2022 Suicid Prevention Week Material Request Form Step 1 of 4 25% Dear Member Counties and Cities, To support your Suicide Prevention Week efforts, we are pleased to provide you with a selection of SPW 2022 outreach kits and materials. To prevent duplicate orders, please don't share this form.All item allocations are based on County Member contribution levels. Previous CalMHSA Board of Director action asked Members to contribute 4% of the previous FY PEI funds. Any Member that contributes over 4% or over $350,000 will receive augmented PEI services, including additional SP Toolkits and resources. If you have any questions regarding contribution levels, please email Jeremy.Wilson@calmhsa.org. We will do our best, but cannot guarantee that that we can accommodate all requests. If you have any questions please email info@suicideispreventable.org. We apologize in advance for the short turn around time and ask for your response by May 25, 2022. ** Please start by selecting your county/cityCounty(Required)AlamedaAmadorButteCity of BerkelyColusaContra CostaEl DoradoFresnoGlennHumboldtImperialInyoKernKingsLakeLassenMaderaMarinMendocinoModocMontereyNapaNevadaOrangePlacerPlumasRiversideSacramentoSan BenitoSan BernardinoSan DiegoSan FranciscoSan JoaquinSan Luis ObispoSan MateoSanta BarbaraSanta ClaraSanta CruzShastaSiskiyouSolanoSonomaStanislausSutter-YubaTehamaTri CityTrinityTulareTuolumneVenturaShip To AddressOrganization(Required) Attention(Required) Address(Required) City(Required) Zipcode(Required) Outreach KitsEnglish Outreach KitThis kit includes posters, a small display (5.5 by 8.5), an assortment of cards, green ribbons, wristbands and a supply of bilingual pull-out pens with the warning signs of suicide. Spanish Outreach KitThis kit includes posters, a small display (5.5 by 8.5), an assortment of cards, green ribbons, wristbands and a supply of bilingual pull-out pens with the warning signs of suicide. Bilingual Older Adult Outreach KitThis kit includes posters, wellness journals and a small supply of give-aways.Total Outreach KitsHiddenMax Outreach KitsThrival KitsYouth Mental Health Thrival Kit This includes one coil-bound notebook, a pen, a bookmark and sticker sheets. The notebook includes journaling prompts, coloring pages, coping strategies, suicide warning signs for youth, and crisis resources. Spanish Mental HealthThrival Kit (Youth)Total Thrival KitsHiddenMax Thrival KitsJournalsMental Health Wellness Journal (Adults)This journal includes journaling prompts, wellness tips, coloring pages and crisis lines and warm lines for adults and older adults.Spanish Mental Health Wellness Journal (Adults)Total JournalsHiddenMax Journals Additional Items As a member county/city contributing at a higher level we can offer you a supply of these materials (We will do our best to accommodate your request, but can not make any guarantees).Additional Items for Purchase This page contains additional items that are not included at your county's contribution level. However, for a limited time, these items can be purchased separately at our bulk discount. Please indicate approximately how many items you would like and we will contact you with pricing. Bulk pricing is only available until May 31, 2022. No customization is available for the bulk pricing discount. Please email us at info@suicideispreventable.org if you have any questions.Cultural Outreach KitsEach cultural kit includes a supply of posters and brochures, self-care cards (5.5 by 8.5) and a supply of give-aways.** These cultural kits can be customized for your county.Cambodian (Khmer)ChineseFilipino (Tagalog)HmongKoreanLaoPunjabiRussianVietnameseIndividual ItemsKnow the Signs BrochureKnow the Signs Brochure (Spanish)Suicide Prevention for ParentsSuicide Prevention for Parents (Spanish)Help and Support After SuicideHelp and Support After Suicide (Spanish)Older Adult Suicide Prevention BrochureOlder Adult Suicide Prevention Brochure (Spanish)Give-AwaysStretch Band Additional Items for Purchase This page contains additional items that can be ordered. These items can be purchased separately at our bulk discount. Please indicate approximately how many items you would like and we will contact you with pricing. Bulk pricing is only available until May 31, 2022. No customization is available for the bulk pricing discount. Please email us at info@suicideispreventable.org if you have any questions.Youth Mental Health Thrival Kit (Additional) This includes one coil-bound notebook, a pen, a bookmark and sticker sheets. The notebook includes journaling prompts, coloring pages, coping strategies, suicide warning signs for youth, and crisis resources. Spanish Mental HealthThrival Kit (Youth) (Additional)Mental Health Wellness Journal (Adults) (Additional)This journal includes journaling prompts, wellness tips, coloring pages and crisis lines and warm lines for adults and older adults.Spanish Mental Health Wellness Journal (Adults) (Additional)Stretch BandCommentsPlease provide any comments or requests for additional materials (no guarantee!).Please provide any comments or requests for additional materials (no guarantee!).