Native American Health Center Inc

URBAN INDIAN HEALTH

RED VISION II

ONE WITH ALL

URBAN FOUR-IN-ONE

STRONG FAMILIES TRIBAL HOME VISITING PROGRAM

SPECIAL DIABETES PROGRAMS FOR INDIANS

SACRAMENTO SUICIDE PREVENTION & EARLY INTERVENTION INITIATIVE

SPECIAL DIABETES PROGRAM FOR INDIANS

URBAN NATIVE CENTER FOR LIFE EMPOWERMENT (U.N.C.L.E.)

STRONG FAMILIES TRIBAL HOME VISITING PROGRAM

EKWAHNESS ("TO HOLD TIGHTLY"-YUROK)

NATIVE WOMEN'S CIRCLE

NATIVE YOUTH WELLNESS INITIATIVE II (NYWI II)

STRONG FAMILIES

CEDAR PROJECT

NAHC NCTSI-III - THE NATIVE AMERICAN HEALTH CENTER’S (NAHC) NCTSI-III PROJECT WILL PROVIDE AN INTEGRATION OF BEHAVIORAL HEALTH EVIDENCE BASED AND COMMUNITY DEFINED BEST PRACTICES TO SERVE AMERICAN INDIAN/ ALASKA NATIVE, INDIGENOUS, AND UNDERSERVED YOUTH, AGES 12-18, WHO HAVE BEEN EXPOSED TO TRAUMA OR WHO ARE AT-RISK FOR TRAUMA EXPOSURE RESIDING IN AND AROUND NAHC’S CLINICS LOCATED IN EAST OAKLAND, CALIFORNIA WITHIN MULTIPLE SETTINGS: CLINICAL, SCHOOL AND COMMUNITY BASED. THE PROPOSED PROJECT WILL SERVE 350 MEMBERS ANNUALLY AND 1,750 MEMBERS OVER THE 5 YEAR PROJECT PERIOD. GOALS AND MEASURABLE OBJECTIVES ARE AS FOLLOWS: GOAL 1. INCREASE PARTICIPATION IN, AND ACCESS TO, TRAUMA TREATMENT AND MENTAL HEALTH PREVENTION SERVICES FOR CHILDREN AND ADOLESCENTS AGES 12-18, AND THEIR FAMILIES WHO HAVE EXPERIENCED TRAUMATIC EVENTS THROUGH THE IMPLEMENTATION OF CULTURALLY-COMPETENT, TRAUMA-INFORMED, COMMUNITY DEFINED PRACTICES IN NAHC’S CLINIC NEIGHBORHOODS. OBJECTIVES: 1. STRENGTHEN NAHC’S TRADITIONAL HEALTH MODEL BY PROVIDING CULTURALLY BASED PREVENTION SERVICES TO 30 AIAN YOUTH PER PROJECT YEAR 2. PROVIDE SCHOOL-BASED PSYCHO-EDUCATIONAL WORKSHOPS TO 30 YOUTH PER PROJECT YEAR. 3. PROVIDE SCHOOL-BASED TRAUMA-FOCUSED SELF-DEFENSE TRAINING TO 30 YOUTH, AND/OR THEIR FAMILIES PER PROJECT YEAR. 4. IMPLEMENT A YOUTH LED TOBACCO/VAPING CESSATION SOCIAL MEDIA CAMPAIGN THAT WILL REACH 100 YOUTH PER PROJECT YEAR. GOAL 2. INCREASE ACCESS TO DIRECT EVIDENCE-BASED MENTAL DISORDER TREATMENT AND SERVICES (INCLUDING PREVENTION, SCREENING, ASSESSMENT, CARE MANAGEMENT, AND THERAPY) FOR DIVERSE AND AT-RISK CHILDREN AND ADOLESCENTS THROUGH CULTURALLY-COMPETENT SERVICES FOR CHILDREN AND ADOLESCENTS AGES 12-18 RESIDING IN NAHC’S CLINIC NEIGHBORHOODS. OBJECTIVES: 1. PROVIDE SUBSTANCE USE AND WELLNESS SCREENING AND ASSESSMENT TO 30 AIAN YOUTH PER PROJECT YEAR. 2. PROVIDE SCHOOL-BASED MENTAL HEALTH SCREENINGS TO 100 YOUTH PER PROJECT YEAR. 3. PROVIDE CULTURALLY MODIFIED OUTPATIENT MENTAL HEALTH TO 20 YOUTH AND THEIR FAMILIES PER PROJECT YEAR. 4. PROVIDE SCHOOL-BASED MENTAL HEALTH INTERVENTIONS TO 20 YOUTH AND THEIR FAMILIES PER PROJECT YEAR. GOAL 3. INCREASE AWARENESS AND ADAPTION OF THE IMPORTANCE OF CULTURALLY APPROPRIATE AND TRAUMA-INFORMED PRACTICES BY PROVIDING LOCALLY DEVELOPED AIAN HISTORY OR OTHER NETWORK TRAINING SERVICES TO POPULATIONS OF CHILD-SERVING SERVICE SYSTEMS, SUCH AS CHILD WELFARE, CHILD PROTECTIVE SERVICES, LAW ENFORCEMENT AND COURTS, AND THE JUVENILE JUSTICE SYSTEM OBJECTIVES: 1. PROVIDE LOCALLY DEVELOPED CULTURALLY RESPONSIVE TRAININGS ON AIAN HISTORY (ADDRESSING HISTORICAL TRAUMA) TO REPRESENTATIVES OF 4 CHILD SERVING SYSTEMS PER PROJECT YEAR. 2. COLLABORATE WITH SAN FRANCISCO UNIFIED SCHOOL DISTRICT TO DEVELOP A NEEDS ASSESSMENT THAT INCLUDES THE PILOT OF SCHOOL-BASED, TRAUMA-INFORMED PREVENTION GROUPS FOR AT-RISK YOUTH RESIDING IN SAN FRANCISCO BY THE END OF YEAR 2 OF THE PROPOSED PROJECT. 3. COLLABORATE WITH NCTSI - CATEGORY II TREATMENT AND SERVICE ADAPTATION (TSA) CENTERS TO DEVELOP, ADVANCE, OR ADAPT INTERVENTIONS TO IMPROVE ENGAGEMENT AND OUTCOMES FOR TRAUMATIZED YOUTH BY THE END OF YEAR 1. 4. IMPLEMENT A PROJECT EVALUATION TO BE SUBMITTED TO SAMHSA BY THE END YEAR 5.

ZERO SUICIDE

SWEETGRASS

ZERO SUICIDE - NATIVE AMERICAN HEALTH CENTER (NAHC) PROPOSES THE IMPLEMENTATION OF ZERO SUICIDE AT ITS CLINIC NEIGHBORHOODS LOCATED IN THE FRUITVALE/ SAN ANTONIO NEIGHBORHOODS OF EAST OAKLAND LOCATED IN THE SAN FRANCISCO (SF) BAY AREA. THE POPULATIONS OF FOCUS INCLUDE 1. URBAN AMERICAN INDIAN/ ALASKA NATIVE (AIAN) AND INDIGENOUS ADULTS THAT EXPERIENCE SUICIDAL THOUGHTS AND URGES THAT RESIDE IN AND AROUND NAHC CLINICS; AND 2. OTHER UNDERSERVED ADULT COMMUNITY MEMBERS THAT EXPERIENCE SUICIDAL THOUGHTS AND URGES WITH SPECIFIC EMPHASIS ON THOSE THAT ARE UNINSURED OR UNDERINSURED, VETERANS, AND LGBTQI+ THAT RESIDE IN AND AROUND NAHC CLINICS. THE PURPOSE OF THIS PROJECT IS TO IMPLEMENT THE ZERO SUICIDE FRAMEWORK THROUGHOUT NAHC’S HEALTHCARE SYSTEM. THE GOALS OF THE PROJECT ARE AS FOLLOWS: GOAL 1. INCREASE AGENCY AND COMMUNITY-WIDE CAPACITY EFFORTS TO IMPLEMENT A COORDINATED STRENGTH-BASED SUICIDE PREVENTION AND MENTAL HEALTH SUPPORT SYSTEM FOR ADULTS LIVING IN AND AROUND NAHC CLINIC NEIGHBORHOOD IN OAKLAND. GOAL 2. REDUCE THE ONSET AND PROGRESSION OF SUICIDAL IDEATION THROUGH THE IMPLEMENTATION OF AN ACCESSIBLE, CULTURALLY RESPONSIVE PREVENTION MODEL FOR ADULTS LIVING IN AND AROUND NAHC CLINIC NEIGHBORHOODS IN OAKLAND. THIS PROJECT WILL SERVE 5,000 UNDUPLICATED CLIENTS BY THE END OF THE 5-YEAR PROJECT PERIOD.

2 SPIRIT

RED VISION

SACRAMENTO STRATEGIC PREVENTION FRAMEWORK PROJECT

SNAHC IHS COMMUNITY OPIOID INTERVENTION PILOT - THE GOALS OF THE PROJECT ARE TO INCREASE PUBLIC AWARENESS AND EDUCATION IN OPIOID USE PREVENTION; INCREASE ACCESS TO MEDICATION ASSISTED TREATMENT (MAT), AND CREATE COMPREHENSIVE SUPPORT TEAMS TO STRENGTHEN AND EMPOWER AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) FAMILIES. SNAHC?S PROPOSED PROJECT WILL INVOLVE FURTHER DEVELOPMENT OF ITS IN-HOUSE MAT INFRASTRUCTURE AND PROGRAMMING, TRAINING HEALTHCARE PROVIDERS ON THE DELIVERY OF CULTURALLY APPROPRIATE MAT SERVICES, AND DISSEMINATING MAT AND OPIOID USE PREVENTION MATERIALS TO OUR ORGANIZATION AND OTHER PARTNERS TO STRENGTHEN THE SYSTEM OF CARE AROUND AI/AN INDIVIDUALS AND THEIR FAMILIES. THE PROJECT WILL ALSO ENABLE SNAHC TO SUPPORT TRAINING OF AI/AN PATIENTS, FAMILY MEMBERS, AND SACRAMENTO COUNTY RESIDENTS ON NALOXONE TO PREVENT OPIOID OVERDOSE DEATHS.

NATIVE YOUTH WELLNESS INITIATIVE

NATIVE YOUTH WELLNESS INITIATIVE II (NYWI II)

NATIVE CONNECTIONS - THE NATIVE AMERICAN HEALTH CENTER’S (NAHC) NATIVE CONNECTIONS PROJECT WILL PROVIDE CULTURALLY APPROPRIATE SUICIDE AND SUBSTANCE MISUSE PREVENTION SERVICES; AS WELL AS REDUCE THE IMPACT OF TRAUMA PROMOTE MENTAL HEALTH FOR URBAN AMERICAN INDIAN/ ALASKA NATIVE, INDIGENOUS AND UNDERSERVED AT-RISK MEMBERS, AGES 13-24 RESIDING IN AND AROUND NAHC’S OAKLAND AND SAN FRANCISCO CLINIC NEIGHBORHOODS. THE PROPOSED PROJECT WILL SERVE 100 PARTICIPANTS ANNUALLY AND 500 OVER THE 5-YEAR PROJECT PERIOD. GOALS AND MEASURABLE OBJECTIVES ARE AS FOLLOWS: GOAL 1. INCREASE AGENCY AND COMMUNITY-WIDE CAPACITY EFFORTS TO REDUCE RISK FACTORS THAT MAY CONTRIBUTE TO SUBSTANCE USE/MENTAL HEALTH DISORDERS, AND SUICIDAL IDEATION BY STRENGTHENING CARE COORDINATION EFFORTS FOR AIAN YOUTH AGES 13-24, RESIDING IN AND AROUND NAHC’S CLINIC NEIGHBORHOODS IN SF AND OAKLAND. MEASURABLE OBJECTIVES FALL UNDER THE FOLLOWING STRATEGIES: 1. BUILD AGENCY AND COMMUNITY CAPACITY THROUGH THE IMPLEMENTATION OF AN INTERDISCIPLINARY TASK FORCE AND COMMUNITY WIDE STAKEHOLDER GROUP, AN ORGANIZATIONAL SELF-STUDY, THE DEVELOPMENT OF INTER/INTRA AGENCY COLLABORATIVE PLANS, AND THE REVIEW/ REVISION OF CURRENT POLICIES AND PROCEDURES. 2. STRENGTHEN AND SUPPORT COMMUNITY VOICE THROUGH THE IMPLEMENTATION OF 1 FOCUS GROUP AND 12 COMMUNITY ADVISORY BOARD MEETINGS. 3. PROVIDE CULTURALLY RESPONSIVE TRAINING AND AWARENESS THROUGH THE PROVISION OF 4 COMMUNITY-WIDE SUICIDE PREVENTION AND MENTAL HEALTH TRAININGS. GOAL 2. REDUCE THE ONSET AND PROGRESSION OF SUBSTANCE MISUSE, SUICIDAL IDEATION, AND MENTAL HEALTH DISORDERS BY IMPLEMENTING A CULTURALLY RESPONSIVE, COMMUNITY-WIDE STRENGTH BASED PREVENTION MODEL FOR AIAN YOUTH AGES 13-24, RESIDING IN AND AROUND NAHC’S CLINIC NEIGHBORHOODS IN SF AND OAKLAND. MEASURABLE OBJECTIVES FALL UNDER THE FOLLOWING STRATEGIES: 1. DEVELOP AND IMPLEMENT MEDIA AWARENESS CAMPAIGN TO BE DISSEMINATED TO 200 YOUTH ANNUALLY. 2. DEVELOP AND IMPLEMENT STRENGTH BASED PREVENTION SERVICES TO 100 YOUTH THROUGH THE PROVISION OF PEER-BASED PSYCHO-SOCIAL PREVENTION BASED GROUPS, MENTAL HEALTH PROMOTION TRAININGS, CULTURALLY-MODIFIED SUBSTANCE ABUSE AND WELLNESS SCREENING/ ASSESSMENT, AND A COMBINATION OF CULTURALLY BASED AND EVIDENCE BASED BEST PRACTICES- WRAP AND WE R NATIVE. 3. STRENGTHEN TRADITIONAL HEALTH MODEL TO 50 YOUTH THROUGH THE PROVISION OF COMMUNITY HEALING AND CULTURAL SKILL BUILDING GATHERINGS- GATHERING OF NATIVE AMERICANS, DRUMMING GROUPS, WIPING OF THE TEARS CEREMONY. THE PROPOSED PROJECT IS AIMED AT STRENGTHENING 1. A COORDINATED COMMUNITY RESPONSE TO MENTAL WELLBEING, AND 2. THE AVAILABILITY OF CULTURALLY COMPETENT TRADITIONAL HEALTH PRACTICES IN ORDER TO EFFECTIVELY REACH AT-RISK YOUTH IN OUR COMMUNITY.

NAHC SDPI - NATIVE AMERICAN HEALTH CENTER INC. (NAHC) PROPOSES THE IMPLEMENTATION OF ITS NAHC SDPI PROJECT FOR 2023-2027. THE SDPI PROJECT WILL PROVIDE DIABETES TREATMENT AND PREVENTION SERVICES TO URBAN AMERICAN INDIAN/ ALASKA NATIVE (AI/AN) COMMUNITY MEMBERS RESIDING IN NAHC'S GEOGRAPHIC CATCHMENT AREA LOCATED IN OAKLAND AND SAN FRANCISCO CALIFORNIA. THE IDENTIFIED SDPI BEST PRACTICE IS GLYCEMIC CONTROL. THE IDENTIFIED RKM IS NUMBER AND PERCENT OF URBAN AI/AN WHO ARE DIAGNOSED WITH DIABETES, WHOSE MOST RECENT HEMOGLOBIN (HGB) A1C IS LESS THAN 8.0% AT NAHC. KEY ACTIVITIES TO IMPROVE RKM FOR BEST PRACTICE ARE AS FOLLOWS: 1. DIABETES CARE DAYS; 2. MEDICAL NUTRITION THERAPY BY REGISTERED DIETITIAN (RD); 3. CASE MANAGEMENT BY CERTIFIED DIABETES CARE & EDUCATION SPECIALIST (CDCES); AND 4. COORDINATE WITH RECIPE 4 HEALTH PROGRAM (GROUP HEALTH PROMOTION CLASSES, INDIVIDUAL HEALTH COACHING AND PRODUCE DELIVERY). PREVENTION ACTIVITIES INCLUDE: 1. MAINTAIN AN ACCURATE AND UPDATED “PRE-DIABETES REGISTRY” FOR URBAN AI/AN; 2. CREATE AND FACILITATE A “PRE-DIABETES CARE DAY” FOR URBAN AI/AN AT NAHC’S OAKLAND AND SAN FRANCISCO CLINICS; AND 3. MAINTAIN OR INCREASE THE PERCENTAGE OF URBAN AI/AN WITHOUT A DIAGNOSIS OF PRE-DIABETES OR DIABETES, AND WHO HAVE NOT HAD THEIR BLOOD SUGAR ASSESSED WITHIN THE LAST YEAR, WHO ARE SCREENED FOR TYPE 2 DIABETES USING THE ADA'S RISK TEST. NAHC WILL PROVIDED DIRECT TREATMENT SERVICES, PREVENTION, AND COMMUNITY BASED ENGAGEMENT, EDUCATION, AND OUTREACH TO OVER 250 COMMUNITY MEMBERS PER PROJECT YEAR.

HEALING DIABETES: A PROGRAM OF THE SACRAMENTO NATIVE AMERICAN HEALTH CENTER TO TREAT AND PREVENT DIABETES AMONG AMERICAN INDIAN/ ALASKA NATIVE ADULTS AND YOUTH IN SACRAMENTO COUNTY. - THE SACRAMENTO NATIVE AMERICAN HEALTH CENTER (SNAHC) IS COMMITTED TO AN INTEGRATED, HOLISTIC APPROACH TO COUNTERING TYPE 1 AND TYPE 2 DIABETES AMONG OUR MOST AT-RISK YOUTH AND ADULT NATIVE PATIENTS. SNAHC CURRENTLY SERVES 738 AMERICAN INDIAN/ALASKA NATIVE (AI/AN) PATIENTS, OF WHICH 8.5% ARE CURRENTLY DIAGNOSED WITH DIABETES. MANY OF OUR PATIENTS AND OVER HALF OF OUR SERVICES AREA ARE LOW INCOME RESIDENTS FALLING UNDER 200% OF THE FEDERAL POVERTY LEVEL WHILE MORE THAN 1 IN 4 RESIDE IN DESIGNATED FOOD DESERTS. THE DIABETES CARE TEAM AT SNAHC IS AN INTERDEPARTMENTAL TEAM OF MEDICAL, HOME VISITATION, AND DIABETES PROFESSIONALS WHO FOCUS ON THIS CHRONIC ILLNESS. SNAHC WILL WORK WITHIN OUR DEPARTMENTS TO FOCUS ON GLYCEMIC CONTROL THROUGHOUT 2023 BY TRAINING OUR PATIENTS ON THE USE OF CONTINUOUS GLUCOSE MONITORS (CGM), TRAINING STAFF WHO WILL BE RESPONSIBLE FOR THE CGM PROGRAM, CONDUCTING ONGOING TELEPHONIC AND IN-PERSON VISITS WITH PATIENTS TO REVIEW CGM DATA, AND PERFORMING ROUTINE A1C TESTING TO MONITOR PATIENTS' GLYCEMIC CONTROL. ADDITIONALLY, SNAHC WILL CONTINUE TO OFFER POPULAR WORKSHOPS LIKE OUR DIABETES LIVING WELL CLASSES AND TALKING CIRCLES TO HELP PATIENTS CONNECT TO OTHER AI/AN DIABETIC PATIENTS, CREATE EMPOWERING ACTION PLANS, AND GAIN ADDITIONAL HEALTH RESOURCES AND SERVICES TO HEAL DIABETES.

SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE

RED VISION II

SACRAMENTO REGION COVID-19 EMERGENCY RESPONSE (RECOVER)

NAHC EMERGENCY COVID-19

NATIVE CONNECTIONS

NAHC PREVENTION NAVIGATOR - THE NATIVE AMERICAN HEALTH CENTER’S (NAHC) PREVENTION NAVIGATOR PROJECT WILL PROVIDE CULTURALLY APPROPRIATE SUBSTANCE MISUSE AND HIV PREVENTION SERVICES; AS WELL AS IMPROVE CARE COORDINATION AND LINKAGE SERVICES FOR URBAN AMERICAN INDIAN/ ALASKA NATIVE, INDIGENOUS AND UNDERSERVED AT-RISK MEMBERS, AGES 13-24 RESIDING IN AND AROUND NAHC’S SAN FRANCISCO CLINIC NEIGHBORHOOD. THE PROJECT WILL SERVE 565 PARTICIPANTS ANNUALLY AND 2,000 OVER THE PROJECT PERIOD. GOALS AND MEASURABLE OBJECTIVES ARE: GOAL 1. DECREASE THE ONSET AND PROGRESSION OF SUBSTANCE USE DISORDERS AND HIV/VH BY INCREASING TARGETED, CULTURALLY RESPONSIVE COMMUNITY-WIDE IDENTIFICATION, SCREENING, AND OUTREACH EFFORTS THAT EMPHASIZE STRENGTH BASED, PROTECTIVE FACTORS. OBJECTIVES: 1. PROVIDE SUBSTANCE MISUSE AND WELLNESS SCREENING AND ASSESSMENT UTILIZING THE SACRED BUNDLE TOOL. 2. REVIEW, MODIFY AND IF FOUND APPROPRIATE, PILOT THE USE OF THE SACRED BUNDLE TOOL FOR MEMBERS AGES 13-18. 3. PROVIDE HIV/ VH SCREENING AND TESTING AT NON-CLINICAL SETTINGS. 4. PROVIDE HIV/VH OUTREACH INCLUSIVE OF COMMUNITY PROMISE. 5. COLLABORATE WITH NAHC’S IN HOUSE MEDIA TEAM TO PROVIDE PUBLIC MESSAGING AND AWARENESS THROUGH THE DISSEMINATION OF DIGITAL STORIES AND PHOTOVOICE EXHIBITION. GOAL 2. INCREASE CULTURALLY APPROPRIATE, HOLISTIC PREVENTION SERVICES BY IMPLEMENTING EVIDENCE AND COMMUNITY BASED BEST PRACTICES THAT ADDRESS ASSOCIATED RISK FACTORS. OBJECTIVES: 1. PROVIDE CARE LINKAGES THROUGH INDIVIDUALIZED WELLNESS PLANS UTILIZING WRAPAROUND SERVICE DELIVERY. 2. PROVIDE PSYCHO-SOCIAL GROUPS THAT REINFORCE CULTURAL AND PROTECTIVE FACTORS.3. PROVIDE HIV AND SUBSTANCE USE TRAINING AND WORKSHOPS. 4. PROVIDE TRADITIONAL HEALTH PREVENTION, EARLY INTERVENTION, AND POSTVENTION. 5. COLLABORATE WITH NAHC’S IN-HOUSE MEDIA TEAM AND PROJECT PARTICIPANTS TO DEVELOP AND IMPLEMENT DIGITAL STORYTELLING WORKSHOPS. 6. REVIEW, MODIFY, AND IF FOUND APPROPRIATE, PILOT USE OF “WE R NATIVE” BEST PRACTICE. GOAL 3. INCREASE AGENCY-WIDE CAPACITY EFFORTS TO REDUCE RISK FACTORS THAT MAY CONTRIBUTE TO SUBSTANCE USE DISORDERS AND HIV BY STRENGTHENING CLINICAL CARE COORDINATION AND LINKAGE EFFORTS. OBJECTIVES: 1. PROVIDE YOUTH CENTERED HIV PREVENTION AND SUBSTANCE MISUSE TRAININGS TO NAHC STAFF. 2. DEVELOP AND IMPLEMENT A COLLABORATIVE PLAN WITH NAHC’S MEDICAL CARE DEPARTMENT TO SUPPORT INCREASED CLINICAL IDENTIFICATION, SCREENING, TREATMENT, AND WRAPAROUND CARE EFFORTS. 3. DEVELOP AND IMPLEMENT A COLLABORATIVE PLAN WITH NAHC’S BEHAVIORAL HEALTH DEPARTMENT TO ENSURE MEMBER ACCESS TO OUTPATIENT SUBSTANCE ABUSE AND MENTAL HEALTH COUNSELING AND TREATMENT AS NEEDED. 4. DEVELOP AND IMPLEMENT A COLLABORATIVE PLAN WITH SF SUBSTANCE ABUSE AND HIV PREVENTION AND TREATMENT ORGANIZATIONS THAT SERVE THE TARGET POPULATION.

SACRAMENTO NATIVE CONNECTIONS - SACRAMENTO NATIVE AMERICAN HEALTH CENTER (SNAHC) IS A 501(C)3 NON-PROFIT URBAN INDIAN ORGANIZATION (UIO) AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC) ESTABLISHED IN 2006. SNAHC’S SERVICE AREA INCLUDES 19 ZIP CODES WITH A TOTAL POPULATION OF 575,882 RESIDENTS AND 38,000 AI/AN IN SACRAMENTO COUNTY. SNAHC SERVES OVER 12,000 PATIENTS PER YEAR, APPROXIMATELY 30% OF WHICH ARE AMERICAN INDIAN AND ALASKA NATIVE (AI/AN). SNAHC ANTICIPATES DOUBLING ITS PATIENT POPULATION AND PROVIDE ACCESS TO OVER 24,000 INDIVIDUALS PER YEAR BY OPENING A SECOND SITE IN 2023, FURTHER ESTABLISHING SNAHC AS THE LARGEST-SERVING UIO. SNAHC’S VISION FOR A SACRAMENTO NATIVE CONNECTIONS PROGRAM IS TO FOCUS ON THREE LEVELS OF PREVENTION ACTIVITIES TO REDUCE IMPACTS OF TRAUMA, RISK FOR SUICIDE, AND ANY EXISTING SILOS OF UNCOORDINATED CARE ACROSS PARTNER ORGANIZATIONS FOR AI/AN WITHIN SACRAMENTO COUNTY. THE PROGRAM WILL ALSO PROMOTE MENTAL HEALTH AMONG URBAN AMERICAN INDIAN/ALASKA NATIVE (AI/AN) YOUTH 0-24 AND THEIR FAMILIES. SNAHC WILL EMPLOY MULTIPLE METHODS TOWARDS ENGAGING PARTNERS AND COMMUNITY. GOALS OF THE PROGRAM INCLUDE: COMPLETE PRELIMINARY AND ONGOING ORGANIZATIONAL ASSESSMENT, PLANNING, AND PROCEDURE DEVELOPMENT; IMPLEMENT UNIVERSAL PREVENTION STRATEGIES (TIER 1) TO PROMOTE CULTURAL CONNECTEDNESS AND PREVENT MENTAL HEALTH AND SUICIDE CONCERNS AMONG YOUTH; ENGAGE IN SELECTIVE AND TARGETED PREVENTION STRATEGIES (TIER 2) TO INTERVENE WITH AT-RISK AI/AN YOUTH; IMPLEMENT CLINICAL INTERVENTION (TIER 3) WITH AI/AN WHO HAVE ADDITIONAL MENTAL HEALTH OR SUBSTANCE USE NEEDS; COMPLETE REPORTING AND EVALUATION.

SNAHC COMMUNITY OPIOID INTERVENTION PREVENTION PROGRAM - SACRAMENTO NATIVE AMERICAN HEALTH CENTER (SNAHC) IS PROPOSING TO IMPLEMENT THE SNAHC COMMUNITY OPIOID INTERVENTION PREVENTION PROGRAM TO (1) REDUCE UNMET TREATMENT NEEDS AND OPIOID OVERDOSE RELATED DEATHS THROUGH THE USE OF MEDICATED ASSISTED TREATMENT (MAT), (2) REINFORCE COMPREHENSIVE SUPPORT TEAMS TO STRENGTHEN AND EMPOWER AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) FAMILIES IN ADDRESSING THE OPIOID CRISIS IN URBAN INDIAN COMMUNITIES, AND (3) INCREASE PUBLIC AWARENESS AND EDUCATION ABOUT CULTURALLY APPROPRIATE AND FAMILY-CENTERED OPIOID PREVENTION, TREATMENT, RECOVERY PRACTICES AND PROGRAMS IN AI/AN COMMUNITIES. THESE GOALS WILL BE MET BY BOLSTERING SNAHC'S CURRENTLY IMPLEMENTED AND SUCCESSFUL MAT PROGRAM THROUGH INCREASED COMMUNITY CAPACITY TO PREVENT OPIOID DEATHS AMONG AI/AN AND ADDICTION TREATMENT; INCREASING SNAHC'S PROVIDER CAPACITY TO TREAT YOUTH AND ADULTS; TRAINING AI/AN PATIENTS, COMMUNITY PARTNERS, AND PROVIDERS ON HOW TO REVERSE OPIOID OVERDOSES AND PREVENT DEATHS VIA THE USE OF NARCAN; AND INCORPORATING HARM REDUCTION STRATEGIES INCLUDING MEDICATION LOCKBOX EDUCATION AND SAFE MEDICATION DISPOSAL.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - NATIVE AMERICAN HEALTH CENTER (NAHC) WILL AUGMENT ITS THREE EXISTING HEALTH AND WELLNESS FACILITIES IN OAKLAND’S FRUITVALE DISTRICT WITH A NEW 20,360 SQUARE FOOT HEALTH CENTER AT 3050 INTERNATIONAL BOULEVARD. THE NEW SITE WILL FEATURE 20 DENTAL EXAM ROOMS AND DEDICATED SPACE FOR SOCIAL SERVICES, INCLUDING A 300-PERSON CAPACITY CULTURAL COMMUNITY CENTER. NAHC CURRENTLY HAS WAITING LISTS OF 221 FOR NEW PATIENTS, 955 FOR RECALL EXAMS, AND 1,394 FOR TREATMENTS FOR A TOTAL OF 2,570 PEOPLE ON DENTAL WAITING LISTS. THE 13 EXISTING DENTAL OPERATORIES AT ITS OAKLAND CLINICS ARE NOT ENOUGH TO MEET PATIENT DEMAND. THE NEW BUILDING WILL INCREASE DENTAL CAPACITY BY 20 ADDITIONAL OPERATORIES, AND WILL ENABLE 40 HOURS OF ADDITIONAL APPOINTMENTS PER WEEK, AND AN ESTIMATED 6,200 NEW COMMUNITY MEMBERS SERVED ANNUALLY, AND AN ESTIMATED 19,572 ADDITIONAL DENTAL VISITS PER YEAR. NAHC’S CULTURAL AND COMMUNITY-BUILDING SERVICES CURRENTLY OPERATE IN ONE SMALL ROOM THAT HOLDS 35 PEOPLE. THE NEW CULTURAL COMMUNITY CENTER WILL ENABLE NAHC TO HOST LARGER COMMUNITY EVENTS AND SIMULTANEOUS MEETINGS, AS WELL AS CONFERENCES, GROUP MEDICAL CARE, FOOD DISTRIBUTION, WELLNESS SERVICES, CULTURAL CLASSES, CEREMONIES, AND HEALINGS. THE DENTAL CLINIC, CULTURAL CENTER, AND PARKING WILL OCCUPY THE GROUND FLOOR OF A 5-STORY BUILDING THAT NAHC IS DEVELOPING IN PARTNERSHIP WITH SATELLITE AFFORDABLE HOUSING ASSOCIATES (SAHA). SAHA WILL DEVELOP AND MANAGE THE 76 AFFORDABLE HOUSING UNITS ON THE SECOND TO FIFTH FLOORS. NAHC AND SAHA ARE DEVELOPING THE PROJECT ACCORDING TO A JDA (JOINT DEVELOPMENT AGREEMENT) AND AN LDDA (LEASE DISPOSITION AND DEVELOPMENT AGREEMENT) WITH THE CITY OF OAKLAND WHO OWNS THE LAND. KEY AGREEMENTS INCLUDE: O THE LAND IS BEING DIVIDED INTO 2 PARCELS BY AN AIR-RIGHTS SUBDIVISION, ONE PARCEL FOR NAHC AND ONE FOR SAHA O THE CITY OF OAKLAND WILL GROUND-LEASE EACH PARCEL TO NAHC AND SAHA SEPARATELY. THE LEASE HAS A 99 YEAR TERM. O PREDEVELOPMENT COSTS ARE SHARED WITH SAH A ACCORDING TO A SPLIT DERIVED FROM THE BUILDING’S SQUARE FOOTAGE -- 85% FOR SAHA AND 15% FOR NAHC. O THE COST FOR CONSTRUCTION OF THE BUILDING’S SHELL WILL BE SHARED WITH SAHA, WITH NAHC RESPONSIBLE FOR APPROXIMATELY 6% OF THE COST. O NAHC WILL COVER THE COST TO BUILD ITS OWN GROUND FLOOR SPACE, INCLUDING PARKING. THE TOTAL PROJECT COST FOR THE NAHC GROUND FLOOR SPACE, AS WELL AS ITS SHARE OF THE COST FOR THE BUILDING’S SHELL, IS $20,629,314. THE HARD CONSTRUCTION COST IS $10,369,515, A COST OF $509 PER SQUARE FOOT, WHICH IS IN LINE WITH MEDICAL OFFICE CONSTRUCTION IN THE SAN FRANCISCO BAY AREA, ACCORDING TO LOCAL CONTRACTORS. THIS APPLICATION REQUESTS $1,000,000 TO SUPPORT THE CONSTRUCTION COSTS. THE BALANCE WILL BE PAID DIRECTLY BY NAHC OUT OF FUNDS RAISED AND IN-HAND, AUGMENTED BY A NEW MARKETS TAX CREDIT LOAN.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - SACRAMENTO NATIVE AMERICAN HEALTH CENTER (SNAHC) IS OPENING A NEW BRICK-AND-MORTAR HEALTHCARE CENTER LOCATED IN SOUTH SACRAMENTO. SNAHC IS A 501(C)3 NON-PROFIT URBAN INDIAN ORGANIZATION (UIO) AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC) ACCREDITED THROUGH THE ACCREDITATION ASSOCIATION OF AMBULATORY HEALTH CARE (AAAHC) AND CERTIFIED AS A PATIENT CENTERED MEDICAL HOME (PCMH). SNAHC PROVIDES A FULL RANGE OF MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES UNDER ONE HEALTH HOME. THE NEW SITE WILL CONTINUE TO OFFER THESE SAME SERVICES WITH THE ADDITION OF A NEW AND INNOVATIVE YOUTH AND FAMILY CENTER TO PROVIDE A SAFE AND FRIENDLY ENVIRONMENT TO FOCUS ON PREVENTION AND TREATMENT SERVICES FOR YOUTH, WHO ARE ONE OF OUR COMMUNITIES' MOST SACRED RESOURCES. THE SITE WILL ALSO INCLUDE A TEACHING KITCHEN TO BE USED FOR PROVIDING REAL-TIME HANDS-ON DEMONSTRATIONS OF SKILLS AND KNOWLEDGE TO IMPROVE HEALTH OUTCOMES AND REDUCE CHRONIC DISEASES. SNAHC'S CURRENT SERVICE AREA INCLUDES 19 ZIP CODES WITH A TOTAL POPULATION OF 575,882 RESIDENTS AND 38,000 WHO ARE AMERICAN INDIAN OR ALASKA NATIVE (AI/AN) IN SACRAMENTO COUNTY. OUR MIDTOWN LOCATION SERVES OVER 12,000 PATIENTS PER YEAR, APPROXIMATELY 30% OF WHOM ARE AI/AN. WITH THE OPENING OF OUR NEW SITE, WE ANTICIPATE TO DOUBLE OUR PATIENT POPULATION TO PROVIDE ACCESS TO OVER 24,000 INDIVIDUALS PER YEAR.

PROJECT SAGE

INATIVE

SNAHC CIRCLES OF CARE

NAHC COVID-19 ERSP - AMERICAN HEALTH CENTER, INC. (NAHC), LOCATED IN OAKLAND, CALIFORNIA, PROPOSES THE IMPLEMENTATION OF COVID-19 EMERGENCY RESPONSE FOR SUICIDE PREVENTION FOR ADULTS AGES 25 AND OLDER THAT ARE: 1. URBAN AMERICAN INDIAN/ ALASKA NATIVE (AIAN) AND OTHER UNDERSERVED MEMBER LIVING WITH OR AT-RISK FOR MENTAL HEALTH INCLUDING SUICIDALITY AND/OR SUBSTANCE USE DISORDERS; AND 2. URBAN AIAN AND OTHER UNDERSERVED MEMBERS THAT ARE VICTIMS OF DOMESTIC VIOLENCE OR ARE AT-RISK FOR EXPOSURE TO VIOLENCE AND THEIR DEPENDENTS. THE PROPOSED PROJECT WILL SERVE 500 MEMBERS OVER THE 16-MONTH PROJECT PERIOD. GOALS AND OBJECTIVES ARE AS FOLLOWS: 1. DEVELOP AND IMPLEMENT A PLAN FOR RAPID FOLLOW-UP OF ADULTS WHO HAVE ATTEMPTED SUICIDE OR EXPERIENCED A SUICIDAL CRISIS AFTER DISCHARGE FROM EMERGENCY DEPARTMENTS AND INPATIENT PSYCHIATRIC FACILITIES INCLUDING CARE TRANSITION AND CARE COORDINATION SERVICES. 2. ESTABLISH FOLLOW-UP AND CARE TRANSITION PROTOCOLS TO HELP ENSURE PATIENT SAFETY, ESPECIALLY AMONG HIGH RISK ADULTS IN HEALTH OR BEHAVIORAL HEALTH CARE SETTINGS WHO HAVE ATTEMPTED SUICIDE OR EXPERIENCED A SUICIDAL CRISIS, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESSES AND/OR SUBSTANCE USE DISORDER(S). 3. PROVIDE, OR ASSURE PROVISION OF, SUICIDE PREVENTION TRAINING TO COMMUNITY AND CLINICAL SERVICE PROVIDERS AND SYSTEMS SERVING ADULTS AT RISK INCLUDING QUESTION, PERSUADE, REFER (QPR) GATEKEEPER TRAINING AND CLINICAL TRAINING RELATED TO SELECTED EVIDENCE BASED PRACTICES. AS A RESULT, 20 STAFF AND 50 COMMUNITY MEMBERS/ PARTNERS WILL BE TRAINED. 4. WORK ACROSS RELEVANT OR COMMUNITY DEPARTMENTS AND SYSTEMS IN ORDER TO IMPLEMENT COMPREHENSIVE SUICIDE PREVENTION SUCH AS RECOVERY AND SOCIAL SUPPORT AND CRISIS INTERVENTION. 5. PROVIDE SUICIDE SCREENING AND ASSESSMENT AND APPROPRIATE CLINICAL TREATMENT SERVICES REQUIRED AS A RESULT OF THE ASSESSMENT, INCLUDING OPTIONS FOR TELE-HEALTH. AS A RESULT, 100 MEMBERS WILL BE SCREENED/ ASSESSED AND 80 MEMBERS WILL RECEIVE APPROPRIATE TREATMENT. 6. PROVIDE TRADITIONAL HEALTH ACTIVITIES AND COMMUNITY RECOVERY SUPPORTS TO ASSIST INDIVIDUALS WHO HAVE ATTEMPTED OR ARE AT RISK FOR ATTEMPTING SUICIDE, INCLUDING SUPPORTS FOR IMPACTED HOUSEHOLD MEMBERS. AS A RESULT, 300 MEMBERS WILL RECEIVE RECOVERY COMMUNITY SUPPORT. 8. PROVIDE ENHANCED SERVICES FOR VICTIMS OF DOMESTIC VIOLENCE AND THEIR DEPENDENTS INCLUDING APPROPRIATE TREATMENT, CARE COORDINATION, AND EMERGENCY LINKAGES. AS A RESULT, 125 DOMESTIC VIOLENCE VICTIMS OR MEMBERS AT- RISK FOR DOMESTIC VIOLENCE WILL BE SERVED. AS INDICATED, NAHC WILL COORDINATE WITH STATE OR LOCAL HEALTH AGENCIES AS APPROPRIATE IN ORDER TO PROVIDE COMPREHENSIVE SUICIDE PREVENTION PROGRAMMING FOR THE TARGET POPULATION.

PUBLIC HEALTH NURSE CASE MANAGEMENT AT SACRAMENTO NATIVE AMERICAN HEALTH CENTER.

NATIVE FAMILIES

RED VISION - THE NATIVE AMERICAN HEALTH CENTER, INC. (NAHC) PROPOSES THE IMPLEMENTATION OF RED VISION AT ITS CLINIC SITES LOCATED IN THE SAN ANTONIO/ FRUITVALE NEIGHBORHOODS OF OAKLAND, CALIFORNIA AND THE MISSION NEIGHBORHOOD OF SAN FRANCISCO, CALIFORNIA. THE TARGET POPULATION INCLUDES URBAN AMERICAN INDIAN/ ALASKA NATIVE (AIAN) AND OTHER UNDERSERVED YOUTH AGED 12+ AND THEIR FAMILIES THAT RESIDE IN AND AROUND NAHC’S CLINIC NEIGHBORHOODS. THE PRIMARY GEOGRAPHIC CATCHMENT AREA WHERE THE PROJECT WILL BE IMPLEMENTED ARE ZIP CODES 94601 REPRESENTING EAST OAKLAND IN ALAMEDA COUNTY AND 94110 REPRESENTING THE INNER MISSION OF SAN FRANCISCO IN SAN FRANCISCO COUNTY. HOWEVER, DUE TO PROXIMITY AND THE AVAILABILITY OF AIAN CULTURALLY SPECIFIC PROGRAMMING, NAHC’S MEMBER PROFILE ALSO INCLUDES INDIVIDUALS THAT RESIDE IN NEIGHBORING ZIP CODES AND URBAN AIAN INDIVIDUALS THAT RESIDE IN NAHC’S 5-COUNTY RADIUS INCLUDING ALAMEDA, SAN FRANCISCO, CONTRA COSTA, MARIN, SAN MATEO, AND SANTA CLARA COUNTIES. RED VISION WILL SERVE 100 YOUTH AND THEIR FAMILIES ANNUALLY AND PROVIDE OUTREACH AND ENGAGEMENT TO AN ADDITIONAL 500 COMMUNITY MEMBERS ANNUALLY. THE GOALS OF THE RED VISION PROJECT ARE AS FOLLOWS: GOAL 1. BUILD COMMUNITY-DRIVEN CAPACITY EFFORTS TO REDUCE THE RISK FACTORS THAT MAY CONTRIBUTE TO THE ONSET AND PROGRESSION OF SUBSTANCE MISUSE AND ITS RELATED PROBLEMS FOR AIAN AND OTHER UNDERSERVED YOUTH AGED 12+ AND THEIR FAMILIES THAT RESIDE IN AND AROUND NAHC’S CLINIC NEIGHBORHOODS. GOAL 2. DECREASE THE ONSET AND PROGRESSION OF SUBSTANCE MISUSE AND ITS RELATED PROBLEMS BY IMPLEMENTING ACCESSIBLE, CULTURALLY-RESPONSIVE, EVIDENCE AND COMMUNITY BASED, BEST PRACTICES FOR AIAN AND OTHER UNDERSERVED YOUTH AGED 12+ AND THEIR FAMILIES THAT RESIDE IN AND AROUND NAHC’S CLINIC NEIGHBORHOODS.

RED VISION

MORNING STAR RISING

SACRAMENTO NATIVE CONNECTIONS PROJECT

PROJECT SAGE

PS04-064 HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

THE HEALING WAYS PROJECT

NATIVE VOICES

NAHC EMERGENCY COVID-19

SACRAMENTO REGION COVID-19 EMERGENCY RESPONSE (RECOVER)

PROGRAM PURPOSE AWARD TO SUPPORT EMPLOYMENT AND TRAINING ACTIVITIES FOR INDIAN, ALASKA NATIVE, AND NATIVE HAWAIIAN INDIVIDUALS IN ORDER TO: 1) DEVELOP MORE FULLY THE ACADEMIC, OCCUPATIONAL, AND LITERACY SKILLS OF SUCH INDIVIDUALS 2) MAKE SUCH INDIVIDUALS MORE COMPETITIVE IN THE WORKFORCE AND EQUIP THEM WITH THE ENTREPRENEURIAL SKILLS NECESSARY FOR SUCCESSFUL SELF-EMPLOYMENT AND 3) PROMOTE THE ECONOMIC AND SOCIAL DEVELOPMENT OF INDIAN, ALASKA NATIVE, AND NATIVE HAWAIIAN COMMUNITIES IN ACCORDANCE WITH THE GOALS AND VALUES OF SUCH COMMUNITIES.ACTIVITIES TO BE PERFORMEDTO PROVIDE EMPLOYMENT AND TRAINING OPPORTUNITIES TO ELIGIBLE INDIVIDUALS AND TO MAKE EFFORTS TO DEVELOP PROGRAMS THAT CONTRIBUTE TO OCCUPATIONAL DEVELOPMENT, UPWARD MOBILITY, DEVELOPMENT OF NEW CAREERS, AND OPPORTUNITIES FOR NONTRADITIONAL EMPLOYMENT. SERVICE CATEGORIES INCLUDE: (1) CAREER SERVICES - THAT INVOLVE PREPARING TO ENTER, REENTER, OR RETAIN UNSUBSIDIZED EMPLOYMENT LEADING TO SELF-SUFFICIENCY (2) FOLLOW-UP SERVICES, INCLUDING COUNSELING AND SUPPORTIVE SERVICES FOR UP TO 12 MONTHS AFTER THE DATE OF EXIT TO ASSIST PARTICIPANTS IN OBTAINING AND RETAINING EMPLOYMENT AND (3) TRAINING SERVICES, INCLUDING ACTIVITIES DESCRIBED IN WIOA SEC. 134(C)(3)(D). DELIVERABLES EXPECTED OUTCOMEGRANTS MAY SERVE UNEMPLOYED AND UNDER-SKILLED AMERICAN INDIAN, ALASKA AND NATIVE HAWAIIAN ADULTS. EXPECTED OUTCOMES ARE DEFINED IN WIOA AT SEC. 116 (B). THE GRANTEE HAS SIX PERFORMANCE OUTCOMES THEY MUST STRIVE TO MEET: (1) EMPLOYED IN THE 2ND QUARTER AFTER EXIT (2) EMPLOYED IN THE 4TH QUARTER AFTER EXIT (3) MEDIAN EARNINGS IN THE 2ND QUARTER AFTER EXIT (4) CREDENTIAL ATTAINMENT (5) SKILL GAINS AND (6) SERVICE TO EMPLOYERS.INTENDED BENEFICIARY(IES)AMERICAN INDIANS, ALASKA NATIVES AND NATIVE HAWAIIANS WHO ARE UNEMPLOYED, UNDEREMPLOYED, LOW-INCOME, OR A RECIPIENT OF A BONA FIDE LAY-OFF NOTICE WITHIN THE LAST 6 MONTHS OR NOTICE THAT A LAYOFF WILL TAKE PLACE IN THE NEXT SIX MONTHS.SUBRECIPIENT ACTIVITIESLITTLE TO NO SUBRECIPIENT ACTIVITIES. MOST SERVICES AND ACTIVITIES ARE PROVIDED DIRECTLY BY THE GRANTEE.

PROGRAM PURPOSE AWARDTO SUPPORT EMPLOYMENT AND TRAINING ACTIVITIES FOR INDIAN, ALASKA NATIVE, AND NATIVE HAWAIIAN INDIVIDUALS IN ORDER TO: 1) DEVELOP MORE FULLY THE ACADEMIC, OCCUPATIONAL, AND LITERACY SKILLS OF SUCH INDIVIDUALS 2) MAKE SUCH INDIVIDUALS MORE COMPETITIVE IN THE WORKFORCE AND EQUIP THEM WITH THE ENTREPRENEURIAL SKILLS NECESSARY FOR SUCCESSFUL SELF-EMPLOYMENT AND 3) PROMOTE THE ECONOMIC AND SOCIAL DEVELOPMENT OF INDIAN, ALASKA NATIVE, AND NATIVE HAWAIIAN COMMUNITIES IN ACCORDANCE WITH THE GOALS AND VALUES OF SUCH COMMUNITIES.ACTIVITIES TO BE PERFORMEDTO PROVIDE EMPLOYMENT AND TRAINING OPPORTUNITIES TO ELIGIBLE INDIVIDUALS AND TO MAKE EFFORTS TO DEVELOP PROGRAMS THAT CONTRIBUTE TO OCCUPATIONAL DEVELOPMENT, UPWARD MOBILITY, DEVELOPMENT OF NEW CAREERS, AND OPPORTUNITIES FOR NONTRADITIONAL EMPLOYMENT. SERVICE CATEGORIES INCLUDE: (1) CAREER SERVICES - THAT INVOLVE PREPARING TO ENTER, REENTER, OR RETAIN UNSUBSIDIZED EMPLOYMENT LEADING TO SELF-SUFFICIENCY (2) FOLLOW-UP SERVICES, INCLUDING COUNSELING AND SUPPORTIVE SERVICES FOR UP TO 12 MONTHS AFTER THE DATE OF EXIT TO ASSIST PARTICIPANTS IN OBTAINING AND RETAINING EMPLOYMENT AND (3) TRAINING SERVICES, INCLUDING ACTIVITIES DESCRIBED IN WIOA SEC. 134(C)(3)(D). DELIVERABLES EXPECTED OUTCOMEGRANTS MAY SERVE UNEMPLOYED AND UNDER-SKILLED AMERICAN INDIAN, ALASKA AND NATIVE HAWAIIAN ADULTS. EXPECTED OUTCOMES ARE DEFINED IN WIOA AT SEC. 116 (B). THE GRANTEE HAS SIX PERFORMANCE OUTCOMES THEY MUST STRIVE TO MEET: (1) EMPLOYED IN THE 2ND QUARTER AFTER EXIT (2) EMPLOYED IN THE 4TH QUARTER AFTER EXIT (3) MEDIAN EARNINGS IN THE 2ND QUARTER AFTER EXIT (4) CREDENTIAL ATTAINMENT (5) SKILL GAINS AND (6) SERVICE TO EMPLOYERS.INTENDED BENEFICIARY(IES)AMERICAN INDIANS, ALASKA NATIVES AND NATIVE HAWAIIANS WHO ARE UNEMPLOYED, UNDEREMPLOYED, LOW-INCOME, OR A RECIPIENT OF A BONA FIDE LAY-OFF NOTICE WITHIN THE LAST 6 MONTHS OR NOTICE THAT A LAYOFF WILL TAKE PLACE IN THE NEXT SIX MONTHS.SUBRECIPIENT ACTIVITIESLITTLE TO NO SUBRECIPIENT ACTIVITIES. MOST SERVICES AND ACTIVITIES ARE PROVIDED DIRECTLY BY THE GRANTEE.

AWARD PURPOSE: TO SUPPORT EMPLOYMENT AND TRAINING ACTIVITIES FOR INDIAN, ALASKA NATIVE, AND NATIVE HAWAIIAN INDIVIDUALS IN ORDER TO: 1) DEVELOP MORE FULLY THE ACADEMIC, OCCUPATIONAL, AND LITERACY SKILLS OF SUCH INDIVIDUALS 2) MAKE SUCH INDIVIDUALS MORE COMPETITIVE IN THE WORKFORCE AND EQUIP THEM WITH THE ENTREPRENEURIAL SKILLS NECESSARY FOR SUCCESSFUL SELF-EMPLOYMENT AND 3) PROMOTE THE ECONOMIC AND SOCIAL DEVELOPMENT OF INDIAN, ALASKA NATIVE, AND NATIVE HAWAIIAN COMMUNITIES IN ACCORDANCE WITH THE GOALS AND VALUES OF SUCH COMMUNITIES.ACTIVITIES PERFORMED: TO PROVIDE EMPLOYMENT AND TRAINING OPPORTUNITIES TO ELIGIBLE INDIVIDUALS AND TO MAKE EFFORTS TO DEVELOP PROGRAMS THAT CONTRIBUTE TO OCCUPATIONAL DEVELOPMENT, UPWARD MOBILITY, DEVELOPMENT OF NEW CAREERS, AND OPPORTUNITIES FOR NONTRADITIONAL EMPLOYMENT. SERVICE CATEGORIES INCLUDE: (1) CAREER SERVICES - THAT INVOLVE PREPARING TO ENTER, REENTER, OR RETAIN UNSUBSIDIZED EMPLOYMENT LEADING TO SELF-SUFFICIENCY (2) FOLLOW-UP SERVICES, INCLUDING COUNSELING AND SUPPORTIVE SERVICES FOR UP TO 12 MONTHS AFTER THE DATE OF EXIT TO ASSIST PARTICIPANTS IN OBTAINING AND RETAINING EMPLOYMENT AND (3) TRAINING SERVICES, INCLUDING ACTIVITIES DESCRIBED IN WIOA SEC. 134(C)(3)(D). DELIVERABLES: GRANTS MAY SERVE UNEMPLOYED AND UNDER-SKILLED AMERICAN INDIAN, ALASKA AND NATIVE HAWAIIAN ADULTS. EXPECTED OUTCOMES ARE DEFINED IN WIOA AT SEC. 116 (B). THE GRANTEE HAS SIX PERFORMANCE OUTCOMES THEY MUST STRIVE TO MEET: (1) EMPLOYED IN THE 2ND QUARTER AFTER EXIT (2) EMPLOYED IN THE 4TH QUARTER AFTER EXIT (3) MEDIAN EARNINGS IN THE 2ND QUARTER AFTER EXIT (4) CREDENTIAL ATTAINMENT (5) SKILL GAINS AND (6) SERVICE TO EMPLOYERS.INTENDED BENEFICIARY: AMERICAN INDIANS, ALASKA NATIVES AND NATIVE HAWAIIANS WHO ARE UNEMPLOYED, UNDEREMPLOYED, LOW-INCOME, OR A RECIPIENT OF A BONA FIDE LAY-OFF NOTICE WITHIN THE LAST 6 MONTHS OR NOTICE THAT A LAYOFF WILL TAKE PLACE IN THE NEXT SIX MONTHS.SUBRECIPIENT ACTIVITIES: LITTLE TO NO SUBRECIPIENT ACTIVITIES. MOST SERVICES AND ACTIVITIES ARE PROVIDED DIRECTLY BY THE GRANTEE.

AWARD PURPOSE TO SUPPORT EMPLOYMENT AND TRAINING ACTIVITIES FOR INDIAN, ALASKA NATIVE, AND NATIVE HAWAIIAN INDIVIDUALS IN ORDER TO: 1) DEVELOP MORE FULLY THE ACADEMIC, OCCUPATIONAL, AND LITERACY SKILLS OF SUCH INDIVIDUALS; 2) MAKE SUCH INDIVIDUALS MORE COMPETITIVE IN THE WORKFORCE AND EQUIP THEM WITH THE ENTREPRENEURIAL SKILLS NECESSARY FOR SUCCESSFUL SELF-EMPLOYMENT; AND 3) PROMOTE THE ECONOMIC AND SOCIAL DEVELOPMENT OF INDIAN, ALASKA NATIVE, AND NATIVE HAWAIIAN COMMUNITIES IN ACCORDANCE WITH THE GOALS AND VALUES OF SUCH COMMUNITIES. ACTIVITIES PERFORMED TO PROVIDE EMPLOYMENT AND TRAINING OPPORTUNITIES TO ELIGIBLE INDIVIDUALS AND TO MAKE EFFORTS TO DEVELOP PROGRAMS THAT CONTRIBUTE TO OCCUPATIONAL DEVELOPMENT, UPWARD MOBILITY, DEVELOPMENT OF NEW CAREERS, AND OPPORTUNITIES FOR NONTRADITIONAL EMPLOYMENT. SERVICE CATEGORIES INCLUDE: (1) CAREER SERVICES - THAT INVOLVE PREPARING TO ENTER, REENTER, OR RETAIN UNSUBSIDIZED EMPLOYMENT LEADING TO SELF-SUFFICIENCY; (2) FOLLOW-UP SERVICES, INCLUDING COUNSELING AND SUPPORTIVE SERVICES FOR UP TO 12 MONTHS AFTER THE DATE OF EXIT TO ASSIST PARTICIPANTS IN OBTAINING AND RETAINING EMPLOYMENT; AND (3) TRAINING SERVICES, INCLUDING ACTIVITIES DESCRIBED IN WIOA SEC. 134(C)(3)(D). DELIVERABLES GRANTS MAY SERVE UNEMPLOYED AND UNDER-SKILLED AMERICAN INDIAN, ALASKA AND NATIVE HAWAIIAN ADULTS. EXPECTED OUTCOMES ARE DEFINED IN WIOA AT SEC. 116 (B). THE GRANTEE HAS SIX PERFORMANCE OUTCOMES THEY MUST STRIVE TO MEET: (1) EMPLOYED IN THE 2ND QUARTER AFTER EXIT; (2) EMPLOYED IN THE 4TH QUARTER AFTER EXIT; (3) MEDIAN EARNINGS IN THE 2ND QUARTER AFTER EXIT; (4) CREDENTIAL ATTAINMENT; (5) SKILL GAINS; AND (6) SERVICE TO EMPLOYERS. INTENDED BENEFICIARY AMERICAN INDIANS, ALASKA NATIVES AND NATIVE HAWAIIANS WHO ARE UNEMPLOYED, UNDEREMPLOYED, LOW-INCOME, OR A RECIPIENT OF A BONA FIDE LAY-OFF NOTICE WITHIN THE LAST 6 MONTHS OR NOTICE THAT A LAYOFF WILL TAKE PLACE IN THE NEXT SIX MONTHS. SUBRECIPIENT ACTIVITIES LITTLE TO NO SUBRECIPIENT ACTIVITIES. MOST SERVICES AND ACTIVITIES ARE PROVIDED DIRECTLY BY THE GRANTEE.

SNAHC CIRCLES OF CARE

SACRAMENTO NATIVE CONNECTIONS PROJECT

URBAN INDIAN HEALTH

CHIPRA OUTREACH ENROLLMENT AND RETENTION PROGRAM FOR AI/AN CHILDREN

SACRAMENTO NATIVE AMERICAN HEALTH CENTER ENVIRONMENTAL HEALTH ASSESSMENT INITIATIVE

URBAN FOUR-IN-ONE

NATIVE AMERICAN HIV COUNSELING, TESTING AND REFERRAL PROJECT

THIS IS AN INNOVATIVE PROJECT THAT WILL BRING HIV/AIDS PREVENTION, INTERVENTION, BROAD BASED TESTING AND COORDINATION OF CARE TO THE AI/AN POPULATION

NON-VIOLENT HANDS PROJECT

TBH COVID-19

TBH COVID-19

CIRCLE OF LIFE PREVENTION PROGRAM

HIV/AIDS TESTING INITIATIVE

THE CAR SEAT SAFETY CLINIC & WORKSHOP AIMS TO REDUCE RISKS ASSOCIATED WITH MOTOR VEHICLE SAFETY FOR AI/AN CHILDREN BY EDUCATIONAL INTERVENTION, INSTALLATION AND DISTRIBUTION OF CAR/BOOSTER SEATS. - CAR SEAT SAFETY PROGRAM- AN INJURY PREVENTION PROGRAM THE SACRAMENTO NATIVE AMERICAN HEALTH CENTER (SNAHC) SEEKS $40,000 IN FUNDING THROUGH THE INDIAN HEALTH SERVICE (IHS) TRIBAL INJURY PREVENTION COOPERATIVE AGREEMENT PROGRAM (TIPCAP) PART II TO ESTABLISH A FOCUSED AND SUSTAINABLE TRIBAL INJURY PREVENTION PROGRAM AIMED AT IMPROVING CHILD PASSENGER SAFETY AMONG AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) COMMUNITY MEMBERS IN THE SACRAMENTO REGION. MOTOR VEHICLE–RELATED INJURIES REMAIN ONE OF THE LEADING CAUSES OF UNINTENTIONAL INJURY AND DEATH AMONG AI/AN POPULATIONS NATIONWIDE, WITH RATES SIGNIFICANTLY HIGHER THAN THOSE OBSERVED AMONG OTHER RACIAL AND ETHNIC GROUPS. WITHIN SACRAMENTO COUNTY, THESE DISPARITIES ARE COMPOUNDED BY LIMITED ACCESS TO CULTURALLY RELEVANT INJURY PREVENTION RESOURCES AND EDUCATION. AS AN URBAN INDIAN HEALTH ORGANIZATION (UIHO) AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING APPROXIMATELY 9,000 PATIENTS ANNUALLY, SNAHC IS UNIQUELY POSITIONED TO INTEGRATE CHILD PASSENGER SAFETY EDUCATION INTO ROUTINE CARE FOR AI/AN FAMILIES. THE CAR SEAT SAFETY PROGRAM WILL OPERATIONALIZE A STRUCTURED, CHILD PASSENGER SAFETY TECHNICIAN (CPST)-ALIGNED WORKFLOW WITHIN PRENATAL AND PEDIATRIC ENCOUNTERS TO IDENTIFY CAREGIVERS IN NEED OF SAFETY EDUCATION, INSTALLATION SUPPORT, AND ACCESS TO AGE-APPROPRIATE CAR AND BOOSTER SEATS. ELIGIBLE FAMILIES WILL RECEIVE CULTURALLY TAILORED EDUCATIONAL MATERIALS DEVELOPED SPECIFICALLY FOR AI/AN PARENTS AND CAREGIVERS, HANDS-ON INSTALLATION VERIFICATION, AND CAR OR BOOSTER SEATS WHEN ELIGIBLE. THE PROGRAM’S FIRST-YEAR GOALS INCLUDE CERTIFYING TWO MEDICAL ASSISTANTS AS CPSTS, IMPLEMENTING A STANDARDIZED SCREENING AND REFERRAL PROCESS WITHIN THE PROPOSED PRENATAL PROGRAM AND PEDIATRIC VISITS, AND REACHING AT LEAST 75 AI/AN FAMILIES THROUGH CLINICAL ENCOUNTERS AND COMMUNITY WORKSHOPS, INCREASING ACCESS TO CAR AND BOOSTER SEATS, AND COMPLYING WITH THE IHS REPORTING AND SUBMISSION REQUIREMENTS. SNAHC WILL TRACK PARTICIPATION, CAR SEAT DISTRIBUTION, AND PARTICIPANT SURVEY DATA TO EVALUATE PROGRESS, MEASURE OUTCOMES, AND GUIDE CONTINUOUS IMPROVEMENT. EXPECTED OUTCOMES INCLUDE INCREASED RATES OF CORRECT CHILD RESTRAINT USE AND GREATER CAREGIVER KNOWLEDGE OF PASSENGER SAFETY PRACTICES AMONG AI/AN FAMILIES. THE PROGRAM WILL BE IMPLEMENTED UNDER THE LEADERSHIP OF SNAHC’S MEDICAL DEPARTMENT, WITH TECHNICAL GUIDANCE FROM CERTIFIED CPST STAFF AND SUPPORT FROM COMMUNITY HEALTH EDUCATORS. LONG-TERM SUSTAINABILITY WILL BE ACHIEVED BY EMBEDDING CAR SEAT EDUCATION INTO STANDARD PRENATAL AND PEDIATRIC WORKFLOWS, ENSURING THAT CHILD PASSENGER SAFETY REMAINS A ROUTINE COMPONENT OF PREVENTIVE CARE. SNAHC HAS EXTENSIVE EXPERIENCE IMPLEMENTING PUBLIC HEALTH, PREVENTION, AND WELLNESS INITIATIVES TAILORED TO THE CULTURAL VALUES AND NEEDS OF THE AI/AN COMMUNITY. THROUGH ITS MULTIDISCIPLINARY HEALTH EDUCATION, OUTREACH, AND DATA TEAMS, SNAHC IS WELL-EQUIPPED TO DELIVER HIGH-QUALITY, COMMUNITY-DRIVEN PREVENTION PROGRAMS. STRONG PARTNERSHIPS WITH TRIBAL AND COMMUNITY PARTNERS FURTHER POSITION SNAHC TO ENSURE THE SUCCESS AND SUSTAINABILITY OF THIS INITIATIVE. THIS PROJECT WILL ADVANCE IHS TIPCAP GOALS BY INCREASING EQUITABLE ACCESS TO SAFETY RESOURCES, STRENGTHENING COMMUNITY CAPACITY, AND PROMOTING SUSTAINED IMPROVEMENTS IN CHILD PASSENGER SAFETY AMONG URBAN AI/AN FAMILIES.

HIV/AIDS TESTING INITIATIVE

AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

EKWAHNESS ("TO HOLD TIGHTLY"-YUROK)

CEDAR PROJECT

NATIVE CONNECTIONS