Bill Amendment: IL SB1425 | 2019-2020 | 101st General Assembly
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: IDPH-SUICIDE PREVENTION
Status: 2019-08-09 - Public Act . . . . . . . . . 101-0331 [SB1425 Detail]
Download: Illinois-2019-SB1425-Senate_Amendment_002.html
Bill Title: IDPH-SUICIDE PREVENTION
Status: 2019-08-09 - Public Act . . . . . . . . . 101-0331 [SB1425 Detail]
Download: Illinois-2019-SB1425-Senate_Amendment_002.html
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1 | AMENDMENT TO SENATE BILL 1425
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2 | AMENDMENT NO. ______. Amend Senate Bill 1425, AS AMENDED, | ||||||
3 | by replacing everything after the enacting clause with the | ||||||
4 | following:
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5 | "Section 5. The Department of Public Health Powers and | ||||||
6 | Duties Law of the
Civil Administrative Code of Illinois is | ||||||
7 | amended by adding Section 2310-455 as follows:
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8 | (20 ILCS 2310/2310-455 new) | ||||||
9 | Sec. 2310-455. Suicide prevention. Subject to | ||||||
10 | appropriation, the Department shall implement activities | ||||||
11 | associated with the Suicide Prevention, Education, and | ||||||
12 | Treatment Act, including, but not limited to, the following: | ||||||
13 | (1) Coordinating suicide prevention, intervention, and | ||||||
14 | postvention programs, services, and efforts statewide. | ||||||
15 | (2) Developing and submitting proposals for funding | ||||||
16 | from federal agencies or other sources of funding to |
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1 | promote suicide prevention and coordinate activities. | ||||||
2 | (3) With input from the Illinois Suicide Prevention | ||||||
3 | Alliance, preparing the Illinois Suicide Prevention | ||||||
4 | Strategic Plan required under Section 15 of the Suicide | ||||||
5 | Prevention, Education, and Treatment Act and coordinating | ||||||
6 | the activities necessary to implement the recommendations | ||||||
7 | in that Plan. | ||||||
8 | (4) With input from the Illinois Suicide Prevention | ||||||
9 | Alliance, providing to the Governor and General Assembly | ||||||
10 | the annual report required under Section 13 of the Suicide | ||||||
11 | Prevention, Education, and Treatment Act. | ||||||
12 | (5) Providing technical support for the activities of | ||||||
13 | the Illinois Suicide Prevention Alliance.
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14 | Section 10. The Suicide Prevention, Education, and | ||||||
15 | Treatment Act is amended by changing Sections 5, 13, 15, 20, | ||||||
16 | and 30 as follows:
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17 | (410 ILCS 53/5)
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18 | Sec. 5. Legislative findings.
The General Assembly makes | ||||||
19 | the following findings:
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20 | (1) 1,474 Illinoisans lost their lives to suicide in | ||||||
21 | 2017. During 2016, suicide was the eleventh leading cause | ||||||
22 | of death in Illinois, causing more deaths than homicide, | ||||||
23 | motor vehicle accidents, accidental falls, and numerous | ||||||
24 | prevalent diseases, including liver disease, hypertension, |
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1 | influenza/pneumonia, Parkinson's disease, and HIV. Suicide | ||||||
2 | was the third leading cause of death of ages 15 to 34 and | ||||||
3 | the fourth leading cause of death of ages 35 to 54. Those | ||||||
4 | living outside of urban areas are particularly at risk for | ||||||
5 | suicide, with a rate that is 50% higher than those living | ||||||
6 | in urban areas. | ||||||
7 | (2) For every person who dies by suicide, more than 30 | ||||||
8 | others attempt suicide. | ||||||
9 | (3) Each suicide attempt and death impacts countless | ||||||
10 | other individuals. Family members, friends, co-workers, | ||||||
11 | and others in the community all suffer the long-lasting | ||||||
12 | consequences of suicidal behaviors. | ||||||
13 | (4) Suicide attempts and deaths by suicide have an | ||||||
14 | economic impact on Illinois. The National Center for Injury | ||||||
15 | Prevention and Control estimates that in 2010 each suicide | ||||||
16 | death in Illinois resulted in $1,181,549 in medical costs | ||||||
17 | and work loss costs. It also estimated that each | ||||||
18 | hospitalization for self-harm resulted in $31,019 in | ||||||
19 | medical costs and work loss costs and each emergency room | ||||||
20 | visit for self-harm resulted in $4,546 in medical costs and | ||||||
21 | work loss costs. | ||||||
22 | (5) In 2004, the Illinois General Assembly passed the | ||||||
23 | Suicide Prevention, Education, and Treatment Act (Public | ||||||
24 | Act 93-907), which required the Illinois Department of | ||||||
25 | Public Health to establish the Illinois Suicide Prevention | ||||||
26 | Strategic Planning Committee to develop the Illinois |
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1 | Suicide Prevention Strategic Plan. That law required the | ||||||
2 | use of the 2002 United States Surgeon General's National | ||||||
3 | Suicide Prevention Strategy as a model for the Plan. Public | ||||||
4 | Act 95-109 changed the name of the committee to the | ||||||
5 | Illinois Suicide Prevention Alliance. The Illinois Suicide | ||||||
6 | Prevention Strategic Plan was submitted in 2007 and updated | ||||||
7 | in 2018. | ||||||
8 | (6) In 2004, there were 1,028 suicide deaths in | ||||||
9 | Illinois, which the Centers for Disease Control reports was | ||||||
10 | an age-adjusted rate of 8.11 deaths per 100,000. The | ||||||
11 | Centers for Disease Control reports that the 1,474 suicide | ||||||
12 | deaths in 2017 result in an age-adjusted rate of 11.19 | ||||||
13 | deaths per 100,000. Thus, since the enactment of Public Act | ||||||
14 | 93-907, the rate of suicides in Illinois has risen by 38%. | ||||||
15 | (7) Since the enactment of Public Act 93-907, there | ||||||
16 | have been numerous developments in suicide prevention, | ||||||
17 | including the issuance of the 2012 National Strategy for | ||||||
18 | Suicide Prevention by the United States Surgeon General and | ||||||
19 | the National Action Alliance for Suicide Prevention | ||||||
20 | containing new strategies and recommended activities for | ||||||
21 | local governmental bodies. | ||||||
22 | (8) Despite the obvious impact of suicide on Illinois | ||||||
23 | citizens, Illinois has devoted minimal resources to its | ||||||
24 | prevention. There is no full-time coordinator or director | ||||||
25 | of suicide prevention activities in the State. Moreover, | ||||||
26 | the Suicide Prevention Strategic Plan is still modeled on |
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1 | the now obsolete 2002 National Suicide Prevention | ||||||
2 | Strategy. | ||||||
3 | (9) It is necessary to revise the Suicide Prevention | ||||||
4 | Strategic Plan to reflect the most current National Suicide | ||||||
5 | Prevention Strategy as well as current research and | ||||||
6 | experience into the prevention of suicide. | ||||||
7 | (10) One of the goals adopted in the 2012 National | ||||||
8 | Strategy for Suicide Prevention is to promote suicide | ||||||
9 | prevention as a core component of health care services so | ||||||
10 | there is an active engagement of health and social | ||||||
11 | services, as well as the coordination of care across | ||||||
12 | multiple settings, thereby ensuring continuity of care and | ||||||
13 | promoting patient safety. | ||||||
14 | (11) Integrating suicide prevention into behavioral | ||||||
15 | and physical health care services can save lives. National | ||||||
16 | data indicate that: over 30% of individuals are receiving | ||||||
17 | mental health care at the time of their deaths by suicide; | ||||||
18 | 45% have seen their primary care physicians within one | ||||||
19 | month of their deaths; and 25% of those who die of suicide | ||||||
20 | visited an emergency department in the year prior to their | ||||||
21 | deaths. | ||||||
22 | (12) The Zero Suicide model is a part of the National | ||||||
23 | Strategy for Suicide Prevention, a priority of the National | ||||||
24 | Action Alliance for Suicide Prevention, and a project of | ||||||
25 | the Suicide Prevention Resource Center that implements the | ||||||
26 | goal of making suicide prevention a core component of |
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1 | health care services. | ||||||
2 | (13) The Zero Suicide model is built on the | ||||||
3 | foundational belief and aspirational goal that suicide | ||||||
4 | deaths of individuals who are under the care of our health | ||||||
5 | care systems are preventable with the adoption of | ||||||
6 | comprehensive training, patient engagement, transition, | ||||||
7 | and quality improvement. | ||||||
8 | (14) Health care systems, including mental and | ||||||
9 | behavioral health systems and hospitals, that have | ||||||
10 | implemented the Zero Suicide model have noted significant | ||||||
11 | reductions in suicide deaths for patients within their | ||||||
12 | care. | ||||||
13 | (15) The Suicide Prevention Resource Center | ||||||
14 | facilitates adoption of the Zero Suicide model by providing | ||||||
15 | comprehensive information, resources, and tools for its | ||||||
16 | implementation. | ||||||
17 | (1) The Surgeon General of the United States has | ||||||
18 | described suicide prevention as a serious public health | ||||||
19 | priority and has called upon each state to develop a | ||||||
20 | statewide comprehensive suicide prevention strategy using | ||||||
21 | a public health approach. Suicide now ranks 10th among | ||||||
22 | causes of death, nationally. | ||||||
23 | (2) In 1998, 1,064 Illinoisans lost their lives to | ||||||
24 | suicide, an average of 3 Illinois residents per day. It is | ||||||
25 | estimated that there are between 21,000 and 35,000 suicide | ||||||
26 | attempts in Illinois every year. Three and one-half percent |
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1 | of all suicides in the nation take place in Illinois. | ||||||
2 | (3) Among older adults, suicide rates are increasing, | ||||||
3 | making suicide the leading fatal injury among the elderly | ||||||
4 | population in Illinois. As the proportion of Illinois' | ||||||
5 | population age 75 and older increases, the number of | ||||||
6 | suicides among persons in this age group will also | ||||||
7 | increase, unless an effective suicide prevention strategy | ||||||
8 | is implemented.
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9 | (4) Adolescents are far more likely to attempt suicide | ||||||
10 | than other age groups in
Illinois. The data indicates that | ||||||
11 | there are 100 attempts for every adolescent suicide | ||||||
12 | completed. In 1998, 156 Illinois youths died by suicide, | ||||||
13 | between the ages of 15 through 24. Using this estimate, | ||||||
14 | there were likely more than 15,500 suicide attempts made by | ||||||
15 | Illinois adolescents or approximately 50% of all estimated | ||||||
16 | suicide attempts that occurred in Illinois were made by | ||||||
17 | adolescents. | ||||||
18 | (5) Homicide and suicide rank as the second and third | ||||||
19 | leading causes of death in Illinois for youth, | ||||||
20 | respectively. Both are preventable. While the death rates | ||||||
21 | for unintentional injuries decreased by more than 35% | ||||||
22 | between 1979 and 1996, the death rates for homicide and | ||||||
23 | suicide increased for youth. Evidence is growing in terms | ||||||
24 | of the links between suicide and other forms of violence. | ||||||
25 | This provides compelling reasons for broadening the | ||||||
26 | State's scope in identifying risk factors for self-harmful |
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1 | behavior. The number of estimated youth suicide attempts | ||||||
2 | and the growing concerns of youth violence can best be | ||||||
3 | addressed through the implementation of successful | ||||||
4 | gatekeeper-training programs to identify and refer youth | ||||||
5 | at risk for self-harmful behavior. | ||||||
6 | (6) The American Association of Suicidology | ||||||
7 | conservatively estimates that the lives of at least 6 | ||||||
8 | persons related to or connected to individuals who attempt | ||||||
9 | or complete suicide are impacted. Using these estimates, in | ||||||
10 | 1998, more than 6,000 Illinoisans struggled to cope with | ||||||
11 | the impact of suicide.
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12 | (7) Decreases in alcohol and other drug abuse, as well | ||||||
13 | as decreases in access to lethal means, significantly | ||||||
14 | reduce the number of suicides. | ||||||
15 | (8) Suicide attempts are expected to be higher than | ||||||
16 | reported because attempts not requiring medical attention | ||||||
17 | are not required to be reported. The underreporting of | ||||||
18 | suicide completion is also likely because suicide | ||||||
19 | classification involves conclusions regarding the intent | ||||||
20 | of the deceased. The stigma associated with suicide is also | ||||||
21 | likely to contribute to underreporting. Without | ||||||
22 | interagency collaboration and support for proven, | ||||||
23 | community-based, culturally-competent suicide prevention | ||||||
24 | and intervention programs, suicides are likely to rise. | ||||||
25 | (9) Emerging data on rates of suicide based on gender, | ||||||
26 | ethnicity, age, and geographic areas demand a new strategy |
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1 | that responds to the needs of a diverse population. | ||||||
2 | (10) According to Children's Safety Network Economics | ||||||
3 | Insurance, the cost of youth suicide acts by persons in | ||||||
4 | Illinois who are under 21 years of age totals $539,000,000, | ||||||
5 | including medical costs, future earnings lost, and a | ||||||
6 | measure of quality of life.
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7 | (11) Suicide is the second leading cause of death in | ||||||
8 | Illinois for persons between the ages of 15 and 24. | ||||||
9 | (12) In 1998, there were 1,116 homicides in Illinois, | ||||||
10 | which outnumbered suicides by only 52. Yet, so far, only | ||||||
11 | homicide has received funding, programs, and media | ||||||
12 | attention. | ||||||
13 | (13) According to the 1999 national report on | ||||||
14 | statistics for suicide of the American Association of | ||||||
15 | Suicidology, categories of unintentional injury, motor | ||||||
16 | vehicle deaths, and all other deaths include many reported | ||||||
17 | and unsubstantiated suicides that are not identified | ||||||
18 | correctly because of poor investigatory techniques, | ||||||
19 | unsophisticated inquest jurors, and stigmas that cause | ||||||
20 | families to cover up evidence. | ||||||
21 | (14) Programs for HIV infectious diseases are very well | ||||||
22 | funded even though, in Illinois, HIV deaths number 30% less | ||||||
23 | than suicide deaths.
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24 | (Source: P.A. 93-907, eff. 8-11-04.)
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25 | (410 ILCS 53/13)
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1 | Sec. 13. Duration; report. The Department, in consultation | ||||||
2 | with All projects set forth in this Act must be at least 3 | ||||||
3 | years in duration, and the Department and related contracts as | ||||||
4 | well as the Illinois Suicide Prevention Alliance , must submit | ||||||
5 | an annual report annually to the Governor and General Assembly | ||||||
6 | on the effectiveness of the these activities and programs | ||||||
7 | undertaken under the Plan that includes any recommendations for | ||||||
8 | modification to Illinois law to enhance the effectiveness of | ||||||
9 | the Plan .
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10 | (Source: P.A. 95-109, eff. 1-1-08.)
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11 | (410 ILCS 53/15)
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12 | Sec. 15. Suicide Prevention Alliance.
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13 | (a) The Alliance is created as the official grassroots | ||||||
14 | creator, planner, monitor, and advocate for the Illinois | ||||||
15 | Suicide Prevention Strategic Plan. No later than one year after | ||||||
16 | the effective date of this amendatory Act of the 101st General | ||||||
17 | Assembly Act , the Alliance shall review, finalize, and submit | ||||||
18 | to the Governor and the General Assembly the 2020 Illinois | ||||||
19 | Suicide Prevention Strategic Plan and appropriate processes | ||||||
20 | and outcome objectives for 10 overriding recommendations and a | ||||||
21 | timeline for reaching these objectives. | ||||||
22 | (b) The Plan shall include: The Alliance shall use the | ||||||
23 | United States Surgeon General's National Suicide Prevention | ||||||
24 | Strategy as a model for the Plan. | ||||||
25 | (1) recommendations from the most current National |
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1 | Suicide Prevention Strategy; | ||||||
2 | (2) current research and experience into the | ||||||
3 | prevention of suicide; | ||||||
4 | (3) measures to encourage and assist health care | ||||||
5 | systems and primary care providers to include suicide | ||||||
6 | prevention as a core component of their services, | ||||||
7 | including, but not limited to, implementing the Zero | ||||||
8 | Suicide model; and | ||||||
9 | (4) additional elements as determined appropriate by | ||||||
10 | the Alliance. | ||||||
11 | The Alliance shall review the statutorily prescribed | ||||||
12 | missions of major State mental health, health, aging, and | ||||||
13 | school mental health programs and recommend, as necessary and | ||||||
14 | appropriate, statutory changes to include suicide prevention | ||||||
15 | in the missions and procedures of those programs. The Alliance | ||||||
16 | shall prepare a report of that review, including its | ||||||
17 | recommendations, and shall submit the report to the Department | ||||||
18 | for inclusion in its annual report to the Governor and the | ||||||
19 | General Assembly by December 31, 2004 . | ||||||
20 | (c) The Director of Public Health shall appoint the members | ||||||
21 | of the Alliance. The membership of the Alliance shall include, | ||||||
22 | without limitation, representatives of statewide organizations | ||||||
23 | and other agencies that focus on the prevention of suicide and | ||||||
24 | the improvement of mental health treatment or that provide | ||||||
25 | suicide prevention or survivor support services. Other | ||||||
26 | disciplines that shall be considered for membership on the |
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1 | Alliance include law enforcement, first responders, | ||||||
2 | faith-based community leaders, universities, and survivors of | ||||||
3 | suicide (families and friends who have lost persons to suicide) | ||||||
4 | as well as consumers of services of these agencies and | ||||||
5 | organizations.
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6 | (d) The Alliance shall meet at least 4 times a year, and | ||||||
7 | more as deemed necessary, in various sites statewide in order | ||||||
8 | to foster as much participation as possible. The Alliance, a | ||||||
9 | steering committee, and core members of the full committee | ||||||
10 | shall monitor and guide the definition and direction of the | ||||||
11 | goals of the full Alliance, shall review and approve | ||||||
12 | productions of the plan, and shall meet before the full | ||||||
13 | Alliance meetings.
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14 | (Source: P.A. 95-109, eff. 1-1-08.)
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15 | (410 ILCS 53/20)
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16 | Sec. 20. General awareness and screening program.
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17 | (a) The Department shall provide technical assistance for | ||||||
18 | the work of the Alliance and the production of the Plan and | ||||||
19 | shall distribute general information and screening tools for | ||||||
20 | suicide prevention to the general public through local public | ||||||
21 | health departments throughout the State. These materials shall | ||||||
22 | be distributed to agencies, schools, hospitals, churches, | ||||||
23 | places of employment, and all related professional caregivers | ||||||
24 | to educate all citizens about warning signs and interventions | ||||||
25 | that all persons can do to stop the suicidal cycle. |
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1 | (b) This program shall include, without limitation, all of | ||||||
2 | the following: | ||||||
3 | (1) Educational programs about warning signs and how to | ||||||
4 | help suicidal individuals. | ||||||
5 | (2) Educational presentations about suicide risk and | ||||||
6 | how to help at-risk people in special populations and with | ||||||
7 | bilingual support to special cultures. | ||||||
8 | (3) The designation of an annual suicide awareness week | ||||||
9 | or month to include a public awareness campaign on suicide. | ||||||
10 | (4) An annual A statewide suicide prevention | ||||||
11 | conference before November of 2004 . | ||||||
12 | (5) An Illinois Suicide Prevention Speaker's Bureau. | ||||||
13 | (6) A program to educate the media regarding the | ||||||
14 | guidelines developed by the American Association for | ||||||
15 | Suicidology for coverage of suicides and to encourage media | ||||||
16 | cooperation in adopting these guidelines in reporting | ||||||
17 | suicides. | ||||||
18 | (7) Increased training opportunities for volunteers, | ||||||
19 | professionals, and other caregivers to develop specific | ||||||
20 | skills for assessing suicide risk and intervening to | ||||||
21 | prevent suicide.
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22 | (Source: P.A. 95-109, eff. 1-1-08.)
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23 | (410 ILCS 53/30)
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24 | Sec. 30. Suicide prevention pilot programs. | ||||||
25 | (a) The Department shall establish, when funds are |
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1 | appropriated, programs, including, but not limited to, pilot | ||||||
2 | and demonstration programs, that are consistent with the Plan. | ||||||
3 | up to 5 pilot programs that provide training and direct service | ||||||
4 | programs relating to youth, elderly, special populations, | ||||||
5 | high-risk populations, and professional caregivers. The | ||||||
6 | purpose of these pilot programs is to demonstrate and evaluate | ||||||
7 | the effectiveness of the projects set forth in this Act in the | ||||||
8 | communities in which they are offered. The pilot programs shall | ||||||
9 | be operational for at least 2 years of the 3-year requirement | ||||||
10 | set forth in Section 13. | ||||||
11 | (b) The Director of Public Health is encouraged to ensure | ||||||
12 | that the pilot programs include the following prevention | ||||||
13 | strategies: | ||||||
14 | (1) school gatekeeper and faculty training;
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15 | (2) community gatekeeper training; | ||||||
16 | (3) general community suicide prevention education; | ||||||
17 | (4) health providers and physician training and | ||||||
18 | consultation about high-risk cases; | ||||||
19 | (5) depression, anxiety, and suicide screening | ||||||
20 | programs;
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21 | (6) peer support youth and older adult programs;
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22 | (7) the enhancement of 24-hour crisis centers, | ||||||
23 | hotlines, and person-to-person calling trees; | ||||||
24 | (8) means restriction advocacy and collaboration; and
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25 | (9) intervening and supporting after a suicide.
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26 | (b) (c) The funds appropriated for purposes of this Section |
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1 | shall be allocated by the Department on a competitive, | ||||||
2 | grant-submission basis, which shall include consideration of | ||||||
3 | different rates of risk of suicide based on age, ethnicity, | ||||||
4 | gender, prevalence of mental health disorders, different rates | ||||||
5 | of suicide based on geographic areas in Illinois, and the | ||||||
6 | services and curriculum offered to fit these needs by the | ||||||
7 | applying agency. | ||||||
8 | (d) The Department and Alliance shall prepare a report as | ||||||
9 | to the effectiveness of the demonstration projects established | ||||||
10 | pursuant to this Section and submit that report no later than 6 | ||||||
11 | months after the projects are completed to the Governor and | ||||||
12 | General Assembly.
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13 | (Source: P.A. 95-109, eff. 1-1-08.)
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14 | Section 99. Effective date. This Act takes effect upon | ||||||
15 | becoming law.".
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