BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 739
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          Date of Hearing:   April 13, 2011

                           ASSEMBLY COMMITTEE ON EDUCATION
                                Julia Brownley, Chair
              AB 739 (Lowenthal & Brownley) - As Amended:  April 6, 2011
           
          SUBJECT  :   Pupil instruction: suicide prevention

           SUMMARY  :   Requires the State Board of Education (SBE) and the 
          Curriculum Development and Supplemental Materials Commission 
          (Curriculum Commission) to include suicide prevention 
          instruction and mental illness awareness instruction, as 
          defined, in the health education framework for pupils in grades 
          7 to 12, inclusive, during the next revision of that framework.  
          Specifically,  this bill  :  

          1)Specifies that "suicide prevention instruction" includes, but 
            is not limited to the following:

             a)   Awareness and knowledge of depression, depression 
               symptoms, self-destructive behaviors, and risk factors and 
               warning signs of suicide;

             b)   Ability to identify school and community resources for 
               suicide prevention;

             c)   Knowledge and skills about how to seek help for oneself 
               or a friend and how to overcome barriers to seeking help; 
               and

             d)   Importance of witnesses and bystanders reporting actual 
               or perceived signs of suicide risk factors or behaviors to 
               teachers, counselors, administrators, or other school 
               staff.

          2)Specifies that "mental illness awareness instruction" 
            includes, but is not limited to all of the following: 

             a)   Awareness and knowledge of mental disorders and 
               illnesses, including, but not limited to, depression, 
               schizophrenia, bipolar disorder, post-traumatic stress 
               disorder, and autism spectrum disorders;

             b)   Ability to identify school and community resources for 
               individuals living with a mental illness or mental 








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               disorder; and,

             c)   Knowledge and skills about how to seek help for oneself 
               or a friend and how to overcome barriers to seeking help.

           EXISTING LAW  :

          1)Authorizes school districts to use a portion of their 
            Professional Development Block Grant funding to pay for 
            suicide prevention training for school teachers and specifies 
            that the training shall not exceed two hours and may occur 
            during a regularly scheduled in-service day.

          2)Authorizes the Superintendent of Public Instruction (SPI) to 
            encourage each middle school, junior high school, and high 
            school to provide suicide prevention training to each school 
            counselor at least one time while employed as a counselor.

          3)Establishes the Comprehensive Health Education Act of 1977 to 
            require the California Department of Education (CDE) to 
            prepare and distribute to school districts guidelines for the 
            preparation of comprehensive health education plans, and, in 
            cooperation with county offices of education that desire to 
            participate, to assist school districts in developing 
            comprehensive health education plans and programs, and defines 
            "comprehensive health education program" for this purpose. 

          4)Requires the adoption of content standards in the curriculum 
            area of health education.

          5)Requires the Curriculum Commission to recommend curriculum 
            frameworks to the SBE and develop criteria for evaluating 
            instructional materials submitted for adoption so that the 
            materials adopted adequately cover the subjects in the 
            indicated grade levels.  

          6)Prohibits the SBE from adopting instructional materials or 
            follow the procedures for the adoption of instructional 
            materials until the 2015-16 school year.

          7)Requires local governing boards to provide standards-aligned 
            textbooks or basic instructional materials no later than 24 
            months after those materials are adopted by the SBE, except 
            that for the 2008-09 to the 2015-16 fiscal years, inclusive, a 
            governing board of a school district is not required to 








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            provide pupils with instructional materials by the specified 
            period of time following adoption of those materials by the 
            SBE.

           FISCAL EFFECT  :   Unknown 

           COMMENTS  : 
           
           Purpose of the bill  :  The author states, "Because suicide is 
          only one manifestation of a number of interrelated problems of 
          development and adjustment, developmentally-appropriate mental 
          health curriculum can provide a vital foundation for awareness 
          and prevention programs focusing on building resilience, 
          reducing the number of youth who become at-risk or experience 
          crisis, and identifying those who are in need of intervention.  
          While the existing health framework mentions the incorporation 
          of an examination of depression and suicide, existing law is 
          silent on the inclusion of mental health and suicide prevention 
          curriculum." 

          The American Association of Suicidology finds that in 2007, 
          suicide ranked as the third leading cause of death for 
          adolescents and young adults, and according to the Center for 
          Disease Control (CDC), in 2007:

           14.5% of students in grades 9-12 seriously considered suicide 
           in the previous 12 months (18.7% of females and 10.3% of 
           males).

           6.9% of students reported making at least one suicide attempt 
           in the previous 12 months (9.3% of females and 4.6% of males).

           2.0% of students had made a suicide attempt that resulted in 
          an injury, poisoning, or an overdose that required medical 
          attention (2.4% of females and 1.5% of males).


           Health education standards and framework  :  This bill highlights 
          suicide prevention education and mental health awareness 
          instruction within the health curriculum framework.  The 
          existing health standards, which were adopted in 2008, include 
          in grades 9-12, mental, emotional and social health concepts 
          such as:

             1.   Analyzing signs of depression, potential suicide, and 








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               other self-destructive behaviors; 
             2.   Explaining how witnesses and bystanders can help prevent 
               violence by reporting dangerous situations; 
             3.   Identifying warning signs for suicide; 
             4.   Analyzing the internal and external issues related to 
               seeking mental health assistance; and other related 
               concepts.  

          Similarly, for grades 7-8, the mental, emotional, and social 
          health standards include: describing signs of depression, 
          potential suicide and other self-destructive behaviors, 
          describing common mental health conditions and why seeking 
          professional help for these conditions is important; and 
          applying decision-making processes to a variety of situations 
          that impact mental, emotional and social health. However, the 
          existing standards lack focus on instruction relative to how the 
          school community can assist in preventing suicides and the 
          importance of making students feel comfortable reporting any 
          risk behaviors.  This bill builds upon the existing health 
          standards to incorporate preventative components into the 
          framework.      

          The health curriculum framework was scheduled to be revised this 
          year to align it to the 2008 health standards but due to the 
          fiscal situation in the State and resulting budget actions, the 
          development of curriculum frameworks and adoption of 
          instructional materials has been suspended until the 2015-16 
          school year.  AB 2 X4 Chapter 2, Statutes of 2009-10, Fourth 
          Extraordinary Session prohibits the SBE from adopting or 
          following any of the procedures to adopt instructional 
          materials, including following the procedures related to 
          framework development, through the 2012-13 school year.  The 
          recently enacted education budget trailer bill, SB 70 (Budget 
          Committee) Chapter 7, Statutes of 2011, extends this prohibition 
          to the 2015-16 school year.  The revision and adoption of a 
          health framework may be several years away given the existing 
          fiscal challenges of the State.  

          Given that the health framework may not be revised in the near 
          future, the author may wish to consider also adding language to 
          the bill to authorize, not require, school districts to include 
          suicide prevention and mental illness awareness instruction for 
          pupils in grades 7-12, as follows:  

                Commencing with the 2012-13 school year, a school 








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               district may provide to pupils in any of grades 7 to 
               12, inclusive, instruction on suicide prevention and 
               mental illness awareness as defined in Section 
               51223.5.  

           The proposal in this bill to include suicide prevention and 
          mental illness awareness instruction in the health framework 
          would ensure that in future years, when the moratorium on 
          framework development is lifted, this content would be reflected 
          within the curriculum.  For purposes of clarity, the bill should 
          also specify that the content shall also be included in the 
          instructional materials evaluation criteria.  The curriculum 
          frameworks provide a blueprint for curriculum and instruction by 
          describing the scope and sequence of the knowledge and skills 
          all students need to master in a specific subject area, and the 
          evaluation criteria found within the framework provides guidance 
          to publishers in the development of instructional materials.  
          Both the framework and criteria are used to evaluate 
          kindergarten and grades 1-8, inclusive, (K-8) instructional 
          materials that are submitted for state adoption and the 
          curriculum frameworks also provide guidance to teachers in the 
          delivery of the curriculum.   Staff recommends  the bill be 
          amended to also include this instruction in the evaluation 
          criteria as follows:

               On page 2, line 2, after "framework" add "and 
               evaluation criteria"
               On page 2, line 5, after "framework" add "and 
               evaluation criteria"  
           
          Related efforts through the Department of Mental Health:   The 
          Department of Mental Health (DMH) is involved in various efforts 
          to address suicide prevention and mental health awareness in 
          schools. For example, DMH has a Mental Health Services Act 
          (Proposition 63) State Partnership Memorandum of Understanding 
          (MOU) with the CDE for the amount of $613,000 through 2013, to:

             1.   Increase knowledge and capacity about effective 
               prevention and early intervention programs, services, and 
               strategies for local educational agencies (LEAs) and other 
               partners working with students who experience, or are at 
               risk of, mental health problems, including suicide risk;
             2.   Disseminate information to LEAs on existing provisions 
               that allows school districts to use professional 
               development block grant funding to provide two hours of 








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               in-service training for teachers on the prevention of youth 
               suicide; and,
             3.   Enhance engagement of the Special Education Local Plan 
               Areas (SELPA) and Special Education Administrators of 
               County Offices (SEACO) with their county mental health 
               partners to establish more programs at the local and county 
               levels for children, adolescents, and transition-age youth.

          Additionally, the Statewide Student Mental Health Initiative is 
          one of the five Prevention and Early Intervention State Wide 
          Projects, that is being implemented by the California Mental 
          Health Services Authority (CalMHSA).  On February 28, 2011, 
          CalMHSA released a request for application to sole source with 
          CDE and the 11 Region of County Superintendent of Schools to 
          address student mental health in the schools including suicide 
          prevention.  The CalMHSA Statewide Student Mental Health 
          Initiative focuses attention on the mental health needs of 
          students, advancing the collaboration between educational 
          settings and county services and encouraging concerted action at 
          all levels as the cornerstones to strengthening student mental 
          health.  While there are some efforts underway to address 
          suicide prevention and mental health awareness in schools, this 
          bill formalizes type of instruction within the curriculum.  

           Arguments in support:   The California Catholic Conference 
          writes, "While adding mandates to the curriculum to our public 
          schools may not be wise in this time of fiscal restraint, an 
          exception should be made for this matter of life and death.  
          Individuals attempt suicide for a variety of reasons- poor 
          physical or mental health or perceived unbearable conditions.  
          People commit suicide because they can see no other way to solve 
          their problem.  In our public school settings, we must be more 
          aware of those at risk and reach out to them in their time of 
          need because suicide of any one at any age represents a failure 
          of solidarity in our human community." 

           Related legislation  :  AB 1118 (John Perez) Requires school 
          districts to offer pupils who are enrolled in health classes 
          during grade 9 or 10 at least 15 minutes of instruction on organ 
          procurement and tissue donation, as specified.  AB 1118 is 
          pending in this Committee. 
           
          REGISTERED SUPPORT / OPPOSITION  :   

           Support 








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          Association of California School Administrators
          California Catholic Conference
          National Association of Social Workers

           Opposition 
           
          None on file. 
           
          Analysis Prepared by  :    Marisol Avi�a / ED. / (916) 319-2087