H79SM082125

Five Year Grant: United Indian Health Services Inc. (UIHS) through the Ko'l Ha Koom'ma Project (Yurok word for Working Together) will address suicide and suicidal ideation of American Indian clients.

Ko'l Ho Koom' Mo (Working Together) Project Abstract Summary

Isolation, trauma, hopelessness, and substance abuse put American Indian youth (AI) in our community at a higher risk of suicide at an earlier age, increasing the need to expand early intervention and prevention efforts. The Ko'l Ho Koom' Mo (Working Together) Project has built a highly successful model building on the cultural and associated identity needs of AI youth; incorporating traditional strengths with modern treatment modalities; combining the efforts of families, communities, and youth-serving organizations in addressing suicide.

We propose to expand this success by increasing the capacity of tribal and non-tribal sectors and in cross-sector alignment to embed suicide prevention as a core component of accessed services. The following are our project goals:

Goal 1: Increase and expand implementation and integration of suicide prevention and postvention activities across tribal and non-tribal sectors and settings in order to better identify and work with youth at risk.

Goal 2: Educate clinical service providers on suicide prevention, protective factors, warning signs, referral processes, and available resources to increase their capacity to assess, manage, and treat youth at risk for suicide.

Goal 3: Establish the Zero Suicide Initiative as an essential component of how UIHS will reduce suicide through standardized and culturally appropriate strategies.

Goal 4: Develop and implement an infrastructure that is integrative, culturally driven, and provides continuity of care for clients identified as being at risk for suicide, including those who have been discharged from emergency departments and inpatient psychiatric units.

UIHS will utilize a combination of evidence-based programs such as: Zero Suicide Initiative (ZSI), Question, Persuade, Refer (QPR), Applied Suicide Intervention Skills Training (ASIST), Counseling on Access to Lethal Means (CALM), Sources of Strength (SOS), Connect Postvention (CP), the Patient Health Questionnaire (PHQ-3), the Columbia – Suicide Severity Rating Scale (C-SSRS), Stanley Brown Safety Plan, and the Dialectical Behavioral Therapy (DBT) and Cognitive Behavioral Therapy for Suicide Prevention (CBT-SP).

A media plan will be developed annually to share information about the project and its activities as well as share the National Suicide Prevention Lifeline.

United Indian Health Services has provided healthcare services for American Indians in Northwestern California for 49 years.

United Indian Health Services

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]

Arcata, California 95521 United States

Single Zip Code

Garrett Lee Smith State/Tribal Youth Suicide Prevention and Early Intervention Grant Program (SM-19-006)

Amendment Since initial award the End Date has been extended from 11/29/25 to 11/29/26 and the total obligations have increased 361% from $705,834 to $3,256,004.