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NAMI New Hampshire (National Alliance on Mental Illness) will provide New Hampshire families and youth with serious emotional disturbances (SED) with the framework and infrastructure (the New Hampshire Family Network) to improve outcomes for children/youth with SED and transform the state's children's behavioral health system to ultimately create improved population health outcomes. The project will serve parents/caregivers of children/youth with SED, as well as youth/young adults living with SED up to age 26, if they are transitioning to an individual service plan (ISP) in the adult mental health system. Activities will be designed to address behavioral health issues specific to New Hampshire families: substance misuse, needs of military families, suicide risk that children/youth with SED face, increased risk for depression and suicide among LGBTQ youth, and unique needs of New Hampshire's minority and refugee populations.

Kentucky Partnership for Families and Children, Inc.'s (KPFC) mission is to "empower families affected by behavioral health challenges to initiate personal and systems change." Building an infrastructure for a family-driven and youth-guided system of care requires parent/primary caregivers and youth to have initiated personal change in strengthening their own advocacy and leadership skills. Once personal change is set into motion, the momentum from the parents and youth is unstoppable. Once families and youth understand their power in being catalysts for transforming Kentucky's system of care, their excitement and energy moves forward to strengthen the movement and toward systems change-the change to create a strong, viable, responsive system of care in Kentucky.

Kentucky Partnership for Families and Children, Inc.'s (KPFC) mission is to "empower families affected by behavioral health challenges to initiate personal and systems change." Building an infrastructure for a family-driven and youth-guided system of care requires parent/primary caregivers and youth to have initiated personal change in strengthening their own advocacy and leadership skills. Once personal change is set into motion, the momentum from the parents and youth is unstoppable. Once families and youth understand their power in being catalysts for transforming Kentucky's system of care, their excitement and energy moves forward to strengthen the movement and toward systems change-the change to create a strong, viable, responsive system of care in Kentucky.

UPLIFT, a non-profit, family-run organization for families of children with special health care needs, will focus its work under this grant program to advance Wyoming's system of care for children, youth, and adolescents with mental health challenges. UPLIFT will strengthen the knowledge and capacity of families to act as advocates and agents of transformation to influence the services and supports provided to them and their children. UPLIFT is Wyoming's federation of Families for Children's Mental Health and since the beginning of this community-based family-run organization in 1990, UPLIFT has made many inroads and advances into the children's mental health system of care in this frontier state.

UPLIFT, a non-profit, family-run organization for families of children with special health care needs, will focus its work under this grant program to advance Wyoming's system of care for children, youth, and adolescents with mental health challenges. UPLIFT will strengthen the knowledge and capacity of families to act as advocates and agents of transformation to influence the services and supports provided to them and their children. UPLIFT is Wyoming's federation of Families for Children's Mental Health and since the beginning of this community-based family-run organization in 1990, UPLIFT has made many inroads and advances into the children's mental health system of care in this frontier state.

North Carolina Families United Statewide Family Network, will support and sustain the infrastructure that is essential to ensure an independent family and youth voice in our communities and state so that they might be the driving force behind system transformation in the children's mental health arena and enable families and youth to navigate the system of care and make wise mental health care decisions. The population of focus to be served through the Statewide Family Network (SFN) are families of children and youth (ages 0-26 with behavioral or mental health challenges throughout North Carolina.

North Carolina Families United Statewide Family Network, will support and sustain the infrastructure that is essential to ensure an independent family and youth voice in our communities and state so that they might be the driving force behind system transformation in the children's mental health arena and enable families and youth to navigate the system of care and make wise mental health care decisions. The population of focus to be served through the Statewide Family Network (SFN) are families of children and youth (ages 0-26 with behavioral or mental health challenges throughout North Carolina.

"The Vermont Statewide Family and Youth Leadership Project" will work with Vermont families of children, youth and young adults in transition experiencing or at risk of serious emotional disturbance to empower them to become agents of transformation for themselves, and the System of Care. This transformation will be family driven and youth guided and impact the implementation, sustainability, and improvement of effective mental health and substance abuse prevention and treatment services for children, youth, young adults in transition and their families.

"The Vermont Statewide Family and Youth Leadership Project" will work with Vermont families of children, youth and young adults in transition experiencing or at risk of serious emotional disturbance to empower them to become agents of transformation for themselves, and the System of Care. This transformation will be family driven and youth guided and impact the implementation, sustainability, and improvement of effective mental health and substance abuse prevention and treatment services for children, youth, young adults in transition and their families.

Nevada P.E.P. will enhance state capacity to meet the needs of children and adolescents with serious emotional disturbances and their families by providing mechanisms for families to participate in the planning and development of local mental health services. The specific goals of the project are to: (1) Strengthen the knowledge and capacity of families with children who have mental health challenges to act as change agents to enhance systems, improve outcomes, and ensure family-driven mental health care; and (2) Build self-sufficient, empowered family networks in Nevada that effectively participate in activities to improve community-based children's mental health services and reduce disparities in access, service use, and outcomes among racial and minority populations served.

Nevada P.E.P. will enhance state capacity to meet the needs of children and adolescents with serious emotional disturbances and their families by providing mechanisms for families to participate in the planning and development of local mental health services. The specific goals of the project are to: (1) Strengthen the knowledge and capacity of families with children who have mental health challenges to act as change agents to enhance systems, improve outcomes, and ensure family-driven mental health care; and (2) Build self-sufficient, empowered family networks in Nevada that effectively participate in activities to improve community-based children's mental health services and reduce disparities in access, service use, and outcomes among racial and minority populations served.

Families CARE and the statewide network of family-run organizations will enhance family driven and youth-guided systems in Nebraska by enriching workforce capacity and promoting family voice within the Family Peer Support infrastructure. This proposed system-nurtured infrastructure will focus on the improved quality of Family Peer Support while enhancing the overall capacity to respond to the special needs of children and adolescents with serious emotional disturbances and their families. Families CARE will leverage state and community partnerships to expand the Family Peer Support workforce, directly impacting 50 advocates, 3,000 families, and 6,000 children and adolescents in Nebraska.

Families CARE and the statewide network of family-run organizations will enhance family driven and youth-guided systems in Nebraska by enriching workforce capacity and promoting family voice within the Family Peer Support infrastructure. This proposed system-nurtured infrastructure will focus on the improved quality of Family Peer Support while enhancing the overall capacity to respond to the special needs of children and adolescents with serious emotional disturbances and their families. Families CARE will leverage state and community partnerships to expand the Family Peer Support workforce, directly impacting 50 advocates, 3,000 families, and 6,000 children and adolescents in Nebraska.

The Minnesota Statewide Family Network project will enhance state capacity and infrastructure to better meet the needs of children and youth ages birth-26 with serious emotional disturbances (SED). The project will develop local family organizations, build families' knowledge and skills to participate in state and local mental health services planning and policy development, promote workforce development, and provide and disseminate information across Minnesota.

The Minnesota Statewide Family Network project will enhance state capacity and infrastructure to better meet the needs of children and youth ages birth-26 with serious emotional disturbances (SED). The project will develop local family organizations, build families' knowledge and skills to participate in state and local mental health services planning and policy development, promote workforce development, and provide and disseminate information across Minnesota.

This proposal is to develop the Virginia Family Network (VFN) and Youth MOVE Virginia (YMV). The project goal is to ensure that families and youth are the catalysts for transforming the mental health and related systems in their state by strengthening coalitions among family organizations and between family members and youth, policymakers, and service providers, recognizing that family members and youth are the most effective change agents. The populations to be served are parents, caregivers, and families of children and youth with mental health needs and youth with mental health needs, ages 12-18.

This proposal is to develop the Virginia Family Network (VFN) and Youth MOVE Virginia (YMV). The project goal is to ensure that families and youth are the catalysts for transforming the mental health and related systems in their state by strengthening coalitions among family organizations and between family members and youth, policymakers, and service providers, recognizing that family members and youth are the most effective change agents. The populations to be served are parents, caregivers, and families of children and youth with mental health needs and youth with mental health needs, ages 12-18.

CANDO (Creating A Network of Diverse Opportunities)

Key interventions and strategies of the suicide prevention program are: (1) a coordinated System of Care consisting of outreach, prevention activities, clinical treatment and recovery services/supports; (2) a Statewide Youth Suicide Prevention Training Institute; (3) a full-time Outreach Specialist with ties to hospital emergency departments, Lines for Life suicide prevention helpline, and social media; (4) Project Venture evidence-based outdoor camps; (5) Oregon's Tribal Best Practices; (6) incorporation of "connectedness" in all activities; (7) alignment with Oregon's Suicide Prevention Plan and the Suicide Prevention Plan for the Northwest Portland Area Indian Health Board; and (8) partnerships with eight Oregon Tribes, higher education, Coordinated Care Organizations, hospital emergency departments, Title VII Indian Education, Native American Youth and Family Center, Northwest Portland Area Indian Health Board, and the Chemawa Indian School. This Project is adopting the Zero Suicide approach to reduce rates of suicidal ideation, suicide attempts and suicide deaths and incorporating Goals 8 and 9 of the NSSP into its system transformation, which includes linkages with health, mental health, addictions and recovery for at-risk Native youth and their families.

Northwest Arctic Wellness Initiative (NAWI) is an intertribal Youth Suicide Prevention Cooperative Agreement between the Bering Strait Region and Northwest Arctic Borough of Alaska, with an aim to expand its tribal partnership statewide. NAWI primarily serves Alaska Native youth and young adults ages 10-24 in 27 villages located just above and below the Arctic Circle where the highest suicide Rates in Alaska and the nation have been reported. NAWI provides comprehensive, culturally relevant, training and intervention to create self-sufficient, sustainable, community-level suicide prevention, intervention and post-vention for Alaska Natives. The Goals of NAWI are to: 1. Expand NAWI to build a statewide collaborative partnership to advance, develop, and promote Alaska Native Suicide Prevention best practices. 2. Increase youth wellness activities, mentor supports, and youth leadership to build positive relationship with peers, role models and elders in their community and throughout the region to decrease Alaska Native youth suicide. 3. Increase youth and community dialogue to change the norms around suicide to something that can be prevented. 4. Provide appropriate suicide intervention response, care and recovery activities for Alaska Native young people in the Bering Straits Region (BSR) and Northwest Arctic Borough (NWAB). Through its multiple strategies, NAWI will reach approximately 3,600 individual school-aged children and 2,275 village adults annually. Over the length of the funding period, the project will reach 4,150 unduplicated youth (including those who are beyond school age.

Northwest Arctic Wellness Initiative (NAWI) is an intertribal Youth Suicide Prevention Cooperative Agreement between the Bering Strait Region and Northwest Arctic Borough of Alaska, with an aim to expand its tribal partnership statewide. NAWI primarily serves Alaska Native youth and young adults ages 10-24 in 27 villages located just above and below the Arctic Circle where the highest suicide Rates in Alaska and the nation have been reported. NAWI provides comprehensive, culturally relevant, training and intervention to create self-sufficient, sustainable, community-level suicide prevention, intervention and post-vention for Alaska Natives. The Goals of NAWI are to: 1. Expand NAWI to build a statewide collaborative partnership to advance, develop, and promote Alaska Native Suicide Prevention best practices. 2. Increase youth wellness activities, mentor supports, and youth leadership to build positive relationship with peers, role models and elders in their community and throughout the region to decrease Alaska Native youth suicide. 3. Increase youth and community dialogue to change the norms around suicide to something that can be prevented. 4. Provide appropriate suicide intervention response, care and recovery activities for Alaska Native young people in the Bering Straits Region (BSR) and Northwest Arctic Borough (NWAB). Through its multiple strategies, NAWI will reach approximately 3,600 individual school-aged children and 2,275 village adults annually. Over the length of the funding period, the project will reach 4,150 unduplicated youth (including those who are beyond school age.

Northwest Arctic Wellness Initiative (NAWI) is an intertribal Youth Suicide Prevention Cooperative Agreement between the Bering Strait Region and Northwest Arctic Borough of Alaska, with an aim to expand its tribal partnership statewide. NAWI primarily serves Alaska Native youth and young adults ages 10-24 in 27 villages located just above and below the Arctic Circle where the highest suicide Rates in Alaska and the nation have been reported. NAWI provides comprehensive, culturally relevant, training and intervention to create self-sufficient, sustainable, community-level suicide prevention, intervention and post-vention for Alaska Natives. The Goals of NAWI are to: 1. Expand NAWI to build a statewide collaborative partnership to advance, develop, and promote Alaska Native Suicide Prevention best practices. 2. Increase youth wellness activities, mentor supports, and youth leadership to build positive relationship with peers, role models and elders in their community and throughout the region to decrease Alaska Native youth suicide. 3. Increase youth and community dialogue to change the norms around suicide to something that can be prevented. 4. Provide appropriate suicide intervention response, care and recovery activities for Alaska Native young people in the Bering Straits Region (BSR) and Northwest Arctic Borough (NWAB). Through its multiple strategies, NAWI will reach approximately 3,600 individual school-aged children and 2,275 village adults annually. Over the length of the funding period, the project will reach 4,150 unduplicated youth (including those who are beyond school age.

Vision for the Future (Visions) is a joint suicide prevention project between the two tribal agencies serving the Doyon region of Alaska. The purpose of Visions is to develop and implement tribal-wide youth suicide prevention and early intervention strategies for the region. Fairbanks Native Association (FNA) is the lead agency for Visions, working closely with project partner Tanana Chiefs Conference (TCC). Alaska consistently reports one of the highest rates of suicide in the nation. Suicide is the number one cause of death in Alaskans aged 15-24 years of age. In 2010, Alaskans ages 15-24 had the highest suicide rate (461/100000) of any age group. This rate was significantly higher for Alaska Native females (50.3) and Alaska Native males (142). In 2014, in order to address this overwhelming need, FNA and TCC developed Saving our Youth and Young Adults (SAYA), a "Healthy Transitions" SAMHSA funded project that provides services for youth and young adults with mental disorders, including suicide and/or co-occurring substance abuse and mental health disorders. Visions will enhance SAYA by providing suicide prevention and early intervention services for ages 10-25 throughout this region. Visions will incorporate a Zero Suicide approach, per the 2012 National Strategy. Visions will extend the SAYA age range for suicide prevention services (ages 16-25) to include ages 10-15 for a total age range of 10-25 for this coordinated suicide prevention approach. It will also expand the reach of suicide prevention and early intervention services by extending the SAYA service area from the urban areas of Fairbanks and North Pole to the 42 mostly rural villages of the Doyon region. Visions will also add new prevention and intervention strategies/services including three new evidence-based practices to the service continuum. Together, these two SAMHSA projects will ensure a coordinated tribal-wide approach to suicide prevention and related behavioral health risks.

Vision for the Future (Visions) is a joint suicide prevention project between the two tribal agencies serving the Doyon region of Alaska. The purpose of Visions is to develop and implement tribal-wide youth suicide prevention and early intervention strategies for the region. Fairbanks Native Association (FNA) is the lead agency for Visions, working closely with project partner Tanana Chiefs Conference (TCC). Alaska consistently reports one of the highest rates of suicide in the nation. Suicide is the number one cause of death in Alaskans aged 15-24 years of age. In 2010, Alaskans ages 15-24 had the highest suicide rate (461/100000) of any age group. This rate was significantly higher for Alaska Native females (50.3) and Alaska Native males (142). In 2014, in order to address this overwhelming need, FNA and TCC developed Saving our Youth and Young Adults (SAYA), a "Healthy Transitions" SAMHSA funded project that provides services for youth and young adults with mental disorders, including suicide and/or co-occurring substance abuse and mental health disorders. Visions will enhance SAYA by providing suicide prevention and early intervention services for ages 10-25 throughout this region. Visions will incorporate a Zero Suicide approach, per the 2012 National Strategy. Visions will extend the SAYA age range for suicide prevention services (ages 16-25) to include ages 10-15 for a total age range of 10-25 for this coordinated suicide prevention approach. It will also expand the reach of suicide prevention and early intervention services by extending the SAYA service area from the urban areas of Fairbanks and North Pole to the 42 mostly rural villages of the Doyon region. Visions will also add new prevention and intervention strategies/services including three new evidence-based practices to the service continuum. Together, these two SAMHSA projects will ensure a coordinated tribal-wide approach to suicide prevention and related behavioral health risks.

Vision for the Future (Visions) is a joint suicide prevention project between the two tribal agencies serving the Doyon region of Alaska. The purpose of Visions is to develop and implement tribal-wide youth suicide prevention and early intervention strategies for the region. Fairbanks Native Association (FNA) is the lead agency for Visions, working closely with project partner Tanana Chiefs Conference (TCC). Alaska consistently reports one of the highest rates of suicide in the nation. Suicide is the number one cause of death in Alaskans aged 15-24 years of age. In 2010, Alaskans ages 15-24 had the highest suicide rate (461/100000) of any age group. This rate was significantly higher for Alaska Native females (50.3) and Alaska Native males (142). In 2014, in order to address this overwhelming need, FNA and TCC developed Saving our Youth and Young Adults (SAYA), a "Healthy Transitions" SAMHSA funded project that provides services for youth and young adults with mental disorders, including suicide and/or co-occurring substance abuse and mental health disorders. Visions will enhance SAYA by providing suicide prevention and early intervention services for ages 10-25 throughout this region. Visions will incorporate a Zero Suicide approach, per the 2012 National Strategy. Visions will extend the SAYA age range for suicide prevention services (ages 16-25) to include ages 10-15 for a total age range of 10-25 for this coordinated suicide prevention approach. It will also expand the reach of suicide prevention and early intervention services by extending the SAYA service area from the urban areas of Fairbanks and North Pole to the 42 mostly rural villages of the Doyon region. Visions will also add new prevention and intervention strategies/services including three new evidence-based practices to the service continuum. Together, these two SAMHSA projects will ensure a coordinated tribal-wide approach to suicide prevention and related behavioral health risks.