• Received Prior Counseling: 66% (Central) vs 53% (CCMH) • Have a previous suicide attempt: 16.5% (Central) vs 10% (CCMH)

• Thoughts of ending your life in the past two weeks: 27.3% (Central) vs 38% (CCMH) • Thoughts of hurting others in the past two weeks 7% (Central) vs 11% (CCMH) • Experienced abuse in the past: 43.1% (Central) vs 39% (CCMH) In FY18, 30 students connected with Counseling Services either presented to services with a recent suicide attempt or serious suicide plan with intent to die or experienced one of these concerns while enrolled in counseling services. Counseling Services has made significant progress in reducing barriers to services for students, with a focus on quick access to initial services so that students can be assessed for their needs and provided crisis services and short-term therapy services. For students needing long-term care, either due to severity of concerns or simply personal preference, a barrier exists in terms of community service providers. Kittitas County lacks sufficient mental health resources for the population at large. Most Central students who come to the Counseling Services are not referred to the community. Ninety-four percent of service seeking students in Fall 2018 have not been referred to the community as of the date of this report. There are many more data points regarding Counseling Services contained within the attached reports. Medical Services is also a provider of mental health services to Central students, along with being a significant referral source for Counseling Services. The below graph shows the number of medical patients that qualify for a mental health diagnosis and its steady increase. In the calendar year 2017, 1306 patients had a mental health diagnosis. With two and half months left in 2018, the number is currently 1094. Providers in Medical Services are one of the primary prescribers of psychotropic medications for students at Central. Medical providers are able to prescribe many medications that general practitioners in the community typically feel uncomfortable prescribing, such as antipsychotic medications. The close collaboration between Medical and Counseling Services, as well the demands of rural healthcare practice, make this possible.

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