2017-2020 Implementation Plan - www.connectingforlifeireland.ie - HSE

 
Implementation Plan
   2017-2020
   www.connectingforlifeireland.ie

                                     National Office for
                                     Suicide Prevention
Contents
SECTION 1 Introduction                                                       3

1.1 Broader policy context for implementation                                4

1.2 Suicide mortality and self-harm in Ireland                               4

SECTION 2 The CfL implementation Journey                                     7

2.1 CfL implementation stages                                                7

2.2 CfL strategic drivers                                                    8

2.3 Barriers to implementation                                              10

2.4 Connecting for Life implementation structure                            11

SECTION 3 CfL Implementation                                                13

3.1. Connecting for Life structural and operational milestones 2015-2017    13

3.2. Connecting for Life Implementation 2017-2020                           15

3.3. Timeline key outputs Connecting for Life implementation                16

SECTION 4 CfL implementation Action Plan                                    17

SECTION 5 CfL Communications Plan                                           51

5.1. Communication management roles and responsibilities                    51

5.2. Communications channels                                                52

5.3. Annual communications and reporting activity for Connecting for Life   53

SECTION 6 Monitoring and Evaluating Connecting for Life                     54

6.1. Outcomes Focused Monitoring and Evaluation (M&E)                       54

6.2. Monitoring Connecting for Life                                         55

6.3. Evaluation of Connecting for Life                                      57

SECTION 7 Risks to Implementation                                           58

APPENDIX 1 Detailed activity under actions 3.1.1 and 5.4.2                  60

8 Things that Everyone Should Know about Suicide Prevention in Ireland      67
2   Connecting for Life IMPLEMENTATION PLAN 2017-2020
Section 1

                                                                                                        Section 1 Introduction
Introduction
Connecting for Life (CfL) is the current national government strategy to
reduce suicide in Ireland, from 2015-2020. The overall vision of the strategy is:

“An Ireland where fewer lives are lost through suicide, and where
communities and individuals are empowered to improve their
mental health and wellbeing.”

The overall mission of the strategy is:

“An Ireland where individuals, communities and organisations are
provided with the awareness, knowledge and capacity to identify
those at risk, respond appropriately and contribute to a reduction in
the rates of suicide and self-harm.”

The two principal outcomes are:
1. Reduced suicide rate in the whole population and amongst specified priority groups

2. Reduced rate of presentations of self-harm in the whole population and amongst specified
   priority groups

CfL is based on national and international evidence on suicide prevention strategies. However,
the research conducted as part of the development of CfL indicated that the evidence on suicide
prevention programmes was limited. Therefore, the CfL strategy aims to continue to contribute to
the national and international research and evidence base. Similarly, the strategy was designed to
be a living document, with actions adapted and updated to meet the changing social, economic and
political climate in the years to come, and will be open to review and change in line with emerging
needs.

The full CfL document can be downloaded at: www.connectingforlifeireland.ie

                                                    Connecting for Life IMPLEMENTATION PLAN 2017-2020       3
1.1 Broader policy context for implementation
Section 1 Introduction

                         The implementation of CfL is within the context of a number of other national policies and
                         initiatives relating to suicide prevention, mental health and well-being, primarily:

                         • A Vision for Change, 2006 (Under review) – The updated framework will set out how mental
                           health services are both planned and delivered in Ireland. It will also highlight the approach to
                           be taken to building and fostering positive mental health across the entire community and for
                           providing a model of services which is patient-centred, flexible and community based.

                         • Healthy Ireland – A national framework to improve the physical and mental health and well-
                           being of the population of Ireland over the coming generation.

                         • National Drugs Strategy 2009–2016 which takes account of the role of alcohol in suicides and
                           self-harm.

                         Along with these strategies there are also a range of other national strategies that relate to the
                         priority groups identified in CfL. These include:

                         • Better Outcomes Brighter Futures - The national policy framework for children and young
                           people. It makes a commitment to positive physical and mental well-being, specifically noting
                           that “the recent rise in demand for mental health services and the incidence of self-harm and
                           suicide among children and young people is of significant concern” (p. 53).

                         • National Taskforce on Youth Mental Health - Established by the Minster of State (2016) with
                           responsibility for Mental Health to progress the youth mental health agenda.

                         • Department of Health Youth Mental Health Pathfinder - Exploring how to work differently
                           across government departments to enhance support, including support for those vulnerable to
                           suicide.

                         During the lifetime of the CfL strategy there will be additional policies and strategies. It is critical
                         that the actions within CfL are embedded across new government policy development to ensure an
                         ongoing Whole of Government approach to suicide prevention.

                         1.2 Suicide mortality and self-harm in Ireland

                         Incidence of suicide in Ireland
                         In 2015, there were 425 confirmed suicide deaths in Ireland. It is possible however that this figure
                         increases due to late registrations. Of the 425 people who died in 2015, 79% were men. This high
                         male-to-female ratio has been a constant feature of deaths by suicide over the years, as can be
                         seen in the figure on page 5. From 2007 there was an increase in the suicide rate in Ireland. The
                         increase observed between 2007 and 2012 can be wholly attributed to an increase in the male rate
                         of suicide. More recently, data from 2012-2014 suggest a levelling off of this rise. The 2015 data,
                         together with provisional data for 2016, suggests a decreasing trend in Ireland’s suicide rate since
                         then.

   4                     Connecting for Life IMPLEMENTATION PLAN 2017-2020
Section 1 Introduction
                                                                                                                             Section 1 Introduction
                   Rates of suicide in Ireland by gender and age, 2001-2016
                   The majority of people who die by suicide in Ireland are male. In 2014, for both males and females,
                   the highest rates of suicide were observed among 45-54 year-olds (28.2 per 100,000 and 6.9 per
                   100,000, respectively). The lowest rates of suicide were recorded among those aged 65 years and
                   over – a rate of 17.0 per 100,000 for males and 2.2 per 100,000 for females.

                   Suicide rate per 100,000 by gender, 2001-2016
Rate per 100,000

                        2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016*

                               MALE             FEMALE             ALL

                   *Note: Figures for 2015 are provisional and subject to change

                   Incidence of self-harm in Ireland, 2004-2016
                   Self-harm statistics in Ireland are gathered by the National Self-Harm Registry Ireland, which
                   reports annually on Irish statistics relating to self-harm. These reports are based on data collected
                   on persons presenting to hospital emergency departments as a result of self-harm. In 2016, the
                   Registry recorded 11,485 presentations to hospital due to self-harm, involving 8,909 individuals.
                   Taking the population into account, the age-standardised rate of individuals presenting to hospital
                   following self-harm in 2015 was 206 per 100,000. Thus, there was a 1% increase in the age-
                   standardised rate from 2015, however this increase was not statistically significant. In recent years
                   there were successive decreases in the self-harm rate between 2011 and 2013, and essentially no
                   change between 2013 and 2015. The rate in 2016 was still 10% higher than the pre-recession rate
                   in 2007.

                   More detailed information on suicide and self-harm can be downloaded from
                   www.connectingforlifeireland.ie and the latest report on incidence of self-harm in Ireland is
                   available at www.nsrf.ie

                                                                         Connecting for Life IMPLEMENTATION PLAN 2017-2020      5
Section 1 Introduction

                         1.3 Anticipated impact of CfL implementation
                         The implementation of CfL aims to deliver direct benefits to the general public, service users,
                         communities, health professionals and families bereaved through suicide. These benefits are
                         linked to the impact of evidence-informed approaches embedded within the CfL strategy.

                          GOAL 1          • Enhanced communication and targeting of messages on mental health and
                                            suicide prevention and support services through communication campaigns
                                            and social media

                                          • Changes in positive health behaviours related to mental health and wellbeing
                                            including help seeking at a population level and among priority groups

                                          • Improved media reporting on suicide and less negative online content through
                                            monitoring and engagement with media and online platforms

                          GOAL 2          • Increased capacity at a community level to respond to suicide through local
                                            suicide prevention action plans and standardised critical incident response

                                          • Improvements in quality and safety of statutory and non statutory services
                                            supporting service users and families through the implementation of best
                                            practice guidance

                                          • Increased capacity of volunteers and frontline workers (including teachers,
                                            prison officers, An Garda Síochána and health and social care professionals)
                                            through the provision of suicide prevention training (safeTALK and ASIST)

                          GOAL 3          • Enhanced coordination of services and programmes focused on youth
                                            mental health through the implementation of the recommendations of
                                            the Youth Mental Health Taskforce and the Pathfinder project

                                          • Strong evidence base to support the delivery of targeted primary care
                                            initiatives

                          GOAL 4          • Improved availability and accessibility to suicide specific bereavement services
                                            across each of the HSE CHO areas

                                          • Increased access to evidence informed therapeutic responses including DBT
                                            and CBT

                                          • Greater focus on building the evidence base for targeted primary care
                                            initatives including GP education

                          GOAL 5          • Enhanced response at a secondary care level to persons at risk of suicide
                                            through education, increased service capacity, improved referral pathways
                                            and assessment processes.

                                          • Repositories of evidence-based tools, resources, guidelines and protocols
                                            available

                                          • Development of standardised data systems

                          GOAL 6          • Improved preventative measures at identified locations and settings where
                                            people are at risk of suicide

                                          • Reduced access to means within the HSE mental health services and the
                                            criminal justice system

  6                      Connecting for Life IMPLEMENTATION PLAN 2017-2020
Section 2

                                                                                                                             Section 2 The CfL Implementation Journey
The CfL
Implementation
Journey
The implementation of government policy is a complex process. The success of CfL depends
heavily on a systematic and structured approach to implementation, ensuring co-ordination in
the delivery of key actions across government departments and agencies. This implementation
plan articulates the planned actions and related pathway for the next three years, 2017-2020.
It describes the strategic and operational agenda that will be needed to further drive the
implementation of CfL. The plan outlines the risks, strategic drivers, communications plan and
monitoring and evaluation processes for the strategy.

2.1 CfL Implementation Stages
There is no definitive theory or single framework commonly accepted on how health strategy
should be implemented but there is consensus that implementation is a process and not a one
time event. Implementation occurs in distinct stages (exploration, planning, implementation and
business as usual)1 however the process is not a linear one. This implementation plan recognises
that for implementation to move successfully from policy to practice it can take at least three
years. The implementation of CfL also builds on the programme of work delivered under the
previous suicide prevention strategy, Reach Out, as well as an emerging evidence base for suicide
prevention.

1
    Source: Burke, K., Morris, K., & Leona McGarrigle. (2012). An Introductory Guide to Implementation:
    Terms, Concepts and Frameworks. Centre for Effective Services.

                                                                         Connecting for Life IMPLEMENTATION PLAN 2017-2020         7
Section 2 The CfL Implementation Journey

                                           2.2 CfL Strategic Drivers
                                           Key to successful implementation of government policy is the examination of the factors which
                                           facilitate effective implementation. The CfL strategic drivers include:

                                           Ongoing strong, visible leadership led by government
                                           Leadership from senior officials across key government departments and state agencies is a critical
                                           success factor in any major change programme.

                                           Monitoring and evaluation of the implementation of the strategy
                                           Monitoring and evaluation are essential to determine whether desired indicators are being met
                                           and outcomes being achieved.

                                           National Office for Suicide Prevention (NOSP)
                                           Following the launch of Connecting for Life, The NOSP was mandated by government to act as the
                                           backbone organisation for the implementation of the strategy. As the lead agency for suicide
                                           prevention in Ireland, the NOSP is responsible for progressing and reporting on each of the actions
                                           within CfL.

                                           Ongoing financial investment in Connecting for Life
                                           Securing appropriate funding, staff with the requisite skills, and other necessary resources are all
                                           identified as key to successful implementation of CfL. The NOSP is funded centrally as part of the
                                           HSE’s annual service planning process and its annual budget is €11.75 million.

                                           Improved data
                                           The production and management of data is a key element of strategy implementation. In 2017, the
                                           NOSP is carrying out a review of all sources of trend data on suicide (and self-harm) to supplement
                                           national mortality statistics (from the CSO).

                                           Use of technology
                                           The use of digital methodologies and the impact of social and online media has become even
                                           more important since the strategy was developed. Not only do social media, ICT technologies and
                                           customer facing applications inform suicide prevention communications and operations, but they
                                           will also form part of the service delivery platform in the future.

                                           Continued stakeholder enagement in the implementation of CfL
                                           Suicide prevention is best achieved when individuals, families, health and community
                                           organisations, workplaces, government departments and communities work collaboratively to build
                                           an infrastructure of suicide prevention and support from national through to local level.

     8                                     Connecting for Life IMPLEMENTATION PLAN 2017-2020
Section 2 The CfL Implementation Journey
Building capacity across state agencies and communities
Mobilising the many services and organisations involved in suicide prevention to become powerful
leaders and ambassadors for suicide prevention is a significant challenge. Building capacity for
education and training activity within organisations connected to strategy implementation will
support and enhance the quality and impact of their work.

Establishing CfL implementation teams
The CfL strategy identifies a number of implementation teams to be established which provide
internal support structures within organisations to move each of the actions through the four
stages of implementation.

Building Learning Communities of Practice (LCPs)
The formation of a learning community of practice will provide a vehicle for connecting
stakeholders and will focus on sharing best practice and creating new knowledge to advance the
work of Connecting for Life. The NOSP over the lifetime of CfL will identify potential LCPs.

                                                    Connecting for Life IMPLEMENTATION PLAN 2017-2020           9
2.3 Barriers to implementation
Section 2 The CfL Implementation Journey

                                              The implementation of health policy is challenging and over the lifetime of the implementation plan
                                              barriers may arise which jeopardize the success of CfL. Barriers to the implementation
                                              of health are broadly catergorised under the headings below

                                              • Organisational barriers, including lack of agreed ownership for actions within the strategy and
                                                poor inter-agency co-operation

                                              • Financial barriers including lack of funds and restrictions on what funds can be spent on and
                                                when

                                              • Political and cultural barriers, and in particular opposition from vested interests and lack of
                                                political support at all levels of Government and society

                                              • Practical and technological barriers, poor IT systems, lack of key skills and expertise can be a
                                                significant barrier to progress implementation

                                              Furthermore the implementation of CfL is further challenged by the fact that suicide prevention is a
                                              complex public health issue which requires the coordination of multiple agency cooperation.

                                              To address the barriers to implementation, there will be a need for ongoing government
                                              leadership, interagency co-operation, continued investment in suicide prevention, and strong
                                              monitoring and evaluation of the implementation plan.

                                              Quarterly monitoring of the implementation plan will help assess whether challenges are being
                                              overcome, or whether new challenges are emerging.

     14
     10                                    NOSP ANNUALfor
                                             Connecting REPORT  2016
                                                          Life IMPLEMENTATION PLAN 2017-2020
2.4 Connecting for Life Implementation Structure

                                                                                                          Section 2 The CfL Implementation Journey
As a whole of government strategy, Connecting for Life requires cross-sectoral leadership,
governance, infrastructure and teams for implementation. This required the establishment
of national and local infrastructures with clear roles and responsibilities that would drive the
implementation of the strategy. These infrastructures are critical to monitoring and evaluating
the strategy. The NOSP has a role in participating and supporting each of the five structures
established to drive the implementation of CfL.

   Connecting for Life Implementation Structure

                                     Cabinet Committee on
                                     Social Policy and Public
                                         Service Reform

                              National Cross Sectoral Steering and
                                    Implementation Group

                               Cross Sectoral Working Groups for                     Agency
                                       Identified Actions                            Groups
        LEAD                                                                        Including
       Agencies                                                                        HSE
                                                                                     Ensures
                             National Office for Suicide Prevention
                                                                                   coordination

                                                        Funded Agencies
                           17 Local                             and
                         Action Plans                       NGO sector
                                                       Aligned to CfL actions

Cabinet Committee on Social Policy and Public Service Reform
The Cabinet committee is chaired by An Taoiseach, its membership comprises of Ministerial
representatives of Government Departments. It provides high level political leadership and
accountability at Government level for the implementation of CfL.

National Cross Sectoral Steering and Implementation Group
The National Cross Sectoral Steering and Implementation Group’s role is to drive policy
implementation and change. The group is chaired by the Department of Health, with membership
comprising of senior officials from the key Government Departments and statutory agencies. The
group has representatives of the NGO sector to ensure that engagement with the sector is ongoing
throughout the implementation of CfL.

                                                      Connecting for Life IMPLEMENTATION PLAN 2017-2020        11
                                                                                                               11
HSE Cross Divisional Implementation Group
                                    Journey
                    ImplementationJourney

                                              The HSE Cross Divisional Implementation Group has established structures and processes to agree
                                              and progress a HSE cross-divisional Connecting for Life implementation plan. The chair of the group
                CfLImplementation

                                              is accountable for the specific actions, timelines and resources allocated to the plan.

                                              Local Implementation Structures
                                              Under Action 2.1.1 local implementation structures have been developed to support the
            TheCfL

                                              preparation and implementation of local suicide prevention action plans. Membership and support
 Section2 2The

                                              for each local structure comprises of senior and middle management from service delivery
                                              agencies including statutory and NGO, HSE senior and middle management from key service
                                              delivery agencies, service user representatives, family/carer representatives and families bereaved
Section

                                              through suicide. Local implementation groups are chaired by senior HSE management. By 2018, 17
                                              local action plans will be in place around the country.

                                              National Office for Suicide Prevention
                                              The National Office for Suicide Prevention (NOSP) is part of the HSE’s Mental Health Division. It
                                              holds two distinct functions under CfL. It is a lead agency (16 actions) and support partner (21
                                              actions) in the delivery of CfL. As a driver of implementation, NOSP’s role is to support, inform,
                                              coordinate and monitor the implementation of CfL.

                                              National working groups
                                              In the development of the CfL implementation plan, the NOSP identified several cross cutting
                                              areas of work which would benefit from the establishment of special advisory or working groups
                                              to deliver key cross sectoral actions within the strategy. These groups would in turn report to the
                                              Cross Sectoral Implementation Group and include

                                              • Cross Sectoral Group on Suicide Prevention Interagency Operational Protocols

                                              • HSE Communications Working Group

                                              • Research and Evaluation Advisory Group

                                              • Education and Learning Working Group

                                              • National Suicide Bereavement Service Working Group

                                              • HSE CfL Health Professionals Working Group

           12
           12                                 Connecting for Life IMPLEMENTATION PLAN 2017-2020
Section 3

                                                                                                        Section 3 CfL implementation
CfL Implementation
3.1. Connecting for Life structural and operational
     milestones 2015-2017

The initial phase of the implementation of CfL has focused on
building the necessary implementation and governance structures
to support the strategy. Table 2 below summarises the key
structural milestones achieved in the first two years of CfL.

Key CfL Structural Milestones (2015- 2017)                                           Status
Establish National Cross Sectoral Steering and Implementation Group                  Complete
Establish HSE CfL Implementation Groups                                              Complete
Establish NGO Agency Group for CfL                                                   Complete
Recruitment of HSE Resource Officers for Suicide Prevention                          Complete
Establish 21Local CfL Suicide Prevention Action Plan advisory groups                 Complete
Restructuring of NOSP including staff recruitment for key functions                  Complete
(Research & Evaluation, Communications and Clinical Advisor)
Develop Monitoring and Evaluation System for CfL strategy                            Complete
Launch of CfL website                                                                Complete
Development of Outcomes Framework for CfL                                            Ongoing
Funding of NGO Partners                                                              Ongoing
Complete CfL communication plan                                                      Complete

                                                    Connecting for Life IMPLEMENTATION PLAN 2017-2020        13
Key operational activity was also progressed and milestones achieved
Section 3 CfL implementation

                               from 2015-2017 are highlighted below.
                               Key CfL Operational Milestones (2015-2017)
                               Strategic Goal One
                               Improve nation’s understanding of and attitudes to suicidal behaviour,
                               mental health and wellbeing
                               Implement #LittleThings National Campaign.                                      Ongoing
                               Evaluate Headline Media Monitoring Programme.                                   Complete
                               Press Council to amend Code of Practice to include reporting on suicide.        Complete
                               Launch HSE ‘Ask about Alcohol’ Campaign.                                        Ongoing
                               Develop Database on information on all mental health services.                  Ongoing

                               Commence development of National Mental Health Promotion Plan.                  Ongoing

                               Strategic Goal Two
                               Support local communities’ capacity to prevent and respond
                               to suicidal behaviour
                               Develop 21 CfL Local Suicide Prevention Action Plans.                           Ongoing
                               Ongoing roll out of suicide prevention training across communities:             Ongoing
                               • 13,000 persons trained in ASIST
                               • 5,500 persons trained in safeTALK
                               Launch and Implement GAA’s Critical Incident Policy.                            Ongoing
                               Implement Suicide Prevention Policy across FRC centres nationwide.              Ongoing

                               Strategic Goal Three
                               Targeted approaches to reduce suicidal behaviour and improve mental
                               health among priority groups
                               Completion of LGBTIreland Report - Ireland’s largest ever study of the mental   Complete
                               health and wellbeing of lesbian, gay, bisexual, transgender and intersex
                               (LGBTI) people.
                               Ongoing development and roll out of targeted education programmes and           Ongoing
                               projects targeting priority groups.

                               Strategic Goal Four
                               Enhance accessibility consistency and care pathways for people
                               vulnerable to suicidal behaviour
                               Deliver National Clinical Care Programme for management of self-harm            Ongoing
                               presentations to Emergency Departments.
                               Provide DBT.                                                                    Ongoing
                               Implement HSE funded Bereavement Family Liaison Service across CHO areas.       Ongoing

   14                          Connecting for Life IMPLEMENTATION PLAN 2017-2020
Section 3 CfL implementation
 Strategic Goal Five
 Ensure safe and high quality services for people vulnerable to suicide
 Complete engagement process with NGO partners on National Guidelines for                Ongoing
 agencies.

 Launch CfL website which will form online repository for suicide prevention re-         Complete
 sources.

 Strategic Goal Six
 Reduce and restrict access to means of suicidal behaviour
 Complete Ligature Audit within the Mental Health Services.                              Ongoing
 Samaritans to publish their free phone 116 123 number on every train platform           Ongoing
 in the country and 5,000 ringbuoy boxes nationwide.

 Strategic Goal Seven
 Improve the surveillance, evaluation and high quality research
 relating to suicidal behaviour
 Health Research Board to conduct a feasibility study to collect data from all           Ongoing
 closed coronial files available for deaths in 2015 for individuals with risk factors
 for self-harm.
 Develop evidence base in support of suicide prevention.                                 Ongoing
 Establish CfL Monitoring and Evaluation system.                                         Ongoing

3.2. Connecting for Life Implementation 2017-2020
Over the next three years, the focus on the implementation of CfL will continue to be supported
by tangible actions and a strong implementation and monitoring framework. This approach will be
maintained and further strengthened for the period 2017 to 2020. The implementation plan sets
out the actions and activities which will be carried out both collectively and by individual agencies
over the next three years.

                                                        Connecting for Life IMPLEMENTATION PLAN 2017-2020        15
3.3. Timeline key outputs Connecting for Life
Section 3 CfL implementation

                                    implementation

                                              Junior Cycle Wellbeing programme in full roll out                                     36

                                        Ongoing roll out of programmes for early intervention
                                                    and prevention of drugs & alcohol misuse                                                       48

                                     Implementation of National Training & Education Strategy                                                      48

                                              Universal Guidance document for organisations
                                                                  working with people at risk
                                                                                                              18

                                                            Revised media monitoring service                             27

                                                   Implementation of local CfL SP action plans                      24

                                               Targetted campaigns developed and rolled out                                    33

                                       Improved data of population understanding of SP & MH                                                   45

                                                                                                  0   10           20         30         40             50   60

                                                                                                           Estimated Timeframe in months 2017-2020

   16                          Connecting for Life IMPLEMENTATION PLAN 2017-2020
Section 4

                                                                                                                  Section 4 CfL Implementation Action Plan
CfL Implementation
Action Plan
Connecting for Life
Implementation Plan 2017-2020
1.1.1
Measure how people currently understand suicidal behaviour, mental health and wellbeing and set
targets for improved understanding.

Lead Agency: NOSP

What Will be the Key Output by 2020?
Improved data on populations understanding of suicidal behaviour and mental health which will be
used for informing policy, practice and communications campaigns.

Key Milestone in 2017 Key Milestone in 2018                                Key Milestone in 2019
Establish NOSP Research Team        Identification of data baselines.      Based on actions of 2018, the
(Q.1-2).                                                                   NOSP Research Team will imple-
                                    Explore feasibility of various
Identify and test outcome           data collection methods.               ment an M&E system.
indicators for attitudes, knowl-
edge and
understanding of suicide
and self-harm (Q1.-4).

Implement GP based attitude
survey in partnership with ICGP
(Q.2).

Devise attitude survey for use in
healthcare settings (MH Services,
General Hospital and Training
Schools) (Q.4).

                                                                                      NOSP ANNUAL
                                                           Connecting for Life IMPLEMENTATION       REPORT 2016
                                                                                              PLAN 2017-2020              17
1.1.2
Section 4 CfL Implementation Action Plan

                                           Develop and implement a National Mental Health and Well-being Promotion Plan.

                                           Lead Agency: HSE H&W, DOH HI

                                            What Will be the Key Output by 2020?
                                            Improved mental wellbeing and greater awareness and understanding of mental health and wellbeing.
                                            Increased coordination of mental health promotion within the HSE and across government
                                            departments.

                                            Key Milestone in 2017                       Key Milestone in 2018                  Key Milestone in 2019
                                            Development of scoping paper outlining      Convene National Steering Commit-      Consultation on draft plan.
                                            draft framework for plan including Vi-      tee.
                                                                                                                               Finalise and disseminate National
                                            sion, priority areas and outcomes (Q.1).
                                                                                        Agree framework for the plan (objec-   Plan.
                                            Conduct mapping of mental health            tives and high level outcomes) based
                                                                                                                               Implementation of Plan.
                                            promotion activity across HSE and HSE       on scoping work conducted by HSE.
                                            funded agencies to inform National Plan
                                                                                        Conduct Stakeholder engagement
                                            (Q.2-3).
                                                                                        stage.
                                            Develop visual of existing policy and im-
                                                                                        Agreement of draft actions by steer-
                                            plementation enablers for the national
                                                                                        ing committee.
                                            Plan (Q4).
                                                                                        Identify resource implications.
                                            Draft Terms of Reference of the Nation-
                                            al Steering committee (Q4).                 Develop Evaluation plan.

                                           1.1.3
                                           Deliver co-ordinated communication campaigns (such as Little Things, 2014) for the promotion
                                           of mental health and wellbeing among the whole population with a focus on protective health
                                           behaviours and consistent signposting to relevant support services.

                                           Lead Agency: HSE MH

                                            What Will be the Key Output by 2020?
                                            Increased awareness of protective health behaviours and increased awareness of relevant support services
                                            through increased signposting.

                                            Key Milestone in 2017                       Key Milestone in 2018                  Key Milestone in 2019
                                            Ongoing roll-out of the Little Things       Continue to roll out behaviour         Continue to roll out existing
                                            campaign for 2017 (Q.1-Q.4).                change campaigns in 2018, focusing     and new behaviour change
                                                                                        on protective health behaviours        campaigns in 2019/2020 with
                                            Commission largescale evaluation.
                                                                                        and signposting to support services    a focus on protective health
                                            Plan future campaigns for the               nationwide.                            behaviours and directing people
                                            promotion of mental health and                                                     to support services nationwide.
                                                                                        Collate and report on recent general
                                            wellbeing among the whole population
                                                                                        population research into mental
                                            and to signpost to relevant support
                                                                                        health awareness, attitudes and
                                            services (Q.3-Q.4).
                                                                                        understanding in order to inform
                                                                                        future communication campaigns.

     18                                    Connecting for Life IMPLEMENTATION PLAN 2017-2020
1.1.4

                                                                                                                  Section 4 CfL Implementation Action Plan
Build the link between alcohol/drug misuse and suicidal behaviour into all communications
campaigns.

Lead Agency: HSE PC

What Will be the Key Output by 2020?
Link between alcohol/drug misuse and suicidal behaviour will be integrated into all NOSP public
facing material and communication campaigns.

Changes in behaviours related to alcohol use.

Positive changes in mental health associated alcohol/drug related harms.

Key Milestone in 2017                       Key Milestone in 2018                 Key Milestone in 2019
Ongoing rollout of harm reduction           Ongoing dissemination of              Further work will be
initiatives in relation to New              campaign.                             dependent on review of the
Psychoactive Substances (Q.1-Q.4).                                                Alcohol Campaign and the work
                                            Monitoring of use of alcohol infor-
                                                                                  of the HSE Alcohol
Second phase of USI, HSE Addiction          mation on websites.
                                                                                  Implementation Programme.
services AND Drugs.ie harm
                                            Ongoing input into HSE Alcohol
reduction campaign (Q.1).
                                            programme Implementation Group
Work of Alcohol Programme                   including Primary Care and NOSP
Implementation group continuing in          representation.
2017. (Q.1-Q.4).

Alcohol website to be accessed as an
information and resource tool and Con-
necting for Life action is included (Q.2)

Alcohol and Drug Section of the DES
Senior Cycle will be updated and
launched.

                                                            Connecting for Life IMPLEMENTATION PLAN 2017-2020             19
1.1.5
Section 4 CfL Implementation Action Plan

                                           Promoting physical activity as a protective factor for mental health through the National Physical
                                           Activity Plan.

                                           Lead Agency: DOH HI DTTAS

                                            What Will be the Key Output by 2020?
                                            Demonstrate innovation in the promotion of physical activity and mental health through actions of the plan.

                                                      Key Milestone in 2017 Key Milestone in 2018 Key Milestone in 2019
                                            DTTAS     Dormant Account Funding              Secure further Dormant             Secure further Dormant Account
                                                      secured with over €3.5m              Account funding for NPAP           funding for NPAP measures.
                                                      dedicated to NPAP measures           measures.
                                                                                                                              Continue to ensure
                                                      (Q.1-Q.4).
                                                                                           Continue to ensure mental          mental health programmes are
                                                      Implementation of the ‘Get           health programmes are              selected for Dormant Account
                                                      Ireland Walking’ programme           selected for Dormant               funding.
                                                      in association with Irish Men’s      Account funding.
                                                                                                                              Assess the success of previous
                                                      Sheds Association (Q.1-Q.4).
                                                                                           Assess the success of              Dormant Account funded
                                                      Increase capacity of NGBs and        previous Dormant Account           measures and continue
                                                      LSPs to deliver programmes with      funded measures and continue       successful programmes
                                                      additional Community Sports          successful programmes through      through core funding.
                                                      Development Officers (Q.1-Q.4).      core funding.
                                                                                                                              Increase number of inter-county
                                                      Implementation of new GAA-GPA        Increase number of inter-          player endorsements of
                                                      Agreement involving inter-county     county player endorsements of      physical activity benefits for
                                                      player endorsement of physi-         physical activity benefits for     mental health.
                                                      cal activity benefits for mental     mental health.
                                                      health (Q.1-Q.4).

                                                      Ensure NPAP alignment in other       Key actions of National Physical
                                            DOH
                                                      prevention and improvement           Activity Plan advanced by sub-
                                            HI        strategies (Q.1-Q.4).                groups.

                                                      Establish thematic sub-groups        Ongoing implementation of so-
                                                      as needed to advance specific        cial marketing campaign plan.
                                                      actions.
                                                                                           Continued expansion of Active
                                                      Continue to engage with local        Schools Flag initiative.
                                                      community leaders and develop
                                                                                           Continued expansion of Com-
                                                      the skills and competencies of
                                                                                           munity Sport & Physical Activity
                                                      local communities.
                                                                                           Hubs initiative.
                                                      Broaden the awareness of the
                                                                                           Continued expansion of Get
                                                      hubs to a wider community,
                                                                                           Ireland Walking initiative.
                                                      aiming to improve integration
                                                      of communities.

                                                      Ongoing development of site
                                                      with better directory of available
                                                      locations and programmes.

                                                      A new Get Ireland Walking
                                                      Strategy will be published for
                                                      the period 2017 – 2020 to set
                                                      strategic objectives for the
                                                      development and promotion
                                                      of walking in Ireland.

     20                                    Connecting for Life IMPLEMENTATION PLAN 2017-2020
1.2.1

                                                                                                                      Section 4
Deliver accessible information on all mental health services and access/referral mechanisms and
make the information available online at YourMental Health.ie

                                                                                                                              3 CfL
Lead Agency: HSE MH

                                                                                                                                Suicide
                                                                                                                                    Implementation
 What Will be the Key Output by 2020?

                                                                                                                                        mortality andAction
 Increase in number of visits to yourmentalhealth.ie and improved user experience in relation to site
 navigation and content

 Key Milestone in 2017                      Key Milestone in 2018                   Key Milestone in 2019

                                                                                                                                                      self-harm
 Continued delivery of                      Further maintenance and                 Continued maintenance and
 yourmentalhealth.ie                        development of the content              development of the content
                                            and functionality on ymh.ie             and functionality on ymh.ie

                                                                                                                                                            Plan in Ireland
 Carry out test/ research relating to
                                            and social media channels.              and social media channels.
 awareness, knowledge levels and
 behaviour change relating to website       Service updates for the National
 (Q.1-Q.4).                                 Directory of Mental Health
                                            Services will be proactively provided
 Implementation of digital strategy for
                                            by each CHO.
 the development of yourmentalhealth.ie
 and the MHD’s web presence on HSE.ie.

 National Directory of Mental Health
 Services (Q.3).

1.2.2
Deliver targeted campaigns to improve awareness of appropriate support services to priority groups.

Lead Agency: HSE MH

 What Will be the Key Output by 2020?
 No of targeted campaigns delivered, increased awareness within priority groups of appropriate support
 services, increase in priority group numbers accessing appropriate support services.

 Key Milestone in 2017                      Key Milestone in 2018                   Key Milestone in 2019
 Work with agreed NGO partners to           Continue to fund and provide            Continue to fund and provide
 deliver on agreed campaign with            communications support for              communications support for
 agreed priority group for 2017 utilising   campaigns through NGO partners to       campaigns through NGO part-
 appropriate channels and messages          improve awareness of appropriate        ners to improve awareness of
 (Q.1-Q.4).                                 support services to priority groups.    appropriate support services to
                                                                                    priority groups.
 Continued funding of and                   On-going testing and evaluation of
 provision of communications support        targeted campaigns.                     On-going testing and evaluation
 to key partner agencies working with                                               of targeted campaigns.
 priority groups. (Q.1-Q.4).

 Commence testing of Little Things
 campaign messages and material for
 priority groups including young people
 and Traveller community (Q.3-Q.4).

                                                           Connecting for Life IMPLEMENTATION PLAN 2017-2020                    21
1.3.1
Section 4 CfL Implementation Action Plan

                                           Deliver campaigns that reduce stigma to those with mental health difficulties and suicidal
                                           behaviour in the whole population and self-stigma among priority groups.

                                           Lead Agency: HSE NOSP

                                            What Will be the Key Output by 2020?
                                            Delivery of campaign materials and messages to whole population and CfL priority groups.
                                            Reduction in self reported levels of stigma within population and priority groups.

                                            Key Milestone in 2017                      Key Milestone in 2018               Key Milestone in 2019
                                            Delivery of Green Ribbon                   Develop report with clear set       Development of cohesive Mental
                                            Campaign and evaluation of same (Q.2).     of recommendations on future        Health Stigma Reduction Cam-
                                                                                       direction of Mental Health Stigma   paign.
                                            Development of baseline
                                                                                       Reduction Campaign.
                                            measure of stigma (Q.2).
                                                                                       Deliver external contracted
                                            Development of campaign targeting
                                                                                       evaluation of anti-stigma
                                            priority groups (Q.3-Q.4).
                                                                                       campaigns at a population level
                                                                                       and among CfL priority groups.

                                                                                       Ongoing collection of data at a
                                                                                       population level.

                                           1.4.1
                                           Engage with online platforms to encourage best practice in reporting around suicidal behaviour,
                                           so as to encourage a safer online environment in this area.

                                           Lead Agency: DCENR

                                            What Will be the Key Output by 2020?
                                            Negotiate and development of a self-regulatory code of best practice for online platforms.

                                            Key Milestone in 2017                      Key Milestone in 2018               Key Milestone in 2019
                                            Engagement commenced with selected         Agreement with selected platforms   Ongoing promotion of code.
                                            online platforms with a view to agreeing   on code of best practice.
                                            best practice standards in reporting
                                                                                       Launch of code of best practice.
                                            around suicidal behaviour (Q.1-Q.2).

                                            Discussion paper to be submitted to
                                            inform current thinking with regard to
                                            action (Q.3).

                                            Agreement to be agreed at Cross Sec-
                                            toral Steering Group on next steps (Q.4)

                                            Agreement to be agreed at Cross Sec-
                                            toral Steering Group on next steps (Q.4)

     22                                    Connecting for Life IMPLEMENTATION PLAN 2017-2020
1.4.2

                                                                                                                          Section 4 CfL Implementation Action Plan
Broadcasting Authority of Ireland will apply and monitor its Code of Programme Standards including
Principle 3- Protection from Harm, which references self-harm and suicide, so as to ensure responsible
coverage around these issues in the broadcast media.

Lead Agency: DCENR

 What Will be the Key Output by 2020?
 BAI Code of Programme Standards will reflect best practice in respect of standards applying to coverage of
 suicidal behaviour, mental health and wellbeing. Ongoing application and monitoring
 of code.

 Key Milestone in 2017                       Key Milestone in 2018                   Key Milestone in 2019
 Ongoing consideration of                    Ongoing consideration of                Ongoing consideration of
 complaints by the BAI in respect of         complaints by the BAI in respect of     complaints by the BAI in respect
 Principle 3, and publication of decisions   Principle 3, and publication of deci-   of Principle 3, and publication of
 of the BAI (Q.1-4).                         sions of the BAI.                       decisions of the BAI.

 Provision, on request, of guidance to       Provision, on request, of               Provision, on request, of
 broadcasters and other stakeholders on      guidance to broadcasters and other      guidance to broadcasters and
 the application of Principle 3 (Q.1-4).     stakeholders on the application of      other stakeholders on the appli-
                                             Principle 3.                            cation of Principle 3.
 Circulate to broadcasters
 communications received from NOSP,          Circulate to broadcasters               Circulate to broadcasters
 representatives of families and other       communications received from            communications received from
 relevant third parties (Q.1-4).             NOSP, representatives of families       NOSP, representatives of families
                                             and other relevant third parties.       and other relevant third parties.

                                             Awareness raising activity to be        Awareness raising activity to
                                             conducted annually, across business     be conducted annually, across
                                             functions such as media literacy,       business functions such as
                                             communications or sectoral devel-       media literacy, communications
                                             opment.                                 or sectoral development.

                                                                                     Review effectiveness of the
                                                                                     BAI Code (in accordance with the
                                                                                     Broadcasting Act 2009) including
                                                                                     Principle 3.

                                                             Connecting for Life IMPLEMENTATION PLAN 2017-2020                    23
1.4.3
Section 4 CfL Implementation Action Plan

                                           The Press Council will amend its Code of Practice to include a principle on responsible reporting of
                                           suicide.

                                           Lead Agency: Press Council of Ireland

                                            What Will be the Key Output by 2020?
                                            Publish amended Code of Practice

                                            Key Milestone in 2017                         Key Milestone in 2018                   Key Milestone in 2019
                                            Ongoing application of Code of Practice       Ongoing application of Code of          Ongoing application of code.
                                            (Q.1-4).                                      Practice.
                                                                                                                                  Monitor newspaper coverage
                                            Monitor newspaper coverage of suicide         Monitor newspaper coverage of           of suicide reporting to ensure
                                            reporting to ensure adherence to best         suicide reporting to ensure             adherence to best practice,
                                            practice, engage with Headline and            adherence to best practice,             engage with Headline and
                                            Samaritans in regard to promoting take        engage with Headline and                Samaritans in regard to
                                            up by journalists and editors of offers       Samaritans in regard to promoting       promoting take up by journalists
                                            of in-house training on suicide issues        take up by journalists and editors of   and editors of offers of in-house
                                            (Q.1-4).                                      offers of in-house training on          training on suicide issues.
                                                                                          suicide issues.

                                           1.4.4
                                           Monitor media reporting of suicide, and engage with the media in relation to adherence to
                                           guidelines on media reporting.

                                           Lead Agency: NOSP

                                            What Will be the Key Output by 2020?
                                            Revised and re-engineered monitoring and education service and updated media guidelines in place

                                            Key Milestone in 2017                         Key Milestone in 2018                   Key Milestone in 2019
                                            Review of media monitoring and                Publication and dissemination           Ongoing tracking and work with
                                            engagement processes to assess the            of new media guidelines.                media providers and journalists
                                            most effective channels to engage with                                                on reporting of suicide across
                                                                                          Establishment of revised media
                                            media including journalists (Q.2).                                                    media outlets.
                                                                                          monitoring service.
                                            Review and update the current
                                                                                          Establish an ongoing tracking
                                            Samaritans/IAS media guidelines and
                                                                                          system and conduct a retrospective
                                            update as part of the WHO/International
                                                                                          analysis of media clippings (media
                                            Association of Suicide Prevention work
                                                                                          monitoring project) over the last
                                            in this area, to include substantial social
                                                                                          decade to inform current
                                            media guidelines. (Q.4).
                                                                                          understanding of media reporting
                                            National process for engagement with          and suicide.
                                            media in relation to suicide reporting to
                                            be developed (Q.2-Q.4).

     24                                    Connecting for Life IMPLEMENTATION PLAN 2017-2020
GOAL TWO

                                                                                                                     Section 4 CfL Implementation Action Plan
2.1.1
Implement consistent, multi-agency suicide prevention plans to enhance communities’ capacity to
respond to suicidal behaviours, emerging suicide clusters and murder-suicide. The plans with be the
responsibility of the HSE Mental Health Division and aligned with the HSE Community Health
Organisations structure (CHO), Local Economic & Community Plans and Children &Young People’s Services
Committee’s (CYPSC) county plans.

Lead Agency: HSE MH

What Will be the Key Output by 2020?
Local CfL Action Plans completed and published.

Timely reports on implementation progress.

Key Milestone in 2017                     Key Milestone in 2018                   Key Milestone in 2019
Local CfL Action Plans (75%)              Local CfL Action Plans completed and    Assess level of implementation,
completed and published (Q.3).            in implementation phase with mon-       identify outstanding priorities,
                                          itoring process in place to support     and address potential enablers/
Guidance provided to ensure alignment
                                          progress reporting.                     barriers.
of national and local implementation
plans, as part of Quality Assurance       Full integration of relevant national   Continued development of
Process (Q.1-Q.4).                        CfL lead actions.                       monitoring and reporting
                                                                                  framework/ mechanisms as
Framework for evaluating and moni-
                                                                                  required.
toring implementation progress to be
developed by NOSP in collaboration with
MHD/ROSPs (Q.1-Q.4).

Develop structures for
implementation of CfL
recommendations in mental health ser-
vices across all CHOs (Q.2-Q.4).

2.2.1
Provide community based organisations with guidelines and protocols on effective suicide prevention.

Lead Agency: NOSP

What Will be the Key Output by 2020?
Adaption of existing guidance and protocols for national community organisations who are most likely a) to
come in contact with people vunerable to suicide (including CfL prioity groups) and b) responding to critical
incidents.

Key Milestone in 2017                     Key Milestone in 2018                   Key Milestone in 2019
Commence development                      Dissemination of national               Review effectiveness of
of universal guidance for                 guidance and protocol documents.        protocols and identify areas for
community based organisations on re-                                              action.
                                          Organisation of NOSP symposium
sponding to persons at risk (Q.3-Q.4).
                                          on development and implementa-
                                          tion of suicide prevention guidance
                                          and protocols.

                                                         Connecting for Life IMPLEMENTATION PLAN 2017-2020                   25
2.3.1
Section 4 CfL Implementation Action Plan

                                           Develop a Training and Education Plan for community based training (as part of National Training
                                           Plan) building on the Review of Training completed by NOSP in 2014.

                                           Lead Agency: NOSP

                                            What Will be the Key Output by 2020?
                                            Increase in the numbers of appropriate persons from community based organisations attending ASIST,
                                            safeTALK and other NOSP community education programmes on an annual basis over the course of the CfL
                                            strategy. Establishment of NOSP monitoring and quality assurance system for training, improved evidence
                                            base for suicide prevention training, improved coordination of suicide prevention training across sector and
                                            achievement of targets for suicide prevention training.

                                            Key Milestone in 2017                     Key Milestone in 2018                    Key Milestone in 2019
                                            NOSP to complete final sign off of        Ongoing implementation of training       Review training outputs with
                                            National Training and Education Plan      and education plan.                      a view to identifying emerging
                                            2017 (Q.3-Q.4).                                                                    needs.
                                                                                      Monitoring and Evaluation of delivery
                                                                                      of training programmes.

                                           2.3.2
                                           Deliver awareness training programmes in line with the National Training Plan prioritising
                                           professionals and volunteers across community-based organisations, particularly those who come
                                           into regular contact with people who are vulnerable to suicide.

                                           Lead Agency: NOSP

                                            What Will be the Key Output by 2020?
                                            Increased engagement of wider community in suicide prevention awareness training both online and
                                            through attending face to face training.

                                            Improved evidence base for suicide prevention training and improved coordination of suicide prevention
                                            training across sector.

                                            Key Milestone in 2017                     Key Milestone in 2018                    Key Milestone in 2019
                                            Launch the on-line suicide awareness      Based on participation rates for new     Based on participation rates
                                            training programme developed by           programmes in 2017, targets for          for new programmes in 2017,
                                            NOSP (Q.2).                               online and face to face training will    targets for online and face
                                                                                      be established for 2018- 2020.           to face training will be
                                            Develop a 2 hour suicide
                                                                                                                               established for 2018- 2020.
                                            prevention awareness face to face         Finalise and launch of online training
                                            programme for the general public          programme.
                                            (Q.2 – Q.3).

                                            Bereavement training
                                            programmes will be tested in four sites
                                            across the country (Q.1).

                                            Ongoing community capacity building
                                            (Q.1-Q4).

     26                                    Connecting for Life IMPLEMENTATION PLAN 2017-2020
2.3.3

                                                                                                                           Section 4 CfL Implementation Action Plan
Deliver a range of mental health promoting programmes in community, health and education
settings aimed at improving the mental health of the whole population and priority groups.

Lead Agency: HSE H&W

 What Will be the Key Output by 2020?
 Increased delivery of mental health promotion by HSE and through other CfL stakeholders and
 supporting partners.

 Key Milestone in 2017                      Key Milestone in 2018                    Key Milestone in 2019
 Delivery of Zippy’s Friends for primary    Ongoing delivery of schools evidence     Ongoing delivery of schools
 school teachers (Q.1-4).                   based mental health promotion pro-       evidence based mental health
                                            grammes: Zippy’s Friends (primary)       promotion programmes: Zippy’s
 Roll out of MindOut 2 Training to teach-
                                            and Mindout 2 (post-primary).            Friends and Mindout 2.
 ers targeting senior cycle post primary
 schools (Q.3).                             Support the implementation of the        Support the implementation of
                                            Junior Cycle Wellbeing Guidelines in     the Junior Cycle Wellbeing Guide-
 In partnership with NEPS and the PDST,
                                            post primary schools in partnership      lines in post primary schools
 finalise the development of mental
                                            with the JCT and PDST.                   in partnership with the JCT and
 wellbeing resources to support the de-
                                                                                     PDST.
 velopment of the Junior Cycle Wellbeing    Ongoing delivery of Mindout training
 Guidelines for post primary schools.       to Youth Workers and Youthreach          Ongoing implementation of
                                            tutors as part of out-of schools         Wellbeing Training to HSE staff,
 Roll out of MindOutTraining to Youth
                                            programme.                               Service Users and wider commu-
 Workers and Youthreach tutors as part
                                                                                     nity pending positive evaluation
 of out-of schools programme.               Rollout of Wellbeing Training to HSE
                                                                                     findings.
                                            staff, Service Users and wider com-
 Evaluation and findings of HP & I
                                            munity pending evaluation findings.      Supporting the delivery of Social
 Wellbeing Training pilot delivery to be
                                                                                     Prescribing initiatives at commu-
 finalised (Q.4).                           Publish HSE principles to under-
                                                                                     nity level, building on the learn-
                                            pin the implementation of Social
 Draft HSE principles to underpin the                                                ing from effective models.
                                            Prescribing, pending cross-divisional
 implementation of Social Prescribing
                                            endorsement.                             The implementation of a national
 (Q.2-Q.3).
                                                                                     standardised approach to the
                                            Develop an evaluation framework
 Increased delivery of Smartstart Pre-                                               delivery of Stress Control to HSE
                                            for Social Prescribing.
 school programme (Q.4).                                                             staff and service users.
                                            Scoping the delivery of a national
                                            standardised approach to the deliv-
                                            ery of Stress Control to HSE staff and
                                            service users.

GOAL THREE
3.1.1
Integrate suicide prevention into the development of relevant national policies, plans and
programmes for people who are at an increased risk of suicide or self-harm.

Lead Agency: DAFM, DOH, DJE, DSP, DCYA, TUSLA, DECLG, DOD, DTTAS

 What Will be the Key Output by 2020?
 Suicide Prevention is mainstreamed across relevant national policies, plans and programmes for people who
 are at increased risk.

 Key Milestone in 2017                      Key Milestone in 2018                    Key Milestone in 2019
 Action will be led and initiated by        Action will be led and initiated by      Action will be led and initiated by
 cross-sectoral working group (Q.4).        cross-sectoral working group.            cross-sectoral working group.

 Detailed activity listed in Appendix 1.

                                                            Connecting for Life IMPLEMENTATION PLAN 2017-2020                      27
3.1.2
Section 4 CfL Implementation Action Plan

                                           Develop and implement a range of agency and inter-agency operational protocols (including protocols
                                           for sharing information and protocols in respect of young people) to assist organisations to work
                                           collaboratively in relation to suicide prevention and the management of critical incidents.

                                           Lead Agency: NOSP, HSE: Acute Hosps, PC, MH, IPS, Garda Síochána, Non-statutory partners

                                            What Will be the Key Output by 2020?
                                            Publication and implementation of interagency operational protocols
                                            Evidence of close interagency cooperation with community, health and statutory agencies

                                            Key Milestone in 2017                     Key Milestone in 2018                    Key Milestone in 2019
                                                                                      Initiate the development of a frame      Produce and disseminate key
                                            Action will be led and initiated by       of reference leading to a process        protocols.
                                            cross-sectoral group.                     of engagement and alignment of
                                                                                      relevant HSE Divisions with non HSE
                                                                                      parties in the development and
                                                                                      standardisation of protocols.

                                                                                      Publication of a literature review on
                                                                                      murder suicide.

                                           3.1.3
                                           Develop and deliver targeted initiatives and services at Primary Care level for priority groups.

                                           Lead Agency: HSE PC

                                            What Will be the Key Output by 2020?
                                            Increase in the numbers of frontline staff from primary care particularly those working with priority groups
                                            attending approriate suicide prevention training on an annual basis over the course of the
                                            CfL strategy.

                                            Implementation of an integrated model of primary care and mental health services for homeless people.

                                            Key Milestone in 2017                     Key Milestone in 2018                    Key Milestone in 2019
                                            Delivery of appropriate suicide preven-   As part of the CfL National              As part of the CfL National
                                            tion training as identified across HSE    Education and Training Plan,             Education and Training Plan, PC
                                            key workers in Traveller Health, Home-    PC will work with the NOSP to deliver    will work with the NOSP to deliv-
                                            lessness, Youth and Domestic Violence     suicide prevention training to key       er suicide prevention training to
                                            (Q.1-4).                                  frontline primary care staff including   key frontline primary care staff
                                                                                      those working with prioirty groups.      including those working with
                                            Development of Integrated Model of
                                                                                                                               prioirty groups.
                                            primary care and mental health services Ongoing phased implementation
                                            for homeless people via PIDS (Q.1-4).   of an integrated model of primary          Ongoing phased implementation
                                                                                    care and mental health services for        of an integrated model of
                                            Development of Discharge Protocol for
                                                                                    homeless people.                           primary care and mental health
                                            Homeless Persons in Acute Hospitals
                                                                                                                               services for homeless people.
                                            and Mental Health Facilities (Q.1-4).

                                            Delivery on HSE action under Second
                                            National Strategy on DSGBV (Q.1-4).

     28                                    Connecting for Life IMPLEMENTATION PLAN 2017-2020
3.1.4

                                                                                                                      Section 4 CfL Implementation Action Plan
Evaluate as appropriate targeted initiatives and/or services for priority groups.

Lead Agency: NOSP

 Evidence of effectiveness af targeted approaches among priority groups.
 Models for phased development and evaluations for targeted initatives in place.

 Key Milestone in 2017                        Key Milestone in 2018                    Key Milestone in 2019
 Initial audit of available data sources re   Scope out initiatives that require       Ongoing phased evaluation of
 suicide/self harm prevalence amongst         evaluation input (including devel-       programmes identified.
 priority groups.                             opmental, context and/or outcome
                                              evaluation).

                                              Commence phased commission-
                                              ing of evaluation of programmes
                                              identified.

3.1.5
Provide and sustain training to health and social care professionals, including frontline mental
health service staff and primary care health providers. This training will improve recognition of, and
response to, suicide risk and suicidal behaviour among people vulnerable to suicide.

Lead Agency: NOSP

 What Will be the Key Output by 2020?
 Enhanced capacity of frontline line services staff to manage and respond to persons at risk of suicidal
 behaviour and achievement of training targets for frontline staff.

 Improved coordination of suicide prevention training for health and social care professionals and improved
 evidence base for suicide prevention training.

 Establishment of NOSP monitoring and quality assurance system for training.

 Key Milestone in 2017                        Key Milestone in 2018                    Key Milestone in 2019
 Development of project plan for phased       Commence implementation plan             Review implementation
 delivery of STORM training and suicide       for delivery of suicide prevention       of training with a view to
 prevention training for Mental Health        training to frontline professionals      increasing participants
 Services and other frontline                 working with TULSA.                      attending programmes.
 services staff (Q1–Q.4) to be
                                              NOSP will identify additional
 completed with MHD CfL lead and PMO.
                                              education needs of mental health
 Completion of pilot study on the de-         professionals.
 livery of STORM to mental health and
                                              Devise attitude survey for other
 addiction services across CHO 1.
                                              healthcare settings including MH
 Develop with GP base a set of educa-         services, general hospital and train-
 tional and training products for intro-      ing schools.
 duction in 2018.
                                              Delivery of G.P. and Psychiatry train-
 Develop with National Clinical Lead for      ing events.
 Mental Health and Programme lead for
 Self-Harm, training products and devise
 an implementation plan.

                                                              Connecting for Life IMPLEMENTATION PLAN 2017-2020               29
You can also read