Does your student need triage?

Triage - the process of determining the priority of the patient's treatment based on the severity of their condition with labels such as "Immediate," "Delayed" and "Minor."

The Centers for Disease Control and Prevention repors that 17 percent of high school students in 2017 said they thought seriously about attempting suicide. Females were twice as likely as males to report that they seriously considered suicide. Students in this state of mind need “Immediate” triage.

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. (2018). High School Youth Risk Behavior Surveillance System [data tool]. Retrieved from https://nccd.cdc.gov/youthonline/App/Default.aspx.

Wikipedia lists the following factors that may contribute to problems at school and at home.

Eating disorders	Drug abuse	Divorce	Trauma
Financial Problems	Bullied	Social rejection	Anger
Guilt	Disability	Academic failure	Grade retention
Loneliness	Misunderstood	Insecurities	Mood swings
Loss of loved one	Depression	Bipolar disorder	Other disorders

https://en.wikipedia.org/wiki/Teenage_suicide_in_the_United_States

How can a parent/caregiver identify if their student needs triage? Follow the methods listed below.  Observe, question your student, their teachers, their friends to see if a problem exists. Now break the problem into variables such behavior , chemical (drugs, nutrition, food), emotions and physical. Look at the parts of school like teachers, courses, friends, the atmosphere of the school, short term goals and long term goals.

What did you find - no problem, a “minor” problem, a “delayed” problem or an “immediate” problem. Face the green of minor problems day-by-day.  The yellow of delayed problems require class changes, tutors, new activities, new after school activities. The red flag of immediate problems demands life changing decisions such as changing schools or being homeschooled. A student may go back to their school after a year or two of an alternative school or homeschool. Remember, the experimental nature of these choices require validation to see if your student achieves the target responses. Problems faced in sixth grade sometimes disappear by eighth grade. Problems faced in ninth grade may disappear by eleventh grade.Your student grows out of many problems in a safe, quiet, supportive, confidence building environment.  A year at Marketplace Mission Learning Center can provide that environment.

Scientific Method

1. Make an Observation.
2. Identify Variables.
3. Form a Question.
4. Design an Experiment.
5. Develop a Hypothesis.
6. Conduct an Experiment.
7. Observe and Measure Data..
8. Analyze the Data.
9. Draw a Conclusion.

Business Method

1. Clarify the problem - What really is the problem?
2. Break down the problem - What are the pieces of the problem?
3. Set targets - Develop countermeasures by observing symptoms, gathering facts and analysis. How can we address the problem and identify our targets?
4. Determine the root cause by asking: What?  How much? By when?

       5. Develop countermeasures

       6. Implement countermeasures

       7. Confirm results of countermeasures processes

       8. Standardize the countermeasures processes to sustain the gain

Use containment, corrective and preventive action

Notes: Universal principle - “vital few and trivial many” and Pareto’s Principle or 80/20 Rule - 20 percent of something always are responsible for 80 percent of the results.

PDCA - Plan, Do, Check and Act

For more information about Marketplace Mission Learning Center's Homeschoolers program using
Ignitia's 200 courses for grades 3-12 see our website.

The Florida Department of Education Sent MMLC the Following Email at 1:54 September 1, 2017

Dear Educators,

Suicide is a major health concern nationwide and in the State of Florida. Suicide is the second leading cause of death for young people ages 10-24 (Center for Disease Control [CDC], 2014). In the State of Florida (2015), suicide is the leading cause of death for ages 10-19 and the second leading cause of death for youth ages 20-24; 296 deaths by suicide were reported in Florida alone for ages 10-24 (Florida Suicide Prevention, 2015). In 2014, suicide accounted for 5,505 deaths in the United States for persons aged 10-24 (CDC, 2014).

Statistics regarding the suicide rate in the United States indicate the following: 

·         The suicide rate was highest in the American Indian and Native Alaskan population for both males and females; White males had the second highest suicide rate. The percentage of Latina females attempting suicide is higher than most other female racial groups (Kann et al, 2014).

·         Suicide is the second leading cause of death among Asian Americans and Pacific Island youth between the ages of 15 and 24 (Suicide Prevention Resource Center, 2013).

·         Lesbian, gay, bisexual, transgender and questioning (LGBTQ) youth are also at an increased risk of suicide (Suicide Prevention Resource Center, 2008). Factors such as not coming out, being outed by someone else, or being ridiculed are specific stressors for this population, not necessarily being LGBTQ (Bontempo & D’Augelli, 2002; Russell & Joyner, 2001). African American and Latino LGBTQ youth are at an increased risk because they are less likely than White youth to come out to family and friends (O’Donnel et al., 2004).

·         Although most people who have a mental illness do not die by suicide, having a mental illness may increase the likelihood of suicide compared to those who do not have one (National Council for Behavioral Health, 2016). 

Youth Mental Health First Aid, offered by the Florida AWARE Project, teaches an action plan to help a young person experiencing a mental health crisis. The program further teaches how to look for signs of suicidal thoughts and behaviors, non-suicidal self-injury, or other harmful signs. Florida AWARE is committed to increasing youth mental health by including raising awareness on the topic of suicide. Listed below are a list of resources that may help your agency.

For more information, please see the attached handout or contact Dr. Sandra Sosa-Carlin at ssosa@usf.edu.

For more information about Marketplace Mission Learning Center's Homeschoolers program using
Ignitia's 200 courses for grades 3-12 see our website.

Resources:

Youth Suicided Awareness and Prevention Training

The Florida Department of Education, in collaboration with the Statewide Office of Suicide Prevention, established criteria for reviewing youth suicide awareness and prevention training materials and compiled a list of nationally recognized youth suicide awareness and prevention trainings. A list of approved trainings may be found here: http://sss.usf.edu/resources/topic/suicide/index.html (Student Support Services Project website). Another resource shared by Florida’s Emotional/Behavioral Disability (E/BD) department is https://www.nimh.nih.gov/health/topics/suicide-prevention/index.shtml

The Substance Abuse and Mental Health Services Administration (SAMHSA) provides suicide prevention information and other helpful resources to behavioral health professionals, the general public and people at risk at https://www.samhsa.gov/suicide-prevention. In addition, SAMHSA provides additional resources and toolkits free of cost:  Suicide Safe – The Suicide Prevention App For Healthcare Providers: https://store.samhsa.gov/apps/suicidesafe/ and Preventing Suicide – A Toolkit for High Schools: https://store.samhsa.gov/product/Preventing-Suicide-A-Toolkit-for-High-Schools/SMA12-4669?WT.ac=EB_20120622_SMA12-4669

For information on the Youth Mental Health First Aid training program, and how we can train at your agency, please review the attached YMHFA handout or visit https://www.mentalhealthfirstaid.org/cs/take-a-course/what-you-learn/

Specific Dates of Awareness:

►   September is dedicated to Suicide Prevention & Awareness Month

►   National Suicide Prevention Week – September 10^th – 16^th

►   World Suicide Prevention Day – September 10^th

Sources:

Bontempo, D.E., & D’Augelli, A.r. (2002). Effects of at-school victimization and sexual orientation on lesbian, gay, or bisexual youths’ health risk behavior. Journal of Adolescent Health, 30(5): 364-374.

Centers for Disease Control and Prevention (CDC). Ten Leading Causes of Death by Age Group, United States – 2014. Atlanta, GA: https://www.cdc.gov/injury/images/lc-charts/leading_causes_of_death_age_group_2014_1050w760h.gif

Florida Suicide Prevention Coalition (FSPC). Resident Deaths by Age Group, Florida, 2015. Florida: http://www.floridasuicideprevention.org/the_facts.htm

Kann, L., Kinchen, S., Shanklin, S.L., Flint, K.H., Hawkins, J., Harris, W.A., Lowry, R., O’Malley Olsen, E., McManus, T., Chyen, D., Whittle, L., Taylor, E., Demissie, Z., Brener, N., Thornton, J., Moore, J., Zaza, S., & CDC. (2014). Youth risk behavior surveillance – United States, 2013. Morbidity and Mortality Weekly Report. Surveillance Summaries, 63(SS-1).

National Council for Behavioral Health (2016). Mental health first aid USA: For adults assisting young people. Washington, D.C.: National Council for Behavioral Health.

O’Donnell, L., O’Donnell, C., Wardlaw, D.M. & Stueve, A. (2004). Risk factors influencing suicidality among urban African American and Latino youth. American Journal of Community Psychology, 33(1/2): 37-49.

Russell, S.T., & Joyner, K. (2001). Adolescent sexual orientation and suicide risk: Evidence from a national study. American Journal of Public Health, 91: 1276-1281.

Suicide Prevention Resource Center. (2013). Suicide Among Racial/Ethnic Populations in the U.S.: Asians, Pacific Islanders, and Native Hawaiians. Waltham, MA: Education

Sincerely,

Non-Public Schools
Office of Independent Education and Parental Choice
http://www.floridaschoolchoice.org
"Increasing the Quantity and Improving the Quality of Education Options"

DOE Nonpublic Schools Administrator	1:54 PM (4 hours ago)