PRELIMINARY AGENDA
(Subject to Change)

Thursday, October 25, 2001

7:30 - 8:30 a.m.	Continental Breakfast
8:30 a.m.	Welcome, Introductions and Overview
9:00 - 10:45 a.m.	Workshops: Suicide Risk Screening, Assessment, Preventive Interventions for Suicide Risk Behaviors and Drug Use
11:00 a.m. - 12:15 p.m.	Workshops: Suicide Risk Screening, Community Crisis Intervention, Coping with Depression
12:15 - 1:15 p.m.	Lunch
1:15 - 3:00 p.m.	Workshops: Co-occurring Problem Behaviors, Preventive Interventions for Suicide Risk Behaviors and Drug Use, Cognitive-Behavioral Approaches to Substance Use and Suicide Risk Prevention
3:15 - 3:45 p.m.	Presentation: Strategic Planning for Program Implementation and Evaluation -- Kristen Gabrielsen, Associate Director, CSAP's Western Center for the Application of Prevention Technologies
3:45 - 5:30 p.m	Workshops: Suicide Risk Assessment, Coping with Depression, Preventing Substance Use in Adolescent Sport
6:00 - 7:00 p.m.	Reception

Friday, October 26, 2001

7:30 - 8:30 a.m.	Continental Breakfast
8:30 - 10:15 a.m.	Presentation: Next Steps: Strategic Planning Work Groups
10:30 a.m. - 12:15 p.m.	Workshops: Co-occurring Problem Behaviors, Preventive Interventions for Suicide Risk and Drug Use
12:15 - 1:15 p.m.	Lunch
1:15 - 1:45 p.m.	Presentation: The Challenge of Program Implementation and Evaluation in Community Settings -- Leona Eggert, PhD, RN, FAAN, Principal Investigator, Reconnecting Youth Prevention Research Program
1:45 - 3:30 p.m.	Workshops: Assessment, Preventing Substance Use in Adolescent Sport, Cognitive-Behavioral Approaches to Substance Use and Suicide Risk Prevention

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WORKSHOP DESCRIPTIONS

This program focuses on the co-occurring problems of depression, suicide risk behaivors and substance use among youth and young adults. Nationally recognized experts will conduct the workshops with specific focus on screening high-risk individuals, systematic assessment, and best practices for preventive interventions. Workshops will provide hands-on experience with essential components of selected best practices in prevention. Strategies for program implementation in diverse community settings will be provided. Workshops will be presented twice, allowing participants the opportunity to attend up to six workshops during the course of the 2-day conference. Brief descriptions of these programs are provided below; more can be learned from the related website links.

COMMUNITY APPROACHES TO PREVENTION:
CRISIS RESPONSE SERVICES FOR ADOLESCENTS
Carol A. Barber, MSW
Crisis Response Team, Seattle Children's Home

Participants will learn about models of community response to youth in crisis, based on the collaborative program of the Seattle Children's Home. The workshop will describe organization of crisis response at the community level including crisis outreach and assessment, crisis de-escalation and stabilization, emergency referral for mental health treatment, and a brief intensive case management strategy.

PREVENTING DRUG ABUSE AND SUICIDAL BEHAVIORS
AMONG HIGH-RISK YOUTH: THE CAST PROGRAM
Leona L. Eggert, PhD, RN, FAAN, Professor Emeritus
Elaine A. Thompson, PhD, RN, Professor
Brooke P. Randell, DNSc, RN, CS, Research Associate Professor
Reconnecting Youth Prevention Research Program, Psychosocial & Community Health, University of Washington

Participants will learn about Coping and Support Training (CAST), a 12-session peer-group intervention derived from the Reconnecting Youth Program. This indicated preventive intervention has demonstrated effectiveness with students "at-risk" of high school drop out who screen in as suicide vulnerable. This workshop will provide an overview of the theoretical basis for the intervention, description of the essential program elements; and a demonstration of selected intevention components. Participants will also practice aspects of the intervention. Upon completion participants will be able to identify the theoretical principles underlying the intervention; describe components of the intervention; and demonstrate the implementation of selected components.

PREVENTING SUBSTANCE USE IN ADOLESCENT SPORT:
THE ATLAS AND ATHENA PROGRAMS
Linn Goldberg, MD and Diane Elliot, MD
Professors, Division of Health Promotion and Sports Medicine,
Oregon Health Sciences University

ATLAS and ATHENA programs: This interactive workshop will demonstrate major aspects of the national award winning, adolescent male health promotion and drug prevention program, ATLAS, and its counterpart ATHENA, designed to reduce drug and disordered eating prevention among adolescent female athletes. Both programs, developed with grants from the National Institute on Drug Abuse, use a team-centered, coach facilitated, gender specific approach. Learn how ATLAS and ATHENA work, and how young athletes can develop resistance to use of alcohol and illicit drugs, and practice healthy lifestyles.

DIALECTICAL INTERVENTION:
PREVENTING SUICIDE RISK & DRUG ABUSE
Marsha Linehan, PhD
Professor, Psychology, University of Washington

Participants will learn about this cognitive behavioral program for preventing suicidal behaviors and drug abuse among young adults at risk for mental health disorders. This program has a long history of demonstrated effectiveness for preventing repeated suicide attempts. The workshop will provide participants with 1) a brief overview of the theoretical basis for the interventions; 2) a description of the essential program elements; and 3) a demonstration of selected components of key theory based-strategies. Participants will practice aspects of the intervention. Upon completion of this workshop participants will be able to 1) identify the theoretical principles underlying intervention approaches; 2) describe components of the intervention; and 3) demonstrate implementation of selected components.

IDENTIFYING ADOLESCENTS & YOUNG ADULTS AT RISK FOR
SUICIDE AND/OR SUBSTANCE ABUSE IN PRIMARY CARE SETTINGS
Elizabeth McCauley, PhD
Professor & Director of Child In-Patient Psychiatry
Children's Hospital and Medical Center, Department of Psychiatry
and Behavioral Sciences, University of Washington

Participants will learn about identifying adolescents and young adults (15-24) at risk for suicide and/or substance abuse in the general medical practice context. The presenters will focus on identification and screening of youth, young adults and their families in the emergency department, and on methods for successful referral to treatment based on a tested protocol. The role of the primary care clinician in identification, referral, treatment, and follow-up care for youth will be presented.

INDICATED PREVENTION FOR YOUNG ADULTS:
COPING WITH DEPRESSION
Terry Michael McClanahan, PsyD
Ioannis Lougaris VA Medical Center, Reno, Nevada

Depression is one of the most prevalent disorders of young adulthood and a key predictor of suicide risk. From community studies, participants will learn about the prevalence, risk factors, and consequences of depression, suicidal behavior and drug involvement among young adults. Cognitive-behavioral interventions for depression will be described, with special emphasis on the Coping with Depression Course, a 12-session cognitive behavioral group intervention designed to increase pleasant events, social skills, relaxation, control negative and irrational thoughts, and to improve communication and problem-solving skills. An overview of the theoretical basis for the course will be provided, along with supporting empirical evidence.

PREVENTING SUICIDE RISK BEHAVIORS AMONG
HIGH-RISK YOUTH: THE CARE PROGRAM
Brooke P. Randell, DNSc, RN, CS, Research Associate Professor
Leona L. Eggert, PhD, RN, FAAN, Professor Emeritus
Elaine A. Thompson, PhD, RN, Professor
Reconnecting Youth Prevention Research Program, Psychosocial & Community Health, University of Washington

Counselors-CARE (C-CARE), based on a computer-assisted interview, is a brief, crisis intervention approach to youth suicide prevention. It has demonstrated effectiveness with students "at-risk" of high school drop out who screen in as suicide vulnerable. This workshop will provide participants with 1) a brief overview of the theoretical basis for the intervention; 2) a description of the essential elements; and 3) a demonstration of selected components of the intervention. The computer-assisted interview will be demonstrated. Participants will practice aspects of the interventions. Upon completion of this workshop participants will be able to 1) identify the theoretical principles underlying each intervention; 2) describe various components of both interventions; and 3) demonstrate the implementation of selected components.

IDENTIFYING YOUTH AT RISK
FOR SUICIDE AND/OR SUBSTANCE ABUSE
William Reynolds, PhD
Professor, Educational Psychology, Humbolt State University, California
James J. Mazza, PhD
Associate Professor, Educational Psychology, University of Washington
Elaine A. Thompson, PhD, RN,
Professor, Reconnecting Youth Prevention Research Program, Psychosocial & Community Health, University of Washington

Intended for school and community professionals, focus will be on proactive procedures for identifying youth who manifest drug involvement and suicidal ideation and behaviors. Measures and procedures with demonstrated reliability and validity-along with guidelines for their use with adolescents-will be described. School-based screening for suicidal risk and drug use will be presented as an efficacious method for identifying at-risk youth. Participants will gain knowledge of individual assessment measures of suicidality in adolescents, and learn procedures for implementing a school-based system-including both group and individual assessment procedures-for early identification. Procedures for using measures in community and mental health settings will be examined. Participants will gain understanding of ethical concerns of both implementing and not implementing procedures to identify suicidal adolescents.

INDICATED PREVENTION FOR ADOLESCENTS:
COPING WITH DEPRESSION
Paul Rohde, PhD
Research Scientist, Oregon Research Institute, Eugene, Oregon

Participants will learn fundamental epidemiologic information concerning adolescent depression and suicidality. An overview of the theoretical rationale for the Adolescent Coping with Depression Course (CWD-A) developed by the presenter will be provided. Specific treatment components, possible modifications of the intervention (e.g., school prevention intervention, use in juvenile justice system), and process issues will also be described.

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