OK Discretionary Funding Fiscal Year 2015

The Cherokee Nation, acting through the tribal Department of Behavioral Health Services, seeks to forge a comprehensive and integrated system of care to advance the delivery of those services, practices, and cultural experiences that promote the wellness of young American Indian children and their families within selected areas (four counties) of the 14-county area of northeastern Oklahoma served by the tribe. This shared vision shall both expand and enhance current efforts and shall provide the foundation for delivering and sustaining effective, efficient, and culturally appropriate services. The Cherokee Nation Finding Hope project shall identify and define the need for services, the gaps between needed and available services, barriers to services, and other problems related to the need to implement wellness activities and services for American Indian children from birth to eight years of age. The project will serve 1,600 American Indian children over the course of the project. The target population is rural non-reservation American Indian children. Goal 1: Improve and expand the existing infrastructure for child wellness services for young American Indian children and their families in four Cherokee Nation counties. Goal 2: Develop a continuum of holistic services.

The Cherokee Nation, acting through the tribal Department of Behavioral Health and Substance Abuse services, seeks to forge a comprehensive, family-driven, youth guided, community-based, and integrated system of care. This system of care shall build upon the progress gained with the Systems of Care Expansion Planning grant to provide the foundation and impetus for delivering and sustaining effective, efficient, and culturally appropriate mental health services to American Indian children, youth, and their families with serious mental health needs who reside within the 14-county area of northeastern Oklahoma served by the tribe.

Choctaw Nation of Oklahoma proposes to implement Tomorrow's Hope, a project that will better integrate the following services: medical, behavioral health, prevention, substance abuse treatment, Jones Academy (residential educational facility), domestic violence, Eastern Oklahoma State College, and law enforcement in an effort to firmly establish new linkages and strengthen a system wide response to suicide prevention/intervention. Tomorrow's Hope proposes to annually: a) train 1,100 youth, service providers and community members in 40 QPR (Question, Persuade, Refer) trainings; b) train 100 medical providers in Emergency Department Means Restriction Education (NREPP Registry, 2014); c) train eighty Choctaw Nation Youth Advisory Board members and Jones Academy students (80) in Coping and Support Training (CAST, age 13 to 24); and d) refer/engage 240 youth and 120 family members per year in 3 to 4 month long outpatient treatment for substance use, mental health or both; offer law enforcement officers and campus police training opportunities related to suicide intervention and QPR. This means that this project will impact, minimally, 8,000 youth, health providers, college students, Jones Academy students, law enforcement and family members during its five-year duration and hopefully, throughout their lives. Services proposed will be based out of the three counties (McCurtain, Pittsburg, and Latimer) that evidence the highest suicide rates. However, because Tomorrow's Hope will build a system wide approach, all 10 1/2 counties served by the Choctaw will benefit as all counties utilize clinic and hospital services. Tomorrow's Hope, will enhance already existing linkages, build new ones, strengthen the net of protection through education, introduce and expand evidence based interventions, utilize EHR to establish a "Community Alert" (a function within the EHR system to notify both medical and behavioral health to a patient's risk for suicide), and reduce access to means.

The purpose of the Pontotoc County Project Aware will certify 10 YMHFA instructors who will train a minimum of 750 youth-serving adults in the community during the project period. There are approximately 5,050 youth, ages 10-19, residing in Pontotoc County. The total population for the county is 37,992. Training 750 of the adults within the county will result in a ratio of one adult First Aider for approximately every seven youth. Project goals will be reached through the following objectives: train 12 YMHFA Instructors in Pontotoc County; maintain 12 YMHFA Instructors in Pontotoc County; train 750 YMH First Aiders in Pontotoc County; increase First Aider ability to identify common youth symptoms by 20%; provide outreach and engagement with youth and families to promote positive behavioral health; provide at least 4 educational engagement opportunities for parents and youth serving adults to increase knowledge of youth issues, warning signs, and resources by the end of each grant year; provide at least 2 educational engagement opportunities for youth to gain a better understanding of mental/behavioral health issues and resources by the end of each grant year; provide 100% of YMH First Aiders trained with resource and referral guide for Pontotoc County throughout grant period; track referrals conducted by YMH First Aiders by collecting log sheets from 75% of YMH First Aiders of each grant year; decrease youth (ages 12-18) depressive symptoms by 5%; develop YMHFA leadership committee of at least 10 individual agency partners from youth-serving sectors; host quarterly meetings of YMHFA leadership committee to address needs, gaps, and progress toward goals; and collaborate with youth serving partners to conduct yearly update of needs assessment.

The Family & Children's Services Child Trauma Center (FCS) will expand access to evidence-based trauma focused treatment to children and families in Tulsa County and the surrounding communities in Northeast Oklahoma who may find it difficult or impossible to participate in traditional in-office treatment. The project will form a team of therapists and a case manager to deliver trauma informed home-based treatments for children ages 0-18. The project proposes a home-based trauma treatment intervention model to ensure access for 225 children ages 0-18 who have experienced trauma, abuse or neglect (30 children served in Year 1 and 75 children served annually in Years 2-4). The following evidence-based treatment interventions will be provided: (1) Parent Child Interaction Therapy (PCIT), (2) Child-Parent Psychotherapy (CPP) or (3) Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).

Grand Lake Mental Health Center's (GLMHC) "Integrative Services Program" seeks to expand its integrated physical and behavioral health services program (one day/week/one clinic) to five days per week at multiple clinics for consumers with serious mental illnesses in NE Oklahoma. It supports SAMHSA's Triple Aim of improving the consumers' health, enhancing their experience of care-quality, access, and reliability, and reducing/ controlling the cost of care. GLMHC provides individual, family and children's mental health and co-occurring substance abuse related services at seven clinics throughout a seven-county area in rural Northeastern Oklahoma.

The major outcomes of the project include: Immediately increase the number of AI youth identified as at risk for suicide; increase the number of youth referred for services; increase the number of youth who receive services; increase the number of youth-serving individuals trained to identify, refer, assess, manage, and treat at risk. The project will serve 3,000 American Indian youth over the course of the project. The target population is rural American Indians age 10-24 who are at risk for suicide or suicide behaviors. Goal 1: To increase the capacity, effectiveness, and efficiency of suicide prevention services for American Indian youth age 10-24 who reside within the area served by the Creek Nation. Goal 2: To reduce the prevalence suicide and suicidal behaviors among the at risk youth populations (10-24) in Creek Nation. Goal 3: To promote systems level change at the tribal level to embrace suicide prevention as a core strategy.

The Muscogee (Creek) Nation seeks to forge a comprehensive and integrated system of care to advance the delivery of those services, practices, and cultural experiences that promote the wellness of young American Indian children and their families within selected areas of the 11- county area of northeastern Oklahoma served by the tribe. This shared vision shall both expand and enhance current efforts and shall provide the foundation for delivering and sustaining effective, efficient, and culturally appropriate services. The Creek Nation Project LAUNCH project shall identify and define the need or services, the gaps between needed and available services, barriers to services, and other problems related to the need to implement wellness activities and services for American Indian children from birth to eight years of age. The project will serve 1,500 American Indian children over the course of the project. The target population is rural non-reservation American Indian children. Goal 1: To structure an endeavor that will ultimately serve to advance the delivery of those services, practices, and cultural experiences that assure the wellness of young American Indian children and their families in six Creek Nation counties. Goal 2: To increase child wellness, promote responsible parenting, and ensure that children are thriving in safe, supportive, and healthy environments within Creek Nation.

The Muscogee (Creek) Nation, acting through the tribal Department of Behavioral Health and Substance Abuse Services, seeks to forge a comprehensive and integrated suicide prevention,substance abuse prevention, and mental health promotion system to detect, prevent, and provide early intervention services to rural non-reservation American Indian youth and emerging adults who reside within the 11-county area of northeastern Oklahoma served by the tribe. This system shall both expand and enhance the current program and shall provide the foundation for creating prevention prepared communities, data-driven management, collaborative partnerships, and delivering and sustaining effective, efficient, and culturally appropriate services. The Creek Nation Ensuring Hope project shall define the need for services, the gaps between needed and available services, barriers to care, and other problems related to the need to implement suicide and substance abuse prevention and early intervention activities for American Indian youth and emerging adults at risk of or currently experiencing issues that may lead to suicide. The project shall involve communities, assess needs, identify organizations, improve coordination, implement evidence-based strategies, and manage youth at risk for suicide within the tribal service area. Further, the Creek Nation shall enlist area communities, tribal members, youth, area child-serving agencies, educational institutions, Creek Nation health facilities, and public schools in the planning, assessment, implementation, and evaluation phases of this project. The result will raise awareness, improve the continuity of care, engage communities, and save lives. The major outcomes of the project include: Immediately increase the number of AI youth identified as at risk for suicide; increase the number of youth referred for services; increase the number of youth who receive services; increase the number of youth-serving people trained to identify youth at risk.

The Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) and key partners in Tulsa and Oklahoma City will add case management staff to the existing Home, Honor and Health for Oklahomans (H3OK) project to provide supported employment and benefits counseling through the CABHI - Tier II enhancements funding opportunity. These enhancements will increase capacity to provide accessible, effective, comprehensive, coordinated/integrated, and evidence based treatment services, permanent supportive housing, peer supports and other recovery supports to: (1) Individuals who experience chronic homelessness and have substance use disorders, serious mental illnesses (SMI) or co-occurring mental and substance use disorders; and/or (2) Veterans who experience homelessness/chronic homelessness and have substance use disorders, SMI or co-occurring mental and substance use disorders. These enhancements to the current H3Ok program will support Oklahoma to create a stronger state level infrastructure and renewed vision shared with the Governor's Interagency Council on Homelessness (GICH) to end homelessness in Oklahoma. The addition of SOAR and supported employment training will allow the case managers on the CABHI team to work concurrently with consumers to attain housing, supportive services, employment and/or benefits in an integrated team approach. The goal is to serve 150 persons annually and during the course of this two year grant cycle to serve a total of 300 persons. The Dartmouth IPS Supported Employment Center will be the agency providing training and consultation to the staff using the Individual Placement and Supports (IPS) model of supported employment. SOAR training will be provided to the H3OK staff by the state lead for SOAR as well as a SOAR trainer with the Department of Rehabilitative Services, Disability Determination Division.