Mental Health Thrival Kit Request Form

We are currently accepting requests to be added to the waitlist.

Name

First Last

School/Organization Name

District Name

County

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone Number

To coordinate delivery of kits

Quantity of kits for English-language youth

Quantity of kits for Spanish-language youth

Quantity of kits for Korean-American youth

Culturally-adapted kits for Korean-American youth. Language: English with some Korean integrated

Quantity of kits for Filipino-American youth

Culturally-adapted kits for Filipino-American youth. Language: English with some Tagalog integrated

Please share with us how you will use the Mental Health Thrival Kits.

If you are experiencing an emotional crisis, are thinking about suicide or are concerned about a friend, call or text 988 for the Suicide & Crisis Lifeline (24/7)

Directing Change is part of statewide efforts to prevent suicide, reduce stigma and discrimination related to mental illness, and to promote the mental health and wellness of students. These initiatives are funded by counties through the Mental Health Services Act (Prop 63) and administered by the California Mental Health Services Authority (CalMHSA), an organization of county governments working to improve mental health outcomes for individuals, families and communities.