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HomeMy WebLinkAboutStaff Report 1431City of Palo Alto (ID # 1431) Policy and Services Committee Staff Report Report Type:Meeting Date: 3/8/2011 March 08, 2011 Page 1 of 8 (ID # 1431) Title: Project Safety Net Update Subject: Discussion on the Project Safety Net Community Task Force and recommendation to request that Council appoint a Council liaison to the Palo Alto Youth Council From:City Manager Lead Department: Community Services EXECUTIVE SUMMARY The Policy and Services Committee discussed the Project Safety Net (PSN) Report and Community Task Force efforts at their September 14 and October 12, 2010 meetings. Staff recommended that the Policy and Services Committee focus on those areas of the PSN Report that are specific to the City and that have potential City policy implications. Below were the areas of focus discussed: 1.Ongoing staff support for PSN (PSN Report –Priority Next Steps, pg 46) 2.Approval of a City suicide prevention policy (PSN Report -Appendix F, pg 62) 3.Adoption of the “41 Developmental Assets” framework (PSN Report –Strategy P- 3, pg 23-24) 4.Commitment to youth outreach and elevating the youth voice (PSN Report -- Strategy P-1, pg 18) 5.Commitment to the reduction of lethal means to self harm (PSN Report – Strategy P-4, pg 24-25) Three policy recommendations emerged from the Policy and Services Committee deliberations; they are listed below: ·Approval of a City of Palo Alto suicide prevention policy ·Resolution supporting the Santa Clara County (SCC) Suicide Prevention Strategic Plan ·Resolution adopting the 41 Developmental Assets framework for youth and teen well-being The above recommendations from the Policy and Services Committee were transmitted March 08, 2011 Page 2 of 8 (ID # 1431) to Council on December 13, 2011, and were unanimously adopted (Attachment A). The purpose of this staff report is to provide the Policy and Services Committee with an update on the PSN Community Task Force and to discuss the three remaining topics: a) Ongoing staff support for PSN; b) Commitment to youth outreach and elevating the youth voice; and c) Commitment to the reduction of lethal means to self harm. The only specific recommendation staff makes at this time is for City Council to appoint a Council liaison to the Palo Alto Youth Council in order to further the objectives of Topic 2: elevating the youth voice. RECOMENDATION Staff recommends that the City Council appoint a Council liaison to the Palo Alto Youth Council. BACKGROUND In response to the five teen suicides the Palo Alto community experienced between May 2009 and January 2010, the City of Palo Alto and Palo Alto Unified School District (PAUSD) along with many community partners have taken an active and progressive role in developing short and long-term plans in support of suicide prevention and the social and emotional health of youth and teens in Palo Alto. The PSN Report can be accessed online at the newly created Project Safety Net Website: www.PSNPaloAlto.org. The PSN Community Task Force effort is closely aligned with the 2010/2011 Council priority of “community collaboration for youth well-being.” City staff continues to play an important coordinating role in bringing the community together to both plan and take action in support of youth well-being. The PSN Report describes the process that the Palo Alto community used to investigate, intervene and strive to prevent further teen suicides. The PSN Report delineates specific resiliency and mental health promotion strategies that have taken place, along with recommendations for future action. It is the collective recommendation of the PSN Community Task Force that the recommendations in the PSN Report be used as a foundation for a sustainable community task force for youth and teen well-being; and that policy makers, administrators and the broader community use the PSN Report as a supportive document to help inform community decision making in the interest of youth and teen well-being. March 08, 2011 Page 3 of 8 (ID # 1431) At the July 19, 2010 City Council meeting, staff recommended that Council refer the PSN Report to the Policy and Services Committee for further review and recommendations. It was further recommended that staff return to Council with specific policy recommendations from the Policy and Services Committee that support teen suicide prevention and strategies for the social and emotional health of youth and teens in Palo Alto. The City Council unanimously approved the staff recommendation to refer the Project Safety Net Report to the Policy and Services Committee. As mentioned in the Executive Summary, the Policy and Services Committee discussed the PSN Report at their September 14 and October 12, 2010 meetings and made the following recommendations to Council which were unanimously approved on December 13, 2010 (CMR:456:10): ·Approval of a City of Palo Alto suicide prevention policy ·Resolution supporting the Santa Clara County (SCC) Suicide Prevention Strategic Plan ·Resolution adopting the 41 Developmental Assets framework for youth and teen well-being The PSN Community Task Force continues to meet monthly and is actively implementing the PSN strategies. DISCUSSION At the September 14 and October 12, 2010 Policy and Services Committee meetings five topics related to the PSN Report that have potential policy implications for the City of Palo Alto were identified. Subsequently, at the request of the Policy and Services Committee, the City Council adopted a suicide prevention policy and the 41 Developmental Assets as a framework for promoting youth well-being in our community. These important decisions represent a significant step in supporting the PSN Community Task Force. The three remaining topics discussed at the September 13 and October 12, 2010 Policy and Services Committee meetings are: a) Ongoing staff support for PSN; b) Commitment to youth outreach and elevating the youth voice; and c) Commitment to the reduction of lethal means to self harm. Staff would like to discuss the current status of these items and also allow for discussion on other matters related to the Project Safety Net Community Task Force. Ongoing staff support for PSN March 08, 2011 Page 4 of 8 (ID # 1431) The City’s role in PSN is twofold; 1) we are the primary coordinator of the PSN Community Task Force with PAUSD; and 2) we deliver specific programs and services that support and foster youth well-being. For the purpose of this report we will focus on the City’s role as coordinator of the PSN Community Task Force. The coordinating role of the PSN Community Task Force is an important and challenging issue. Under the auspice of the City of Palo Alto we are uniquely positioned to effectively bring people together to collectively develop and implement plans to foster youth well-being. A central goal the City has assumed is to create the space and atmosphere that harnesses the tremendous community talent, expertise and goodwill that surround youth and teens in our community. Developing new and strengthening existing relationships between organizations, groups and committees that are working on fostering youth well-being has been a principal objective for the City and PAUSD. There are 28 organizations and represented groups that make up the PSN Community Task Force and more than 60 individual members. Below is a list of the organizations and represented groups that make up the PSN Community Task Force: PSN Member Organizations & Representative Groups: Adolescent Counseling Services (ACS) Lucile Packard Children's Hospital CalTrain Palo Alto Medical Foundation Center for Sustainable Change Palo Alto University Chamber of Commerce Parent Representatives Children’s Health Council Parks and Recreation Commission City Community Services Dept. PAUSD City Manager's Office Peninsula Interfaith Action City Police Dept. Project Cornerstone Community Center for Health and Wellness PTA Council Health Care Alliance for Adolescent Depression (HEARD)Santa Clara County Health Dept. Human Relations Commission Suicide Prevention Advocates Kara -Grief Support & Education YMCA Leaders of the Faith Community Youth and Teen Leadership Groups Local Psychologists Youth Community Services (YCS) The coordinating role the City plays is a significant commitment and has added some additional strain on City staff who are adjusting to fewer staff and resources, particularly in the Community Services Department. The PSN Community Task Force is an unfunded alliance of committed organizations and individuals focused on youth and teen well- March 08, 2011 Page 5 of 8 (ID # 1431) being. In spite of the limited resources the PSN effort has gained tremendous momentum and has captured the hearts and minds of many in our community as an important and worthy endeavor that should be continued. In an effort to move the PSN Community Task Force to a more sustainable model, a Memorandum of Understanding was developed between PSN members and the PSN Community Task Force with the generous pro bono support of the Covington & Burling law firm (Attachment B).This MOU commits the partner organizations and individuals to specific actions through the end of June 2011. The intent was to create a temporary binding agreement to allow for more time and consideration on a permanent structure and governance. The quality and efficacy of the PSN efforts has received local and national attention, sparking interest from foundations to consider supporting the effort. A small fundraising sub-committee has been formed and is actively pursuing private funds to support the work. To date the majority of fundraising has focused on Track Watch, although the Palo Alto Recreation Foundation has donated $5,000 for general support of PSN. City staff are committed to coordinating the PSN Community Task Force with PAUSD through the end of the 2010-2011 school year and possibly beyond if that remains in the best interest of the community. However, additional resources will be needed or reallocated if the City is to continue to play a central coordinating role. City staff with the PSN Community Task Force members will be exploring options for a sustainable model through fundraising and strategic planning to ensure the PSN strategies expressed in the PSN Report continue to be implemented. Commitment to youth outreach and elevating the youth voice: The City of Palo Alto is very committed to youth well-being as evidenced by the broad and diverse programs and services provided by the City for youth and teens. Continuing to encourage and elevate the youth voice in community decision-making is very important. A commitment to continue an annual study session with the Palo Alto Youth Council and City Council, and active participation of elected officials in an annual Youth Forum is strongly recommended. A specific action the Policy and Services Committee may want to recommend to Council is to assign a Council member to be a Youth Council liaison; something the Parks and Recreation and Human Relations Commissions have recently done. A Council member liaison to the Palo Alto Youth Council would be meaningful as it allows for new connections and the opportunity to build authentic relationships between the City Council and the Youth Council beyond the annual Youth Forum. A Council member March 08, 2011 Page 6 of 8 (ID # 1431) visiting the Youth Council meetings, perhaps once a month, would allow for a group of teens to provide input on issues, and create an additional opportunity for genuine dialogue between a caring adult leader and teens. Moreover, the Council liaison can share with the Youth Council major issues the City Council is facing and invite teens to participate in decision making. Further, the Youth Council can assign specific Youth Council members to attend Council meeting based on their availability and topics of interest. The Community Services staff will continue to look for new and creative ways to get adults and teens together to build positive relationships, problem-solve and further build a supportive community for youth and teens. We remain committed to making positive connections with the youth and teen community through existing City programs and services. Commitment to the reduction of lethal means to self harm: A tremendous amount of empirical evidence exists to support strategies to reduce lethal means to self-harm when attempting to stem suicide contagion; a phenomenon defined by the Centers for Disease Control and Prevention (CDC) as exposure to suicide or suicidal behavior of one or more persons influence others to commit or attempt suicide. Due to the high level of impulsivity involved with suicide and the lack of impulse control inherent to the teenage years, lethal means reduction to self-harm is critical and a paramount strategy for PSN. Studies have shown that 70% of those aged 13 to 34 who attempt suicide set the interval between deciding to kill themselves and acting on their decision at less than an hour. Beginning in November 2009, the City of Palo Alto Police Department retained a private security firm to be on-site seven days a week for the hours the CalTrain passenger line operated. The original objective was to continue this prevention effort through the end of the 2009-10 school year. This effort has now been extended to the end of the 2010- 11 school year at the request of the PSN Community Task Force. Moreover, the Police Department continues to provide increased patrols along the rail line in Palo Alto. The City has and continues to accept donations to offset the cost for the contracted security effort. To date, the community has contributed over $75,000 and fully funded the cost of having the security personnel present from November 2009 through June 2010. Prior to the Police Department utilizing a security firm, a dedicated group of volunteers in support of this strategy began to maintain a presence at key crossings along the train tracks. This effort has come to be known as TrackWatch and continues today to supplement the work of private security guards. March 08, 2011 Page 7 of 8 (ID # 1431) The City has supported the TrackWatch volunteers through providing, 1) training on procedures and safety (in cooperation with Caltrain and the San Mateo County Sheriff Transit Bureau); 2) equipment such as reflective safety vests; 3) increased wattage of pre-existing street lighting in the area and installing new light fixtures to further illuminate the area during the evening; and 4) clearing 100 ft of vegetation in either direction of the East Meadow crossing on the east side of Alma Street. This significantly increased visibility at the crossing. In addition, CalTrain cleared and removed significant amounts of vegetation within the rail line right of way. This established a clear line of sight north and south of the crossing within the right of way. 5) CalTrain, in conjunction with the City, performed a thorough safety inspection of the fencing along the right of way surrounding the East Meadow train crossing. As a result significant fencing improvements were made to restrict access. 6) Caltrain also improved the safety and suicide prevention signage at the East Meadow crossing among other crossings. Knowing when the strategy of paid security guards should end is a very difficult question to answer. There is no way of predicting that June 30, 2011 is the right time, although we do believe that indefinite paid security is not feasible. June 30, 2011 is the end of the school year and is approximately 2 years from when the tragic suicide cluster began. Extending paid security for another 12 months would cost approximately $75,000, and would therefore be an additional priority for the Police Department among many other priorities. Staff does not have a specific recommendation at this time but we are interested in discussing the options with the Policy and Services Committee in order to reach a decision. RESOURCE IMPACT The resource impact is primarily staff time. The current level of involvement the City plays coordinating the PSN Community Task Force is approximately 1 FTE, spread among several staff taking on a variety of roles. This level of resource commitment is not sustainable without newly allocated resources. Budget reductions within Community Services and existing responsibilities and expectations do not allow the Department to absorb this considerable responsibility over the long-term without additional resources or the reallocation of existing resources. Recognizing the City has limited resources, funds to support the PSN Community Task Force should be sought through private donations, grant applications and other sources of outside funding. Additional funding will also be sought through a partnership with the Palo Alto Unified School District and other agencies with expertise in this area. POLICY IMPLICATIONS March 08, 2011 Page 8 of 8 (ID # 1431) ·The recommendation responds to the City Council 2010 priority of “Community Collaboration for Youth Well-being.” ENVIRONMENTAL REVIEW This is not a project under the California Environmental Quality Act. Attachments: ·Attachment A - CMR:456:10 -Recommendation to Approve the City of Palo Alto Suicide Prevention Policy and Adopt 41 Developmental Assets (PDF) ·Attachment B -Project Safety Net MOU (DOC) Prepared By:Robert De Geus, Manager Department Head:Greg Betts, Director, Community Services City Manager Approval: James Keene, City Manager ,j . U jj Ii I ATTACHMENT A TO: HONORABLE CITY COUNCIL FROM: CITY MANAGER DEPARTMENT: COMMUNITY SERVICES DATE: DECEMBER 13, 2010 CMR: 456:10 REPORT TYPE: CONSENT ITEM SUBJECT: Policy and Services Committee Recommendation to Approve the Clty of Palo Alto Suicide Prevention Policy; Adoption of Two Resolutions: (1) Supporting the Santa Clara County Suicide Prevention Plan; and (2) Approving the.41 Developmental Assets Framework for Youth and Teen WelI-B,eing EXECUTIVE SUMMARY The Project Safety Net (PSN) community task force began to take shape during the summer 0[2009 in response to the tragic teen suicides our community experienced. The task force is broadly represented by parents, medical professionals, youth-serving non- profits, City Commission representatives, Palo Alto Youth Council and many others. The mission of the PSN community task force is to develop and implement an effective, comprehensive, community-based mental health plan for overall youth well-being in Palo Alto. The plan, as described in the PSN report (CMR.:312: 10) (www.CityofPaloAlto.orgIPSNreport), includes education, prevention and intervention strategies that together provid~ a safety net for youth and teens in Palo Alto, and defines our community's teen suicide prevention efforts . . The purpose of this staff report is to' follow up on .the referral of the PSN report by Council on July 19,2010 to the Policy and Services Committee. The Council directed the Policy and Services COqlmittee to consider specific policy recommendations in the PSN report that pertain to the City in support of teen suicide prevention and strategies for the social and emotional health of youth and teens in Palo Alto. . Three policy recommendations emerged from the Policy and Services Cominittee's deliberations; they are listed below: . 1. Resolution supporting the Santa Clara County (SCC) Suicide Prevention Strategic Plan (Attachment A) CMR:456:10 Page 1 of7 2. Approval of a City of Palo Alto suicide prevention policy (Exhibit A) 3. Resolution adopting the 41 Developmental Assets framework for youth and teen well-being (Attachment B) RECOMENDATION The Policy and Services Committee recommends that Council approve the following: 1. Resolution supporting the Santa Clara County (SCC) Suicide Prevention Strategic Plan (Attachment A) 2. City of Palo Alto suicide prevention policy (Exhibit A) 3. Resolution adopting the 41 Developmental Assets framework for youth and teen well-being (Attachment B) BACKGROUND In response to the five teen suicides the Palo Alto community experienced between May 2009 and January 2010, the City of Palo Alto and Palo Alto Unified School District (PAUSD) along with many community partners have taken an active and progressive role in developing short-and long-term plans in support of suicide prevention and the social and emotional health of youth and teens in Palo Alto. The PSN community task force effort is closely aligned with the 2010 Council priority of "community collaboration for youth well-being". City staff has played an important coordinating role in bringing the community together to both plan and take action in support of youth well-being. The PSN report describes the process that the Palo Alto community used to investigate, intervene. and strive to prevent further teen suicides. The report delineates specific resiliency and mental health promotion strategies that have . taken place, along with recommendations for future action. It is the collective recommendation of the PSN community task force that the recommendations in the PSN report be used as a foundation for a sustainable community task force for youth and teen well-being; and that policy makers, administrators and the broader community use the PSN report as a supportive document to help inform community decision making in the interest of youth and teen well-being. On July 19, 2010, staff made a presentation to the Council on Project Safety Net and asked that the PSN report be referred to the Policy and Services Committee for further review and recommendations. The Council directed staff to return to CoUncil with . specific policy recommendations from the Committee that support teen suicide prevention and strategies for the social and emotional health of youth and teens in Palo Alto. DISCUSSION The Policy and ·Services Committee discussed the Project Safety Net report and community task force efforts at the September 14 and October 12,2010 meetings. At the CMR:456:10 Page 2 of7 September 14,2010 Policy and Services Committee meeting, staff recommended that the Committee focus on those areas of the PSN report that are specific to the City and that have potential City policy implications. Below are the focus areas discussed that have City policy implications: 1. Ongoing staff support for PSN Community Task Force. 2. Approval ofa City of Palo Alto suicide prevention policy. 3. Adoption of the 41 Developmental Assets framework. 4. Commitment to youth outreach and elevating the youth voice. 5. Commitment to the reduction of lethal means to self harm. At the Policy and Services Committee's direction, staff brings items 2 and 3 (above) to Council for action. Discussion of potential policy recommendations for items 1, 4 and 5 continue, but specific action is not recommended at this time. 1. . Ongoing staff support for PSN: The City's role in PSN has been one of coordinator, finding the right people and experts, bringing them together to collectively develop and implement a comprehensive community-based mental health plan for overall youth and teen well-being in Palo Alto. Staff has attempted to create the space and atmosphere that effectively harnesses the tremendous community talent, expertise and goodwill that surround youth and teens in our community. The coordinating role the City plays is a significant commitment and has added additional strain on staff, who are still adjusting to 2011 budget cuts and staff reductions, particularly in the Community Services Department. The challenge of' addressing the issue of insufficient resources for the task force is still an open question. The PSN community task force remains an unfunded alliance of committed organizations . and individuals focused on youth and teen well-being. An encouraging development is the quality and efficacy of the PSN efforts has received local and national attention, sparking interest from several foundations to consider supporting the effort. Although staff does not have a recommendation for ongoing staff support for PSN at this time, we . are committed to continue coordinating the PSN community task force through the end of the 2010-2011 school year in its current configuration. Over the 2011 winter/spring season the PSN committee will explore options for a sustainable model to ensure the PSN strategies expressed in the PSN report continue to be implemented. 2. Approval ofa City of Palo Alto suicide prevention policy: A fundamental strategy for PSN is to have City and PAUSD adopt a policy that speaks specifically to suicide prevention (Exhibit A). In order to create a united and concerted effort to reduce suicides, a community effort must involve community leaders and decision makers. If it is clear from the top of an organization that suicide prevention is a priority, then all levels of an organization will appreciate and understand that suicide prevention is valued and necessary. Consequently, an important strategy is for elected officials to adopt policies that commit to suicide prevention and mental health support for CMR:456:10 Page 3 of7 I 1 I I ' all community members. One of the most noted and successful suicide prevention plans is the U.S. Air Force Suicide Prevention Program. One reason attributed for its success is leadership involvement from the top of the organization. The. City suicide prevention policy recommendation is aligned with the Santa Clara County (SCC) Suicide Prevention Strategic Plan (Executive Summary SCC Suicide Prevention Plan -Attachment D) that was adopted by the'SCC Board of Supervisors on August 24, 2010. The City's Policy is incorporated in the Resolution as an exhibit Staff . further recommends that Council adopt a resolution (Attachment A) supporting the SCC Suicide Prevention Strategic Plan whiCh SCC hopes all cities in the County will adopt and implement. Implementation of the City suicide prevention policy will be a collaborative effort, drawing on the expertise and resources of the many supporting part~ers on PSN community task force. 3 .. Adopt the 41 Developmental Assets framework: Resiliency is a key component to keeping youth safe and healthy. Project Safety Net and PAUSD in conjunction with Project Cornerstone, a local non-profit helping communities build "asset-rich" environments, have adopted the Search Institute's 41 Developmental Assets framework for building resiliency and other positive character traits amongst youth and teens. Staff recommends the City of Palo Alto join with PAUSDin adopting the 41 Developmental Assets (Attachment C). , Developmental Assets provide a framework of 41 building blocks that enhance the health and well-being of youth and teens. They are the experiences and opportunities that all young people need to grow into healthy, responsible adults. A list of 41 Developmental Assets can be referenced in Attachment C. The Asset model is a highly regarded approach to mobilize communities with a common vision and language for what youth and teens need to thrive. Through years of research in youth development, these assets have been identified by the Search Institute, an independent research and educational organization based in Minneapolis, Minnesota. Their research has shown that when these assets are present, they help prevent negative behaviors, risk-taking, and help increase positive, thriving behaviors. Assets are cumulative: the more youth have, the better it will be. As the number of assets increases, so does a child's well-being. As a framework for healthy growth and well-being, assets give communities a set of benchmarks to measure the positive development of their youth and teens -regardless of community size, geographic region, gender, family economics, race or ethnicity. The Search Institute found that the number of assets a young person possesses affects how they respond to and maneuver through difficult life experiences. The fewer assets a youth has, the more likely they are to partiCipate in negative behavior to cope with difficult times. Young people who have CMR:456:10 . Page 4 of7 31-40 assets are more likely to bounce back from difficult situations and bounce back more quickly. PAUSD conducted a comprehensive Developmental Asset survey in fall 2010. The results of this survey will be available in early spring 2011. The survey results will be instrumental in shaping PAUSD and our community-wide plans and actions to support youth and teens in the future. . 4. Commitment to youth outreach and elevating the youth voice: The City Council and staff are very committed to youth well-being as evidenced by the broad and diverse programs and services provided by the City for youth and teens. As the Policy and Services Committee discussed this item, it was agreed that encouraging and elevating the youth voice in community decision-making was very important. A commitment to continue an annual study session with the Palo Alto Youth Council and City Council, and active participation of elected officials in an annual youth forum was strongly supported. Moreover, consideration of assigning a Council member to be a Youth Council liaison, something the Parks and Recreation and Human Relations Commissions have recently done, was another idea discussed. The Community Services Department staff will continue to look for new and creative ways to get adults and teens together to build positive relationships, problem-solve and further build a supportive community for youth and tee!1s. Although no specific policy recommendation is being made on this item at this time, staff and the Policy and Services COl.1lmittee remain committed to making positive connections with the youth and teen community through existing City programs and services, 5. Commitment to the reduction of lethal means to self harm: A tremendous amount of empirical evidence exists to support strategies to reduce lethal means to self-harm when attempting to stem suicide contagion; a phenomenon defined by the Centers for Diseas·e Control and Prevention (CDC) as exposure to suicide or suicidal behavior of one or more persons influence others to commit or attempt suicide. Due to the high level of impulsivity involved with suicide and the lack of impulse control inherent to the teenage years, lethal means restriction to self-harm is critical and a paramount strategy for PSN. Studies have shown that 70% of those aged 13 to 34 who attempt suicide set the interval between deciding to kill themselves and acting at less than an hour. Beginning in November 2009, the City of Palo Alto Police Department retained a private security firm to be on-site 7 days a week for the hours the Caltrain passenger line operated. The original objective was to continue this prevention effort through the end of the 2009-10 school year. This· effort has now been extended to the end of the 2010-11 CMR:456:10 . Page 5 of7 school year at the request of the PSN Community Task Forpe. Moreover, the Police Department continues to provide increased patrols along the rail line. The City has and continues to accept donations to offset the cost for the contracted security effort. To date, the community has contributed over $75,000 and fully funded the cost of having the security personnel present from November 2009 through June 2010. In addition, prior to the Police Department utilizing a security firm, a dedicated group of volunteers in support of this strategy began to maintain a presence at key crossings along the train tracks. This effort has come to be known as TrackWatch and continues today to supplement the work of private security guards. The City has supported the TrackWatch volunteers through providing, as follows: (1) training on procedures and safety (in cooperation with Caltrain and the San Mateo County Sheriff Transit Bureau); (2) equipment such as reflective safety vests; (3) increasing wattage of pre-existing street lighting in the area and installed new light fixtures to further illuminate the area during the evening; (4) services to clear 100 ft., of vegetation in either direction of the crossing on the east side of Alma Street, which significantly increased visibility at the· crossing and, as well, Caltrain cleared and removed significant amounts of vegetation within the rail line right of way, which established a clear line of sight north and south of the crossing within the right of way; (5) Caltrain, in conjunction with the City, performed a thorough safety inspection of the fencing along the right of way surrounding the East Meadow train crossing and, as a result, significant fencing improvements were' made to restrict access; and (6) Cal train also improved the safety and suicide prevention signage at the East Meadow crossing among other crossings. RESOURCE IMPACT The'resource impacts are essentially staff time. Specifically, staff will incorporate the approval of a City suicide prevention policy (Exhibit A) in the resolution supporting the Santa Clara County (SCC) Suicide Prevention Strategic Plan (Attachment A) arid the resolution adopting the 41 Developmental Assets framework for youth andteen well- being (Attachment C) into existing job descriptions and work plans. Staff will evaluate resource impacts annually to ensure we are being effective while not compromising other· City priorities as limited staff resources are allocated. If budget adjustinents or additional resources are needed to further support the suicide prevention policy or resolutions staff will bring such recommendations to Council as part ofthe annual budget process. Recognizing the City has limited resources, funds to iniplement this policy shall be provided as available, and shall be sought through private donations, grant applications and other sources of outside funding. Additional funding will also be sought through partnership with the Palo Alto Unified School District and other agencies with expertise in this area. CMR:456:10 Page 6 of7 MEMORANDUM OF UNDERSTANDING AMONG PROJECT SAFETY NET CONTRIBUTORS This MEMORANDUM OF UNDERSTANDING (this “MOU”) is entered into by and among each of the corporations, partnerships, trusts, limited liability companies or other such entities or organizations who execute this MOU, or on whose behalf this MOU is executed, as evidenced by the signature page(s) affixed hereto from time to time (hereinafter referred to collectively as the “Contributors”and individually as a “Contributor”), in each case as of the date set forth beside each of the respective signature. WHEREAS, Contributors have been participating in Project Safety Net, a community-based task force (“PSN”)dedicated to developing and implementing an effective, comprehensive, community-based mental health plan for overall youth well-being, with an emphasis on Palo Alto, California, including education, prevention and intervention strategies for addressing teen suicide; WHEREAS, PSN, with assistance and support from Contributors and various other entities, organizations and individuals, has adopted a report outlining an initial plan for addressing key issues and initiatives in the Palo Alto community (the “2010 Report”); WHEREAS, Contributors share certain mutual interests in, and wish to advance,PSN’s goals, including as outlined in the 2010 Report; WHEREAS, in order to advance those goals and interests, each Contributor is willing to dedicate particular resources and make specified commitments and/or contributions to or for the benefit of PSN; WHEREAS, Contributors desire to develop and implement, or facilitate the development and implementation of, a sustainable, long-term organizational or other structure through which PSN can maximize and coordinate resources in the Palo Alto community directed to youth well-being; WHEREAS, Contributors are entering into this MOU to confirm the resources to be dedicated and the commitments and/or contributions to be made by each Contributor during an initial commitment period through June 30, 2011 (the “Initial Contribution Period”), during which period efforts will be directed to the development and implementation of such structure for PSN; and WHEREAS, Contributors also wish to acknowledge the valuable contributions that have been made and that will continue to be made to PSN by various individual members of the community, including those individuals that have signed Appendix B to pledge their continued support of PSN; NOW THEREFORE, in consideration of the premises and of the mutual covenants, conditions and agreements contained herein, the parties hereto, intending to be bound, agree as follows: 1.Contributions. Each Contributor shall (a) fulfill any and all commitments, (b) perform any and all undertakings, and (c) provide any and all contributions (including, without limitation, monetary contributions), as applicable, to or for the benefit of PSN (collectively, “Contributions”), in each case ((a), (b) and (c)) as described in the applicable Contributor Commitment attached to Appendix A. In the case of any such Contribution that is transferred directly to PSN, PSN shall have the right to use such Contribution as PSN determines, except to the extent that such Contribution was made subject to express written conditions on its use, in which event such Contribution shall be used by PSN consistent with those conditions unless otherwise agreed in writing by the applicable Contributor. 2 2.Participation. Each Contributor shall designate an employee, agent or representative (each a “Contributor Representative”) to participate in PSN on behalf of such Contributor. Each Contributor shall cause its Contributor Representative to make reasonable efforts to attend, directly or through an appropriate designee, scheduled meetings of PSN and other community events sponsored by PSN. The Contributor Representative for each Contributor shall be identified in the Contributor Commitment attached to Appendix A. 3.Effective Date; Period of Performance. This MOU shall become effective as to each Contributor as of the date this MOU is executed by or on behalf of such Contributor. Each Contributor shall fulfill its Contributor Commitments during the Initial Commitment Period, provided that in the case of any Contribution for which a contribution or performance date has been specified in the applicable Contributor Commitment, such Contribution shall be fulfilled by such date. 4.Disclosure of Affiliation/Contribution. In the event that any Contributor publicly discloses its participation in or affiliation with PSN, or any Contribution made by such Contributor to PSN, including in connection with any application for funding or other fund raising activities, such Contributor shall ensure that the description of its participation, affiliation or Contribution is accurate in all respects and fairly describes such participation, affiliation or Contribution. 5.Contributions Not Limited. Although this MOU is intended to confirm the Contributions to be made by each Contributor to or for the benefit of PSN during the Initial Contribution Period, nothing contained in this MOU is intended or shall be construed as a limitation on the commitments or contributions that each Contributor may make to or for the benefit of PSN, whether during such period or thereafter. 6.Miscellaneous. (a)Nothing contained in this Agreement shall be construed as creating a partnership, joint venture or agency relationship among the parties or, except as otherwise expressly provided in this MOU, as granting any party the authority to bind or contract any obligation in the name of or on the account of any other party or to make any statements, representations, warranties or commitments on behalf of any other party. (b)This MOU constitutes the entire agreement between the parties with respect to the subject matter of this MOU. This MOU supersedes all prior agreements, whether written or oral, with respect to the subject matter of the Agreement. All Appendices to this MOU Agreement are intended to be and are hereby specifically incorporated into and made a part of this MOU. In the event of any inconsistency between any such Appendix and this MOU, the terms of this MOU shall govern. (c)This MOU may be executed in any number of counterparts, each of which shall be deemed an original and all of which taken together shall be deemed to constitute one and the same instrument. An executed signature page of this Agreement delivered by facsimile transmission or “pdf” shall be as effective as an original executed signature page. (d)This MOU shall be governed by the laws of the State of California as applied to agreements entered into and to be performed entirely within the State of California. [Signatures page(s) to follow] [Signature Page to MOU] THIS MOU IS EXECUTED by the authorized representatives of each Contributor, in each case as of the date set forth below with respect to such party. Signed for and on behalf of: CITY OF PALO ALTO Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ PALO ALTO FAMILY YMCA Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ KARA GRIEF COUNSELING Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ PROJECT CORNER STONE Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ PALO ALTO MEDICAL FOUNDATION Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ PALO ALTO UNIFIED SCHOOL DISTRICT Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ LUCILE PACKARD CHILDREN’S HOSPITAL Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ HEALTH CARE ALLIANCE FOR ADOLESCENT DEPRESSION (HEARD) Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] CITY OF PALO ALTO -PARKS AND RECREATION COMMISSION Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ CITY OF PALO ALTO -HUMAN RELATIONS COMMISSION Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ CAL TRAIN Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ YOUTH COMMUNITY SERVICES Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ PALO ALTO YOUTH COUNCIL Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ SAN MATEO COUNTY TRANSIT DISTRICT Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ ADOLESCENT COUNSELING SERVICES Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ PENINSULA INTERFAITH ACTION Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ PTA COUNCIL Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ ST THOMAS AQUINAS PARISH Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ PALO ALTO CHAMBER OF COMMERCE Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ CHILDRENS HELATH COUNCIL Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] OTHER TBD Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ OTHER TBD Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ A1 Appendix A --Contributor Commitments This Appendix to the MEMORANDUM OF UNDERSTANDING (this “MOU”) by and among Contributors (as defined in the preamble to this MOU) sets forth the Contributions that such Contributor agrees to make in support of PSN (each such Contributor statement, a “Contributor Commitment”). The contents of this Appendix A (and each attachment hereto) are hereby incorporated into the MOU and are governed by the terms and conditions of the Agreement. Each Contributor Commitment shall become effective and so incorporated when such Contributor Commitment has been signed on behalf of the applicable Contributor. This Appendix A may be supplemented to include additional Contributor Commitments from time to time, with each such Contributor Commitment becoming effective and incorporated when such Contributor Commitment has been signed on behalf of the applicable Contributor. Each Contributor Commitment shall be appended to this Appendix A, provided that the failure to so append any Contributor Commitment shall not affect the effectiveness thereof. Attachment to Appendix A --Contributor Commitment --City of Palo Alto CITY OF PALO ALTO a.Adopt a City Suicide Prevention Policy. b.Pass a City Resolution adopting the Developmental Assets in the organization and community. c.Provide funding to continue paid security guards through December 31, 2010. Support volunteer-only staffing after January 1, 2010 through training and consultation by Police Department. d.Provide staff support in the form of Rob De Geus as co-Chair of PSN and Greg Hermann as coordinator of the Developmental Assets Initiative, at the level at which they are currently engaged, through June 30, 2011. e.As a part of the budgeting process, consider options and determine long term staff support for PSN by City by June 30, 2011. f.Appoint a Council Member as Youth Liaison to attend Youth Council meeting and regularly visit the teen center. g.Make the Youth Forum an annual City-sponsored event. h.Hold an additional joint session per year between the City Council and Youth Council to raise the voice of youth in the community. Signed for and on behalf of: CITY OF PALO ALTO Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment – YMCA/Project Cornerstone Project Cornerstone will assume responsibility for the following activities: 1.In Fall 2010, provide surveys to 4,000+ Palo Alto youth to measure developmental asset levels. 2.Provide community forums and trainings to help educate the community about developmental assets and the youth survey. 3.Coordinate survey reports with Search Institute. 4.Support Palo Alto Unified with interpretation of survey reports and action plans for next steps. 5.Provide training and coaching to school site staff on developmental assets such as a caring school climate, positive adult role models, and high expectations, and their link to greater academic achievement. 6.Provide training on developmental assets to school parent volunteers in English and Spanish, and work with school leaders to increase parent engagement in the school community including classroom-based activities. 7.Provide half-day student workshops (Expect Respect) and ongoing technical assistance to develop leadership skills, educate students about ways to reduce bullying, and promote healthy behaviors on campus. Students will develop action plans to promote safe, caring school climates, which will be implemented during the school year. 8.Support the Palo Alto Developmental Assets Initiative with coaching and training on creating a community that values youth. 9.Provide scholarships for Palo Alto youth to attend the 2010 bigTent Youth Development Conference in Houston, TX. Signed for and on behalf of: YMCA/Project Cornerstone Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment -- Palo Alto Unified School District (PAUSD) PAUSD a)Align PAUSD focus goals to PSN to include “improving student connectedness and strengthen support systems for student social, emotional, physical health.” b)Provide a senior level position in PAUSD to support the implementation of PSN strategies. c)Allocate funds up to $5000 of funds from SERV grant for the construction of a website to house all PSN Community Task Force information and resources. d)Implement the 41 Developmental Assets and philosophy in the District. Integrate Project Cornerstone initiatives by facilitating meetings between PC and the various SSC council using the school services list as a starting point for conversation and integration. Communicate back to the greater community on this effort. e)Plan, coordinate, and communicate the administration of Project Cornerstone student survey. f)Communicate PAUSD and county results to the greater community. g)Begin training all Secondary School District staff to be Gatekeepers using Question, Persuade, and Refer (QPR). h)Maintain and communicate the comprehensive crisis protocol to limit the negative effects of a crisis and increase the chance of positive outcomes for those involved. i)Continue to fund up to $10,000 and enhance counseling opportunities through existing 3- 6 Session Providers and extend utilization of low-cost or volunteer mental health professionals services in the community. Signed for and on behalf of: PAUSD Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment --Kara Grief Counseling Kara Grief Counseling 1)Provide onsite support to any organization, school or corporation that has experienced a death to help people cope with the impact. 2)Provide training for school district personnel and school staff on how to support grieving students. 3)Offer individual and group support to teens who are dealing with end-of-life and grief. 4)Work with the school district to develop and deliver a component of the Living Skills class that helps students understand the grieving process and learn how to help themselves and others. 5)Offer community education programs to help everyone in the community understand the grieving process and how to help themselves and others. Signed for and on behalf of: KARA GRIEF COUNSELING Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment – City of Palo Alto Human Relations Commission The HRC has adopted as one of its 2010-11 priorities to support Youth Well-Being in Palo Alto. By that commitment, we mean to encourage, promote, and collaborate with others in building community understanding and taking actions toward an environment in which youth thrive. Among the several actions Commission intends to take are these: a.Become well informed about the content and potential of the Project Cornerstone 41 Developmental Assets to support the work of PSN. To do this, we will: 1)Get information and training from Project Cornerstone on the origins and content of the Assets, the research about their influence on youth behavior, and the practices of other communities in using them to increase youth well-being; 2)Follow the progress of the Policy and Services Committee’s recommendations on suicide prevention and the 41 DAs through the City Council and be prepared to support Council action on them. b.Collaborate with Project Safety Net and others to promote community-wide understanding and use of the 41 DAs. To do this we will: 1)Work with other PSN partners in sponsoring study sessions on the implications for youth well-being of the Developmental Assets Survey results (which are due out in the February/March, 2011 time frame); 2)Write OpEd pieces, place relevant material on our own HRC web page on the City web site, and in other ways help publicize material in support of PSN; 3)According to commissioners’ interests and availability, participate in PSN’s speakers’ bureau. c.Work with the Palo Alto Youth Council to facilitate their objectives and goals of the Youth Forums of Spring 2010. d.Promote intergenerational communication and relationships, e.g., seniors connecting with youth, in collaboration with Avenidas, Youth Community Service, and others organizations with the potential for outreach to school-age children and youth. e.Work with the City Auditor to include questions about youth well being in the survey that is part of the annual Service Efforts and Accomplishments (SEA) Report. f.Work with the Palo Alto Police Department to build the 41 Developmental Assets into Department training, policies, and practices. [Signature Page to MOU] Signed for and on behalf of: CITY OF PALO ALTO -HUMAN RELATIONS COMMISSION Signature: _Ray Bacchetti Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment --Youth Community Services YOUTH COMMUNITY SERVICE (YCS) Because “service is the gateway asset,” YCS staff will engage students, parents, educators, partners and community members in service learning events during the year. Some will be school-based and some community-based. In collaboration with our partners, YCS will promote opportunities for youth to develop leadership skills and to discover and voice their opinions about ways our schools and community can become more caring, engaging and supportive. a.Collaborate with YCS Fellows, Palo Alto Youth Council, YMCA and others to engage and equip youth in a campaign with the business community to promote more youth-friendly business experiences. b.YCS intern will partner with ACS staff to engage youth to raise awareness among their peers about mental health issues and resources, including depression, and to decrease misunderstanding and stigmas. c.Engage youth and partners to plan and publicize service days for youth and families, including International Peace Day on September 21, Moonlight Run on September 24, Coastal Cleanup Day on September 25, Black & White Ball preparation on October 1, Gunn Family Service Day on October 16, YCS Make a Difference Day on October 23, Gunn Beautification Day, JLS Family Service Day on Nov. 11, Martin Luther King Service Day in January, Cesar Chavez Service Day in March, Gunn Service Day on March 3, YCS Family Service Day in April, May PIE Fair, and other campaigns like Relay for Life and Giving Tree. d.Collaborate with Not in our Schools partners to promote meaningful conversation and activities in March around issues of social-emotional health like identify safety for all students, families and staff, and ways to create bullying-free environments. e.Promote and encourage participation by youth in leadership conferences and training events sponsored by service clubs (e.g.Rotary/Interact and Kiwanis) and youth organizations (e.g.Free the Children). f.Participate in PTA-sponsored parent education programs to identify social-emotional benefits of “service to others” and specifics opportunities for students and families. g.Initiate a new YCS Middle School Fellows program modeled on the successful YCS Fellows program for high school students. The monthly themes of the after school middle school program will be based on the internal and external developmental assets. h.Work to initiate a Challenge Day for students, particularly freshmen in our high schools, based on the successful model developed at Menlo-Atherton High School. i.Be a bridge to related youth-well-being programs and projects in surrounding communities, including East Palo Alto, Menlo Park, Mountain View, Los Altos, Stanford, Los Gatos, and Redwood City to promote the sharing of best practices and encourage regional impact. j.Continue to participate in planning activities with the Palo Alto Youth Collaborative, Developmental Assets Task Force, annual Youth Forum events and PSN. [Signature Page to MOU] Signed for and on behalf of: YOUTH COMMUNITY SERVICES Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment --Adolescent Counseling Services Adolescent Counseling Services On Campus Counseling Program 1)Provide free counseling to individuals and their families at the secondary schools at PAUSD. This includes a dedicated team of mental health professionals at each school campus, including a licensed therapist (LMFT or LCSW) and trained, supervised counseling interns. 2)Support services include one-on-one therapy with students, family and group counseling, and immediate intervention during crisis situations that may arise on campus. These services are provided during the school calendar year. 3)Works closely with guidance and administration departments on each campus to provide consultation and collaboration on mental health issues and crisis interventions. 4)Provide presentations and psycho-education to PTA and the larger community. After School Counseling Program 1)Provide affordable evening counseling and psychotherapy to all teens and their families in and around the Palo Alto community. 2)Support services include a dedicated team of mental health professionals, including licensed therapists and trained, supervised clinical interns. 3)One-on-one therapy, group therapy and family therapy are provided in the late afternoon and evening hours, Monday through Thursday, the full calendar year. Signed for and on behalf of: ADOLESCENT COUNSELING SERVICES Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment --PTA Council PTAC a.Deliver 3 –5 parent education events in support of social/emotional learning. b.Provide PTA communications channels (e.g. eNews, newsletters) to parents for PSN- related topics (e.g. Track Watch, 41 Development Assets roll out, etc) c.Develop a common focus on social/emotional issues across the 17 PTA units including encouraging them to devote budget and volunteers (i.e. a PTA Board role). d.Provide up to $1800 for student-initiated social/emotional learning activities. e.Support the 41 Developmental Assets as outlined by: 1.Assigning a parent-volunteer at each school to distribute surveys to classrooms and act as point person for the PTA, 2. Encouraging parents to provide positive consent for students to participate in the survey, 3.Communicating survey results and next steps to parents, 4.Organizing the September 22nd kick off and panel discussion, 5.Publicizing trainings (e.g. Assets 101) through PTA communications channels, and 6. Aligning existing and new PTA-sponsored social/emotional learning programs with the 41 Developmental Assets framework and language. Signed for and on behalf of: PTA COUNCIL Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment --St. Thomas Aquinas Parish St. Thomas Aquinas Parish a. E2 Provide communication channels (e.g. newsletters, bulletin, announcements) to parents and parishioners for PSN-related topics (e.g. Track Watch, 41 Development Assets roll out, etc) b. P3 Adopt the 41 Developmental asset model parish-wide and use asset language in weekly lesson and youth group sessions. c. I5 Train youth group leaders to be “gatekeepers” and recognize the signs of depression/call for help. Palo Alto Faith Community a.Make sure all congregations have a copy of the 41 Developmental Assets b.Encourage each congregation to adopt as many of these 41 assets that fit within their worship and educational structure c.Publicize the 41 Developmental Assets trainings by using Palo Alto On-line's Places of Worship Directory and encourage participation by adults in youth leadership/role model positions within the congregation d.Plan a city-wide gathering of faith community leaders for the fall of 2011 to hear how they have been incorporating the 41 Developmental assets and to record their successes and failures Signed for and on behalf of: ST. THOMAS AQUINAS PARISH Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment --City of Palo Alto - Parks and Recreation Commission The Parks and Recreation Commission has adopted as one of its 2011 priorities to support Youth Well-Being in Palo Alto.By that commitment, we mean to encourage, promote, and collaborate with others in building community understanding and taking actions toward an environment in which youth thrive. Among the action the Parks and Recreation Commission will take are: §Appoint a Commissioner to be the liaison to the Palo Alto Youth Council. The Commissioner will attend at least one Youth Council meeting per month to listen and learn about the issues facing youth and teens and to share and invite youth to be included in Commission decision making. §Formally recognize individuals who demonstrate outstanding connections with, and contribution to,teens in our community. §With City staff evaluate the adequacy of resources, programs and services with the City of Palo Alto for high-school students during non-school hours §Actively participate in the 2011 Palo Alto Youth Forum §All Commissioners to advocate for Gatekeeper training and commit to taking the training in 2011 §Invite Palo Alto Youth Council to meet with Commission in 2011 §Appoint a Commissioner to be a liaisons or representative to other youth serving organizations including City/School Liaison, Project Safety Net others TBD. Signed for and on behalf of: CITY OF PALO ALTO - PARKS AND RECREATION COMMISSION Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Attachment to Appendix A --Contributor Commitment --Peninsula Interfaith Action Palo Alto Faith Community e.Make sure all congregations have a copy of the 41 Developmental Assets f.Encourage each congregation to adopt as many of these 41 assets that fit within their worship and educational structure g.Publicize the 41 Developmental Assets trainings by using Palo Alto On-line's Places of Worship Directory and encourage participation by adults in youth leadership/role model positions within the congregation h.Plan a city-wide gathering of faith community leaders for the fall of 2011 to hear how they have been incorporating the 41 Developmental assets and to record their successes and failures Signed for and on behalf of: FAITH COMMUNITY Signature: ____________________ Name: _______________________ Title: ________________________ Date: ________________________ [Signature Page to MOU] Appendix B --Individual Participant Pledges Each of the undersigned individuals pledges to participate in PSN and provide ongoing support for PSN as it works to achieve its goals. Signature: ____________________ Name: _______________________ Date: ________________________ Signature: ____________________ Name: _______________________ Date: ________________________ Signature: ____________________ Name: _______________________ Date: ________________________ Signature: ____________________ Name: _______________________ Date: ________________________ Signature: ____________________ Name: _______________________ Date: ________________________ Signature: ____________________ Name: _______________________ Date: ________________________ Signature: ____________________ Name: _______________________ Date: ________________________ Signature: ____________________ Name: _______________________ Date: ________________________