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American Indian Health and Family Services, Inc. of Southeast Michigan

The American Indian Health and Family Services, Inc. (AIHFS) project, Weneniiganzejik: The Future Leaders Project, will serve American Indian and Alaska Native youth and young adults aged 8-24 in Detroit and Southeastern Michigan. This project will target those youth who are at a higher risk of substance use disorders and suicide than other racial/ethnic groups in the United States. As an organization with a strong relationship to Indigenous youth and families, AIHFS is well equipped to promote early intervention strategies and implement positive youth development programming to reduce risk factors for suicidal behavior and substance abuse. They will collaborate with their Suicide Prevention Project, local American Indian service organizations, and their own medical and behavioral health departments. They will utilize evidence and practice-based approaches to build resiliency, promote positive development, and increase self-sufficiency behaviors; promote family engagement; and increase access to prevention activities.

American Indian Health Service of Chicago, Inc.

The American Indian Health Service of Chicago, Inc. will: 1) identify and address suicide ideations, attempts, and contagions among American Indians and Alaska Natives within their service population through the development and implementation of culturally appropriate and community relevant prevention, intervention, and postvention strategies; and 2) increase provider and community education on suicide and methamphetamine use by offering culturally appropriate trainings.

First Nations Community Health Source

The First Nations Community Health Source’s Suicide Prevention Project (SPP), plans to decrease suicide risk among 500 American Indians in the Albuquerque, New Mexico area. They will increase access to depression and suicide risk screenings and culturally appropriate evidence based interventions, treatment, and prevention education. In order to increase early detection of mental health conditions they will conduct depression screenings in their primary care and will assess suicide risk through their behavioral health services. They will provide suicide risk prevention interventions using evidence based practices, including Screening, Brief Intervention, and Referral to Treatment (SBIRT). The SBIRT services will be integrated into primary care to fully address the spectrum of depression and suicide risk impacting their physical wellness. In addition to suicide screenings, referrals, and intervention, SPP will provide culturally appropriate suicide prevention education targeting youth.

Fresno American Indian Health Project

The Fresno American Indian Health Project (FAIHP) will offer behavioral health referrals, resources, and structured prevention and treatment services targeting American Indian youth ages 8-24 years, and their families in Fresno County, California. The FAIHP will continue to provide services to youth through case management, individual, and group treatment. The American Indian Life Skills, Native HOPE curriculum, Seven Sacred Teachings and recreation activities will be offered continuously throughout the year while the youth Gathering of Native Americans (GONA) occurs annually during the summer (while most youth are out of school).

Friendship House Association of American Indians, Inc.

The Friendship House Association of American Indians, Stronghold Project II, targets Native youth ages 8 to 24 that are at risk for substance abuse and suicide in the San Francisco Bay Area. The Stronghold Project II will strengthen cultural systems and family capacity by addressing the issues of family violence, including accidental death, injury, and suicide, due to substance abuse. The project will serve 50 youth per year and will include activities centered on prevention and cultural intervention services for youth after school at their youth center. Their youth program operates from the perspective that if youth have a positive, strong identity they will value themselves, their families, and their communities and that these will serve as protective factors that prevent substance abuse or suicide.

Gerald L. Ignace Indian Health Center

The Gerald L. Ignace Indian Health Center’s Youth Empowerment Project will cultivate awareness and provide education on substance abuse and suicide prevention through project activities for youth ages 11-24 years. The youth project will use a strengths based approach to foster empowerment, increase resilience, promote leadership skills, and support family engagement through community service activities, project activities, and youth/family activities that incorporate the importance of a holistic approach to health and wellness.

Native American Rehabilitation Association of the Northwest, Inc.

The Native American Rehabilitation Association of the Northwest, Inc. (NARA) will build upon its suicide prevention program by linking outreach, prevention, intervention and postvention services. They will utilize the Oregon Tribal Best Practices that has been shown to work with at-risk youth and young adults. The project will serve 60 urban American Indian youth and young adults ages 10-24 years that reside in the Portland, Oregon metropolitan area, and any referred youth and young adults from the Oregon Nine Tribes. The project will provide concentrated QPR and ASIST training, adoption of tribal best practices designed to facilitate caring connections for at risk youth, and facilitate access to immediate care when needed.

San Diego American Indian Health Center

The San Diego American Indian Health Center will address the high local rates of methamphetamine and other addictive substance use by developing a comprehensive methamphetamine and other addictive substance use by developing a comprehensive and culturally respectful recovery-oriented system of care that is integrated throughout all aspects of the health center and will provide: (1) prevention and early intervention programming for youth and adults; (2) clinic-based screening, brief intervention and referral to treatment; (3) substance abuse counseling and outpatient treatment; and (4) aftercare and recovery support services that are culturally appropriate. This program will build on best practices developed during their previous MSPI demonstration pilot project by providing annual Wellbriety training for community members to start additional peer-led recovery and aftercare support groups utilizing the White Bison Medicine Wheel and the 12 Steps programming.

South Dakota Urban Indian Health, Inc.

The South Dakota Urban Indian Health, Inc. (SDUIH) will expand and improve the program’s medical and behavioral health integrative model of care for suicide and methamphetamine use, prevention, intervention and postvention for youth, adults and families in urban Indian communities (seven county catchment area) in and near Pierre and Sioux Falls, South Dakota. The SDUIH will focus on warning signs, risk factors and protective factors. They will expand their prevention and intervention services with youth in two schools (elementary and high school) to provide bullying, suicide, drug use prevention, and awareness education.

United American Indian Involvement, Inc.

The United American Indian Involvement, Inc. (UAII) has developed its WIND Project to enhance and expand services to American Indian and Alaska Native youth ages 8-24, and their families residing in Los Angeles County. This project offers culturally relevant services to implement prevention and early intervention strategies for reduction of risk factors related to suicidal and substance abuse behaviors by promoting healthy lifestyles and positive youth development. The WIND Project will administer depression and substance abuse screenings, intervention, treatment and referrals, educational and cultural workshops, outreach and education to community and family members. They will also host two semi-annual family recreational day activities scheduled to promote positive and healthy family engagement and for suicide and substance abuse related education.