality Officer; Senior ; Child Outcomes and Quality Specialist; Child 9/2013 Quality Monitoring Reports/ Improvement Plans 9/2013 Quality Monitoring reports/ Improvement communications 9/2013 SOCPR and BPR feedback reports/trr reports/ Provider PIPs Strategy Apply appropriate assessment tools and processes to accurately assess and plan for services for children with complex needs and children at different developmental levels 4 of 25

5 1.3.2a Monitor provider adherence to CASII assessment and re-assessment expectations and CASII fidelity through CASII Reports and Treatment Record Reviews b Engage in routine and targeted discussions with provider children s medical directors to promote and monitor adherence to ADHS/DBHS revised Psychiatric Best Practice Guidelines for Children Birth to Five Years of Age. Outcomes; Senior ; Child Children s Medical Director 9/2013 CASII reports/ Treatment Record Reviews/ Communications with providers 9/2013 Children s Medical Directors Meeting minutes/ Communications with individual practitioners 1.3.2c Through Magellan Rapid Response, utilize developmental checklist and age-specific assessment tools (i.e., ASQ and ASQ-SE) and conduct follow-up assessment visits to accurately assess the behavioral health needs of children up to 5 years of age. Crisis Response Network; Senior 9/2013 CRN Children s Reports 1.3.2d Track the availability of personnel to conduct Rapid Response assessments with children ages birth to five e Continue to develop Infant and Early Childhood Mental Health Specialists within the provider network and track availability of birth to five specialists within intake agencies. Crisis Response Network; Senior ; 9/2013 Network Inventory tracking; Staff attestation; Birth to Five Competency Matrix 9/2013 Birth to Five Competency Matrix; Network Inventory tracking; Staff attestation 5 of 25

6 1.3.2f Implement procedures to fully assess all CPSremoved youth who are referred to Rapid Response, including initial screening and assessment and twoweek and four-week follow-up visits, and including referral to an ongoing behavioral health service provider g Participate in committees associated with Best for Babies and Cradles to Crayons initiatives to support cross-system collaboration in meeting the healthcare needs of infants and toddlers h Using Claims data, identify baseline performance and track improvement in minimizing the amount of time between referral of a CMDP-enrolled child (through Rapid Response or CPS co-location) and first behavioral health service i Through a Respite Task Force with representation from families, providers, and advocates, initiate region-wide processes for assessing respite needs of caregivers as part of initial assessment and periodic re-assessment. Crisis Response Network; Senior ; Outcomes and Quality Specialist Children s Medical Director; Senior CMDP Workgroup; Senior Child 9/2013 CRN Children s Reports; quarterly audits of Rapid Response Assessments 9/2013 Committee meeting minutes 9/2013 Claims reports; CMDP Workgroup minutes 9/2013 Respite Task Force Meeting minutes 1.3.2j Provide training and technical assistance, with input from youth and families, to promote appropriate utilization of Provider Manual Attachment , Magellan Youth Transition to Adulthood Planning Checklist Reference Guide. ; 9/2013 Training reports; TA documentation; training evaluations from youth and family participants; training modifications based on youth/ family input Objective 1.4 Promote service delivery that is respectful of culture and attuned to how family decisions are influenced by culture 6 of 25

7 Strategy Promote and monitor cultural competency at the level of organizations and at the level of service delivery to children and families 1.4.1a Monitor provider adherence to expectation to perform organizational self-assessments of cultural competence and to appropriately respond to identified opportunities for improvement. Cultural Competence 9/2013 Documentation of organizational selfassessments and follow-up activities 1.4.1b Provide and track participation in Cultural Competency training (with any revisions identified by DBHS) and explore opportunities for enhanced training related to diverse populations. ; Cultural Competency 9/2013 Training Calendar; Attendance reports 1.4.1c Enhance knowledge and skills of the workforce related to Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) culture through participating in LGBTQ Consortium curriculum development and promoting the Southwest Interdisciplinary Research Center (SIRC) webinar series d Monitor provider adherence to national standards on Culturally and Linguistically Appropriate Services (CLAS) and require provider Improvement Plans as warranted by audit results. Cultural Competency; ; Child Outcomes; Director of Cultural Competency 9/2013 Meeting minutes; Training calendar; Attendance reports 9/2013 Provider monitoring reports; Provider PIPs 7 of 25

8 1.4.1e Through the Race and Equity subcommittee of the Magellan Suicide Deterrence Initiative, promote awareness and responsiveness to racial/ethnic and cultural populations who are at disproportionate risk for suicide f Explore opportunities to increase direct care staff knowledge of deep culture as it pertains to self and families, through enhanced training and supervision practices. Cultural Competency Child and Youth Services; Director of Development 9/2013 Race and Equity Subcommittee meeting minutes 9/2013 and Responsive Service Task Force Minutes; Training curricula Objective 1.5 Increase youth and family roles Strategy Develop and maintain youth and family roles and involvement at all levels of the children s system of care 1.5.1a Promote ADHS/DBHS minimum standards for peer/ parent support roles through training, provider communications, technical assistance, and collaboration with peer-run and family-run organizations b Roll out the ADHS/DBHS Practice Protocol, Youth Involvement in the Arizona Children s Behavioral Health System in collaboration with peer and family run organizations and provide training on required elements of the protocol. Senior ; Child and Youth Services Liaison; Target 9/2013, beginning upon release of ADHS/ DBHS minimum standards Deliverable Training reports; Provider communications 3/2013 Provider communications; Training reports 8 of 25

9 1.5.1c Maintain peer and family support roles throughout the provider network according to need and available funding, and follow up with provider agencies that experience a decrease in peer and family support roles. Senior 9/2013 Inventory of peer and family roles; documentation of follow-up as needed 1.5.1d In collaboration with peer-run and family-run organizations, continue to invite and engage 25% youth/family member participation in Magellan advisory and planning committees and provide stipends to support participation. Actively recruit youth and family members to fill vacancies e Require providers to invite family members to SOCPR and BPR feedback sessions to participate in developing an outline of a Improvement Plan during the feedback session. Chief Quality Officer Outcomes and Quality Specialist 9/2013 Committee membership and attendance documentation; Stipend distribution 9/2013 SOCPR and BPR feedback session sign-in sheets showing family member participants; PIP outlines Objective 1.6 Increase access to Family-Run Organizations Strategy Establish mechanisms to connect families with family-run organizations for support, education, and advocacy opportunities 1.6.1a Track connections made between family members and family-run organizations at the point of first contact with the children s behavioral health system. Customer Service Supervisor; Senior 9/2013 Quarterly data on Customer Service referrals to familyrun organizations; Reports from family-run organizations documenting first contact connections 9 of 25

10 1.6.1b Identify and address barriers to families initiating requests directly to family-run organizations for family support and education. Senior 6/2013 Documentation of collaborative meetings and action steps 1.6.1c Through the Child and Family Advisory Partnership (CFAP) and other means, disseminate information to enrolled families regarding educational and support services available through the family-run organizations. Objective 1.7 Improve collaborative efforts with other child serving agencies Strategy Facilitate ongoing collaboration mechanisms with system partners 1.7.1a Maintain up-do-date written collaborative protocols with Child Protective Services (CPS), Arizona Department of Juvenile Corrections (ADJC), Division of Developmental Disabilities (DDD), and Maricopa County Juvenile Probation Department (MCJPD) to clarify mutual roles and responsibilities b Hold routine collaborative meetings with system partners (CPS, ADJC, DDD, and MCJPD) to share information and address system-level barriers. Senior Child and Youth Services; Manager, Special ; DDD Liaison Child and Youth Services; DDD Liaison; Manager, Special 9/2013 CFAP Meeting minutes; flyers and electronic communications of family-run organizational offerings Target 12/2012 and ongoing Deliverable Written collaborative protocols 9/2013 Minutes of collaborative meetings with system partners 10 of 25

11 1.7.1c Provide training on Magellan Collaborative Protocols in collaboration with system partners and family members, and make training available to provider and system partner personnel as well as family and community members d Achieve and maintain a level of CMDP enrollment penetration of at least 69%. Track number of CMDP children enrolled by Primary Provider Service Agency to ensure appropriate allocations within the system. Senior ; Child 9/2013 Training calendar; Training reports; documentation of use of system partners and family members as cotrainers 9/2013 PPSA reports; CMDP penetration reports 1.7.1e Hold recurring meetings between Magellan Executive Leadership and CMDP Leadership to assess and enhance cross-system coordination of care for CMDPenrolled children. Deputy CEO, Vice President of Adult and Services Strategy Collaborate with system partners related to children receiving out-of-home treatment services 1.7.2a Review out-of-home data with system partners and identify opportunities to maintain children in the least restrictive environment that meets their behavioral health needs. Senior ; Child 9/3013 Meeting minutes showing identified barriers and solutions; protocols/ procedures developed through leadership meetings 9/2013 Collaborative Meeting (with system partners) minutes 11 of 25

12 1.7.2b Develop mechanisms to invite input from system partners (e.g., CPS/DCYF, DDD) which may include sharing of clinical documentation when a CFT has identified a request for children who are placed in an out-of-home treatment intervention or at risk of an out-of-home treatment intervention. This will enable increased collaboration in our efforts to ensure that children are treated in the least restrictive environment necessary to meet their behavioral health needs. Chief of Clinical Operations; UM Medical Director; Senior Child and Youth Services; Children s Medical Director Goal 2 Increase the percentage of youth who experience educational success 9/2013 Minutes of collaborative meetings with system partners; documentation of cases reviewed through the process; appeals data Objective 2.1 Increase knowledge about the education system Strategy Provide information to families on the structure of Arizona s education system and State and Federal requirements 2.1.1a Collaborate with family-run organizations to provide training and educational information to families related to the Individualized Education Plan (IEP) process and requirements of special education. Senior ; 9/2013 CFAP Meeting minutes; documentation of information provided to families 2.1.1b Provide training opportunities for peer and family support personnel on Arizona s education system and related Federal and State requirements. 9/2013 Training calendar; Training reports 12 of 25

13 2.1.1c Through SOCPR and BPR provider performance improvement planning and through activities of the and Responsive Service Initiative, provide technical assistance to promote engagement of school personnel in the Child and Family Team process. Objective 2.2 Improve school climate Strategy Offer training and support to school districts and educators 2.2.1a Collaborate with ADHS/DBHS and family-run organizations to offer Mental Health First Aid (MHFA) training to educators and the community at large. Child 9/2013 SOCPR and BPR Improvement Plans; and Responsive Service Task Force minutes 9/2013 Training calendar; Training reports with participant feedback on quality and relevance of training 2.2.1b Host a development meeting with school-aged youth on stigma reduction and develop and offer presentations to educators on stigma related to mental illness. Senior Analytics and Outcomes Specialist 9/2013 Stigma Reduction Committee meeting minutes; presentation schedules and attendance reports Goal 3 Increase the percentage of youth who transition to a successful adulthood Objective 3.1 Increase peer and family support services provided for transition aged youth and their families Strategy Promote education for transition age youth and families on available peer and family support services Target Deliverable 13 of 25

14 3.1.1a Promote opportunities for family members and young adults to share their experiences to educate youth and families about the role of peer and family support in transition to adult services. Child and Youth Services Liaison; 9/2013 Documentation of opportunities and events Strategy Identify and enhance peer and family support services provided for transition age youth and their families Task 3.1.2a Through the Magellan Peer and Family Involvement Framework Steering Committee, develop and implement a System Orientation process to provide to youth and family members to support transition from the children s system to the adult system of care. 3/2013 System Orientation process; documentation of dissemination 3.1.2b Collaborate with ADHS/DBHS Office of Individual and Family Affairs (OIFA) to create opportunities for partnership with peer-run and family-run organizations to implement peer and family support services as part of integrated healthcare. ; Adult SMI Program Director 9/2013 Meeting minutes; Documentation of partnerships 3.1.2c Identify mechanisms at the provider level for informing youth and families of available peer/family support services and tracking the number of transition age youth and families receiving peer/family support services. 6/2013 Provider level tracking mechanisms Objective 3.2 Increase the number of youth involvement and empowerment opportunities Strategy Implement the ADHS/DBHS Practice Protocol, Youth Involvement in the Arizona Children s Behavioral Health System 14 of 25

15 3.2.1a Monitor network capacity for peer support services available to transition age youth. Senior 9/2013 Network Inventory and analysis 3.2.1b Develop and promote youth leadership and empowerment through MY LIFE and other organized groups of youth leaders within the provider network. Child and Youth Services Liaison 9/2013 Documentation and promotion of MY LIFE events and other youth leadership group activities 3.2.1c Promote ADHS/DBHS ilinc webinar courses related to the content and implications of the Youth Involvement Practice Protocol. 9/2013 Provider communications Strategy Participate in Arizona Dialogs and Roundtables on youth issues Task Target Deliverable 3.2.2a In collaboration with the Arizona Stigma Reduction Committee, develop and deliver stigma awareness and reduction presentations that promote inclusion to school-age youth/ transition age youth. Senior Analytics and Outcomes Specialist 9/2013 Documentation of presentations and attendance 15 of 25

16 3.2.2b Collaborate with youth leaders, peer-run and familyrun organizations to co-facilitate community round tables on issues related to youth to adult transition. ; Adult SMI Program Director 9/2013 Documentation of roundtables and attendance Objective 3.3 Improve service delivery for transition age youth Strategy Promote the use of best practices with transition age youth 3.3.1a Participate in the Arizona Community of Practice on Transition to support collaboration efforts with respect to transition age youth. 9/2013 Meeting minutes; documentation of collaborative efforts 3.3.1b Track the number of programs implementing the TIP model or a TIP-informed model and the number of youth and young adults served by the programs. 9/2013 Quarterly report on TIP and TIPinformed programs 3.3.1c Participate in ADHS/DBHS-hosted statewide meetings for leaders on transition age youth as a learning community to share materials, discuss transition issues, and provide/receive technical assistance. 9/2013 Meeting minutes 16 of 25

17 3.3.1d Collaborate with local tribal entities to enhance behavioral health services for transition age youth to be optimally accessible to tribal members. ; Manager, Tribal Relations 9/2013 Documentation of meetings and collaborative efforts with tribal entities 3.3.1e Provide technical assistance to programs serving transition age youth on enhancing or modifying program services to meet the needs of transition age youth in special populations. 9/2013 TA documentation 3.3.1f Monitor quality and outcomes of Youth to Adulthood Transition Teams. 9/2013 TAY audit reports 3.3.1g Track the number of Case Managers designated to serve Transition Age Youth. 9/2013 Bi-monthly Transition Age Case Manager reports 3.3.1h Support collaboration between peer-run and familyrun organizations to identify resources and promote advocacy for Transition Age Youth. 9/2013 Documentation of collaborative efforts related to TAY, involving peer-run and family-run organizations Goal 4 Decrease youth substance use Objective 4.1 Increase the percentage of youths who state that they have spoken with their parents about alcohol use and drug use 17 of 25

18 Strategy Provide community education on marijuana and underage drinking 4.1.1a Deliver community education classes that target adults and their influence on youth substance abuse, using local data on substance use rates, consequences, and intervening variables. Manager 9/2013 Quarterly Reports 4.1.1b Disseminate Magellan Community Norms Survey to community coalitions and promote participation. Manager 3/2013 Dissemination to survey to coalitions/ providers 4.1.1c Promote provider use of social media to educate communities regarding: Drug/Alcohol potency Brain effects Local laws Consequences associated with marijuana use Manager Strategy Promote prevention efforts targeting education of families and community members 9/2013 Quarterly Reports; Provider communications Task Target Deliverable 18 of 25

19 4.1.2a Monitor provider provision of community education on: Brain effects of marijuana Monitoring Consistent reinforcement of rules Communication of expectations to youth Marijuana-impaired driving 4.1.2b Monitor provider provision of community marketing campaigns that target adults and their influence on youth alcohol and marijuana use. Manager Manager 9/2013 Quarterly Reports 9/2013 Quarterly Reports Objective 4.2 Increase youth perception of harm of alcohol and marijuana Strategy Implement prevention efforts targeted at preventing youth marijuana abuse 4.2.1a Involve youth peer leaders in developing and delivering campaigns to increase perception of harm of marijuana use targeted toward youth in schools and community venues. Manager 9/2013 Quarterly Reports Objective 4.3 Increase the number of youth appropriately identified with substance abuse needs Strategy Educate providers and coalitions on how to engage community stakeholders in identifying and referring youth to substance abuse treatment Target Deliverable 19 of 25

20 4.3.1a Provide technical assistance and training to providers and coalitions and to law enforcement on how to identify substance abuse and provide referrals to treatment services. Manager; Director of Development 9/2013 Quarterly Reports; CIT Training reports Objective 4.4 Increase the number of youth serving behavioral health staff who use at least 1 evidence based practice in substance abuse treatment Strategy Support implementation of evidence-based practices by substance abuse treatment provider agencies 4.4.1a Host Substance Abuse Provider meetings to share information about substance use trends and treatment innovations and to support utilization of evidence-based treatment practices. Child 9/2013 Substance Abuse Provider Meeting minutes 4.4.1b Maintain inventory of provider personnel who specialize in substance abuse treatment, and follow up with provider agencies that experience a decrease in substance abuse treatment specialists to ensure capacity is re-established c Utilize provider agencies with evidence-based practices to implement community-based treatment services through the Substance Abuse and Treatment (SAPT) block grant, and monitor service utilization by the designated SAPT programs. Senior Child 9/2013 Specialty Services data report; Network Sufficiency Inventory 9/2013 Quarterly SAPT rosters Objective 4.5 Increase the percentage of DBHS funded prevention programs which are incorporated into a community coalition as evidenced by a comprehensive community (coalition) strategic plan 20 of 25

21 Strategy Utilize a Community Development Community Based process in strategic planning for prevention programs 4.5.1a Provide training and technical assistance to all provider and community coalitions on strategic planning. Manager 9/2013 Training logs 4.5.1b From each of the 16 provider agencies, request and receive a strategic plan approved by the community coalition. Manager 6/2013 Strategic Plans Objective 4.6 Decrease youth access to alcohol and marijuana Strategy Utilize Community Development Environmental Strategies to decrease youth access to substances 4.6.1a Monitor provider implementation of: Social Host ordinances Shoulder tapping Scans and tracking activities for underage drinking party sites Party patrols Restrictions on advertising Goal 5 Decrease statewide rates of youth suicide completion Objective 5.1 Increase connections to natural supports Manager 9/2013 Quarterly reports 21 of 25

22 Strategy Promote efforts to increase connections to natural supports in service planning 5.1.1a Provide technical assistance and coaching to Child and Family Teams on CFT membership, family engagement, and connection/re-connection with natural supports. Children s System of Care Coordinator 9/2013 CFT documentation/ TA documentation 5.1.1b Incorporate efforts to expand the utilization of natural supports in provider Improvement Plans, as warranted by SOCPR and BPR findings. Child and Youth Services; Outcomes and Quality Specialist 9/2013 SOCPR and BPR feedback reports; provider PIPs 5.1.1c Through the and Responsive Service Initiative, promote increased provider staff knowledge and skills related to identification and engagement of natural, informal, and community supports. Child 9/2013 and Responsive Service Task Force minutes; Task Force presentations to providers Strategy Collaborate with stakeholders in youth suicide prevention Task Target Deliverable 22 of 25

23 5.1.2a Participate in Arizona Suicide Coalition meetings and subcommittees. Coordinator 9/2013 Arizona Suicide Coalition meeting minutes 5.1.2b Maintain representation by suicide attempt survivors and community members in the Magellan Suicide Steering Committee and subcommittees. Child and Youth Services Liaison 9/2013 Minutes of meetings of the Suicide Steering Committee and subcommittees Strategy Engage youth in youth leadership opportunities Task 5.1.3a Monitor provider implementation of substance abuse prevention-focused leadership programs. Manager 9/2013 Quarterly Reports 5.1.3b Promote involvement of youth leaders through MY LIFE in suicide prevention activities at Magellan and in the community. Child and Youth Services Liaison 9/2013 MY LIFE meeting documentation; MY LIFE events and member activities Objective 5.2 Increase comfort and ability of families, youth, community members, peers, family support organizations, first responders, and prevention providers to intervene in suicide and make referrals to behavioral health services 23 of 25

24 Strategy Participate in Child Fatality Review and analysis 5.2.1a Collaborate with ADHS/DBHS to participate in analysis and follow-up activities related to the Child Fatality Review. Child and Youth Services Liaison 9/2013 Meeting minutes Objective 5.3 Increase competencies of prevention and behavioral health providers to provide effective and culturally responsive care Strategy Promote and support training in cultural competency related to groups with disparities in suicide attempts/completions 5.3.1a Offer Brown Bag trainings on topics relevant to cultural diversity and populations at disproportionately high suicide risk. Cultural Competency 9/2013 Training flyers and attendance rosters 5.3.1b Offer ASIST and SafeTALK trainings to provider personnel and community members. 9/2013 Training calendar; Training reports Strategy Implement initiatives targeting diverse populations at high risk for suicide attempts or completion 24 of 25

25 5.3.2a Pursue the goals and objectives of the Magellan Suicide Steering Committee, and the tasks assigned to the subcommittee on Race and Equity. Cultural Competency 9/2013 Minutes of meetings of the steering committee and Race and Equity subcommittee 5.3.2b Collaborate with peers and family members to host Arizona Dialogs addressing issues surrounding suicide to increase awareness of the role of stigma in youth suicides and to promote inclusive practices. Director, Individual and Family Affairs 6/2013 Documentation of Arizona Dialogs and attendance 25 of 25