LivingWorks 2015 Annual Report by LivingWorks Education

saving lives together

COMMUNITY

2015 Annual Report

ABOUT LIVINGWORKS LivingWorks Education is dedicated to helping individuals, organizations, and communities become safer from suicide. We believe that anyone and everyone can learn the skills to help save a life from suicide. We develop and deliver interactive, evidence-based multimedia training programs around the world. Since our foundation in 1983, we’ve trained more than 1.25 million people.

Our Vision

Who Uses LivingWorks Programs?

Living Works: A life-affirming, suicide-safer world.

Widely used by both professionals and the general public, our programs offer valuable skills to every participant. Here are some of the groups who use our training:

Our Mission Saving Lives through the creation, development, and delivery of innovative training experiences that empower individuals, organizations, and communities to be safer from suicide.

Our Core Values

INTEGRITY COLLABORATION EXCELLENCE SUPPORT PASSION BALANCE GROWTH RESPONSIBILITY

Community Members

Counselors, Social Workers and Clinicians

Crisis Line Workers

Coaches and Athletes

Military Personnel

Firefighters

Educators

Volunteers

Medical Professionals

Police and Correction Officers

EMTs and First Responders

Students

Construction Workers

Workplace

How our Programs Make a Difference Suicide is preventable, and prevention starts in the community. LivingWorks has developed a layered suite of workshops and training programs designed to promote awareness, increase knowledge, equip participants with suicide intervention skills, and provide tools to facilitate growth and recovery after a suicide experience. We collaborate with organizations, towns, states, provinces, and countries to develop comprehensive, sustainable plans for suicide-safer communities. Learn more and help us make communities around the world suicide-safer: www.livingworks.net

“Communities play a critical role in suicide prevention. They can provide social support to vulnerable individuals and engage in follow-up care, fight stigma and support those bereaved by suicide.” — World Health Organization, Preventing suicide: A global imperative (2014)

2015 LivingWorks Annual Report

Faith Community Members

8103 1,250,000+ 37 community trainers

program participants

countries and territories

Suicide awareness sessions Who: Anyone 15+ Time: 1-2 hours Helps participants take the first steps toward suicide prevention, face-to-face or online.

Suicide alertness training Who: Anyone 15+ Time: 3-4 hours Trains participants in suicide alertness and community connections.

suicide to Hope Suicide intervention workshop

Growth and recovery workshop

Who: Anyone 16+ Time: 2 days Teaches participants life-assisting intervention skills.

Who: Clinicians and other professional caregivers Time: 1 day Teaches skills to help people recover and grow after suicide experience.

Training for Trainers (T4T) LivingWorks trainers represent a wide variety of demographics and disciplines. Completing an intensive Training for Trainers (T4T) course prepares them to deliver LivingWorks programs in their local communities in accordance with LivingWorksâ&#x20AC;&#x2122; international quality standards. Many trainers worldwide present LivingWorks training in addition to, or as part of, their full-time jobs. Over the course of a career, a trainer can empower hundreds or even thousands of participants to help save lives from suicide.

LivingWorks 2015 Annual Report

Table of Contents About LivngWorks .........................................................................................................................................................................2 Presidentâ&#x20AC;&#x2122;s Message ......................................................................................................................................................................5 LivingWorks 2015 Highlights ..................................................................................................................................................6 Welcome Lance and Sanj............................................................................................................................................................8 Suicide-Safer Communities ......................................................................................................................................................9 Team Leader and Training Coach Conference............................................................................................................10 Recognition Project ....................................................................................................................................................................11 Partnership with CE Units.......................................................................................................................................................12 Regional Trainer Network Grants.......................................................................................................................................13 LivingWorks Team........................................................................................................................................................................14 Our Friends.......................................................................................................................................................................................16 2015 LivingWorks Around the World...............................................................................................................................18 Australia...................................................................................................................................................................................... 19 Canada........................................................................................................................................................................................ 21 China............................................................................................................................................................................................ 24 Denmark.................................................................................................................................................................................... 24 England...................................................................................................................................................................................... 25 Ireland.......................................................................................................................................................................................... 26 Isle of Man................................................................................................................................................................................. 27 Korea............................................................................................................................................................................................ 27 New Zealand........................................................................................................................................................................... 28 Northern Ireland................................................................................................................................................................... 29 Norway....................................................................................................................................................................................... 29 Scotland..................................................................................................................................................................................... 30 Singapore.................................................................................................................................................................................. 31 South Africa............................................................................................................................................................................. 31 Sri Lanka..................................................................................................................................................................................... 32 Switzerland............................................................................................................................................................................... 32 United States of America................................................................................................................................................. 33 Wales............................................................................................................................................................................................ 37 U.S. Military......................................................................................................................................................................................38 safeTALK Program Update......................................................................................................................................................40 ASIST Program Update..............................................................................................................................................................42 suicide to Hope Program Update.......................................................................................................................................44 suicideTALK/esuicideTALK Program Update...............................................................................................................47

2015 LivingWorks Annual Report

President’s Message Community-level participation has always been central to our work. Thirty-two years ago, our primary goal was to bring suicide intervention skills training to a wide range of community members, including helping professionals and others in a position to make a difference. We wanted to make suicide prevention everybody’s business and encourage everyone in the community to work together. Today, the idea of community-based suicide prevention has grown immensely. Effective training has played a key role in suicide prevention, and we’ve been proud to see our programs reach a broad mix of community helpers, working together and learning from each other. The concept of community continues to guide our work. In 2015, we officially launched our newest training program, suicide to Hope: Aiding Recovery and Growth for clinicians and other professionals working with those who have lived experience of suicide. With the Suicide-Safer Communities designation, also launched in 2015, we moved to recognize communities for their sustained, strategic commitments to suicide-safety. We ensured the continuity of our own LivingWorks community with our new succession partners Lance Armstrong and Sanj Malik. We awarded trainer network grants and held gatherings to strengthen our trainer and staff collaborations. We continue to provide support and advice to the many communities and organizations who use our programs worldwide. As new friends and partners approach us, we always encourage them to implement training as part of a comprehensive and coordinated approach to building suicide-safer communities. One highlight this year was the articulation of a five-year strategic plan—our LivingWorks map for expanding international outreach, supporting our trainer network, and communicating our core values. Sharing the plan at our staff retreat in June, I was heartened to see how frequently the discussion focused on communities: of how we could help empower networks of our trainers, partners, and friends to build the spirit and capacity of working together to prevent suicide. Our partnerships continue to guide and inspire us. Suicide prevention is larger than any one contributor. It must be addressed together. Reflecting on the past thirty-two years, it’s been an honor to be part of this journey with so many others.

Yours in community,

suicidetotoHope Hope suicide

RICHARD RAMSAY President

LivingWorks 2015 Annual Report

LIVINGWORKS 2015 HIGHLIGHTS

67,557 101

safeTALK T4Ts

safeTALK participants A NEW RECORD!

3839 986 NEW safeTALK trainers

safeTALK trainings

A NEW RECORD!

95,057 86

ASIST T4Ts

5009

ASIST participants

1674

A NEW RECORD!

NEW ASIST trainers

ASIST workshops A NEW RECORD!

A NEW RECORD!

Offcially launched in February!

311

s2H T4F

2015 LivingWorks Annual Report

s2H participants

NEW s2H facilitators

s2H workshops

Suicide-Safer Communities Launch

12 13 14

CE Units Partnership

Calgary Transit Public Awareness

Navy Professional Development Training Course

New board members and succession partners

Designation recognizes community commitments to suicide safety

Credits available online for ASIST and s2H

Regional Trainer Network Grants 10 grants awarded

Staff Retreat Planning to sustain our legacy for years to come

Supporting suicide awareness campaign collaboratively launched

Training for Navy Chaplains in partnership with General Dynamics

RAND Corporation Study

French ASIST 11 Launch

First Suicide to Hope Training for Facilitators (T4F)

safeTALK App

Study finds ASIST training a sound investment for California

Training in Canada and Switzerland

suicide to Hope aiding recovery and growth

Coach Handbook Developers

Wm. A. Lang, PhD Bruce Turley, DMin, MA Bryan L. Tanney, FRANZCP Devon Tayler, MA/ABS Philip Rodgers, PhD

18 new facilitators representing 6 countries

TALK steps and KeepSafe connections updated app suicide to Hope Facilitating Coach Handbook

3EN01A1.1 ÂŠ 02/2016 LivingWorks Education

PRINTED IN CANADA

2015 HIGHLIGHTS

Lance Armstrong and Sanj Malik join LivingWorks

www.livingworks.net

LivingWorks 2015 Annual Report

LivingWorks Welcomes Lance Armstrong and Sanj Malik New Board Members and Succession Partners Effective leadership succession planning is key to ensuring ongoing sustainability of LivingWorks’ vision and mission. Our Board Chair Brian Olson has prioritized this since joining LivingWorks eight years ago. In September 2015, the Board announced the addition of Lance Armstrong and Sanj Malik as new partners and new board members. Their combined business, legal, and financial expertise, along with their deep passion for LivingWorks’ mission, will help to sustain our work for many years to come. Current Board members Richard Ramsay, Tarie Kinzel, Bill Lang, and Brian Olson will continue as ongoing stewards of the excellent work being done by LivingWorks’ leadership, staff, and international trainer network.

Introducing Lance Armstrong

Introducing Sanj Malik

With a background in marketing, finance, and law, Lance Armstrong provided counsel on cross-border operations between Canada and the U.S. before becoming a succession partner. The social mission, above all, is what drew him to LivingWorks. “At the core of it is purpose,” he said. “LivingWorks brings a sense of meaning that I find immensely compelling. I really want to be part of that, to go in every day and help others bring hope to someone’s life.”

Sanj Malik began his education by studying social psychology before obtaining his law degree. As he considered the possibility of a succession role in LivingWorks, it seemed to call to him. “My wife is a social worker, my mother is a teacher, and my sister is a doctor,” he said. “Teaching and caregiving are ingrained in my upbringing, and with LivingWorks I feel in a way like I’m back to that path I was destined to be on.”

2015 LivingWorks Annual Report

LivingWorks Launches Suicide-Safer Communities Designation The NINE PILLARS of a SUICIDE-SAFER COMMUNITY 1. Leadership/Steering Committee 2. Background Summary 3. Suicide Prevention Awareness 4. Mental Health and Wellness Promotion

As part of our ongoing commitment to foster and celebrate sustainable, strategic approaches to suicide safety, we launched the Suicide-Safer Communities designation on World Suicide Prevention Day, September 10th. Inspired in part by the pioneering Safe Communities injury prevention movement, the designation recognizes comprehensive work in nine key areas designed to create a life-affirming environment where members are safer from suicide. The nine pillars of the designation align with elements of many national suicide prevention strategies. Designated communities will serve as examples and inspiration to others as they work to create suicide-safer workplaces, organizations, cities, and countries.

5. Training 6. Suicide Intervention and Ongoing Clinical/Support Services 7. Suicide Bereavement 8. Evaluation Measures 9. Capacity Building/Sustainability

“With the Suicide-Safer Community designation, LivingWorks and our international partners are working to help communities around the world celebrate their achievements and stand as examples to others who want to integrate a holistic approach to become suicide-safer.” —Heather Stokes, LivingWorks Vice-President of Strategic Development and Suicide-Safer Communities co-developer

1.1.3 © LivingWorks Education

www.livingworks.net

LivingWorks 2015 Annual Report

Team Leader and Training Coach Conference

“Thank you to all & the Team Leaders and TEAM LEADER TRAINING COACH Training Coaches who help impart life-saving workshop skills to trainers around2015 the world. Your CONFERENCE contributions, and those of the trainers you’ve mentored over the years, mean more than words can say.” —Richard Ramsay, President, LivingWorks

Team Leaders and Training Coaches are a vital part of our ASIST trainer network. They conduct our world-class Training for Trainers (T4T) courses and provide ongoing support for trainers in the field. To continue hosting around 100 T4Ts a year, we must have a strong, competent group of coaches to train and mentor new ASIST trainers. In February, over 70 leaders and coaches participated in our Team Leader/Training Coach conference in Atlanta, Georgia. The conference focused on the importance of understanding relationships, the T4T Handbook, turning points to learning, mentorship, balancing safety and challenge, building competency, and how the Pathway for Assisting Life (PAL) intervention model can facilitate learning for T4T candidates. In addition, a suicide to Hope workshop was delivered so that participants could experience this new recovery and growth program. “Gathering leaders and coaches from all over the world was an amazing and powerful experience,” said Cindy Hodge, Vice-President Training. “They had a chance to learn, grow, and reflect on their own journeys as trainers and on how they can become even better coaches and mentors. As a group, they have an enormous passion and dedication for training others to carry the work into their own communities.”

LivingWorks leadership team members attended the conference to meet, greet, and support the Team Leaders and Training Coaches. TOP L-R: Vice President Training Cindy Hodge, Vice President Design, Development, and Evaluation Philip Rodgers and Vice President Strategic Development Heather Stokes; MIDDLE L: Senior Training Coach Alan Dagg and Team Leader Fiona Dagg; MIDDLE R: Vice President of Associate Care Kathryn VanBoskirk and LivingWorks co-founder Bill Lang; BOTTOM: Training Coach Michael Ouellette and Senior Training Coach Ann-Jorid Møller. 10

2015 LivingWorks Annual Report

“The conference was a wonderful opportunity to strengthen our relationships with each other by reconnecting with old friends and connecting with new ones. It was also an opportunity to reacquaint with the mission and vision that are the driving forces behind what we do.” –Karen Grant, ASIST Training Coach and safeTALK Instructor

Recognition Project

Trainers presented 59 Recognition Awards throughout Australia, Canada, England, New Zealand, Norway, Singapore, and the United States in 2015. “Recognition Awards help trainers celebrate and affirm their community connections by recognizing those who have made a contribution,” said Kathryn VanBoskirk, Vice President Associate Care. “Sometimes the smallest things can make the biggest difference: providing space to host a workshop, helping to ensure a training goes smoothly, or providing refreshments to support participants’ comfort.” Affirming this, “The project has given us a tangible way to recognize those who often work without acknowledgement to support training,” said ASIST Team Leader and safeTALK Instructor Christy Letsom. Cynthia R. Hodge Vice President, Training

Kathryn VanBoskirk Vice President of Associate Care,

ABOVE: Benjamin Leikin receives a Recognition Award from LivingWorks’ Renée Ouimet, for his work in making safeTALK available to City of Ottawa employees. MIDDLE: MATES in Construction CEO Jorgen Gullestrup accepts a Recognition Award, from LivingWorks’ Heather Stokes, acknowledging MATES’ work to make the Australian construction industry safer from suicide. BOTTOM: Paul Koll of Piatti’s Restaurant receives a Recognition Award from LivingWorks’ Cindy Hodge (left) and Kathryn VanBoskirk, acknowledging the restaurant’s generosity and flexibility in supporting LivingWorks trainers.

LWE

www.livingworks.net

“The international trainer network has taken gratitude and valuing to heart in 2015. They have doubled the number of recognitions awarded to those in their local areas contributing to helping them build suicide-safer communities. The ripple effect of these recognitions has spread throughout seven countries.” —Kathryn VanBoskirk, Vice-President of Associate Care

ABOVE L-R: LivingWorks’ Monica Kintigh presents a Recognition Award to Trainer Sarolyn Morgan for her outstanding work in the Fort Worth community. LivingWorks 2015 Annual Report

Partnership with Social Workers Nurses (eligible in 37 states)

Licensed Mental Health Counselors

Professions currently eligible for credits through the CEUnits partnership

Licensed Marriage & Family Counselors

Psychologists Addiction Counselors

CE Units Timeline ›› August 2013: Initial conversation with LivingWorks Associate Care team

“This partnership makes it easier than ever for participants to integrate LivingWorks programs into their professional growth and development.” —Dr. Monica Kintigh, LivingWorks CEU Consultant In 2015, LivingWorks launched its CEU services with online continuing education provider CE Units, making it quicker and easier for ASIST and suicide to Hope participants to obtain professional development credits. After completing a workshop, participants can now visit the CE Units website and obtain certified credits by passing an online exam developed by LivingWorks. “The new partnership is advantageous to both participants and trainers,” said CEU Consultant Dr. Monica Kintigh, who led the initiative. “Participants in the United States and Canada can now obtain professional development credits regardless of who their trainer is and where they take the workshop. The result is that trainers can now attract participants who are specifically looking for credits, and professionals have greater access to receiving credit for meeting their license requirements when attending LivingWorks programs.”

›› May 2014: Proposal to LivingWorks leadership for consideration ›› August 2014: Service agreement signed by CE Units and LivingWorks ›› September/October 2014: Collaboration between Design, Development & Evaluation teams at LivingWorks and CE Units to create ASIST exam questions ›› November/December 2014: Collaboration between LivingWorks web design and CE Units to develop web exam ›› December 2014: Exam piloted ›› January/February 2015: Exam field trials ›› March 2015: ASIST exam launch ›› November 2015: suicide to Hope exam launch 12

2015 LivingWorks Annual Report

The CE Units LivingWorks exam webpage.

Regional Trainer Network Grants

100 %

applications funded TOP TO BOTTOM: Trainers from around the world attended the annual ASIST Newfoundland and Labrador conference; LivingWorks Board members met and collaborated with the trainer community at the ASIST Newfoundland and Labrador conference. L-R: Sanj Malik, Tarie Kinzel, Richard Ramsay, and Lance Armstrong; Trainers discuss and collaborate at the Arizona Suicide Prevention Coalition conference; Excitement and celebration in Arizona!

grants

applications

Each year, LivingWorks awards Regional Trainer Network Grants to trainers around the world. These grants facilitate regional conferences to build supportive trainer networks and continued quality-assured dissemination of our programs. Ten excellent applications were funded in 2015. CONFERENCES FUNDED: ›› Arizona Suicide Prevention Coalition Phoenix, Arizona ›› ASIST Newfoundland and Labrador Salmonier Line, Newfoundland ›› Behavioral Health Response St. Louis, Missouri ›› Community Trainers’ Conference Denver, Colorado ›› ColumbiaCare Services Portland, Oregon ›› Community Trainers’ Conference Burlington, Ontario ›› Community Trainers’ Conference Moncton, New Brunswick ›› Community Trainers’ Conference Baton Rouge, Louisiana ›› The Planning Council Wakefield, Virginia ›› Survivors of Suicide Roscommon, Michigan LivingWorks 2015 Annual Report

OUR TEAM, OUR PASSION From our offices located in Calgary, Fayetteville, and Canberra, as well as home offices in other countries, 37 employees and 19 contractors support our trainers, customers, and partners to advance our mission. Our team continued to develop and expand in 2015. Together, we share a unified vision of a life-affirming, suicide-safer world.

LivingWorks Team Retreat In June, staff and leadership gathered for a combined team retreat. The event, called Retreat, Renew, and Rediscover, explored ways in which each role can contribute to and enhance our new five-year strategic plan. Over two days in the beautiful Rocky Mountain

foothills, we celebrated, collaborated, and focused on the future. We left with a deeper connection to each other and further appreciation for our vision and mission and dedication to help communities become suicide-safer.

Support and Services We Provided in 2015

answers and information

T4T postings and registration

conferences and events

grants and funding

quality assurance and feedback

online education and upgrading

curriculum material order support

program refinements and updates

meetings and administrative support

reactivation planning and support

2015 LivingWorks Annual Report

- CARA, Human Resources “The essence of our training is empowering in its simplicity. It’s about listening, understanding, and collaboration. It’s about reaching out and having meaningful conversation. We all thrive on meaningful conversation.” - CAROL, Marketing “It is so rewarding to talk with our trainers and hear all the good things they say about our programs! Often they realize that taking these programs has helped them to save someone’s life.” - CAROLYN, Administration “Saving someone’s life isn’t just a gift to them—it’s a gift to their family, their friends, and all the lives they’ll touch in turn. It’s amazing to support trainers who help make that possible every day.” - OWEN, Communications “It is a real pleasure to support our trainer network and to be able to be part of something so worthwhile like s2H.” - SANDRA, Web Access and s2H Coordinator

“Working for LW allows me to share my passion in caring for and nurturing others. I am proud to be able to provide support to our diverse trainer network and staff.” - MARY, Production

program design, development and evaluation

trainer contacts, referrals and connections

stories about our programs in the community

information technology and web support

tools to build awareness and promote workshops

newsletters, bulletins and announcements

2015 LIVINGWORKS

“It is an honor to work for an organization that engages our communities and helps to save lives every day. It doesn’t get more impactful than that!”

LivingWorks 2015 Annual Report

A Acadia University, Action Mental Health, Agency Chiefs Tribal Council, Algonquin College, Anglophone School District, Anzo Holistic Solution, ASCERT, ASIST Newfoundland, Assembly of Manitoba Chiefs Secretariat, Aftercare Anglicare (NT/WA), Anxiety Recovery Centre, ARC University New South Wales, Australasian Centre for Rural and Remote, Australian College of Community Services, Australian Defence Force, Access Services, Access Supports for Living Inc., Adams State University, American Foundation for Suicide (Colorado, San Diego, Southern Division, Boston, Connecticut, Indiana, Missouri, Montana Chapter, Northern Ohio, New York, Utah Washington State), Agora Crisis Center, Alaska Native Tribal Health Consortium, Alaska School Counselor Association, Inc., Amador Tuolumne Community Action Agency, American Foundation for Suicide Prevention American Indian Health & Family, American Legion, Antelope Valley Union HSD, Apache Behavioral Health Services Arizona Suicide Prevention Coalition, Arizona Youth Partnership, Arkansas Crisis Center, Arkansas Department of Health, ASPEN, Assiniboine & Sioux Tribes, Aurora Public Schools B Beaufort - Delta Health and Social Services Authority,

CALMHSA, Campus Suicide Prevention Center of VA, Carlton County Public Health & Human Service, Carson J. Spencer Foundation, CCCS Martin Hall, CDCR - Office of Employee Wellness, Centennial Mental Health Center, Chickasaw Nation Family Resource Division, Children's Clinical and Prevention Service, Chippewa County Health Department, Christian Community Action, Citizens Against Family Violence, Civil Air Patrol, Clallam County Health & Human Services, Clark Counseling Services, Clark County School District, Clovis Unified School District, CMHA NS Division, College of Charleston, Colorado Mesa University, Columbia Care Services Inc., Columbia Community Mental Health, Colville Confederated Tribes, Common Ground, Commonwealth Healthcare Corp., Community Reach Center Community Crisis Services Inc., Community Health Improvement Partners, Community Partnership of Southern Arizona, Community Reach Center, Confederated Tribes of Warm Springs, County of Nevada, County of Orange, County of Riverside Injury Prevention Services, County of San Bernardino Behavioral Health, Cow Creek Behavioral Health CRIHB, Crisis Center Johnson County, Crisis Center of Tampa Bay, Crisis Clinic,

Corp., Golden Triangle, Goodwill of the Finger Lakes, Grassroots Crisis Intervention Center, GET Mental Health and Wellbeing, Gin Gin State High School, Glenelg Suicide Prevention Network, GROW Community Mental Health H Halifax Refugee Clinic, Halton Regional Department, Hamilton Police Services, Hamilton Wentworth District School Board, Harmless CIC, Hastings/Prince Edward District School, Hay River Health and Social Services, Health & Social Services – Mental Health Herzing College - Winnipeg Campus,Highland Shores Children’s Aid, Horizon Health Network, Horizon School Division, HSC Public Health Agency, HSE National Office for Suicide Prevention, Hull & East Yorkshire Mind, Humber College, Humber Institute of Technology, Huron Perth CDSB, Huron-Superior Catholic District School Board, Health and Community Services Union, Holmesglen Institute, Hampton-Newport News Community Services, Hathaway-Sycamores Child & Family Service, Headquarters Counseling Center, Health Resources of Arkansas, HeartLine, Helen Farabee Centers, HelpLine, Helpline Center, Highline College, Hill Country MHDD Centers, Hillsboro School District, Home On The Range, HSI Crisis

OUR FRIENDS Bereaved Families of Ottawa, Bow Valley College, Boys and Girls Club of Kawatha Lakes, Brain Injury Services, Brockville General Hospital, Burnaby School District, Banyule Community Health, Barwon Centre Against Sexual Assault, Black Dog Ball Committee, Behavioral health Center of Nueces County, Betty Hardwick Center, BJC Behavioral Health, Blue Mountain Community College, Blue Ridge Behavioral Healthcare, Bluebonnet Trails Community Services, Border Region Behavioral Health Center BRBH Prevention Services, C Cambrian College, Canada Border Services Agency, Canadian Forces Military Police Academy, Cape Breton Community Housing Assoc., Cape Breton Transition House, Cape Breton University, Carleton University, CDI College, CDI College Hamilton, Canadian Forces Military Police Academy, Central Community Care Access Centre, Central Vancouver Island Crisis Society, CFMPA, Champange and Aishihik First Nation, Chatham Kent Children's Services, Chatham-Kent Community Health Centres, Chester-Le-Street and Durham City Mind, Children’s Centre, Children's Aid Society Thunder Bay, Children's Mental Health Leeds Grenville, Chimo Helpline Inc., Chimo Youth and Family Services, Choose Life NHS Scotland, Canadian Mentla Health Association (Cornwall, Brampton, Brantford, Brockville, Dartmouth, Durham, Hamilton, HKPR, Kenora, Middlesex, New Brunswick, Nova Scotia, Oshawa, Ottawa, Oxford, Peel, P.E.I., Sault Ste. Marie, Simcoe County, Thunder Bay, Toronto, Waterloo, Weyburn, Windsor Essex, Woodstock, Kindersley, Nipissing, Sudbury, Waterloo Wellington Dufferin, Community Mental Health Centre, College Acadie I.-P.-E., College Boreal, College of the North Atlantic, Comité de prévention de suicide de Kent, Common Unity Ltd., Community Mental Health Bathurst, Community Suicide Awareness Committee, Confederation College, Connexion Family Health Team, Conseil catholique du District des GR, Conseil de dist. catholique de l'est Ont. Conseil des Ecoles Catholiques, Conseil des Ecoles Publiques, Conseil scolaire catholique Franco-Nord, Conseil scolaire de district catholique, Conseil Scolaire Viamonde, Corner Brook Status of Women Council, Cornwall Community Hospital, Correctional Service Canada, Cota, Cree Nation of Mistisssini, Cree Nation Tribal Health Centre, Crisis Intervention Centre, Crisis Intervention & Suicide Prevention B.C., Crisis Prevention Intervention and Inform, Cross Lake First Nation, CSCNO, Conseil scolaire de district catholique Centre-Sud, Centre for Suicide Prevention, C/Sara Foundation, Calaveras Health & Human Services, California Institute for Mental Health, California State University Sacramento, California State University San Bernardin,

2015 LivingWorks Annual Report

Crisis Line of the Planning Council, Crisis Preparation and Recovery, Crossroads CSB, Crouch Foundation, CSU San Bernardino, Cumberland River Behavioral Health, Carrington Health, Cate's Corner, Central and North West Queensland, Central Coast Partners In Recovery, Central Gippsland Health Services, Central Qld Red Cross Services, Child & Youth Mental Health, Child First Family Solutions, Choose Life Services, City of Rockingham, COMET Care School D Dalhousie University, Dare to Stretch, DASCH Inc., Diamond Training Services, Distress Centre (Durham, Niagara, Oakville, Ottawa & Region), District School Board Ontario, Department National Defense, Dufferin-Peel Catholic DSB, Durham Catholic District School Board, Durham College, Durham District School Board, Durham Mental Health Services, DC Goverment Department of Behavioral Health, Department of Health- Injury Prevention, Department of Health Services, Department of Veterans’ Affair, Deptartment of Family Advocates, Des Moines Pastoral Counseling Centre, Deschutes County Oregon, Dial Help Inc., Didi Hirsch Mental Health Services, Dine College, Douglas County School District, Douglas County Sheriff’s Office, Dupage County Health Department, DCSI College for Learning and Development, Deakin University, Defence Force Chaplains College, Department of Corrective Services, Department of Defence E Eagle's Nest Youth Ranch, Eagles Healing Nest, East Baton Rouge Parish Schools, Education Outside the Box Inc., EMF Broadcasting, East GTA Family Health Team, Eastern College Inc., Eastern Health, Eastern Ontario Health Unit, Equire Psychosociale, Eastern Regional Mental Health Association F Family and Children’s Services LLG, Family Matters Counseling Family Services Durham, Families Affected by Sexual Assault, File Hills Qu’Appelle Tribal Council, Financial Services, Firefly, First Nations And Inuit Health Branch, Five Hills Health Region, Follett Fleming College Bookstore #939, Forces in the Community, Fort Smith Health & Social Services Authority, Frontenac Community Mental Health, Family Involvement Center, Family Service Agency (Central Coast, Marin), FirstLink, Forefront Innovations in Suicide Prevention, Fort Peck Suicide Prevention, Fresno County Office of Education, Fresno Unified School District, Front Porch Coalition, Full Armor Group Inc. G Greater Essex County District School Board, General Child & Family Services Authority, Georgian College, Gerstein Crisis Centre, Good Shepherd, Grand Erie District School Board, Grassroots Suicide Prevention, Greater Essex County District School Board, G4S Security Solutions, Geminus Corporation Crisis Center, General Dynamics Information Technology, Gila River Health Care

Connection, Hualapai Tribe, Humboldt County DHHS I Indwell, Institute for Human Services Education, Interim Place, International School of Nanshan Shenzhen, Inner East Community Health Service, Innovative Training & Development, Idaho Suicide Prevention Hotline, Imperial County Behavioral Health Service, Indian Health Services, Institute for Educational Research and Service, Ionia County Community Mental Health J Jackson County Mental Health, Jefferson Center for Mental Health, Jesse Klump Memorial Fund Inc., Johns Hopkins University, Johnson County Mental Health Center K Kahnawake Shakotiia’takehnhas Community Services, Kaleidoscope Project, Kanesatake Health Center Inc., Kawartha Pine Ridge District School Board, Keewatin Tribal Council, Keewatin Yatthe Regional Health Authority, Kelsey School Division - NLSC, Kenjgewin-Teg Educational Institute, Kenora Catholic District School Board, Kerry’s Place Autism Services, Kids Help Phone, Kinark Child and Family Services, King’s University College, Klinic Community Health Centre, Korea Association for Suicide Prevention, Kansas Youth Suicide Prevention, Kern County Mental Health, KUTO, Kimberley Aboriginal Medical Services, Korea Association for Suicide Prevention L Labrador Grenfell Health, Lambton College, Lambton Kent District School Board, Lanark County Mental Health Lancashire County Council Public Health, Laurentian University, Lifeline Aotearoa, Lincolnshire Partnership Foundation Trust, London and District Distress Centre, London District Catholic School Board, London Middlesex Suicide Prevention Council, Latrobe Regional Hospital, Life Central, Lifeline (Albury Wodonga, Bollerat, Broken Hill, Canberra, Central Australia, Central Coast NSW, Central West, Darling Downs & SW Qld Ltd., Geelong, Gippsland, Harbour to Hawkesbury, Melbourne, Mid Coast, Newcastle & Hunter, North Coast, Northern Beaches, Northern Rivers, South Coast, South East SA, South West Vic, Tasmania, Top End, UnitingCare Community QLD, WA, Western Sydney), Living Proud, LW Philbara, La Clinica, LA County DMH, La Familia Counseling Center Inc., Lakeland Health Care, Lakes Regional MHMR, Lassen County, Lenawee Community Mental Health Authority, Liberty Resources, Liberty University, Lifecore Healthgroup, Lifeworks North West, Lines For Life, LivingWorks Education USA, Lorin County Board of Mental Health, Lotus Educational Services, Lower Kuskokwim School District, Lower Yukon School M Madame Vanier Children’s Services, Mamaweswen - The North Tribal Council, Mamawetan Churchill River Health Region, Manitoba Corrections, Manitoba Justice, Many Rivers Counselling & Support Service, Manitoba

Association for Residential Treatment Resources, Meadow Lake Tribal Council, Membertou Wellness Centre, Mental Health Wellness, Meta Employment Center, Metis Child and Family Services, Michipicoten High School, Middlesex University, Milestone Foster Homes, Military Family Resource Centre, Mind (Birmingham, CYMRU), Mind’s Well Ministry of Children & Family Devolpment B.C., Ministry of Defence, Ministry of Justice, Mino Bimaadsawin Health Centre, Mnaamodzawin Health Services Inc., Mohawk College, Mood Disorders Association of Ontario, Mount St. Vincent University, Muskoka Parry Sound Community Mental Heal, My House Rainbow Resources of York Region, MATES in Construction (NSW, QLD, SA, WA), Melody’s Life Rhythms, Mental Health Alertness Training, Mental Health Association of Central Australia, Mental Health Training Australia, Mental Illness Fellowship of WA, Mercy Community Services, Migrant Resource Centre, Mission Australia, Monash Health, Monash University, Madera County Behavioral Health, Madrigal Training Services, MENG Mental Health America of Greater Indiana, Mental Health America of Texas, Mental Health Association in Delaware, Mental Health Association of Nabraska, Mental

and Youth, PBCN Health Services, Peel CAS, Peel Children’s Centre, Penticton Indian Band - Snxastwilxtn Centre, Peter Ballantyne Cree Nation High School, Peterborough Catholic District School Board/Pluri-elles (Manitoba) Inc., Plymouth and District Mind, Plymouth Community Healthcare, Point in Time Centre for Children, Porcupine Health Unit, Portage la Prairie School Division, Positive Space Network - ROCK, Power of 3, Prairie Mountain Health, Prairie Rose School Division, Prince Albert Grand Council, Prince George Native Friendship Centre, Program Consulting, Providence Care, Psychology Solutions, PANDA, Pharmacists’ Support Service, Phoenix Centre, Psychiatric Disability Services of Victor,PA Behavioral Health and Aging Coalition, Partners in Recovery, PCOE, Peak to Peak, Pennyroyal Center, Permian Basin Community Centers, Piedmont Community Services, Pittsburgh Pastoral Institute, Plains Area Mental Health Inc., Pontifcia Universidad Catolica de Puerto, Prevention Management Org. of Wyoming Q Queen’s University, Queensland Police Service, QUIHN R Rainy River District School Board, RCMP Training Services, Red River College, Regeneration Community Services, Regina Child and Youth Services,

School, Stanislaus County Behavioral Health, Sterling Public Schools, Stockton Unified School District, Student Health and Counseling Services, Suicide Prevention Center of New York Suicide Prevention Coalition Of Eagle Val, Suicide Prevention Partnership, Suicide Prevention Services, Sutter Yuba Mental Health Services T Tammy Adams Consulting, Teskey and Associates, Thames Valley District School Board, The City of Calgary, The CLEAR Project, The Elizabeth Society, The Gatehouse, The Richmond Fellowship Scotland, The Women’s Correctional Centre, Thunder Bay Regional Health Science Centre, Toronto Catholic District School Board, TP Training Ltd., Trent University, Trillium Health Partners, Turning Point, Tennessee Suicide Prevention Network, TAFE SA, The Salvation Army The Training Duo, Triple Care Farm, Twenty 20 Training, Tanana Chiefs Conference, Team Rubicon, Teen Lifeline, Tehachapi Unified School District, Tehama County Mental Health, The Evergreen State College, The Extra Mile Region Vlll, The Trust, Third Level Crisis Center/Child & Family, TLCS, TMCC, Tri-State Awareness, Tri City Mental Health Services, Trident United Way 2-1-1 Hotline, Tropical Texas Behavioral Health, TrueNorth Wellness Services, Tuba

OUR COMMUNITY Health Partners, Merced County Mental Health, Mercy Fort Smith, Mercy Health Center, Mercy Hospital, Mercy Maricopa Integrated Care, Mental Health America of Greater Indianapolis, MHMR (Tarrant & Harris County), Miami Dade College, Michigan Public Health Institute, Missouri Mental Health Foundation, MLS Public School, Modesto Junior College, Momentum for Mental Health, MT DPHHS Suicide Prevention, Multnomah County N National Council of Social Service, National Service Dogs, NBCC (Campbellton, St. Andrews), NE Ontario Family and Children’s Services, Near North District School Board, NEED2 Suicide Prevention, New Pathways, Newfoundland and Labrador Sexual Assault, NHS Scotland, Niagara Region Public Health, Niagra Ctholic School Board, Nipissing Parry Sound Catholic District School Board, Nipissing University, Nishnawbe Aski Nation, Nisto Awasisak Memorial School, North Bay Regional Health Centre, North Halton Mental Health Clinic, North of Superior Counselling Programs, North Staffs Mind, Northern Ireland Prison Service, Northern Lights School Division, Northland School Division No. 61, Nova Scotia Community College, Nova Scotia Community CollegeCumberland, NSCC Kingstec Campus, Nunavik Regional Board of Health, Nunavut Sivuniksavut, NCSPT INC., Neami National, North West Hospital & Health Service, Northern Mallee Community Partnership, Naropa University, NASA, National Alliance on Mental Illness MN, Native Americans for Community Action Inc., North Central Education Cooperative, Northeast Arkansas Trauma Regional Advisory Council, Nevada Coalition for Suicide Prevention, Nevada Office of Suicide Prevention, Nevada Urban Indians Inc., New Mexico State University, New River Valley Community Services, New Mexico State University, North Central Human Service Center, North Central Trauma Regional Advisory Co., North Dakota Center for Persons with Disabilities, North Dakota State University, North Homes Children and Family Services, North Slope Borough School District, North Star Nursing, Northwest Portland Area Indian Health Board, NSBSD, NSPL, NYS Department of Taxation and Finance New York State Office of Mental Health O Oak Healthy Living Centre, One Arrow Health Center, Ontario Native Education Counselling Association, Open Doors for Lanark Children and Youth, Ottawa Police Service, Ottawa Public Health, Ottawa-Carleton District School Board, OZHelp, Orange County Health Care Agency, Oregon Youth Authority, Oswego County Opportunities, Oxnard Fire Dept. P Papyrus, Parents for Children’s Mental Health, Park View Educational Centre, Partners Counselling and Education, Pathways for Children

Region of Peel, Regional Municipality of York, Renfrew County District School Board, Robertson College, Ryerson University, Reconnexion, Red Cliffs Secondary College, Re-engage Youth Services, Rio Tinto-Mt. Thorley Warkworth, Rotary Club of Gladstone Port Curtis, Royal Brisbane and Womans Hospital, Ramah Navajo School Board Inc., Reaching Everyone Preventing Suicide, Recovery Innovations, Region III Mental Health, Resolve Crisis Network, Richmond Behavioral Health Authority, Rim Family Services, River Valley Behavioral Health, Riverside County Dept. of Mental Health S Sagamok Anishnawbek, Comm Wellness Dept., Sagkeeng Health Centre, Sahtu Health & Social Services, Samaritans Inc., SAMH, Sarnia Lambton Suicide Prevention Committe, Saskatchewan Polytechnic, Saskatoon Public Schools, Sault Area Hospital, Sault College, School District 42, School District No. 51, Selkirk Mental Health, Seven Generations Education Institute, SHSSA Regional Office, Simcoe County District School Board, Singapore Association of Social Workers, Singapore General Hospital Pte Ltd., Sioux Lookout Meno Ya Win, Six Nations Child & Family Services, Six Nations Mental Health Team, Smith Falls Youth Centre, Southern Health, St. Ignatius High School, St. Jerome’s University, St. John’s-Ravenscourt School, St. Lawrence College, St. Leonard’s Community Services, St. Leonards Community Services London, St. Matthews United Church, St. Patrick’s High School, St. Regis Mohawk Tribal Police, Stanton Hospital, Stolo Nation Health Services, Strait Regional School Board, Suicide Prevention Council of Hamilton, Sun Country Health Region, Sunrise School Division, SalvoCare Eastern Support and Recovery Service, Settlement Services International, Shellharbour TAFE, SimplyGreater, SNAP Gippsland, St Helen’s Private Hospital, St John of God Hosptial, St. Vincent’s Mental Health, Strathalbyn and Districts Suicide Prevent, Suicide Prevention Training Program, SuicideCare Pty Ltd., Safe Harbor Behavioral Health Sagewest Healthcare, Saginaw Valley State University, San Francisco Suicide Prevention, Sanger Unified School District, Santa Clara County Suicide Prevention, Santa Clara Valley Health & Hospitals, School of Public Health - Indiana University, Seattle Fire Dept., Services for the UnderServed, Shasta County Health and Human Services, Shawnee County Suicide Prev Coalition, Shoshone-Bannock Tribes, Sinte Gleska University, Society for the Prevention of Teen Suicide, South Albany High School, South Coast Community, Southcentral Foundation, Southeast Human Service Center, Southwest Guidance Center, Southwest Human Development, Southwest Network, St. Vrain Valley

City Regional Health Care Corporation, Tulare County Health & HSA U Union of Ontario Indians, Universitetssykehuset Nord-Norge HF, University of Guelph, University of Manitoba, University of Ontario Institute of Tech., University of Ottawa University of Toronto, University of Toronto Mississauga, University of Toronto Scarborough, University of Waterloo, United Synergies, Uniting Care Ballarat, Uniting Care Community NSW, Uniting Care Mental Health, Uniting Communities Lifeline Adelaide, UnitingCare Community, University of Queensland, University of Alaska, University of Alaska Fairbanks, University of Hawaii, University of Hawaii at Hilo, University of Montana, University of Puerto Rico, US Air Force, US Army, US Coast Guard, US Marine Corps, US Navy, Utah Navajo Health System V Valor Institute, Vancouver Career College, Vancouver Island Health Authority, Veterans Affair Canada, Vitality Health, Vacro, Venango County Mental Health, Ventura Office of Education, Victor Community Support Services, Virgin Islands Domestic Violence and Sexual, Virginia Department of Health/CIVP, VIVAT, Voices of Hope, Volunteers of America W Wallis Balog & Associates, Waterloo Catholic District School Board, Waterloo Region District School Board, Waterloo Region Suicide Prevention Counci, Waypoints, Weechi-it-te-win Family Services, Wellbeing Centre, Wellington Catholic District School Board, Wesmor High School, West Norfolk Mind, West Vancouver School District, Western Health & Social Care Trust, Western School Board, Westman Crisis Services, White Rabbit Treatment House, Whitecap Dakota First Nations, Wilfrid Laurier University, William Booth College, Winnipeg Police SVC/ Training Division, Winnipeg Regional Health Authority, Woodview Mental Health, Wagga Wagga Suicide Prevention Network,Wesley LifeForce, Wesley Mission, Willie & McCormick Consulting Pty. Ltd., Wimmera Uniting Care, Windermere Child and Family Services, Warm Springs Community Counseling Center, Washington County Human Services WI, Washington County Public Health, Washington DC Veteran Affairs Medical Center, Wellspace Health, West Texas Centers, Western Colorado Suicide Prevention Foundation, Wheeler Clinic, White Earth Tribal Mental Health, Winslow Indian Health Care Center, WMATA - Medical Services, Worcester County Health Dept., Wounded Warrior Project Y Yellowknife Health and Social Services, York Region District School Board, Youth Diversion, Youth Justice Services, Youth Net, Yukon College, Yukon Government, Yukon Territorial Government, Yates County, Yellowhawk Tribal Health Center, Yolo County Health Services

LivingWorks 2015 Annual Report

LivingWorks Around the World

In 2015, we trained 162,925 people in 37 countries and territories. Our programs were featured as part of national strategies, organizational plans, local initiatives, and personal missions. 8103 trainers devoted their time, effort, and compassion to helping individuals and communities become safer from suicide. Here is a look at their work around the world. The numbers in these pages reflect LivingWorksâ&#x20AC;&#x2122; database as of February 19th, 2016, and are based on reports provided by our international trainer network. They represent a minimumâ&#x20AC;&#x201D;actual quantities of workshops and participants may be higher.

2015 LivingWorks Annual Report

AUSTRALIA

232 safeTALK trainers 77 new safeTALK trainers 398 safeTALK trainings 5381 safeTALK participants 365 ASIST trainers 78 new ASIST trainers 508 ASIST workshops 8206 ASIST participants 1 suicide to Hope facilitator 1 new suicide to Hope facilitator

LivingWorks Australia head office location: Canberra, ACT The year saw continued growth and development, with safeTALK and ASIST programs playing a role in crisis centres, mental health organizations, and the construction industry. Senior Training Coach Lorna Hirsch became a suicide to Hope Facilitator.

The ASIST Consulting Trainer camp held this year was an important part of the strategic plan for Australia. By developing Consulting Trainer resources as mentors for the community, we are better able to maintain our commitment to international quality standards and help trainers across Australia reach their potential.

“At Lifeline Melbourne our safeTALK and ASIST participants come from a variety of backgrounds, both professional and non-professional. While motivation for attending the training varies, the overall passion and determination to make a difference to people’s lives is a constant theme.” — Kerry Dawson, Lifeline Australia Suicide Prevention Program Coordinator. ASIST participants gather for a photo with trainers Brenton Tainsh and Keith Todd after a workshop in South Pambula. LivingWorks 2015 Annual Report

MATES in Construction

Trainer Lee-Ann Foord honored

MATES in Construction had another strong year. Using a layered approach, training included suicideTALK, safeTALK, and ASIST. Heather Stokes, Vice President Strategic Development, presented on the importance of collaborative, strategic approaches to suicide prevention at the second annual Construction Industry Mental Health Conference in Sydney in March.

Veteran ASIST and safeTALK trainer Lee-Ann Foord was honored with Suicide Prevention Australia’s prestigious LiFE Award for Excellence in Suicide Prevention in the Community Development Category.

ABOVE: Lee-Ann Foord and Brenton Tainsh pose for a photo following Ms. Foord’s LiFE Award in Hobart. ABOVE: Heather Stokes, LivingWorks Vice President Strategic Development, presents at the second annual Construction Industry Mental Health Conference. BELOW: ASIST T4T graduates pose with a MATES in Construction banner in Canberra, September 2015.

safeTALK growth safeTALK grew significantly in Australia with ten T4Ts and a corresponding increase in safeTALK workshops. The safeTALK in Schools project has seen significant traction in the Northern Territory. Early evaluation indicates there were no adverse effects on students who received training on talking openly and honestly about suicide.

Rio Tinto

Consulting Trainer camp Australia held its first Consulting Trainer camp in Melbourne. The camp prepared four ASIST trainers to become provisional Consulting Trainers, allowing them to act as mentors and provide guidance and support to trainers working to develop their skills.

Mining company Rio Tinto sent employees to an ASIST T4T to begin building capacity for suicide intervention among its staff. The company is interested in implementing a holistic model similar to that used by MATES in Construction, with training for awareness (suicideTALK), alertness (safeTALK), and intervention skills (ASIST).

Indigenous communities The Kimberley Remote Indigenous Mental Health Service sent employees to an ASIST T4T. Trainer Shayne Connell attended the National Indigenous Men’s Health Conference where he presented on the evidence base for ASIST 11. ABOVE: Rio Tinto ASIST trainers Nathan Heuston and Natasha Sharpe. 20

2015 LivingWorks Annual Report

CANADA

883 safeTALK trainers 225 new safeTALK trainers 1267 safeTALK trainings 23564 safeTALK participants 1257 ASIST trainers 217 new ASIST trainers 1204 ASIST workshops 21927 ASIST participants 8 suicide to Hope facilitators 6 new suicide to Hope facilitators 7 suicide to Hope workshops 107 suicide to Hope participants

LivingWorks International head office location: Calgary, Alberta Programs were delivered in all provinces and territories. Training supported a wide variety of community participants and private sector employees. Many regions and agencies continued to partner with Aboriginal communities, in some cases combining training with health retreats or incorporating extra time to reflect on healing and community building. The following are a few highlights from Canada:

Alberta With safeTALK and ASIST T4Ts, the Centre for Suicide Prevention (CSP) now has over 150 trainers and reached more than 7000 participants. suicide to Hope training will soon be added. â&#x20AC;&#x153;We are delighted that one of our members recently completed the suicide to Hope T4F, and are excited to bring the training to Alberta in 2016,â&#x20AC;? said Hilary Sirman, Director of Impact and Engagement at CSP. In recognition of World Suicide Prevention Day, a partnership consisting of Calgary Transit, CSP, Distress Centre Calgary, and LivingWorks launched an awareness campaign, featuring public awareness posters and suicide prevention resource cards for transit riders.

ABOVE: Staff from Calgary Transit, the Centre for Suicide Prevention, Distress Centre Calgary, and LivingWorks gather with one of the public awareness posters during their World Suicide Prevention Day campaign event. LivingWorks 2015 Annual Report

British Columbia

Newfoundland and Labrador

British Columbia (BC) Health Minister Terry Lake announced the province’s intention to train 20,000 people in LivingWorks programs by 2018. The training will be carried out by the Canadian Mental Health Association’s BC Division.

ASIST Newfoundland and Labrador (ASIST NL) continued its strong success. The Government of Newfoundland and Labrador allocated $20,000 in funding to ASIST NL, supporting increased suicide intervention training throughout the province.

The Vancouver Island Health Authority (VIHA) Mental Health and Substance Use Services program has partnered with the B.C. First Nations Health Authority (FNHA) in strengthening suicide risk management capacity in First Nations communities on Vancouver Island. Twelve individuals from First Nations communities in the VIHA catchment area have been trained as ASIST trainers. These individuals are available at the request of First Nations communities to travel to local facilities and present ASIST training. “We (VIHA and FNHA) put trainers on the ground to work with their communities, their Elders, and their facilities, so that it works for them,” said VIHA Clinical Nurse Educator Andrew Norton.

Manitoba 167 trainings were delivered in Manitoba. Dr. Shay-Lee Bolton’s doctoral thesis at the University of Manitoba, Evaluation of a gatekeeper training program as a suicide intervention training for medical students: A randomized controlled trial, examined the impact of ASIST training on Objective Structured Clinical Examinations (OSCEs). The study found that “ASIST training improved the ability of medical students to detect and intervene with a standardized suicidal patient as assessed by OSCEs, compared to medical school training as usual.”

New Brunswick New Brunswick hosted the first French ASIST 11 Upgrader in May, preparing 12 trainers to present ASIST 11 workshops. safeTALK continued to build momentum and a suicide to Hope facilitator was added. LivingWorks programs have a strong presence in New Brunswick’s education system, with the District Scolaire Francophone Sud providing safeTALK to all of its education assistants during the year, and four school districts adding ASIST 11 trainers. At the post-secondary level, Oultons College, the Université de Moncton, the University of New Brunswick, Eastern College, Collège communautaire du Nouveau-Brunswick, New Brunswick Community College, and others are offering ASIST through some of their education programs.

2015 LivingWorks Annual Report

The annual ASIST NL Trainer Conference, celebrating its 20th anniversary, drew 44 attendees including international delegates and members of the LivingWorks Board of Directors and leadership team. The conference, supported by a LivingWorks Regional Trainer Network Grant, included demonstrations and presentations by ASIST and safeTALK trainers.

Northwest Territories Trainers braved obstacles including inclement weather and remote locations to deliver ASIST training. Many participants came from health, social services, and correctional services. Aurora College’s Fort Smith and Inuvik campuses held workshops to provide ASIST to instructors and administrators.

Nova Scotia LivingWorks programs continued to grow, with 83 trainings delivered. ASIST Team Leader and retired corrections officer Pete Taylor said Nova Scotia was continuing to expand its training in correctional settings, adding that “the province is using the LivingWorks model very strongly not only with guards and probation officers, but also with other members of the justice community.”

Nunavut ASIST continued to play a key role in Nunavut. Workshops are presented using the Nunavut Adapted Version of ASIST, which includes translation into Inuktitut and a number of other material adaptations. LivingWorks is currently working with the Nunavut Suicide Prevention Strategy Implementation Committee on an assessment of the ASIST program with a view to promoting overall effectiveness and sustainability.

Ontario In collaboration with trainers from the Waterloo Region Suicide Prevention Council, Renison University College incorporated ASIST into its undergraduate Social Work

program and Wilfrid Laurier University provided ASIST to its Masters of Social Work students. “There is a growing demand for social workers who possess advanced, theoretical knowledge and specialized practice competence. Providing ASIST aligns with this mission for our students,” said Nick Coady, Dean of the Wilfrid Laurier University School of Social Work. Tana Nash, Executive Director of the Waterloo Region Suicide Prevention Council, noted they had presented their first suicide to Hope workshop.

ABOVE: Pat Doyle and Les Wagner have presented many ASIST workshops as a training team on Prince Edward Island.

Québec ABOVE:The first 60 Bachelor’s of Social Work students trained at Renison University College gather for a photo.

The City of Ottawa made safeTALK training available at no cost to its 17,000 public employees, becoming the first large city to do so. Benjamin Leikin, safeTALK trainer and Supervisor of the City of Ottawa’s Mental Health Section, worked for over two years in collaboration with trainers and city officials to make the initiative possible. As part of the Talk Today initiative, meant to help athletes, coaches, and staff support each other, the Ontario Hockey League (OHL), in partnership with the Canadian Mental Health Association, made safeTALK training mandatory.

“Making safeTALK available to all City of Ottawa staff has sent a very important message to both staff and residents, and that message is that suicide prevention matters.” —Benjamin Leikin, Supervisor, Mental Health Section, City of Ottawa

With the launch of the French version of ASIST 11, ASIST training has been held throughout Québec. safeTALK continued to be offered in both English and French. The Nunavik region in northern Québec has been making extensive use of the Nunavut Adapted Version of ASIST. “The interest in ASIST is quite strong in Nunavik and they are considering hosting another T4T in the upcoming year,” said ASIST Senior Team Leader Dave Biblow, who liaises with communities in both Nunavut and Nunavik. ASIST was included in the Puttautiit Conference in October 2015. With a focus on suicide prevention and healing, the conference was the first of its kind to be held in Nunavik. ASIST was highlighted for the first two days of the conference, with three simultaneous ASIST workshops and a total of 62 participants. Simultaneous translation was used in all three workshops, and four of the six ASIST trainers were fluent in Inuktitut.

Saskatchewan LivingWorks programs maintained a strong presence with over 150 trainings delivered. safeTALK training was delivered during Moose Jaw’s Transgender Awareness Week in March, providing a method for members of the transgender community to support each other.

Prince Edward Island

Yukon Territory

Since hosting an ASIST 11 Upgrader in the fall of 2013, the Canadian Mental Health Association’s Prince Edward Island trainers have had two of their busiest years yet, with four workshops annually.

Trainers in the Yukon Territory facilitated 11 ASIST workshops for health care workers, educators, alcohol and drug services, disability resource workers, counsellors, and First Nations groups.

LivingWorks 2015 Annual Report

CHINA Trainers Belinda Connell and Lindy Macgregor presented the first-ever ASIST 11 workshop in mainland China at the International School of Nanshan Shenzhen (ISNS) for teachers, administrators, and support staff from ISNS and a nearby Chinese boarding school. “Both schools had their vice-principals attending, which showed how seriously they were taking the training,” said Macgregor, who noted that some participants underwent a transformation over the course of the two-day workshop as they came to see its importance and how it could help their students.

1 ASIST workshop 19 ASIST participants

DENMARK

ABOVE: Newly ASIST-trained caregivers after a workshop in Svendborg in August 2015.

2 ASIST trainers 1 ASIST new trainer 2 ASIST workshops 32 ASIST participants Two ASIST workshops were held in 2015. “The workshops went very well and were well received,” said trainer Hanne Gullestrup. To raise awareness about suicide and how ASIST can help prevent it, Gullestrup hosted 10 suicideTALK workshops for various organizations and groups throughout the country. 24

2015 LivingWorks Annual Report

The addition of another trainer laid the groundwork for more workshops in Denmark. Danish ASIST workshops will soon begin using Norwegian-language materials, making the program more accessible to non-English language participants.

ENGLAND ENGLAND

One of our highlights came when we were delivering an ASIST to the Beachy Head Chaplaincy Project, in a pub training room within sight of the top of Beachy Head. A participant, the leader of the team, left the training during the morning of Day 2, carried out a successful intervention on top of the cliff, and then returned to the training and told us a bit about it! — Chris Morgan, ASIST trainer With training capacity in safeTALK, ASIST, and suicide to Hope, communities throughout England are working to increase suicide safety. In Somerset, southwest England, the Regional Public Health Office delivers approximately six ASIST courses each year, and the program falls under Somerset’s Suicide Prevention Strategy. Along with partners in Cornwall, they have received a grant to deploy ASIST across other parts of South West England, expanding the presence of trainers in Devon, Plymouth, and Torbay. “This is an important step forward,” said Health Promotion Manager Louise Finnis. Brighton and Hove-based Grassroots Suicide Prevention continued their strong advocacy for suicide safety and the adoption of LivingWorks programs. Following an assessment of the needs of the local transgender community, Grassroots delivered safeTALK and ASIST to 34 trans people. Feedback from both courses was highly positive. Grassroots also worked with the Brighton and Hove Bus and Coach Company, providing safeTALK and encouraging them to take the Grassroots’“Tell Me” pledge. The staff embraced the training, using it to support their colleagues as well as their customers.

52 safeTALK trainers 12 new safeTALK trainers 148 safeTALK trainings 2454 safeTALK participants

ISLE OF MAN

PAPYRUS, a national charity for the prevention of youth suicide, has implemented Suicide Safer Communities for Young People (SCYP). This new project recruits 15 Youth Champions annually. These young people receive ASIST training, then design and deliver up to three suicide prevention activities within their chosen community. The ASIST training was viewed as critical to the success of the project and also cited for the additional benefits and outcomes the young people gained. It provided them with tangible skills and boosted their confidence, which they highlighted as positive in other aspects of their life. —Social Business Company report on PAPYRUS’ Suicide Safer Communities for Young People project

124 ASIST trainers 37 new ASIST trainers 161 ASIST workshops 2547 ASIST participants 2 suicide to Hope facilitators 2 new suicide to Hope facilitators 2 suicide to Hope workshops 20 suicide to Hope participants

LivingWorks 2015 Annual Report

In ENGLAND, Preston-based Social Business Company, reviewed the project, and concluded “ASIST not only provided them with the skills to be able to identify young people at risk of suicide, it also provided them with techniques to appropriately support those identified as at risk.” 2015 has seen an increase in the development of suicide prevention activities across England. We now have a growing team of ASIST trainers, consulting trainers and training coaches delivering workshops. — Jenny Pickup, Training Coach and ASIST Quality Assurance Reader, Brighton, England

ABOVE: National Citizen Service safeTALK participants hold up their certificates following a training by Grassroots Suicide Prevention.

IRELAND 90 safeTALK trainers 39 new safeTALK trainers 252 safeTALK trainings 4419 safeTALK participants 82 ASIST trainers 1 new ASIST trainer 124 ASIST workshops 2561 ASIST participants Suicide prevention has now become a compulsory part of initial training for Gardaí (police officers) on joining An Garda Síochána, Ireland’s police force. 100 Gardaí students completed ASIST, while 200 completed safeTALK.

As a taxi driver, I speak to a surprising number of people who have thoughts of suicide. safeTALK has given me and other drivers in Kilkenny a way to help them stay safe. — Derek Devoy, Taxi Driver 26

2015 LivingWorks Annual Report

In the City of Kilkenny, taxi driver Derek Devoy was surprised by how many passengers confided in him about their thoughts of suicide. Devoy attended safeTALK and found the training so good that he organized a session to train other taxi drivers in Kilkenny. “Now they have safeTALK training and life buoys in their cars,” said John Kennedy, ASIST Senior Team Leader and safeTALK Instructor. “They give ‘get home safe’ a whole new meaning!”

It is anticipated that safeTALK and ASIST will be at the centre of all future training and will add significant value to the organizational ethos in line with its core values and mission. — Seamus Nolan, Gardaí Superintendent

ISLE OF MANISLE OF MAN The Isle of Man’s small group of dedicated ASIST trainers continued the same steady pace they have maintained for ten years. Workshops provided for Isle of Man government employees and allied agencies are also available at no cost to volunteer organizations, charities, and church groups.

6 ASIST trainers 4 ASIST workshops 65 ASIST participants

KOREA 5 safeTALK trainers 3 safeTALK trainings 80 safeTALK participants 23 ASIST trainers 1 new ASIST trainer 80 ASIST workshops 1672 ASIST participants LivingWorks programs, particularly ASIST, remain active in the Republic of Korea. “The program has a lot of momentum; the trainers are very committed to it and enthusiastic about it,” said ASIST Senior Team Leader Lindy Macgregor, who liaises between LivingWorks and Korea’s training community. “There is wide acceptance of ASIST in the Armed Forces,” added Macgregor, noting that the Navy and Air Force had each hosted multiple workshops. The Korean Association for Suicide Prevention (KASP) has been working to upgrade its trainers to ASIST 11, including the use of translated program materials. Several bilingual trainers have already attended ASIST 11 T4Ts outside the country, and their support will be instrumental in facilitating the upgrade.

Further support for upgrades will come from Dr. Chong-Hwa Lee, one of Korea’s most active trainers who also became Korea’s first consulting trainer after attending a consulting trainer camp in Texas this October. “The camp emphasized that ASIST is really based on Core Beliefs,” he said. “To achieve the Core Beliefs reflected in ASIST, many different skills and materials are involved. They need to be well-prepared. I carry this knowledge forward as I work with other trainers in Korea.”

LivingWorks 2015 Annual Report

NEW ZEALAND Lifeline Aotearoa oversees and administers LivingWorks programs throughout New Zealand. Trainers are encouraged to run independent workshops in order to reach participants throughout many communities, and new administrative processes have been implemented to support this. Lifeline is developing new processes to analyze and interpret participant evaluation form data. A 21-day check-in email is sent to training participants to help maintain networks and facilitate a debriefing, if needed, after an intervention. Community capacity for ASIST increased with 13 new provisional trainers and Senior ASIST trainer Gary Clifford becoming a provisional training coach. “We are extremely proud that Gary is now a provisional coach,” said Lifeline Community Relationships and Suicide Prevention Manager Kayte Godward. “We hope to have another two coaches join him in the future so we can deliver more T4T programs.” Lifeline Aotearoa continued to partner with Māori and Pasifika communities. Funding from the Ministry of Health subsidized 202 places for Māori and Pasifika participants in ASIST workshops. safeTALK workbooks were updated with New Zealand safety contacts and Māori and Pasifika language references. Two Māori and Pasifika trainers attended a consulting trainer camp in Melbourne. “Our goal is to eventually have Māori and Pasifika coaches to help build capacity in both Aotearoa New Zealand and the Pacific Islands,” said Godward.

4 safeTALK trainers 11 safeTALK trainings 236 safeTALK participants 26 ASIST trainers 13 new ASIST trainers 43 ASIST workshops 779 ASIST participants

2015 LivingWorks Annual Report

The Livingworks suite of programmes is an ideal way for Lifeline to contribute meaningfully within the suicide prevention space especially. We believe in supporting and building New Zealand Livingworks trainers and we are proud to have the only team of Māori and Pasifika ASIST and safeTALK trainers in the world. —Jo Denvir, CEO, Lifeline Aotearoa

NORTHERN IRELAND The Public Health Agency of Northern Ireland is encouraging clergy members to attend trainings. In 2015, 18 clergy members attended ASIST workshops. Three have become safeTALK trainers to provide trainings to their church communities. safeTALK is undergoing an evaluation in Northern Ireland, with findings projected to be released in June 2016. Northern Ireland is establishing local training forums to support suicide prevention trainers within each of the five Trust localities.

77 safeTALK trainers 19 new safeTALK trainers 121 safeTALK trainings 1828 safeTALK participants 52 ASIST trainers 3 new ASIST trainers 45 ASIST workshops 852 ASIST participants 1 suicide to Hope facilitator 1 new suicide to Hope facilitator

Recognising the invaluable role that the clergy have in suicide prevention and postvention, local efforts are well underway to ensure that clergy across all faiths have access to the life-saving skills of safeTALK and ASIST. This will allow clergy to feel willing, ready, and able to play their part in creating suicide-safer communities. —Kevin Bailey, Healthy Living Center Manager, Upper Springfield Development Trust

NORWAY VIVAT Suicide Prevention achieved significant steps with the addition of safeTALK and suicide to Hope. It was also a record year for ASIST. The first safeTALK T4T took place in Tromsø on April 19-20, with 11 candidates. “All of the Norwegian safeTALK candidates were of the highest standard in terms of appreciation of the material and provisional candidate attitude,” said safeTALK Instructor John Kennedy. “It was an entirely wonderful privilege to see this learning process in action.” New trainers are actively presenting workshops. In particular, safeTALK is being used by staff in schools. “The introduction of safeTALK has been good,” said Ann-Jorid Møller, VIVAT Executive Director. “We enjoy giving the workshop and there is even more demand than we expected.”

ABOVE L-R: VIVAT’s Hans Lander, Kirsti Sivola, Harriet Johansen, and Ann-Jorid Møller gather for a photo after the presentation of Harriet’s Recognition Award. LivingWorks 2015 Annual Report

NORWAY trained 2470 participants in ASIST. Support for trainers grew with the addition of two new Consulting Trainers, two Training Coaches, and one Senior Training Coach. 2015 marked the official phase-out of ASIST 10 with all workshops now presented according to the ASIST 11 model. VIVAT leaders presented at the 8th National Conference for Suicide Prevention in Kristiansand, where they focused on the use of safeTALK and how it integrates with ASIST to maximize suicide prevention resources in school communities. Another presentation described the potential offered by suicide to Hope. An article on ASIST, “Det trengs mange og handlekraftige (første)hjelpere!” (“There is a need for many efficient suicide first aid helpers!”) by trainers Dag Willy Tallaksen and Johan Lindmark was published in Suicidologi, noting the revisions in ASIST 11 and how training can play a role in reaching suicide reduction targets when effectively conveyed to large numbers of people.

11 new safeTALK trainers 13 safeTALK trainings 350 safeTALK participants 117 ASIST trainers 111 ASIST workshops 2470 ASIST participants

2015 has been an exciting year for VIVAT! There is a lot of demand for workshops, and we have made some changes to our administration to keep up with higher production around the country. Our reputation for training is very good, so we are working hard to continue our quality work and maintain that trust throughout Norway. —Ann-Jorid Møller, Executive Director, VIVAT Suicide Prevention

2 new suicide to Hope facilitators

SCOTLAND ASIST and safeTALK Training for Trainers (T4T) courses helped to further increase Scotland’s training capacity in 2015. “This has been particularly welcomed in remote and rural areas and within one large inner city area as recruitment of candidates was targeted to meet an identified gap of ASIST trainers within these regions,” wrote Marie Sutherland of NHS Scotland’s Learning and Workforce Development team. “We look forward to working with all our new trainers in the forthcoming year to support their first sessions and continuing delivery,” she added. Training supported community health workers, educators, counsellors, first responders, and many others in 2015.

120 safeTALK trainers 8 new safeTALK trainers 15 safeTALK trainings 182 safeTALK participants 30

2015 LivingWorks Annual Report

79 ASIST trainers 23 new ASIST trainers 34 ASIST workshops 560 ASIST participants

SINGAPORE 18 ASIST trainers 14 ASIST workshops 307 ASIST participants Medical social workers have continued to champion ASIST, which is now mandatory for them. There is work underway to further standardize the program. “Our trainees include doctors, nurses, psychologists, social workers, youth workers, school counsellors, paramedics, emergency services, police, and prison officers,” said Esther Lim, ASIST Consulting trainer and Head of Medical Social Services at Singapore General Hospital. Singapore hosted a face-to-face upgrader for its ASIST trainers, combined with eUpgraders for those who could not attend. We made ASIST a core training that all medical social workers must complete. Suicide intervention skills are critical and ASIST has been a most effective programme that has served us well for more than 20 years. —Esther Lim, Head of Medical Social Services, Singapore General Hospital

ABOVE: ASIST participants gather for a photo after a workshop in Singapore.

SOUTH AFRICA 1 safeTALK trainer 7 safeTALK trainings 129 safeTALK participants Lorraine Mitchell provided seven safeTALK trainings. Many social work students who attended recommended that safeTALK be taught during the first or second year rather than in the third or fourth year of their degrees, so as to be useful for their practicums. safeTALK training is always very well received by the participants and they leave feeling prepared to integrate the model into their professional practice. —Lorraine Mitchell, safeTALK trainer LivingWorks 2015 Annual Report

SRI LANKA 1 safeTALK training 28 safeTALK participants 2 ASIST workshops 46 ASIST participants

safeTALK and ASIST came to Sri Lanka for the first time, as the CCC Foundation, a nonprofit that provides medical and community development resources, arranged trainings in support of the CCCline. “All of the participants were crisis line volunteers,” said safeTALK Instructor and ASIST Senior Team Leader Lindy Macgregor. “They also work in other places and other jobs in the community, so they can become ambassadors for safeTALK and ASIST.” “The safeTALK and ASIST training will give the CCCline Telephone Counsellors the confidence to deal with suicide callers as well as be aware of callers who may be contemplating suicide,” said Jetha Devapura, Founder and CEO of the CCC Foundation. “The ASIST training was given to the more experienced counsellors, which will provide them with a structured approach to connect, understand and assist people who are suicidal. The safeTALK training was given to the newer counsellors, which will enable them to identify people who are at risk of suicide and refer them on to a counsellor who has gone through the ASIST training.” Overall the training opens up awareness about suicide and gives the counsellors the confidence to have the conversation and assist people who are at risk of suicide. —Jetha Devapura, Founder and CEO of the CCC Foundation

ABOVE: CCCline volunteer ASIST participants with trainers in Sri Lanka.

SWITZERLAND ASIST Team Leader Jacqueline Hounjet and Training Coach France Daigle presented an ASIST workshop in March. As one of the first French ASIST 11 trainings presented outside Canada, it brought useful insights that were incorporated into ASIST 11.1. “The participants were from all over Switzerland, as well as France and Luxembourg, so the internationality of the French is very important,” said Hounjet.

1 ASIST workshop 23 ASIST participants 32

2015 LivingWorks Annual Report

UNITED STATES 1307 safeTALK trainers 591 new safeTALK trainers 1489 safeTALK trainings 26906 safeTALK participants 3927 ASIST trainers 1279 new ASIST trainers 2504 ASIST workshops 50211 ASIST participants 11 suicide to Hope facilitators 6 new suicide to Hope facilitators 10 suicide to Hope workshops 184 suicide to Hope participants

HAWAI’I

ALASKA

LivingWorks USA office location: Fayetteville, North Carolina Trainers delivered LivingWorks programs in all 50 US states as well as the District of Columbia and the territories of Guam, the Mariana Islands, Puerto Rico and the Virgin Islands. In total, there were 4,003 trainings, exceeding 2014’s total of 3,742. safeTALK and ASIST training continued to play a key role for both the United States Department of Defense (DoD) and Veterans’ organizations. Following are a few highlights from the US:

Arizona 102 trainings were held across Arizona in 2015. The Arizona Suicide Prevention Coalition (AZSPC) conducted a statewide needs assessment, reviewing training activities to identify system capacity and determine needs for technical assistance and support. As thanks for this effort, AZSPC was honored with a LivingWorks Recognition Award. Maricopa County also completed a county-wide needs assessment and hosted a safeTALK T4T. “There was a demand to get safeTALK out to diverse sectors of the community including churches, schools, juvenile courts, community associations, and senior centers,” said Heather Brown, Prevention Administrator at Mercy Maricopa Integrated Care.

“We have seen tremendous growth in interest surrounding suicide prevention and intervention training, and demand for training has surged. Communities are mobilized and ready to take action.” —Heather Brown, Prevention Administrator, Mercy Maricopa Integrated Care

California LivingWorks successfully completed a three-year contract funded by a grant from the California Mental Health Services Authority (CalMHSA) to expand the state’s trainer network capacity. “We completed our contract at the end of June,” said Kathleen Snyder, LivingWorks Senior California LivingWorks 2015 Annual Report

Training Coordinator. “Our work with CalMHSA has resulted in a dedicated group of hundreds of trainers.” To continue supporting California’s trainers, Snyder is organizing ongoing mentorship and learning opportunities. esuicideTALK has emerged as a popular option for building awareness in California, with over 10,000 vouchers distributed to fire departments, college campuses, and the Department of Healthcare, among others. In Ventura County, firefighters are using LivingWorks training to increase suicide safety in the first responder community, and hope to see the training used by more emergency service providers across the state and the country. “It’s very exciting to know the trainers here in California—to have that personal relationship and be able to connect them regionally,” said Snyder. “Having those trainer relationships helps us be culturally competent, it helps us be sensitive, and it helps us meet the needs of diverse communities throughout California.”

Colorado Following its official launch, suicide to Hope premiered as a pre-conference event at the second annual Elevating the Conversation conference in Denver. Federal, state, and local grants, as well as contributions from local charities such as the Rotary Club of Castle Pines, have helped to fund training and make it more widely accessible. LivingWorks programs continue to play a strong role supporting secondary and postsecondary education, along with the LGBT community, in Colorado. As part of continued efforts to network and collaborate, many LivingWorks trainers attended the Suicide Prevention Coalition of Colorado’s Bridging the Divide Conference, which offered safeTALK as a pre-conference training.

Guam has steadily used LivingWorks programs to create suicide safety for its civilian population alongside Department of Defense personnel. The Guam Behavioral Health and Wellness Center is responsible for many of these trainings, providing them to public employees and caregivers who serve the community. Among recent initiatives, the Center trained over 150 school bus drivers in safeTALK. “Together with the hard work of our trainers, we are hopeful that we can save many lives in our community.“ — Tiara Evangelista, Suicide Prevention Services Manager, Commonwealth Healthcare Corporation The Commonwealth of Northern Mariana Islands held ASIST and safeTALk T4Ts in March, adding a total of 19 new trainers. “Our agency felt the need to increase the number of trainers, not just in our field, but to include partners who work with different populations and have the ability to reach more people and assist in our state office’s suicide prevention efforts,” said Suicide Prevention Services Manager Tiara Evangelista of the Commonwealth Healthcare Corporation’s Community Guidance Center (CGC), which supported the ASIST T4T. “This is why we chose representatives from the Public School System, Department of Public Safety, Department of Fire and Emergency Medical Services, a community member, and representatives from the islands of Rota and Tinian, our neighboring islands, who have very limited access to such services.”

Guam and the Marianas

ABOVE: Trainers T’Nel Mori and Morael Escalona after a training with leaders and members from Guam’s Island Community Church. 34

2015 LivingWorks Annual Report

ABOVE: Trainers from the first ASIST T4T in the Commonwealth of Northern Mariana Islands (CNMI) with coaches Gaynor Hicks and Elaine Loch.

New York “LivingWorks programs continue to feature prominently in the public health aspect of New York State’s efforts to create suicide-safer communities,” wrote Silvia Giliotti, Suicide Prevention Coordinator at the New York State of Office of Mental Health. “Many of these trainings are happening within large size organizations that are incorporating suicide prevention in their structure. In New York City, for example, the school system is providing safeTALK to nurses, the New York Police Department is providing ASIST to their volunteers, and the Metropolitan Transit Authority has two new safeTALK trainers so that safeTALK will be routinely provided to front line staff as well as employee assistance personnel and administrators.”

Affairs Medical Center also incorporated ASIST training into its programs to support Veterans. Advocacy by Veterans Affairs employees Raphael D’Ausilio and Tony Peeler, who became trainers to support the effort, was instrumental in the implementation. “It was one of the best things we’ve ever done,” said D’Ausilio as they presented their workshop.

Tennessee The Tennessee Suicide Prevention Network (TSPN) has built strong initial capacity in suicide to Hope by sending three of its trainers to the first Training for Facilitators (T4F). Along with ASIST workshops throughout the state, the suicide to Hope training will support Tennessee’s Zero Suicide initiative.

“The cohort of new ASIST trainers from the 2014 Training for Trainers has been extremely busy this year. One group of individuals who work in the same community formed a local training group and provided 50 trainings, averaging one a week for the year, to a total of 974 participants.” — Garra Lloyd-Lester, Assistant Director and Youth Suicide Prevention Specialist, Suicide Prevention Center of New York State The State of New York is working to advance a Zero Suicide platform, and safeTALK and ASIST will both be important components of that effort. “We have begun exploring ways in which to expand the impact on students’ awareness of suicide in graduate and undergraduate programs within colleges and universities,” wrote Garra Lloyd-Lester, Assistant Director and Youth Suicide Prevention Specialist at the Suicide Prevention Center of New York State. Lloyd-Lester noted that several universities have begun to embrace safeTALK and ASIST, and the Suicide Prevention Center is working to expand these relationships. The Suicide Prevention Center also renewed its partnership with the New York’s Department of Taxation and Finance (DTF) in 2015. The DTF hosted a safeTALK Training for Trainers in September and sent several staff to attend ASIST Training for Trainers as well as the two-day ASIST workshop. This training will help to support their own employees as well as public callers. They also incorporate safeTALK training into policies for staff wellness.

North Carolina There were 76 trainings in North Carolina, with many of them supporting the US Army, Army National Guard, Coast Guard, Marine Corps, and Navy. The Salisbury Veterans

ABOVE: ASIST participants hold their certificates after a workshop in Tennessee.

Texas LivingWorks programs represent an important part of the training component of the Texas Department of State Health Services’ Zero Suicide in Texas (ZEST) initiative. Grants from ZEST have been used to support trainings statewide. “Team Bliss,” Fort Bliss’ contingent of ASIST trainers, delivered 305 workshops. “We train every day. Monday through Thursday, we start a workshop; most days we have one or two workshops going at once, but it can be up to four,” said Senior Training Coach Michelle Wiggins. Other Texas installations actively using LivingWorks programs include Fort Hood, Fort Worth, and Fort Sam Houston. “As long as we continue to reach out to each other, support each other, and help each other, we’ll save a lot of lives.” — Michelle Wiggins, Senior ASIST Training Coach at Fort Bliss, Texas LivingWorks 2015 Annual Report

Virginia

Washington

The Department of Behavioral Health held a safeTALK Training for Trainers, further increasing community capacity. Grants at the state level made it possible for many localities to host awareness sessions, including suicideTALK, that emphasized the need for training.

Housed at the University of Washington, Forefront: Innovations in Suicide Prevention has successfully advocated for state legislation mandating suicide prevention training across broad groups of professionals. “Forefront utilizes numerous programs such as safeTALK, ASIST and suicide to Hope to help professionals fulfill their training needs,” wrote Executive Director Matt Taylor. “Recently, Forefront has had great success delivering safeTALK to teachers, school counselors, college students and social service organizations that serve youth experiencing homelessness.”

Higher education institutions have adopted LivingWorks programs to train students in human service fields, such as counselling and social work, in ASIST. Across the state, five graduate programs in counseling and school psychology, and one in undergraduate nursing, have built ASIST into their curricula.

“This training was powerful and it felt personal. It makes me appreciate people who are passionate about making suicide prevention education available. It was also extremely inspirational and it reminded me why I want to focus on mental illness in my career path.”

Virginia’s senior trainers hosted the 6th annual Mid-Atlantic Trainer Summit, with a focus on helping trainers adhere to ASIST standard procedures.

— safeTALK participant in a Forefront training

Number of Trainers and Facilitators in the United States

STATE/TERRITORY ASIST

safeTALK

s2H

STATE/TERRITORY ASIST

safeTALK

s2H

Alaska

64 55 – Iowa

15 1

–

Alabama

44 9

–

Idaho

11 3

–

Arkanas

21 –

–

Illinois

58 12 –

Arizona

130 64 1 Indiana

42 32 –

California

408 207 5

122 –

–

Colorado

117 21 2 Kentucky

88 2

–

Connecticut

10 4

–

Louisiana

80 23 1

–

Massachusetts 32 9

–

Maryland

90 40 1

Washington D.C.

Kansas

Delaware

10 3

Florida

106 54 –

Maine

11 –

Gaum.

13 15 –

Michigan

44 31 1

Georgia

118 23 –

Minnesota

32 12 –

Hawai’i

57 66 –

Missouri

61 26 –

2015 LivingWorks Annual Report

–

STATE/TERRITORY ASIST

safeTALK

s2H

STATE/TERRITORY ASIST safeTALK

–

Puerto Rico

–

s2H

Mississippi

32 4

Montana

33 23 1

Rhode Island

–

North Carolina

149

–

South Carolina

–

North Dakota

–

South Dakota

–

Tennessee

93 2 3

Nebraska

20 1

–

New Hampshire

–

Texas

New Jersey

–

N. Mariana Islands

–

Utah

23 18 –

New Mexico

–

Virginia

187 102 1

447 76 –

U.S. Virgin Islands

Nevada

39 21 –

Vermont

120

Washington 165 78 1

New York

126

–

Ohio

40 4

–

Wisconsin

24 5

–

Oklahoma

70 7

–

Oregon

75 9

1 Wyoming

Pennsylvania 49 4

West Virginia

19 7

U.S. Military in Europe 123 U.S. Military in the Pacific 112

–

26 21

– –

WALES ASIST and safeTALK continued to play a prominent role in Welsh communities. ASIST is a key training recommendation in Talk to me 2, Wales’ new five-year strategy for preventing and reducing suicide and self-harm. As such, ASIST remained in high demand throughout the country. Gwynedd County Council commissioned two ASIST workshops in North Wales to train social workers and care staff.

These courses have been a joy as they are delivered bilingually, with many workshop delegates choosing to work through simulations in Welsh. —Gwynfryn Evans, safeTALK and ASIST trainer

13 safeTALK trainers 7 new safeTALK trainers 17 safeTALK trainings 187 safeTALK participants 46 ASIST trainers 15 new ASIST trainers 35 ASIST workshops 590 ASIST participants

LivingWorks 2015 Annual Report

Training for United States Military Service Members and Veterans LivingWorks programs continued to see wide use by military and Veterans’ service agencies. “Our programs resonate with Service Members and Veterans,” said LivingWorks Military Director Glen Bloomstrom. “They emphasize collaboration and relying on your colleagues, who rely on you in turn. These concepts feel intuitive for participants because they are central to the experience of military service.” Here are some highlights from military and Veterans’ training in 2015.

LivingWorks Military Director Glen Bloomstrom prepares to present the Professional Development Training Course (PDTC) to US Navy personnel.

Senior Training Coach Michelle Wiggins receives an award from LivingWorks Military Director Glen Bloomstrom in recognition of her support and leadership for Fort Bliss’ training activities. Fort Bliss hosted over 300 ASIST workshops this year.

Training to support United States Veterans LivingWorks training supported a number of Veteran-organized suicide prevention initiatives across the United States. The American Legion Riders, Eagle’s Healing News, Kansas Army Reserve, Kansas American Legion, and New York State Division of Veterans’ Affairs were among the many groups that integrated LivingWorks programs to help build suicide-safety for Veterans.

2015 LivingWorks Annual Report

US Navy Professional Development launch Beginning in January, LivingWorks began presenting the two-day Professional Development Training Course (PDTC) for the US Navy Chaplaincy, developed in partnership with General Dynamics. This course was designed to equip Chaplains

with suicide prevention, intervention, and postvention knowledge for a theologically pluralistic perspective. In addition to locations throughout the continental United States, the course was presented in Hawai’i, Italy, and Japan to over 1,000 Chaplains and Chaplain Assistants.

US Department of Defense training In ongoing contracts with the Department of Defense, LivingWorks participated in a six-month extension with the US Army and a second year-long extension with the US Navy, which trained 144 new trainers at 10 safeTALK T4Ts. In total, there were 1,739 ASIST workshops and 559 safeTALK trainings in over 15

countries and territories. The year also saw ASIST T4Ts specifically for the US Marine Corps, Coast Guard, and Special Operations Command. Many installations continued their exemplary training records, including Fort Bliss, which continues to work toward its goal of training all of its incoming personnel in ASIST.

US Military Overseas 2015 = US ARMY

AFGHANISTAN

4 ASIST workshops 87 ASIST participants

CUBA

= US ARMY NATIONAL GUARD

BAHRAIN 2 safeTALK trainings 38 safeTALK participants 5 ASIST workshops 81 ASIST participants

DJIBOUTI

= US NAVY

= US AIR FORCE

BRITISH INDIAN OCEAN TERRITORY 1 safeTALK training 10 safeTALK participants 3 ASIST workshops 59 ASIST participants

GERMANY

66 safeTALK trainings 1344 safeTALK participants 5 ASIST workshops 96 ASIST participants

5 ASIST workshops 155 ASIST participants

1 safeTALK training 32 ASIST workshops 465 ASIST participants

ITALY

JAPAN

KOSOVO

7 safeTALK trainings 170 safeTALK participants 18 ASIST workshops 251 ASIST participants

18 safeTALK trainings 303 safeTALK participants 42 ASIST workshops 700 ASIST participants

KUWAIT

NETHERLANDS

8 ASIST workshops 125 ASIST participants

SPAIN

2 ASIST workshops 49 ASIST participants

2 ASIST workshops 31 ASIST participants

1 ASIST workshop 8 ASIST participants

TURKEY

1 ASIST workshop 8 ASIST participants

UNITED ARAB EMIRATES

7 ASIST workshops 68 ASIST participants

LivingWorks 2015 Annual Report

safeTALK Program Update This was a banner year for safeTALK, with record high numbers for Training for Trainers (T4T) courses held, trainings held, and participants trained. The number of T4Ts, 101, also marks the first time any LivingWorks program has exceeded one hundred T4Ts in a single year. safeTALK also made its debut in Norway with a T4T in August—see page 30 for more information. In addition to these milestones, safeTALK saw a number of significant developments, including the launch of the safeTALK app, a comprehensive program review, and an independent evaluation.

2015 LivingWorks Annual Report

ABOVE (L-R): Peterborough Petes athletes; Logan DeNoble, Eddie Schulz, Zach Gallant, Nick Grima, Cole Fraser, and Nick Isaacson hold up safeTALK certificates and materials after completing the training through the Ontario Hockey League. BELOW: University of Washington students trained in safeTALK by Forefront: Innovations in Suicide Prevention as part of the Husky, Help and Hope (H3) grant funded by the U.S. Substance Abuse and Mental Health Services Administration.

safeTALK program review With safeTALK approaching its ten-year anniversary in 2016, LivingWorks’ safeTALK Committee and Design, Development, and Evaluation team undertook a review of the program. “We found the safeTALK program to be effective and safe in its current form, so there will only be

minor guidance changes in the Trainer Manual,” said Philip Rodgers, Vice President Design, Development, and Evaluation. These changes will include improvements to facilitation guidance in the Trainer Manual and providing more learning aids for trainers.

Niagara Health Region evaluation A January 2015 study, Evaluation of safeTALK Training in a Convenience Sample of 500 Niagara Health Region Residents, Health Professionals and Volunteers, further supports the effectiveness of safeTALK training. The study used pre/post-3 month questionnaire and telephone call quantitative data. Over 90% of participants felt “mostly prepared” or “well prepared” to ask someone about suicide after attending safeTALK,

whereas less than 50% felt that way before the training. Nearly a quarter of all respondents said they would act on key components of safeTALK training such as recognizing invitations to help, asking directly about the possibility of suicide, and creating connections to provide further help. The study was conducted by the Niagara Suicide Prevention Coalition and Distress Centre Niagara, with support from the Niagara Community Foundation.

“This was a great year for us as safeTALK continued to grow and expand around the world. For the first time ever, we delivered more than 100 T4Ts. Next year will be safeTALK’s 10-year anniversary— it’s amazing to see how far our program has come and how many communities worldwide are adopting it.” — Patty Rives, safeTALK Program Manager

67557 total number of people trained

3839 workshops

2802

986

total trainers

new trainers

safeTALK 2015 by the numbers

safeTALK app launch In May, the safeTALK Wallet Card app launched on Google Play™ and the Apple® app store. An interactive version of the paper safeTALK Wallet Card handed out to each participant at the end of a safeTALK training, the app is designed to act as a convenient reference and help participants recall their training. It includes the TALK steps (Tell, Ask, Listen, and KeepSafe) as well as the KeepSafe connections used by safeTALK participants to provide life-saving resources for people with thoughts of suicide. Users can add and customize KeepSafe connections that are shared through their smartphones’ contacts, and can also use GPS to locate nearby connections. The app is free to download and is intended for use only by those who have completed safeTALK training.

safeTALK participants: Search “safeTALK” on Google Play™ or the Apple® app store LivingWorks 2015 Annual Report

ASIST Program Update RAND Corporation Study ASIST made a significant impact, with over 5000 workshops reaching more than 95,000 participants—new record highs in the program’s 32-year history. A major independent study validated ASIST’s cost-effectiveness, and the program was listed under the new National Registry for Evidencebased Programs and Practices (NREPP) guidelines. In addition, we launched both ASIST 11 French and ASIST ReSet, a one-day quality assurance workshop to support ASIST trainers.

2015 LivingWorks Annual Report

In 2011, the California Mental Health Services Agency (CalMHSA) commissioned the RAND Corporation to evaluate its threeyear statewide implementation of ASIST. Released in 2015, the study was entitled Should California Continue to Invest in Applied Suicide Intervention Skills Training (ASIST)? Authors J. Scott Ashwood, Brian Briscombe, Rajeev Ramchand, Elizabeth May, and M. Audrey Burnam found that ASIST was projected to save both lives and money in California. They found that each year of CalMHSA’s investment in the ASIST program “is projected to prevent at least 3,600 suicide attempts and 140 deaths over the next 28 years.” They also noted that “The state government will gain $50 for each dollar invested in ASIST through averted Medi-Cal health care costs and increased state income tax revenue.”

Based on the study methodology, these results are transferrable—though the savings may vary depending on a given region’s medical costs and average income, the effect of saving lives and thereby reducing both suffering and expenses will remain the same anywhere.

ASIST listed under new NREPP guidelines In December 2015, ASIST became the first suicide prevention program to be listed under the new, more stringent standards found in the revised National Registry for Evidence-based Programs and Practices (NREPP). The NREPP is a repository and review system designed to provide the public with reliable information on mental health and substance abuse interventions. ASIST qualified for NREPP listing based on outcomes from a 2013 study of ASIST training by Dr. Madelyn Gould and colleagues, which found that suicidal callers to the United States National Suicide Prevention Lifeline who spoke with counselors trained in ASIST intervention skills were less depressed, less overwhelmed, less suicidal, and more hopeful than callers who spoke with counselors trained by another method.

ASIST 11 French launch ASIST ReSet workshops launched After 12 pilot workshops spanning 2014 and early 2015, ASIST 11 French officially launched in April 2015. The French edition includes translated versions of all standard ASIST materials, such as the Trainer Manual, Participant Workbook, and audiovisual slides. We held French “upgraders,” both faceto-face and online, to help ASIST 10 trainers convert to the new version. Translating the ASIST 11 materials was an intensive undertaking. Ensuring the universality of the language was key. “With the French translation we wanted to ensure that it could be used throughout Canada as well as Europe, and perhaps in other countries that speak French—for example, some interest has been expressed in Frenchspeaking Africa,” said ASIST Senior Team Leader and LivingWorks French language coordinator Renée Ouimet, who oversaw the translation project. So far, 437 people have been trained in the French version of ASIST 11, with workshops taking place across Canada and in Switzerland. Materials for the ASIST 11 French T4T are under development, with the first T4T scheduled to take place in early 2016.

eUpgrader progress The ASIST eUpgrader, which helps ASIST 10 trainers upgrade to ASIST 11 online through videos, reading materials, and a webinar, continued its progress in 2015. Over the course of 19 webinars, 200 trainers upgraded to the latest version of ASIST.

ASIST ReSet is a one-day workshop to help ASIST trainers focus on their understanding of ASIST standard procedures. It includes a discussion of workshop content, including options and versions, circumstances that may create a need for local adjustments, and a review of trainer competencies. Five ReSets were delivered in 2015.

“The ASIST ReSet was designed to support quality assurance in the field,” said ASIST Senior Team Leader and ReSet developer Devon Tayler. “To date facilitators and trainers from each of the five locations have reported great success in engaging trainers in the process.”

“2015 was a major year for ASIST. We had the highest-ever numbers for workshops held and participants trained, more studies were released supporting ASIST’s effectiveness, and we launched the ASIST ReSet program and the French version of ASIST 11. We were also honored to see ASIST listed under the new, stricter guidelines of the US National Registry of Evidence-Based Programs and Practices.” - Cindy Hodge, Vice President Training

ASIST 2015 by the numbers

1674 5009 6132 new trainers

workshops

total trainers

95057

total number of people trained in ASIST

LivingWorks 2015 Annual Report

suicide to HOPE Participant feedback from suicide to Hope workshop participants “90% of participants agreed or strongly agreed with the statement: ‘Because of the suicide to Hope workshop, I will have greater hope for success when working with those with lived experience of suicide.’ This is critical because hopefulness on the part of the worker is critical to the success of this type of helping.“

“The model was wonderful—great questions for facilitating discussion directly about suicide and how it functions for client/patient.” —Washington, DC, USA “Really liked the schematic of different kinds of ‘stuckness’ and discussions surrounding this schematic.” —Waterloo, Ontario, Canada “This was helpful in providing a framework and skills to support people towards recovery and growth.” —Portland, Oregon, USA

“I found this course very useful and an opportunity to reflect on my practice and evaluate my caregiver qualities. As a counselor it is always useful to learn new models that can aid in the development of my practice and confidence in my abilities.” —Chester-le-Street, England “An awesome workshop. It is good to know there is another process after ASIST. I appreciate you bringing this training to our office. Thank you.” —White River, Ontario, Canada

- Philip Rodgers, Vice President Design, Development and Evaluation

New suicide to Hope facilitators gather with facilitating coaches after the first T4F. 44

2015 LivingWorks Annual Report

Program Update

suicide to HOPE

suicide to HOPE timeline

2015 by the numbers

As with all of LivingWorks’ programs, design and development of suicide to Hope (s2H) followed the social research and development process pioneered in the 1970s by social work professor Jack Rothman. This process is a four-phase model designed around rigorous testing and review to facilitate a program’s large-scale distribution and continuous improvement. Here is how the history of suicide to Hope unfolded, culminating in the official launch and first training for facilitators (T4F) this year. Based on successful pilot and field trials throughout 2014, suicide to Hope (s2H) was officially approved as a LivingWorks program in February 2015. The workshop addresses a strong community need for a program to provide clinicians and other professional caregivers with skills to support people recently at risk of, and currently safe from, suicide. The excellent work of the inaugural s2H facilitators—Frank Campbell, Sue Eastgard, Gary McConahay, Devon Tayler, and Kathryn VanBoskirk—allowed for a thorough pilot and field trial phase, resulting in feedback from hundreds of participants. Through their responses, these Late 2013

Initial design and development

workshops

participants, including clinicians, professional caregivers, those with lived experience, loss survivors, academics, researchers, and administrators, helped LivingWorks refine s2H for broad dissemination. In its first year, s2H grew to include 23 facilitators worldwide, among them the Facilitator Coaches who would later make the Training for Facilitators (T4F) possible. With over 300 people trained, s2H has begun to make an impact in the professional community, and as more T4Fs take place, increasing numbers of participants will gain the skills to support recovery and growth for people with suicide experience.

April-July 2014

Aug 2014 - Oct 2015

Pilot tests

Field trial phase

January 2015

Final program review

facilitators

311

participants

suicide to Hope continues on the next page February 2015

October 2015

Official launch

First T4F and final Field Trial

Moving Forward

Evaluation of participant feedback and program effectiveness

LivingWorks 2015 Annual Report

suicide to HOPE suicide to Hope facilitator locations around the world

Saskatchewan Alberta Ontario New Brunswick Arizona Colorado Tennessee Oregon Washington

Northern Ireland

Norway

England

Louisiana

Australia First suicide to Hope T4F The first suicide to Hope Training for Facilitators (T4F) took place from October 7 to 9 in Denver, Colorado, and prepared 18 new facilitators to present the one-day suicide to Hope workshop. In keeping with LivingWorks’ development process, the T4F was a field trial to test and further refine the learning experience. “It was important to us that the field trial status not compromise anyone’s learning experience, and that everyone be fully equipped to present suicide to Hope,” said Devon Tayler, who was a member of the development team and presented the T4F. “The field trial material worked 46

2015 LivingWorks Annual Report

extremely well, and there were very few bumps along the road.”

training course. “That says a lot about our work,” she emphasized.

“We were lifting the words off the page for the very first time. It was exciting, it was highly collaborative, and it was a very supportive environment.” —Devon Tayler, suicide to Hope T4F development team member, on presenting the course for the first time.

Many of the new facilitators have already presented their first workshop, and another T4F is scheduled in 2016. “The skills learned in suicide to Hope are applicable to many professional disciplines,” said Heather Stokes, LivingWorks Vice President Strategic Development. “There is interest in a recovery and growth approach to suicide throughout the international community, and we look forward to seeing suicide to Hope reach people around the world.”

Feedback from the T4F was highly positive. Perhaps the most meaningful response, Tayler said, was that several candidates with lived experience of suicide found a lot of value in the

Program Update esuicideTALK recap suicideTALK helped many attendees start important conversations and take first steps toward suicide prevention. Presented in Australia, Canada, Denmark, England, and the United States, the awareness session helped to establish the groundwork for other suicide prevention activities. “suicideTALK introduces suicide prevention in a way that is accessible,” said trainer Karen Marshall, who presented the session several times in 2015. “It gets people talking about how they would like their suicide-safer community to be!”

Over 12,000 esuicideTALK vouchers were issued in 2015, with participants in Australia, Canada, England, Ireland, New Zealand, and the United States. Many of these vouchers were distributed through LivingWorks’ contract with the California Mental

Health Services Agency (CalMHSA). Ireland’s National Office for Suicide Prevention (NOSP) has implemented esuicideTALK on a national basis, making the program available to everyone in the country.

2015 notable and quotable “After this class, looking forward to having some discussions about what we can do together to help prevent suicide.”

“I gained a whole new understanding of how to approach suicide issues.”

— suicideTALK participant, New York, USA

— suicideTALK participant, Arizona, USA

“suicideTALK helps with awareness and decreasing the taboo around suicide. Thank you.” — suicideTALK participant, Canberra, Australia

“I would recommend suicideTALK for groups such as my son’s high school and youth group at church.” — suicideTALK participant, Ontario, Canada

“suicideTALK should be incorporated into high school/college /university. Many people in these groups are unaware of the resources that are available to help prevent suicide.” — suicideTALK participant, Ontario, Canada

LivingWorks 2015 Annual Report

saving lives together

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Contact Information General information: info@livingworks.net N.A.1.888.733.5484 www.livingworks.net LivingWorks Education Incorporated: 4303D 11 Street SE, Calgary, Alberta, Canada T2G 4X1 LivingWorks Education LP: PO Box 9607, Fayetteville, North Carolina, USA 28311 LivingWorks Australia Pty. Ltd: 1.300.738.382 PO BOX - 944, Belconnen, ACT 2616

Contributors Author: Owen Stockden with contributions from LivingWorks leadership, staff and trainers Design and Production: Shauna Lawrence Fact Checking, Editing, and Review: Myra Morrant , Richard Ramsay, Carol Shaw and Heather Stokes