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Douglas County highlights progress on suicide prevention, crisis response and peer supports; housing project falls through
Summary
Officials reported progress on a community suicide‑prevention effort (including a new Suicide Fatality Review Board and an April 30 unveiling of 988 signs in parks), stronger crisis‑system oversight and gains in outpatient follow‑up after Treatment & Recovery Center visits, while a planned 24‑unit supportive‑housing project did not proceed.
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Douglas County officials told commissioners on April 15 that the county has made measurable progress on behavioral health system coordination while also confronting setbacks in housing development and persistent technical barriers to data integration.
Bob Tryansky, director of behavioral health projects, framed progress in the county’s Community Health Improvement Plan around four objectives — supportive housing, suicide prevention, reducing overdoses and lowering chronic absenteeism — and described the guiding aim: “we’re going to aim for zero while we strive for five.” He said recent milestones include release of a 2025 suicide data brief and full implementation of a Suicide Fatality Review Board.
That Review Board quickly recommended a targeted intervention after early case reviews: staff found a rise in suicides and crisis calls originating in public parks and moved to install 988 signage in priority park locations. Deerard, the county’s informatics lead, said the county developed a sign and an outreach campaign with local law enforcement and partners; the initial unveiling is scheduled for April 30 at Clinton Park and about 20 signs are planned for the first deployment. The county will evaluate whether signage and the communications campaign increase 988 awareness and reduce crisis incidents in parks.
On crisis response coordination, staff described the new Douglas County Crisis Response Coalition and a crisis systems operations team that meets biweekly to address real‑time flow, metrics and quality improvement. Treatment & Recovery Center (TRC) data were cited as evidence of impact: the percentage of TRC clients completing a follow‑up outpatient visit — a key continuity metric — recently rose to roughly 85% after targeted process improvements.
County leaders also described an expanding peer workforce — peers deployed on mobile response teams, intensive care coordination, homelessness response and other teams — and partnerships to develop a mental‑health clubhouse model. But officials reported setbacks: the Rock Ledge permanent supportive housing project (24 units) did not move forward, leaving a material shortfall in planned supportive housing capacity and prompting renewed searches for alternatives.
Data integration remains a technical constraint. Staff said different electronic medical records across providers complicate shared views into a person’s care; they are working to bring more partners’ data into shared platforms such as MyRC so case managers can better coordinate follow‑up.
Commissioners thanked staff for the updates and asked for follow‑up briefings on peer work and other CHIP focus areas. Officials said a deeper dive on peer programs will be scheduled in May.

