BILL ANALYSIS                                                                                                                                                                                                    Ó






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          |SENATE RULES COMMITTEE            |                       AB 2246|
          |Office of Senate Floor Analyses   |                              |
          |(916) 651-1520    Fax: (916)      |                              |
          |327-4478                          |                              |
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                                   THIRD READING 


          Bill No:  AB 2246
          Author:   O'Donnell (D), et al.
          Amended:  6/9/16 in Senate
          Vote:     21 

           SENATE EDUCATION COMMITTEE:  9-0, 6/15/16
           AYES:  Liu, Block, Hancock, Huff, Leyva, Mendoza, Monning, Pan,  
            Vidak

           SENATE APPROPRIATIONS COMMITTEE:  6-0, 8/11/16
           AYES:  Lara, Beall, Hill, McGuire, Mendoza, Nielsen
           NO VOTE RECORDED:  Bates

           ASSEMBLY FLOOR:  67-6, 6/1/16 - See last page for vote

           SUBJECT:   Pupil suicide prevention policies


          SOURCE:    Author


          DIGEST:  This bill requires local educational agencies (LEAs)  
          that serve students in grades 7 to 12 to adopt policies on the  
          prevention of student suicides and also requires the California  
          Department of Education (CDE) to develop and maintain a model  
          suicide prevention policy.   


          ANALYSIS:  Existing law requires the Superintendent of Public  
          Instruction (SPI) to send a notice to each middle school, junior  
          high school, and high school that encourages each school to  
          provide suicide prevention training to each school counselor at  
          least one time while employed as a counselor, provides  








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          information on the availability of the suicide prevention  
          training curriculum developed by the CDE, and informs schools  
          about the suicide prevention training provided by the department  
          and describes how a school might retain those services. 

          This bill:

        1)Makes various findings and declarations regarding student  
             suicides, as specified.

        2)Requires LEAs that serve students in grades 7 to 12 to adopt,  
             before the beginning of the 2017-18 school year, at a  
             regularly scheduled meeting, a policy on student suicide  
             prevention for students in those grades.

        3)Requires the policy to be developed in consultation with school  
             and community stakeholders, school-employed mental health  
             professionals, and suicide prevention experts.

        4)Requires that these policies address, at a minimum, procedures  
             relating to suicide prevention, intervention, and  
             postvention.

        5)Requires that the policies specifically address the needs of  
             high-risk groups, including:

              a)    Youth bereaved by suicide.

              b)    Youth with disabilities, mental illness, or substance  
                use disorders.

              c)    Youth experiencing homelessness or in out-of-home  
                settings, including foster care.

              d)    Lesbian, gay, bisexual, transgender, or questioning  
                youth.

        6)Requires that the policy address any training to be provided to  
             teachers of students in grades 7 to 12, on suicide awareness  
             and prevention.

        7)Requires that materials approved by an LEA for training include  
             how to identify appropriate mental health services, both at  
             the schoolsite and also within the larger community, and when  







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             and how to refer youth and their families to those services.

        8)Provides that materials approved for training may also include  
             programs that can be completed through self-review of  
             suitable suicide prevention materials.

        9)Requires the policy to be written to ensure that school  
             employees act only within the authorization or scope of their  
             credential or license.  Provides that nothing in this section  
             shall be construed as authorizing or encouraging school  
             employees to diagnose or treat mental illness unless they are  
             specifically licensed and employed to do so.

        10)Requires the CDE to assist LEAs in developing policies for  
             student suicide prevention, to develop and maintain a model  
             policy to serve as a guide for LEAs.

        11)Defines LEA as a county office of education, school district,  
             state special school, or charter school.

          Comments
          
          Need for the bill.  The author's office indicates that  
          "according to the Centers for Disease Control and Prevention  
          (CDC), suicide is the second leading cause of death among young  
          people aged 10-24.  The CDC also reports that 17% of high school  
          students have seriously considered attempting suicide - and 8%  
          had attempted suicide - in the prior 12 months.  Certain  
          students are at higher risk of suicide, including those with  
          disabilities, with mental health or substance abuse disorders,  
          in foster care, and those who are lesbian, gay, bisexual,  
          transgender, or questioning.  Students who are bereaved by  
          suicide are also at greater risk.  School personnel who interact  
          with students on a daily basis are in a prime position to  
          recognize warning signs of suicide and make appropriate  
          referrals for help."

          This bill is intended to address youth suicide prevention by  
          requiring school districts to adopt suicide prevention  
          policies.  These policies would be developed in consultation  
          with school and community stakeholders and experts in the field  
          of suicide prevention, and address the needs of high-risk  
          groups of students.  








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          Youth suicide.  A national study conducted by the Jason  
          Foundation found that the number one person a student would  
          contact to help a friend who might be suicidal was a teacher.   
          When a young person comes to a teacher for help, it is vital  
          that she has the knowledge, skills, and resources to respond  
          appropriately.  Additionally, according to the Lucile Packard  
          Foundation for Children's Health, which compiles and reports  
          data from state agency sources: 

           In 2011-13, nearly 20% of California public school students in  
            grades 9, 11, and nontraditional classes reported seriously  
            considering attempting suicide in the past year.



           Reported suicidal ideation is higher among female students and  
            among students from multiracial and Native Hawaiian/Pacific  
            Islander backgrounds.  



           In 2013, 481 California youth ages 5-24 were known to have  
            committed suicide. 



           The state's youth suicide rate in 2011-13 was 7.7 per 100,000  
            youth ages 15-24, slightly higher than previous years, but  
            substantially lower than the rate in 1995-97 (9.4 per  
            100,000). 



           In 2013, males accounted for almost 80% of youth suicides in  
            California (354 of 452). Statewide and nationally, many more  
            male youth (ages 15-24) than female youth commit suicide.





           In 2013, there were 3,322 hospitalizations for non-fatal  
            self-inflicted injuries among children and youth ages 5-20 in  
            California. 







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           In 2013, 62% of hospitalizations for self-inflicted injuries  
            in California involved youth ages 16-20.




          FISCAL EFFECT:   Appropriation:    No          Fiscal  
          Com.:YesLocal:   Yes


          According to the Senate Appropriations Committee, this bill  
          imposes a likely significant reimbursable state mandate on LEAs  
          to create suicide prevention plans, as specified.  Costs will  
          vary by LEA but could be in the mid to high hundreds of  
          thousands statewide, one-time, to develop the plan.  The CDE  
          also estimates one-time costs of $55,000 to develop and maintain  
          a model policy to serve as a guide for LEAs.  (General Fund)


          SUPPORT:   (Verified8/12/16)


          Alameda County Office of Education
          American Academy of Pediatrics
          American Foundation for Suicide Prevention 
          California Association of Marriage and Family Therapists
          California Council of Community Behavioral Health Agencies 
          California Federation of Teachers
          California School Employees Association 
          California State PTA 
          California Teachers Association
          California Youth Empowerment Network
          Child Abuse Prevention Center
          Disability Rights California 
          Equality California
          GSA Network of California
          Los Angeles LGBT Center
          Mental Health America in California 
          National Association of Social Workers - California Chapter
          Trevor Project
          Several individuals







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          OPPOSITION:   (Verified8/12/16)


          None received

          ASSEMBLY FLOOR:  67-6, 6/1/16
          AYES:  Achadjian, Alejo, Travis Allen, Arambula, Atkins, Baker,  
            Bigelow, Bloom, Bonilla, Bonta, Brown, Burke, Calderon,  
            Campos, Chang, Chau, Chiu, Chu, Cooley, Cooper, Dababneh,  
            Daly, Dodd, Eggman, Frazier, Cristina Garcia, Eduardo Garcia,  
            Gatto, Gipson, Gomez, Gonzalez, Gordon, Gray, Roger Hernández,  
            Holden, Irwin, Jones-Sawyer, Kim, Lackey, Levine, Linder,  
            Lopez, Low, Maienschein, Mathis, McCarty, Medina, Mullin,  
            Nazarian, O'Donnell, Olsen, Quirk, Ridley-Thomas, Rodriguez,  
            Salas, Santiago, Steinorth, Mark Stone, Thurmond, Ting,  
            Wagner, Waldron, Weber, Wilk, Williams, Wood, Rendon
          NOES:  Brough, Grove, Harper, Jones, Mayes, Obernolte
          NO VOTE RECORDED:  Chávez, Dahle, Beth Gaines, Gallagher,  
            Hadley, Melendez, Patterson

          Prepared by:Lenin DelCastillo / ED. / (916) 651-4105
          8/15/16 20:22:16


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