This webinar’s audience includes Juvenile Detention Center (JDC) non-clinical staff (administrators and shift leaders) as well as affiliated Juvenile Court administrators, JC judges and magistrates, as well as any part-time mental health clinicians working in JDC facilities. These folks should all be working in counties whose JDC does NOT have full-time (24/7/365) clinical mental health staffing within their JDC facility.
This webinar presentation will describe in detail our suite of suicide screening and triage system forms used at intake, i.e., an as-simple-as-possible-for-non-clinicians system that we developed to suit our needs and whose core component is The Columbia/C-SSRS, which itself was designed by Columbia University to be used by non-clinicians. This system removes from non-clinical JDC staff any need to engage in any level of “clinical-impression”-decision-making in the suicide-screening and triage process. The end result is a system which, when followed, provides both the best outcomes for youth (e.g., avoiding placing Low-Risk youth in an Isolation cell while also avoiding placing Moderate- and High-Risk youth in a regular cell) while also maximizing your court’s level of liability protection. Essentially, this system equips your non-clinical team to operate with confidence within what remains a clinical area of operations – i.e., suicide screening – while providing the necessary level of direction and structure for the proper care of Low-, Moderate-, and High-Risk status youth overnight or over the weekend until a licensed clinician can more fully assess the youth the following business day.
This system solves the problem of JDC staff trying to utilize suicide screeners that are:
- geared for clinicians only and/or which
- do not contain content specific to JDC settings, and/or which
- identify risk levels but still fail to tell non-clinicians what to actually do with a youth scoring at Moderate- or High-Risk.
- Lastly, the Yellow, Orange, and Red forms you will be learning about are also used for daily documentation of step-up and step-down decisions being made by your part-time mental health clinician on a daily basis.
Resources and Handouts
- 4-Hour YouTube Suicide Screening Triage System Instruction Video
- Sample: JDC Suicide and Safety Risk Assessment form
- Sample: Instructions for Red, Yellow and Orange Alerts
- Columbia Suicide Severity Rating Scale (C-SSRS) Risk Assessment Page
- C-SSRS Step 3 Cheat Sheet
- C-SSRS Screen with Triage Points for Corrections
- JDC Red Form
- JDC Orange Form
- JDC Yellow Form
- The Columbia (C-SSRS) Screener with Triage Points for Corrections
- JDC Collaboration and Safety Protocol Level Options
- How to Administer the C-SSRS Suicide Screener at JDC