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MT Discretionary Funding Fiscal Year 2018

Center: SM

Grantee: BLACK FEET TRIBE
Program: Native Connections
City: BROWNING
State: MT
Grant Award Number: 1 H79 SM081572-01
Congressional District: At large
FY 2018 Funding: $248,388
Project Period: 2018/09/30 - 2023/09/29

The "Connecting Our Community with Culture and Hope: A Program for Suicide Prevention and Substance Use Reduction Promoting Mental Health within the Blackfeet Community" project aims to support suicide prevention, substance misuse prevention and mental health promotion within the Blackfeet Nation, Montana. Montana has almost twice the national average of suicide (23.49 vs. 12.97 per 100,000 in 2016, CDC). Suicide is the second leading cause of death for American Indians of all ages in the proposed project area. Our tribal community, The Blackfeet Nation, is located in Glacier County Montana. Glacier County is in the 90th percentile with regards to suicide rates in the nation. Glacier County’s average suicide rate is (25.9 per 100,000) with (38.5 per 100,000) for Native youth aged 15 – 24. Furthermore, for the 25 – 34 age group, this number jumps to (78.4 per 100,000). (MTDPHHS 2012). More specifically, the purpose of this proposal is to: 1) prevent and reduce suicidal behavior and substance use; 2) reduce the impact of trauma, and; 3) promote mental health among Blackfeet young people up to and including age 24. This will be accomplished by: 1) reducing the impact of mental and substance use disorders with culturally responsive models that will reduce and respond to the impact of trauma (both historical and current), and 2) fostering community support for youth and young adults through the facilitation of collaboration among local agencies. Focusing on recovery of Blackfeet ways of life we will disable some of the most pervasive risk factors within this population. With community, Tribal Elders, Veterans, Warrior Society members/mentors, Medicine People, and peers choosing healthy paths we will work to regain cultural identity and healthy role modeling. Positive health and well-being will be fostered by promotion of healthy lifestyle activities informed by tradition yet focused on a vibrant tomorrow. Our main interventions include a community-driven culturally significant Blackfeet Suicide Lifeline, Four Directions Traditional Healing Camps, “People of the Horse” Equine training. We will meet suicide and substance misuse reduction goals by reducing risk factors and blending adapted Evidence-Based Practice (EBP) methodologies relevant to AI/AN populations.


Grantee: BLACK FEET TRIBE
Program: Native Connections
City: BROWNING
State: MT
Grant Award Number: 1 H79 SM081521-01
Congressional District: At large
FY 2018 Funding: $250,000
Project Period: 2018/09/30 - 2023/09/29

The Blackfeet Native Connections project will improve coordination among behavioral health agencies across the Blackfeet Nation in Northwestern Montana to better respond to and care for individuals and families dealing with the issues of suicide, mental health crises, and substance use. The project will improve youth access to mental health care in rural schools and facilitate on-site mental health support during mental health emergencies on the Blackfeet Nation. The population of primary focus for the project will be youth aged 24 years or younger, a demographic represented within Blackfeet at nearly double the national average. The suicide rate among Blackfeet community members is nearly double the national average, and substance misuse in our young adult population is also disproportionately elevated. To address these pressing public health concerns, Blackfeet Native Connections will aim to improve substance use and mental health care coordination and collaboration among youth-serving agencies on the Blackfeet Nation by completing a systems analysis, needs assessment, and resources/asset map for youth behavioral health. Additionally, all youth-serving agencies will adopt standards of care for youth at risk for suicide, procedures for transitioning youth between agencies, a plan to facilitate connection to treatment and follow-up for youth who attempt suicide and use substances and “postvention” protocols for responding to suicides and suicide attempts. To guide this work, a diverse group of local stakeholders—to include behavioral health professionals knowledgeable in evidence-based clinical health practices, community members knowledgeable in traditional and cultural Blackfeet values, and youth from a local youth advisory board—will meet at least quarterly throughout the five-year project to provide guidance on all project activities. Blackfeet Native Connections will also work to reduce the traumatic impact of mental health and substance use disorders on the Blackfeet Nation through culturally responsive interventions aimed at universal prevention as well as selective and indicated intervention strategies. This will be achieved through comprehensive development and implementation of action plans designed to (a) train at least 50 school staff and 200 medical staff in evidence-based behavioral health literacy to improve universal prevention of substance use and mental health crises; (b) identify and offer universal and selected behavioral health services to 250 students in the Heart Butte and East Glacier Park School settings; (c) provide at least 500 youth with indicated mental health care and substance use interventions at the time of a mental health crisis through Mental Health Support Specialists embedded in school and law enforcement settings. This project will serve a total of 1,000 people on the Blackfeet Nation over the five-year period.


Grantee: CONFEDERATED SALISH AND KOOTENAI TRIBES
Program: State/Tribal Youth Suicide Prevention
City: PABLO
State: MT
Grant Award Number: 5 U79 SM061730-05
Congressional District: At large
FY 2018 Funding: $736,000
Project Period: 2014/09/30 - 2019/09/29

Goals: Coordinate suicide prevention activities across multiple sectors and settings; Implement
research-informed outreach and media efforts; Increase knowledge of the factors that offer protection from suicidal behaviors and promote wellness and recovery; Implement programs that prevent suicide and related behaviors; Promote efforts to reduce access to lethal means of suicide; Provide training to community and clinical service providers; Promote suicide prevention as a core component of health care services; Implement effective clinical and professional practices for assessing and treating those identified as at risk for suicidal behaviors; Provide care and support to individuals impacted by suicide and community strategies to prevent further suicides; Evaluate the impact of suicide prevention and intervention activities.


Grantee: CONFEDERATED SALISH AND KOOTENAI TRIBES
Program: Project Launch
City: PABLO
State: MT
Grant Award Number: 5 H79 SM061543-05
Congressional District: At large
FY 2018 Funding: $800,000
Project Period: 2014/09/30 - 2019/09/29

Confederated Salish and Kootenai Tribes (CSKT) Project Launch will provide services to children birth-8 and their families, and pregnant women and their families who are enrolled members of CSKT, descendants, or members of other American Indian/Alaska Native Tribes residing on the Flathead Indian Reservation. Systems Level, Goal One: Tribal and non-Tribal agencies and the community will collaborate to improve service coordination, strategic planning, workforce training, and resource development in the early childhood system of care on the Flathead Indian Reservation. Service Delivery, Goal Two: Evidence Based Practices and mental health and wellness practices, including traditional tribal practices, will be increased and implemented in an array of settings that serve young children and their families.


Grantee: CONFEDERATED SALISH AND KOOTENAI TRIBES
Program: NCTSI III
City: PABLO
State: MT
Grant Award Number: 5 U79 SM063096-03
Congressional District: At large
FY 2018 Funding: $400,000
Project Period: 2016/09/30 - 2021/09/29

The Confederated Salish and Kootenai Tribes Child and Youth Trauma Services Program will improve the quality of trauma treatment and services for children, youth, and their families who experience or witness traumatic events throughout the Flathead Indian Nation. The target population will be American Indian children/youth, aged 3-18, and their families who have experienced trauma and who reside on the Flathead Indian Reservation in Montana. The total number of people to be served over the five year period is 2,100.

The strategies and interventions are as follows: 1) Conduct outreach and other engagement strategies to increase participation in, and access to, trauma treatment and services; 2) Provide direct trauma treatment and services to these children/youth and their families; 3) Provide case management to support the success of these children/youth and their families in achieving program outcomes; 4) Provide trauma-informed training to professionals to develop their expertise in delivering trauma-informed treatment to additional children/youth and their families in service systems throughout the service area; 5) Collaborate with NCTSI - Category II Treatment and Service Adaptation (TSA) centers to develop, advance, or adapt interventions to improve engagement and outcomes for traumatized youth; 6) Collaborate with practitioner organizations and tribal level service administrations to promote policies supporting the implementation of trauma-informed practices and services; 7) Involve the children/youth and families served in program planning, implementation and assessment; 8) Involve partner agencies in program planning, implementation and assessment; 9) Promote SAMHSA's efforts to reduce or eliminate the use of seclusion and restraint practices and ensure that these practices are used only when the safety of the client, other clients, or staff is in jeopardy; and 10) Evaluate the program's impacts.


Grantee: FORT PECK ASSINIBOINE AND SIOUX TRIBES
Program: Native Connections
City: POPLAR
State: MT
Grant Award Number: 1 H79 SM081529-01
Congressional District: At large
FY 2018 Funding: $249,725
Project Period: 2018/09/30 - 2023/09/29

Summary: The Fort Peck Assiniboine and Sioux Tribes Native Connections will implement comprehensive and culturally relevant strategies (outreach, training, life skills, traditional healing practices, equine therapy) designed to prevent and reduce suicidal behavior and substance abuse, reduce the impact of trauma, and promote mental health among American Indian youth on the Fort Peck Indian Reservation. Project Name: Fort Peck Assiniboine and Sioux Tribes (FPT) Native Connections Population to be served: American Indian (AI) youth through the age of 24 years, on the Fort Peck Indian Reservation, who are at risk of suicide or substance use; who have already attempted suicide; or who are using or misusing substances. Strategies/Interventions: Tier One: Community outreach campaign focused on substance abuse prevention, increasing public awareness of suicide, and reducing stigma surrounding behavioral health disorders; and training for providing trauma-informed serves for project staff and partners. Tier Two: Implementation of Tribal youth life skills curricula; and traditional healing practices (e.g. sweats, ceremonies, annual Creator's games). Tier Three: Coordinated referral and follow up care; equine therapy; and other strategies identified during the year one planning process. Goals and Objectives: The goal of the FPT Native Connections is "to prevent and reduce suicidal behavior and substance abuse, reduce the impact of trauma, and promote behavioral health among AI youth on the Fort Peck Indian Reservation." Objective 1: By the end of year one, FPT will conduct one (1) Community System Analysis; one (1) Community Needs Assessment; and one (1) Community Readiness Assessment; and will develop one (1) Community Resource/Asset map focused on addressing suicide prevention, substance abuse prevention, and behavioral health disorders on the Fort Peck Indian Reservation. Objective 2: By the end of year one, FPT will develop one (1) set of community-driven policies and procedures; one (1) set of revised protocols; and one (1) set of postvention protocols designed to address the standards of care for youth at risk of suicide. Objective 3: The FPT will develop (year one) and implement (years two through five) one (1) community-driven Action Plan that will address the three (3) tiers of prevention and intervention strategies: Universal Prevention Strategies, Selective Prevention and Intervention Strategies, and Indicated prevention and Intervention Strategies. Number of People to be served: At least 5,000 (tier one, duplicated count) per year; 7,000 (tier one) over the life of the project; 100 (tier two) per year; 500 (tier two) over the life of the project; 50 (tier three) per year; 250 (tier three) over the life of the project.


Grantee: FORT PECK ASSINIBOINE AND SIOUX TRIBES
Program: CIRCLES OF CARE VII
City: POPLAR
State: MT
Grant Award Number: 5 H79 SM080113-02
Congressional District: At large
FY 2018 Funding: $381,700
Project Period: 2017/09/30 - 2020/09/29

The Spotted Bull Recovery Resource Center (SBRRC) Circles of Care Project will plan and design a holistic, community-based system of care approach designed to support the mental health and wellness of children, youth, and families on the Fort Peck Indian Reservation. Project Name: Spotted Bull Recovery Resource Center Circles of Care Project Population to Be Served: The population to be served by the SBRRC Circles of Care Project will be Native American children, youth, and young adults (ages birth to 25) and their families, on the Fort Peck Indian Reservation. Strategies/interventions, project goals and measurable objectives: SBRRC Circles of Care Project?s goal is ?to plan and design a holistic, community-based system of care approach designed to support the mental health and wellness of children, youth, and families on the Fort Peck Indian Reservation.? To accomplish this goal, the following measurable objectives will be met: Objective 1 - Catalyst for Change: During the project period of September 30, 2017 through September 29, 2020, SBRRC will serve as a catalyst for multi-agency systematic change through local capacity building designed to improve coordinated mental health treatment and wellness services to children, youth, and families on the Fort Peck Indian Reservation. The completion of Objective 1 ? Catalyst for Change will be evidenced by one (1) set of revised policies and procedures, one (1) completed community needs assessment report, one (1) completed community readiness assessment report, one (1) community resource/asset map, one (1) system of care ?blueprint,? six (6) signed MOUs, twenty (20) project and agency staff receiving six (6) capacity building training, project records, sign-in sheets, meeting minutes, and evaluation results. Objective 2 - Community Based Planning ? During the same project period, the SBRRC Circles of Care Project will actively engage at least 405 community members in all aspects of the project including the planning process for overall systemic change and evaluation activities. The completion of Objective 2 ? Community Based Planning will be evidenced by twelve (12) town hall meeting sign-in sheets per year with at least twelve (12) community members attending each meeting, one (1) community-based social marketing plan, nine (9) training sessions held with at least five (5) community members attending, meeting minutes, project records, and evaluation results.


Grantee: LEWIS & CLARK, COUNTY OF
Program: Mental Health Awareness Training
City: HELENA
State: MT
Grant Award Number: 1 H79 SM081391-01
Congressional District: At large
FY 2018 Funding: $125,000
Project Period: 2018/09/30 - 2021/09/29

The Lewis and Clark County Suicide Prevention project aims to reduce suicide in Lewis and Clark County through systematic mental health awareness and crisis de-escalation training that will build the capacity of emergency first-responders, schools, and other target groups to respond safely and appropriately to individuals with severe mental or emotional disorders. Paired with the CONNECT Referral System and the 211 resource line, the project improves access to mental health services to help those individuals enter into recovery. Lewis and Clark County has a population of 67,282 with the majority of residents living in the greater Helena area. The catchment area includes the cities of Helena and East Helena, the only incorporated cities within the county. The populations to be served include middle and high school students of both the Helena and East Helena school districts, those individuals that have interactions with law enforcement, military service members, veterans and their families and caregivers, and community members. Goals of the project are to increase the capacity of Helena and East Helena school districts, law enforcement and first responders, military personnel, medical and mental health providers and parents and community members to identify and respond to county resident’s mental health needs in order to prevent suicide. The measurable objectives are to provide mental health trainings that are best suited to each of the populations. The trainings include: Mental Health First Aid, Youth Mental Health First Aid, Question Persuade Refer, Adverse Childhood Experiences, Psych Armor Military cultural competence, the Columbia Lighthouse screening tool, Means Matter gun lock education, Advanced Suicide Interventions Skills Training and Signs of Suicide. Integrated with current efforts via the Helena SAMHSA Mayor’s Challenge to bolster suicide prevention efforts for service members, veterans, and their families, the training leg of the project will increase military cultural competency among service providers and other target groups while providing lethal means education to help reduce the likelihood of further completions. The annual unduplicated number of people trained is 4,541 with a 3-year project impact of 13,623. These numbers are those that will be trained and the larger impact (reach) will be the entire community.


Grantee: MONTANA PEER NETWORK
Program: Statewide Consumer Network Program
City: LIVINGSTON
State: MT
Grant Award Number: 5 H79 SM062965-03
Congressional District: At large
FY 2018 Funding: $94,899
Project Period: 2016/06/01 - 2019/05/31

The Peer Support & Recovery Enhancement Project is designed to improve the overall quality of mental health services statewide, by training the peer support workforce, educate providers and the general public on recovery practices including trauma informed care and enhance organizational infrastructure by strengthening consumer voice and leadership statewide. This project will serve mental health consumers, veterans, youth, Native Americans, potential peer supporters and professional peer supporters in Montana. The three main activities of this project are (1) to improve the overall quality of mental health services statewide by promoting evidence-based and promising practices by peer supporters that are recovery oriented, culturally aware and trauma informed; (2) to enhance our organizational infrastructure and increase membership to strengthen consumer voice and leadership through the development of community-based affiliates across the state, leveraging existing signature programs such as Healthy Minds Healthy Bodies, Recovery Talks, and Peer Support 101; and (3) to enhance existing partnerships with stakeholders and build new pathways of collaboration with Native American, veteran, and cross disability groups to achieve long term strategic and project goals. The long range vision is a highly trained peer support workforce and Montana's Peer Network positioned as a leader in accessible recovery, support and leadership training.


Grantee: MONTANA STATE DEPT/PUB HLTH & HUMAN SRVS
Program: Zero Suicide
City: HELENA
State: MT
Grant Award Number: 1 H79 SM080368-01
Congressional District: At large
FY 2018 Funding: $700,000
Project Period: 2018/09/30 - 2023/09/29

The Montana Department of Public Health and Human Services (DPHHS) is working with American Indian tribes and urban Indian health providers in our state to implement a Zero Suicide initiative targeted toward tribal and urban Indian communities for adults aged 25 and older. Montana has the highest suicide rate in the nation, and within our state, the American Indian suicide rate is greater than the general population. Our goal is to implement the Zero Suicide model using three tiers of implementation. Tier 1 will involve the implementation of Zero Suicide within two tribal communities wherein the tribe controls the majority of primary care and behavioral health resources. These tribes—the Confederated Salish and Kootenai Tribes, and the Blackfeet Nation—will govern the implementation of Zero Suicide within their delivery systems. Tier 2 will involve the implementation of the Zero Suicide model in communities where the tribes are significant ‘influencers’ of the primary care system, and provide critical behavioral health services and support. As ‘influencers’ these tribal partners will assert influence over the federal Indian Health Service provider systems serving their communities, and provide behavioral health treatment and support for those at risk for suicide. These tribes include Fort Belknap Tribes, Fort Peck Tribes, and the Northern Cheyenne Tribe. Tier 3 will involve the implementation of the Zero Suicide model in smaller urban Indian health organizations (UIHO) that provide limited primary care and critical behavioral health care. Coordination of care will be a major focus for the urban communities. The two urban Indian communities represented in Tier 3 are the Missoula Urban Indian Health Center in Missoula, MT, and the North American Indian Alliance in Butte, MT. Each tier accurately reflects the complexity of implementing a state-wide Zero Suicide model in Indian Country in Montana. Our State has worked with all tribes and urban Indian organizations to understand and implement Zero Suicide strategies—using evidence-based practices and best practices—to capture leadership buy-in, to train the workforce to be competent and confident in providing suicide care, to identify individuals receiving care that are at risk for suicide, to engage those individuals in safety planning or treatment, to transition individuals from treatment to home, and to improve suicide care within their systems as suicide care progresses. The Montana Legislature identified state resources to conduct statewide suicide prevention planning with tribes, and we will conduct a Zero Suicide Academy for 50 health and behavioral health care representatives from the 8 tribes and 5 urban Indian organizations across the state in October 2017. This grant will provide the needed support to fully implement the Zero Suicide model in each partner tribal and urban Indian community.


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