Great Plains Tribal Leaders Health Board

EPIDEMIOLOGY CENTER

ELIMINATING DISPARITIES IN PERINATAL HEALTH

IMPROVING ACCESS TO RECOVERY THROUGH SCREENING BRIEF INTERVENTION REFERRAL TRTMNT AND RECOV SUPP

ELIMINATING DISPARITIES IN PERINATAL HEALTH

GREAT PLAINS PATHWAYS TO HEALTHCARE PROFESSIONS

GREAT PLAINS CANCER PREVENTION AND SCREENING PROGRAMS - THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB) PLANS ON IMPLEMENTING TWO GREAT PLAINS CANCER PREVENTION AND SCREENING PROGRAMS: PROGRAM 1: GREAT PLAINS BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM (GPBCCEDP) AND PROGRAM 2: GREAT PLAINS COMPREHENSIVE CANCER CONTROL PROGRAM (GPCCCP). THESE PROGRAMS WILL ADDRESS CANCER DISPARITIES FOR AMERICAN INDIANS AND ALASKA NATIVES (AI/AN), WHO HAVE THE HIGHEST AND SECOND-HIGHEST CANCER INCIDENCE RATES AMONG ALL AI/AN POPULATION GROUPS IN THE UNITED STATES. WHEN COMPARING CANCER INCIDENCE AND DEATH RATES ACROSS THE INDIAN HEALTH SERVICE (IHS) AREAS, THE GPA RANKS HIGHEST AMONG ALL IHS REGIONS. GPTLHB IS A 501C(3) TRIBAL ENTITY THAT ADVOCATES FOR TRIBAL HEALTH CONCERNS AND WORKS WITH TRIBAL COMMUNITIES TO IMPROVE HEALTH STATUS AND ERADICATE HEALTH DISPARITIES AMONG THE REGION’S 265,837 AI/AN TRIBAL MEMBERS (ACCORDING TO 2020 U.S. CENSUS DATA). THE ORGANIZATION STANDS AS A FORMAL REPRESENTATIVE BOARD, COMPOSED OF THE HIGHEST ELECTED OFFICIALS (CHAIRMEN/CHAIRWOMEN) FROM 17 TRIBAL COMMUNITIES AND ONE SERVICE UNIT IN IOWA, NORTH DAKOTA, NEBRASKA, SOUTH DAKOTA, AND SERVES AS A LIAISON TO THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ENTITIES, INCLUDING INDIAN HEALTH SERVICE (IHS), AND STATE AND LOCAL PARTNERS. GPBCCEDP HAS SUCCESSFULLY BUILT AND MAINTAINED BREAST AND CERVICAL CANCER SCREENING, EDUCATION, AND AWARENESS AMONG AI/AN WOMEN WITHIN THE GPA THROUGH ITS PREVIOUS FUNDING CYCLE. THE PROPOSED PROGRAM FOR THE NEW FUNDING CYCLE WILL EXPAND EXISTING EFFORTS THROUGH A CONCERTED APPROACH THAT ALIGNS WITH THE GOALS AND OBJECTIVES OF THE WORK PLAN. THE PROGRAM WILL IDENTIFY GAPS THAT AFFECT COMMUNITY-CLINICAL LINKAGES OF AI/AN WOMEN IN THE GPA TO SCREENING, DIAGNOSTICS, GENOMICS, TREATMENT, AND RESOURCES; AND PROVIDE TECHNICAL ASSISTANCE IN DEVELOPING AND IMPLEMENTING POLICY. PROGRAM ACTIVITIES WILL INCLUDE COORDINATING WITH GREAT PLAINS TRIBAL EPIDEMIOLOGY CENTER TO IDENTIFY CANCER REGISTRY DATA; FACILITATING THE GREAT PLAINS BREAST AND CERVICAL CANCER TASK FORCE; IMPLEMENTING SCREENING AND NAVIGATION SERVICES; IMPLEMENTING EVIDENCE-BASED INTERVENTIONS; COLLABORATING WITH REGIONAL PARTNERS AND COALITIONS; AND ENGAGING TRIBAL LEADERSHIP ON THE EVALUATION PROCESS TO IMPROVE EQUITABLE HEALTH OUTCOMES. GPCCP’S PROPOSED PROGRAM WILL USE THE DATA TO INFORM AND EDUCATE COALITION MEMBERS, PARTNERS, POLICYMAKERS, AND THE PUBLIC ABOUT THE MOST IMPACTFUL CANCERS AND THE IMPORTANCE OF ENSURING THAT GREAT PLAINS AI/AN BENEFIT FROM CANCER PREVENTION, SCREENING, AND SURVIVORSHIP SUPPORT STRATEGIES. THE GPA CANCER COALITION WILL CONVENE MONTHLY AND BE MADE UP OF INFLUENTIAL LEADERS, ORGANIZATIONS, AND COMMUNITY MEMBERS REPRESENTING AFFECTED POPULATIONS. MEMBERS WILL SET BASELINES AND TARGETS FOR THE PROGRAM. GPCCCP WILL LEAD THE IMPLEMENTATION OF STRATEGIES THAT RESULT IN POLICIES, SYSTEMS, AND IMPROVEMENTS FOR SOCIAL DETERMINANTS OF HEALTH THAT CONTRIBUTE TO INCREASED CANCER PREVENTION, SCREENING, AND SUPPORT FOR CANCER SURVIVORS, THEIR FAMILIES, CAREGIVERS, AND HEALTHCARE PROVIDERS. OUR PARTNERS AND CONTRIBUTORS WILL SUPPORT THESE EFFORTS BY THEIR COMMITMENT AND ROLES THROUGH MOA/MOU’S AND LETTERS OF SUPPORT. GPCCCP WILL CONTINUE TO USE THESE EFFORTS TO DEVELOP AND IMPLEMENT THE WORK PLAN FOR THE GREAT PLAINS REGION.

GREAT PLAINS GOOD HEALTH AND WELLNESS

COVID-19: PREVENTION OF SUICIDE, INTIMATE PARTNER VIOLENCE AND ADVERSE CHILDHOOD EVENTS (ACES) IN INDIAN COUNTRY

GREAT PLAINS COLORECTAL CANCER SCREENING INITIATIVE

BUILDING PUBLIC HEALTH INFRASTRUCTURE IN TRIBAL COMMUNITIES TO ACCELERATE DISEASE PREVENTION AND HEALTH PROMOTION IN INDIAN COUNTRY

CONNECTING WITH OUR YOUTH (CWOY)

GREAT PLAINS TRIBAL CHAIRMENS HEALTH BOARD (GPTCHB) PROGRAM 1 (BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM) AND PROGRAM 2 (COMPREHENSIVE CANCER CONTROL PROGRAM).

GREAT PLAINS GOOD HEALTH AND WELLNESS PROGRAM

GREAT PLAINS 988 TRIBAL RESPONSE - THE GREAT PLAINS 988 TRIBAL RESPONSE PROGRAM WAS DEVELOPED TO INCREASE THE AWARENESS AND UTILIZATION OF THE 988 AS A FIRST STEP TO ADDRESSING THE MENTAL HEALTH CRISIS THROUGH INTERVENTION AND RESPONSE. THE POPULATION OF FOCUS IS AMERICAN INDIANS AND ALASKA NATIVES (AI/AN) PEOPLE LIVING IN THE HE SAPA AREA AND STATEWIDE SOUTH DAKOTA. 988 DATA DASHBOARDS CAPTURED THAT THE COUNTIES IN TRIBAL COMMUNITIES UNDERUTILIZED THE LIFELINE CALL CENTER DESPITE THE SUICIDE RATE FROM AMERICAN INDIANS/ALASKA NATIVES (AI/AN) BEING NOTABLY HIGHER, 2.6 TIMES THAN THE MAJORITY IN THE STATE OF SOUTH DAKOTA. THE GREAT PLAINS 988 TRIBAL RESPONSE PROGRAM AIMS TO SERVICE AI/AN CHILDREN, YOUTH, AND FAMILIES IN THE HE SAPA AREA (RAPID CITY, SOUTH DAKOTA) AND TRIBAL COMMUNITIES WHILE USING CULTURALLY RELEVANT APPROACHES. THE PROGRAM'S PRIMARY OBJECTIVE IS TO BUILD THE CAPACITY OF 988 SUICIDE AND CRISIS LIFELINE AND IMPROVE INTEGRATION AND IMPLEMENTATION OF AI/AN AND TRIBAL CRISIS RESPONSE. GOAL ONE: TO ENSURE AI/AN HAVE ACCESS TO CULTURALLY COMPETENT, TRAINED 988 SUICIDE AND CRISIS LIFELINE SUPPORT. GOAL TWO: IMPROVE INTEGRATION AND SUPPORT OF 988 CRISIS CENTERS WITH TRIBAL NATIONS TO ENSURE NAVIGATION AND FOLLOW-UP CARE OF AI/AN CALLERS. GOAL THREE: FACILITATE COLLABORATIONS WITH TRIBAL, STATE, HEALTH PROVIDERS, URBAN INDIAN ORGANIZATIONS, LAW ENFORCEMENT, AND FIRST RESPONDERS IN A MANNER THAT RESPECTS TRIBAL SOVEREIGNTY. STRATEGIES INCLUDE PARTNERSHIPS WITH THE HELPLINE CENTER AND SOUTH DAKOTA DEPARTMENT OF SOCIAL SERVICES DIVISION OF BEHAVIORAL HEALTH (SD DSS DBH) AND THE COLLABORATIVE EFFORTS OF TRIBAL ENTITIES TO IDENTIFY AND TRACK REFERRALS AND ESTABLISH FOLLOW-UP CONTACT PROTOCOLS FOR AI/AN CALLERS AFTER ALL CRISIS ENCOUNTERS. THE PROGRAM PLANS TO OFFER TRAINING OPPORTUNITIES ON TRAUMA-INFORMED, CULTURALLY RELEVANT APPROACHES, SUICIDE PREVENTION AWARENESS, AND CRISIS RESPONSE RESOURCES TO PROVIDERS, PARTNERS, AND TRIBAL COMMUNITIES TO SERVICE 200 UNDUPLICATED PARTICIPANTS.

OYATE HEALTH CENTER SPECIAL DIABETES PROGRAM FOR INDIANS - FOUNDED IN 1986, THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB) STANDS AS A FORMAL REPRESENTATIVE BOARD OF THE SEVENTEEN TRIBAL NATIONS AND ONE SERVICE UNIT IN THE GREAT PLAINS AREA (GPA) OF SOUTH DAKOTA, NORTH DAKOTA, NEBRASKA, AND IOWA. THE MISSION OF GPTLHB, A 501(C)(3) COMMUNITY-BASED TRIBAL ENTITY, IS TO WORK WITH TRIBAL COMMUNITIES AND PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTHCARE ADVOCACY TO IMPROVE THE HEALTH STATUS AND ERADICATE HEALTH DISPARITIES AMONG THE REGION'S ESTIMATED 265,837 TRIBAL MEMBERS (ACCORDING TO PROVISIONAL 2020 U.S. CENSUS DATA). IN 2019, THE OGLALA SIOUX TRIBE AND CHEYENNE RIVER SIOUX TRIBE AUTHORIZED GPTLHB TO MANAGE THEIR SHARES OF THE IHS HEALTH CARE FACILITY IN RAPID CITY, SOUTH DAKOTA. GPTLHB ASSUMED ADMINISTRATION OF IHS’ SIOUX SAN FACILITY, RENAMING IT OYATE HEALTH CENTER (OHC). IN 2022, GPTLHB ASSUMED THE ROSEBUD SIOUX TRIBE’S IHS HEALTH CARE SHARES AND BEGAN THE DEVELOPMENT OF A TRIBALLY MANAGED HEALTH SYSTEM THAT SERVES AS A SPECIALTY CARE REFERRAL SITE FOR URGENT CARE AND PRIMARY PREVENTATIVE SERVICES, INCLUDING THE SPECIAL DIABETES PROGRAM FOR INDIANS (SDPI). THE OHC SDPI PROGRAM HAS PROVIDED DIABETES TREATMENT AND PREVENTION SERVICES TO THE RAPID CITY AI/AN COMMUNITY SINCE IHS RELEASED THE FIRST SDPI FUNDING IN 1998. DIABETES IS ONE OF THE MOST PREVALENT HEALTH ISSUES FACING AI/AN IN THE RAPID CITY AREA. ACCORDING TO THE MOST RECENT OHC GPRA REPORT RUN IN AUGUST 2023, 1,040 AI/AN OF THE HEALTH CENTER’S PATIENT-RELATIVES WERE DIAGNOSED AS DIABETIC. BASED ON THE CURRENT SDPI PROGRAM’S 2022 DIABETES AUDIT, 60% OF PATIENT-RELATIVES WITH DIABETES SUFFER FROM OBESITY (BMI = 30.0), AND 26% ARE OVERWEIGHT (BMI 25.0-29.9). 12% OF PATIENT-RELATIVES WITH DIABETES HAVE AN A1C LEVEL OF 11.0 OR HIGHER, AND 11% DO NOT HAVE A RECENT A1C LEVEL (NOT TESTED OR NO VALID RESULT). ADDITIONAL DIABETES-RELATED HEALTH ISSUES INCLUDE MEETING STANDARDS OF CARE DUE TO MISSED DENTAL APPOINTMENTS. HEALTH HABITS IMPACTED BY POVERTY, HIGH PRICES, ACCESS TO TRADITIONAL FOODS, LACK OF ACCESS TO FRUITS AND VEGETABLES, AND POOR DENTAL HYGIENE LEAD TO POOR NUTRITION, HIGH OBESITY RATES, AND CHRONIC DISEASE IN GREAT PLAINS TRIBAL COMMUNITIES. THE OHC SDPI PROGRAM RECOGNIZES THE NEED FOR INCREASED AND IMPROVED DIABETES EDUCATION TO ADDRESS THESE ISSUES. BY HIRING A REGISTERED DIETITIAN, THE PROGRAM WILL OFFER INDIVIDUALIZED DIABETES MANAGEMENT EDUCATION FOR EACH PROGRAM PARTICIPANT, FOCUSING ON DIETARY CHOICES AND PHYSICAL WELLNESS. LIFESTYLE COACHES WILL UTILIZE OHC’S OKICIYAPI FITNESS CENTER TO PROVIDE PHYSICAL ACTIVITY TRAINING, FITNESS ACTIVITIES, AND PHYSICAL ACTIVITY EDUCATION. THE PROGRAM WILL ALSO PARTNER WITH THE FIGHT AGAINST DIABETES: SD PRODUCE PRESCRIPTION PROGRAM TO PROVIDE FRESH FRUITS AND VEGETABLES TO PATIENT-RELATIVES WHO PRESENT AS AT-RISK FOR DIABETES. ADDITIONAL INSTRUCTION WILL ADDRESS THE IMPACT OF DENTAL HYGIENE ON DIABETES AND THE IMPORTANCE OF MAINTAINING ORAL HEALTH. PROGRAM STAFF WILL WORK TO INCREASE AWARENESS OF THE ADVERSE EFFECTS OF MISSING PROVIDER APPOINTMENTS SO THAT PATIENT-RELATIVES UNDERSTAND THE IMPORTANCE OF ATTENDING ALL CLINICAL SERVICES. THE OHC SDPI PROGRAM WILL CONTINUE PARTICIPATING IN THE JOSLIN VISION NETWORK (JVN) AND PERFORMING RETINOPATHY SCREENING EYE EXAMS FOR PATIENT-RELATIVES WITH DIABETES. A JVN ACQUISITION SPECIALIST (LIFESTYLE COACH) WILL PROVIDE DIABETES EDUCATION BASED ON FINDINGS FROM THE COMPLETED EXAMS.

TECA KICI OKIJUPI - CONNECTING WITH OUR YOUTH - FOUNDED IN 1986, GPTLHB IS A FORMAL REPRESENTATIVE BOARD OF THE SEVENTEEN TRIBAL NATIONS AND ONE SERVICE UNIT IN THE GPA. THE MISSION OF GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB), A 501(C)(3) COMMUNITY-BASED TRIBAL ENTITY, IS TO WORK WITH TRIBAL COMMUNITIES AND PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTHCARE ADVOCACY TO IMPROVE THE HEALTH STATUS AND ERADICATE HEALTH DISPARITIES AMONG THE REGION'S TRIBAL MEMBERS.1 THE VISION OF THE GPTLHB IS FOR ALL TRIBAL NATIONS AND COMMUNITIES TO REACH OPTIMUM HEALTH AND WELLNESS THROUGH LASTING PARTNERSHIPS AND CULTURALLY SIGNIFICANT VALUES EMPOWERED BY TRIBAL SOVEREIGNTY. HECEL OYATE KIN NIPI KTE, SO THAT THE PEOPLE MAY LIVE. GPTLHB INTENDS TO CONTINUE IMPLEMENTING A NAVIGATOR PROGRAM FOR AMERICAN INDIAN AND ALASKA NATIVE YOUTH, AGES 0-24, AND THEIR FAMILIES, WHO ARE AT RISK FOR SUICIDE IN THE HE SAPA AREA (RAPID CITY, SOUTH DAKOTA). THE TECA KICI OKIJUPI-CONNECTING WITH OUR YOUTH (CWOY) NAVIGATOR PROGRAM, CURRENTLY FUNDED BY SM-19-006, WILL PROVIDE SUICIDE PREVENTION AND EARLY INTERVENTION STRATEGIES IN CHILD- AND YOUTH-SERVING ORGANIZATIONS. GPTLHB’S OYATE HEALTH CENTER (OHC), A TRIBALLY MANAGED WALK-IN CLINIC, HAS OVER 22,200 ACTIVE USERS, WITH 5,657 UNDER 18. IN 2023, OHC SERVICED AT LEAST 4,255 INDIVIDUALS AGED 24 AND UNDER, WHICH COMPRISE 26.6% OF TOTAL PATIENTS WHO RECEIVE SERVICES AT THE CLINIC. THE SUICIDE IDEATION OR ATTEMPT RATE FOR YOUTH SEEN AT OHC IS ALARMING. BASED ON OHC DATA FROM 2017 THROUGH 2023, THE MALE SUICIDE OR ATTEMPT RATE FOR YOUTH 17 AND UNDER IS 219 PER 100,000. MORE ALARMING, THE FEMALE SUICIDE OR ATTEMPT RATE IS 711 PER 100,000. BETWEEN 2017 AND 2023, OHC RECORDED 488 SUICIDE IDEATIONS OR ATTEMPTS BY PATIENT RELATIVES. OUT OF THE 488, 143 ATTEMPTS OR IDEATIONS WERE MADE BY INDIVIDUALS 24 AND UNDER. THERE IS A RISING NEED FOR ENHANCED INFRASTRUCTURE TO INCREASE THE CAPACITY TO IMPLEMENT, SUSTAIN, AND IMPROVE EFFECTIVE BEHAVIORAL HEALTH SERVICES AROUND SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION IN THE REGION. INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES THROUGHOUT RAPID CITY HAVE LONG WAITLISTS, STAFF SHORTAGES, AND TRANSPORTATION BARRIERS. THOUGH THE 2024 NATIONAL STRATEGY FOR SUICIDE PREVENTION IDENTIFIES THE NEED TO IMPROVE AVAILABILITY AND ACCESS TO CULTURALLY RELEVANT SUICIDE PREVENTION INFORMATION AND ACTIVITIES, THERE IS ONLY ONE CULTURALLY ORIENTED SUICIDE PREVENTION PROGRAM SERVING AMERICAN INDIAN AND ALASKA NATIVE YOUTH IN RAPID CITY, AND THAT IS THE CONNECTING WITH OUR YOUTH PROGRAM THE PROGRAM PROPOSES GOALS TO 1) INCREASE THE NUMBER OF YOUTH-SERVING ORGANIZATIONS THAT CAN IDENTIFY AND WORK WITH YOUTH AT RISK OF SUICIDE; 2) INCREASE THE CAPACITY OF CLINICAL SERVICE PROVIDERS TO ASSESS, MANAGE, AND TREAT YOUTH AT RISK OF SUICIDE; AND 3) IMPROVE THE CONTINUITY OF CARE AND FOLLOW-UP OF YOUTH IDENTIFIED TO BE AT RISK FOR SUICIDE, INCLUDING THOSE WHO HAVE BEEN DISCHARGED FROM THE EMERGENCY DEPARTMENT AND INPATIENT PSYCHIATRIC UNITS. PROGRAM STAFF WILL ACHIEVE THESE GOALS BY STRENGTHENING A REFERRAL SYSTEM AND PROVIDING ONE-ON-ONE SUPPORT TO YOUTH IDENTIFIED TO BE AT RISK FOR SUICIDE, INCLUDING THOSE WHO HAVE BEEN DISCHARGED FROM THE EMERGENCY DEPARTMENT AND INPATIENT PSYCHIATRIC UNITS, THE PROGRAM WILL ALSO FACILITATE RELEVANT TRAININGS, SUCH AS LAKOTA MENTAL HEALTH FIRST AID, FOR YOUTH, FAMILIES, CLINICAL PROVIDERS, AND COMMUNITY ORGANIZATIONAL STAFF.

SEXUALLY-TRANSMITTED INFECTIONS AND TEEN PREGNANCY PREVENTION INITIATIVE

TRIBAL PREP PROJECT

GREAT PLAINS TRIBAL, MATERNAL, INFANT, AND EARLY CHILDHOOD HOME VISITING (GP TMIECHV) PROGRAM

GREAT PLAINS TRIBAL EPIDEMIOLOGY CENTER - TRIBAL EPIDEMIOLOGY CENTER PUBLIC HEALTH INFRASTRUCTURE PROGRAM - PROJECT ABSTRACT THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB) PROVIDES QUALITY PUBLIC HEALTH SUPPORT AND HEALTH CARE ADVOCACY TO THE TRIBAL NATIONS OF THE GREAT PLAINS STATES OF SOUTH DAKOTA, NORTH DAKOTA, NEBRASKA, AND IOWA BY USING MULTIFACETED AND CULTURALLY CREDIBLE APPROACHES. OUR VISION IS THAT ALL TRIBAL NATIONS AND COMMUNITIES IN THE GREAT PLAINS WILL REACH OPTIMUM HEALTH AND WELLNESS THROUGH LASTING PARTNERSHIPS WITH HEALTH ORGANIZATIONS AND EMBRACE CULTURALLY SIGNIFICANT VALUES THAT ARE EMPOWERED BY SOVEREIGNTY. SINCE 2003, THE GREAT PLAINS TRIBAL EPIDEMIOLOGY CENTER (GPTEC) HAS OPERATED AS A CENTRAL COMPONENT OF GPTLHB. GPTEC OFFERS LEADERSHIP, TECHNICAL ASSISTANCE, SUPPORT, AND ADVOCACY WITHIN EPIDEMIOLOGY AND INFORMATICS, EVALUATION, HEALTH PROMOTION AND DISEASE PREVENTION ACTIVITIES, AND OTHER PUBLIC HEALTH SERVICES IN RESPONSE TO THE NEEDS AND PRIORITIES OF ITS PARTNER TRIBES AND THE ESTIMATED 265,837 AMERICAN INDIANS/ALASKA NATIVES (AI/AN) IN THE GREAT PLAINS AREA (GPA). PREVENTABLE DISEASES IMPACT AMERICAN INDIAN/ALASKAN NATIVE (AI/AN) POPULATIONS AT A FAR GREATER RATE THAN THEY IMPACT THE REST OF AMERICANS. IN THE GPA, CHRONIC DISEASES SUCH AS HEART DISEASE, CANCER, AND DIABETES ARE AMONG THE LEADING CAUSES OF DEATH FOR AI/ANS. POVERTY IS A SIGNIFICANT SOCIAL DETERMINANT OF HEALTH FOR THE AI/AN POPULATION, AND TRIBES IN THE GREAT PLAINS HOLD SOME OF THE HIGHEST POVERTY RATES IN THE NATION. TRIBES ARE LESS LIKELY TO ENGAGE IN DATA COLLECTION, EPIDEMIOLOGY, AND/OR SURVEILLANCE ACTIVITIES AND OFTEN DO NOT HAVE THE RESOURCES TO EMPLOY SUBJECT MATTER EXPERTISE IN THESE AREAS. THEREFORE, STRENGTHENING THE PUBLIC HEALTH CAPACITY OF TRIBES IS INTEGRAL TO REDUCING DISPARITIES, ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH, AND IMPROVING OVERALL AI/AN HEALTH. GPTEC CURRENTLY IMPLEMENTS A COMPONENT A-TRIBAL EPIDEMIOLOGY CENTER PUBLIC HEALTH INFRASTRUCTURE (TECPHI) PROGRAM THROUGH FUNDING FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. GPTEC PLANS TO EXPAND UPON THE ACTIVITIES OF THIS PROGRAM BY APPLYING FOR A SECOND CYCLE OF COMPONENT A-TECPHI FUNDING, CDC-RFA-DP22. OUR PURPOSE IS TO STRENGTHEN THE PUBLIC HEALTH INFRASTRUCTURE AND CAPACITY OF THE TRIBAL EPIDEMIOLOGY CENTER AND GREAT PLAINS AREA TRIBES AND URBAN INDIAN ORGANIZATIONS (UIOS), SO THAT THESE ENTITIES CAN MEET NATIONAL PUBLIC HEALTH ACCREDITATION STANDARDS AND DELIVER THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. BY INCREASING CAPACITY IN THIS WAY, GPTEC, GPA TRIBES, AND UIOS WITHIN THE GPA INDIAN HEALTH SERVICE AREA CAN MORE EFFECTIVELY IDENTIFY AND ADDRESS UNDERLYING SOCIAL DETERMINANTS OF HEALTH, REDUCE PERSISTENT HEALTH DISPARITIES, AND IMPROVE THE OVERALL HEALTH AND WELLBEING OF AI/AN POPULATIONS. IN ACCOMPLISHING THIS, THROUGH THE STRENGTHENING AND EXPANSION OF OUR CURRENT GREAT PLAINS TRIBAL EPIDEMIOLOGY CENTER PUBLIC HEALTH INFRASTRUCTURE PROGRAM EFFORTS, GPTEC WILL 1) DEVELOP AND IMPLEMENT TEC INFRASTRUCTURE IMPROVEMENT PLANS BASED ON CAPACITY ASSESSMENT RESULTS, 2) COLLECT AND USE DATA TO CARRY OUT ASSESSMENTS AND IDENTIFY HEALTH PRIORITIES, 3) PLAN, IMPLEMENT AND EVALUATE INTERVENTIONS TO ADDRESS HEALTH PRIORITIES, AND 4) SUPPORT TRIBES AND UIOS WITH THE DEVELOPMENT, IMPLEMENTATION, AND EVALUATION OF PLANS FOR DATA COLLECTION AND WORKFORCE DEVELOPMENT. THE PREVIOUS CYCLE OF TECPHI ACTIVITIES AND ACCOMPLISHMENTS SPEAK TO GPTEC’S ABILITY TO MEET THE PROPOSED OBJECTIVES AND GOALS, AS WELL AS TO INNOVATE AND CREATE LASTING CHANGE WITHIN HEALTH SYSTEMS, PROMOTE HEALTH AND WELLNESS, CONTRIBUTE TO TRIBAL AND ORGANIZATIONAL CAPACITY WITHIN DATA AND OTHER AREAS, AND ULTIMATELY, TO IMPACT THE HEALTH OF AI/ANS THROUGHOUT THE GPA.

NORTHERN PLAINS NARCH V1 PROGRAM

GREAT PLAINS TRIBAL CHAIRMEN?S HEALTH BOARD/ROSEBUD SIOUX TRIBE PROJECT LAUNCH (GPTCHB/RST PROJECT LAUCH)

CONNECTING WITH OUR YOUTH EXTENSION - CONNECTING WITH OUR YOUTH SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION PROGRAM SERVES THE HE SAPA AREA (RAPID CITY, SOUTH DAKOTA). OUR POPULATION OF FOCUS IS AMERICAN INDIAN (AI) YOUTH, FAMILIES, AND ADULTS WHO ARE AT RISK FOR SUICIDE AND RESIDE IN THE RAPID CITY AREA. ACCORDING TO THE U.S. CENSUS DECENNIAL DATA 2020, RAPID CITY, SOUTH DAKOTA, CURRENTLY HAS A POPULATION OF 74,703, WITH 12,854 BEING SELF-IDENTIFIED AS AMERICAN INDIAN OR ALASKA NATIVE (AI/AN). THAT IS OVER 26% OF THE CITY'S POPULATION. AS OF JANUARY 2022, THE OYATE HEALTH CENTER, A TRIBALLY MANAGED WALK-IN CLINIC IN RAPID CITY, HAS OVER 22,200 ACTIVE USERS, WITH 5,657 UNDER 18. THE FUNDING ASSOCIATED WITH THIS GRANT APPLICATION WOULD FUND ACTIVITIES THAT SUPPLEMENT AND INCREASE THE CAPACITY OF THE CONNECTING WITH OUR YOUTH (CWOY) PROGRAM. WITH THE SUBSTANCE ABUSE AND SUICIDE PREVENTION (SASP) PROGRAM: SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION (SPIP) GRANT, CWOY WOULD ADD TWO ADDITIONAL SUPPORT NAVIGATOR POSITIONS TO THE CURRENT FOUR. THESE ADDITIONAL POSITIONS WOULD INCREASE THE NUMBER OF AMERICAN INDIAN YOUTH THAT CAN BE SERVED IN THE PROGRAM AND EXTEND OUR DIRECT SERVICE TO AMERICAN INDIAN ADULTS AND FAMILY MEMBERS AGED 25 AND OVER. THE INDIAN HEALTH SERVICE SASP SPIP GRANT WOULD ALSO FUND A LICENSED CLINICAL SOCIAL WORKER DEDICATED TO PROVIDING BEHAVIORAL HEALTH TREATMENT TO YOUTH AND FAMILIES. FURTHERMORE, THE FUNDING FROM IHS SASP SPIP WOULD TRAIN THE LICENSED CLINICAL SOCIAL WORKER AND OYATE HEALTH CENTER (OHC) BEHAVIORAL HEALTH PROVIDERS TO PROVIDE THREE EVIDENCE-BASED THERAPIES THAT ARE NOT CURRENTLY OFFERED AT OHC. LASTLY, IHS SASP SPIP WOULD ENSURE THAT THE CONNECTING WITH OUR YOUTH PROGRAM WOULD EXIST FOR THE NEXT FIVE YEARS WHILE BUILDING LONG-TERM PROGRAM SUSTAINABILITY STRATEGIES. WITH THE IHS SASP SPIP AWARD, WE AIM TO MEET FOUR GOALS ALREADY ALIGNED WITH OUR CURRENT PROJECT ACTIVITIES. GOAL ONE IS TO FOSTER COALITIONS AND NETWORKS TO IMPROVE CARE COORDINATION. THE PROJECT WILL EDUCATE PROVIDERS ON MODEL PRACTICES FOR SUICIDE SCREENING, SAFETY PLANNING, AND TRAUMA-INFORMED CARE. THE PROJECT WILL ALSO EDUCATE AND TRAIN COMMUNITY MEMBERS TO RECOGNIZE AND RESPOND TO THE WARNING SIGNS OF SUICIDE AND PREVENT AND INTERVENE IN SUICIDES AND SUICIDE IDEATIONS. FURTHERMORE, WE WANT TO INCREASE COMMUNITY AWARENESS OF LOCAL BEHAVIORAL HEALTH RESOURCES. GOAL TWO IS TO EXPAND AVAILABLE BEHAVIORAL HEALTH CARE TREATMENT SERVICES. THE PROJECT AIMS TO PROVIDE EVIDENCE-BASED SUICIDE CARE FOR PARTICIPANTS THAT EXHIBIT SUICIDAL RISK ACCESS TO CULTURALLY APPROPRIATE TREATMENT, SERVICES, AND RESOURCES. THE PROJECT WILL ALSO IMPLEMENT TRAUMA-INFORMED CARE TREATMENT AND SERVICES. GOAL THREE IS TO IMPROVE THE REFERRAL PROCESS. THE PROJECT WILL PROVIDE SUPPORT SERVICES TO AMERICAN INDIAN YOUTH AND THEIR FAMILIES IMPACTED BY SUICIDE, PROMOTE POSITIVE DEVELOPMENT, AND INCREASE THE SELF-SUFFICIENCY OF AI YOUTH BY PROVIDING CULTURALLY APPROPRIATE SUICIDE PREVENTION ACTIVITIES USING TRADITIONAL PRACTICES. GOAL FOUR IS TO DEVELOP A FORMAL PLAN/PROCESS TO ENSURE THE SUSTAINABILITY OF THE PROJECT ACTIVITIES BEYOND THE GRANT LIFE CYCLE. THE PROJECT WILL LEAD THE DEVELOPMENT OF A COMMUNITY-BASED STRATEGIC PLAN TO ADDRESS THE COMMUNITY'S LONG-TERM SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION NEEDS.

GREAT PLAINS GOOD HEALTH AND WELLNESS PROGRAM - THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB) PROVIDES QUALITY PUBLIC HEALTH SUPPORT AND HEALTH CARE ADVOCACY TO THE TRIBAL NATIONS OF THE GREAT PLAINS STATES OF SOUTH DAKOTA, NORTH DAKOTA, NEBRASKA, AND IOWA BY UTILIZING MULTIFACETED AND CULTURALLY CREDIBLE APPROACHES. OUR VISION IS THAT ALL TRIBAL NATIONS AND COMMUNITIES IN THE GREAT PLAINS AREA (GPA) WILL REACH OPTIMUM HEALTH AND WELLNESS THROUGH LASTING PARTNERSHIPS AND CULTURALLY SIGNIFICANT VALUES EMPOWERED BY TRIBAL SOVEREIGNTY. HECEL OYATE KIN NIPI KTE, SO THAT THE PEOPLE MAY LIVE. SINCE 2014, GPTLHB’S GREAT PLAINS GOOD HEALTH AND WELLNESS (GPGHW) PROGRAM HAS USED EVIDENCE-INFORMED, CULTURALLY ROOTED HEALTH PROMOTION AND DISEASE PREVENTION INITIATIVES TO HELP GREAT PLAINS AREA (GPA) TRIBES COMBAT THEIR HIGH RATES OF OBESITY, COMMERCIAL TOBACCO USE, DIABETES, HEART DISEASE, AND STROKE. IN THE GPA, CHRONIC DISEASES SUCH AS HEART DISEASE, CANCER, AND DIABETES ARE AMONG THE LEADING CAUSES OF DEATH FOR AMERICAN INDIANS/ALASKAN NATIVES (AI/AN). AI ADULTS IN THE GPA ARE FIVE TIMES MORE LIKELY TO DIE FROM DIABETES THAN WHITES AND REPORT HIGHER RATES OF SMOKING, OBESITY, PHYSICAL INACTIVITY, AND UNHEALTHY DIETS. GPTLHB IS APPLYING FOR A COMPONENT 2 AWARD TO REDUCE HEALTH DISPARITIES AND INCREASE HEALTH EQUITY AMONG AI/AN POPULATIONS IN THE GPA. DURING A THIRD FUNDING CYCLE, THE PROPOSED GPGHW PROGRAM WILL INCREASE THE NUMBER OF GPA TRIBES/VILLAGES/UIOS/TRIBAL ENTITIES THAT ARE IMPLEMENTING GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY (GHWIC) COMPONENT 1 (C1) STRATEGIES AND ACTIVITIES TO LAY THE FOUNDATION FOR A MORE COMPREHENSIVE, HOLISTIC APPROACH TO HEALTH AND WELL-BEING THAT WILL HELP PREVENT, MANAGE, AND CONTROL CHRONIC DISEASES IN THE REGION. THE PROGRAM WILL ACCOMPLISH OUTCOMES THAT: 1) SUBAWARD 50% OF THE ANNUAL AWARD TO AT LEAST TWO (2) GPA TRIBES/VILLAGES/UIOS/TRIBAL ENTITIES; 2) PROVIDE FUNDING, TRAINING, TECHNICAL ASSISTANCE, AND EVALUATION SUPPORT TO ALL TRIBES/VILLAGES/UIOS/OTHER TRIBAL ENTITIES WITHIN THE GPA TO CONDUCT ACTIVITIES ACROSS ALL C1 STRATEGIES; AND 3) PROVIDE TRAINING, TECHNICAL ASSISTANCE, AND SUPPORT TO ALL TRIBES/VILLAGES/UIOS/OTHER TRIBAL ENTITIES WITHIN THE GPA TO ESTABLISH POLICY, SYSTEMS, AND/OR ENVIRONMENTAL (PSE) CHANGES THAT PROMOTE HEALTH AND PREVENT CHRONIC DISEASES AND THEIR RISK FACTORS. THESE STRATEGIES AND ACTIVITIES WILL STRENGTHEN GPGHW PROGRAM EFFORTS AND INCREASE THE INFRASTRUCTURE FOR CHRONIC DISEASE PREVENTION BY IMPLEMENTING COMMUNITY-CHOSEN, TRADITIONAL AI/AN PRACTICES THAT BUILD RESILIENCE AND STRENGTHEN CONNECTIONS TO FAMILY, CULTURE, AND COMMUNITY.

TRIBAL PERSONAL RESPONSIBILITY EDUCATION PROGRAM

CAPACITY BUILDING ASSISTANCE (CBA) TO IMPROVE THE DELIVERY AND EFFECTIVENESS OF

GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD-SISSETON-WAHPETON OYATE OF THE LAKE TRAVERSE RESERVATION TRIBAL MIECHV PROGRAM

OYATE HEALTH CENTER SPECIAL DIABETES PROGRAM FOR INDIANS - THE GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD'S OYATE HEALTH CENTER SPECIAL DIABETES PROGRAM FOR INDIANS WILL CONTINUE TO PROVIDE DIABETES PREVENTION AND TREATMENT SERVICES OUR RELATIVES IN THE HESAPA (RAPID CITY) COMMUNITY. USING CULTURALLY RELEVANT AND EVIDENCE INFORMED INTERVENTIONS, THE OHC SDPI PROGRAM AIMS TO REDUCE THE PREVALENCE OF DIABETES AND HELP OUR RELATIVES MANAGE THEIR DIABETES AND ASSOCIATED RISK FACTORS.

GREAT PLAINS TRIBAL OPIOID RESPONSE - PROJECT ABSTRACT SUMMARY FOUNDED IN 1986, GPTLHB IS A FORMAL REPRESENTATIVE BOARD OF THE SEVENTEEN TRIBAL NATIONS AND ONE SERVICE UNIT IN THE GPA. THE MISSION OF GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB), A 501(C)(3) COMMUNITY-BASED TRIBAL ENTITY, IS TO WORK WITH TRIBAL COMMUNITIES AND PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTHCARE ADVOCACY TO IMPROVE THE HEALTH STATUS AND ERADICATE HEALTH DISPARITIES AMONG THE REGION'S TRIBAL MEMBERS. THE VISION OF THE GPTLHB IS FOR ALL TRIBAL NATIONS AND COMMUNITIES TO REACH OPTIMUM HEALTH AND WELLNESS THROUGH LASTING PARTNERSHIPS AND CULTURALLY SIGNIFICANT VALUES EMPOWERED BY TRIBAL SOVEREIGNTY. HECEL OYATE KIN NIPI KTE, SO THAT THE PEOPLE MAY LIVE. GPTLHB INTENDS TO CONTINUE IMPLEMENTING A PROGRAM TO ADDRESS THE OPIOID OVERDOSE CRISIS FOR AMERICAN INDIAN AND ALASKA NATIVES RESIDING IN THE HE SAPA AREA (RAPID CITY, SOUTH DAKOTA), CHEYENNE RIVER SIOUX TRIBE COMMUNITY, AND CROW CREEK SIOUX TRIBE COMMUNITY. THE GREAT PLAINS TRIBAL OPIOID RESPONSE (GPTOR) PROGRAM, CURRENTLY FUNDED BY TI-22-006, WILL IMPLEMENT ACTIVITIES TO SUPPORT THE CONIUM OF PREVENTION, HARM REDUCTION, TREATMENT, AND RECOVERY SUPPORT SERVICES FOR OPIOID USE DISORDER AND CO-OCCURRING SUBSTANCE USE DISORDERS. OPIOID OVERDOSES SIGNIFICANTLY IMPACT THE HE SAPA AREA. BETWEEN JANUARY 1, 2020, AND DECEMBER 31, 2022, PENNINGTON COUNTY HAD 254 OVERDOSES ENCOMPASSING ALL AGES. ACCORDING TO DATA RELEASED FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH AND HUMAN SERVICES, PENNINGTON COUNTY HAD HIGHER RATES OF UNINTENTIONAL FATAL DRUG OVERDOSE (6.7), NON-FATAL DRUG OVERDOSE (11.3), AND SUBSTANCE USE TREATMENT ADMISSIONS (162.9) IN COMPARISON TO SOUTH DAKOTA STATEWIDE RATES FOR THE SAME CATEGORIES (5.6, 9.2,119.5). ON AVERAGE, CHEYENNE RIVER SIOUX TRIBE’S WAKPÁ WAŠTÉ COUNSELING SERVICES (WWCS) SERVES 163 INDIVIDUALS PER MONTH, MOST WITH CO-OCCURRING DIAGNOSES IN DEPRESSION/ANXIETY ACCOMPANIED BY ALCOHOL, MARIJUANA, METHAMPHETAMINE, OR OTHER DRUG USE DISORDERS. CROW CREEK SIOUX TRIBE HAS A NOTED NEED FOR SERVICES AMONG ITS YOUTH, WITH A 2017 REPORT REVEALING THAT VICODIN, OXYCONTIN, OR MORPHINE WITHOUT PRESCRIPTION WERE USED BY 3.6% OF 7TH-8TH GRADERS, 5.4% OF 9TH-10TH GRADERS, AND 15.4% BY 11TH-12TH GRADERS SERVICE GAPS AMONG THE THREE PROPOSED PROJECT GEOGRAPHIC AREAS INCLUDE LONG WAITING LISTS FOR SUBSTANCE USE TREATMENT AND BEHAVIORAL HEALTH APPOINTMENTS. NO DETOX OR INPATIENT SERVICES ARE LOCATED ON THE RESERVATION, AND OUTPATIENT TREATMENT IS LIMITED. TRANSPORTATION IS A HUGE BARRIER TO TREATMENT, WITH MANY SUD PATIENTS REFERRED TO SERVICES OVER 100 MILES AWAY. PENNINGTON COUNTY ALSO HAS AN IDENTIFIED NEED FOR ACCESS TO CULTURALLY BASED SERVICES. GPTOR PROPOSES TO BUILD UPON THE SUCCESSFUL WORK OF THE 2020-2022 GRANT AWARD TO ACHIEVE FOUR GOALS: 1) EXPAND RESOURCES TO STRENGTHEN THE CAPACITY OF THE CCST TO PREVENT, TREAT, AND RECOVER FROM OPIOID USE DISORDER (OUD) AND STIMULANT USE DISORDER (SUD); 2) PROVIDE CULTURALLY APPROPRIATE OUD, SUD PREVENTION, AND RECOVERY SUPPORT RESOURCES IN THE HE SAPA CATCHMENT AREA; AND 3) HOST THE GREAT PLAINS AREA TRIBAL OPIOID RESPONSE, OPIOID AND STIMULANT SUMMIT; 4) PROVIDE A SUBAWARD TO THE CRST WWCS TO SUPPORT TREATMENT AND RECOVERY PROGRAMMING. IN THE NEW FUNDING CYCLE, REQUIRED AND ALLOWABLE ACTIVITIES WILL INCLUDE PROVIDING CULTURALLY APPROPRIATE EDUCATION, FACILITATING HARM REDUCTION TRAINING FOR COMMUNITY MEMBERS AND PROVIDERS, ESTABLISHING A HARM REDUCTION VENDING MACHINE NETWORK, AND DEVELOPING THE FAMILY WELLNESS WARRIORS PROGRAM TO SUPPORT PEER RECOVERY.

GREAT PLAINS WHERE ARE YOU (WAY) - THE GLOBAL PANDEMIC, CORONAVIRUS DISEASE 2019 (COVID-19) IS SIGNIFICANTLY CHANGING OUR LOCAL, REGIONAL, AND NATIONAL COMMUNITIES. THIS IMPACT HAS CREATED A DYNAMIC NEVER BEFORE SEEN, AN UNTIMELY GLOBAL EXPERIENCE OF GRIEF, TRAUMA AND ISOLATION. THE PRUDENT AND LIFE SAVING MEASURE OF SOCIAL DISTANCING SEEMS IS “FLATTENING THE CURVE” OF COVID-19 THE CONSEQUENCES OF SOCIAL ISOLATION ARE IMPACTING THE WELL-BEING OF PEOPLE ALREADY STRUGGLING WITH SERIOUS MENTAL ILLNESS, SUBSTANCE USE DISORDER, AND/OR INDIVIDUALS WITH CO-OCCURRING SERIOUS MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. ADDITIONALLY, OUR TRADITIONAL HELPERS IN THE HEALTHCARE PROFESSION ARE GREATLY IMPACTED AS WELL. GREAT PLAINS TRIBAL CHAIRMEN’S HEALTH BOARD (GPTCHB), GREAT PLAINS TRIBAL EPIDEMIOLOGY CENTER (GPTEC) AND OYATE HEALTH CENTER (OHC) FULLY RECOGNIZED THE ABSOLUTE ESSENTIAL OF DEVELOPING AND BUILDING CONNECTEDNESS AS A REAL SOURCE OF MITIGATING THE LONG-TERM GENERATIONAL EFFECTS OF HISTORIC TRAUMA, INTERGENERATIONAL TRAUMA AND UNRESOLVED GRIEF THAT LED TO INCREASED SUICIDALITY, SUBSTANCE USE DISORDER AND SERIOUS MENTAL ILLNESS. COVID-19 AND IT’S EMERGING CONSEQUENCES ACROSS ALL ASPECTS OF LIVING IS ILLUMINATING THE ESSENTIAL NEED FOR INTEGRATION OF SERVICES AND THE IMPORTANCE OF A COMPREHENSIVE PLAN OF MENTAL AND /OR SUBSTANCE USE DISORDER TREATMENT SERVICES FOR INDIVIDUALS IMPACTED BY THE PANDEMIC. GPTCHB, GPTEC AND OHC STAND READY TO EXPAND OUR RESPONSE THROUGH THE DEVELOPMENT OF COMPREHENSIVE SYSTEMS TO PROVIDE CRISIS INTERVENTION SERVICES, MENTAL AND SUBSTANCE USE DISORDER TREATMENT, AND OTHER RELATED RECOVERY SUPPORTS FOR CHILDREN AGES 10 AND OLDER, ADULTS, AND HEALTHCARE PROFESSIONALS IMPACTED BY THE COVID-19 PANDEMIC. THIS EFFORT WILL: SPECIFICALLY ADDRESS THE NEEDS OF AMERICAN INDIAN (AI) INDIVIDUALS WITH SERIOUS MENTAL ILLNESS, INDIVIDUALS WITH SUBSTANCE USE DISORDERS, AND/OR INDIVIDUALS WITH CO-OCCURRING SERIOUS MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. THE PROGRAM WILL ALSO FOCUS ON MEETING THE NEEDS OF INDIVIDUALS WITH MENTAL DISORDERS THAT ARE LESS SEVERE THAN SERIOUS MENTAL ILLNESS, INCLUDING THOSE IN THE HEALTHCARE PROFESSION WORKING WITH AI INDIVIDUALS. 17,900 PEOPLE WILL BE SERVED THROUGHOUT THE PROJECT PERIOD. GPTEC HAS INITIATED A RAPID ASSESSMENT OF COMMUNITY CONCERNS, NEEDS AND MENTAL HEALTH, OHC HAS RAPIDLY RESPONDED TO THE PANDEMIC WITH THE DEVELOPMENT OF TELEHEALTH TO MEET RISING NEEDS INCLUDING SCREENING AND ASSESSING CLIENTS FOR THE PRESENCE OF MENTAL AND SUBSTANCE USE DISORDERS AND/OR CO-OCCURRING DISORDERS. THROUGH THE GPTCHB ROBUST BEHAVIORAL HEALTH EFFORTS, BY EXPANDING AND FOSTERING COLLABORATIVE RELATIONSHIPS A RESPONSIVE SYSTEM WILL BE DEVELOPED TO ASSESS THE ORIGIN OF THE HIGH RATE OF NO SHOWS AND PROVIDE REMINDER TOOLS SUCH AS TEXT MESSAGE APPOINTMENT REMINDERS, CROSS-TRAINING OF COMMUNITY HEALTH NAVIGATORS TO PROVIDE PEER-TO-PEER SUPPORT WHILE NAVIGATING RESOURCES ON THE CLIENTS JOURNEY TO HEALTH AND WELLNESS. THESE ACTIVITIES WILL DEVELOP THE CAPACITY AND FORM THE BASIS FOR A WHOLE HEALTH SIGNIFICANTLY, ACCESS TO HEALTHCARE IS A CHALLENGE FOR TRIBAL COMMUNITIES, WITH A HIGH PROPORTION OF THE POPULATION UNINSURED AND NEARLY ALL RESERVATION COMMUNITIES IN THE GREAT PLAINS AREA ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS. THIS EMPHASIZES BOTH THE NEED FOR CONCERTED YET TAILORED EFFORTS TO ESTABLISH CONNECTIONS TO RESOURCES AS SOON AS POSSIBLE.

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME - RURAL COMMUNITIES OPIOID RESPONSE PROGRAM – NEONATAL ABSTINENCE SYNDROME

NATIVE AMERICAN RESEARCH CENTERS FOR HEALTH (NARCH V)

GREAT PLAINS PREVENTING YOUTH OVERDOSE - THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD’S PREVENTING YOUTH OVERDOSE (GP PYO) PROGRAM WILL IMPLEMENT AN AMERICAN INDIAN AND ALASKA NATIVE-FOCUSED YOUTH AND YOUNG ADULT NAVIGATOR PROGRAM IN RAPID CITY, SOUTH DAKOTA TO INCREASE ACCESS TO NEEDED RESOURCES TO PREVENT AND REDUCE YOUTH OVERDOSE. GP PYO WILL ALSO ENGAGE WITH AND TRAIN SERVICE PROVIDERS IN HARM REDUCTION AND YOUTH SUBSTANCE USE PREVENTION, TREATMENT, AND RECOVERY. ACCORDING TO THE US CENSUS DECENNIAL DATA 2020, RAPID CITY, SOUTH DAKOTA, CURRENTLY HAS A POPULATION OF 74,703, WITH 12,854 SELF-IDENTIFIED AS AMERICAN INDIAN OR ALASKA NATIVE (AI/AN). AS OF JANUARY 2023, OYATE HEALTH CENTER, A TRIBALLY MANAGED WALK-IN CLINIC, HAS OVER 22,200 ACTIVE USERS, WITH 5,657 UNDER 18. AS OF JUNE 2023, THERE WERE 4,083 ACTIVE USERS BETWEEN 12-24. OUR FOCUS WILL BE ON YOUTH AGES 10 TO 24 AT RISK OF, IN TREATMENT FOR, OR RECOVERING FROM OPIOID USE DISORDERS (OUD). FUNDS ARE NEEDED TO INCREASE ACCESS TO IMPROVE LOCAL AWARENESS AMONG YOUTH OF RISKS ASSOCIATED WITH FENTANYL, INCREASE ACCESS TO MEDICATIONS FOR OPIOID USE DISORDER (OUD), AND TRAIN HEALTHCARE PROVIDERS, FAMILIES, AND SCHOOL PERSONNEL ON THE BEST PRACTICES FOR SUPPORTING YOUTH WITH OUD AND THOSE TAKING MEDICATIONS FOR OPIOID USE DISORDER (MOUD). THE GP PYO PROGRAM WILL ENGAGE IN THE FOLLOWING OBJECTIVES: OBJECTIVE 1: LEAD THE COORDINATION OF PREVENTION, TREATMENT, AND RECOVERY SUPPORT SERVICES BY IMPLEMENTING A PYO NAVIGATOR PROGRAM BY MONTH 4 OF THE GRANT THAT HELPS YOUTH AND YOUNG ADULTS WITH OUD AND CO-OCCURRING DISORDERS WITH ACCESS, EDUCATION, AND NAVIGATION OF EXISTING COMMUNITY RESOURCES. RESOURCES INCLUDE MOUD FOR YOUTH AND YOUNG ADULTS WITH OUD. OBJECTIVE 2: GP PYO PROGRAM WILL RAISE AWARENESS OF RISKS ASSOCIATED WITH FENTANYL, INCREASE ACCESS TO MOUD, AND SUPPORT YOUTH WITH OUD BY OFFERING MONTHLY TRAINING SESSIONS ON RELATED TOPICS TO HEALTHCARE PROVIDERS, FAMILIES, AND SCHOOL PERSONNEL. GP PYO PROGRAM WILL TARGET HEALTHCARE PROVIDERS AND PRESCRIBERS MOST SAFELY AND EFFECTIVELY TO PRESCRIBE MOUD TO YOUTH BY OFFERING AN ANNUAL ACCREDITED TRAINING OPPORTUNITY ON PEDIATRIC MOUD PRESCRIPTION. OBJECTIVE 3: TARGET HEALTHCARE PROVIDERS AND PRESCRIBERS ON THE SAFEST AND MOST EFFECTIVE WAY TO PRESCRIBE MOUD TO YOUTH BY OFFERING AN ANNUAL ACCREDITED TRAINING OPPORTUNITY ON PEDIATRIC MOUD PRESCRIPTION. GP PYO PROGRAM WILL SERVE AN UNDUPLICATED NUMBER OF PARTICIPANTS, 200 EACH YEAR, REACHING 600 UNDUPLICATED INDIVIDUALS.

GREAT PLAINS NATIVE CONNECTIONS - THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD'S (FORMERLY THE GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD) GREAT PLAINS NATIVE CONNECTIONS PROGRAM PROPOSES TO CONTINUE SERVING THE CROW CREEK SIOUX TRIBE ON THE CROW CREEK SIOUX RESERVATION IN SOUTH DAKOTA. SUICIDE, SUBSTANCE USE, AND LOW HIGH SCHOOL GRADUATION RATES PLAGUE THE CROW CREEK SIOUX TRIBAL YOUTH. THE PROGRAM WILL IMPLEMENT A YOUTH NAVIGATOR PROGRAM, COMMUNITY SUPPORT GROUPS, TRAINING, AND EDUCATIONAL WORKSHOPS CONNECTED TO DAKOTA CULTURE. GOAL 1 IS TO INCREASE SUSTAINABILITY EFFORTS TO REDUCE SUICIDE BEHAVIOR AND SUBSTANCE USE DISORDER IN THE CROW CREEK SIOUX RESERVATION BEYOND THE GRANT PERIOD. GOAL 2 IS TO INCREASE BEHAVIORAL HEALTH SERVICES AND RESOURCE UTILIZATION. GOAL 3 IS TO INCREASE EDUCATION OPPORTUNITIES FOR SUBSTANCE ABUSE AND MENTAL HEALTH TO REDUCE STIGMA. GOAL 4 IS TO PROMOTE A CULTURE OF TRAUMA HEALING AND BEHAVIORAL HEALTH WELLNESS. GOAL 5 IS TO FACILITATE TRIBAL SUICIDE PREVENTION, INTERVENTION, AND POSTVENTION COMMUNITY OF PRACTICE. ALTHOUGH THE PROJECT AIMS TO REACH ALL TRIBAL MEMBERS RESIDING ON THE CROW CREEK SIOUX RESERVATION, THE PROJECT ANTICIPATES PROVIDING DIRECT SERVICES TO AN UNDUPLICATED NUMBER OF 200 YOUTH AGES 24 AND UNDER THROUGHOUT THE PROJECT.

THE WO'OHITIKE COLLABORATIVE - THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB) IS A COMMUNITY-BASED 501(C)(3) TRIBAL ENTITY THAT PROVIDES CULTURALLY CREDIBLE APPROACHES IN PUBLIC HEALTH SUPPORT AND HEALTHCARE ADVOCACY TO THE 17 TRIBAL NATIONS AND ONE SERVICE AREA IN THE GREAT PLAINS AREA (GPA) OF SOUTH DAKOTA, NORTH DAKOTA, NEBRASKA, AND IOWA. FOUNDED IN 1986, GPTLHB STANDS AS A FORMAL REPRESENTATIVE BOARD DESIGNED TO ADVOCATE FOR TRIBAL HEALTH CONCERNS AND WORK WITH TRIBAL COMMUNITIES TO IMPROVE HEALTH STATUS AND ERADICATE HEALTH DISPARITIES AMONG THE REGION'S ESTIMATED 265,837 TRIBAL MEMBERS (ACCORDING TO PROVISIONAL 2020 U.S. CENSUS DATA). IN 2019, THE OGLALA SIOUX TRIBE AND CHEYENNE RIVER SIOUX TRIBE AUTHORIZED GPTLHB TO MANAGE THEIR SHARES OF THE INDIAN HEALTH SERVICE (IHS) HEALTH CARE FACILITY LOCATED IN RAPID CITY, SOUTH DAKOTA. GPTLHB ASSUMED ADMINISTRATION OF IHS’S SIOUX SAN FACILITY, RENAMING IT OYATE HEALTH CENTER (OHC). OHC HAS ESTABLISHED AN INTEGRATED HEALTHCARE MODEL, PROVIDING PATIENTS WITH EXPANDED COMPREHENSIVE SERVICES AND IMPROVED ACCESS TO BEHAVIORAL HEALTH. GPTLHB AND OHC IN COLLABORATION WITH THE OGLALA SIOUX TRIBE'S NATIVE WOMEN'S HEALTH CARE (NWHC) RECOGNIZE THE IMPERATIVE NEED FOR A COORDINATED INDIGENOUS APPROACH TO ADDRESS THE LACK OF CULTURALLY RESPONSIVE FORENSIC HEALTHCARE SERVICES IN THE 22 COUNTIES OF WESTERN SOUTH DAKOTA (SD). ACCORDING TO THE SEXUAL VIOLENCE IN SOUTH DAKOTA 2019 DATA REPORT, SD HAD THE COUNTRY'S THIRD HIGHEST STATE RAPE INCIDENCE RATE, WITH A DOCUMENTED 72.6 RAPES PER 100,000 INHABITANTS. OF THOSE VICTIMS/SURVIVORS OF RAPE, 32.5% WERE AMERICAN INDIAN (AI). ACCORDING TO THIS REPORT, PENNINGTON COUNTY (LOCATED IN WESTERN SD) HAD THE STATE’S HIGHEST REPORTED RAPE INCIDENCE RATE, WITH 135.6 ASSAULTS PER 100,000 INHABITANTS. RAPID CITY, THE MOST POPULATED URBAN AREA IN PENNINGTON COUNTY, HAS THE SECOND-HIGHEST RAPE RATE IN THE NATION (SOUTH DAKOTA DEPARTMENT OF HEALTH, MARCH 2021). UNDERSTANDING THAT DOMESTIC VIOLENCE AND SEXUAL ABUSE AFFECT ALL AGES AND GENDER IDENTITIES, OUR PROGRAM, THE WO’OHITIKE COLLABORATIVE (TWC), WILL FOCUS ON A PRIORITY POPULATION THAT ENCOMPASSES ALL AI RESIDING IN PENNINGTON COUNTY. TWC WILL USE A COLLABORATIVE MULTIDISCIPLINARY TEAM TO IMPLEMENT CULTURALLY APPROPRIATE SERVICES ACROSS THE REGION THAT PROVIDE RELATIVES WITH RESPECT, ADVOCACY, FORENSIC HEALTHCARE, HOPE, AND TRADITIONAL HEALING. WO’OHITIKE MEANS BRAVERY IN LAKOTA A VIRTUE THE TWC INTENDS TO FOSTER BY DEVELOPING AN INDIGENOUS FOCUSED SEXUAL ASSAULT RESPONSE TEAM (SART) FOR IMPROVED RESPONSE SERVICES; TRAINING MEDICAL PERSONNEL FOR SEXUAL ASSAULT MEDICAL FORENSIC EXAMINATIONS (SAMFE), FORENSIC INTERVIEWING, AND ADVOCACY; BUILDING A REFERRAL SERVICE NETWORK; AND IMPLEMENTING CULTURALLY APPROPRIATE, TRAUMA-INFORMED APPROACHES TO AFFECT POSITIVE OUTCOMES AND WELLBEING FOR SURVIVORS.

FY10 NATIONAL UMBRELLA COOPERATIVE AGREEMENT PROGRAM (NUCA)

GREAT PLAINS TRIBAL DISEASE INTERVENTION TRAINING CENTER (GP-TDITC)

GREAT PLAINS NAVIGATOR PROGRAM

NORTHERN PLAINS TRIBAL TOBACCO TECHNICAL ASSISTANCE CENTER

GREAT PLAINS PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH

NORTHERN PLAINS COMPREHENSIVE CANCER CONTROL PROGRAM

GREAT PLAINS TRIBAL OPIOID RESPONSE - THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD IS APPLYING FOR THE TRIBAL OPIOID RESPONSE GRANT IN PARTNERSHIP WITH THE CROW CREEK SIOUX TRIBE. THE TOTAL POPULATION IS 19,165 (INDIAN HEALTH SERVICE USER POPULATION ESTIMATES 2019). THE FOCUS POPULATION IS AMERICAN INDIANS 10 YEARS OLD AND ADULTS AT RISK OF, IN TREATMENT FOR, OR RECOVERING FROM OPIOID AND STIMULANT USE DISORDERS. THE POPULATION OF FOCUS RESIDES WITHIN THE CROW CREEK SIOUX RESERVATION AND THE HE SAPA (PENNINGTON COUNTY AND MEADE COUNTY) CATCHMENT AREA. TRIBAL OPIOID RESPONSE FUNDS ARE NEEDED TO BUILD OPIOID TREATMENT AND PREVENTION CAPACITY. THROUGH A STRATEGY OF COORDINATING RESOURCES IN PREVENTION, TREATMENT, AND RECOVERY, THE GREAT PLAINS TRIBAL OPIOID RESPONSE PROGRAM’S GOAL FOR THE 24-MONTH GRANT PERIOD IS TO CREATE AND COORDINATE RESOURCES THAT STRENGTHEN, COMPLEMENT, AND SUSTAIN THE CAPACITY TO SUPPORT THE ABILITY TO PREVENT AND TREAT OPIOID USE DISORDER AND STIMULANT MISUSE ON THE CROW CREEK SIOUX RESERVATION AND THE HE SAPA CATCHMENT AREA. THE PROGRAM WILL ENGAGE IN THE FOLLOWING GOALS & OBJECTIVES: GPTOR WILL EXPAND RESOURCES TO STRENGTHEN THE CAPACITY OF CROW CREEK SIOUX TRIBE TO PREVENT, TREAT AND RECOVER FROM OPIOID USE DISORDER (OUD) AND STIMULANT USE DISORDER (SUD). GPTOR WILL PROVIDE EDUCATIONAL RESOURCES TO 1,000 CCST COMMUNITY MEMBERS GPTOR WILL PROVIDE TRAINING OPPORTUNITIES TO SOCIAL SERVICES AND BEHAVIORAL HEALTH-RELATED STAFF ON THE CROW CREEK RESERVATION. THESE OPPORTUNITIES WILL INCLUDE OPIOID MISUSE PREVENTION, OPIOID MEDICATION MANAGEMENT, AND MEDICATION-ASSISTED TREATMENT (MAT) INFORMATION. GPTOR WILL PROVIDE TRANSPORTATION COST ASSISTANCE TO OUD OR SUD TREATMENT TO 5 AMERICAN INDIANS ON THE CCST RESERVATION. PROVIDE ONGOING RECOVERY SUPPORT SERVICES TO INDIVIDUALS RECOVERING FROM OUD/SUD. GPTOR WILL SUPPORT TWO INDIVIDUALS TO BECOME CERTIFIED AS PEER RECOVERY SPECIALISTS. GPTOR WILL TRAIN 200 INDIVIDUALS IN HARM REDUCTION STRATEGIES TO INCLUDE ADMINISTRATION OF THE OVERDOSE ANTIDOTE, NALOXONE, EDUCATION ON FENTANYL TEST STRIPS, AND EDUCATION ON THE USE OF MEDICATION LOCK BOXES. GOAL 2: SET THE FOUNDATION OF RESOURCE REFERRAL AND DEVELOPMENT FOR CULTURALLY APPROPRIATE OUD AND SUD PREVENTION, INTERVENTION, AND RECOVERY SUPPORT RESOURCES IN THE HE SAPA CATCHMENT AREA. PROVIDE EDUCATIONAL RESOURCES ON OUD AND SUD PREVENTION STRATEGIES. PROVIDE TRAINING ON OPIOID MISUSE PREVENTION, OPIOID MEDICATION MANAGEMENT, AND MEDICATION-ASSISTED TREATMENT (MAT) INFORMATION. PROVIDE ONGOING RECOVERY SUPPORT SERVICES THAT NORMALIZE SOBRIETY. PROVIDE TRANSPORTATION COSTS AND ESSENTIAL NEEDS SUCH AS CHILDCARE ASSISTANCE TO OUD OR SUD WITH POLY-SUBSTANCE MISUSE TREATMENT ATTENDING INPATIENT TREATMENT FACILITIES. TRAIN INDIVIDUALS IN HARM REDUCTION STRATEGIES, INCLUDING THE ADMINISTRATION OF THE OVERDOSE ANTIDOTE, NALOXONE, EDUCATION ON FENTANYL TEST STRIPS, AND EDUCATION ON THE USE OF MEDICATION LOCK BOXES. GOAL 3: FACILITATE THE GREAT PLAINS AREA TRIBAL OPIOID RESPONSE, "SO THAT THE PEOPLE MAY LIVE" COMMUNITY OF PRACTICE BY HOSTING QUARTERLY PEER-TO-PEER VIRTUAL AND IN-PERSON MEETINGS TO SHARE BEST PRACTICES, RESOURCES, AND NETWORKS AMONG TRIBAL COMMUNITIES STAKEHOLDERS.

NORTHERN PLAINS COMPREHENSIVE CANCER CONTROL PROGRAM

TRAUMA AND VIOLENCE PREVENTION INITIATIVE

GREAT PLAINS CIRCLES OF CARE - THE SCIENCE HAS CAUGHT UP WITH WHAT WE HAVE KNOWN FOR DECADES: FOR MANY PEOPLE WITH MENTAL AND SUBSTANCE USE DISORDERS THEIR CHALLENGES ARE ROOTED IN THEIR TRAUMA EXPERIENCES. THE INDIVIDUALS, FAMILIES AND COMMUNITIES WHO HAVE EXPERIENCED TRAUMA CARRY THE ENORMOUS AND DESTRUCTIVE EFFECTS OF THE TRAUMA WHILE THE HEALTH AND MEDICAL SERVICE PROVIDERS AND COMMUNITY ORGANIZATIONS WORK TO MEET EVER MOUNTING CHALLENGES. IN HE SAPA THOSE UNMET NEEDS OFTEN RESULT IN INCREASED RATES OF INCARCERATION, DRUG OVERDOSES, SUICIDE, DOMESTIC VIOLENCE, AND DEATH OF SPIRIT IF NOT PHYSICAL DEATH OF ONE MORE MEMBER OF OUR COMMUNITY. TO OVERCOME THESE CONDITIONS, WE MUST ADDRESS COMMUNITY-WIDE TRAUMA WITH A PUBLIC HEALTH APPROACH THAT IS BOTH SYSTEMIC AND INCLUSIVE, INVOLVING MULTIPLE AGENCIES AND ORGANIZATIONS (FORMAL AND INFORMAL) WITHIN THE COMMUNITY. THE TIMING FOR SUCH CHANGE, AS IS ALSO WELL ACKNOWLEDGED, IS ESSENTIAL. WITHIN THE LAST NUMBER OF YEARS, CHANGES IN ATTITUDES, LEADERSHIP AND OPPORTUNITIES HAVE CREATED AN OPENING FOR A PARADIGM SHIFT – A TRULY TRANSFORMATIONAL SYSTEMS CHANGE. THE SEEDBED FOR THIS SHIFT IS THE MAGNITUDE OF THE TRAUMA EXPERIENCED AND THE REALIZATION THAT THE EXISTING BEHAVIORAL HEALTH SYSTEMS WERE EFFECTIVELY RETRAUMATIZING THOSE MOST IN NEED. THE CONSPICUOUS LACK OF APPROPRIATE CULTURAL CARE MODELS DELIVERED THROUGH INSTITUTIONS VIEWED AS LEGITIMATE/SAFE BY THE PEOPLE OF HE SAPA HAS CREATED THE URGENT NEED THIS CIRCLES OF CARE GRANT SEEKS TO ADDRESS. WE RECOGNIZE FOR OUR CHILDREN TO HAVE THE OPPORTUNITY TO GROW UP AND LIVE HEALTHY LIVES (TO THE AGE OF 90+), AND BECOME RESPECTED WISDOM KEEPERS, A SYSTEMATIC CHANGE IS NECESSARY. THE BALANCE OF THIS PROPOSAL IS FOCUSED ON PLANNING THE INFRASTRUCTURE NEEDED TO DELIVER THIS CHANGE.

GREAT PLAINS TRIBAL OPIOID RESPONSE - THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB, FORMERLY GREAT PLAINS TRIBAL CHAIRMEN’S HEALTH BOARD) IS APPLYING FOR THE TRIBAL OPIOID RESPONSE GRANT IN PARTNERSHIP WITH TRENTON INDIAN SERVICE AREA IN NORTH DAKOTA, THE FLANDREAU SANTEE SIOUX TRIBE, THE CHEYENNE RIVER SIOUX TRIBE, THE LOWER BRULE SIOUX TRIBE, AND THE OMAHA TRIBE OF NEBRASKA. THE TOTAL USER POPULATION IS 18,448 (INDIAN HEALTH SERVICE USER POPULATION ESTIMATES 2019). THE FOCUS POPULATION IS AMERICAN INDIANS 10 YEARS OLD AND ADULTS AT RISK OF, IN TREATMENT FOR, OR RECOVERING FROM OPIOID AND STIMULANT USE DISORDERS. THE POPULATION OF FOCUS RESIDES WITHIN THE TRENTON INDIAN SERVICE AREA, THE FLANDREAU SANTEE SIOUX RESERVATION, THE CHEYENNE RIVER RESERVATION, THE LOWER BRULE RESERVATION, AND THE OMAHA RESERVATION. TRIBAL OPIOID RESPONSE FUNDS ARE NEEDED TO BUILD OPIOID TREATMENT AND PREVENTION CAPACITY. THROUGH A STRATEGY OF COORDINATING RESOURCES IN PREVENTION, TREATMENT, AND RECOVERY, THE GREAT PLAINS TRIBAL OPIOID RESPONSE PROGRAM’S GOAL FOR THE 24 MONTH GRANT PERIOD IS TO CREATE AND COORDINATE RESOURCES THAT STRENGTHEN, COMPLEMENT, AND SUSTAIN THE CAPACITY TO SUPPORT THE ABILITY TO PREVENT AND TREAT OPIOID USE DISORDER AND STIMULANT MISUSE IN THE TRENTON INDIAN SERVICE AREA, THE FLANDREAU SANTEE SIOUX TRIBE, THE CHEYENNE RIVER SIOUX TRIBE, THE LOWER BRULE SIOUX TRIBE AND THE OMAHA TRIBE OF NEBRASKA. GPTOR WILL ENGAGE IN THE FOLLOWING OBJECTIVES: - WITHIN THE FIRST 60 DAYS OF THE GRANT, GPTOR WILL DEVELOP A TRIBAL OPIOIDS RESPONSE STRATEGIC ACTION PLAN THAT PRIORITIZES THE DELIVERY OF MEDICATION-ASSISTED THERAPY (MAT) SERVICES. - PROVIDE EDUCATIONAL WORKSHOPS AND AN ANNUAL OPPORTUNITY FOR MAT WAIVER TRAINING. THE PROGRAM WILL PROVIDE EDUCATIONAL RESOURCES TO COMMUNITY MEMBERS ON OPIOID USE DISORDER AND STIMULANT MISUSE PREVENTION STRATEGIES BY THE END OF GRANT YEAR 2. SUPPORT OR IMPLEMENT COMMUNITY RECOVERY GROUPS, SPIRITUAL SUPPORT, AND DRUG AND ALCOHOL-FREE SOCIAL ENGAGEMENT ACTIVITIES. - WORK WITH ACET, INC. TO PRODUCE AN EVALUATION REPORT OF ALL GRANT ACTIVITIES. - PRODUCE PRINT MATERIALS THAT ARE CULTURALLY RELEVANT AND APPROPRIATE TO THE FIVE TRIBAL COMMUNITIES. - CREATE A FORUM AND COLLABORATIVE SPACE TO ADDRESS METHAMPHETAMINE USE IN THE GREAT PLAINS AREA TRIBES. ACROSS ALL FIVE TRIBAL COMMUNITIES. THE GPTOR PROJECT WILL SERVE AT LEAST 2,000 ANNUALLY AND A TOTAL OF 4,000 UNDUPLICATED INDIVIDUALS WITHIN THE 24-MONTH TIME FRAME.

NORTHERN PLAINS TRIBAL CANCER DATA IMPROVEMENT INITIATIVE

GREAT PLAINS HEALTH INSURANCE EXCHANGE NAVIGATOR (GP HIEN) PROGRAM

GREAT PLAINS PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH

PUBLIC HEALTH NURSING CASE MANAGEMENT PROGRAM - FOUNDED IN 1986, THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB) STANDS AS A FORMAL REPRESENTATIVE BOARD OF THE SEVENTEEN TRIBAL NATIONS AND ONE SERVICE UNIT IN THE GREAT PLAINS AREA (GPA) OF SOUTH DAKOTA, NORTH DAKOTA, NEBRASKA, AND IOWA. THE MISSION OF GPTLHB, A 501(C)(3) COMMUNITY-BASED TRIBAL ENTITY, IS TO WORK WITH TRIBAL COMMUNITIES AND PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTHCARE ADVOCACY TO IMPROVE THE HEALTH STATUS AND ERADICATE HEALTH DISPARITIES AMONG THE REGION'S ESTIMATED 265,837 TRIBAL MEMBERS (ACCORDING TO PROVISIONAL 2020 U.S. CENSUS DATA). IN 2019, THE OGLALA SIOUX TRIBE AND CHEYENNE RIVER SIOUX TRIBE AUTHORIZED GPTLHB TO MANAGE THEIR SHARES OF THE IHS HEALTH CARE FACILITY IN RAPID CITY, SOUTH DAKOTA. GPTLHB ASSUMED ADMINISTRATION OF IHS’ SIOUX SAN FACILITY, RENAMING IT OYATE HEALTH CENTER (OHC). OHC HAS ESTABLISHED AN INTEGRATED HEALTHCARE MODEL, PROVIDING PATIENTS WITH EXPANDED COMPREHENSIVE SERVICES AND IMPROVED ACCESS TO BEHAVIORAL HEALTH. IN 2022, GPTLHB ASSUMED THE ROSEBUD SIOUX TRIBE’S IHS HEALTH CARE SHARES AND BEGAN THE DEVELOPMENT OF A TRIBALLY MANAGED HEALTH SYSTEM THAT SERVES AS A SPECIALTY CARE REFERRAL SITE FOR URGENT CARE AND PRIMARY PREVENTATIVE SERVICES. THE STI BURDEN ACROSS THE GPA IS SUBSTANTIALLY HIGHER AMONG AMERICAN INDIANS/ALASKA NATIVES (AI/ANS) THAN NON-HISPANIC WHITES. AI/AN POPULATIONS IN THE DAKOTAS BEAR A CONSIDERABLY HIGHER BURDEN OF SYPHILIS AND OTHER RECENT OUTBREAKS THAN IN OTHER GPA STATES. FROM 2012-2015, AI/AN IN SOUTH DAKOTA (SD) ACCOUNTED FOR 62% OF THE GONORRHEA CASES. OVER THAT SAME THREE-YEAR PERIOD, AI/AN CASES ACCOUNTED FOR 40.5% OF SD’S CHLAMYDIA CASES. OVERALL, SOUTH DAKOTA’S SYPHILIS CASES HAVE INCREASED BY 2,183% COMPARED TO THE FIVE-YEAR RUNNING BASELINE (FIVE-YEAR YTD THROUGH JULY 2022) OF CASES IN THE STATE. THREE OUT OF FOUR SOUTH DAKOTA SYPHILIS CASES ARE AMONG AI/AN. GPTLHB AND OHC RECOGNIZE THE NEED TO EXPAND CURRENT PUBLIC HEALTH NURSING CAPACITY DUE TO SKYROCKETING REGIONAL STI RATES AND THE INCREASING NUMBER OF PATIENT-RELATIVES PRESENTING AT OHC AS AT-RISK FOR OR DIAGNOSED WITH STIS. GPTLHB’S PUBLIC HEALTH NURSING (PHN) CASE MANAGEMENT PROGRAM WILL ADDRESS DISPARITIES IN THE TREATMENT OF INFECTIOUS DISEASES AND PROVIDE CRITICAL SUPPORT FOR DIRECT STI HEALTH SERVICES IN SOUTH DAKOTA’S AI/AN COMMUNITIES. THE PROGRAM WILL TARGET THE OHC SERVICE POPULATION, WHICH CONSISTS OF OVER 32,000 ANNUAL PATIENT-RELATIVES REPRESENTING FEDERALLY RECOGNIZED TRIBES FROM THE GPA. MOST PATIENT-RELATIVES ARE ADULTS OVER THE AGE OF 19 AND RESIDE IN RURAL AREAS OF PENNINGTON COUNTY OR WITHIN THE URBAN AREA OF RAPID CITY, SD. PROGRAM STAFF PLAN TO MITIGATE THE PREVALENCE OF STIS WITHIN INDIAN COUNTRY THROUGH A CASE MANAGEMENT MODEL FOCUSED ON TWO YEAR 1 OBJECTIVES: 1) IMPROVE TREATMENT RATES BY 1 % FOR AI/AN WITH STIS WITHIN THE FIRST 12 MONTHS OF THE PROGRAM, AND 2) ENHANCE STI EDUCATION IN THE COMMUNITY BY PARTICIPATING IN EIGHT EVENTS WITHIN THE FIRST 12 MONTHS OF THE PROGRAM. BASED ON EXISTING PATIENT-RELATIVE DATA, A 1% INCREASE WILL IMPROVE THE HEALTH OUTCOMES OF 268 HIGH-RISK INDIVIDUALS. IN YEAR 1, THE PROGRAM WILL HIRE A PUBLIC HEALTH NURSE (PHN) WHO WILL COMPLETE A COMMUNITY ASSESSMENT, DEVELOP CASE MANAGEMENT SERVICES IN COORDINATION WITH TRIBAL COMMUNITIES, AND IMPLEMENT THESE SERVICES TO IMPROVE HEALTH OUTCOMES FOR AI/AN IN OHC’S SERVICE POPULATION.

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

GREAT PLAINS GOOD HEALTH AND WELLNESS PROGRAM

GREAT PLAINS ETHIC PROGRAM - THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB) RECOGNIZES THE IMPERATIVE NEED TO REDUCE THE DISPROPORTIONATE IMPACT OF HIV, HCV, AND SYPHILIS ON AMERICAN INDIAN AND ALASKA NATIVE PERSONS BY SUPPORTING TRIBAL COMMUNITIES TO DIRECTLY INCREASE DIAGNOSES, TREATMENT, AND PREVENTION. FOUNDED IN 1986, GPTLHB STANDS AS A FORMAL REPRESENTATIVE BOARD OF THE SEVENTEEN FEDERALLY RECOGNIZED TRIBES AND ONE SERVICE UNIT IN THE FOUR-STATE GREAT PLAINS AREA (GPA) OF IOWA, NEBRASKA, NORTH DAKOTA, AND SOUTH DAKOTA. THE MISSION OF GPTLHB, A 501(C)(3) COMMUNITY-BASED TRIBAL ORGANIZATION, IS TO SERVE TRIBAL COMMUNITIES AND PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTHCARE ADVOCACY TO IMPROVE THE HEALTH STATUS AND ERADICATE HEALTH DISPARITIES AMONG THE REGION'S ESTIMATED 215,8501 TRIBAL MEMBERS. GPTLHB, THROUGH ITS ADMINISTRATION OF OYATE HEALTH CENTER (OHC), OPERATES A TRIBALLY MANAGED HEALTH SYSTEM THAT SERVES AS A SPECIALTY CARE REFERRAL SITE FOR URGENT CARE AND PRIMARY PREVENTATIVE SERVICES IN RAPID CITY, SD. THE VISION OF THE GPTLHB IS FOR ALL TRIBAL NATIONS AND COMMUNITIES TO REACH OPTIMUM HEALTH AND WELLNESS THROUGH LASTING PARTNERSHIPS AND CULTURALLY SIGNIFICANT VALUES EMPOWERED BY TRIBAL SOVEREIGNTY. HECEL OYATE KIN NIPI KTE, SO THAT THE PEOPLE MAY LIVE. AMERICAN INDIANS AND ALASKA NATIVES (AI/AN) EXPERIENCE A DISPROPORTIONATELY HIGH HIV/HCV/SYPHILIS BURDEN IN THE GPA. AI/AN DATA IS LIMITED, BUT WHAT IS AVAILABLE DEMONSTRATES THE NEED FOR MORE EFFECTIVE HIV/HCV/SYPHILIS PREVENTION, DIAGNOSIS, AND TREATMENT PROGRAMS IN THE GPA. FOR EXAMPLE, FROM 2019 TO 2020, HCV DIAGNOSIS RATES FOR AI/AN IN NEBRASKA WERE ALMOST FOUR TIMES HIGHER THAN THOSE OF WHITE RESIDENTS (173.1 VS. 59.4 PER 100,000 PERSONS) AND RATES FOR AI/AN IN NORTH DAKOTA REACHED 1,359.4 PER 100,000 COMPARED TO 117.5 PER 100,000 FOR WHITES IN THE STATE. IN 2022, SOUTH DAKOTA HAD THE HIGHEST SYPHILIS RATES AND THE SECOND-HIGHEST CONGENITAL SYPHILIS RATES IN THE COUNTRY. THESE RATES ARE DRIVEN BY DISEASE BURDEN AMONG THE AI/AN POPULATION; IN AVAILABLE 2023 DATA, AI/ANS REPRESENT ONLY 11% OF SOUTH DAKOTA’S POPULATION AND YET COMPRISE NEARLY 78% OF ALL EARLY SYPHILIS CASES AND OVER 87% OF ALL CONGENITAL SYPHILIS CASES. HIV RATES ARE ALSO INCREASING IN SOUTH DAKOTA, AND AT LEAST ONE HIV CLUSTER HAS BEEN LINKED TO THE SYPHILIS OUTBREAK THUS FAR. ONLY 52% OF AI/ANS DIAGNOSED WITH HIV ARE RETAINED IN CARE, AND 64% ARE VIRALLY SUPPRESSED. DUE TO THE RECOGNIZED CORRELATION BETWEEN HIV AND SYPHILIS OUTBREAKS, INCREASED HIV CASE NUMBERS ARE EXPECTED IN THE GPA IN CONNECTION TO THE ONGOING SYPHILIS EPIDEMIC. GPTEC IS APPLYING FOR FOCUS AREA THREE – SUPPORTING SPECIAL INITIATIVES OF REGIONAL AND NATIONAL SIGNIFICANCE IN INDIAN COUNTRY, TO CONDUCT PROGRAM ACTIVITIES FOCUSING ON CLINICAL CAPACITY ASSESSMENT, REGIONAL ADVOCACY, AND SYSTEMS IMPROVEMENT. THESE ACTIVITIES SUPPORT THE PROGRAM GOAL OF ENDING THE HIV/HCV/SYPHILIS SYNDEMIC IN THE GREAT PLAINS AREA THROUGH DEVELOPING AND DISSEMINATING DATA-DRIVEN STRATEGIES TO EXPAND HIV/HCV/SYPHILIS AND OTHER STI DIAGNOSIS, PREVENTION, AND TREATMENT SERVICES BASED ON LOCAL RESOURCES, NEEDS, AND VALUES. DURING THE FIVE-YEAR PROGRAM PERIOD, STAFF WILL CONDUCT THREE BROAD ACTIVITIES ACROSS FOUR OPERATIONAL STRATEGIES: A CLINICAL CAPACITY ASSESSMENT OF GPA FACILITIES THAT PROVIDE HIV/HCV/SYPHILIS CARE TO AI/AN COMMUNITIES; THE CREATION OF A GPA AI/AN ENDING THE HIV/HCV/SYPHILIS SYNDEMIC STRATEGIC PLAN (USING INFORMATION FROM THE CLINICAL CAPACITY ASSESSMENT, NATIONAL STRATEGIC PLANS, AND STAKEHOLDER INPUT); AND THE EXPANSION OF EPIDEMIOLOGICAL SERVICES TO THE GPA TRIBES BY HIRING AN EPIDEMIOLOGIST TO MAINTAIN REAL-TIME DATA DASHBOARDS, TECHNICAL ASSISTANCE, AND DATA TRAINING.

GREAT PLAINS TRIBAL OPIOID RESPONSE PROGRAM

NORTHERN PLAINS COMPREHENSIVE CANCER CONTROL PROGRAM

GREAT PLAINS INJURY PREVENTION PROGRAM

CONNECTING KIDS TO COVERAGE PROGRAM - FOUNDED IN 1986, THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB) STANDS AS A FORMAL REPRESENTATIVE BOARD OF THE SEVENTEEN TRIBAL NATIONS AND ONE SERVICE UNIT IN THE GREAT PLAINS AREA (GPA) OF SOUTH DAKOTA, NORTH DAKOTA, NEBRASKA, AND IOWA. THE MISSION OF GPTLHB IS TO WORK WITH TRIBAL COMMUNITIES AND PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTHCARE ADVOCACY TO IMPROVE THE HEALTH STATUS AND ERADICATE THE HEALTH DIVIDE AMONG THE REGION’S ESTIMATED 265,837 TRIBAL MEMBERS. GPTLHB IS APPLYING FOR CONNECTING KIDS TO COVERAGE OUTREACH AND COOPERATIVE AGREEMENTS (CKC) (CMS-3Y3-25-001) TO HELP TARGET, ENROLL, AND RETAIN ELIGIBLE CHILDREN, PARENTS OF CHILDREN (FAMILIES), AND EXPECTING MOTHERS IN MEDICAID AND CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP), SO FEWER CHILDREN ARE UNINSURED IN THE GPA. THIS FUNDING IS FOR SERVICES TO BE CONDUCTED DURING THE 2025-2030 AWARD PERIOD. GPTLHB'S CKC PROGRAM WILL PROVIDE SERVICES TO THE PRIORITY POPULATION OF AMERICAN INDIAN/ALASKA NATIVES (AI/ANS) RESIDING IN 40 COUNTIES IN THE STATE OF SOUTH DAKOTA, WHICH ENCOMPASS NINE TRIBAL RESERVATION COMMUNITIES AND THREE URBAN AREAS. 89.5% OF THE TOTAL AI/AN POPULATION OF SOUTH DAKOTA RESIDES IN OUR PRIORITY POPULATION AREA. SERVICE COUNTY AND TRIBAL COMMUNITY LOCATIONS ARE PRIMARILY RURAL, DEPRIVED, AND VULNERABLE TO SIGNIFICANT HEALTH SHORTFALLS AMONG AI/AN RESIDENTS DUE TO NATURAL AND ECONOMIC FACTORS IMPACTING HEALTH. ACCORDING TO THE 2020 U.S. CENSUS, OVER 50% OF AI/AN ADULTS IN THE STATE HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL. BETWEEN 25% AND 50% OF ADULTS ON THE TARGETED RESERVATIONS ARE UNEMPLOYED. WHILE SOUTH DAKOTA’S TOTAL UNINSURED RATE IS 9.5%, THE UNINSURED RATE AMONG THE PRIORITY POPULATION AVERAGES 31.1%, WITH AN ESTIMATED HALF OF THOSE BEING UNDER 18 YEARS OF AGE. ALTHOUGH THE INDIAN HEALTH SERVICE (IHS) PROVIDES BASIC SERVICES TO AI/AN PEOPLES RESIDING ON RESERVATIONS, IHS IS FUNDED AT LESS THAN 50% OF THE LEVEL OF NEED. THE AFFORDABLE CARE ACT (ACA), PRIVATE HEALTH INSURANCE, AND MEDICAID/CHIP PROGRAMS OFFER FINANCIAL ACCESS TO HEALTH SERVICES CRITICAL TO REDUCING HEALTH SHORTFALLS AND ENSURING ADEQUATE ACCESS TO HEALTH SERVICES WITHIN THE STATE. THE CKC PROGRAM RECOGNIZES THE IMPACT OF THESE HEALTH DISPARITIES AND CHOOSES TO FOCUS ON THIS PRIORITY POPULATION TO CONTINUE REDUCING BARRIERS TO AFFORDABLE CARE. GPTLHB CKC PROGRAM IS REQUESTING $600,000 FOR THE FIRST 12 MONTHS OF A 5-YEAR COOPERATIVE AGREEMENT ($3,000,000 OVER THE FIVE-YEAR PROJECT PERIOD) TO MEET TWO SIGNIFICANT GOALS: 1) INCREASE EDUCATION AND AWARENESS OF LOW-COST HEALTH COVERAGE UNDER MEDICAID, CHIP, AND THE ACA’S FFM RESOURCES, AND 2) ASSIST UNINSURED AI/AN CHILDREN, PARENTS OF CHILDREN (FAMILIES), AND EXPECTING MOTHERS IN APPLYING/ENROLLING AND/OR MAINTAINING COVERAGE. THE CKC PROGRAM WILL FOCUS ON ONE-ON-ONE ENGAGEMENT IN PERSON AT EDUCATIONAL/OUTREACH EVENTS OR SCHEDULED APPOINTMENTS, UTILIZING AND TAILORING CKC MATERIALS FOR CAMPAIGN MESSAGING ACROSS THE TARGET POPULATION SERVICE AREA. PROGRAM STAFF WILL HELP REFER ANY AI/AN CONSUMER SEEKING ASSISTANCE, AS WELL AS NON-AI/AN CONSUMERS WHO INQUIRE. THREE ENROLLMENT AND RETENTION SPECIALISTS AND THE PROJECT DIRECTOR WILL BE AVAILABLE YEAR-ROUND TO SUPPORT THE CMS ALL-YEAR OPEN ENROLLMENT PROCESS FOR AI/AN CHILDREN, PARENTS OF CHILDREN (FAMILIES), AND EXPECTING MOTHERS AS IT PERTAINS TO MEDICAID, CHIP, AND THE ACA’S FFM.

GREAT PLAINS NATIVE CONNECTIONS PROGRAM

PPHF ? 2013 - COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP EXCHANGES

INJURY PREVENTION PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM ? NEONATAL ABSTINENCE SYNDROME

COMMUNITY-BASED INTEGRATED SERVICE SYSTEMS (LOCAL/STATE)

GREAT PLAINS NATIVE CONNECTIONS PROGRAM

NARCH III

SOUTH DAKOTA TRIBAL PRAMS

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

THE ABERDEEN AREA TRIBAL CHAIRMEN'S HEALTH BOARD, THROUGH THE NORTHERN PLAINS CENTER FOR HEALTH PROMOTION (NPCHP) WILL LAUNCH THE FIRST REGIONAL AS

MINDFUL CONNECTIONS PROGRAM - THE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB), THROUGH COOPERATION WITH EXISTING SERVICE AGENCIES AND KEY STAKEHOLDERS, WILL, DURING THIS THREE-YEAR PROJECT, EXPAND AND MAINTAIN TRAINING AND SERVICES FOR A COORDINATED LIFESPAN RESPITE SYSTEM THAT BUILDS ON THE VARIED INFRASTRUCTURE CURRENTLY IN PLACE THROUGHOUT THE FOUR-STATE GREAT PLAINS AREA (GPA) OF SD, ND, NE, & IA. THE GOAL OF THIS PROJECT IS TO INCREASE AND STRENGTHEN KNOWLEDGE OF ALZHEIMER’S DISEASE AND RELATED DEMENTIAS (ADRD) THROUGH DIRECT AND ENABLING SERVICES, INCLUDING SCREENING AND EARLY DIAGNOSIS, RISK REDUCTION, QUALITY OF LIFE, AND COMMUNITY EDUCATION IN THE GPA. OBJECTIVES: 1) EXPAND WORKFORCE CAPACITY IN MNI LUZAHAN/RAPID CITY, SD, AND THE GPA THROUGH EDUCATION AND TRAINING; 2) ADAPT EXISTING DEMENTIA TRAINING AND EDUCATION TO CREATE ONE GPA-FOCUSED PROGRAM BASED ON TRIBAL TRADITION AND DESIGNED TO BUILD AWARENESS OF DEMENTIA IN INDIAN COUNTRY; 3) INCREASE PUBLIC AWARENESS OF THE EARLY SIGNS AND SYMPTOMS OF ADRD AND RELEVANT CARE RESOURCES BY DEVELOPING A COMPREHENSIVE COMMUNITY-INFORMED CARE DIRECTORY; 4) TRAIN COMMUNITY-BASED SERVICE PROVIDERS, FAMILY CAREGIVERS, AND COMMUNITY MEMBERS IN DEMENTIA CARE. ANTICIPATED OUTCOMES: 1) FAMILIES AND CAREGIVERS WILL HAVE SPECIFIC KNOWLEDGE GAINS AND TRACKED IMPROVEMENTS IN KNOWLEDGE RELATED TO ADRD; 2) PROVIDERS WILL DEMONSTRATE INCREASED COMPETENCY IN DIAGNOSING ADRD; 3) FAMILIES WILL INCREASE AWARENESS OF OF RISK REDUCTION STRATEGIES AND THE SHARE EVIDENCE-BASED INTERVENTION; 4) CAREGIVERS’ WILL HAVE IMPROVED SELF-EFFICACY AND REDUCED CAREGIVER BURDEN AND STRESS; 5) A SUSTAINABILITY PLAN WILL BE DEVELOPED TO SUPPORT THE PROJECT IN THE FUTURE. THE EXPECTED PRODUCTS ARE OUTREACH MATERIALS, CAREGIVER AND PROVIDER TRAINING, AND AN ONLINE RESPITE DATABASE.

DENTAL PREVENTIVE AND CLINICAL SUPPORT CENTER PROGRAM

DENTAL PREVENTIVE AND CLINICAL SUPPORT CENTER PROGRAM

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)

GREAT PLAINS TRIBAL OPIOID RESPONSE PROGRAM

SUPPORTING TRIBAL PUBLIC HEALTH CAPACITY IN CORONAVIRUS PREPAREDNESS AND RESPONSE - 2020

GREAT PLAINS TRIBAL CHRONIC DISEASE SELF-MANAGEMENT PROGRAM

GPTCHB TRIBAL MANAGEMENT GRANT

NARCH IV

TBH COVID-19

THIS AWARD PROVIDES FUNDS FOR THE RECIPIENT TO IMPROVE INDOOR AIR QUALITY BY TRAINING SCHOOL NURSES, HEALTH CARE PROVIDERS AND PARENTS OF ASTHMATIC

GREAT PLAINS TRIBAL LEADERS HEALTH BOARDCOMMUNITY FOOD PROJECTS COMPETITIVE GRANT PROGRAMUSDA-NIFA-CFP-010954TECHNICAL REVIEWTHE GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (GPTLHB) WILL IMPLEMENT A STRATEGY TO ADDRESS FOOD AND NUTRITION SECURITY FOR THE POPULATION IN THE MNI LUZAHAN (RAPID CITY), SD AREA. THIS INITIATIVE WILL FOCUS ON IMPROVING NUTRITIONAL QUALITY AND ACCESSIBILITY, PROMOTING HEALTHY FOODS, AND ADVANCING ECONOMIC OPPORTUNITY. GPTLHB WILL STRENGTHEN FOOD DISTRIBUTION PARTNERSHIPS, SUPPORT COMMUNITY GARDENING EFFORTS, EXPAND EDUCATIONAL OUTREACH, AND INTEGRATE TRADITIONAL FOODWAY PRACTICES. THESE EFFORTS WILL EMPOWER COMMUNITIES TO ACHIEVE GREATER SELF-RELIANCE AND LONG-TERM FOOD SECURITY THROUGH LOCALLY DRIVEN SOLUTIONS AND COLLABORATIVE ENGAGEMENT.

NARCH IV

THIS AWARD PROVIDES FUNDS TO THE RECIPIENT TO IMPROVE THE INDOOR AIR QUALITY OF THE HOMES OF NATIVE AMERICANS IN SEVERAL TRIBAL COMMUNITIES THROUGH

AN ASSISTANCE AGREEMENT TO INCREASE THE ABILITY OF HEALTH ENVIRONMENTAL AND EDUCATION PROFESSIONALS TO IDENTIFY PREVENT AND REDUCE ENVIRONMENTAL

RURAL COMMUNITIES OPIOID RESPONSE (PLANNING)