H79FG001299

NPAIHB 988 Tribal Response - Over 3 years, the NPAIHB 988 Tribal Response Project will facilitate increased access to behavioral health on-call crisis services through the 988 Suicide & Crisis Lifeline call centers in the NW and increase the connection & support felt by tribes when engaging with these call centers.

The NW tribes & partnering call centers are deeply committed to completing this scope of work & sustaining partnerships to assist in improving the response to mental health & substance use emergencies for tribal people.

The NPAIHB is a tribally designated non-profit organization representing the 43 federally-recognized tribes in WA, OR, & ID. Housed at the NPAIHB, the THRIVE Project has worked with the NW tribes to prevent suicide since 2009 & the TOR team has worked to prevent substance misuse since 2018.

In collaboration with NW tribes, regional partners, & 988 call centers, the NPAIHB will build regional suicide & substance use disorder (SUD) crisis response partnerships to prevent & improve the response of suicide & SUD emergencies among AI/AN ppl.

Our approach builds upon our strong tribal network & expertise in culturally-relevant behavioral health strategies as well as on strategies to promote suicide & SUD resources. The project will reach at least 10,000 ppl. annually & 30,000 throughout the life of the grant.

Our goals and objectives are to:
G1 Improve intertribal & interagency collaboration & communication about the 988 Suicide & Crisis Lifeline, suicide prevention, & treatment to share & maximize limited resources, by collaborating with local, regional, & state partners.

1.1 Coordinate quarterly partner calls with local 988 call centers, tribes, & state representatives to improve effective 988 response & linkage to tribal resources.
1.2 Create 1 opportunity in each state for tribal staff and community members to meet call center staff & learn how the call center operates.
1.3 Review current 988 crisis call center training & continuing education curricula/materials to ensure they are culturally appropriate and trauma-informed.
1.4 Work with partners to create 988 response documents which will assist with continued partnership & sustainability after funding concludes.

G2 Promote mental health & improve social acceptability of mental health services for AI/AN ppl.

2.1 Develop, update, print, & disseminate suicide prevention social marketing & media campaign materials tailored to AI/AN ppl., reaching at least 10,000 ppl. across Indian Country.
2.2 Across the 43 NW tribes, staff will promote local crisis call centers with relationships with tribes in their area to increase the usability of the 988 call line.

G3 Through partnerships, increase capacity of local 988 centers to implement a comprehensive & coordinated response to AI/AN ppl. at risk for suicide.

3.1 Fund 2-5 tribes & 3-5 NW crisis call centers to facilitate partnerships & work to improve call center response for tribal members calling in.
3.2 Host quarterly partner calls with local 988 call centers & tribes to improve linkage to tribal resources & develop necessary documents, policies, and/or procedures for partnerships.
3.3 Assist all sub-awarded 988 crisis centers with creating a plan to identify & track referrals & develop a response for staff to establish follow-up contact protocols for AI/ANs after crisis encounters.
3.4 Develop quality improvement plan focusing on procedures, policies, assessment, referral, & access to local care to ensure a comprehensive & coordinated response to AI/AN ppl. at imminent risk of suicide.

G4 Increase tribal capacity & expand their delivery of suicide & SUD prevention/early intervention/crisis intervention strategies in NW tribal settings.

4.1 Provide TA to 15 NW tribes to improve & expand their delivery of suicide and/or SUD prevention/screening/intervention/recovery strategies in their community.
4.2 Host a SUD & a suicide prevention, intervention and/or crisis training for those working with or at NW tribe & include 988 call center information.

Northwest Portland Area Indian Health Board

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]

Portland, Oregon 972013182 United States

Single Zip Code

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

Amendment Since initial award the total obligations have increased 200% from $1,256,175 to $3,768,471.