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AZ Discretionary Funding Fiscal Year 2017

Center: SM

Grantee: COMMUNITY PARTNERS, INC.
Program: PBHCI
City: TUCSON
State: AZ
Grant Award Number: 5 H79 SM062179-03
Congressional District: 2
FY 2017 Funding: $190,986
Project Period: 2015/09/30 - 2019/09/29

Assurance HealthCare (Assurance) and Community Partners, Inc., (CPI) have collaborated on this project: Partners in Whole Health. Our three-pronged approach is to offer integrated health care services that focus on health and wellness through a Patient-Centered Medical Home (PCMH); help uninsured consumers enroll in Medicaid or obtain private health insurance; and enhance our technological infrastructure to better coordinate care and measure outcomes for continuous quality improvement. Partners in Whole Health targets approximately 11,000 adults, 18 years and older, residing in Pima County, Arizona, living with serious mental illness.

Assurance provides a variety of home-based alternatives to traditional healthcare in the following areas: home-based hospice, skilled nursing, companion care, occupational therapy, physical therapy, speech therapy and substance abuse treatment. In addition, the Assurance Health and Wellness Center combines primary care with traditional mental health services, peer and recovery support, and a variety of wellness programs on topics such as diet, nutrition, healthy eating and cooking, exercise and weight management, and tobacco cessation.

Evidence Based Practices (EBPs) such as Medication Management Therapy, Motivational Interviewing, Cognitive Behavioral Therapy, Seeking Safety, Peer-to-Peer Tobacco Dependence Recovery Program, Self Help Action Plan for Empowerment (InSHAPE) and Whole Heath Action Management (WHAM) will be used in our health and wellness programs, which include diet/nutrition education, fitness classes, medication education, stress management and tobacco cessation.


Grantee: COUNTY OF PIMA
Program: Adult Treatment Court Collaborative
City: TUCSON
State: AZ
Grant Award Number: 5 H79 SM061683-04
Congressional District: 3
FY 2017 Funding: $261,170
Project Period: 2014/09/30 - 2018/09/29

The vision of the Pima County Behavioral Health Treatment Court Collaboration (BHTCC) is to create a dynamic, comprehensive collaborative whose efforts increase the availability of behavioral health services to justice-involved individuals, especially among hard to-engage populations, including Latinos, Native Americans and veterans. The Pima County BHTCC will serve recidivist adult felony offenders with the intent of reducing recidivism. Pima County shares an international border with Mexico and has a high incidence of drug trafficking and drug crimes. The U.S. General Accounting Office (2011) estimates that 50-60% of all illegal drugs entering the U.S. pass through Pima County, and 38% of the nation's illegal drug seizures take place in Pima County. Drug cases represent 28% of all cases prosecuted by the Pima County Attorney's Office, compared with a nationwide average of 10%. According to the Bureau of Justice Statistics (2012), more than 50% of all jail and prison inmates suffer from mental health problems, and 39% of inmates who suffer mental health problems have family histories of drug and/or alcohol abuse (BJS, 2012): the correlation between substance use disorders and mental health disorders is strong and indicates a generational cycle of mental health problems, substance use disorders, and co-occurring mental health and substance use disorders among inmate populations. This BHTCC addresses those problems in Pima County.


Grantee: FAMILY INVOLVEMENT CENTER, INC.
Program: Statewide Family Network Program
City: PHOENIX
State: AZ
Grant Award Number: 5 HR1 SM062126-03
Congressional District: 9
FY 2017 Funding: $95,000
Project Period: 2015/09/30 - 2018/09/29

The Family Involvement Center (FIC) will become the statewide family network organization for the parents of children, youth, and young adults who have serious behavioral and mental health challenges in Arizona. The "Catalysts for Change(CFC) " project, will increase our abilities to further recruit, train, and mobilize diverse parent, youth, and young adults from around the state to provide mutual aid and to participate in state policy boards and advocacy events. FIC will work on the following goals and objectives:
Goal 1: FIC will strengthen our statewide family network infrastructure to annually recruit and train 25 diverse parent and youth leaders and FIC workforce to provide mutual support to one another and/or to participate in local and state policy and system reform boards impacting mental health.
Goal 2: Recruit annually 25 parent/family caregivers, youth, and young adults to participate in state planning and policy boards with 50% being from targeted populations (rural areas, LBGQT, and transition age youth, veterans, and recovery).
Goal 3: Develop and deliver targeted training and technical assistance opportunities that will provide distance learning and face to face training opportunities to increase the skills and capacities annually of 75 parent and youth leaders, FIC and others in the behavioral health workforce.
Cutting edge technology approaches will further develop our abilities to offer webinar and e-learning opportunities statewide; and we will host an annual statewide family network conference.


Grantee: HAVASUPAI TRIBAL COUNCIL
Program: Native Connections
City: SUPAI
State: AZ
Grant Award Number: 5 H79 SM063477-02
Congressional District: 1
FY 2017 Funding: $199,783
Project Period: 2016/09/30 - 2021/09/29

Approximately 640 people live in our remote village, Supai, AZ, located in a slot canyon in the bottom of the Grand Canyon. The Havasupai people are a strong and resilient people, possessing deep cultural and familial roots with our home in the Grand Canyon. Historical injustices and limited educational and economic opportunities have had negative effects on our people. Many have preserved but some have turned to unhealthy coping strategies, abusing drugs and alcohol and attempting and carrying out suicide to block the psycho-social pain and intergenerational trauma. This pain is juxtaposed by the beauty and culture of our community. Substance use and substance abuse-related deaths have been increasing in our community over the past two decades. Prevention services and mental health and behavioral health services are inconsistent and often not available to those who need them. Through this project, we hope to conduct a community needs assessment, community readiness assessment, and create a community resource map to guide intervention development to decrease gaps in substance use and mental health services and increase mental health wellness among the Havasupai people.


Grantee: NATIVE AMERICAN COMMUNITY HEALTH CENTER
Program: CIRCLES OF CARE VII
City: PHOENIX
State: AZ
Grant Award Number: 1 H79 SM080117-01
Congressional District: 7
FY 2017 Funding: $416,530
Project Period: 2017/09/30 - 2020/09/29

Native American Community Health Center, Inc. (NATIVE HEALTH) will collaborate with community partner agencies and individuals to facilitate a program to determine the mental health service needs and initiate a response as appropriate to American Indian children, youth (including young adults) and families residing in Maricopa County, Arizona. The three year project will increase capacity for American Indian & Alaskan Native targeted behavioral health services. The program will also endeavor to improve service provision to be culturally responsive to the unique needs and traditions of American Indians. NATIVE HEALTH will form a Community Advisory Board to assess the county’s gaps for services, resources available and cultural relevance to the local American Indian/Alaska Native population. Urban Indians at present do not have adequate, culturally relevant services available for numerous emotional and psychiatric concerns. Services with cognizance for the special aspects of the American Indian condition including recognition of historical trauma and ongoing oppression continue as limited. The project will address the mental health care at numerous levels including policy reform, infrastructure development and community engagement based upon the system of care principles, and trauma informed care. The project will engage a wide range of American Indians through all aspects of the proposed and required activities. The project will place an emphasis on a community based system that is guided by American Indian families, inclusive of youth perspectives to assure relevance to the American Indian youth experience consciences of cultural and linguistic perspectives. Project Name: NATIVE HEALTH Circles of Care Project Population to be served: The program will target network expansion to serve urban dwelling American Indian/Alaska Native (AI/AN) Children, Youth, Young Adults and affected Families that reside in Maricopa County, Arizona. Maricopa County has a population of approximately 33,265 AI/AN residents that are 25 and younger. Strategies/interventions: The program will assemble an Community Advisory Board, facilitate a Community Needs Assessment relative to behavioral health needs and gaps for services, facilitate a community readiness and resource/asset mapping through key informant interviews and focus groups, facilitate Strategic Planning to address programmatic needs and implement activities to Expand and Culturally Enhance local Behavioral Health Services, utilizing a focus group setting for capacity building and system strengthening. The program will engage youth in assessments for acculturation and development of youth-led media campaign. The media campaign will provide graphic material for the Marketing & Social Media Plan and Campaign. The agency will utilize a community based participatory research methodology in evaluation and system development. The final output of the proposal will be a blue print of a system of care model that includes an implementation plan for feasibility and sustainability. Project Goal: NATIVE HEALTH will design, develop and implement a system of care model that is based on the needs of the community, resulting in the development of a ‘blue print’ for a system of care model that meets the needs of the Maricopa County urban Indian community.


Grantee: NATIVE AMERICANS FOR COMMUNITY ACTION, INC.
Program: State/Tribal Youth Suicide Prevention
City: FLAGSTAFF
State: AZ
Grant Award Number: 5 U79 SM061775-04
Congressional District: 1
FY 2017 Funding: $736,000
Project Period: 2014/09/30 - 2019/09/29

Goal 1: Increase participation in and access to treatment and prevention services for American Indian youth in Northern Arizona.
Goal 2: Provide an evidence-based, culturally sensitive follow-up program through the delivery of the CAST curriculum to youth identified as at-risk in Coconino County and on the Hopi Reservation to youth who screened at-risk through primary care screenings, Juvenile Court Screenings, and the NACA screening program.
Goal 3: Provide early prevention to American Indian youth through leadership development and peer support.
Goal 4: Improve agency capacity throughout Northern Arizona to identify, refer, serve, and follow-up with at risk American Indian youth ages 10 - 24 through the implementation of Zero Suicide Initiatives.
Goal 5: Develop a local surveillance system for Coconino County that includes data around suicide-related deaths, and non-lethal suicide attempts.
These goals will work in conjunction with one another to promote protective factors and reduce the risk for youth suicide. The primary intent of this project is to identify, refer, follow-up and serve American Indian youth ages 10 - 24 years old. Based on existing support, partnerships, and feasibility, this program will focus its efforts on American Indian populations primarily within Coconino County, which includes Navajo Nation communities and the Hopi Tribe, located in Navajo County.


Grantee: NAVAJO NATION DIVISION OF HEALTH
Program: Native Connections
City: WINDOW ROCK
State: AZ
Grant Award Number: 5 H79 SM063490-02
Congressional District: 1
FY 2017 Funding: $200,000
Project Period: 2016/09/30 - 2021/09/29

The Building Communities of Hope Project (BCOH) aims to reduce the prevalence and incidence rates of suicidal behavior and substance use disorders on the Navajo Nation (NN) by primarily focusing on the youth population (ages 10-24). The BCOH promotes self-esteem, culture, and resiliency and is a leadership-initiated project developed to respond to the increasing number of suicides on the NN. Since the inception of the BCOH, members of the Interdisciplinary Team cited service gaps and issues in developing a comprehensive and effective follow-up system because of poor infrastructure, inadequate or no funding, and minimal to non- existent protocols and laws to assist individuals with suicidal behavior. Additional work groups were developed focusing on the following areas.

1) Crisis Response/Postvention Team. This team will develop a standard protocol for responding to crises at all major Navajo communities and engage service providers to comply with the protocols developed.
2) Media Team. This team will work on social media, website development, printing and publishing posters, billboards, and flyers to bring awareness to the entire Navajo Nation.
3) Suicide Surveillance System Team. This team will implement the Navajo Suicide Surveillance Instrument at all communities with crisis response/postvention teams intact.

The BCOH will encounter approximately half of the Navajo youth population in a yearly setting (23,125 youth) through the universal prevention approach. Additionally, the BCOH will focus on the selected prevention approach at the following Navajo agency locations: Eastern, Northern, and Ft. Defiance, with a target of 2,000 youth. Finally, data collected will provide a listing of individuals with suicide attempts and substance use/misuse through an indicated prevention approach. The BCOH will follow-up with 100% of all individuals referred for suicidal behavior to ensure individual and family members receive services.


Grantee: PASCUA YAQUI TRIBE
Program: SOC Expansion and Sustainability Coop
City: TUCSON
State: AZ
Grant Award Number: 5 H79 SM063418-02
Congressional District: 3
FY 2017 Funding: $1,000,000
Project Period: 2016/09/30 - 2020/09/29

The Pascua Yaqui Tribe, through the Health Services' Department Sewa Uusim Program submits this proposal for funding for a System of Care (SOC) Expansion and Sustainability Cooperative Agreement. The Tribal System of Care Project (TSOC) seeks four year funding to serve over 400 SED children and families using the best practice Wraparound in Indian Country model and to expand and enhance SOC principles and interventions tribal wide. Funds will be used to create a self-sustained CARP certified program focused on tribal SOC services. It will also provide the training and resources to assure all tribal services are coordinated, comprehensive holistic and focused and will strive to assure a tribal wide utilization of SOC principles, are trauma informed, culturally relevant and are family driven, child focused. TSOC shares and will achieve the stated goals in the FOA; improve behavioral health outcomes for children and youth (birth-21) with serious emotional disturbances (SED) and their families.


Grantee: PASCUA YAQUI TRIBE
Program: Native Connections
City: TUCSON
State: AZ
Grant Award Number: 5 H79 SM063498-02
Congressional District: 3
FY 2017 Funding: $200,000
Project Period: 2016/09/30 - 2021/09/29

The Pascua Yaqui Tribe through the Health Services' Department Sewa Uusim Program submits this proposal for the Pascua Yaqui Native Connections Project (PYNCP) Cooperative Agreement. PYNCP will utilize funds to provide mental health promotion, community awareness and to a develop a group of youth and adult peer and community facilitators to provide the EB models to create awareness of the issues and resources available to address the factors which result in high risk behaviors for youth 12 to 24. The targeted issues and behaviors include youth who are dealing with trauma, depression, substance use, suicide idealizations. PYNCP will create a community wide media awareness campaign which will result in over 2,000 youth taking part in awareness events and activities. PYNCP will implement Tier One, Universal Prevention Strategies principles and interventions tribal wide. Funds will use SAMHSA, Theory of Change model to create a tribal program focused on cultural prevention services. In year one PYNCP will; work with the GPO and the Tribal Training and Technical Assistance Center to develop a plan to support the tribe's work which will be completed and approved by the GPO by the end of Year 1, which will lay out the plan for years 2-5.Year one will; Conduct a Service Delivery Systems analysis, a Community Needs and Community Readiness Assessment, and create a Community Resource /Asset Map that addresses suicide prevention and substance use and misuse prevention. Year 1 will also: Develop or revise protocols to ensure that youth who are at high risk for suicide, including those who attempt suicide, and use or misuse substances, receive follow-up services to ease their transition into treatment.


Grantee: TOHONO O'ODHAM NATION
Program: Native Connections
City: SELLS
State: AZ
Grant Award Number: 5 H79 SM063433-02
Congressional District: 3
FY 2017 Funding: $200,000
Project Period: 2016/09/30 - 2021/09/29

The Wecij O'odham Namke (Young People's Connections) Program focuses on creating opportunities for suicide and substance abuse prevention programming for the 3,074 youth ages 13-24 years of age living on the Tohono O'odham Nation. The overall goal of the program is to integrate culturally appropriate, sustainable, community-based prevention programming throughout the Tohono O'odham Nation to address the risk and protective factors for suicide and substance abuse. The Program will reduce the impact of mental and substance use disorders and foster culturally responsive models to reduce and respond to the impact of trauma in our communities through a Tier 1 Universal Prevention Approach by integrating mental health promotion, suicide prevention, and substance use prevention into existing programs. In Year 1 the Program will convene a planning group of partners, including representatives of seven existing entities that serve the youth 13-24 years of age, their families, tribal leaders, elders and spiritual advisors. The Program will guide the group through the Strategic Prevention Framework process to complete an actionable, sustainable suicide and substance abuse prevention plan. Planning group strategic activities include: Conducting a Needs Assessment; Conducting Community Readiness Assessments in agencies/communities; Creation of a Community Resource/Asset Map; Identification of gaps; Development of a pilot plan to fill the gaps; Training for partners and community youth and adults in the planning process, prevention and prevention strategies, including Evidence Based and Practice-Based strategies for suicide and substance abuse prevention; Training in suicide intervention and postvention; Training needed for specific program components and curriculum that are identified by the planning group.


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