Connecting the Docs

DCPAP Warm Line (302) 513-0929

Monday - Friday 8 a.m. - 5 p.m.

DCPAP Webpage

Child Mental Health Mobile Crisis (juveniles in psychiatric crisis)

1-800-969-HELP (4357)

Adult Mobile Crisis

Northern DE: 1-800-652-2929

Southern DE: 1-800-345-6785

For adults having a psychiatric or substance abuse crisis and need assistance.

Crisis Intervention Services

Crisis Hotline - Contact Lifeline

Support for callers in crisis, including suicidal.

New Castle: 302-761-9100

Kent/Sussex: 1-800-262-9800


Child Abuse Report Line (report child abuse and neglect)


Child Abuse and Neglect Reporting

In This Issue | September 2021

DCPAP Office Hours – The Doc is In!

September is Suicide Prevention Month

MCPAP - The Role of Primary Care in Suicide Prevention

DCPAP Training Series – Youth Suicide Before & Since COVID 19

Resource Links – Suicide Prevention Plus

Resource Spotlight – Sean’s House

NAMI DE Update

MHA DE Update

COVID Connection

Equity Efforts

Back To School

Provider Spotlight – Delaware Pediatrics Nurse Practitioners

DCPAP Connecting the Docs

Let’s Connect

DCPAP Office Hours - The Doc is In!


September is Suicide Prevention Month

The Role of Primary Care

in Suicide Prevention

Excerpt from MCPAP

People who die by suicide are more likely to have seen their PCP shortly before their death than any other health professional, creating a prime opportunity to intervene and save lives.  PCP’s can identify warning signs, engage patients in life-saving treatments, and maintain continuity of care for patients with suicide risk.

Patients who screen positive for depression should be screened for suicide risk. PCP’s should also focus on patients during periods of high suicide risk, such as after a discharge from a psychiatric hospital or after an emergency room visit for deliberate self-harm. Recent evidence suggests that interventions during these high-risk periods are effective in reducing suicide deaths.  

Key Components of Suicide Prevention in Primary Care

1) Learn the warning signs of youth suicide

• Talking about or making plans for suicide

• Expressing hopelessness about the future

• Displaying severe/overwhelming emotional pain

• Showing worrisome behavioral cues or marked changes in behavior, particularly in the presence of the warning signs above. 

Specifically significant: 

Withdrawal from or changing in social connections/situations

Recent increased agitation or irritability

Anger or hostility that seems out of character or out of context

Changes in sleep (increased or decreased)

2) Develop office protocols with defined roles for all staff in the practice

• A good resource for developing a protocol is the Suicide Prevention Toolkit for Rural Primary Care Practices: www.sprc.org/webform/primary-care-toolkit

• In addition to using the tips from the toolkit, access DCPAP for consultation around suicide risk

• Contact Delaware mobile crisis hotline Child Priority Response 1-800-969-4357 under 18

3) Implement clinical suicide prevention practices including screening, risk assessment, brief intervention, referral and follow-up 

Implementing Clinical Suicide Prevention Practices

• Screening – PHQ-9 or ASQ (Ask Suicide Screening Questions)

• Risk Assessment – SAFE-T or Columbia Suicide Severity Rating Scale (CSSRS)

• Brief Primary Care Intervention

• Safety Planning http://www.sprc.org/resources-programs/safety-planning-guide- quick-guide-clinicians

• Lethal Means Counseling https://training.sprc.org/

• Brief Patient Education

• Crisis Center Information Child Priority Response

under 18 1-800-969-4357 

18+ 1-800-652-2929

• Rapid Referral to Specialty Care

• Follow Up 

DCPAP Training Series

Register by e-mail to mindy.webb@delaware.gov



Part 1 9/21/21 Zoom Link https://zoom.us/j/97577011264

Meeting ID: 975 7701 1264

Part 2 9/24/21 Zoom Link https://zoom.us/j/93959395712

Meeting ID: 939 5939 5712


Please note that the Algorithms for Behavioral Health

Training Series is postponed.

Save the dates for our training series around

Bipolar Disorder this October 2021.

Resource Links

Nemours KidsHealth

AACP Suicide Resource Center

AACAP Suicide in Children and Teens

National Institute of Mental Health

Mental Health America

Substance Abuse & Mental Health Services Administration

Suicide Preventer Resource Center

Help is Here DE

Resource Spotlight


Sean’s House at 136 West Main Street, Newark, DE serves as a support center for high school and college students struggling with depression and other mental health issues.  Young adults, ages 14 – 24 can access the center 24/7.  The house will be staffed by 3 psychology doctoral students from the University of Delaware who will live on premises.  Family support is also available.  A peer support network is available to match with those who have overcome similar struggles.  Sean’s House hosts many community events that support their mission.  All services offered free of charge. Check out their website for program and event information.

NAMI DE Update

DCPAP is proud to support the upcoming NAMI Inspiring Hope Virtual Conference. Join in to check out our virtual booth during the event.


MHA DE Update

COVID Connection

Wednesday, September 22

3:30-4:00 P ET

September is National Suicide Prevention Awareness Month, which is a time to help raise

awareness and share information about this important public health concern. NIMH will host a livestream event on suicide prevention during the pandemic, focusing on unemployment,

youth, and other population subgroups who may be experiencing elevated risk.

Watch the livestream event on NIMH’s Facebook or Twitter feeds. You must have either a Facebook or Twitter account to watch.

The livestream will be archived on NIMH’s website and Facebook page so you can access it after the event is over.


Equity Efforts

The American Medical Association (AMA) has produced a recurring video series related to health equity. This recurring series is hosted and moderated by AMA Chief Health Equity Officer & Senior Vice President, Aletha Maybank, MD, MPH. The Prioritizing Equity series illuminates how COVID-19 and other determinants of health uniquely impact marginalized communities, public health and health equity, with an eye on both short-term and long-term implications.

Back to School

Follow this series hosted by community resources and providers to support youth mental health while they return to school amid the COVID pandemic.

Back-to-School Discussion Series

Provider Spotlight

Delaware Pediatrics Nurse Practitioners’ Jill Duggar & Natalie Kasper

The Delaware Child Psychiatry Access Program is so fortunate to count Delaware Pediatrics among it’s registered participants. We are excited to highlight two members of their practice, Nurse Practitioners,

Jill Duggar and Natalie Kasper:

Jill Duggar completed her Bachelor's of Science in Nursing at the University of Delaware.

As a Registered Nurse she worked on the Step-Down Unit at St. Francis Hospital and also worked as a dialysis nurse with Fresenius Medical Company. She completed her graduate program at the University

of Delaware, and is s Board Certified Family Nurse Practitioner through the American Academy of Nurse Practitioners. As a Nurse Practitioner, she worked for Delaware's Early Intervention program for 11 years working with children with developmental delays and disabilities and their families. She has been working at Delaware Pediatrics for the last 5 years. In her current role, she sees children for well care, sick visits, and for consultation and follow up care for ADHD, Anxiety and Depression. 

Natalie Kasper has been a pediatric nurse for the past 23 years, with the last 18 years practicing as a Pediatric Nurse Practitioner. Over the past 14 years, Natalie has worked in primary care at Delaware Pediatrics. She previously worked at Children’s Hospital of Philadelphia and Nemours Children’s hospital. Natalie is passionate about caring for children both well and with various medical diagnoses,

but has a particular interest in behavioral health. Natalie shares:

“I feel so fortunate to have Dr. Mark Borer work with our practice and provide psychiatric consultation for our patients. I look forward to our monthly meetings and feel more confident treating children with behavioral health concerns. The educational opportunities provided through Delaware Child Psychiatry Access Program are an invaluable source of information and help promote better care of pediatric mental health concerns in primary care.”

DCPAP Connecting The Docs


Let's Connect!


Warm Line (302) 513-0929

Monday-Friday 8 a.m. - 5 p.m.

DCPAP Webpage:





Richard Margolis, MD,

Project Director


Joseph Hughes, MBA,

Project Manager


Mindy Webb, LCSW,

Behavioral Health Care Coordinator


DCPAP Disclaimer Details:

Requests to DCPAP result in the sharing of clinical concerns and considerations based on information presented during professional-to-professional psychiatric consultation. It does not infer a direct patient contact by the consulting psychiatrist nor a direct psychiatric evaluation of a specific patient. Clinical assessment may not be complete and may require further direct patient and record assessment by the treating clinician, or referral of the patient for direct assessment by a psychiatrist or appropriate mental health professional. 

Funding provided by U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA)