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General (2) Public Comment From:Theresa Bass Sent:Monday, January 31, 2022 12:29 PM To:Public Comment Subject:FW: \[EXTERNAL\] Press Release: Youth Suicide Prevention Local Educational Agencies Lack the Resources and Policies Necessary to Effectively Address Rising Rates of Youth Suicide and Self-Harm September 2020 REPORT Attachments:As directed by the Joint Legislative Audit Committee, my office conducted an audit of suicide prevention efforts 2019-125.pdf From: craig a. durfey < Sent: Sunday, January 30, 2022 4:36 PM To: CADURFEY@GMAIL. ABC7 General Release <pr@abc7.com>; TIPS@nbcuni.com; CBS 2 <Kcalkcbsdesk@cbs.com>; KTLA 5 News <ktla@ktla.com>; fourthdistrictpta@sbcglobal. '"FOX11NEWS@FOXTV.COM"' <fox11news@foxtv.com>; FourthDistrict@bos.lacounty.gov; 'COB_Response' <response@ocgov.com>; ocbe@ocde.us; OCMentalHealthBoard@ochca.com; MHSOAC@mhsoac.ca.gov; assemblymember.odonnell@assembly.ca.gov; '"Cc:"' <SENATOR.BATES@senate.ca.gov>; '"SENATOR.PAN@SENATE.CA.GOV"' <SENATOR.PAN@senate.ca.gov>; Assemblymember.Davies@assembly.ca.gov; Assemblymember.Nguyen@assembly.ca.gov; assemblymember.quirk-silva@assembly.ca.gov; Christopher.Aguilera@asm.ca.gov; info@ggea.org; info@capta.org; info@namica.org; INFO@NAMIOC.ORG; info@mfpinstitute.com; '"RANDYBLACK@OCFA.ORG"' <RANDYBLACK@ocfa.org> Cc: SENATOR.GONZALEZ@senate.ca.gov; Emily.Humpal@asm.ca.gov; preston.romero@asm.ca.gov; press@learningpolicyinstitute.org; senator.hertzberg@senate.ca.gov; '"SENATOR.PORTANTINO@SENATE.CA.GOV"' <SENATOR.PORTANTINO@senate.ca.gov>; '"SENATOR.WIENER@SENATE.CA.GOV"' <SENATOR.WIENER@senate.ca.gov>; Robles_Beatrice@lacoe.edu; Perez_Monte@lacoe.edu; Chan_Yvonne@lacoe.edu; Dutton_RMichael@lacoe.edu; Perez_Monte@lacoe.edu; Johnson_Stanley@lacoe.edu; DIANA.LARA@sen.ca.gov; Mayor@longbeach.gov; Theresa Bass <TBass@anaheim.net>; cm@cityofirvine.org; PublicComment@sdcounty.ca.gov; 'Public Records Request' <cityclerk@ggcity.org>; 'Teresa Pomeroy' <teresap@ggcity.org>; Terra.Lawson- Remer@sdcounty.ca.gov; Cross_James@lacoe.edu; Abdo_Judy@lacoe.edu Subject: \[EXTERNAL\] Press Release: Youth Suicide Prevention Local Educational Agencies Lack the Resources and Policies Necessary to Effectively Address Rising Rates of Youth Suicide and Self-Harm September 2020 REPORT Warning: This email originated from outside the City of Anaheim. Do not click links or open attachments unless you recognize the sender and are expecting the message. 01-30-2022 Press Release (P.R.D.D.C.) PARENTS FOR THE RIGHTS OF DEVELOPMENTALLY DISABLED CHILDREN 1 CRAIG A. DURFEY FOUNDER OF P.R.D.D.C. GARDEN GROVE, CA 92842 CELL SOCIALEMOTIONALPAWS.COM FACEBOOK: CRAIG DURFEY U.S. HOUSE OF CONGRESS H2404 - HONORING CRAIG DURFEY FOR HIS FIGHT AGAINST AUTISM ... Ms. LORETTA SANCHEZ of California. https://www.govinfo.gov/content/pkg/CREC-2003-03-27/pdf/CREC-2003-03-27.pdf new website socialemotionalpaws.org To Whom it May Concern. The press release was released 01-29-2022 now can be seen from this document above PDF from the CA State Audit as a warning after all the CA State laws with Mandates this report supports my Audit in Orange County CA that still in 2021- 2022 with CA State AB 2246 year signed was 2016 for 7to 12 grade to begin in the year 2017-2018 has not gain real tannable ground in preventing suicides with CA State AB 1776 signed in Oct 2019 for grades 1-6. That the root cause can be contributed to is the of lack training medical standards prevention of understanding about screentime with blue light causing myopia, light focuses in front of the retina (the light-sensitive tissue at the back of the eye) rather than on the retina. Children who spend seven hours or more on smartphones and tablets | Daily Mail Online The £236 million project shows early signs of damage screen time can have Study compared daily screen use of 7 hours and versus those who used it for 2 Children that used screens for 7 hours showed signs of brain cortex thinning Children spending 2 hours still scored lower on thinking and language tests will really help you be more comfortable with screen time.” And another study reports How just two hours’ screen time a day as a toddler can make child (socialemotionalpaws.org) and more reports that researchers also found that higher screen time was linked to poorer mental health and greater stress whole lower screen time was associated with more perceived social support. 'Despite the gradual reversal of quarantine restrictions, studies have suggested that screen use may remain persistently elevated,' the authors wrote. 2 'Adolescents experiencing stress and poor mental health may use screens to manage negative feelings or withdraw from stressors. 'Although some screen modalities may be used to promote social connection, higher coping behaviors and social support in this sample were associated with lower total screen usage.' Screen time for US teens DOUBLED during the COVID-19 pandemic to nearly eight hours a day | Daily Mail Online. There currently is no cure, although its progression can be slowed. Too much screen time is raising rate of childhood myopia (socialemotionalpaws.org) which led to Trauma to the body can under Federal laws as Child abuse which can be prevented and ST. GEORGE —Statistics show thanks to the pandemic, Americans are now glued to their digital devices an average of 13 hours a day, up from 7 or 8 hours a day before COVID. People with light-colored eyes or a family history of macular degeneration are at higher risk. Blue light is present in sunlight but the bulk of people’s exposure comes through their cell phones, tablets, certain smart TVs and high-end video games. With screen time now averaging 13 hours a day, experts warn of he (socialemotionalpaws.org) Dr. Scott Edmonds, chief eye care officer for United HealthCare, recommended people follow the 20-20-20 rule: For every 20 minutes of screen time, take 20 seconds to stare at something in the distance at least 20 feet away. “That break takes you away from the blue light, lets your pupil go to its normal size, lets your muscles in your eye relax, lets your focusing muscle relax,” Edmonds emphasized. “All that every 20 minutes will really help you be more comfortable with screen time.” Exposure to blue light from screens is taking a toll on our eyes. Blue light is part of the UV spectrum and can damage your retina. Helen Macias, an optician at Dynamic Eye Care in North Las Vegas, said they are seeing a lot more customers who complain of eye pain in the past year. CONSUMER ELECTRONICS BRANDS ANNOUNCE NEW EYESAFE PRODUCTS AT BLUE (socialemotionalpaws.org) “Right now, we’re experiencing a lot of children, teachers and others who are now conducting business online,” Macias explained. “People are now experiencing the strain on the eyes, staring at the screen. It can lead to macular degeneration.” With screen time now averaging 13 hours a day, experts warn of he (socialemotionalpaws.org) 3 That in my opinion findings through researching with five years about this issue finding of school administrator of many only provide a suicide policy but not the post prevention, with my efforts to audit documents show that CA State AB 2246 Sept 2016 signed section 215 language was altered from “Shall” to “Maybe” to another not Quoting the entire 215 section as a board policy they let be approved by School Board or only provide just the School Board Policy which clearly violates CA State law as to the Public Record Act with the Freedom Information Act due to no CA State Law protecting the violation with request for a PRA or Freedom of Information Act request enforcement compared the CA State Ralph Brown public meetings.. Since the School Administrator ought to held directly be responsible for the lack of training with no oversight with the CA State Professional License Standards flawed has let suicide of our youth at very much at risk as with CA State Professional Standards as the technology harming from screen time the brain injury and Blue light below is the Federal definition as to what is child Abuse that today we have not identified yet from the Medical studies reports that brain damage preventable with Blue Light is fueling the suicides from my foot notes documents in my opinion reading these documents. Definitions of Child Abuse & Neglect Learn how child abuse and neglect are defined in Federal law and State laws and find resources that distinguish between discipline and abuse. Discipline versus abuse Federal law definitions of child abuse and neglect Federal legislation provides guidance to States by identifying a minimum set of acts or behaviors that define child abuse and neglect. The Federal Child Abuse Prevention and Treatment Act (CAPTA) (42 U.S.C.A. § 5106g), as amended by the CAPTA Reauthorization Act of 2010, defines child abuse and neglect as, at minimum: "Any recent act or failure to act on the part of a parent or caretaker, which results in death, serious physical or emotional harm, sexual abuse or exploitation"; or "An act or failure to act which presents an imminent risk of serious harm." This definition of child abuse and neglect refers specifically to parents and other caregivers. A "child" under this definition generally means a person who is younger than age 18 or who is not an emancipated minor. 4 While CAPTA provides definitions for sexual abuse and the special cases of neglect related to withholding or failing to provide medically indicated treatment, it does not provide specific definitions for other types of maltreatment such as physical abuse, neglect, or emotional abuse. While Federal legislation sets minimum standards for States that accept CAPTA funding, each State provides its own definitions of maltreatment within civil and criminal. Definitions of Child Abuse & Neglect - Child Welfare Information Gateway and Child Abuse Identification & Reporting Guidelines - Child Abuse Prevention Training and Resources (CA Dept of Education) and See California Penal Code 11165.7 child: means a person under the age of 18 years. See California Penal Code 11165 child abuse or neglect: includes physical injury or death inflicted by other than accidental means upon a child by another person, sexual abuse as defined in Section 11165. California Penal Code 11165.7 – (a) As used in this ... www.lawserver.com/law/state/california/codes/california_penal_code_11165-7 and ARTICLE 2.5. Child Abuse and Neglect Reporting Act \[11164 - 11174.3\] ( Heading of Article 2.5 amended by Stats. 1987, Ch. 1444, Sec. 1. ) Law section (ca.gov) Youth Suicide Prevention Local Educational Agencies Lack the Resources and Policies Necessary to Effectively Address Rising Rates of Youth Suicide and Self-Harm September 2020 REPORT September 29, 2020 2019-125 The Governor of California President pro Tempore of the Senate Speaker of the Assembly State Capitol Sacramento, California 95814 Dear Governor and Legislative Leaders: As directed by the Joint Legislative Audit Committee, my office conducted an audit of suicide prevention efforts 5 at a selection of school districts and charter schools, and we examined the role of state agencies in youth suicide prevention. The following report details the audit's findings and conclusions. From 2009 through 2018, the annual number of suicides of youth ages 12 through 19 increased 15 percent and incidents of self-harm increased 50 percent. Because students spend a significant amount of time in school, school personnel are well positioned to recognize the warning signs of suicide risk and to make appropriate referrals for help. To ensure that schools take the actions necessary to prevent youth suicides, we determined that they can more effectively assist students if they do the following: • Implement appropriate suicide prevention policies. • Train their faculty and staff to recognize and respond to youth who are at risk of suicide or self-harm. • Employ an adequate number of professionals, such as school counselors, who can provide mental health services. In addition to establishing requirements for suicide prevention training, the Legislature passed a law in 2016 requiring local educational agencies (LEAs) to include certain information in suicide prevention policies. However, the six LEAs we reviewed—three school districts and three charter schools— failed to adopt policies and provide training that meet those requirements. When policies and trainings do not meet statutory requirements, teachers and staff may not have the knowledge or confidence necessary to respond appropriately to students who are at risk. Further, the California Department of Education (Education) has recommended staffing ratios for the number of school counselors, school nurses, school social workers, and school psychologists, whom we refer to as mental health professionals, that LEAs should employ. However, of the 1,034 LEAs that submitted personnel information to Education for the 2018–19 academic year, none employed the number of mental health professionals that Education recommends. In the absence of adequate mental health professional staffing, the State’s rates of youth 6 suicide and self-harm have continued to climb. One best practice for increasing students’ access to mental health professionals is the establishment of school-based health centers. In 2007 the Legislature required the California Department of Public Health (Public Health) to establish a program to support the development of school-based health centers. However, as of July 2020, Public Health had not established the support program or requested funding to do so. A robust support program could assist LEAs in creating additional school-based health centers and enable them to better leverage available funding to improve student access to mental health services. Respectfully submitted, ELAINE M. HOWLE, CPA California State Auditor https://www.auditor.ca.gov/pdfs/reports/2019-125.pdf Assemblymember Salas' Legislation to Tackle Youth Suicide Prevention Passes Key Committee AB 58 will give schools the resources and training needed to prevent future tragedies Published: Wednesday, January 19, 2022 SACRAMENTO – Assemblymember Rudy Salas (D-Bakersfield) introduced legislation – Assembly Bill (AB) 58 – to address the increase in youth suicides and self-harm across the state by improving youth suicide prevention within schools. A State Auditor’s report requested by Assemblymember Salas found that Local Educational Agencies (LEAs) lack the resources and policies necessary to effectively address rising rates of youth suicide and self-harm. On Wednesday, AB 58 passed out of the Assembly Education Committee with bipartisan support. “No child should die by suicide or feel like they do not have the help they need around them—we can and must do more to prevent future tragedies,” said Assemblymember Salas. “AB 58 will give schools the resources and training necessary to improve care for students that are at-risk and reduce the troubling rise in suicides and self-harm.” 7 According to the Centers for Disease Control and Prevention (CDC), suicide was the second leading cause of death nationwide among young people ages 10 to 24 in 2017. Remarkably, a 2019 report by the United Health Foundation found that California was one of seven states with the most significant increases in teen suicide rates from 2016 to 2019. In a tragic example that occurred recently in San Joaquin County, a sixth-grade student shot himself while on a distance learning Zoom call. The State Auditor’s report noted that, “According to the National Association of School Psychologists, youth who are contemplating suicide frequently give warning signs of their distress but are not likely to seek help directly. Thus, training school staff to respond to youth who exhibit warning signs of suicide is imperative.” AB 58 requires LEAs to review and update their policy on pupil suicide prevention, and revise training materials to incorporate best practices identified by the California Department of Education (CDE) in the department’s model policy. The bill also encourages LEA’s to provide suicide awareness and prevention training at the beginning of each school year to teachers. Lastly, the bill requires CDE to develop resources and guidance on how to conduct suicide awareness and prevention training remotely, to be provided to LEA’s. The full audit report addressing youth suicide can be found here. AB 58 will now head to the Assembly Appropriations Committee. https://a32.asmdc.org/press-releases/20220119-assemblymember-salas- legislation-tackle-youth-suicide-prevention-passes-key The press release dated on 01-29-2022 now can be seen as the cause of lack training medical understanding the root cause is screentime with blue light that school administrator many only provide a suicide policy but not the post prevention nor other audit documents show that CA State AB 2246 Sept 2016 signed section 215 language was altered from “Shall” to “Maybe” to another not Quoting the entire 215 section as a board policy they let be approved by School Board. Since the School Administrator ought to be responsible for the lack of training with no oversight with the CA State Professional License Standards flawed has let suicide of our youth at very much at risk. To other CA State Laws in education is left up to each School Superintendent discretion than uniform practices Ca State Schools, we better oversight Commission with more over sight yearly to start to gain a good grip to bring need 8 change to provide better control unitization time management with Timmer to limit the harm from screen time as well shielding the medical harm to the children from blue light and sleep deprivation as well as blue light causing myopia macular degeneration damage which is truly preventable. Hope Fully by these press release will bring a greater awareness as Covid 19 new reports have done to needed crises will bring the change as there are other national Countries have already done, that we need to redirect our effects to limit speed to wellness in preventing these ills from modernization without having yet recognized the damage it has done to our future of our children safety. Thank You Craig A Durfey Fonder of P.R.D.D.C. Ps. 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Howle, State Auditor California State Auditor 621 Capitol Mall, Suite 1200 Sacramento, CA 95814 Subject: Youth Suicide Prevention: Local Educational Agencies Lack the Resources and Policies Necessary to Effectively Address Rising Rates of Youth Suicide and Self-Harm, Report Number 2019-125,September 2020 Dear Ms. Howle: The California Department of Education (Education) appreciates the opportunity to provide commentsand address the recommendations outlined in the California State Auditor’s (CSA)Audit Report titled, Youth Suicide Prevention: Local Educational Agencies Lack the Resources and Policies Necessary to Effectively Address Rising Rates of Youth Suicide and Self-Harm,which offered helpful insight into how six of California’s Local Educational Agencies (LEAs) are addressing youth suicide prevention. The State Superintendent of Public Instruction (SSPI), Tony Thurmond, is deeply committed to addressing students’ mental health wellness and needs, including leading the charge to provide mental health services to kids to help combat the pressures of bullying, the impact of trauma, and other barriers to success. The SSPI’s dedication to student and staff wellness is stronger than ever as we continue to face emotional challenges that stem from COVID-19 and ongoing struggles for racial justice. The SSPI’s call to action to assist students with mental health support is documented in Education’s News Release at http://www.cde.ca.gov/nr/ne/yr20/yr20rel43.asp,where several links to Education’s resources for educators, families, and studentsare provided. To further assist LEAs and school communities in appropriately addressing the complex issues of student wellness and mental health needs, Education has developed and implemented programs, supports, and resources, which can be accessed at https://www.cde.ca.gov/ls/cg/mh/mhresources.aspand https://www.cde.ca.gov/ci/se/index.asp. Education plans to implement the CSA’s recommendationsas described below. 63 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 Tfqufncfs!3131 Ms. Elaine M. Howle, State Auditor September 3, 2020 Page 2 Recommendation 1 To promote the adoption of the best practices that it has identified, Education should remind LEAs of the elements in its model policy. To do so, it should annually send a notice to all LEAs that describes suicide prevention resources, such as the model policy, and encourages their use. Education should also work with external organizations that maintain model policies, including the School Boards Association, to encourage the development of policies that are consistent with state law and best practices by no later than September 2021. Education’s Comments Concur. Currently, Education encourages the use of the model suicide prevention policy by making it available on its web page, Youth Suicide Prevention.To further this effort, Education will send aletterannuallyand use other communication channels to remind LEAs of their responsibility to adopt, implement, and review their policies, along with resources, best practices, activities, programs, andtrainings related to suicide prevention. In addition, Educationwill collaborate with the California School Boards Association and other organizationsin an effort to align policies and request the inclusionofthe same elements as Education’smodel suicide prevention policyby September 2021. Recommendation 2 To encourage LEAs to incorporate elements of suicide prevention training that provide teachers and staff with the knowledge necessary to assist students at risk of self-harm and suicide, Education should remind all LEAs of the statutorily required elements for suicide prevention training. Education’s Comments Concur. Education will include information in the annual reminder letter sent to all LEAs regarding the statutorily required elements for suicide prevention training as required by EC Section 215. Recommendation 3 To support the provision of suicide prevention education to students while LEAs operate through distance learning, Education should complete and issue to LEAs the resources and guidance it is developing on how to conduct suicide prevention education remotely. Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 64 Tfqufncfs!3131 Ms. Elaine M. Howle, State Auditor September 3, 2020 Page 3 Education’s Comments Concur. Education is in the process of developing guidance and resources for LEAs to use as part of their suicide prevention virtual programming; dissemination is anticipated to occur by October 2020. In addition, Education will collaborate with external partners to identifyprograms that can be delivered virtually to LEAs. If you have any questions regarding the Education’s comments and/or corrective actions, please contact KimberlyTarvin,Director, Audits and Investigations Division, by phone at 916-323-1547 or by email at ktarvin@cde.ca.gov. Sincerely, Stephanie Gregson, Ed.D. 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Dibsufs“t!tvjdjef!qsfwfoujpo!qpmjdjft!boe!usbjojoh!gpvoe!uibu!uifz! gbjmfe!up!gvmmz!beesftt!tubuvupsz!sfrvjsfnfout!boe!eje!opu!jodmvef!bmm! pg!uif!cftu!qsbdujdft!uibu!Fevdbujpo!sfdpnnfoet-!xijdi!xf!ejtdvtt! 3 Hbufxbz!Dibsufs!epft!opu!ibwf!b!nfuipe!up!fotvsf!uibu!ufbdifst! cf!bxbsf!pg!uif!dpnnvojuz.cbtfe!nfoubm!ifbmui!tfswjdft!bwbjmbcmf! boe!ipx!up!sfgfs!tuvefout!up!uifn-!uijt!fmfnfou!xbt!opu!jodmvefe! jo!uif!tvjdjef!qsfwfoujpo!usbjojoh!Hbufxbz!Dibsufs!dpoevdufe-! Dibsufs!qfstpoofm!nbz!opu!cf!bxbsf!pg!uif!sfmfwbou!sftpvsdft!ps! qspqfsmz!frvjqqfe!up!jefoujgz!boe!sftqpoe!up!b!tuvefou!jo!dsjtjt/!! 4 joejdbuft-!xf!gpvoe!uibu!Hbufxbz!Dibsufs“t!tvjdjef!qsfwfoujpo! .ibsn! tipvme!bmufs!jut!usbjojoh!up!jodmvef!uijt!jogpsnbujpo/! 79 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 Tfqufncfs!3131 Cmbol!qbhf!jotfsufe!gps!sfqspevdujpo!qvsqptft!pomz/ Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 7: Tfqufncfs!3131 September 3, 2020 Via electronic mail and USPS California State Auditor Elaine M. Howle, CPA 621 Capital Mall, Suite 1200 Sacramento, CA 95814 Dear Ms. Howle: I write in response to the California State Auditor's draft report entitled Youth Suicide Prevention received by Heartland Charter School on August 28, 2020. First, I would like to thank you and your staff for conducting this audit and for the insight provided to Heartland as a result of your review of our school’s suicide prevention plan. We desire to serve and protect our students’ emotional well-being and do all we can to prevent this heartbreaking problem of youth suicide within California. Heartland recognizes the areas of improvement needed in its school suicide prevention as identified in the report. While the audit covered our first year of operation when we were under a charter management organization that served us in this area, we are now independent and have certainly grown in this. We do plan to take the following necessary steps to further align our practices with the administrative requirements of the California Education Code and will be prepared to implement any future changes in state law. 81 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 Tfqufncfs!3131 In response to the recommendations in the report, Heartland will make the following changes: ·Incorporate our local partners including our public health department and California Medical Assistance Program (Medi-Cal) to support our efforts and serve students utilizing all that is available to them. ·We will organize a postvention response team ·Heartland has since created a suicide prevention tool kit and improved training for our staff which identifies trends within our region. ·Currently the report states we were understaffed in school nurses, counselors, and social workers. Last year these positions were employed by the charter management organization while serving our school. This year, as an independent school, we employ these positions directly. We also utilize outsourcing with contracted NPAs when needed to ensure we are meeting the needs of students. And it is with great joy that we have learned that Heartland qualifies for MHSA to employ more mental healthcare professionals. Heartland is committed to improve the safety of our students and meet the suicide prevention safeguards required by state law. Sincerely, Courtney McCorkle Executive Director Heartland Charter School Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 82 Tfqufncfs!3131 + 2 3 +!Dbmjgpsojb!Tubuf!Bvejups“t!dpnnfout!cfhjo!po!qbhf!84/ 83 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 Tfqufncfs!3131 4 5 5 5 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 84 Tfqufncfs!3131 Dpnnfout DBMJGPSOJB!TUBUF!BVEJUPS“T!DPNNFOUT!PO!UIF! SFTQPOTF!GSPN!LFSO!IJHI!TDIPPM!EJTUSJDU! Up!qspwjef!dmbsjuz!boe!qfstqfdujwf-!xf!bsf!dpnnfoujoh!po!uif! ovncfst!cfmpx!dpssftqpoe!up!uif!ovncfst!xf!qmbdfe!jo!uif!nbshjo! pg!Lfso!Ijhi!Tdippm!Ejtusjdu“t!sftqpotf/!! 2 Bmuipvhi!Lfso!Ijhi!Tdippm!Ejtusjdu!fnqmpzt!b!mbshf!ovncfs!pg! nfoubm!ifbmui!qspgfttjpobmt-!ju!gbjmfe!up!fnqmpz!uif!sfdpnnfoefe! 3 Lfso!Ijhi!Tdippm!Ejtusjdu“t!tubufnfou!epft!opu!beesftt!uif! joejwjevbmt!uibu!ju!gbjmfe!up!jodmvef!xifo!dsfbujoh!jut!tvjdjef! Ejtusjdu!xbt!vobcmf!up!efnpotusbuf!uibu!ju!pcubjofe!gffecbdl!gspn! fyufsobm!tublfipmefst!xifo!dpotusvdujoh!jut!tvjdjef!qsfwfoujpo! qpmjdz/!Tubuf!mbx!boe!Fevdbujpo“t!npefm!qpmjdz!jefoujgz!uif!hspvqt! uibu!MFBt!nvtu!ps!tipvme!jowpmwf!xifo!efwfmpqjoh!tvjdjef! qsfwfoujpo!qpmjdjft/ 4 Lfso!Ijhi!Tdippm!Ejtusjdu!ibt!njtsfqsftfoufe!pvs!dpodmvtjpot/! Dpousbsz!up!Lfso!Ijhi!Tdippm!Ejtusjdu“t!tubufnfou-!xf!eje!opu! tvjdjef!qsfwfoujpo!usbjojoh/!Xf!bttfttfe!uif!befrvbdz!pg!tvjdjef! Tdippm!Ejtusjdu!vtfe!evsjoh!uibu!zfbs!gbjmfe!up!gvmmz!beesftt! tubuvupsz!sfrvjsfnfout!boe!jodmvef!cftu!qsbdujdft!uibu!Fevdbujpo! tuvefout!bsf!bu!sjtl!pg!tvjdjef/ 5 Xf!mppl!gpsxbse!up!sfwjfxjoh!Lfso!Ijhi!Tdippm!Ejtusjdu“t! sftqpotft!eftdsjcjoh!jut!qsphsftt!jo!jnqmfnfoujoh!uiftf! qvcmjdbujpo!pg!uijt!sfqpsu/ 85 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 Tfqufncfs!3131 Cmbol!qbhf!jotfsufe!gps!sfqspevdujpo!qvsqptft!pomz/ Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 86 Tfqufncfs!3131 Dr. Vincent Matthews Superintendent of Schools San Francisco Unified School District Danielle M. Houck LEGAL DEPARTMENT General Counsel rd 555 Franklin Street, 3Floor, San Francisco, CA 94102 daniellehouck@sfusd.edu Telephone (415) 241-6216 Fax(415) 241-6371 AngelaMiller Sr. Deputy General Counsel millera1@sfusd.edu September 3, 2020 + Elaine M. Howle, CPA, California State Auditor 621 Capitol Mall, Suite 1200 Sacramento, CA 95814 Dear Ms. Howle, Thank you for the opportunity to review the draft report entitled “Youth Suicide Prevention:Local Educational Agencies Lack the Resources and Policies Necessary to Effectively Address Rising Rates of Youth Suicide and Self Harm.”Our relevant student health staff have reviewed the draft report and have provided the following feedback and clarifications, organized by page number in the draft report: 2 (P. 5,6)The SFUSD Wellness Initiative model is not the same as a "school-based health center." Rather, it is a model of service devised by the district to reach students in schools with necessary services and acting as a mechanism to refer to community based or primary care services when 3 needed. School based health centers provide primary care as well as other sexual health medical services not available in Wellness centers.However, SFUSD does have one DPH school based health center co-located in a Wellness center, and two DPH sexual health clinics co-located within Wellness centers. 4 (P. 11)"Committed suicide" should be changed to "died by suicide" per American Foundation for Suicide Prevention -Reporting on Suicide Guidelines (P. 17 Figure 5)It does not appear that this chart considers suicide or self harm by transgender 5 or gender non conforming students, is that correct?The chart does not acknowledge whether this was considered. 4 (P. 19)Recommend changing "commits suicide" to "died by suicide" for reason stated above. 6 (P. 20/21)In interviews with auditors, SFUSD shared that staff regularly collaborate with community based organizations for both consultation and services, including the Comprehensive Crisis Services (a program of DPH), Edgewood’s CSU, SF Suicide Prevention and Ric hmond Area Multi Services Agency.It is inaccurate to broadly conclude that “LEAs consistent failure to include community groups suggests that they may not fully recognize the benefits of doing so.”This conclusion ignores the meaningful collaborations between SFUSD and community stakeholders based solely on the absence of a sign-in sheet related to policy development. Recognizing the benefits of community stakeholder support goes beyond collecting feedback on +!Dbmjgpsojb!Tubuf!Bvejups“t!dpnnfout!cfhjo!po!qbhf!8:/ 87 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 Tfqufncfs!3131 a written policy; the more impactful and meaningful support comes from working collaboratively to support students and their families when an incident occurs, and in developing the operational protocols that implement the broad goals of a policy. Additionally, this broad statement that LEAs fail to recognize the value of community input also ignores the fact that SFUSD employs internal experts that bring expertise from community 6 organizations. For example, SFUSD employs a school social worker (SSW) who is a former board member of the American Foundation for Suicide Prevention and a member of the American Association of Suicidology; another SSW who is an expert in the field of Filipino mental health; and a SSW who is known nationally for work with LGBTQ students.These employees were ongoing consultants and presenters of the training for the district. (P. 22 Table 2)Please provide clarity in the report about what element is missing from the 7 SFUSD training program.The current report’s content may be misleading in that it implies that SFUSD’s tra ining failed to include information about suicide risk factors or warning signs.Table 2 lists the 3 recommended elements (risk factors, warning factors, protective factors) and indicates with a red X that SFUSD failed to “discuss all three elements.”The report states that “all of the LEAs we reviewed lacked one or more of the elements.”But the report is vague about precisely what element or elements are missing from SFUSD’s training. However, in the narrative there is a singular focus on risk factors and warning signs.The report explains that “These deficiencies may leave teachers and staff unprepared to identify and assist students at risk of self harm and suicide.” The report also states that “Youth who are contemplating suicide frequently exhibit signs of their distress, and teacher and staff trained to identify these warning signsare in key positions to obtain help and prevent suicide attempts.”\[Emphasis added\].These conclusions may be misleading as they suggest that what is missing from the LEA training is information about risk factors and warning signs; and highlight the dangers of teachers failing to recognize risk factors and warning signs. The SFUSD training does cover these topics; therefore we request that the report describe the specific factor that was missing (protective factors).SFUSD will add a slide to its training to list possible protective factors.However, the term “protective factors” can be misleading as having these factors does not “protect” students from suicide attempts or deaths.Several suicides have occurred involving students who did have such “protective factors.” (P. 25/26) The report broadly concludes that “two LEAs did not conduct this \[suicide 8 prevention\] training within the first three months of the beginning of the school year.”SFUSD has 13 middle schools, 15 high schools and 6 county schools.The audit reviewed one county school with an enrollment of 73 students to support the broad conclusion that the LEA does not provide timely training.For charter schools or smaller LEAs the selection of one school may provide statistical significance; but it is misleading to suggest an “apples to apples” comparison of training practices at one charter to those at an entire LEA based on the review of one school.Therefore, we request that the report be more transparent that its conclusions regarding training are based on the review of one of the LEA’s 34 middle, high and county schools.Currently there is only one small-print note below Figure 4 that acknowledges the review was based on review of one school. Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 88 Tfqufncfs!3131 (P. 27) The report states that SFUSD is missing an action plan for out of school suicide attempts.This distinction is confusing as the SFUSD protocols for responding to student suicide attempts do apply to “out of school” attempts; and in fact there has never been an “in school” suicide attempt.However, the district will clarify the applicability of its protocols to “out of school” suicide attempts in its Administrative Regulation.The Regulation will also include a single point of contact regarding suicide prevention and response. 9 (P. 37)The last paragraph should read San Francisco Unified High School Wellness Initiative, which includes 18 wellness centers. : (P. 53 Table A, 5(a))This Table lists the Audit Goals and Methods Used to Address Them.Goal 5(a) is “Identify the extent to which each LEA and charter school tracks student suicides and attempted suicides.”In the “Method” column the report states that none of the LEAs tracked aggregate suicide or self harm data.SFUSD does track suicide ideation, attempts, and self harm via the CDC Youth Risk Behavior Survey.The district tracks completed suicides in individual student records because staff need to know if a student has died by any reason, especially suicide; but this information is not maintained in a searchable database. Thank you for your consideration of our comments and clarifications. Sincerely, Angela Miller, Sr. Deputy General Counsel San Francisco Unified School District 89 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 Tfqufncfs!3131 Cmbol!qbhf!jotfsufe!gps!sfqspevdujpo!qvsqptft!pomz/ Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 8: Tfqufncfs!3131 Dpnnfout DBMJGPSOJB!TUBUF!BVEJUPS“T!DPNNFOUT!PO!UIF! 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September 3, 2020 Sent Via E-Mail/U.S. Mail 5350 Skylane Boulevard aaronf@auditor.ca.gov Santa Rosa, CA 95403 Tel: (707) 524-2690 + Ms. Elaine M. Howle Fax: (707) 578-0517 California State Auditor santarosa@sclscal.org www.sclscal.org c/o Aaron Fellner, Team Leader General Counsel Re: Local Educational Agencies Lack the Resources and Policies Necessary Carl D. Corbin To Effectively Address Rising Rates of Youth Suicide and Self-Harm Attorneys Monica D. Batanero Dear Ms. Howle: Jennifer Henry Nancy L. Klein Damara L. Moore On behalf of the Ukiah Unified School District’s (“District”), I submit the Jennifer E. Nix attached response to the above-referenced Draft Report. Steven P. Reiner Kaitlyn A. Schwendeman Loren W. Soukup Erin E. Stagg Sincerely yours, Of Counsel Ellie R. Austin Robert J. Henry Nancy L. Klein, Senior Associate General Counsel Patrick C. Wilson School & College Legal Services of California Frank Zotter, Jr. Enc. +!Dbmjgpsojb!Tubuf!Bvejups“t!dpnnfout!cfhjo!po!qbhf!96/ 93 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 Tfqufncfs!3131 Ukiah Unified School District Response to Draft Report Re: Local Educational Agencies Lack the Resources and Policies Necessary to Effectively Address Rising Rates of Youth Suicide and Self-Harm On June 13, 2017, in response to the enactment of Education Code section 215, effective January 1, 2017, the District adopted Board Policy and Administrative Regulation 5141.5. Although not required by Section 215, as originally enacted or as subsequently amended in 2019 1 and 2020, the District has provided annual suicide prevention training for staff. The training 2 included identification of school-based mental health services and how to refer students for such services. Until fall, 2020, the District used QPR training, which the California Department of Education (“CDE”) cites as a training resource at page 6 of its Model Youth Suicide Prevention Policy. 2 The specific QPR training materials used by the District, which were submitted in the course of the audit, list National Resource numbers and crisis lines. A full list of local crisis response 3 resources is included in the District’s suicide intervention protocol, which is distributed to all district counselors, including the school social-emotional counselors whose specific duties include provision of school-based mental health services. The counseling staff maintains notes throughout a student’s enrollment in the District to ensure through the years that staff, as appropriate, are kept informed of a student’s prior history of social-emotional needs. In the District’s QPR training materials, high risk gr oups are specifically addressed, as are Risk 4 Factors (e.g., mental illness, substance abuse, trauma victims, depression, alcohol, psychosis and 5 bipolar disorder, trauma and bullying) and warning factors, (e.g., introduction to warning signs, signs of suicide, direct verbal clues, indirect verbal clues, behavioral cues, situational cues, and acute suicide warning signs). The District is in the process of reviewing CDE’s model policy. After consulting with “community stakeholders” through the District’s Health Advisory Committee and Counselors’ Network, district administration plans to take a revised policy to the Governing Board for a first reading in November, 2020, and for a final reading and approval by March, 2021. 6 The District provided suicide prevention training this fall for all staff. The District has never limited training to teachers. (See f.n. 1 - Ed. Code sec. 215) At the recommendation of the 7 California State Auditor’s team, the District discontinued use of QPR training. The District is reviewing its current online training to ensure that, by June, 2021, it aligns with the recommendations in the Draft Report. 1 “The policy shall address any training to be provided to teachers of pupils in grades 7 to 12, inclusive, on suicide awareness and prevention.” (Ed. Code sec. 215(a)(3)(A)) (Effective January 1, 2017 – December 31, 2019) “The policy shall address any training on suicide awareness and prevention to be provided to teachers of pupils in all of the grades served by the local educational agency. (Ed. Code sec. 215(a)(4)(A)) (Effective January 1, 2020) Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 94 Tfqufncfs!3131 Ukiah Unified School District Response to Draft Report Re: Local Educational Agencies Lack the Resources and Policies Necessary to Effectively Address Rising Rates of Youth Suicide and Self-Harm 8 The District posts continuously to hire school nurses to no avail. Despite district efforts, no applicant has accepted the District’s offer of employment since July 1, 2018. The District believes the inability to hire school nurses is due largely to the considerably higher compensation 9 available in the private sector. The District would welcome the state allocation of funding for the employment of school nurses and other professional staff. : To meet students’ needs, the District has a district-wide Crisis Response Team that responds to suicides and other social-emotional crises that occur in and out of school. In addition to school counselors and school psychologists, the District employs at all sites health technicians who work directly with students. The District also employs at least one bilingual Family and Community Liaison at each site and two district-wide Family Community Liaisons for a total of 13 district wide. In response to the District’s request for information regardin g MHSA funds, the California State Auditor’s Office shared the Mendocino County MHSA three-year plan. Staff will be reviewing the plan and contacting Mendocino County Health and Human Services Agency to determine if there is an “application process” for t he District to access MHSA funds for school counselors, school nurses, school social workers, and school psychologists. 95 Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 Tfqufncfs!3131 Cmbol!qbhf!jotfsufe!gps!sfqspevdujpo!qvsqptft!pomz/ Dbmjgpsojb!Tubuf!Bvejups!Sfqpsu!312:.236 96 Tfqufncfs!3131 Dpnnfout DBMJGPSOJB!TUBUF!BVEJUPS“T!DPNNFOUT!PO!UIF! 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