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Joint Selectmen and School Committee <br />Page 2 of 8 <br /> <br />towns’ mental health services will be presented by Lexington’s Human Services department. <br />Ms. Interess, Assistant Director of Senior Services, reminded participants about the four <br />components of mental health program delivery: identification; prevention; intervention and post- <br />vention. These phases are not linear. Town and School staff, plus community providers and <br />community stakeholders, may become involved in any or all phases. <br />Ms. Interess then introduced the four outside service providers. The providers were chosen <br />because they work with diverse populations and age groups and have experience with multiple <br />collaborators and funding sources, including Massachusetts Department of Mental Health <br />(DMH), Department of Developmental Services (DDS), Department of Public Health (DPH), <br />and the Executive Office of Elder Affairs (DOEA). The presenters were asked to answer the <br />three questions in their presentations: <br />1) Discuss the role of your agency on the Lexington community; <br />2) Identify trends of mental health and wellness that your agency is noticing and/or <br />addressing; <br />3) Where are the gaps in services? <br />Larry Berkowitz, Director/Co-founder of Riverside Trauma Center said that Riverside <br />Trauma Center is a service of Riverside Community Care, a large health and human services <br />agency with about 100 in-patient and out-patient programs across the state and the age spectrum. <br />The Trauma Center opened 15 years ago and expanded 3 years later with funding for suicide <br />prevention from the State departments of Mental Health and Public Health. The Center is <br />designed to respond to tragic events, such as natural disasters, suicides, and the Boston Marathon <br />bombing. Riverside provides outreach, consultation, education, and support for communities to <br />recover from traumatic events; it specializes in what Mr. Berkowitz called “healthy grieving” <br />and post-vention stabilization. Staff and Community stakeholders work directly with Riverside <br />staff. <br />1) Lexington role: Riverside was called in to help Lexington in the post-vention stages of <br />the teen suicides last year. The Center’s intent is to stay involved for several years after <br />such events, rather than “parachuting in” for brief periods. <br />2) General trends noted: Mr. Berkowitz said that suicides clusters can occur in all age <br />groups but are seen particularly among teens. Nationally, the highest rates of suicide are <br />th <br />among older white men. Massachusetts ranks 48 in the nation for suicides and has some <br />of the highest per capita funding for prevention. It is common to observe increased rates <br />of depression, suicide ideation, and anxiety after suicides. There is not a lot of research <br />regarding best practices for post-suicide recovery; the most recent CDC <br />recommendations were published in 1988. <br />3) Gaps: The CDC recommends, and Mr. Berkowitz supports, forming community-based <br />coalitions to address mental health and wellness issues, including suicide prevention, <br />pulling in as many different people and age groups as possible. The best outcomes are <br /> <br />