SD Discretionary Funding Fiscal Year 2023

Oglala Lakota Housing Authority/ Nisnala Sni, Yelo (You Are Not Alone) 5/13/23 Native Connections 2023 SAMHSA (NOFO) No. SM-23-021 1 Project Name: Nisnala Sni, Yelo (Neesh nah' lah Shnee Yeh lo') means "you are not alone" Summary: Nisnala Sni, Yelo (You Are Not Alone) will provide a data, coordination and planning infrastructure and implement prevention, intervention and postvention activities to combat suicide, substance abuse and mental health issues among youth between 10 and 24 on the Pine Ridge Indian Reservation (a Promise Zone). Populations to Be Served: The population to be served are youth from 10-24 including Two Spirit/LGBTQI+ who are in need of services on the Pine Ridge Indian Reservation focusing on Pine Ridge Village and Wounded Knee District. Goals The Goal of Nisnala Sni’ Yelo (You Are Not Alone) will be to provide a data, coordination, and planning infrastructure, implement prevention, intervention and postvention activities to combat suicide, substance abuse and mental health issues among youth between 10 and 24 on the Pine Ridge Indian Reservation (a Promise Zone). Objective 1 The Nisnala Sni, Yelo Project will modify, update, and implement existing data, coordination, and planning infrastructure by the end of the first year of the grant. Strategies/Activities: Develop a Community Needs Assessment within 4 months. Develop a Community Readiness Assessment within 6 months. Develop a Tribal Strategic Action Plan within 9 months including public health model multi-tiered approach. Implement effective, culturally appropriate intervention strategies. Develop policies and procedures to promote coordination among youth serving agencies. Develop or revise protocols to ensure that youth, emphasis on Two Spirit/LGBTQI+, who are at high risk for suicide, including those who attempt suicide and use substances, receive follow- up services. Update existing and create new protocols for responding to suicides, suicide attempts, or clusters. Protocols will be designed to promote community healing and reduce the possibility of contagion, these “postvention” protocols will reflect the traditions and culture of the tribe or tribal organization. Objective 2 Implement prevention activities to reach youth in the nine districts with an emphasis on Wounded Knee District and Pine Ridge Village. Strategies and Objectives. Establish and maintain a youth advisory board and include Two-Spirit youth. Ensure the involvement of community members in decisions regarding project activities. Produce PSA’s/educational carts to air on KILI radio and KOLC-TV Establish a presence on social media and internet. Hold youth meetings in the targeted districts. Objective 3 Develop and implement intervention and postvention procedures targeting high risk youth ages 10-24 residing on the Pine Ridge Reservation. Strategies/Activities: Provide effective referrals and follow-up for youth with suicide, substance abuse and mental health problems. Implement screening in the local schools to identify youth who are high risk for suicide, substance abuse, and depression. Set up alternative access to intervention and postvention procedures to include traditional and culturally based practices. Provide related resources to families dealing with suicide, attempted suicide, behavioral health disorders, substance abuse and/or identity issues with the LGBTQI+ community, living on the Pine Ridge Reservation. # to be served: We hope to serve 100 youth each year and 500 over the life of the project.

The Wiconi Wakan Health & Healing Center Expansion project will build upon the suicide prevention and behavioral health outreach work accomplished over the past 4 years of implementing the Garrett Lee Smith Suicide Prevention grant. The expansion project will focus on strengthening existing services, screening, crisis response, and outreach to youth ages 0-24. Wiconi Wakan will emphasize Lakota cultural values and teachings throughout expansion and will seek input and collaboration from local schools, the local tribal youth council, and local spiritual leaders to develop a tribal strategic action plan addressing Tiers 1-3 of suicide prevention.

Summary: St. Francis Indian School AWARE will serve Native American K-12 students on the Rosebud Indian Reservation by implementing a school-based, recovery-oriented, tiered system of school- and community-based mental and behavioral health interventions. The project will provide counseling, cultural mentorship, suicide awareness and prevention, and related trainings to students, school staff, families, and members of the community. Project Name: St. Francis Indian School Project AWARE Population Served: Universal prevention services for Native American K-12 students, with tiered interventions for students experiencing trauma and related mental/behavioral health needs. Strategies & Interventions: This project will equip students with the prevention, intervention, and postvention to promote recovery and reduce the prevalence and impact of trauma-induced mental and behavioral health challenges, substance use, and suicidality. This will be accomplished through school-based mental health counseling, behavioral health counseling; screening, third-party service referrals, and cultural mentorship; teacher and school staff training; and family and community member training. We will use evidence-based programming to promote positive behaviors among students, especially with curriculums and programs designed for use with Native American students. This includes the Reconnecting Youth, Healing Journey of the Canoe, and QPR, among other approaches. All students will receive universal prevention services, and students screened and determined for higher tiers of service will receive individualized counseling plans and the support of a wraparound support specialist to provide coordinated care and community connections. Project Goals & Objectives: Goals include (1) increase student access to trauma-informed, culturally-informed behavioral/mental health counseling by integrating services into their school environment, (2) increase knowledge of students, staff, families, and community members to identify, refer, and support students demonstrating behavioral/mental health consequences of trauma to promote positive youth development, and (3) increase student social and emotional competencies to decrease emotional challenges and negative behaviors among students by implementing school-based, trauma-informed, multi-tiered mental health and social emotional services. Objectives are aligned to each goal and are summarized herein: (1a) provision of individual and small group counseling for students identified at-risk for trauma-induced mental/behavioral health warning signs, (1b) establishment of a crisis response line for client students, (1c) rate of secured informed consent compared to total student body, (2a) rate of staff trained in universal trauma-informed mental health support each year, (2b) staff and community trainings about identifying at-risk warning signs, including of suicidal behavior, (2c) provision of universal prevention services, (3a) decreasing the rate of suicide attempts, and (3b) reducing the rate of negative behaviors in school occurring as a result of student trauma. Number of Individuals Served: This project will serve 1,213 unduplicated individuals throughout the five year project period (446 in year 1, 506 in year 2, and 87 each year in years 3, 4, and 5) including children, youth, school staff members, and members of the community. Throughout the entire project, including retrainings (duplicated services on a year-over-year basis), the project will serve 4,425 total individuals.

South Dakota 988: Building Local Capacity is a joint venture undertaken by the state's only Lifeline crisis center, Helpline Center, and the Department of Social Services, Division of Behavioral Health to rapidly mobilize the necessary workforce for 988 call center expansion and projected ramp-up over 988's nationwide launch beginning July 2022. This cooperative agreement will serve as the foundation for which to build sustainable performance indicator monitoring that can be leveraged for years to come as 988 services expand, and as relationships are formalized between Public Safety Answering Points/911 services and referral-accepting organizations in the area of crisis response and receiving facilities. Given the fact South Dakota is a relatively population state, but with considerable geographic challenges in its frontier/rural nature, the population to be served will be all South Dakotans experiencing behavioral health crisis with specific focus on those impacted by health disparities or limited referral access to appropriate levels of care as close to their home communities as possible. South Dakota's Behavioral Health Crisis Response Stakeholder Coalition (BHCRSC, or 988 planning coalition) was formed in February 2021 and met monthly under the leadership of the South Dakota Department of Social Services, Division of Behavioral Health (DSS-DBH) to inform the development of the State's 988 implementation plan as part of the grant funded by Vibrant Emotional Health. This project builds upon the work completed and outlined by the 988 planning coalition, highlighting the need for additional workforce capacity to operationalize 988 call center capacity. The Helpline Center began serving South Dakota in 1974. Through the years, the agency was formalized with staff, grew to 24/7 services, and was the first location west of the Mississippi River to begin 211 services. The Helpline Center services thousands of people every year by connecting individuals to resources and support, connecting local agency volunteers, and offering hope to individuals with thoughts of suicide. The Helpline Center is the only entity in the state accredited by the Alliance for Information and Referral Systems, and the only entity in the state that provides a certified crisis line through the American Association of Suicidology. The Helpline Center is in the process of creating a separate division to house the 988 call center, with shared administration services provided by existing Helpline Center staff. The new 988 call center will be housed in the same location as the existing 211-based information and referral call center, but staffed separately due to the unique staff qualifications required for answering 988 calls. The implementation approach centers on four key goal areas, all of which build off of initial planning efforts outlined in the state's 988 implementation plan. Key areas of focus center around workforce capacity building, supported by additional funding through this program, along with further refinement and definition of key operational and quality improvement protocols to support and sustain 988 call center staff. The 988 planning coalition will continue to convene as an advisory resource for the Directors and Helpline Center team and will be instrumental in the development of follow up protocols that extend into local care settings as well as on identifying crisis workforce training needs across the full continuum that ultimately increases access to quality, responsive behavioral health care for South Dakotans experiencing crisis. Key performance indicators and other measure s have been identified in alignment with existing NSPL metrics, the required SAMHSA infrastructure, prevention and promotion indicators, and those that will aid the state in understanding 988 call center workforce staffing, partnership development, and the disposition of people supported by 988 call center staff as capacity expands and public awareness.