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WA Discretionary Funding Fiscal Year 2016

Center: CMHS

Grantee: CHEHALIS TRIBAL COUNCIL
Program: Native Connections
City: OAKVILLE
State: WA
Grant Award Number: 1 H79 SM063452-01
Congressional District: 6
FY 2016 Funding: $114,716
Project Period: 2016/09/30 - 2021/09/29

The goal of the project is to prevent and reduce suicidal behavior and substance abuse among
Chehalis Tribal member youth ages 24 and younger. The project will take a multi-dimensional approach that includes selective, indicated and universal targeting utilizing a range of interventions across a variety of settings including individual, family, school and community.
The project will introduce traditional plants and medicine through a healing garden, hands-on workshops and cultural teachings. Over 80 youth will participate in a variety of educational programs including suicide prevention, healthy living, life skills, and self-esteem building. The project will also train 100 community members as gatekeepers to learn how to recognize suicidal behavior, how to respond and where to find help.


Grantee: COLVILLE CONFEDERATED TRIBES
Program: Native Connections
City: NESPELEM
State: WA
Grant Award Number: 5 H79 SM061864-03
Congressional District: 4
FY 2016 Funding: $200,000
Project Period: 2014/09/30 - 2019/09/29

Goal 1: Develop an infrastructure that involves the community in guiding all grant efforts, including planning, carrying out the plan, and evaluation. Goal 2: Design and implement a suicide and self-injury surveillance system on the Colville Reservation for tracking all suicidal ideation, suicide attempts, suicide completions and non-suicidal self-injury. Goal 3: Move the 4 Colville Districts from their current readiness to change levels of Vague Awareness to Community Ownership (9), by creating Community Mobilization Teams and training them how to conduct their own Community Readiness to Change Assessments. Goal 1 will feature the creation of an Interagency Task Force of 14 tribal departments and agencies. Measurable objectives will include a tribal vision statement for the prevention and reduction of suicidal behavior, alcohol and substance abuse and the promotion of mental health in our tribal youth age 16-24, a strategic plan addressing the same, and the number agencies/departments that adopt new policies, protocols, and standards of care as a result of this project. Goal 2 will feature the creation of the Colville Suicide and Self Injury Surveillance System, replicating the successful White Mt. Apache SSISS. Measurements will include the creation of a data base, forms, and number of staff and departments trained in data entry; number of staff and departments trained to use the three tiered risk protocol, and case management system, home visit protocol and interview. Goal 3 will feature the training of 15 tribal members in the use of the Colorado State University Tri-Ethnic Center Community Readiness Assessment. Measurements will be number of tribal members trained, number of community members surveyed, number of interviews scored, readiness scores for each community, and recommendations from each community on next steps. All three goals together will begin the process of reclaiming Kwu ctxtnwixw in our communities.


Grantee: CONFEDERATED TRIBES AND BANDS OF THE YAKAMA NATION
Program: PPHF-2015
City: TOPPENISH
State: WA
Grant Award Number: 5 H79 SM062880-02
Congressional District: 4
FY 2016 Funding: $619,611
Project Period: 2015/09/30 - 2020/09/29

The purpose of the proposed project is to develop and implement tribal youth suicide policies and evidence-based prevention programs that enhances awareness, identification, referral and treatment strategies. Activities will focus on youth 10-24 years of age and youth- serving systems. The program has 4 identified goals.
Goal 1: Strengthen our suicide community coalition
Goal 2: Conduct Suicide Prevention trainings across the Yakama Reservation.
Goal 3: Implement a reservation-wide EBP suicide prevention program - Sources of Strength.
Goal 4: In collaboration with coalition partners increase annual screening, identification, referral and support for youth at risk for suicide.


Grantee: CONFEDERATED TRIBES AND BANDS OF THE YAKAMA NATION
Program: Native Connections
City: TOPPENISH
State: WA
Grant Award Number: 5 H79 SM061936-03
Congressional District: 4
FY 2016 Funding: $184,381
Project Period: 2014/09/30 - 2019/09/29

The project goals are to reduce the impact of substance abuse, mental illness, and trauma on the Yakama Indian Reservation and within its boundaries, through a public health approach. We will use a holistic approach bringing together Reservation communities, local agencies, and Yakama Nation agencies to support and provide wrap-around-services for Yakama/AI/AN youth and young adults, up to ages 24. We purpose to serve at least 200 Yakama and other AI/AN youth (8-24 years of age) annually. This will be achieved by: 1) Increasing our understanding across the reservation about suicide risk and protective factors, why they exist, and why each risk as well as protective factors must be addressed 2) Conduct a community assets, needs and readiness assessment from all seven towns across the reservation to bringing community members together to 2a) share how youth suicide and substance use impact the quality of life for everyone across the Yakama Reservation, 2b) to obtain an inventory of the resources currently available that can be leveraged to improve the quality of life for community members 2c) to Identify our community's strengths and weaknesses 3) Share assessment findings with the community to 3a) engage community members in discussions about needs, assets, and the community's response 3b) increase key leaders and community members awareness and how they can contribute to the community's assets 3c) use the information about community needs to assess our service delivery priorities 3d) use the data for decision making to address community needs and how to use the available assets; and use the data to inform strategic planning, priority setting, program outcomes, and program improvements.


Grantee: CONSUMER VOICES ARE BORN, INC.
Program: Statewide Consumer Network Program
City: VANCOUVER
State: WA
Grant Award Number: 5 H79 SM062115-02
Congressional District: 3
FY 2016 Funding: $87,574
Project Period: 2015/09/30 - 2018/09/29

Peer-Run Organizations Alliance Project (PRO AP) in collaboration with Washington's Office of Consumer Partnerships will bring together three independent consumer-led organizations primarily providing direct services that support individuals having "serious mental illness" that are Medicaid enrollees meeting Washington's "access to care" criteria, and the uninsured or underinsured as well. The Washington Division of Behavioral Health and Recovery (DBHR) reports more than 130,000 individuals receiving state funded outpatient and crisis services. These three geographically diverse organizations have formed an alliance and through this grant will build a sustainable statewide infrastructure to support the further development of strong peer support services and leaders across Washington to serve this population more effectively.

PRO AP will draw peers together from every region in the state interested in making changes to policies that better serve the healing, recovery, and wellness needs of individuals. In times of constant change driven by budgets and reforms, recovery supports and services get overlooked and this grant will support evaluating and initiating changes to statewide and regional policies through informed advocacy work. The coordination and implementation will directly involve 50-100 individuals over the grant period but policy or behavioral health practices changes have the potential of impacting-directly or indirectly-the population served by DBHR over the period of the grant. Finally, PRO AP will strengthen a motivated peer workforce and future leaders that are appropriately trained and continually supported in achieving success in an integrated health delivery system. It is estimated that 1000 individuals will be directly impact through trainings and technical assistance.


Grantee: HOH TRIBE OF THE HOH INDIAN RESERVATION
Program: Circles of Care VI
City: FORKS
State: WA
Grant Award Number: 5 HS5 SM061608-03
Congressional District: 6
FY 2016 Funding: $383,701
Project Period: 2014/09/30 - 2017/09/29

The Hoh Tribe proposes to organize, design and evaluate a behavioral health service system model for tribal children and adolescents under the age of 22 years old, who suffer from a broad spectrum of serious behavioral health issues including substance abuse, depression, suicide and historical trauma. The project will be developed in conjunction with family members living along the Hoh River, agency providers, project staff and technical support personnel. The Hoh Tribe government will be consulted throughout the duration of the program on the Hoh Tribe Reservation.


Grantee: KING COUNTY DEPARTMENT OF COMMUNITY AND HUMAN SERVICES
Program: CABHI
City: SEATTLE
State: WA
Grant Award Number: 1 H79 SM063319-01
Congressional District: 7
FY 2016 Funding: $793,451
Project Period: 2016/09/30 - 2019/09/29

King County will implement Cooperative Agreements to Benefit Homeless Individuals with two comprehensive behavioral health organizations to provide Assertive Community Treatment (ACT) and Housing First permanent supportive housing in geographically underserved regions. Program participants will be single adults experiencing chronic homeless and co-occurring serious mental illnesses and substance use disorders (SUDs). Approximately 350 individuals will be identified, screened and referred by King County's Coordinated Entry for All (CEA) program to SHARP over the life of the grant. This is expected to result in 224 individuals outreached and 140 individuals enrolled in intensive services. Participants will all have serious mental illnesses and co-occurring SUDs. SHARP will provide: 1) outreach, engagement, screening, and clinical assessment through an ACT model; 2) direct treatment, with trauma-informed practices, to address COD by the ACT team; 3) case management, ACT, SOAR methods, and supportive housing to enroll participants in SSI/SSDI, Medicaid, and other benefits and retain participants in housing and services; 4) peer recovery support to facilitate COD recovery as part of the ACT team; 5) collaboration across care entities to build bridges among partners in care; 6) recovery support services within ACT to improve retention and continue treatment gains; 7) Housing First permanent supportive housing through CEA; and 8) implementation of a steering committee for SHARP that will meet quarterly and monitor the goals and objectives of the program. Program objectives will include the degree to which referrals are outreached and enrolled, participants obtain Medicaid and other benefits, interventions have been implemented to fidelity, and participants increase housing stability while reducing COD symptoms, and use of crisis and emergency medical and psychiatric services, sobering and detox services, and jail.


Grantee: LOWER ELWHA KLALLAM TRIBAL COUNCIL
Program: SOC-Expansion and Sustainability
City: PORT ANGELES
State: WA
Grant Award Number: 5 U79 SM062456-02
Congressional District: 6
FY 2016 Funding: $680,323
Project Period: 2015/09/30 - 2019/09/29

The .a.nsx.i (pronounced eah-n-shway) in the Native Klallam language, and in English translated as "You are My Very Breath" Systems of Care is a culturally responsive, family driven, youth guided System of Care (SOC) for the Lower Elwha Klallam Tribal community on Washington's Olympic Peninsula. The goal of our project is to screen approximately 200 children and youth from birth to age 21 and provide wrap-around mental health treatment and support services to approximately 120 children, youth and their families. Our Systems of Care Expansion Team (comprised of child-serving agencies, youth, parents, Tribal Elders, and other community members) have developed an SOC strategic plan, and help many youth-serving programs and support into a collaborative resource for our youth and families. Our program goals are to: provide a broad array of accessible, clinically effective, and fiscally accountable services, treatments and supports; create care management teams to develop, implement and enhance an individualized service plan for each child; incorporate a systems of care approach across child-serving agencies and deliver culturally competent services that address disparities; encourage and facilitate the full participation of children, youth, and families in service planning, in the development and evaluation and sustainability of local services and supports; and in overall system change activities.


Grantee: LUMMI INDIAN BUSINESS COUNCIL
Program: Native Connections
City: BELLINGHAM
State: WA
Grant Award Number: 1 H79 SM063454-01
Congressional District: 1
FY 2016 Funding: $200,000
Project Period: 2016/09/30 - 2021/09/29

The Lummi Nation Native Connections Project aims to leverage the relationships and the infrastructure developed through the Lummi System of Care Initiative and Expansion to address critically unmet needs for substance abuse and suicide prevention among our Tribes nearly 900 youth ages 10 through 24 years. Our Tribe has made significant gains in developing and delivering children's mental health services and mental health promotion and now we seek to focus on addressing gaps and disconnects between youth and the resources available to them that build strengths and resilience and reduce their risk for substance misuse and suicide. Through a Lummi community-driven process, our project seeks to accomplish the following goals: 1) community mobilization for wellness and readiness assessment, 2) expansion of the Lummi Nation System of Care Initiative to include a focus on youth substance misuse and suicide prevention, 3) community adaptation and mobilization of SAMHSA's Strategic Prevention Framework (SPF) to identify or develop universal, selective and indicated strategies and outcomes for youth 10 to 24 years residing on the Lummi Nation reservation, , 4) development and delivery of community-based strategies continuity of care and postvention, 5) development of mobile technologies for youth substance misuse and suicide prevention utilizing Tribal Watch, a smartphone surveillance and community health education tool application, 6) development and implementation of local data collection and performance measurement procedures to assess outcomes of our youth substance use disorder and suicide prevention services and mental health promotion efforts. Our vision is to grow our Lummi Nation youth strong like the cedar with clear purpose and place among our people today.


Grantee: LUMMI INDIAN BUSINESS COUNCIL
Program: SOC Implementation
City: BELLINGHAM
State: WA
Grant Award Number: 5 U79 SM061634-03
Congressional District: 1
FY 2016 Funding: $959,353
Project Period: 2014/09/30 - 2018/09/29

The purpose of the Lummi System of Care (LSOC) Expansion is to grow a Pacific Northwest tribal systems transformation and provide comprehensive, coordinated and culturally-grounded care to an additional 400 Lummi Nation children and youth (0-21) with complex needs and their families. The Ist-otel (Pulling Together) Initiative builds on the efforts and accomplishments of the Silheng-otel (Standing Together) system of care initiative at Lummi Nation that has led to infrastructure and tribal policy changes and behavioral health outcomes for the over 350 children and youth receiving services. The Ist-otel (Pulling Together) Initiative has the primary goal to expand the Lummi System of Care to fully integrate and coordinate behavioral health services with substance abuse and chemical dependency and child welfare programs and agencies servicing the 5,102 Lummi tribal members on the reservation and in the surrounding rural and urban areas of the Pacific Northwest. Utilizing a local Indigenous theory of change, the Ist-otel (Pulling Together) Initiative aims to increase resilience, recovery and reunification for Lummi children, youth and families.


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