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OK Discretionary Funding Fiscal Year 2023

Center: FG

Grantee: CHOCTAW NATION OF OKLAHOMA
Program: FY 2023 Support for 988 Tribal Response Cooperative Agreements
City: DURANT
State: OK
Grant Award Number: 1 H79 FG001301-01
Congressional District: 2
FY 2023 Funding: $1,800,000
Project Period: 2023/09/30 - 2026/09/29

The Choctaw Nation of Oklahoma (CNO) proposes improving response to 988 contacts from Native Americans living within the CNO reservation. According to the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS), total call volume has more than doubled since the July launch of Oklahoma's 988 crisis line. ODMHSAS provided data to CNO that 1,565 Native Americans living within the CNO reservation received crisis service (crisis center, service, mobile crisis, or UMC). Current service gaps addressed with this funding include: 1) strengthening CNO, ODMHSAS, local crisis units, and 988-operator Salari collaborations, 2) Continuing to ensure that the 988 staff receive culturally relevant training. 3) increasing mental health professional resources for mental health services, mobile crisis response, and case management, 4) Maintaining and expanding upon the CNO warm line for 988 transfers and follow-up to improve crisis response for Native Americans living within the CNO reservation, and 5) ensure a comprehensive and coordinated response to Adults and Youth at imminent risk for suicide and/or other mental health crisis.


Grantee: COMANCHE NATION
Program: FY 2023 Support for 988 Tribal Response Cooperative Agreements
City: Lawton
State: OK
Grant Award Number: 1 H79 FG001297-01
Congressional District: 4
FY 2023 Funding: $828,986
Project Period: 2023/09/30 - 2026/09/29

The Comanche Nation is a federally recognized tribe located in Comanche County, Oklahoma. The impact of historical and intergenerational trauma has created cycles of mental health problems, addiction, poverty, and crime has led to a complete breakdown of individual and family relationships extending across generations within our tribal community. Lack of access to culturally-competent and responsive care has had a devastating impact on the mental health stability of American Indian and Alaskan Natives (AI/AN) within our community. With this funding, the Comanche Nation will collaborate with local 988 crisis centers to improve the quality of response, care, and follow-up for tribal youth, teens, and young adults experiencing mental health crises and utilizing 988/lifeline call centers. The overarching program goals are to ensure culturally-responsive services, improve access to care, and improve effective 988 response and follow-up for AI/AN youth, teen, young adults and their respective family systems. The Comanche Nation will implement a mobile crisis program to provide crisis intervention, stabilization, and management to tribal youth, teen, and young adults callers utilizing 988/lifeline systems. We will also work to identify and analyze local data sources in an effort to provide community education addressing suicide awareness, education, and prevention within the local and surrounding communities. Collaborative community partnerships with local area schools and service providers will be sought out and developed in order for the Comanche Nation to effectively engage within the community. Training for key stakeholders and community partners will be provided in an effort to identify and refer AI/AN youth, teens, and young adults who are experiencing mental health crises. Funding for Comanche Nation FY 2023 988 Tribal Response Project will provide the Comanche Nation the ability to provide mental health services and continue the healing process from the effects historical and intergenerational trauma.


Grantee: IOWA TRIBE OF OKLAHOMA, INC.
Program: FY 2023 Support for 988 Tribal Response Cooperative Agreements
City: PERKINS
State: OK
Grant Award Number: 1 H79 FG001295-01
Congressional District: 5
FY 2023 Funding: $1,055,051
Project Period: 2023/09/30 - 2026/09/29

Through the Tribal 988 Response funding, the Iowa Tribe of Oklahoma, Perkins Family Clinic will work with State 988 Crisis Response teams to increase cultural competency for Crisis Call center staff and provide resources for Native American individuals who contact the 988 Hotline that include traditional and cultural services provided in the state. PFC-BH will increase clinical staff by hiring a licensed mental health professional who will offer same day or next business day appointments for individuals who do not meet criteria for entering a crisis or urgent care behavioral health center. Key personnel will provide in school counseling services to reduce the barriers for seeking mental health services as well as provide suicide prevention curriculum in the school setting. Providing a systems advocate will also improve follow up and warm handoffs for individuals who seek resources and referral from the 988 Crisis Line. By increasing project staff, PFC-BH will increase mental health awareness, suicide prevention and improve advocacy and referral for individuals and families working through mental health complications. The Iowa Tribe of Oklahoma, Perkins Family Clinic Behavioral Health, continues to grow and service the rural communities of Lincoln, Logan and Payne Counties in Oklahoma with medical, dental, behavioral health and substance use treatment to Iowa Tribal Members, clients with any Tribal affiliation and non-Native clients. Perkins Family Clinic and Perkins Family Clinic Behavioral Health have worked to improve capacity and increase integrated medical and behavioral health and substance use services since 2018. PFC-BH has increased capacity for individual, family and group counseling, peer recovery support services, case management, mediation assisted treatment, 12 Step and Wellbriety groups, and Positive Indian Parenting groups over the past two years. Throughout the life of the grant, key personnel will train 62 individuals who are working at the State 988 Crisis Call center in Motivational Interviewing, cultural competency, and address the gap in mental health and substance use services provided to Native American individuals in Payne, Lincoln, and Logan Counties in Oklahoma.


Grantee: OKLAHOMA DEPT OF MENTAL HLTH/SUBS ABUSE
Program: FY 2023 Cooperative Agreements for States and Territories to Improve Local 988 Capacity
City: OKLAHOMA CITY
State: OK
Grant Award Number: 1 H79 FG001211-01
Congressional District: 3
FY 2023 Funding: $2,322,888
Project Period: 2023/09/30 - 2026/09/29

The Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) is seeking $2,246,946 to expand the local 988 capacity through the Oklahoma Comprehensive Crisis Response (OCCR) program. This additional funding will provide Oklahomans with greater access to mental health crisis services when needed and create a single statewide call system for emergency services. The plan emphasizes a full continuum of crisis services, from providing immediate help to those in need to link different crisis resources for the most appropriate housing option along the continuum of care. ODMHSAS will also create crisis coordination toolkits to support law enforcement, jails, courts, private hospitals, private practitioners, and other related organizations with step-by-step processes for responding to mental health crises. We target these investments to decrease the risk of suicide, homelessness, mental health issues, and providing robust support for the recovery process. ODMHSAS has outlined five goals to build the state capacity to provide comprehensive services to those in need. The goals supplement the funding already put into place. The five goals are: (1) Coordinating housing placement for those leaving crisis, local hospital, and outpatient services; (2) Increasing housing and transition support for people leaving inpatient and crisis facilities; (3) Strengthening statewide crisis staffing knowledge and skills; (4) Developing crisis coordination toolkits; and (5) Providing outreach to 988 callers not engaging in treatment services. Objectives include expand the full housing continuum to improve the quality of life of individuals admitted to or discharged from mental health facility; establish processes and rates to provide supportive services such as job training, education, and counseling to encourage community integration and reduce homelessness by at least 50%. Integrate three current SAMHSA TTI projects targeting crisis workforce capacity and increase behavioral health crisis and outreach capacity with Oklahoma City Police Department, Oklahoma Sheriffs Office, Oklahoma City and Tulsa 911 PSAPS, courts, private hospitals, and private practitioners. Improve the outreach and access of frequent 988 callers and transportation vendor users to treatment services offered by mobile crisis teams.


Grantee: PEORIA TRIBE OF INDIANS OF OKLAHOMA
Program: FY 2023 Support for 988 Tribal Response Cooperative Agreements
City: MIAMI
State: OK
Grant Award Number: 1 H79 FG001308-01
Congressional District: 2
FY 2023 Funding: $1,410,304
Project Period: 2023/10/01 - 2026/08/31

The Peoria Crisis Response Program will serve tribal citizens across Ottawa County, Oklahoma. Administered through the Peoria Tribe of Indians of Oklahoma, the grant will help grow regional partnerships to provide increased access to community-based resources for suicide prevention and substance use disorders and overdose prevention education. Regionally, there has been an increase in suicides and substance misuse coupled with low treatment rates which highlights the need for increased awareness of the 988 Lifeline in Oklahoma. The purpose of the project is to educate and equip the community and healthcare practitioners how best to respond to suicide and substance misuse by increasing regional knowledge of 988 and access to treatment, raising awareness of existing resources, and encouraging sustainable, trauma-informed recovery networks and referral processes. The proposed multi-year program will be heavily informed by strategic partnerships and engagement with behavioral health partners which will be imperative to its success and sustainability. For the duration of the grant, staff will work closely with the evaluation team to gather data, evaluate efficacy of trainings, and provide reports to illustrate impact and utilize the Process Improvement Model to ensure metrics are being met.


Grantee: SAC AND FOX NATION
Program: FY 2023 Support for 988 Tribal Response Cooperative Agreements
City: STROUD
State: OK
Grant Award Number: 1 H79 FG001289-01
Congressional District: 5
FY 2023 Funding: $843,401
Project Period: 2023/09/30 - 2026/09/29

Abstract: Sac and Fox 988 initiative The Sac and Fox Nation will support the 988 Suicide and Crisis Lifeline in Lincoln, Payne and Pottawatomie counties in central Oklahoma. The three-county area contains 26,000 Native persons from over ten Tribal Nations who are at high risk of suicide, depression and substance use. We will increase the number of Indigenous callers to the Lifeline, facilitate partnerships with local health organizations, and implement culturally appropriate suicide prevention strategies. Our project works with the Sac and Fox Tribe and its partners in the three-county area of central Oklahoma just east of Oklahoma city. The 988 project will provide a suicide and mental health specific Lifeline to Native callers. The new system offers callers a choice to select a counselor who is a Native person and has the life experience of what it means to be Native. National, state and local data highlight two populations where Native suicide disparities are particularly severe: the first is Native Males 15-30, the second are Natives who are LGBTQ in their sexual orientation. Suicide disparities are particularly severe among both groups. Native males between the ages of 15 and 30 have more than double the rate of suicide of Whites of the same age group. Data about the LGBTQ population has been obtained by the US Census in their Pulse Survey. It indicates that LGBTQ individuals are: • 8.4 times more likely to report having attempted suicide, • 5.9 times more likely to report high levels of depression; and, • 3.4 times more likely to use illegal drugs, The Sac and Fox Nation is joined in this effort by two Indigenous organizations working in the Central Oklahoma area: namely, the Association of American Indian Physicians (AAIP) and the National Indian Education Association (NIEA). NIEA funds numerous programs throughout the nation and will provide its message of the importance of Native mental and spiritual wellness to schools, vocational centers and colleges in our Tribal Jurisdiction. AAIP funds scholarships for Native youth who wish to pursue biomedical careers and it convenes a yearly Cross Cultural Workshop that examines cultural influences in different societies. Both NIEA and AAIP will reach different sectors of Indigenous society. Individuals needing additional counseling or hospitalization will be referred to local mental health and substance abuse treatment centers. Native persons who request Native counselors will be offered culture classes to instill knowledge and pride of being Native. We will offer at least two major cultural events about Native history each year. These events will be the Gathering Of Native Americans and the Blanket Exercise. At this time most help calls from potential suicides are received by 911 dispatch centers, most of which are housed in County Sheriff’s offices. All current 911 personnel will be trained in the need for and the advantages of the 988 Lifeline over other help centers. Our work will also identify persons who are in crisis and will need a Crisis Intervention Team to perform an intervention. All information given to 988 calls are strictly confidential. We estimate we will receive over 150 new callers each year (450 over the 3 year project) and that over 10% (45 persons over the 3 year project) will be referred to further services as a result of this grant.


Grantee: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
Program: FY 2023 Congressional Directive Spending Projects
City: OKLAHOMA CITY
State: OK
Grant Award Number: 1 H79 FG001034-01
Congressional District: 5
FY 2023 Funding: $1,776,627
Project Period: 2023/09/30 - 2024/09/29

This funding request seeks to provide Nonviolent Crisis Intervention Training and Facility-Specific Safety and Security Training for staff recruited for the Oklahoma Children’s Hospital Behavioral Health Center and Emergency Department expansion. This program will include 24 hours of training per staff member (370 FTEs) including 16 hours of Nonviolent Crisis Intervention (or similar) training and 8 hours of facility-specific security and safety training. The funding request also seeks funding for an NCI (or similar) “Train the Trainer” program that will allow for internal training programs, and a lead Security Educator position to manage this program. This funding request will cover the first four years of training in the facility as we onboard new staff members and services upon completion of construction.


Grantee: WICHITA & AFFILIATED TRIBES
Program: FY 2023 Support for 988 Tribal Response Cooperative Agreements
City: ANADARKO
State: OK
Grant Award Number: 1 H79 FG001296-01
Congressional District: 3
FY 2023 Funding: $824,118
Project Period: 2023/09/30 - 2026/09/29

The Wichita and Affiliated Tribes, a federally recognized Indian Tribe in SW Oklahoma, proposes to assist all the Native people of the Indian Health Services Lawton Service area through the 988 Tribal Response Cooperative for the Crisis Lifeline for three (3) years. At this time, suicide, particularly among young male Natives has reached near epidemic levels. The grant will help provide expanded services through the development of a mobile crisis unit to help supplement early identification of suicide risk and culturally appropriate help to all Natives of any Tribe. The Lawton Service Area is slightly larger than that of the state of New Jersey and comprises ten counties of over 9,000 square miles. There are approximately 26,000 Native people within the ten-county service area. Seven (7) Tribal Nations have their headquarters within the Lawton Service Area (Apache Tribe of Oklahoma, Caddo, Comanche, Delaware, Kiowa, Wichita and Affiliated and Fort Sill Apache. The Native population has poverty rates greater than Whites in seven of ten counties and many Native people are without health insurance. About 50% of the population is female. Natives in Oklahoma have higher rates of suicide than any race and Native males age 15-34 have approximately four times the rate of suicide as females and almost double the rate of their White male counterparts. The CDC reports that Native suicide of both males and females had greater increases during the first year of Covid 19 compared to all other races. In reality, suicide among our Native people is actually much higher than is reported as studies by the Southern Plains Tribal Health Board have shown that about 30% of Native suicides are unreported, likely due to stigma. In less than a year, the 988 Crisis Lifeline has had excellent results. Callers to the 988 Crisis Lifeline have much shorter wait times which allows more persons to be served with the addition of a mobile crisis unit. The Wichita and Affiliated will initially expand upon the screening of all Natives within the service areas and workplaces and continue to train teachers and staff on interventions. The project will provide culturally appropriate training to behavioral health professionals throughout the service area. To date, the most widely used interventions include: Asist, safeTALK, and Mental Health First Aid. The grant will also explore innovative ways of calling 988 including on line chats and phone to phone texting. The grant has four broad goals and seventeen measurable Objectives. Approximately 150 stakeholders per year will receive face to face trainings and over 8,000 Natives each year will be reached through Tribal Newsletters, social media, earned media and radio and TV. Over 350 stakeholders (including 988 personnel) and approximately 15,000 Native will be reached in the two-year project.


Center: SM

Grantee: ABSENTEE SHAWNEE TRIBE OF OKLAHOMA
Program: FY 2023 Tribal Behavioral Health
City: SHAWNEE
State: OK
Grant Award Number: 1 H79 SM088742-01
Congressional District: 5
FY 2023 Funding: $250,000
Project Period: 2023/09/30 - 2028/09/29

Abstract The Absentee Shawnee Tribe (AST) understands and recognizes the issues plaguing AI/AN youth regarding suicide, mental health illness, and substance abuse. Our tribal catchment area may be vast. However, through coalitions and partnerships, AST can begin to address these detrimental issues. Our Native Youth are imperative to the sustainability of many tribal entities. They are the future and the AST tribe has an obligation to ensure that future will be a positive one.


Grantee: CENTER FOR HOUSING SOLUTIONS, INC., THE
Program: Treatment for Individuals with Serious Mental Illness, Serious Emotional Disturbance, or Co-Occurring Disorders Experiencing Homelessness
City: TULSA
State: OK
Grant Award Number: 1 H79 SM088655-01
Congressional District: 1
FY 2023 Funding: $500,000
Project Period: 2023/09/30 - 2028/09/29

The Center for Housing Solutions, Inc. and key partners in Tulsa, Oklahoma will implement a multi-disciplinary, integrated care team to serve vulnerable households experiencing unsheltered homelessness in Tulsa County. The proposed project will provide comprehensive, coordinated and evidenced-based services for individuals, youth, and families with a serious mental illness (SMI), serious emotional disturbance (SED) or co-occurring disorder (COD) who are experiencing homelessness or at imminent risk of homelessness. Engaging the most underserved, hardest-to-reach individuals residing in unsheltered locations and using assertive outreach, this project aims to reduce racial and ethnic disparities and increase equitable outcomes at the program and system levels. Working to make homelessness rare, brief, and non-recurring, this project will provide services to at least 290 individuals over 5 years providing access to needed services and obtain housing. Annually, this project will serve 50 individuals in the first year, then 60 each year after. Strategies and Intervention are as follows: This program, led by Housing Solutions in coordination with Grand Mental Health, adheres to a Housing First model and partners with Coordinated Entry to house the most vulnerable individuals by reducing barriers and providing housing navigation services. Recovery support services will be offered using a person-centered and strengths-based approach by identifying areas of need as a part of developing the Plan of Care with the program team and the client. Other approaches we will use include Integrated Dual Disorder Treatment, Assertive Outreach, and Motivational Interviewing. Project Goals and Measurable Objectives: (Goal 1) Reduce length of homelessness for individuals with SMI, SUD, and/or COD through assertive outreach and engaging people in recovery services through a harm reduction and housing first approach using a multi-disciplinary team. Program participants will have the opportunity to engage in recovery services through program enrollment to support obtaining permanent housing and remaining in stable, permanent housing. Objective A. 290 unduplicated persons are enrolled in the program in HMIS over the 5- year operating period as a result of being outreached in unsheltered locations and engaged in recovery services for SMI, SYD, and/or COD. (Plan of Care established). Objective B. 100% of participants have completed an assessment through the local Coordinated Entry System within 1 month of enrollment in Street Outreach services (HMIS report). (Goal 2) Participants will increase their income by obtaining mainstream benefits from program entry through Street Outreach and SSI/SSDI through SOAR services. Objective A. 50% of enrolled clients will demonstrate an increase in income through Mainstream Benefits (SSI/SSDI) 12 months after program entry. Objective B. 60% of participants demonstrated an increase in total income (earned and non-employment) from program entry to annual assessment. This information will be collected by program staff at program entry and during interim assessments at 6-month intervals. (Goal 3) Reduce the length of homelessness for individuals with SMI, SUD, and/or COD through assertive outreach and engaging people in recovery services through supportive housing navigation and housing stability education. Objective A. 60% of program participants will be navigated into temporary or permanent housing destinations or exited the program to a Permanent Housing Destination over the 5-year operating period. Note: deaths are excluded from calculations. Objective B. 50% of program participants will be enrolled in SMI/SUD related services and/or peer support recovery services over the 5-year operating period.


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