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The Coalition services Latah County, ID, a rural area with a population of 35,906. The Coalition will achieve the DFC goals by implementing these strategies: (1) Provide information to parents and other community members through a media campaign on the effects of alcohol and other drugs on the developing brain. (2) Modify school and other policies related to youth substance use. (3) Change consequences by increasing disincentives such as citations and fines related to youth substance use.

The goals of the Coalition are: (1) establish and strengthen collaboration among HEART Coalition for a Drug Free Rochester's partner organizations in support of the community's effort to prevent and reduce substance abuse among youth; and (2) reduce substance abuse among youth in Rochester, NY, and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. The Coalition will achieve its goals by implementing these strategies: (1) Strengthen collaboration among multiple community sectors to support the work of the HEART Coalition for a Drug Free Rochester and engage multiple and new partners in implementing the Strategic Prevention Framework to reduce alcohol and marijuana use among Rochester youth. (2) Reduce substance abuse among youth, especially use of alcohol and marijuana, by addressing community risk factors and promoting community protective factors by providing information to community, key leaders, parents, and youth about needs assessment, HEART Coalition, HEART work plan, and results. (3) Enhance youth and parent skills by sponsoring workshops regarding alcohol and marijuana risks, positive social norms, media literacy, family communication, fetal alcohol syndrome, and healthy sexuality. (4) Provide pro-social supports to youth by increasing positive youth activities, by improving adult-student communication and interaction and climate in high schools, and by promoting HEART social norms campaign, Be Proud, Join the Crowd. (5) Enhance access and reduce barriers by increasing youth access to comprehensive preventive health care by reaching youth and parents and by engaging with medical providers. (6) Reduce barriers to education so that more youth stay in school and dropout rate declines. (7) Change consequences by increasing public recognition for positive behaviors. (8) Disseminate HEART visual and co

The goals of the Coalition are: (1) establish and strengthen collaboration among Warren County Community Health Coalition's partner organizations in support of the community's effort to prevent and reduce substance abuse among youth; and (2) reduce substance abuse among youth in Warren County, VA, and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. The Coalition will achieve its goals by implementing these strategies: (1) Increase Coalition partnerships and the capacity of Coalition partners to recognize environmental risk factors and respond accordingly. (2) Pursue County Council members to implement community-wide policy changes and mobilize community members to promote policy change. (3) Provide trainings, technical assistance, and resources to youth, teachers, parents, and other individuals that work with children on alcohol, tobacco, and other drug topics. (4) Coordinate school and community-based campaigns promoting anti-drug messaging to change the perception of normative behaviors. (5) Encourage and facilitate collaboration among faith-based organizations, communities, families, school, business, law enforcement, and criminal justice to decrease drug use by youth. (6) Diversify Coalition membership to be more representative of the various sectors of the community. (7) Reduce adolescent access to alcohol, tobacco, and other drugs through enforcement and by changing community policies and practices. (8) Host community campaign discouraging under-age alcohol use and the provision of alcohol to minors by adults. (9) Host events that educate the community about the health, social, and legal consequences of youth substance abuse.

The goals of the Coalition are: (1) establish and strengthen collaboration among Anne Arundel Coalition for Safe Communities' partner organizations in support of the community's effort to prevent and reduce substance abuse among youth; and (2) reduce substance abuse among youth in Anne Arundel County, MD, and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. The Coalition will achieve its goals by implementing these strategies: (1) Anne Arundel County Teen Summit and Resource Fair, a one-day conference to raise awareness regarding the risk factors associated with use of drugs. (2) Teens in Partnership (TIP) Youth Advisory Board. (3) Keep a Clear Mind (KACM), a take-home drug education program. (4) Alcohol and compliance checks to monitor the sale of alcohol to minors. (5) Reach Out Now National Teach-in to raise awareness among students about the related dangers and possible consequences before they start drinking. (6) Underage Drinking-Media Campaign consisting of a website, newsletters, and PSAs. (7) Anne Arundel County Drug-free After Prom that is a free event and provides for a safe and drug free place for students to attend after prom. (8) Schools in Courts Program designed to educate students about the judicial process as it relates to underage drinking and drunk driving.

The Community Action Coalition services the Central Kenai Peninsula, AK, a rural area with a population of 53,409. The Coalition will achieve the DFC goals by implementing these strategies: (1) Increase Coalition partnerships and the capacity of Coalition partners to recognize environmental risk factors and respond accordingly; (2) Pursue County Council members to implement community-wide policy changes and mobilize community members to promote policy change, including among Alaska Native tribal leaders; (3) Provide trainings, technical assistance, and resources to youth, teachers, parents, and other individuals that work with children on alcohol, tobacco, and other drug topics; (4) Provide opportunities for community leaders to recognize youth involved in pro-social activities by hosting community forums and public events; (5) Provide information to civic, religious, business, and tribal leaders, as well as to parents and youth on recent trends concerning and upcoming opportunities to counter youth substance use; (6) Provide support to Alaska Native youth, modifying juvenile correction policies and working to change Alaska Native youth choices and consequences through a Tribal Youth Justice Council; (7) Coordinate school and community-based campaigns promoting anti-drug messaging to change the perception of normative behaviors; (8) Reduce adolescent access to alcohol, tobacco, and other drugs through enforcement and by changing community policies and practices; and (9) Host a community campaign discouraging under-age alcohol and tobacco use and the provision of alcohol, cigarettes, and chewing tobacco to minors by adults.

The goals of the Coalition are: (1) establish and strengthen collaboration among Caring Community Coalition's partner organizations in support of the community's effort to prevent and reduce substance abuse among youth; and (2) reduce substance abuse among youth in New Braunfels, TX, and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. The Coalition will achieve its goals by implementing these strategies: (1) Increase public awareness through education. (2) Target community norms that allow youth use of substances to continue. (3) Change community policy to reduce access to substances by youth.

The goals of the Coalition are: (1) establish and strengthen collaboration among Sandusky County Prevention Partnership Coalition's partner organizations in support of the community's effort to prevent and reduce substance abuse among youth; and (2) reduce substance abuse among youth in Sandusky County, OH, and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. The Coalition will achieve its goals by implementing these strategies: (1) Create and strengthen strategies designed to reduce youth access to alcohol. (2) Increase mobilization and advocacy among youth and other community members. (3) Promote awareness, education, and increase knowledge on the effects of alcohol, tobacco, and other drugs.

The Garner Asset Project services Garner-Hayfield Community School District, including Garner, Hayfield, Miller, and Duncan, IA, a rural area with a population of 2,922. The goals of the Coalition are: (1) establish and strengthen collaboration among Garner Asset Project's partner organizations in support of the community's effort to prevent and reduce substance abuse among youth; and (2) reduce substance abuse among youth in Garner-Hayfield Community School District, IA, and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. The Coalition will achieve its goals by implementing these strategies: (1) Reduce access to alcohol and tobacco by minors. (2) Review and recommend Good Conduct Policy to school board and social host ordinance to the county. (3) Provide seller/server training to alcohol retailers and their employees.

The goals of the Coalition are: (1) establish and strengthen collaboration among Chesterfield County Coordinating Council-Youth Development Coalition's partner organizations in support of the community's effort to prevent and reduce substance abuse among youth; and (2) reduce substance abuse among youth in Chesterfield County, SC, and, over time, reduce substance abuse among adults by addressing the issues in our community that increase the risk of substance abuse and promoting the factors that minimize the risk of substance abuse. The Coalition will achieve its goals by implementing these strategies: (1) Alcohol compliance checks and subsequent merchant education to reduce youth access to alcohol. (2) Use creative arts to generate youth led messages that marijuana is harmful. (3) Implement numerous and varied public awareness, community education, and media campaigns to strengthen expressions of community norms that build youth assets so that Chesterfield County produces healthy, happy adolescents.

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Increase the number of homes committed to providing drug-free environments. (2) Reach the Amish population by participating in area health fairs and other appropriate events. (3) Increase participation of the Hispanic community with Coalition initiatives. (4) Increase the membership of each Coalition partnership by two new community members. (5) Increase the level of participation and improve the skills of the members within the partnerships.

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Increase the number of homes committed to providing drug-free environments. (2) Reach the Amish population by participating in area health fairs and other appropriate events. (3) Increase participation of the Hispanic community with Coalition initiatives. (4) Increase the membership of each Coalition partnership by two new community members. (5) Increase the level of participation and improve the skills of the members within the partnerships.

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Review and recommend community policies that reduce youth access to alcohol and other drugs. (2) Utilize environmental strategies to strengthen expressions of community norms against underage drug use. (3) Reduce risk factors and increase protective factors known, through research, to affect underage drug use.

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Review and recommend community policies that reduce youth access to alcohol and other drugs. (2) Utilize environmental strategies to strengthen expressions of community norms against underage drug use. (3) Reduce risk factors and increase protective factors known, through research, to affect underage drug use.

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Provide information and educate the community about the dangers of alcohol, tobacco and other drugs. (2) Enhance the skills of Coalition members and community members to prepare them to help young people abstain from alcohol, tobacco, and other drug use. (3) Provide support in the community to deter alcohol, tobacco, and other drug use. (4) Advocate for policies that will improve the health and well being of Hancock County citizens. (5) Reward and recognize individuals and entities that support a safer, healthier Hancock County.

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Provide information and educate the community about the dangers of alcohol, tobacco and other drugs. (2) Enhance the skills of Coalition members and community members to prepare them to help young people abstain from alcohol, tobacco, and other drug use. (3) Provide support in the community to deter alcohol, tobacco, and other drug use. (4) Advocate for policies that will improve the health and well being of Hancock County citizens. (5) Reward and recognize individuals and entities that support a safer, healthier Hancock County.

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Coalition meeting and trainings. (2) A Coalition survey. (3) Training for a leadership group of teens. (4) Key Leader Interviews. (5) Focus Groups. (6) A radio "audit" of marijuana messages. (7) A GIS map of County resources. (8) Outreach to foundations for additional funding. (9) DRE training for police officers. (10) Point of sale campaign with pharmacies. (11) Publicity for the countywide drug take back day. (12) Outreach to sports medicine doctors and oral surgeons for prescription drug abuse prevention. (13) A town hall meeting. (14) A county proclamation for Marijuana Prevention Day. (15) A drug free school zones check database. (16) Prevention messages in Faith bulletins. (17) Multi media approach for parent education (for middle school parents a campaign about underage drinking; for all parents a campaign about marijuana and prescription drugs). (18) A survey on middle school policies. (19) A workplace prevention initiative.

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Coalition meeting and trainings. (2) A Coalition survey. (3) Training for a leadership group of teens. (4) Key Leader Interviews. (5) Focus Groups. (6) A radio "audit" of marijuana messages. (7) A GIS map of County resources. (8) Outreach to foundations for additional funding. (9) DRE training for police officers. (10) Point of sale campaign with pharmacies. (11) Publicity for the countywide drug take back day. (12) Outreach to sports medicine doctors and oral surgeons for prescription drug abuse prevention. (13) A town hall meeting. (14) A county proclamation for Marijuana Prevention Day. (15) A drug free school zones check database. (16) Prevention messages in Faith bulletins. (17) Multi media approach for parent education (for middle school parents a campaign about underage drinking; for all parents a campaign about marijuana and prescription drugs). (18) A survey on middle school policies. (19) A workplace prevention initiative.

The coalition will prevent and reduce youth substance use by implementing the following strategies: (1) Reduce youth access to and abuse of alcohol and tobacco. (2) Improve community involvement and collaboration in the Coalition to increase Coalition capacity.

ABSTRACT Circle of Life’s Circles of Care Grant Project (COL CoC) will strategically plan and design a comprehensive, integrated, and community driven cross systems collaboration of care to support and promote the mental health and wellness of the 8 Northern Indian Pueblo Youth and Families of New Mexico. Goal #1 of COL CoC is to develop Task Forces of Tribal Members to provide a “community voice”. The Task Forces will include: Children, Adolescents, Transitional Aged Youth, Parents, and Caregivers along with: Tribal Service Providers, Leadership, and Stakeholders. Group input will be gathered through Tribal traditional and innovative, solution-based processes. Goal #2 is for Task Forces to develop and utilize: a Resource Asset Map, Community Needs Assessment, and Community Readiness Assessment to identify community issues and trends. Goal #3 is to develop a Social Media and/or a Community Education Plan to promote COL CoC’s objectives. Goal #4 is to identify and review existing policies to formulate new policies and/or ordinances to promote mental health and wellness for Tribal Youth and Families. COL CoC is proposing a minimum of 80 Community Members be involved in the Task Forces: Meetings, Summits, Forums, and Roundtables. COL CoC is also proposing a minimum of 24 Stakeholders receive training in mental health related best practices. COL CoC also proposes: a minimum of: 8 MOAs, 4 Strategies, and 4 Policies/Procedures/Processes be developed. COL CoC will promote mental health and wellness for Tribal Youth and Families through a series of Forums about the impact of Historical Trauma to promote finding a “path” that leads the Tribal Community to healing and wellness. COL CoC Grant Team will also coordinate a series of Summits for Tribal Youth and Families where the Youth Task Force (YTF) and Family Task Force (FTF) will process the information gathered in the Community Resource Asset Map, Community Readiness Assessment, and Community Assessment to develop priorities to promote wellness. COL CoC Grant Team, with YTF and FTF, will gain an understanding of Cultural and evidence based practices to promote wellness. A Tribal Leader Task Force (TLTF) will also form to represent Tribal Leadership, Service Providers, and Stakeholders to support YTF and FTF. Groups will meet regularly to engineer a “System” reflecting the 3 Task Force’s recommendations to better address the Tribal Youth and Family’s mental health and substance abuse issues in the 8 Northern Indian Pueblos. COL CoC’s approach will include a review of the current policies, programs, and procedures regarding Tribal Youth and Family wellness to strategically plan and coordinate services for efficient utilization of Tribal community resources and Cultural approaches. COL CoC’s collaborative approach will mirror the current collaborative leadership of Eight Northern Indian Pueblo Councils (ENIPC) to lay the foundation of a strategic plan for future program development. COL CoC’s 3 Task Forces will provide input supporting policy development and Cultural Logic Model work, outlining the implementation of a culturally and linguistically appropriate approaches, following CLAS principal standards towards Youth and Family wellness.

American Indian Health & Services (AIHS), a California non-profit corporation, is proposed to engage in a comprehensive planning effort – Circles of Care -- to address prevention and treatment of mental illness and substance use among Native American/Alaskan Native (AI/AN) youth residing in Santa Barbara and surrounding communities. The populations of focus are AI/AN children and their families that reside in coastal Santa Barbara and Ventura Counties, which is approximately 100 miles northwest of Los Angeles. AIHS is the only behavioral health and medical resource with a Native focus available for the 8,965 AI/AN residents of Santa Barbara, including those in combination with one or more races. In neighboring Ventura County to the south, from which AIHS also draws clients and conducts outreach, there are an additional 15,253 AI/AN residents. Our goal is to expand the range and depth of services provided to children with mental health and co-occurring substance use needs within an integrated and comprehensive system of care. We anticipate that this will be achieved through enhanced cooperation of local county government and for-profit and nonprofit agencies. Measurable objectives include conducting multiple, diverse assessments on community readiness, unmet mental health needs for children, youth and their families, as well as the potential for partnerships, maximization of resources, and solutions that enhance community wellness/mental health; developing a comprehensive blueprint in response to the community needs assessment that includes a comprehensive plan for addressing unmet needs and gaps in mental health services for children, youth and their families; and developing a short- and long-term plan for sustainability based on programmatic and service elements identified in the blueprint, ensuring that AI/AN children and their families benefit from community endorsed services expansion that addresses the most critical needs for mental health treatment. The goals and objectives are designed to create a community-wide infrastructure that will ensure short- and long-term sustainability. AIHS staff observe children and youth that are experiencing factors that place them at risk for trauma that produce a range of mental health issues, including prenatal exposure to alcohol and/or illicit drugs; physical and/or sexual abuse; gross neglect; trauma resulting from domestic, street, and/or gang violence; and being at-risk for removal from their home or from a public school setting. A centerpiece of this initiative is a thorough community needs assessment, which includes a snapshot of the current system of care that is in place and the gaps that need to be closed, which will be followed by a plan to address each of them. Through planning and blueprint design, and sharing of data with non-Native agencies and stakeholders, there will be agreement that the problems we have documented are addressable. Activities will be implemented by a team that will be formed and headed by the Project Director. Team members will bring skills that include knowledge of the AI/AN community as well as a range of lived and academic education that will ensure that they implement the project’s goals and objectives.

The Sacramento Native American Health Center, Inc. (SNAHC) seeks funding for a Sacramento Circles of Care Project to plan and build infrastructure to implement a system of care model for mental health disparities in urban American Indian/Alaska Native (AI/AN) youth, birth to 25 and their families living in Sacramento County. SNAHC is located in the City of Sacramento, California and plays a major role as a part of the “safety net” in the Sacramento Area. SNAHC provides primary care services to medically underserved communities residing in Sacramento, County and the organizational purpose is committed to the legacy of a healthy AI/AN community based on cultural values delivered through a traditional, innovative and accessible patient-centered health home. SNAHC’s goal is to develop the infrastructure necessary to implement a holistic, comprehensive, coordinated behavioral health system of care for urban American Indian/Alaska Native (AI/AN) children and youth, 0-25, and their families living in Sacramento, County. These objectives and activities include: Objective 1: Create a culturally relevant integrative system of care with youth, adults, respected elders, agencies, and providers in Sacramento County. Activity 1: Engage AI/AN Families and Community Members Activity 2: Engage AI/AN Youth Activity 3: Engage Multi-Agency Partners Objective 2: Develop a community-based blueprint/system of care model, for how AI/AN children/youth Mental Health and Wellness services and supports will be provided in Sacramento, County. Activity 1: Complete a Community Needs Assessment, Community Readiness Assessment and Community Resource/Asset Map Activity 2: Develop Sacramento System of Care Blueprint Objective 3: Actively build a culture of learning to support goals of system change. Activity 1: Build knowledge of system of care, family-driven and youth-guided care, and community-based participatory evaluation. Activity 2: Develop Circles of Care Toolkit & conduct community engaged evaluation. Objective 4: Increase awareness of child/youth mental health and wellness issues through social marketing. Activity 1: Develop and implement community-based social marketing and public education plan. SNAHC will build collaboration between families, youth, and system partners that addresses the current local need for increased capacity, efficiency, sustainability, and culturally-appropriate behavioral health delivery system. The purpose of this project is to bring the Sacramento urban American Indian community together to plan and perform an in-depth gap analysis of the systems of care impacting the mental health and wellness of American Indian children and their families.

Maniilaq Association is applying for funding under the FY17 Circles of Care Funding Opportunity Announcement, with the intent of using an award to improve community mental health care infrastructure in Northwest Alaska. This will be accomplished by developing a community-based Qargi model, which will improve service delivery via increased collaboration within and among the twelve federally recognized Tribal villages of the Maniilaq Service Area. Qargi is an Inupiaq word meaning ‘community house.’ Traditionally, the Inupiat inhabitants of this region had a Qargi in each community where people would gather to celebrate, share skills and wisdom with younger generations, and meet to deal with difficulties or crises which had to be resolved in their villages. Importantly, this model also focuses on community-health system partnerships that integrate local voices, priorities, and values into services available to tribal communities and stakeholders. The Qargi concept is the very embodiment of tribal self-determination, centered on a sense of unity and working together to solve problems before they become unmanageable. Maniilaq Association proposes to use this model as an organizing principle in developing a more inclusive, collaborative, and community-based mental health care system. Funding awarded under this proposal will support the expansion of village-based, Native-led wellness and health education programming, and the development of a collaborative care model to integrate behavioral health and general medical services across the region. Village Qargi meetings will build communities of practice and create local platforms for health and mental health workers, community members, and families to address mental health disparities through collaborative planning, health education, and community mobilization. This will expand upon existing village infrastructure established under the PC CARES (Promoting Community Conversations About Research to End Suicide) Program, a successful model in our region in which monthly learning circles are facilitated by community leaders in each of the villages of the Maniilaq service area. These learning circles combine region-based research evidence with local knowledge to support suicide prevention at the community level through culturally appropriate strategies. The University of Massachusetts-Amherst School of Public Health and Health Sciences will participate in program improvements by adapting the PC CARES framework for a broader range of mental health-oriented Qargi meetings. The Qargi model in the health and social service systems will involve the establishment of a division of social medicine at Maniilaq Association and the expansion of an interdepartmental committee to integrate mental health, primary care, and village clinic services. The new division will be led by community health workers, primary care providers, and mental health workers, and will be tasked with innovating mental health policy and protocols through an incorporation of social medicine perspectives into primary and mental health care delivery. The committee will build a collaborative care model to integrate mental health services on village and regional levels, and to coordinate with medical staff to ensure continuity and effective coordination of mental health care. The efforts funded by this grant will enable Maniilaq Association to reduce the gap between available and needed services, resulting in an improved system of care which helps children, youth, and families function better at home, in school, and in their communities. With previous SAMHSA support, Maniilaq Association has made significant strides in addressing the mental health and substance abuse treatment needs of this region’s residents. This FY17 Circles of Care support will enable Maniilaq Association to build on nearly twenty years of collaboration between researchers, behavioral health practitioners, and the Alaska Native villages of Northwest Alaska.

San Diego American Indian Health Center Department of Health and Human Services SAMHSA Circles of Care VI FOA No. SM-17-002 Project Abstract The San Diego Circles of Care Planning Project, proposed by the San Diego American Indian Health Center (SDAIHC), will develop a comprehensive, quality, culturally respectful system of care (SOC) that responds to the mental health needs of American Indian and Alaska Native (AI/AN) youth birth to 25 and their families of the San Diego metropolitan area. The community-owned, youth-guided, and family-driven process will result in a model of care that promotes health and wellness. The proposed project will serve urban Indians, a population that has been described as “invisible” because it is not affiliated with a single Tribe, reservation, or cultural tradition. Yet there are an estimated 29,782 AI/AN residents within the SDAIHC service area. This population is characterized by a lower than average age, socioeconomic status, and level of educational achievement. Youth among this population struggle with intergenerational trauma, chronic grief, substance abuse, domestic violence, child abuse, and other issues that illustrate a critical need for appropriate mental health services. SDAIHC proposes to implement strategies that will achieve four underlying goals, each with measurable outcomes. Goal #1: Engage the local Native community to guide the project. Goal #2: Conduct community-wide training on mental health and Systems of Care. Goal #3: Complete a Community Needs and Service System Assessment. Goal #4: Develop a Service System model that meets the needs of youth and families and is feasible to implement within the San Diego service system. Through a community-based participatory program model, using the Gathering of Native Americans (GONA) as a strategic planning framework, SDAIHC will support the San Diego Native Community in building a System of Care for AI/AN youth and their families. Through coordination and support of a Youth Council and Community Advisory Board, consumer youth and their families will guide the development of a needs and service system assessment and will support many aspects of the work. The Needs and Service System Assessment will provide data and new knowledge to support the community in developing an SOC model that meets the needs of their local youth and families. Through training and capacity building, the project will empower youth and community advisors to support local education and advocacy for the System of Care, test the feasibility, and prepare for implementation. Digital Storytelling Workshops will support youth-friendly methods for telling the local story and will guide their social marketing campaign. Ongoing trainings for the community and providers will support the development of a culturally competent mental health workforce that is trauma-informed and prepared for the SOC. Through advocacy, training, and education SDAIHC will work to formalize agreements with the County of San Diego and area organizations and make necessary policy changes to support implementation of a comprehensive, quality, integrated, and holistic SOC for San Diego’s Native youth and families in 2017. We believe that this Circles of Care initiative will result in meaningful engagement; increased hope, community connections, and ethnic identity among participants; strong system partners, and a clear plan for implementing a System of Care for our community.

Project Abstract The Montana Office of Public Instruction (OPI) Systems of Care (SOC) Project implements culture-based high fidelity wraparound services in seven rural/frontier schools that serve reservation youth in sixth through twelfth grade (n=1118). The target population for wraparound services is youth with SED/SMI (including early onset) (n=125). Youth at risk of SED/SMI and the entire population of the communities (29,066) are targeted with communication and training strategies to strengthen natural supports and recovery supports. Governance structures are targeted to improve infrastructure and sustainability. GOAL 1: Implement high fidelity wraparound services for tribal students. 1.1: Credential and support staff. 1.2: Deliver culture-based wraparound services to up to 56 youth annually, 77 over four years. 1.3: Increase model fidelity to the highest level by implementing Wraparound Fidelity Assessment System (WFAS). Goal 2: Increase trauma informed care (TIC) knowledge and skills; and increase cultural knowledge/skills for all school staff. 2.1 Annually engage seven wraparound project schools and at least one other stakeholder to conduct a TIC system assessment and improvement plan. 2.2 Train 75% of school and partner staff and 20% of community in “101 level” introduction to TIC. 2.3 Train 50% of the school staff and one other stakeholder in a “201” level TIC skills. 2.4 Create, implement, and sustain in policy and practice a two part “Cultural Orientation” for school staff members. Goal 3: Promote SOC values/knowledge/tools, and increase access to services for the entire population (29,066) 3.1: Develop and implement annual communications plan 3.2 Increase access to a sustainable, accurate resource referral guide by partnering with www.Montana211.org to increase tribal resources in the system. Goal 4: Pilot project to increase the number of youth with early onset of SED/SMI or high risk who are systemically identified and connected to services. 4.1 In Y1 adapt OPI Early Warning System, embed protocols within the existing tribal Crisis Response Protocol. 4.2 At risk youth are identified and served through pilot project implementation (baseline # TBD). Expand to additional site in Y3. 4.3 Evaluate and produce Implementation Guide. Goal 5: Strengthen local and state governance systems to sustain and scale wraparound. 5.1 Facilitate and strengthen participation of Local Advisory Teams and State Advisory Team through evidence based system change model training/coaching; quarterly meetings; formal MOUs. 5.2 Sustainability plans completed by Year 2, implemented in Years 3-4. 5.3. Four Family/Youth Advisory Councils (one per reservation) meet monthly; provide input for governance, communication, evaluation. Goal 6: Administer all Grant Requirements. 6.1 Data collection, evaluation, continuous improvement. 6.2 Financial grants management. 6.3 SAMHSA grantee meetings

Crossover Xpand System of Care Project The Mississippi Department of Mental Health (MS DMH) is proposing to expand current and graduated System of Care (SOC) programs in two jurisdictions served by Pine Belt Mental Healthcare Resources and Weems Community Mental Health by prioritizing underserved children and youth who are involved in the child welfare/advocacy system and/or the juvenile justice system, referred to as “crossover youth,” and those at risk for becoming crossover youth, and their families. The priority children and youth will have a diagnosed serious emotional disorder (SED), co-occurring disorder (COD), or first episode of psychosis (FEP), be ages 3 -21, reside in Forrest, Jones, Lauderdale, or Marion Counties in Mississippi, and be involved with child protection services and/or juvenile justice, or be at risk for involvement. We intend to redesign service systems at the county level to identify and intercede at strategic intercept points within the systems of care. Targeted case managers will be integrated within primary care, child welfare, youth court, schools, detention centers, and child advocacy centers to provide universal screening and assessments, service system navigation, and trauma-informed mental and behavioral health care. A family nurse practitioner will be integrated into several mental health sites to provide brief primary care interventions. We hope to create a paradigm shift by redesigning the service approach to incorporate the SOC philosophy and use wraparound principles, including coordinated, community-based, comprehensive, trauma-informed, and integrated services that are youth guided and family driven, as well as culturally and linguistically competent. The goals of Crossover Xpand SOC are: 1) to expand Mississippi’s SOC by targeting at risk and crossover youth (ages 3-21) with SED/COD/FEP and their families and expanding integrated care with evidence-based interventions; 2) to increase awareness of, and community commitment to, the mental health issues of at risk and crossover youth; 3) to improve organizational and systemic capacity to serve at risk and crossover youth with SED/COD/FEP across five levels of care; 4) to expand youth and family roles as full and equal partners within an integrated system of care; and 5) to use continuous quality improvement to drive and sustain effective service delivery for replication. Crossover Xpand SOC will annually engage a minimum of 100 at risk or crossover youth, for a total of 400 youth over the entire project period. Other objectives include improving time to engage youth by integrating services at strategic intercept points, expanding access to care, and creating a skilled trauma-focused workforce.