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SM-18-017 Individual Grant Awards 2018Native Connections
|Award Number||Organization||Grantee State Sort descending||City||Funding amount|
|1 H79 SM081562-01||
Goldbelt Heritage Foundation (GHF) implementing the Ye'es Kha'a Naltseeni': Strengthening Youth project will strengthen American Indian/Alaska Native (AI/AN) youth ages 12 to 24 years through suicide and substance use prevention support, fostering culturally responsive models that reduce and respond to the impact of trauma in American Indian/Alaska Native communities, and facilitate collaboration among agencies to support youth as they transition into adulthood. GHF, with a governing body of Alaska Native tribal members, has as its mission to advance culturally-responsive education practices grounded in Tlingit and Alaska Native culture, based in Juneau, Alaska. The proposed Native Connections project is titled Ye'es Kha'a Naltseeni': Strengthening Youth that will address needs uncovered by the GHF's Youth Ambassador Program survey, which has identified the following barriers to youth achievement and success: (a) substance abuse, (b) lack of positive mentors and role models, (c) depression, (d) lack of suicide prevention initiatives, (e) lack of culturally responsive educational and heritage language opportunities, and (f) lack of health activities (Unity Inc. Conference 2016). The project will be conducted in Southeast Alaska communities. The population overall is 32,468 (U.S. Census, 2016). There are 22.3% persons under 18 years old. The Juneau School District and Chatham School District has 17 schools and 4,784 students, 24% of which are Alaska Native. In the 2016-2017 school year, the dropout rate for AN/AI youth in Juneau was 8.6%, compared to a 3.42% dropout rate of all students. We will implement a culturally responsive counseling, mentoring, traditional arts therapy program, life skills, and strength building program using Alaska Native culture and heritage language that will run parallel with Evidence Based Practices that will be guided by elders, youth, parents, mental health professionals and educators. Project activities are organized around seven interrelated objectives: (1) Provide continual training to staff, parents and providers of at risk youth on art therapy to serve 40 annually; (2) Rehabilitate Alaska Native youth through traditional arts therapy and culturally responsive activities to serve 70 youth annually; (3) Provide heritage language and traditional values learning and mentorship opportunities that build connections for youth with elders to serve 70 annually; (4) Facilitate family healing circles; (5) Provide one-to-one counseling with a traditionally certified counselor to serve 70 participants ages 12-24 in Juneau/Douglas area throughout the five years; (6) Strengthen at-risk youth life skills in culturally responsive ways to serve 70 youth ages 12 to 24; (7) GHF will facilitate an annual Gathering of Alaska Native (GOAN) with a culminating Koo.eex’, a traditional Tlingit ceremony for 400 + guests to serve 100 youth. The project will serve 350 youth over the five-year project period.
|1 H79 SM081520-01||
This project is titled Copper River native Association Elders-Youth Wellness (Suicide Prevention). The project goals of this program is to prevent and reduce suicidal behavior and substance abuse, reduce the impact of trauma, and promote mental health among American Indian young people, up to and including age 24 years. Our target population will be those who are Native American and living on, or near, the villages that surround the Copper River Basin. This population will be at-risk of suicide attempts or substance abuse, or they may already have these issues. The number of people to be served annually will be 100 individuals, and 300 over the lifetime of this project. Project goals for year one are to develop the program with policies and procedures, as well as protocols as well as the Strategic Action Plan. . A diverse task force of community partners will lead the direction and development of this program. The ultimate goal is to reduce the suicide rates and substance abuse among our Alaskan Native /American Indian youth. The project will use a collaboration of different evidenced based program, a prevention program, a treatment modality and an education program for our Suicide prevention, substance abuse prevention, addressing trauma, and mental health promotion. By using collaboration of programs, our community will benefit in numerous ways and we will be able to accommodate different learning types and several levels of wellness. It is our community’s vision to provide our youth with the skills to become stable adults in all areas of their lives.
|1 H79 SM081570-01||
By training youth in 21st leadership skills, based on the guiding principles of Traditional Cultural Values, we will address adverse childhood experiences that are prevalent in Alaska. Increase the awareness, and support those who need it through providing activities, training, and education. These youth, mentored by 7 leaders, will learn and pass their skill sets onto new youth the next year. We will also address other barriers for rural Alaska people, such as success in school, behavior health, and peer helpers.
|1 H79 SM081527-01||
The Hooper Bay Native Connections project will utilize our ancestral strengths and traditional Yup'ik ways to conduct and deliver a prevention program for our youth called "Civuliamta Piciryarait" meaning Our Ancestral Way. Our vision for substance abuse prevention, suicide prevention and mental health promotion in Hooper Bay is to strengthen our identity as Yup'ik people. Our vision aligns with SAMHSA's National Tribal Behavioral Health Agenda (TBHA) which, "elevated the importance of tribal identities, culture, spiritual beliefs, and practices for improving well-being." Our overall goal is to reduce the unacceptable burden that suicide and alcohol abuse had placed on our community and youth. To accomplish this goal, we propose to utilize the Qungasvik (Tools for Life) model to promote resilience, reasons for life and sobriety among our 425 youth between the ages of 10 and 24 years of age residing in our community.
|1 H79 SM081528-01||
Project Abstract: Eastern Aleutian Tribes Project Name: Eastern Aleutian Tribes – Native Connections Population(s) to be served: Youth/young adults ages 12-24 living in the eight EAT clinical site communities, including representation from young adults working in the seafood industry. Strategies/Interventions: • Consistent community engagement, outreach and education • Solicitation of input from youth 12-24 • Youth advisory council (ages 18-24) • Youth clinical services Goals and Measurable Objectives: Goal 1. Raise community readiness scores for addressing the assessed areas of substance abuse and behavioral health and wellness concerns. Objective 1.1. By the end of Year 1, conduct outreach and education in 100% of EAT communities to raise awareness of behavioral health issues and challenges experienced by youth in the region ages 12 to 24. Objective 1.2. By the end of Year 1, conduct outreach and education in 100% of EAT communities to increase understanding of the concept of “behavioral health and wellness” and what is included, and common ways to address behavioral health issues. Objective 1.3. By the end of the 3rd quarter Year 1, perform a follow-up behavioral health readiness assessment in 100% of EAT communities that focuses specifically on alcohol abuse, drug use, and behavioral health and wellness concerns for youth ages 12 to 24. Goal 2. Decrease substance abuse among young people up to age 24 in or about to enter the seafood industry. Objective 2.1. By the end of the first quarter Year 1, identify and recruit at least 3 youth advisory council members who work in the seafood industry. Objective 2.2. By the end of the fourth quarter Year 1, identify and implement evidence-based strategies in 100% of EAT communities for increasing access to behavioral health services for seafood industry workers ages 24 and younger. Objective 2.3. By the end of Year 5, implement identified and prioritized evidence-based strategies in 100% of EAT communities. Number of people to be served annually:  Throughout lifetime of project:  Project Summary: Eastern Aleutian Tribes will increase behavioral health and wellness among youth and young adults ages 12-24 in its eight communities by soliciting youth input and establishing a youth advisory council; increasing ongoing community engagement, outreach and education about youth behavioral health and wellness; and increasing access to evidence-based interventions for youth experiencing behavioral health and wellness challenges.
|1 H79 SM081576-01||
Norton Sound Health Corporation’s Behavioral Health Services’ “Rural Implementation of Early Identification and Prevention Activities for Youth” proposes to reduce suicidal behavior and substance misuse by screening for and promoting behavioral health among regional Alaska Native youth ages 12-24 years. Through a combination of early intervention and prevention activities, youth and adults will access skills contributing to individual and community wellness. The Norton Sound Region, home to 9,400 people and comprised of 15 largely Alaska Native villages and the City of Nome, has high rates of suicide and substance misuse prevalent among youth and adults, and historical trauma has a significant impact on overall wellness. This project seeks to collaborate with stakeholders to conduct Community Assessments culminating in an Action Plan designed to address service gaps in the region. And Advisory Group and staff members will utilize information gained to develop protocols with youth-serving agencies for collaborative approaches to prevention, intervention, and postvention. A Project Director will oversee the activities with a Prevention Specialist and an Evaluator. Project staff members propose to implement Question Persuade and Refer (QPR) trainings for the Nome Public School and Bering Strait School Districts. Both staff members and students will receive the training with emphasis on developing peer leaders through the model. Project staff members will further offer the program to regional communities as the project progresses. The Adolescent Matrix Model is planned for substance use treatment of those 12-24 years. Project activities include the revision and deployment of a Depression Screener for early identification and intervention of behavioral concerns among the target population. By project’s end, the Screener will be implemented in all regional primary care and clinic settings. Project staff will collaborate with stakeholders to develop culturally-attuned crisis response and postvention plans for targeted communities. Project members will provide accessibility outreach in the communities and offer youth activities outside of the office setting. Activities will focus on strengthening the family core by reinforcing communication and engagement supports. At the conclusion of the project, it is expected that youth suicide attempts and completions in addition to chronic substance use will decrease as a result of community training and education, family engagement, and protocol development. NSHC expects to serve 150 youth annually or 750 over the life of the grant.
|1 H79 SM081530-01||
Summary of the Project: The purpose of this project is to prevent and reduce suicidal behavior and substance abuse , reduce the impact of trauma, and promote mental health among the youth and young adults in the Lingit village of Kake, Alaska. The project will reduce the impact of mental and substance abuse disorders by developing and implementing programs and activities that are rooted in Lingit culture, values, and traditions, and developed through a youth/adult partnership decision-making model. The geographic catchment area for this SAMHSA Native Connection project is the Village of Kake, in Southeast Alaska. The population that will be directly impacted by this project are the approximately 165 school-aged youth and young adults through age 24, as well as their families and extended families. Ultimately, all of Kake’s residents and Tribal members will be impacted by the proposed programs and activities outlined in this proposal. Key Strategies/Goals Include: Completing community analyses, assessments, and asset mapping that will inform the identification of Evidence Based Practices; Developing and implementing written Standards of Care among coordinating agencies for identifying and helping youth at risk for suicide; Creating effective youth/adult partnerships by involving and engaging youth and other community members to provide leadership and direction for the implementation and oversight of the program and activities; and Developing and implementing an array of culturally focused and integrated prevention and intervention strategies to prevent suicide and reduce the impact of mental and substance use disorders and complex trauma.
|1 H79 SM081531-01||
It has long been recognized that the population of Alaskan Native youth is at highest risk, bar none, for committing and completing various acts of self-harm including substance abuses and suicide. Alaska always ranks in the top two states for suicide, and our region is not immune, and the indigenous people of the extended Chugach Region are at extremely high risk. Further, Alaska has the most alcohol abuse with twice the annual consumption of alcohol per capita of the Lower 48. Our children are exposed to horrors that haunt and shape lives for generations. For this reason Chugachmiut seeks to address this most serious of problems through the current application for funding for the Substance Abuse and Mental Health Services Administration (SAMHSA) Tribal Behavioral Health Grant Program (Short Title: Native Connections) to promote early intervention strategies and implement positive youth development programming to reduce risk factors for suicidal behavior and substance abuse. Our program, Iguillrrapet, Lumacirpet “Our Kids, Our Culture”, will pair nationally recognized evidence-based best practices from the Brief Strategic Family Therapy (BSFT) within the homes with parents and siblings with community and school-based activities to promote acceptance of healing, to remove stigmas, and to educate on the many paths out of family troubles. Our plan is to hire a new itinerating Brief Strategic Family Therapy (BSFT) clinician who will travel out to each of the four village communities throughout the Chugachmiut catchment region on a rotating basis. The Brief Strategic Family Therapy clinician will be supported by our Child Welfare Systems Planner who specializes in ICWA and child protection matters, our itinerating Behavioral Health Clinician, and our itinerating Domestic Violence Advocate In efforts to reach the youth, we will provide services in the homes, the schools, and within the community. We will engage our regional youth with entire family involvement (to the greatest extent possible and allowable). We will help to remove existing problems such as home-based substance addictions within siblings and parents in order to (1) show “problem-solving in action” and (2) to remove the basis for home-based unhealthy modeling. During village visits, our Brief Strategic Family Therapy clinician and other clinical providers will provide community psycho-educational presentations on communications, breaking the cycle of addictions, parenting skills, and other topics with heart-connected stories, humor, and real approaches to the matters that affect them most. Then, once per year, at the request of our tribes, we will host two regional tribal gatherings; one for the men of the region and the other for the women. Both groups will give feedback on the program, the future directions they would like to see pursued, and reviewing the traditional pathways to healing. And, finally, we will be within the schools, giving presentations, gaining familiarity, hearing from the teachers as to whom they have greatest concerns for, and reaching out to the broadest swath of youth possible. This SAMHSA Iguillrrapet, Lumacirpet Our Kids, Our Culture project will make a difference in many, many lives.
|1 H79 SM081536-01||
Project Summary: Project staff will increase the capacity of the behavioral health staff of the Pribilof Islands Aleut Community of St. Paul Island (ACSPI), a federally recognized tribe, to reduce risky behaviors in 158 youth and young adults ages 8 – 24 by implementing evidence-based culturally centered community programs that address mental health disorders and reduce substance abuse and suicide attempts. Population(s) to be served: 410 tribal members (ACSPI), focus population: 158 and young adults (8 – 24) at risk of substance abuse and suicide.Strategies/interventions: evidence-based culturally centered community programs that address mental health disorders. Project Goal: Increase the capacity of the ACSPI to reduce risky behaviors in youth and young adults ages 8 – 24 by implementing evidence-based culturally centered community programs that address mental health disorders and reduce substance abuse and suicide attempts. Objective 1: In each month of the project, we will continue community dialogue which will facilitate providing community outreach and education and receiving regular guidance, feedback and review of project activities from five groups of community stakeholders: project recipients, family members, Tribal leaders, youth leaders, and spiritual advisers. Objective 2: By January 31, 2019, project staff will complete four required community assessment deliverables that address suicide prevention, substance use prevention, and mental health disorders. Objective 3: By September 30, 2019, project staff will complete policies and procedures to promote coordination among all St. Paul Island agencies serving tribal youth and their families and protocols to ensure that DHHS staff provide postvention and follow-up services to 100% of youth at risk of or attempting suicide. Objective 4: By June 30, 2019 project staff will complete and implement a Suicide and Substance Abuse Prevention Action Plan. Objective 5: St. Paul Island’s youth and young and adults will participate in activities implemented under the Suicide and Substance Abuse Prevention Action Plan at the following minimum levels: Year 1 - 30%, Year 2 – 60%, Years 3,4, and 5 – 90%. Number of people served annually: 30 – 100 participants Number of people served throughout the lifetime of the project: 100 - 200 participants.
|AK||SAINT PAUL ISLAND||$247,716|
|1 H79 SM081551-01||
NATIVE HEALTH proposes to implement a program that will infuse cultural traditions to build resiliency and connections to the community and culture to improve mental, emotional, spiritual health, and wellbeing. Implementation of activities across generations, youth and their families, that include indigenous culture, tradition, spirituality, ceremony, and humor. Through this initiative, NATIVE HEALTH seeks to reconnect the urban American Indian/Alaska Native (AIAN) youth target population to their ancestral source of well-being and balance and intergenerational interaction. A traditional and strengths based curriculum will serve as a reminder of that ancestral connection that many youth may be disconnected from. Healing mechanisms are through the ways of life that have power and resonate with the community today in the people, stakeholders, and infrastructure that will be engaged to define and promote a better mechanism of defense against suicide and substance use. The goal of NATIVE HEALTH is to foster mental health promotion in a trauma-informed, ancestral-minded environment that will enable prevention/reduction of suicidality and substance use in urban indigenous youth age 11-24. The program will partner with several agencies to deliver the Native HOPE universal prevention strategy. Coupled with the American Indian Life Skills Development Curriculum, case management, contemporary trauma-informed counseling, and indigenous ceremony the agency will extend the reach to the majority of indigenous youth in Maricopa County. It is anticipated that this program will foster the generation of a community-based postvention and crisis response protocol. The protocol will enable a culturally responsive reaction to suicide in the home, in the community, and will distinguish appropriate protocol to indigenous families displaced by suicide and provide an ancestral source of healing after crisis. It is anticipated that this program will reach approximately half (8,500) of the Maricopa indigenous youth population through outreach and awareness efforts and through prevention programming in addition to selective and indicated treatment strategies.
|1 H79 SM081558-01||
Native Americans for Community Action, Inc. (NACA) Native Connections Program will work in collaboration with community youth, young adults, families, elders and community leaders alongside local youth serving agencies in the Flagstaff area. This program will collaboratively design a plan of action that will include improvements to the local mental health/behavioral health system in an effort to reduce suicidal behavior and substance use and the impacts of trauma along with the promotion of mental health well-being among Native American youth through 24 years of age. The Native Connections Program will work with the community through the NACA Youth Council and the Community Advisory Committee as well as establish a youth service agency workgroup to implement and carry out the following goals: 1. Increase awareness of suicide and substance abuse prevention methods for Flagstaff youth through the creation of youth guided strategies 2. Reduce the impact of mental health and substance use disorder through implementation of youth based strategies. 3. Develop a plan of action for the development of policies, procedures and protocols that promote coordination and collaboration of youth serving agencies with a focus on standards of care, transition of youth from one agency to another, importance of the role of local traditional healing and helping practices to ensure youth at risk for suicide and substance use receive follow up services. 4. Develop a plan of action to create postvention protocols for responding to suicides, suicide attempts, and suicide clusters. This plan will include the promotion of community healing and reduce the possibility of contagions that include traditional and cultural practices. 5. Develop a youth based social marketing plan for youth and families which will provide awareness and promote the importance and de-stigmatization of mental health. The Native Connections Program will hire two full time staff and contract with two individuals for evaluation and social marketing expertise. The end result of this program is to provide additional prevention and interventional mental health services for youth that are culturally appropriate, contribute to evaluation and data collection in terms of gaining a better perspective of current youth in the system and to track improvement of this program for future use, along with enhancing collaboration and communication between community agencies serving youth.
|1 H79 SM081550-01||
San Diego American Indian Health Center Substance Abuse and Mental Health Services Administration Native Connections FOA: SM-18-017 PROJECT ABSTRACT The Native Connections Project, proposed by the San Diego American Indian Health Center (SDAIHC), will develop an integrated and culturally respectful system of care that identifies and responds to the mental health, substance use disorders, and cultural trauma needs of American Indian and Alaska Native (AI/AN) youth through the age of 24 years residing in the San Diego metropolitan area. The proposed project will serve urban Indians, a population that has been described as “invisible” because they are not affiliated with a single Tribe, reservation, or cultural tradition. The AI/AN population within San Diego County is estimated at 54,657 with more than one-third (37%) under the age of 25. Statistics show AI youth died from opioid overdoses at a rate of 8.4 per 100,000 – the highest of any ethnic group. Suicide rates were higher as well at 34.3 deaths per 100,000 people for males and 9.9 deaths for females. Further, more than one-third (36.6%) of AI/AN youth live at or below Federal Poverty Guidelines, and nearly one quarter of the AI/AN residents have the age of 25 (23.8%) do not have a high school diploma or GED. The SDAIHC Native Connections project team will implement the evidenced-based SAFE-T model to include Universal Prevention Strategies and interventions to support the: (1) establishment of an integrated cross-community behavioral health program supporting awareness and prevention of mental health disorders, and suicidal and substance use behaviors within the AI/AN your population residing in SDAIHC’s service area; (2) engagement with local AI/AN community agencies and non-Native organizations, including public and private agencies, to establish a multi-sectoral system leading to improved coordination of culturally responsive mental health and trauma based services for AI/AN youth; and (3) development of a sustainable continuum of care services model for AI/AN youth as they transition to adulthood. To reach its overarching goals, SDAIHC will: (1) utilize its existing Youth and Community Advisory Boards and expand to include an Inter-Agency Advisory County to facility community collaboration; (2) host an Annual Gathering of Native Americans (GONA) fostering strategic collaboration and planning for the Native Connections local system of care; (3) develop and implement collaborative social marketing strategies focused on reducing negative attitudes about mental health and behavioral health disorders aimed to increase utilization of services by the AI/AN community; (4) provide a minimum of 20 project trainings for staff, community, and program partners on Native American history and cultural practices and preferences; and (5) provide a minimum of 30 specialized trainings to increase the mental health awareness and literacy concerning Native American youth behavioral health issues in effort to recognize signs of mental disorders, substance use disorders, and suicidal ideation. SDAIHC anticipates its proposed project will annually reach an unduplicated count of 600 AI/AN youth for an overall project reach of 3,000 AI/AN youth.
|1 H79 SM081555-01||
The Native Connections program will serve tribal members between the ages of 0 and 24 of the Picayune Rancheria of Chukchansi Indians of California ("the Tribe"). The project will deliver a culturally informed suicide and substance use universal prevention program for tribal youth to build youth resilience, reduce risk of suicide and substance use, and support cultural identity development. The Tribe is federally recognized with a current tribal enrollment of 1,321. Tribal Youth tend to be poorer than their White peers and have higher rates of suicide, substance use, and exposure to trauma. In addition, trauma exposure for AI/AN youth in the area is rampant, with 61% of youth reported to have a friend or family member who had been physically hurt to the extent that they feared for their life. The area lacks youth prevention programming and geographically accessible health and mental health treatment. Coordination of care is weak as evidenced by a lack of formal networks and/or policies and procedures to ensure a continuum of care and after-care. In addition, there is a lack of culturally competent services much less culturally-based services. Finally, stigma regarding the use of mental health services is still common among tribal and AI/AN residents. To address these gaps in services, three new Advisory Groups that will drive activities throughout the grant process, will be established. The Youth Advisory Council (YAC) will address social marketing and youth prevention program activities. The Community Needs Assessment Committee (CNAC) will be composed of 100% tribal members and will oversee all project and required activities. The third key group will be the Service Provider Council (SPC), which will include representation from schools, clinics, tribal leadership, tribal education department, youth, Indian Child Welfare, and a parent/family member. Annual goals and objectives are reflected in the following major activities: Year 1: 1) Hire staff; 2) Establish 3 community committees; 3) Gather data for required activities; 4) Inform Community. Year 2: 1) based upon data collected in year 1, design and launch initial implementation of the Strategic Action Plan; 2) Based upon community system analysis, select members of SPC. Years 3 and 4: 1) Implement the Strategic Action Plan and revise program based on evaluative feedback. Year 5: 1) Implement the Strategic Action Plan and Evaluate Program and establish sustainability.
|1 H79 SM081575-01||
This project is to build capacity and infrastructure to address substance abuse and suicide in our native youth population. Culturally appropriate therapies to build resiliency and increase prevention include equine therapy, art and music therapy. Training para professionals on response and assistance for suicidal attempts, threats and ideation will help the community have more resources available. Focus groups and surveys will be conducted and elders along with professional staff will help build resources and make them known to the community and youth. A campaign will be developed to help reduce the stigma of mental illness, depression and increase the community's confidence in seeking help.
|1 H79 SM081533-01||
Native Connection’s purpose is to increase access to culturally-appropriate substance abuse and suicide prevention programming and mental health services for American Indian/ Alaska Native youth and young people living in Siskiyou County especially those youth residing on the Quartz Valley Indian Reservation (QVIR), while increasing community engagement and strengthening service delivery. The Anav Tribal Health Center, (ATHC) provides medical, dental, counseling/therapy, equine therapy, and community/cultural based services and activities. Our philosophy is that culture is prevention which creates resiliency factors to prevent young American Indian/Alaska Native (AIAN) from becoming at-risk. Even more important is the belief that each individual may need a different level of care and engagement. ATHC currently serves ages youth ages 10-24 living in the Scott Valley Region of Siskiyou County, while the program has been successful in reaching at-risk youth staff continuously feel the need for more resources and a stronger collaborative system. The proposed project goal is to expand and strengthen the ATHC’s integrated programming capacity and community support systems that a) reduce the impact of trauma; b) prevents suicide/suicidal ideation and substance use; and 3) integrate mental health promotion for AIAN youth and transitional aged youth ages 10 – 24. Project components include: 1) Planning and building community engagement capacity specific community needs and readiness; 2) Address gaps in service and strengthening current service delivery by developing and implementing youth and transitional aged youth programming; 3)Engaging staff clinicians to participate in youth care coordination activities and programming; and 4) Engage community voice. Specifically, the Native Connections project will enhance and develop the ATHC’s current suicide and substance abuse and mental health service infrastructure and service delivery for our youth members by adding the following additional programming: 1) Support youth services and outreach activities; 2) Support annual youth GONA; 3) Develop and implement a transitional aged youth program and outreach ; 4) Support youth based trauma-informed care coordination, screening, assessment, and treatment. Native Connections will increase community voice and engagement through a variety of resource building and readiness activities which will increase the overall effectives of the ATHC’s suicide/ substance abuse prevention and mental health programming as well as identify needs and gaps in service. ATHC will proactively target challenges and disparities within current programming through member identification and assessment, enhanced outreach, and integration of traditional healing practices with evidence-based practices.
|1 H79 SM081540-01||
The Tule River Indian Health Center, Inc. (TRIHC) will implement the Youth Connections Project. The Youth Connections Project will provide much-needed substance abuse and suicide ideation/suicide prevention, intervention, and treatment services for Native American youth (ages 12 - 24), who reside on the Tule River Indian Reservation in Tulare County (California), as well as other Native American youth (ages 12 - 24) from throughout Tulare County. The target population reports high levels of depression and high levels of substance abuse, with alcohol, tobacco, and marijuana use reported as the most prevalent and serious problems, as well as high levels of suicide ideation. Specifically, 23.7% reported depression-related feelings in past month, 34.9% reported alcohol/drug use in past month, 9.5% reported marijuana use in past month, 31.8% reported e-cigarette use in past month, and 17.1% reported suicidal ideation in past year. The project will create an Advisory and Collaboration Council comprised of tribal and non-tribal agencies and organizations that work with Native American youth from throughout Tulare County and other interested stakeholders and, within the framework of this consortium, conduct a comprehensive analysis of the mental health, behavioral health, and substance abuse resources and needs associated with this population. The results of this comprehensive analysis will be used to identify service gaps, develop and implement plans to address identified service gaps, and develop and implement strategies designed to provide Native American youth in Tulare County with comprehensive, intensive, integrated, and seamless access to mental health, behavioral health, and substance abuse services provided in a holistic manner. The project will use two (2) evidence-based practices -- individual and family counseling using the Adolescent Community Reinforcement Approach (A-CRA) and the White Bison Medicine Wheel and 12 Steps for Adolescents Program (a modified 12-step program), as well as other evidence-based strategies to be determined through the development of an action plan. The project will also use brief screening for depression; brief counseling for alcohol, tobacco, and marijuana use; and tobacco cessation services. The goals of the project are to decrease Native American youth depression; alcohol, tobacco, and marijuana use; and suicide ideation in Tulare County. At the conclusion of the five-year project period, Native American youth in Tulare County will report at least a 15% decrease in depression related feelings, at least a 35% decrease in alcohol use, at least a 15% decrease in marijuana use, and at least a 25% decrease in tobacco use. The project will serve a minimum of 75 Native American youth in each year of project implementation -- a minimum of 375 Native American youth during the five-year project implementation period.
|1 H79 SM081522-01||
Tour de Ute Native Connections will serve the rural, isolated Ute Mountain Ute Tribe Tribal communities of Towaoc (Colorado) and White Mesa (Utah). Both communities are characterized by high poverty, high unemployment and few community resources. Both communities are Medically Underserved Populations and are Health Professional Shortage Areas. The number of children and youth living on the UMUT Reservation is about 600. Education levels are astonishingly low, and nearly one-in-three children live in poverty. Teen birth rates are among the highest in the nation, and the likelihood of low birth weight is significantly higher than averages for other regions. Native Connections will serve approximately 250 youth under the age of 24 over the life of the project. The overarching goal of Native Connections is to utilize culturally-relevant strategies to build the capacity of UMUT personnel to staff a behavioral health center focusing on preventing and reducing suicidal behavior and substance use, reducing the impact of trauma, and promoting mental health among UMUT youth through the age of 24 years. SMART program objectives are below. Objective 1: By the end of year one, conduct a Community System Analysis that addresses suicide prevention, substance use prevention, and mental health disorders. Objective 2: By the end of year three, develop policies and procedures to promote coordination among youth-serving agencies on the UMUT Reservation. Objective 3: By the end of year three, develop and/or revise protocols to ensure that UMUT youth at risk for suicide, including those who attempt suicide and use substances, receive follow-up services to ease their transition into treatment. Objective 4: By the end of year three, develop culturally-appropriate postvention protocols for responding to suicides, suicide attempts, and suicide clusters to promote community healing and reduce the possibility of contagion i.e., suicides following and connected to an initial suicide. Objective 5: By the end of year three, develop and implement a culturally-appropriate Action Plan that addresses Tier 1 and Tier 2 of prevention and intervention strategies. Objective 6: Annually, in collaboration with the University of Southern California, deploy at least one new culturally-relevant evidence-based practice focused on preventing and reducing suicidal behavior and substance use, reducing the impact of trauma, and promoting mental health among UMUT youth through the age of 24 years.
|1 H79 SM081525-01||
The Southern Ute Health Clinic proposes implementation of a community project entitled "Native Connections", a five-year project to prevent and reduce suicidal behavior and substance use, and reduce the impact of trauma and promote mental health among American Indian/Alaska Native youth through the age of 24 years old.
|1 H79 SM081545-01||
Abstract The Nez Perce Tribe (Nimiipuu) propose the Native Connections effort to address the problem of suicide among Native American youth and young adults ages 12 through 24 years on our remote rural reservation. The Nez Perce Reservation is located in north central Idaho and represents the geographic catchment area. Nimiipuu Health is the implementing agency for the tribe and is located in Lapwai, the seat of tribal government. Participatory Action Research will guide the Native Connections process. According to the University of Kansas’ Community Tool Box, Action Research involves people “who are most affected by a community issue – typically in collaboration or partnership with others who have research skills – to conduct research on and analyze that issue, with the goal of devising strategies to resolve it.” We propose to directly engage youth and young adults in learning more about an issue that affects them (suicide) and take action (e.g. develop solutions) to help resolve the problem. We will develop a Youth/Young Adult Coalition to assist in this process. Native Connections goals and objectives include (space limitations prevent listing all objectives): Goal 1-Increase awareness about suicide. By September 30, 2019, the Community Assessment Coordinator generates 6 social media messages about suicide prevention and distribute through social media. Objective 1.3: By September 30, 2019, the Project Coordinator distributes suicide prevention materials to 200 individuals at community events (e.g., health fairs). Goal 2: Increase knowledge about suicide prevention and intervention resources. Objective 2.1: By September 30, 2019, the Evaluator proposes 5 baseline survey questions of knowledge about suicide prevention and intervention resources for youth, for inclusion in Fall 2019 schoolwide surveys. Objective 2.2: By September 30, 2019, the Community Assessment Coordinator conducts baseline community survey of knowledge about suicide prevention and intervention resources with 225 young adults and adults. Objective 3.2: By December 31, 2018, the Community Assessment Coordinator provides support to the youth/young adult advisory council to establish a monthly meeting schedule, with at least 10 meetings planned for Year 1. Goal 3: Develop resiliency in youth and young adults. Objective 3.1: By December 31, 2018, the Project Coordinator and Community Assessment Coordinator establish a youth/young adult advisory council with at least 10 members, focused on youth resiliency Goal 4: Increase partner/provider service coordination for youth and young adults at risk of suicide. Objective 4.1: By September 30, 2019, the Project Director, Co-Project Director and Project Coordinator collaborate with the youth/young adult provider partners to establish 1 inter-departmental/agency Multidisciplinary Team responsible for youth/young adult well-being. Goal 5: Increase community gatekeeper capacity to prevent and respond to suicide. Objective 5.1: By September 30, 2019, Community Assessment Coordinator coordinates with the youth/young adult advisory council to identify 1-2 suicide prevention training for community gatekeepers (e.g., MHFA).
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Aroostook Band of Micmacs (ABM), located in Maine's northern most county (Aroostook County), will provide youth with substance abuse and suicide prevention programming, in collaboration with the Penobscot Boys & Girls Club - Presque Isle Unit (PBGC), Pi'gunji'jg/Little Feather's Head Start and myriad of community partners that addresses the need of community Native Youth through the Aroostook Band of Micmacs Native Connections program. ABM will focus on youth aged 3-18 because these youth are most in need of additional programming in our community. Services will be provided to 260 Native youth annually including youth attending the Pi'gunji'jg/Little Feather's Head Start and PBGC with additional youth added throughout the lifetime of the project. The overarching goal of the Aroostook Band of Micmacs is to reduce the impact of mental and substance use disorders, foster culturally responsive models that reduce and respond to the impact of trauma in our Native community and allow our community to facilitate collaboration among agencies to support youth as they transition into adulthood. The primary goal is broken down into smaller, specific goals: Goal one- Reduce the impact of mental and substance use disorders in our community through increased participation of at-risk youths aged 3-18 in prevention programs. Goal two - Facilitate collaboration among community agencies to support at risk Native youth.
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American Indian Health and Family Services of Southeast Michigan’s (AIHFS) Collaborative Spirit of Hope, Wellness and Healing for our Community Project will serve American Indian/Alaska Natives (AI/AN) age 10 to 24 in Southeast, Michigan and in MI Tribal locations. In collaboration with our Manidookewigashkibjigan Sacred Bundle: R.E.S.P.E.C.T. Project, advisory councils, intra-agency and inter-agency partnerships, and utilizing evidence based, practice based, and culturally based practices (i.e. traditional healing), we will design an assessment driven Action Plan to develop, implement, and sustain early intervention strategies and follow-up care, for our local, county, and regional AI/AN youth. Outcomes are to prevent and reduce suicidal behavior and substance use, reduce the impact of trauma, and promote overall mental health via a Three-Tiered approach encompassing the following goals/objectives: ? Increase collaboration with existing intra and inter-agency youth serving programs to coordinate care for AI/AN youth at-risk of suicide and/or substance abuse. ? Increase the number of intra and inter-agency behavioral health (BH) providers trained to accurately identify AI/AN youth, and trained to be aware of, and refer to, culturally appropriate services for those at-risk of suicide and/or substance abuse. ? Increase the capacity of AIHFS and external agencies, who serve youth, to provide culturally appropriate evidence based, and practice based traditional healing services that include follow-up care. ? Increase referrals to, and utilization of, behavioral health care services for AI/AN youth at-risk of suicide and/or substance abuse services. ? Improve, and develop, policies and procedures, in collaboration with youth serving intra and inter-agency programs, to provide continuity of care and follow-up care for youth at-risk of suicide and/or substance abuse. Objectives are to: 1) Assess gaps in services and collaboration needs (year one); 2) Engage intra and inter-agency youth serving programs to coordinate care for at-risk youth (20 annually, 100 total); 3) Train agencies/providers in identification of AI/AN youth (100 annually, 500 total), and in the provision of evidence based (EB) and practice based (PB) (i.e. traditional healing) suicide and substance abuse prevention/intervention services (100 annually, 500 total), and create coordinated follow-up services (100 annually, 500 total), 4) Become a Wayne County contracted provider (year 1 and ongoing); 5) Engage in outreach/marketing of programs for AI/AN youth (100 annually, 500 total); 6) Refer at-risk youth to their home community (i.e. tribal and/or urban), BH providers, and conduct follow-up care (60 annually, 300 total); 7) Design standards of care for at-risk youth, and coordination and follow-up care procedures (years 1&2); 8) Design policies and procedures for the utilization of EB and PB (i.e. traditional healing) services for at-risk youth (years 1& 2); and 9) Further develop our postvention committee (by 3 months).
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75 Native youth will increase their mental health/well-being; positive sense of self, social competencies, positive values, commitment to learning, social supports, boundaries/expectations, constructive use of time, and empowerment Nawayee Center School seeks to reverse the impact of historic trauma by providing culturally significant mental health support services in a safe and educational environment. Critical aspects of this program set it apart from other Native youth initiatives in the area; its in-school approach with a captive audience already in school, credit-earning activities to help students progress in their goal of graduating which is essential for this population, and an integrative and positive approach. Both in-school and out of school program components support each other and expose Native youth to eight full hours of positive role model adults and a positive and creative focus with additional professional artists. Licensed Master’s level professionals bring important expertise to target mental health and substance abuse protective factors in program curriculum. The project will not only provide mental health and substance abuse support services, it will use traditional culture as a resiliency model and promote inter-generational engagement, with an ultimate goal to help students achieve academic and future success.
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The Red Lake Band of Chippewa Indians is proposing to conduct a Native Connections Project under this SAMHSA availability. The Red Lake Band is ideally situated to undertake this project at this time. We have recently completed a strategic planning process and have been named as a “Tiwahe” (Dakota for Family) Tribe by the Bureau of Indian Affairs, one of four tribes in the country to receive that designation. We propose to decrease suicidal behavior, substance abuse and effects of trauma among Red Lake youth by implementing evidence-based practices modified to be appropriate to Red Lake Ojibwe culture, and by providing Ojibwe based wellness counseling. We will be serving all eligible Red Lake youth but are adding a concentration on youth beyond high school age to the age up to and including 24 years of age. We will be marshalling all the resources of the Band to accomplish this goal. Guided by the Tribal Action Plan (TAP), we are approaching this task from a position of strength rather than weakness. It is we who must own our problems and we who must make the best uses of all available resources. Because we cannot bear the loss of one child we want to design systems that are equipped to help every child who is turning to thoughts of suicide or substance abuse because of depression or despair. All our children are subject to the same stressors, including those caused by an environment of growing levels of heroin, methamphetamine and prescription drug abuse and the family dysfunction that results. We need to reawaken the guiding forces of our traditional Anishinaabe values of Love, Honor, Respect, Truth, Honest, Humility and Wisdom which our ancestors upheld. This is a profound native connection which represents hope for all our people.
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The Mississippi Band of Choctaw Indians (MBCI), Choctaw Health Center’s Behavioral Health Program is submitting application for the Tribal Behavioral Health Grant Program (Short Title: Native Connections). This project will be titled Choctaw Native Connections (CNC). The project purpose will be to prevent and reduce suicidal behavior and substance use, reduce the impact of trauma, and promote mental health among MBCI youth through the age of 24 years, while improving transitioning outcomes as this group move into adulthood. This funding opportunity will assist with building capacity and collaborations to effectively treat and impact the identified population for the above listed issues through the use of culturally responsive models and approaches. The CNC Project is intended to reduce the impact of mental and substance use disorders, and respond to the impact of trauma. This project will enhance the MBCI infrastructure to improve collaboration among agencies to support youth as they transition into adulthood. The stated goals for the CNC project are as follows with a detailed set of objectives outlined within the
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The Blackfeet Native Connections project will improve coordination among behavioral health agencies across the Blackfeet Nation in Northwestern Montana to better respond to and care for individuals and families dealing with the issues of suicide, mental health crises, and substance use. The project will improve youth access to mental health care in rural schools and facilitate on-site mental health support during mental health emergencies on the Blackfeet Nation. The population of primary focus for the project will be youth aged 24 years or younger, a demographic represented within Blackfeet at nearly double the national average. The suicide rate among Blackfeet community members is nearly double the national average, and substance misuse in our young adult population is also disproportionately elevated. To address these pressing public health concerns, Blackfeet Native Connections will aim to improve substance use and mental health care coordination and collaboration among youth-serving agencies on the Blackfeet Nation by completing a systems analysis, needs assessment, and resources/asset map for youth behavioral health. Additionally, all youth-serving agencies will adopt standards of care for youth at risk for suicide, procedures for transitioning youth between agencies, a plan to facilitate connection to treatment and follow-up for youth who attempt suicide and use substances and “postvention” protocols for responding to suicides and suicide attempts. To guide this work, a diverse group of local stakeholders—to include behavioral health professionals knowledgeable in evidence-based clinical health practices, community members knowledgeable in traditional and cultural Blackfeet values, and youth from a local youth advisory board—will meet at least quarterly throughout the five-year project to provide guidance on all project activities. Blackfeet Native Connections will also work to reduce the traumatic impact of mental health and substance use disorders on the Blackfeet Nation through culturally responsive interventions aimed at universal prevention as well as selective and indicated intervention strategies. This will be achieved through comprehensive development and implementation of action plans designed to (a) train at least 50 school staff and 200 medical staff in evidence-based behavioral health literacy to improve universal prevention of substance use and mental health crises; (b) identify and offer universal and selected behavioral health services to 250 students in the Heart Butte and East Glacier Park School settings; (c) provide at least 500 youth with indicated mental health care and substance use interventions at the time of a mental health crisis through Mental Health Support Specialists embedded in school and law enforcement settings. This project will serve a total of 1,000 people on the Blackfeet Nation over the five-year period.
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