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OK Discretionary Funding Fiscal Year 2021

Center: FG

Grantee: ABSENTEE SHAWNEE TRIBE OF OKLAHOMA
Program: Emergency COVID-19
City: SHAWNEE
State: OK
Grant Award Number: 1 H79 FG000663-01
Congressional District: 5
FY 2021 Funding: $1,086,266
Project Period: 2021/02/01 - 2022/05/31

Grantee: CENTRAL OKLAHOMA AMER INDIAN HLTH CNCL
Program: Emergency COVID-19
City: OKLAHOMA CITY
State: OK
Grant Award Number: 1 H79 FG000639-01
Congressional District: 5
FY 2021 Funding: $1,086,267
Project Period: 2021/02/01 - 2022/05/31

Grantee: CENTRAL OKLAHOMA AMER INDIAN HLTH CNCL
Program: COVID-19 Emergency Response for Suicide Prevention
City: OKLAHOMA CITY
State: OK
Grant Award Number: 1 H79 FG000525-01
Congressional District: 5
FY 2021 Funding: $605,136
Project Period: 2020/06/30 - 2021/10/29

The Central Oklahoma American Indian (AI) Health Center, Inc., doing business as Oklahoma City Indian Clinic (OKCIC) is the nation’s largest urban Indian clinic, with more than 20,000 active patients. The population of focus is AIs age 25+. The geographic focus is central Oklahoma (OK). According to the US Census, nearly 100,000 AIs live in this area. OK has the second-largest concentration of AIs in the nation, with nine percent identifying as AIs (compared to one percent nationally). Like AIs nationally, they face serious challenges, including the highest suicide rate of any race or ethnicity. OKCIC proposes this COVID-19 ERSP project to improve its capacity to help reduce the number of suicides among AI adults in central Oklahoma. This grant funding will allow OKCIC to improve follow-up for AIs being discharged after a suicidal crisis, ensuring they transition immediately into a coordinated care program that is culturally appropriate and based on evidence-based practices. OKCIC will establish protocols for follow-up and care transition to ensure patient safety, especially among high risk adults who have attempted suicide, experienced a suicidal crisis, have a severe mental illness or substance abuse disorder. As a respected medical home model in the central Oklahoma community, with extensive expertise in caring for the AI community, OKCIC will provide training to community and clinical service providers that serve adults at risk of suicide. OKCIC will utilize the skills of a Ph.D.-level health professional to serve as a liaison between OKCIC and community systems to increase collaborations in the community related to suicide prevention. This grant will also allow OKCIC to increase and improve suicide screening, assessment and treatment services within the Clinic, including outpatient services, intensive outpatient services, referral to residential care, group therapy and family services. OKCIC staff will provide community recovery supports to both adults who are at risk for suicide and their household members. Services will be available both onsite at the OKCIC clinic and through expanded telehealth services. A key component of this grant program will be the expansion and enhancement for victims of domestic violence and dependents, including a safe place to stay if needed. OKCIC will also provide patients with an assessment of their eligibility for benefits coverage and provide technical assistance to apply for any coverage for which they may be eligible. All programs will focus on using evidence-based practices and progress will be monitored by both OKCIC leadership and an on-staff epidemiologist as well as oversight of the finances by the Department of Finance. OKCIC has the capacity and experience to successfully manage this grant and measure its impact.


Grantee: CHEROKEE NATION
Program: Emergency COVID-19
City: TAHLEQUAH
State: OK
Grant Award Number: 1 H79 FG000723-01
Congressional District: 2
FY 2021 Funding: $1,086,266
Project Period: 2021/02/01 - 2022/05/31

Grantee: CHICKASAW NATION
Program: Emergency COVID-19
City: ADA
State: OK
Grant Award Number: 1 H79 FG000701-01
Congressional District: 4
FY 2021 Funding: $1,053,161
Project Period: 2021/02/01 - 2022/05/31

Grantee: CHOCTAW NATION OF OKLAHOMA
Program: Emergency COVID-19
City: DURANT
State: OK
Grant Award Number: 1 H79 FG000648-01
Congressional District: 2
FY 2021 Funding: $1,086,267
Project Period: 2021/02/01 - 2022/05/31

Grantee: CHOCTAW NATION OF OKLAHOMA
Program: COVID-19 Emergency Response for Suicide Prevention
City: DURANT
State: OK
Grant Award Number: 1 H79 FG000516-01
Congressional District: 2
FY 2021 Funding: $799,999
Project Period: 2020/06/30 - 2021/06/29

Given the current COVID-19 crisis and the potential of mental health challenges and suicide that comes with isolation, the Choctaw Nation of Oklahoma (CNO) proposes to launch Project Native Strong, an effort to deliver immediate action by providing evidence based efforts to address the mental health needs of Natives adversely impacted by COVID-19 and who reside within the tribal boundaries of the CNO and who make up the target population. The CNO catchment area is comprised of 10 ½ counties in southeastern Oklahoma, it is bordered by Arkansas to the east and Texas to the south. Due to the elevated rates of diabetes, asthma, cardiovascular disease, kidney and liver issues among Native Americans, it is widely accepted that Natives are at a higher risk for fatality if they acquire the COVID-19 virus. With the rates of the virus rising daily and Oklahoma ranking 47th in all states testing for the virus, it is difficult to determine the number of patients that will be encountered. CNO anticipates serving as few as 50 and as many as 200+ positive for COVID-19 and as many as 400 unduplicated patients for mental health or substance use issues. In addition, Native Strong will provide all federally recognized tribes within the State of Oklahoma educational opportunities to benefit the mental health of their tribal members. The proposed activities include launching an opportunity for tribes to participate in the transformative work of the Zero Suicide (ZS) framework. The Choctaw and Chickasaw Nations participated in past Zero Suicide Academies and CNO will utilize COVID-19 Emergency funds to share this educational opportunity with other tribes within the State of Oklahoma. A Licensed Mental Health Professional (LMHP) will be positioned in the Emergency Department to work alongside doctors and nurses to address the increased mental illness concerns related to COVID-19. By increasing access, screening, intervention, immediate appointments and referral at this critical location, patient outcomes related to depression, anxiety, suicide intervention, and other mental health issues are expected to improve. The LMHP will also conduct tele-health behavioral health sessions. Screening and assessment efforts will be increased throughout all CNO clinics to determine the presence of mental and domestic violence issues and appropriate care plans will be established. Training and resources will be provided to community members who are survivors of suicide or have lived experience to train them to facilitate support groups throughout the state of Oklahoma. The established CNO Zero Suicide Initiative will expand by incorporating State and Tribal Law Enforcement, Child Welfare Services, Domestic Violence Advocates, and other community partners and provide them with education for safety planning, means safety, and non-demand caring contacts. Partnerships with domestic violence shelters throughout the CNO will be established so that the shelters can expand their capacities to meet victim needs. Education on the support of survivors of domestic violence will be provided throughout the state for tribes and their partners. A focused Training of Trainers will be provided to CNO staff/partners to further address domestic violence victim needs throughout the CNO.


Grantee: EASTERN SHAWNEE TRIBE OF OKLAHOMA
Program: Emergency COVID-19
City: WYANDOTTE
State: OK
Grant Award Number: 1 H79 FG000188-01
Congressional District: 2
FY 2021 Funding: $215,874
Project Period: 2021/02/01 - 2022/05/31

The Eastern Shawnee Tribe of Oklahoma (ESTO) is located in the far northeastern corner of Oklahoma in Ottawa county near the rural town of Wyandotte. Major towns or cities near our tribal headquarters include Joplin, Missouri (30 miles) and Tulsa, Oklahoma (90 miles). The population focus and geographic catchment area impacted for this project is Native Americans and community members within a 50-mile radius of our tribal headquarters near Wyandotte, OK. Based upon local data and first-hand experience from Del Camp, chief clinical officer with Ozark Center, the behavioral health branch of Freeman Health System in Joplin, there is a locally identified need towards preventing and reducing mental health and substance use, reducing the impact of trauma, and promoting good mental health. The need for our proposed project stems from evidence from the COVID-19 pandemic that substance abuse and mental health is on the rise. This has been identified as a behavioral health and public safety problem in our tribal community and far reaching service area within a 50-mile radius through various community meetings, interviews, and statistics. With the COVID-19 pandemic and a poor rural community that we live in, self isolation has caused the increase of substance abuse and poor mental health. As the coronavirus outbreak continues, Americans everywhere are struggling with their mental health. According to a national poll released in March 2020 by the American Psychiatric Association, nearly half of Americans are anxious about the possibility of contracting the coronavirus. Nearly 4 in 10 are anxious about becoming seriously ill or dying of COVID-19, the disease caused by the coronavirus, and roughly 62% are anxious about the possibility of family and loved ones getting the coronavirus. In March 2020 more than one-third of Americans say the coronavirus is seriously affecting their mental health. In April that statistic increased to more than one half of Americans expressed concern for their mental health and it is escalating daily. “During this time, it is important to do what we can to maintain self-care and manage the stress," the association's president, Bruce Schwartz, said in a statement. Maintaining mental health in the midst of the pandemic is a struggle. Funding of this grand would provide professional resources to help both children and adults to develop positive coping skills. ESTO routinely deals with a high amount of substance abuse. Tammy Gibson of our Indian Child Welfare department states that all but one of her many cases involve substance abuse. We fear that with the high amount of substance abuse the increase of suicide will happen. With this funding ESTO will be able to help individuals during this COVID-19 pandemic, to have a positive mental health and to fight substance abuse.


Grantee: KEETOOWAH ECONOMIC DEVELOPMENT AUTHORITY
Program: Emergency COVID-19
City: TAHLEQUAH
State: OK
Grant Award Number: 1 H79 FG000665-01
Congressional District: 2
FY 2021 Funding: $1,086,266
Project Period: 2021/02/01 - 2022/05/31

Grantee: KEETOOWAH ECONOMIC DEVELOPMENT AUTHORITY
Program: COVID-19 Emergency Response for Suicide Prevention
City: TAHLEQUAH
State: OK
Grant Award Number: 1 H79 FG000365-01
Congressional District: 2
FY 2021 Funding: $800,000
Project Period: 2020/06/30 - 2021/10/29

The United Keetoowah Band of the Cherokee Indians in Oklahoma (UKB), a federally recognized American Indian (AI) tribe, seeks to fashion a comprehensive, integrated, and trauma-informed suicide and domestic violence prevention and mental health promotion system to detect, prevent, and provide early intervention services to rural non-reservation American Indians age 25 and older who reside within the area of northeastern Oklahoma served by the tribe. This system shall both expand and enhance the current initiatives to combat CV19 consequences and shall provide the foundation for creating prevention prepared communities, data-driven management, meaningful partnerships, and delivering and sustaining effective, efficient, and culturally appropriate suicide and domestic violence prevention services.


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