H79FG001286

California Tribal Response Program - Riverside San-Bernardino County Indian Health, Inc. (RSBCIHI) is the largest tribal health care organization in California. We will partner with six (6) other Indian health care organizations, the Indian Health Service, and California State Assemblyman James Ramos.

We will create a California 988 Tribal Response Taskforce to improve crisis center services to the tribal and urban Indian communities served by Did Hirsch Mental Health and WellSpace Health. Our Indian health programs directly serve 17 federally recognized California tribes. We also serve the urban Indian populations in Riverside, San-Bernardino, Los Angeles, and Sacramento counties.

Our health record data shows that our AI/AN patients represent 44 California tribes and 128 out of state tribes. We operate 21 health center locations that deliver medical, laboratory, pharmacy, dental, behavioral health, social services, and/or other support services. We have 94,665 registered patients and 50,514 active patients.

Our program will be implemented in 11 counties and two (2) California Lifeline Network Crisis Center regions. These are the two (2) largest regions in southern and northern California with the largest AI/AN populations. Our organizations are in counties with the highest rates and highest number of deaths by suicide (California Department of Public Health, 2020).

To prevent suicide in our tribal and urban Indian communities, we need to improve our 988 tribal response. We will achieve the following objectives:

- Hire a 988 Tribal Response Coordinator at each of our tribal and urban Indian health organizations.
- Create a California 988 Tribal Response Taskforce made-up of five (5) tribal health organizations, two (2) urban Indian health organizations, the Indian Health Service, and California State Assemblyman James C. Ramos.
- Partner with Did Hirsch Mental Health and WellSpace Health to create a quality improvement plan that focuses on procedures, policies, assessment, referral, and access to local care to ensure there is a comprehensive and coordinated response to AI/AN individuals at imminent risk for suicide.
- Develop a training plan for 988 crisis center staff members based on tribal preferences and beliefs and meet culturally and linguistically appropriate service (CLAS) standards.
- Create a procedure for identifying AI/AN individuals who use the crisis centers. The goal is to identify callers who are AI/AN and then provide counseling by individuals who are fully trained in crisis intervention and support, with special emphasis on cultural and traditional practices related to healing.
- Create a linkage between the 988 crisis centers and our tribal and urban Indian health care centers.
- Plan the 2024 California 988 Tribal Response Summit.
- Train 600 people in the mental health and related workforce.
- Screen 5,000 individuals at our health centers for depression, anxiety, and suicidal ideation.
- Deliver mental health and related services to 670 unique individuals at our health centers.
- Promote the 988 Tribal Response Program in our tribal and urban Indian communities.
- Develop a sustainability plan.

Riverside-San Bernardino County Indian Health

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Grand Terrace, California 92313 United States

Single Zip Code

Support for 988 Tribal Response Cooperative Agreements (FG-23-005)

Amendment Since initial award the total obligations have increased 100% from $1,757,992 to $3,515,984.