Texas Native Health

URBAN INDIAN HEALTH

SPECIAL DIABETES PROGRAM FOR INDIANS

ETHIC TEXAS - NAME OF APPLICANT: TEXAS NATIVE HEALTH • MAILING ADDRESS: 1283 RECORD CROSSING ROAD, DALLAS, TEXAS 75235 • CONTACT NAME AND TITLE: OMER TAMIR, CHIEF EXECUTIVE OFFICER • PHONE NUMBER: (214) 941-1050 • FAX NUMBER: (214) 946-4738 • EMAIL: CEO@TEXASNATIVEHEALTH.ORG PROPOSED PROJECT TITLE: ETHIC TEXAS AREA(S) SERVED: DALLAS COUNTY (PRIMARILY); TEXAS (STATEWIDE) PROJECT SUMMARY: TEXAS NATIVE HEALTH (TNH) PROPOSES ITS ETHIC TEXAS PROJECT, A COMPREHENSIVE INITIATIVE DESIGNED TO ADDRESS THE SIGNIFICANT HEALTH DISPARITIES FACED BY AMERICAN INDIAN/ALASKA NATIVE (AI/AN) POPULATIONS IN TEXAS RELATED TO HIV, HEPATITIS C VIRUS (HCV), AND SYPHILIS. AS THE ONLY URBAN INDIAN ORGANIZATION IN TEXAS, TNH IS UNIQUELY POSITIONED TO DELIVER CULTURALLY COMPETENT HEALTHCARE SERVICES TAILORED TO THE SPECIFIC NEEDS OF AI/AN COMMUNITIES. THE ETHIC TEXAS PROJECT ADOPTS A DUAL APPROACH, COMBINING COMMUNITY-BASED PROGRAMS AND ENHANCED CLINICAL SERVICES. THE COMMUNITY-BASED COMPONENT FOCUSES ON INCREASING AWARENESS, SCREENINGS, AND PREVENTION MEASURES THROUGH CULTURALLY RELEVANT EDUCATION AND OUTREACH ACTIVITIES. THIS INCLUDES DEPLOYING MOBILE UNITS FOR ROUTINE SCREENINGS IN TRADITIONAL AND NON-TRADITIONAL SETTINGS, SUCH AS POW WOWS AND HEALTH FAIRS, AND CONDUCTING ANNUAL POP-UP CLINICS IN REMOTE AND UNDERSERVED AREAS. ON THE CLINICAL SIDE, TNH WILL EXPAND ITS SERVICE OFFERINGS FOR AI/ANS AT RISK OR DIAGNOSED WITH HIV, HCV, OR SYPHILIS TO INCLUDE INTEGRATED BEHAVIORAL HEALTH AND DENTAL CARE, EXTENDED CLINIC HOURS, AND TELEHEALTH SERVICES. THESE ENHANCEMENTS AIM TO IMPROVE ACCESSIBILITY, ENSURE TIMELY LINKAGE TO CARE, AND SUPPORT ONGOING TREATMENT ADHERENCE. BY LEVERAGING TNH’S EXISTING INFRASTRUCTURE AND CULTURALLY COMPETENT STAFF, THE PROJECT SEEKS TO PROVIDE HOLISTIC AND CONTINUOUS CARE TO AI/AN INDIVIDUALS. THE ETHIC TEXAS PROJECT IS GROUNDBREAKING IN ITS HOLISTIC, CULTURALLY SENSITIVE APPROACH THAT BRIDGES THE GAP BETWEEN COMMUNITY OUTREACH AND CLINICAL CARE. BY ADDRESSING BOTH PREVENTION AND TREATMENT IN AN INTEGRATED MANNER, THE PROJECT AIMS TO SIGNIFICANTLY REDUCE THE INCIDENCE AND IMPROVE THE OUTCOMES OF HIV, HCV, AND SYPHILIS AMONG AI/AN POPULATIONS IN TEXAS. THIS INITIATIVE NOT ONLY AIMS TO IMPROVE INDIVIDUAL HEALTH OUTCOMES BUT ALSO SEEKS TO BUILD COMMUNITY TRUST AND ENGAGEMENT WITH HEALTHCARE SERVICES, ULTIMATELY CONTRIBUTING TO LONG-TERM HEALTH EQUITY. ELIGIBLE ENTITY: URBAN INDIAN ORGANIZATION (UIO), AS DEFINED BY 25 U.S.C. § 1603(29) LENGTH OF PROJECT PERIOD: 5 YEARS TOTAL FUNDS REQUESTED: $1,500,000 (ANNUALLY) - $7,500,000 TOTAL OVER 5 YEARS

988 TRIBAL TEXAS - PROJECT ABSTRACT NAME OF APPLICANT: TEXAS NATIVE HEALTH - MAILING ADDRESS: 1283 RECORD CROSSING ROAD, DALLAS, TEXAS 75235 - CONTACT NAME AND TITLE: OMER TAMIR, CHIEF EXECUTIVE OFFICER - PHONE NUMBER: (214) 941-1050 - FAX NUMBER: (214) 946-4738 - EMAIL: CEO@TEXASNATIVEHEALTH.ORG ________________________________________ PROPOSED PROJECT TITLE: 988 TRIBAL TEXAS AREA(S) SERVED: TEXAS (STATEWIDE) PROJECT SUMMARY: TEXAS NATIVE HEALTH, THE ONLY URBAN INDIAN ORGANIZATION (UIO) IN TEXAS, REQUESTS SUPPORT FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) TO INTRODUCE 988 LIFELINE LINKAGES AND SUPPORT MENTAL HEALTH SERVICES TO TRIBAL AND URBAN INDIAN COMMUNITIES IN TEXAS. THIS PROJECT ADDRESSES THE URGENT MENTAL HEALTH CRISIS AND SUICIDE PREVENTION NEEDS WITHIN THE NATIVE AMERICAN COMMUNITY, STRONGLY EMPHASIZING CULTURAL CONTINUITY AND COLLABORATION WITH TRIBAL PARTNERS AND LOCAL CRISIS CENTERS. TEXAS NATIVE HEALTH, AS THE APPLICANT ORGANIZATION, WILL INCORPORATE VARIOUS EVIDENCE-BASED STRATEGIES SUCH AS TIP 61 AND THE ZERO SUICIDE MODEL TO DELIVER A COMPREHENSIVE RANGE OF PREVENTION, INTERVENTION, AND TREATMENT SERVICES AS PART OF THIS GROUNDBREAKING INITIATIVE. 988 TRIBAL TEXAS AIMS TO SERVE 2,000 OR MORE TRIBAL MEMBERS ANNUALLY, REACHING AT LEAST 6,000 INDIVIDUALS OVER THREE YEARS. THE PROPOSED PROJECT SUPPORTS EXISTING NEEDS, DATA ANALYSIS, AND BEST PRACTICES IN INDIAN COUNTRY TO ACHIEVE THE FOLLOWING GOALS: 1. EXPAND ACCESS TO THE 988 LIFELINE AND MENTAL HEALTH SERVICES USING LINKAGES TO CRISIS CENTERS AND TRIBAL-SPECIFIC RESOURCES. 2. INCREASE AWARENESS OF THE 988 LIFELINE AMONG TRIBAL AND URBAN INDIAN COMMUNITIES IN TEXAS THROUGH CULTURAL AND LINGUISTIC CONTINUITY. ELIGIBLE ENTITY: URBAN INDIAN ORGANIZATION (UIO), AS DEFINED BY 25 U.S.C. § 1603(29) LENGTH OF PROJECT PERIOD: 3 YEARS TOTAL FUNDS REQUESTED: $1,100,000.00 (ANNUALLY)

TNH 2024 SDPI PROGRAM - ESTABLISHED FOLLOWING FEDERAL LOCATION PROGRAMS IN 1971, THE URBAN INTER-TRIBAL CENTER OF TEXAS ("UITCT" OR "THE CENTER") IS THE ONLY URBAN INDIAN ORGANIZATION IN TEXAS AND A SAFETY-NET PROVIDER OF PRIMARY CARE, DENTAL, BEHAVIORAL HEALTH, CAREER DEVELOPMENT, AND CULTURAL SERVICES TO AMERICAN INDIANS AND ALASKAN NATIVES. UITCT IS REQUESTING SUPPORT FROM THE SPECIAL DIABETES PROGRAM FOR INDIANS (SDPI) FOR ITS UITCT DIABETES PROGRAM, WHICH IS AIMING TO STRENGTHEN DIABETES-RELATED EDUCATION ACTIVITIES AMONGST AMERICAN INDIANS AND ALASKA NATIVES IN THE DALLAS-FORT WORTH COMMUNITY. MONTHLY ACTIVITIES PROVIDED BY THE CENTER WILL INCLUDE FITNESS WORKSHOPS, TRADITIONAL DANCE LESSONS, YOGA, WALKING, AND AN ANNUAL COMMUNITY MARATHON. THE PROJECT IS INFORMED BY EXISTING NEEDS DATA, COMMUNITY INPUT, AND BEST PRACTICES SUPPORTED BY THE INDIAN HEALTH SERVICE FOR THE PREVENTION AND TREATMENT OF DIABETES. IN ADDITION TO DIABETES-RELATED EDUCATION, THE PROJECT WILL ALSO INCREASE THE NUMBER OF FOOT EXAMS, EYE EXAMS, DENTAL EXAMS, AND INFLUENZA VACCINATIONS PROVIDED TO AMERICAN INDIANS AND ALASKA NATIVES WITH DIABETES ANNUALLY.

URBAN INTER-TRIBAL CENTER OF TEXAS COMMUNITY OPIOID INTERVENTION PILOT PROJECT - THE URBAN INTER-TRIBAL CENTER OF TEXAS (UITCT) IS A 501(C)3 NONPROFIT ORGANIZATION WITH A SUCCESSFUL 49-YEAR HISTORY OF PROVIDING CULTURALLY SENSITIVE, COMMUNITY-BASED SERVICES TO MEET THE DIVERSE NEEDS OF AI/AN IN TEXAS. UITCT IS THE ONLY URBAN INDIAN HEALTH CENTER IN TEXAS. THE STATE OF TEXAS IS HOME TO 289,958 AI/AN WITH 62,252 RESIDING IN NORTH TEXAS (U.S CENSUS, V2019), MAKING IT THE FIFTH LARGEST STATE POPULATION OF AMERICAN INDIANS (U.S CENSUS, 2010). OUR PATIENTS ARE MEMBERS OF 175 DIFFERENT FEDERALLY RECOGNIZED TRIBES INCLUDING THE CHOCTAW NATION, CHEROKEE NATION, MUSCOGEE (CREEK) NATION, CHICKASAW NATION, NAVAJO TRIBE, COMANCHE INDIAN TRIBE, MISSISSIPPI BAND CHOCTAW INDIANS, SEMINOLE NATION, KIOWA INDIAN TRIBE, AND CITIZEN POTAWATOMI NATION. THE OBJECTIVES FOR THIS PROJECT ARE AS FOLLOWS: 1.INCREASE PUBLIC AWARENESS AND EDUCATION ABOUT CULTURALLY APPROPRIATE AND FAMILY-CENTERED OPIOID PREVENTION, TREATMENT, AND RECOVERY PRACTICES AND PROGRAMS IN AI/AN COMMUNITIES. 2.CREATE COMPREHENSIVE SUPPORT TEAMS TO STRENGTHEN AND EMPOWER AI/AN FAMILIES IN ADDRESSING THE OPIOID CRISIS IN TRIBAL OR URBAN INDIAN COMMUNITIES. 3.REDUCE UNMET TREATMENT NEEDS AND OPIOID OVERDOSE RELATED DEATHS THROUGH THE USE OF MEDICATION-ASSISTED TREATMENT (MAT). THIS PROPOSAL WILL OUTLINE THE ACTIVITIES AND PARTNERSHIPS THAT WILL HELP US ACHIEVE THESE OBJECTIVES. ACTIVITIES SUCH AS IDENTIFYING COMMUNITY RESOURCES, DEVELOPING EDUCATIONAL MATERIALS, AND IMPLEMENTING AWARENESS CAMPAIGNS WILL HELP US ACHIEVE OBJECTIVE 1 BY IMPROVING THE PUBLIC?S UNDERSTANDING OF SUBSTANCE USE DISORDERS, EVIDENCE-BASED TREATMENTS AND PREVENTION STRATEGIES, AND HELPING TO ELIMINATE STIGMA ASSOCIATED WITH OPIOID USE DISORDER (OUD). THEY WILL ALSO SUPPORT THE USE OF COMMUNITY-BASED PREVENTION PROGRAMS AND ENGAGING COMMUNITY AND FAITH-BASED ORGANIZATIONS TO SPREAD AWARENESS ABOUT OUD PREVENTION, TREATMENT, AND RECOVERY. UITCT HAS CONFIDENCE THAT THESE ACTIVITIES WILL PROVIDE CULTURALLY APPROP RIATE EDUCATION TO INDIVIDUALS, FAMILIES, AND CAREGIVERS TO HELP THEM UNDERSTAND THE IMPORTANCE OF PREVENTION AND RECOVERY AND HOW THEY CAN FIND AND ACCESS SERVICES. OBJECTIVE 2 ACTIVITIES WILL INCREASE THE NUMBER OF BEHAVIORAL HEALTH PROVIDERS KNOWLEDGEABLE ABOUT SUBSTANCE USE DISORDERS AND WILL ALSO HELP IDENTIFY INDIVIDUALS WHO ARE AT RISK OF OPIOID USE DISORDER AND PROVIDE RESOURCES LIKE PREVENTION AND EARLY INTERVENTION SERVICES AND OTHER SUPPORTIVE SERVICES TO MINIMIZE THE POTENTIAL FOR THE DEVELOPMENT OF OPIOID USE DISORDER. THESE ACTIVITIES WILL ENFORCE THE NEED FOR FAMILY-CENTERED TREATMENT THAT ENDEAVORS TO KEEP FAMILIES AND CAREGIVERS TOGETHER. FINALLY, OBJECTIVE 3 ACTIVITIES WILL HELP THE COMMUNITY REDUCE UNMET TREATMENT NEEDS BY INCREASING ACCESS TO MAT SERVICES FOR THOSE WHO NEED IT. THESE OBJECTIVES WILL ALSO ENSURE INCREASED ACCESS TO PROVIDER TRAINING ABOUT MAT, OPIOID USE DISORDER, AND PAIN MANAGEMENT. THEY WILL ALSO PROVIDE WIDESPREAD AVAILABILITY OF NALOXONE, INCLUDING EDUCATION AND TRAINING ON OVERDOSE PREVENTION AND NALOXONE ADMINISTRATION TO ENSURE THAT INDIVIDUALS LIKELY TO RESPOND TO AN OVERDOSE CAN TAKE THE APPROPRIATE STEPS TO REVERSE AN OVERDOSE. THE PROPOSED PROJECT WILL HELP INCREASE UITCT?S CAPACITY TO IMPLEMENT AND SUSTAIN COMMUNITY-FOCUSED, EVIDENCE-BASED, TRAUMA-INFORMED OPIOID EDUCATION, TREATMENT, AND RECOVERY PROGRAMS.

UITCT NATIVE YOUTH COMMUNITY PROGRAM

NATIVE PUBLIC HEALTH RESILIENCE IN TEXAS

NATIVE AMERICANS

NATIVE AMERICANS

TNH - NATIVE CONNECTIONS - TBH 2024 - NAME OF APPLICANT: TEXAS NATIVE HEALTH • MAILING ADDRESS: 1283 RECORD CROSSING ROAD, DALLAS, TEXAS 75235 • CONTACT NAME AND TITLE: ADAM SHORTER, CHIEF OPERATIONS OFFICER • PHONE NUMBER: (214) 941-1050 • FAX NUMBER: (214) 946-4738 • EMAIL: COO@TEXASNATIVEHEALTH.ORG PROPOSED PROJECT TITLE: NATIVE CONNECTIONS IN TEXAS AREA(S) SERVED: NORTH TEXAS; TEXAS (STATEWIDE) PROJECT SUMMARY: TEXAS NATIVE HEALTH, THE SOLE URBAN INDIAN ORGANIZATION (UIO) IN TEXAS, IS SEEKING SUPPORT FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) FOR ITS NATIVE CONNECTIONS IN TEXAS PROJECT. THIS MULTI-YEAR ENDEAVOR AIMS TO PROVIDE AMERICAN INDIAN LIFE SKILLS (AISL) PROGRAMMING AND ENHANCE ACCESS TO CULTURALLY RELEVANT MENTAL HEALTH SERVICES FOR AI/AN (AMERICAN INDIAN/ALASKA NATIVE) YOUTH IN TEXAS. THE PROJECT BUILDS UPON INDIGENOUS CULTURE AS A STRENGTH AND PROTECTIVE FACTOR TO COMBAT HIGH RATES OF SUICIDE, COMPLEX TRAUMA, AND SUBSTANCE ABUSE AMONG THIS DEMOGRAPHIC. THE OBJECTIVES OF THE PROJECT ARE TWOFOLD: TO INCREASE TEXAS NATIVE HEALTH'S CAPACITY TO MITIGATE HIGH-RISK BEHAVIORS CONTRIBUTING TO SUBSTANCE ABUSE OR SUICIDE AMONG AI/AN YOUTH, AND TO PROMOTE THE USE OF CULTURE AND EVIDENCE- BASED PRACTICES FOR PREVENTION WITHIN THIS POPULATION. THE INITIATIVE, THE FIRST OF ITS KIND IN THE STATE, WILL INTRODUCE ONGOING LIFE SKILLS INTERVENTION AND CULTURAL ENRICHMENT ACTIVITIES TO AI/AN ADOLESCENTS AND YOUTH FROM AN EARLY AGE AS A PREVENTIVE MEASURE. NATIVE CONNECTIONS IN TEXAS WILL LEVERAGE LOCAL INDIGENOUS CULTURES AND TRADITIONS TO BOLSTER RESILIENCE AND COPING SKILLS AMONG AI/AN YOUTH. ADDITIONALLY, TEXAS NATIVE HEALTH PLANS TO RECRUIT A DEDICATED FAMILY PHYSICIAN TO PROVIDE CULTURALLY ATTUNED PREVENTION, INTERVENTION, AND POSTVENTION TREATMENT AND CARE TO AI/AN ADOLESCENTS AND YOUTH IN PRIMARY CARE AND SPECIALTY SETTINGS. THE PROPOSED PROJECT ALSO SUPPORTS EXISTING NEEDS, DATA ANALYSIS, AND BEST PRACTICES IN INDIAN COUNTRY TO ACHIEVE THE FOLLOWING GOALS: 1. INCREASE THE CAPACITY OF TEXAS NATIVE HEALTH TO REDUCE HIGH-RISK BEHAVIORS THAT MAY CONTRIBUTE TO SUBSTANCE ABUSE OR SUICIDE AMONGST AI/AN YOUTH IN TEXAS. 2. INCREASE THE USE OF CULTURE AND EVIDENCE-BASED PRACTICES FOR THE PREVENTION OF SUBSTANCE ABUSE AND SUICIDE PREVENTION AMONGST AI/AN YOUTH. ELIGIBLE ENTITY: URBAN INDIAN ORGANIZATION (UIO), AS DEFINED BY 25 U.S.C. § 1603(29) LENGTH OF PROJECT PERIOD: 5 YEARS TOTAL FUNDS REQUESTED: $250,000.00 (ANNUALLY)

NATIVE AMERICANS

NATIVE AMERICANS

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.

ABSTRACT THE DALLAS INTER-TRIBAL CENTER, THE ONLY URBAN INDIAN CENTER IN THE STATE OF TEXAS, WILL USE THIS AWARD TO EXPAND ITS CURRENT MENU OF SERVICES TO INCLUDE ASSISTANCE FOR AMERICAN INDIAN AND ALASKA NATIVE VICTIMS OF HUMAN TRAFFICKING BY: (1) HIRING STAFF FOR THE PROJECT, INCLUDING A PATIENT NAVIGATOR OR INTAKE SPECIALISTS, AND A LICENSED SOCIAL WORKER TO PROVIDE SERVICES TO VICTIMS AND COORDINATE PROGRAM OUTREACH, EVALUATION, AND TRAINING EFFORTS; AND (2) DEVELOP COLLABORATIVE PARTNERSHIPS, A PLAN TO DELIVER COMPREHENSIVE SERVICES TO TRAFFICKING VICTIMS, AND A LOGIC MODEL TO SUPPORT THE ONGOING EVALUATION OF THE EFFECTIVENESS OF THE PROGRAM.

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.

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.

NATIVE AMERICAN EMPLOYMENT AND TRAINING

NATIVE AMERICAN EMPLOYMENT AND TRAINING

NATIVE AMERICAN EMPLOYMENT AND TRAINING

NATIVE AMERICAN EMPLOYMENT AND TRAINING

SPECIAL DIABETES PROGRAM FOR INDIANS

URBAN INDIAN HEALTH

PROVIDE HIV/AIDS ROUTINE AND/OR RAPID HIV SCREENING,PREVENTION,AND COUNSELING FOR URBAN AI/AN'S LIVING IN DALLAS/FORT WO

INDEPENDENT INITIATIVE