House of Representatives General Assembly FileSubstitute Bill No.

196111 January Session, 2021 SubstituteAN HouseACT BillESTABLISHING No.A YOUTH SUICIDE PREVENTION TRAINING PROGRAM.

6111 House of Representatives, March 9, 2021 The Committee on Children reported through REP.

LINEHAN of the 103rd Dist., Chairperson of the Committee on the part of the House, that the substitute bill ought to pass.

AN ACT ESTABLISHING A YOUTH SUICIDE PREVENTION TRAINING PROGRAM.

(NEW) (Effective July 1, 2021) (a) The Youth Suicide Advisory Board, established pursuant to section 17a-52 of the general statutes, and the Office of the Child Advocate, shall jointly administer an evidence-based youth suicide prevention training program in each district department of health formed pursuant to section 19a-241 of the generalstatutes.Thetraininggeneralstatutes.ThetrainingprogramshallprovidecertificationinQPR programshallprovidecertificationinQPR Institute Gatekeeper Training,utilizing atraining modelthat willenable participants to provide QPR Institute Gatekeeper Training to other individuals upon completion of the training program.

Participants shall be members of the sHB6111following /groups Filewithin No.such district:

19(1) 1Employees sHB6111of Filesuch health department, (2) employees of youth service bureaus, (3) school employees, as defined in section 10-222d of the general statutes, (4) employees and volunteers of youth-serving organizations, (5) LCO \\PRDFS1\HCOUSERS\BARRYJN\WS\2021HB-06111-R021 of 2 HB.docx Substitute Bill No.

196111 followingemployees groupsand withinvolunteers suchof district:operators of youth athletic activities, as defined in section 21a-432 of the general statutes, (6) employees of municipal social service agencies, (7) members of paid municipal or volunteer fire departments, and (8) members of local police departments.

(1) Employees of such health department, (2) employees of youth service bureaus, (3) school employees, as defined in section 10-222d of the general statutes, (4) employees and volunteers of youth-serving organizations, (5) employees and volunteers of operators of youth athletic activities, as defined in section 21a-432 of the general statutes, (6) employees of municipal social service agencies, (7) members of paid municipal or volunteer fire departments, and (8) members of local police departments.

sHB6111APP /Joint FileFavorable No.LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2021HB-06111- 2 of 2 R02-HB.docx }

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19 The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of the General Assembly, solely for purposes of information, summarization and explanation and do not represent the intent of the General Assembly or either chamber thereof for any purpose.

In general, fiscal impacts are based upon a variety of informational sources, including the analyst’s professional knowledge.

Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.

OFA Fiscal Note State Impact:

Agency Affected Fund-Effect FY 22 $ FY 23 $ Children & Families, Dept.

GF - Cost 91,000 30,000 Note:

GF=General Fund Municipal Impact:

None Explanation The bill, which requires a youth suicide prevention training program in every local and district health department administered by the Youth Suicide Advisory Board (YSAB) ⸻ housed within the Department of Children and Families (DCF) ⸻ and the Office of the Child Advocate, results in a cost to DCF of approximately $91,000 in FY 22 and approximately $30,000 in each fiscal year thereafter.

Per the bill, the training program must provide certification in QPR Institute Gatekeeper Training and utilize a model that will enable participants to provide training to other individuals upon completion of the program.

Funding of approximately $91,000 in FY 22 and approximately $30,000 ineachfiscal year thereafter isneededto support acontract with the QPR Institute.

The QPR Training of the Trainers model would train a minimum of two employees at each local and district health department to serve as their local QPR trainers.

Currently, there are 65 total local and district health departments in Connecticut:

20 are districts, 33 are municipal with full-time directors of health, and 12 are municipal with part-time directors of health.

In the initial year of training, approximately 130 employees will need to be trained, at a cost of approximately $700 per person.

In subsequent years, to refresh training and replace trainers lost due to attrition, the cost would be sHB6111 / File No.

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19 approximately $30,000.

The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to inflation and the number of trainings provided.

Sources:

Connecticut Department of Public Health, Local Health Administration, Online, Available at https://portal.ct.gov/DPH/Local-Health-Admin/LHA/Local-Health- Administration QPR Institute, Online, Available at https://www.qprinstitute.com/ sHB6111 / File No.

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19 OLR Bill Analysis sHB 6111 AN ACT ESTABLISHING A YOUTH SUICIDE PREVENTION TRAINING PROGRAM.

SUMMARY This bill requires the Youth Suicide Advisory Board (YSAB) and the Office of the Child Advocate (OCA) to jointly administer an evidence- based youth suicide prevention training program in each health district in the state.

The bill requires district health directors to determine eligibility criteria for program participants, who must be from certain groups of employees or volunteers, such as school employees.

The program must be offered by July 1, 2022, and at least once every three years afterward.

Under the bill, the training program must provide certification in QPR(Question,Persuade,andRefer)InitiativeGatekeeperTraining(see BACKGROUND).

Participants who complete the program and obtain certification may then provide the training to others while their certification is valid.

Lastly, the bill allows (1) YSAB and OCA to contract with a nongovernmental entity that provides evidence-based suicide prevention training to help administer the program and (2) school employees to participate in the training program as part of an in-service training program already required by law.