From the BRFSS Q10: "15-30 bad mental health days in the last 30 days
Story Behind the Curve
We have more depression than we should have in our community due to:
Exaggerated Alcohol and Drug abuse
The disparity of wealth:
Teen depression: Kim has stories??
Small businesses owners: They have about 10-12 weeks to make their money for the year. What kind of support do they have?
The area is a resort community working in the resort industry. It attracts young people who come for a year to work in the ski industry and party; they end up staying here
There is a culture of partying: it becomes mainstream culture for those above who stay; over time the culture has become entrenched
In addition, people come up for long weekends to party
9-11 graders have a drug and alcohol usage that is higher than the state average; when parent are surveyed, their attitude is casual: “that’s what you do in HS.” Young drinking and drugging is normed behavior in our community; there is very low stigma
There is a mythology about the area: “renegade spirits” are attracted to the area and want to stay.
People also are attracted to the area’s type of isolation in nature
The area creates geographic isolation and weather isolation
Area housing also creates isolation:
The community has designed mostly single family housing; there is not much communal housing
Lack of walkability; many neighborhoods have no workable sidewalks which is socially isolating
A lot of empty housing – part-time residents
There is a lack more natural support systems to compensate for this isolation
For the Latino population there is additional isolation
Undocumented teens feel isolated in school
Everyone has fears of deportation – fears of immigration coming around; when ICE shows up people are afraid to come out of their homes
Families feel that life is not stable– they don’t know what their rights are
This insecurity feeds on itself and intensifies for the entire community
There is also a rural and small town amplification: people dwell on the weather (either good or bad); recent suicides were felt and discussed over and over again by the community.
High rate of turnover in the small business community. The pressure on owners is very real: First, the Great Recession, then a very slow recovery; then global warming – no snow for 4 years
We don’t want to discount vulnerable populations (40-70 year old white men); the non-profits turn to them for support with great regularity.
Tahoe Forest Health District
Tahoe Truckee Unified School District
Tahoe SAFE Alliance
Placer County Behavioral Health
Nevada County Behaviroral Health
North Tahoe Family Resource Center
Family Resource Center of Truckee
NEED TO ENTER THEORY OF CHANGE
Strategy #1: Increase prevention, early itervention and treatment of depression.
Strategy #2: Immprove the quality and effectiveness of services through systems coordination and process improvements. This strategy includes the following activities: -5150 process improvement -Suicide Prevention Coalition -Suicide Postvention Protocol develpment