Fili

DESCRIPTION:NOTE: A SPECIAL PAYMENT CONDITION APPLIES TO THIS AWARD. THIS AGREEMENT PROVIDES FUNDING UNDER THE INFLATION REDUCTION ACT. THE RECIPIENT WILL PROVIDE FINANCIAL AND TECHNICAL ASSISTANCE TO LOW-INCOME AND DISADVANTAGED COMMUNITIES TO DEPLOY AND BENEFIT FROM RESIDENTIAL-SERVING DISTRIBUTED SOLAR ENERGY AND STORAGE PROJECTS. THESE PROGRAMS WILL ENSURE LOW-INCOME HOUSEHOLDS RECEIVE RESIDENTIAL DISTRIBUTED SOLAR BY PROVIDING PROGRAM BENEFICIARIES HOUSEHOLD SAVINGS, COMMUNITY OWNERSHIP, ENERGY RESILIENCE, AND OTHER MEANINGFUL BENEFITS. ACTIVITIES:SOLAR PROJECTS RECEIVING FINANCIAL ASSISTANCE FROM THE RECIPIENT MAY RECEIVE ASSISTANCE FOR ASSOCIATED ENERGY STORAGE AND UPGRADES THAT EITHER ENABLE PROJECT DEPLOYMENT OR MAXIMIZE THE BENEFITS OF THE PROJECT FOR LOW-INCOME AND DISADVANTAGED COMMUNITIES. THE RECIPIENT WILL ALSO PROVIDE PROJECT-DEPLOYMENT SERVICES TO ENABLE LOW-INCOME AND DISADVANTAGED COMMUNITIES TO DEPLOY AND BENEFIT FROM RESIDENTIAL SOLAR.SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:THE ANTICIPATED DELIVERABLES WILL INCLUDE STEPS AND MILESTONES TO IMPLEMENT THE STRATEGIES AND PLANS FOR THE SOLAR FOR ALL PROGRAM, A DISTRIBUTE SOLAR MARKET STRATEGY, THE FINANCIAL ASSISTANCE STRATEGY, THE PROJECT-DEPLOYMENT TECHNICAL ASSISTANCE STRATEGY, AND AN EQUITABLE ACCESS AND MEANINGFUL INVOLVEMENT PLAN. THE EXPECTED OUTCOMES INCLUDE CLIMATE AND AIR POLLUTION BENEFITS, EQUITY AND COMMUNITY BENEFITS, AND MARKET TRANSFORMATION BENEFITS. THE INTENDED BENEFICIARIES INCLUDE HOUSEHOLDS IN LOW-INCOME AND DISADVANTAGED COMMUNITIES.

PLANNING DESIGN AND CONSTRUCTION OF THE FORT BERTHOLD RURAL WATER SUPPLY SYSTEM

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

2021 CCDF TRIBAL CONSTRUCTION

AIAN HEAD START

DIABETES PREVENTION AND TREATMENT

HEAD START - FULL YEAR/PART DAY - T&TA

AIAN HEAD START

LAW ENFORCEMENT ADULT/JUVENILE CORRECTIONAL OPERATIONS

GREENVILLE SC CCOP

AIAN HEAD START

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES - ASPIN HEALTH NAVIGATORS

OPERATION, MAINTENANCE AND REPLACEMENT OF THE FORT BERTHOLD RURAL WATER SUPPLY SYSTEM

CONSOLIDATED TRIBAL GOVERNMENT PROGRAM

THE PROJECT CONSISTS OF THE INSTALLATION OF SOLAR PV (PHOTOVOLTAIC) SYSTEMS FOR THE LARGEST ENERGY CONSUMING METERS THAT ARE OWNED/OPERATED BY WICHITA AND AFFILIATED TRIBES “THE TRIBE”. SOLAR PV IS HIGHLY BENEFICIAL TO EACH METER, AND NET METERING IS PRESENT FOR SYSTEM SIZES UNDER 300KW (KILOWATTS)-AC (ALTERNATING CURRENT). THIS PROJECT IS SPECIFIED FOR NET METERING ACROSS ALL FOR INTERCONNECTION METERS, WITH SOLAR PARKING CANOPIES. THE PROJECT WILL INSTALL GROUND MOUNTED SOLAR SHADE STRUCTURES TO PROVIDE ENERGY FOR TWO BUILDINGS ON TRIBAL LAND. THE TOTAL CAPACITY ENERGY PRODUCTION FOR THE PROJECT IS APPROXIMATELY 1.2-MW (MEGAWATTS) DC (DIRECT CURRENT). THE SYSTEMS SHOULD SAVE AN ESTIMATED $170,00 ANNUALLY AND $4.7 MILLION OVER THE LIFESPAN OF THE SOLAR PV PANELS.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINICS

OPIOID-IMPACTED FAMILY SUPPORT PROGRAM

THREE AFFILIATED TRIBES LAW ENFORCEMENT

CCDD-2026 - CHILD CARE AND DEVELOPMENT BLOCK GRANT DISCRETIONARY

CCDD-2025 - CHILD CARE AND DEVELOPMENT BLOCK GRANT DISCRETIONARY

CCDD-2024

COMMUNITY HEALTH WORKER TRAINING PROGRAM - PROJECT ABSTRACT FUNDING AMOUNT REQUESTED: $3,000,000 FOR THREE YEARS PROJECT TITLE: ASPIN COMMUNITY HEALTH WORKER TRAINING PROGRAM (ACHWTP) FUNDING OPPORTUNITY NUMBER: HRSA-22-124 APPLICANT ORGANIZATION: AFFILIATED SERVICE PROVIDERS OF INDIANA, INC. D/B/A ASPIN ADDRESS: 850 N. HARRISON STREET WARSAW, IN 46580-3163 PROJECT CONTACT: KATHY COOK, CEO EMAIL: KCOOK@ASPIN.ORG PROJECT DIRECTOR: TIFFANY HAMILTON EMAIL: THAMILTON@ASPIN.ORG CONTACT PHONE: 317-471-1890 FAX: 317-735-0019 WEBSITE: WWW.ASPIN.ORG OVERVIEW: AFFILIATED SERVICE PROVIDERS OF INDIANA D/B/A/ ASPIN IS A NETWORK OF COMMUNITY-BASED SAFETY NET MENTAL HEALTH AND PRIMARY CARE PROVIDERS SERVING THE STATE OF INDIANA. ASPIN HAS OVER 13 YEARS OF EXPERIENCE TRAINING COMMUNITY HEALTH WORKERS (CHW), CERTIFYING OVER 1,400 CHWS. THIS PROGRAM WILL TRAIN 210 CHWS OVER THREE YEARS, BUILDING ON ASPIN’S TWO ESTABLISHED HRSA GRANT APPRENTICESHIP PROGRAMS BY PROVIDING ADDITIONAL TRAINING TO CHWS AND FOCUSING ON COUNTIES WITH LATINO/A/X AND AFRICAN AMERICAN/BLACK UNDERSERVED MINORITY COMMUNITIES. THERE ARE SIX COUNTIES IN INDIANA WITH A HIGHER PERCENT BLACK POPULATION THAN THE INDIANA AVERAGE: ALLEN, LAKE, LAPORTE, MARION, ST. JOSEPH, AND VANDERBURGH COUNTIES. THERE ARE 16 COUNTIES IN INDIANA WITH A HIGHER PERCENT HISPANIC POPULATION THAN THE INDIANA AVERAGE MEASURABLE OBJECTIVES GOAL 1: ASPIN WILL LEVERAGE ITS LONG-STANDING STATE AND FEDERALLY CERTIFIED CHW PROGRAM TO SIGNIFICANTLY EXPAND CHWS IN THE WORKFORCE BY TRAINING 70 NEW CHWS ANNUALLY THROUGHOUT THE STATE OF INDIANA WITH A FOCUS ON WORKING IN THE LATINO/A/X AND AFRICAN AMERICAN/BLACK COMMUNITIES. MEASURABLE OBJECTIVES: RECRUIT AND TRAIN NEW CHWS BY ENROLLING THEM IN ASPIN’S CHW TRAINING, BUILT ON STATE AND NATIONAL CORE COMPETENCIES. REDUCE BARRIERS TO ENTRY FOR THE CHW PROFESSION BY PROVIDING STIPENDS AND EDUCATIONAL MATERIALS TO STUDENTS. GOAL 2: ASPIN WILL INCREASE THE SKILLS AND COMPETENCIES OF EXISTING CHWS BY UPSKILLING 23 CURRENT CHWS EACH YEAR OF THE GRANT BY ADDITIONAL TRAINING IN HEALTH EQUITY TOPICS. MEASURABLE OBJECTIVES: PROVIDE ADDITIONAL TRAINING TO CURRENT CHWS THROUGH ASPIN’S EXISTING CHRONIC CARE, SUBSTANCE USE, AND DOMESTIC VIOLENCE CHW TRAININGS, BUILT ON STATE AND NATIONAL CORE COMPETENCIES. ENHANCE CURRENT ASPIN CHW CURRICULUM TO INCLUDE EMERGENCY RESPONSE EDUCATION, PREVENTION, TREATMENT, AND VACCINE HESITANCY RESEARCH. GOAL 3: ASPIN WILL INCREASE NETWORK OF 19 CURRENT APPRENTICESHIP/FIELD PLACEMENT PARTNERS TO 22 AND PLACE 18 CHW STUDENTS IN AN APPRENTICESHIP/FIELD PLACEMENT PER GRANT YEAR WITH A PRIORITIZING THE HISPANIC AND LATINO/A/X AND AFRICAN AMERICAN/BLACK, UNDERSERVED MINORITY COMMUNITIES THROUGHOUT THE STATE. MEASURABLE OBJECTIVES: IMPLEMENT HANDS-ON, COMMUNITY-BASED PARTNERSHIPS IN UNDERSERVED COMMUNITIES FOR CHW APPRENTICESHIPS/FIELD PLACEMENTS. PROVIDE JOB PLACEMENT SERVICES AND ON-THE-JOB EXPERIENTIAL TRAINING THROUGH ASPIN’S EXISTING DEPARTMENT OF LABOR REGISTERED APPRENTICESHIP PROGRAM. GOAL 4: ASPIN WILL PLACE 25% OF CHW STUDENTS IN FIELD PLACEMENTS AND APPRENTICESHIPS ANNUALLY IN UNDERSERVED COMMUNITIES TO ADVANCE HEALTH EQUITY AND REDUCE HEALTH DISPARITIES. MEASURABLE OBJECTIVES: ADDRESS CRITICAL GAPS IN PUBLIC HEALTH AND COMMUNITY NEEDS BY PLACING CHW STUDENTS IN FIELD PLACEMENTS/APPRENTICESHIPS IN COMMUNITIES DISPROPORTIONATELY BURDENED BY COVID-19, HEALTH INEQUITIES, LIMITED ACCESS TO TECHNOLOGY, AND SOCIAL DETERMINANTS OF HEALTH. RECRUIT, TRAIN, AND PROVIDE JOB PLACEMENT SERVICES TO INDIVIDUALS WHO WILL WORK AS CHWS IN UNDERSERVED MINORITY COMMUNITIES. PRIORITIZE LATINO/A/X AND AFRICAN AMERICANS IN UNDERSERVED MINORITY COMMUNITIES IN RECRUITMENT, TRAINING, AND JOB PLACEMENT AS CHWS. CLINICAL PRIORITIES ADDRESSED: BEHAVIORAL HEALTH, OPIOID/SUBSTANCE USE DISORDER, INTIMATE PARTNER VIOLENCE, RURAL HEALTH, COVID-19, AND HEALTH EQUITY FUNDING PREFERENCE: ASPIN REQUESTS FUNDING PREFERENCE MEETING QUALIFICATION 1 & 2.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - PROJECT ABSTRACT THROUGH SAMHSA’S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) PLANNING, DEVELOPMENT, & IMPLEMENTATION GRANT, COMMUNITY MENTAL HEALTH AFFILIATES, INC. (CMHA) WILL FOCUS ON INCREASING ACCESS TO MENTAL HEALTH TREATMENT FOR CHILDREN AND YOUTH AND EXPANDING INTENSIVE CARE COORDINATION FOR ADULTS AND CHILDREN IN ORDER TO EFFECTIVELY ADDRESS THE NEEDS OF ADULTS AND ADOLESCENTS WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDER (SUD), AND CO-OCCURRING DISORDER (COD) AND CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE (SED) IN THE TARGETED SERVICE AREA. CCBHC SERVICE POPULATION INCLUDES INDIVIDUALS AND FAMILIES ACROSS NEW HAVEN AND LITCHFIELD COUNTY, SPECIFICALLY RESIDING IN: WATERTOWN, WATERBURY, MIDDLEBURY, GOSHEN, NAUGATUCK, NEW HARTFORD, WINSTED, SOUTHBURY, WOLCOTT, THOMASTON, LITCHFIELD, BARKHAMSTED, TORRINGTON, HARWINTON, MORRIS, AND BETHLEHEM. US 2020 CENSUS DATA SHOWS A TARGET POPULATION OF 278,401: 219,603 AGES 18+; 43,840 AGES 6-17; AND 14,958 UNDER AGE 5. CMHA IS AN ENHANCED CARE CLINIC (ECC) AND PROVIDES AN ARRAY OF SERVICES TO THE HISTORICALLY UNDERSERVED POPULATION OF ADULTS, CHILDREN AND FAMILIES IN THE REGION. LAST YEAR, CMHA SERVED 2,306 CONSUMERS IN THIS TARGET AREA: 531 CHILDREN IN OUR OUTPATIENT CHILD GUIDANCE CLINIC; 656 YOUTH VIA ONGOING SCHOOL-BASED SERVICES; 470 ADULTS IN OUTPATIENT/INTENSIVE OP; 1,305 FAMILIES THROUGH OUR HOME-BASED PROGRAMS. MORE THAN 10% OF OUR CLIENTS ARE PRIMARILY SPANISH-SPEAKING, AND THE NUMBER OF PORTUGUESE-SPEAKING CLIENTS HAS INCREASED BY 400% SINCE 2019. A MAJORITY (65%) IDENTIFY AS FEMALE, AND 1% ARE TRANSGENDER/NON-BINARY. THE MAJORITY ARE HETEROSEXUAL (81%), WITH 12% INDICATING LGBTQ+. NEARLY ALL (93%) FALL AT/BELOW 200% OF THE FEDERAL POVERTY LEVEL, AND MOST (90%) HAVE BEEN AFFECTED BY TRAUMA. AGENCY AND COMMUNITY DATA INDICATES A NEED FOR MORE OPEN ACCESS HOURS; CONTINUED SERVICES AND SUPPORTS FOR VETERANS/MILITARY; TARGETED CASE MANAGEMENT (TCM) AND INTENSIVE CARE COORDINATION FOR ADULTS AND CHILDREN; AND INCREASED ACCESS TO TREATMENT FOR CHILDREN AND YOUTH. OUR CCBHC WILL REDUCE DISPARITIES BY ENHANCING ACCESS TO CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES FOR BLACK, HISPANIC AND SPANISH SPEAKING WOMEN, CHILDREN, AND THEIR FAMILIES AFFECTED BY VIOLENCE, TRAUMA, AND POVERTY. CCBHC GOALS INCLUDE: 1) SUPPORT RECOVERY FROM MENTAL ILLNESS AND/OR SUD AMONG TARGET POPULATION ADULTS, CHILDREN AND FAMILIES THROUGH AN EXPANSION OF CLINIC SERVICES AND CONTRACTED 24/7 MOBILE CRISIS SERVICES; 2) REDUCE BEHAVIORAL HEALTH ISSUES, TRAUMA SYMPTOMS, AND SUBSTANCE ABUSE AMONG TARGET POPULATION CHILDREN, ADOLESCENTS, AND ADULTS THROUGH WRAPAROUND SUPPORT AND COMMUNITY-BASED SERVICES AND OUTREACH; 3) REDUCE THE LIKELIHOOD OF CHRONIC DISEASE AND PREMATURE DEATH AMONG TARGET POPULATION ADULTS AND CHILDREN THROUGH CCBHC’S BEHAVIORAL HEALTH HOME AND CONTRACTED PRIMARY CARE; 4) PROMOTE WELLNESS AND RECOVERY AMONG CCBHC CONSUMERS BY PROVIDING PSYCHIATRIC REHABILITATION, PEER AND FAMILY RECOVERY SUPPORTS; 5) EQUIP CCBHC STAFF WITH THE SKILLS TO CONTINUE OFFERING EVIDENCE-BASED PRACTICES THROUGH ADDITIONAL TRAINING; 6) MEET CCBHC GOALS/OBJECTIVES BY CREATING PROJECT MANAGEMENT AND GOVERNANCE STRUCTURES.; 8) IMPLEMENT INFRASTRUCTURE ACTIVITIES AND ASSESSMENTS TO IMPLEMENT AND SUSTAIN CCBHC SERVICES. CMHA’S CCBHC WILL SERVE A TOTAL OF 600 INDIVIDUALS OVER FOUR YEARS.

CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC - THROUGH SAMHSA’S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) IMPROVEMENT AND ADVANCEMENT GRANT, COMMUNITY MENTAL HEALTH AFFILIATES, INC. (CMHA) WILL INCREASE ACCESS TO AND IMPROVE THE QUALITY OF COMMUNITY-BASED BEHAVIORAL HEALTH AND SUBSTANCE USE TREATMENT IN ORDER TO EFFECTIVELY ADDRESS THE NEEDS OF ADULTS, ADOLESCENTS, AND CHILDREN WITH SERIOUS MENTAL ILLNESS (SMI), CO-OCCURRING DISORDER (COD), SUBSTANCE USE DISORDER (SUD), AND SERIOUS EMOTIONAL DISTURBANCE (SED) IN CENTRAL CONNECTICUT. CCBHC SERVICE POPULATION INCLUDES INDIVIDUALS AND FAMILIES IN CMHA’S GREATER NEW BRITAIN SERVICE AREA, WHICH INCLUDES THE LOCALITIES OF: BERLIN, BRISTOL, BURLINGTON, KENSINGTON, NEW BRITAIN, PLAINVILLE, PLYMOUTH, SOUTHINGTON, AND TERRYVILLE. US 2022 CENSUS DATA SHOWS A TARGET POPULATION OF 253,286 WHICH INCLUDES: 148,467 AGES 18-64; 36,721 OVER AGE 65; 55,121 AGES 6-17; AND 12,977 UNDER AGE 5. CMHA IS THE ONLY AGENCY WHICH CURRENTLY PROVIDES CCBHC SERVICES TO A PRIMARILY AND HISTORICALLY UNDERSERVED POPULATION OF ADULTS, CHILDREN AND FAMILIES IN THE CENTRAL CONNECTICUT REGION. LAST YEAR, CMHA SERVED 3,170 CONSUMERS IN THIS TARGET AREA – 2,706 ADULTS 18 AND OVER (INCLUDING 476 AGE 60+); AND 464 CHILDREN AND ADOLESCENTS AGE 1-17. NEARLY HALF (44%) ARE CAUCASIAN, 39% ARE HISPANIC (A MAJORITY ARE PUERTO RICAN), 13% ARE AFRICAN-AMERICAN, AND 4% ARE OTHER/UNKNOWN. MOST (93%) FALL AT/BELOW 200% OF THE FEDERAL POVERTY LEVEL, WITH 67% ON MEDICAID AND 26% ON MEDICARE, AND NEARLY ALL (90%) HAVE BEEN EXPOSED TO TRAUMA. APPROXIMATELY 13% SPEAK SPANISH AS THEIR PRIMARY LANGUAGE. MORE THAN HALF (52%) IDENTIFY AS FEMALE, AND 47% IDENTIFY AS MALE, WITH 1% TRANSGENDER/NONBINARY. THE MAJORITY (81%) ARE HETEROSEXUAL, WITH 12% INDICATING LGBTQ+. AGENCY AND COMMUNITY DATA INDICATES A NEED FOR MORE OPEN ACCESS HOURS; CONTINUED SERVICES AND SUPPORTS FOR VETERANS/MILITARY; TARGETED CASE MANAGEMENT (TCM) AND INTENSIVE CARE COORDINATION FOR ADULTS AGE 60+ AND ARABIC SPEAKING POPULATIONS; AND INCREASED ACCESS TO TREATMENT FOR CHILDREN AND YOUTH. CCBHC GOALS INCLUDE: 1) SUPPORT RECOVERY FROM MENTAL ILLNESS AND/OR SUD AMONG TARGET POPULATION ADULTS, CHILDREN AND FAMILIES THROUGH EXPANDED 24/7 MOBILE CRISIS, OPEN ACCESS CLINIC, AND RESPITE SERVICES; 2) REDUCE BEHAVIORAL HEALTH ISSUES, DISPARITIES, TRAUMA SYMPTOMS, SUICIDE, AND SUBSTANCE USE AMONG TARGET POPULATION CHILDREN, ADOLESCENTS, AND ADULTS THROUGH ENHANCED CLINIC AND COMMUNITY-BASED TREATMENT SERVICES; 3) REDUCE THE LIKELIHOOD OF CHRONIC DISEASE AND PREMATURE DEATH AMONG TARGET POPULATION ADULTS AND CHILDREN THROUGH CCBHC-EMBEDDED INTEGRATED PRIMARY CARE; 4) PROMOTE WELLNESS AND RECOVERY AMONG CCBHC CONSUMERS BY ENHANCING PSYCHIATRIC REHABILITATION, PEER, AND FAMILY RECOVERY SUPPORTS; 5) EQUIP CCBHC STAFF WITH THE SKILLS TO CARE FOR SPECIALIZED POPULATIONS AND REDUCE BEHAVIORAL HEALTH DISPARITIES; 6) MEET CCBHC GOALS/OBJECTIVES BY CREATING PROJECT MANAGEMENT AND GOVERNANCE STRUCTURES; AND 7) IMPLEMENT INFRASTRUCTURE ACTIVITIES AND ASSESSMENTS TO IMPROVE AND SUSTAIN CCBHC SERVICES. CMHA’S CCBHC WILL SERVE A TOTAL OF 700 INDIVIDUALS OVER FOUR YEARS.

CCDD-2023

COMMUNITY MENTAL HEALTH CENTERS - THROUGH SAMHSA’S COMMUNITY MENTAL HEALTH CENTERS (CMHC) GRANT PROGRAM, COMMUNITY MENTAL HEALTH AFFILIATES, INC. (CMHA), WILL ENHANCE AND RESTORE CLINICAL SERVICES IMPACTED BY THE COVID-19 PANDEMIC IN ORDER TO EFFECTIVELY ADDRESS THE NEEDS OF ADULTS AND YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), SERIOUS MENTAL ILLNESS (SMI), AND CO-OCCURRING DISORDER (COD) IN CENTRAL AND NORTHWEST CONNECTICUT. CMHC SERVICE POPULATION INCLUDES INDIVIDUALS AND FAMILIES IN CMHA’S GREATER NEW BRITAIN, WATERBURY, AND TORRINGTON SERVICE AREA, WHICH INCLUDES THE LOCALITIES OF: BERLIN, BRISTOL, BURLINGTON, KENSINGTON, NEW BRITAIN, PLAINVILLE, PLYMOUTH, SOUTHINGTON, TERRYVILLE, TORRINGTON, WATERBURY, AND WINSTED. US CENSUS DATA SHOWS A TARGET POPULATION OF 383,483: 299,620 AGES 18+, 62,404 AGES 5-17. CMHA HAS MORE THAN 45 YEARS’ EXPERIENCE PROVIDING INNOVATIVE, PATIENT-CENTERED AND CULTURALLY-RELEVANT BEHAVIORAL HEALTH TREATMENT TO CENTRAL AND NORTHWEST CONNECTICUT. IN FISCAL YEAR 2020, CMHA SERVED 4,225 CONSUMERS— 3,527 ADULTS OVER AGE 18 AND 698 CHILDREN YOUNGER THAN 18; 43% ARE FROM NEW BRITAIN; 46% ARE CAUCASIAN, 33% ARE LATINA/O (A MAJORITY ARE PUERTO RICAN), 13% ARE AFRICAN-AMERICAN, AND 5% ARE OTHER/UNKNOWN. 91% FALL AT/BELOW 200% OF THE FEDERAL POVERTY LEVEL, WITH 72% ON MEDICAID AND 28% ON MEDICARE. APPROXIMATELY 10% AND .6% SPEAK SPANISH AND POLISH, RESPECTIVELY, AS THEIR PRIMARY LANGUAGE. AGENCY AND COMMUNITY DATA INDICATES A NEED FOR ADDITIONAL TRAUMA-INFORMED TELEHEALTH AND IN PERSON TREATMENT TO SUPPORT INDIVIDUALS EXPERIENCING MENTAL HEALTH ISSUES COMPOUNDED BY THE PANDEMIC. TARGETED OUTREACH IS NEEDED TO ENGAGE NEW AND EXISTING CLIENTS WHO MAY BE HESITANT TO RETURN FOR SERVICES EVEN AS PANDEMIC RESTRICTIONS LIFT. COMMUNITY PARTNERS INCLUDING SCHOOL DISTRICTS AND POLICE DEPARTMENTS HAVE ALSO REACHED OUT TO CMHA FOR EDUCATION AND ASSISTANCE TO SUPPORT INDIVIDUALS IN CRISIS. THE CMHC HAS THE FOLLOWING GOALS: 1) TO REENGAGE AND RETAIN TARGET POPULATION IN CLINICAL, CASE MANAGEMENT, AND WRAPAROUND RECOVERY SUPPORT SERVICES THROUGH ENHANCED TELEHEALTH INFRASTRUCTURE; 2) TO REDUCE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SYMPTOMS EXACERBATED BY THE PANDEMIC AND IMPROVE FUNCTIONING AMONG ADULTS WITH SMI AND COD BY RESTORING IN PERSON OUTPATIENT AND PSYCHOSOCIAL REHAB SERVICES; 3) TO REDUCE BEHAVIORAL HEALTH AND TRAUMA SYMPTOMS AND IMPROVE FUNCTIONING AMONG SCHOOL-AGED CHILDREN AND ADOLESCENTS AT RISK FOR SED THROUGH DIRECT SERVICES AND SUPPORT FOR SCHOOLS AND PARENTS; 4) TO REDUCE SYMPTOMS OF TRAUMA EXACERBATED BY THE PANDEMIC AND IMPROVE FUNCTIONING AMONGST CMHC CLIENTS BY EXPANDING EVIDENCE-BASED ASSESSMENT AND TREATMENT MODELS; 5) TO DEVELOP AND PROVIDE ADDITIONAL RESOURCES AND INFRASTRUCTURE TO ADDRESS MENTAL HEALTH NEEDS AMONGST CMHC STAFF; 6) TO REDUCE INCIDENCES OF DEATH BY DRUG OVERDOSE, SUICIDE, AND SELF-HARM AMONG TARGET GROUP CHILDREN, ADOLESCENTS AND ADULTS BY IMPROVING RESPONSIVENESS OF LOCAL LAW ENFORCEMENT; 7) TO MEET CMHC GOALS BY CREATING PROJECT MANAGEMENT STRUCTURE. THE CMHC WILL SERVE A TOTAL OF 600 UNDUPLICATED CONSUMERS (YEAR 1= 300; YEAR 2= 300).

MEDICATION ASSISTED TREATMENT - PRESCRIPTION DRUG AND OPIOID ADDICTION (MAT-PDOA) - THROUGH INTENSIVE MAT PERSON APPROACH COMMUNITY TREATMENT (IMPACT), COMMUNITY MENTAL HEALTH AFFILIATES, INC. (CMHA) SEEKS TO ENHANCE AND EXPAND ACCESS TO MEDICATION ASSISTED TREATMENT (MAT), INCREASE THE NUMBER OF INDIVIDUALS WITH OPIOID USE DISORDER (OUD) RECEIVING MAT, AND REDUCE OPIOID USE FOR 400 ADULTS WHO ARE HOMELESS OR AT RISK IN GREATER NEW BRITAIN AND BRISTOL, CT. CMHA HAS MORE THAN 45 YEARS’ EXPERIENCE PROVIDING SUBSTANCE ABUSE AND BEHAVIORAL HEALTH TREATMENT SERVICES TO CENTRAL CONNECTICUT’S RESIDENTS, INCLUDING 20 YEARS DELIVERING CASE MANAGEMENT SERVICES TO HOMELESS/AT RISK INDIVIDUALS WITH CO-OCCURRING DISORDERS, AND MORE THAN 15 YEARS PROVIDING MAT. THE AGENCY’S COMMUNITY SUPPORT AND HOUSING PROGRAMS, WHERE IMPACT WILL BE EMBEDDED, SERVE NEARLY 2,000 INDIVIDUALS ANNUALLY, 60% OF WHOM HAVE AN OUD. AGENCY AND COMMUNITY DATA SHOW A NEED FOR TARGETED SUBSTANCE ABUSE TREATMENT FOR HOMELESS/AT RISK INDIVIDUALS WITH OUD. INDIVIDUALS WHO ARE HOMELESS EXPERIENCE HIGHER RATES OF SUBSTANCE ABUSE AND OPIOID OVERDOSE, AND HOMELESS ADULTS ARE NINE TIMES MORE LIKELY TO DIE FROM AN OPIOID OVERDOSE THAN THEIR HOUSED COUNTERPARTS (BAGGETT, ET AL., 2013). THE RATE OF OPIOID OVERDOSE IN THE PROGRAM’S PROPOSED SERVICE AREA HAS RISEN 61% SINCE 2015 (CT OFFICE OF MEDICAL EXAMINER), AND 48% OF CLIENT DEATHS AT CMHA LAST YEAR WERE DUE TO ACCIDENTAL OVERDOSE. CENTRAL CONNECTICUT HAS SEEN A 44% INCREASE IN HOMELESSNESS OVER THE PAST YEAR (CT CAN PIT COUNT, 2019-20); HOMELESSNESS AMONG CMHA’S CLIENTS ALSO INCREASED 24% OVER THE PAST YEAR. IMPACT HAS THE FOLLOWING GOALS: 1) INCREASE THE NUMBER OF HOMELESS/AT RISK INDIVIDUALS WITH OPIOID USE DISORDER (OUD) RECEIVING MAT THROUGH OUTREACH AND EMBEDDED COMMUNITY SERVICES AT FRIENDSHIP SERVICE CENTER AND SALVATION ARMY IN NEW BRITAIN AND ST. VINCENT DEPAUL SHELTER IN BRISTOL, ENSURING THAT 80% OF PROGRAM PARTICIPANTS ARE RECEIVING MAT BEFORE DISCHARGE; 2) REDUCE OUD AND OVERDOSE AMONG 70% OF HOMELESS/AT RISK PROGRAM PARTICIPANTS THROUGH TREATMENT AND PREVENTION EDUCATION, INCLUDING SIX ANNUAL NARCAN DISTRIBUTION EVENTS AT PARTNER SHELTERS AND THE DISTRIBUTION OF 250 NARCAN KITS ANNUALLY TO THE CLIENTS AND THE COMMUNITY; 3) REDUCE THE LIKELIHOOD OF CHRONIC DISEASE AND PREMATURE DEATH AMONG INDIVIDUALS WITH OUD WHO ARE HOMELESS/AT RISK BY CONNECTING 70% OF PROGRAM PARTICIPANTS WITHOUT A CURRENT PROVIDER TO PRIMARY CARE EACH YEAR; 4) INCREASE ACCESS TO SAFE, STABLE, SOBER HOUSING FOR INDIVIDUALS WITH OUD WHO ARE HOMELESS/AT RISK TO PREVENT FURTHER RELAPSE THROUGH CASE MANAGEMENT AND CONNECTION TO THE STATE’S HOUSING CHOICE VOUCHER PROGRAM; 5) MEET PROJECT GOALS/OBJECTIVES BY CREATING A PROJECT MANAGEMENT STRUCTURE. IMPACT WILL SERVE A TOTAL OF 400 UNDUPLICATED CONSUMERS (YEAR 1= 50; YEAR 2-3= 75; YEAR 4-5= 100).

AMERICAN INDIAN VOCATIONAL REHABILITATION SERVICES (AIVRS)

THIS AGREEMENT PROVIDES FUNDING FOR THE OPERATION OF THE MHA NATION'S CONTINUING ENVIRONMENTAL PROGRAMS WHILE GIVING IT GREATER FLEXIBILITY TO ADDRESS ITS HIGHEST ENVIRONMENTAL PRIORITIES, IMPROVE ENVIRONMENTAL PERFORMANCE, ACHIEVE ADMINISTRATIVE SAVINGS AND STRENGTHEN THE PARTNERSHIP BETWEEN MHA NATION AND EPA. THIS AGREEMENT FUNDS TRIBAL PROGRAMS FOR: AIR, WATER, LAND AND DATA QUALITY; BROWNFIELDS; CHEMICAL SAFETY.

SPECIAL DIABETES PROGRAM FOR INDIANS - ABSTRACT INTRODUCTION THE FORT BERTHOLD INDIAN RESERVATION (HEREAFTER FORT BERTHOLD) IS LOCATED IN NORTHWEST NORTH DAKOTA. THE RESERVATION CONSISTS OF SIX PREDOMINANT COMMUNITIES: NEW TOWN, PARSHALL, WHITE SHIELD, FOUR BEARS, MANDAREE AND TWIN BUTTES SPREAD OVER APPROXIMATELY 1544 SQUARE MILES. FROM FOUR BEARS COMMUNITY, THE ONE-WAY DISTANCE TO TWIN BUTTES COMMUNITY IS 120 MILES AND IT IS 45 MILES TO MANDAREE. (SEE FORT BERTHOLD MAPS) THE ELBOWOODS MEMORIAL HEALTH CENTER, LOCATED IN NEW TOWN, IS THE TRIBAL IHS 638 CONTRACT HEALTH CENTER WHICH SERVES THE ENTIRE RESERVATION. PARSHALL, WHITE SHIELD, MANDAREE, AND TWIN BUTTES HAVE SMALL COMMUNITY FIELD CLINICS WHICH PROVIDE BASIC SERVICES TO THEIR COMMUNITIES. THE TWO CLOSEST HOSPITALS AND EMERGENCY ROOM SERVICES ARE LOCATED APPROXIMATELY 72 MILES AND 160 MILES AWAY. DIABETES NEEDS IN 2022, STAFF SCREENED 92.57% (N=1221/1319) OF THE STUDENTS ENROLLED IN SCHOOL ON FORT BERTHOLD. OF THE CHILDREN SCREENED, NEARLY TWO-THIRDS (63.88%) OF THE STUDENTS HAD OVERWEIGHT OR OBESITY. STAFF THE STAFF FUNDED BY THE SPECIAL DIABETES PROGRAM FOR INDIANS (SDPI) GRANT WILL INCLUDE ONE REGISTERED DIETITIAN, TWO HEALTH EDUCATION TECHNICIANS, ONE MEDICAL SUPPORT ASSISTANT, ONE LEAD HEALTH EDUCATION TECHNICIAN, ONE FITNESS SPECIALIST AND ONE SDPI CASE MANAGER. PARTNERSHIPS AND COLLABORATIONS ELBOWOODS MEMORIAL HEALTH CENTER AND MODEL PROGRAM REFER ADULT AND PEDIATRIC PATIENTS WITH DIABETES, PRE-DIABETES, OR OBESITY FOR DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT (DSMES), MEDICAL NUTRITION THERAPY (MNT), FITNESS PROGRAMING AND PREVENTION EDUCATION. SCHOOL SCREENING ARE CONDUCTED AT ALL SCHOOLS LOCATED ON FORT BERTHOLD RESERVATION AND INCLUDE HEIGHT, WEIGHT, AND HBA1C SCREENINGS. SDPI DIABETES BEST PRACTICE DIABETES-RELATED EDUCATION IS THE BEST PRACTICE THAT WILL BE IMPLEMENTED. DIABETES-RELATED EDUCATION ACTIVITIES AND EDUCATION WILL BE PROVIDED THROUGH SCHOOL SCREENING, KEEPING ACTIVE STRONG AND HEALTHY (KASH) PROGRAM, HEALTHY FUTURES CLINICS, SCHOOL EDUCATION, YOUTH HEALTHY FUTURES LIFESTYLE TRAINING, CASE MANAGEMENT, YOUTH OUTREACH PROGRAMS, DIABETES PREVENTION EDUCATION, COMMUNITY SCREENINGS, DIABETES TREATMENT AND AWARENESS EDUCATION. OTHER ACTIVITIES/SERVICES PHYSICAL ACTIVITIES OTHER ACTIVITIES AND SERVICES INCLUDE COMMUNITY FITNESS ASSESSMENTS AND CLASSES THAT WILL ENCOURAGE EXERCISE AND HEALTHY LIFESTYLE BEHAVIORS. OTHER ACTIVITIES/SERVICES NATIONAL DIABETES PREVENTION PROGRAM OTHER ACTIVITIES AND SERVICES INCLUDE UTILIZING AN IN-PERSON AND ONLINE PLATFORM TO OFFER NATIONAL DPP CLASSES.

WICHITA AND AFFILIATED TRIBES - RAISING INTEREST IN SUICIDE EDUCATION 2 - THE WICHITA AND AFFILIATED TRIBES, A FEDERALLY RECOGNIZED INDIAN TRIBE IN SW OKLAHOMA, PROPOSES TO ASSIST ALL THE NATIVE PEOPLE OF THE INDIAN HEALTH SERVICES LAWTON SERVICE AREA THROUGH THE 988 TRIBAL RESPONSE COOPERATIVE FOR THE CRISIS LIFELINE FOR THREE (3) YEARS. AT THIS TIME, SUICIDE, PARTICULARLY AMONG YOUNG MALE NATIVES HAS REACHED NEAR EPIDEMIC LEVELS. THE GRANT WILL HELP PROVIDE EXPANDED SERVICES THROUGH THE DEVELOPMENT OF A MOBILE CRISIS UNIT TO HELP SUPPLEMENT EARLY IDENTIFICATION OF SUICIDE RISK AND CULTURALLY APPROPRIATE HELP TO ALL NATIVES OF ANY TRIBE. THE LAWTON SERVICE AREA IS SLIGHTLY LARGER THAN THAT OF THE STATE OF NEW JERSEY AND COMPRISES TEN COUNTIES OF OVER 9,000 SQUARE MILES. THERE ARE APPROXIMATELY 26,000 NATIVE PEOPLE WITHIN THE TEN-COUNTY SERVICE AREA. SEVEN (7) TRIBAL NATIONS HAVE THEIR HEADQUARTERS WITHIN THE LAWTON SERVICE AREA (APACHE TRIBE OF OKLAHOMA, CADDO, COMANCHE, DELAWARE, KIOWA, WICHITA AND AFFILIATED AND FORT SILL APACHE. THE NATIVE POPULATION HAS POVERTY RATES GREATER THAN WHITES IN SEVEN OF TEN COUNTIES AND MANY NATIVE PEOPLE ARE WITHOUT HEALTH INSURANCE. ABOUT 50% OF THE POPULATION IS FEMALE. NATIVES IN OKLAHOMA HAVE HIGHER RATES OF SUICIDE THAN ANY RACE AND NATIVE MALES AGE 15-34 HAVE APPROXIMATELY FOUR TIMES THE RATE OF SUICIDE AS FEMALES AND ALMOST DOUBLE THE RATE OF THEIR WHITE MALE COUNTERPARTS. THE CDC REPORTS THAT NATIVE SUICIDE OF BOTH MALES AND FEMALES HAD GREATER INCREASES DURING THE FIRST YEAR OF COVID 19 COMPARED TO ALL OTHER RACES. IN REALITY, SUICIDE AMONG OUR NATIVE PEOPLE IS ACTUALLY MUCH HIGHER THAN IS REPORTED AS STUDIES BY THE SOUTHERN PLAINS TRIBAL HEALTH BOARD HAVE SHOWN THAT ABOUT 30% OF NATIVE SUICIDES ARE UNREPORTED, LIKELY DUE TO STIGMA. IN LESS THAN A YEAR, THE 988 CRISIS LIFELINE HAS HAD EXCELLENT RESULTS. CALLERS TO THE 988 CRISIS LIFELINE HAVE MUCH SHORTER WAIT TIMES WHICH ALLOWS MORE PERSONS TO BE SERVED WITH THE ADDITION OF A MOBILE CRISIS UNIT. THE WICHITA AND AFFILIATED WILL INITIALLY EXPAND UPON THE SCREENING OF ALL NATIVES WITHIN THE SERVICE AREAS AND WORKPLACES AND CONTINUE TO TRAIN TEACHERS AND STAFF ON INTERVENTIONS. THE PROJECT WILL PROVIDE CULTURALLY APPROPRIATE TRAINING TO BEHAVIORAL HEALTH PROFESSIONALS THROUGHOUT THE SERVICE AREA. TO DATE, THE MOST WIDELY USED INTERVENTIONS INCLUDE: ASIST, SAFETALK, AND MENTAL HEALTH FIRST AID. THE GRANT WILL ALSO EXPLORE INNOVATIVE WAYS OF CALLING 988 INCLUDING ON LINE CHATS AND PHONE TO PHONE TEXTING. THE GRANT HAS FOUR BROAD GOALS AND SEVENTEEN MEASURABLE OBJECTIVES. APPROXIMATELY 150 STAKEHOLDERS PER YEAR WILL RECEIVE FACE TO FACE TRAININGS AND OVER 8,000 NATIVES EACH YEAR WILL BE REACHED THROUGH TRIBAL NEWSLETTERS, SOCIAL MEDIA, EARNED MEDIA AND RADIO AND TV. OVER 350 STAKEHOLDERS (INCLUDING 988 PERSONNEL) AND APPROXIMATELY 15,000 NATIVE WILL BE REACHED IN THE TWO-YEAR PROJECT.

CCDF-2021

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING PROGRAM

ENHANCEMENT OF CMHA'S ELECTRONIC MEDICAL RECORDS SYSTEM TO PROMOTE THE EXCHANGE OF CLINICAL DATE

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

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

THREE AFFILIATED TRIBE'S AMERICAN INDIAN VOCATIONAL REHABILIATION SERVICES PROJECT

WICHITA AND AFFILIATED TRIBES-ZERO SUICIDE INITIATIVE - THE WICHITA AND AFFILIATED TRIBES ZERO SUICIDE INITIATIVE IS A MULTI-TRIBAL COLLABORATIVE OF FEDERALLY RECOGNIZED TRIBES TO PROVIDE HOLISTIC AND COMPREHENSIVE SUICIDE PREVENTION CARE FOR ALL AMERICAN INDIAN ADULTS IN THREE RURAL OKLAHOMA COUNTIES IN SOUTHWESTERN OK. SERVICES INCLUDE SUICIDE SURVEILLANCE, SCREENING, CLINICAL THERAPIES, AND CLIENT FOLLOW-UP, PLUS WORK FORCE DEVELOPMENT ALL EMPHASIZING CULTURALLY APPROPRIATE NATIVE VALUES AND NATIVE PARTICIPATION. OUR LARGE PROJECT AREA OF 3,479 SQUARE MILES COMPRISES ALL OF CADDO, COMANCHE, AND GRADY COUNTIES WHERE NATIVES LIVE IN RACIALLY MIXED COMMUNITIES, NOT RESERVATIONS. THE NATIVE POPULATION (ALONE OR IN PART) IS 25,791 OF WHICH AN ESTIMATED 14,027 ARE OVER AGE 24. SIX FEDERALLY RECOGNIZED INDIAN TRIBES HAVE HEADQUARTERS IN CADDO COUNTY, HOME OF THE WICHITA AND AFFILIATED TRIBES, WHERE NATIVES ARE 29% OF THE POPULATION OF 29,173, THE THIRD HIGHEST RATIO OF NATIVES OF ANY OK COUNTY. THE COUNTY HAS ONE OF THE FEW NATIVE BOARDING SCHOOLS WITH ABOUT 600 NATIVE YOUTHS ENROLLED. NEVERTHELESS, THERE ARE SIGNIFICANT NATIVE HEALTH, BEHAVIORAL HEALTH AND ECONOMIC DISPARITIES. NATIVE SUICIDE RATES ARE HIGHER THAN STATE AND NATIONAL AVERAGES AND CADDO COUNTY IS A HEALTH PROFESSIONAL SHORTAGE AREA AND A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA, WITH NO PRACTICING PSYCHOLOGISTS OR PSYCHIATRISTS. NATIVE POVERTY IS TWICE (32.6%) THAT OF NON-HISPANIC WHITES (14.1%). MEDIAN ANNUAL NATIVE HOUSEHOLD INCOME IS $14,000 LOWER THAN NON-HISPANIC WHITES. NATIVES HAVE DOUBLE THE RATE OF WHITE UNINSURED. GOAL #1: PROVIDE SUICIDE PREVENTION- AND TREATMENT-RELATED CARE TO ALL TRIBAL AND FAMILY MEMBERS 25 YEARS OF AGE AND OLDER LIVING IN CADDO, COMANCHE, GRADY AND ADJOINING COUNTIES. GOAL #2: IMPLEMENT WORKFORCE DEVELOPMENT ACTIVITIES. GOAL #3: TRANSFORM THE WICHITA AND AFFILIATED TRIBES HEALTH SERVICES ADMINISTRATION TO BE A LEADERSHIP-DRIVEN, SAFETY-ORIENTED CULTURE COMMITTED TO REDUCING SUICIDE AMONG NATIVE PEOPLE AND TO EMBED PRINCIPLES OF THE ZERO SUICIDE FRAMEWORK WITHIN THEIR AGENCIES. CONCLUSION OF A 5-YEAR GARRETT LEE SMITH PROGRAM LEAVES A TREMENDOUS GAP IN COMMUNITY CAPACITY TO BLUNT A RECENT 3-YEAR HISTORY OF SUICIDE CLUSTERS. THE GLS SUICIDE SURVEILLANCE PROGRAM COMPRISES A UNIQUE SOURCE OF DATA FOR THE 39 FEDERALLY RECOGNIZED TRIBES IN OKLAHOMA, FOR REGIONAL AUTHORITIES, AND FOR SAMHSA. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES AND FOLLOW UP CASE MANAGEMENT WILL BE PROVIDED BY A STATE LICENSED BEHAVIORAL HEALTH DRUG COUNSELOR (LPC, LCSW, OR LADC). ALL PARTICIPANTS WILL BE SCREENED FOR SUICIDE IDEATION, SUBSTANCE USE DISORDER (SUD), AND WILL BE GIVEN TREATMENT PLANS ACCORDING TO THEIR ASSESSED NEEDS. CULTURALLY APPROPRIATE PROGRAMS AND TREATMENT MODALITIES WILL BE USED ALONGSIDE EVIDENCE-BASED THERAPIES. GRANT FUNDING WILL ESTABLISH POLICY AND CREATE SERVICES TO IMPLEMENT ZERO SUICIDE AT WICHITA AND AFFILIATED TRIBES AND IN PROXIMAL COUNTIES. THE PROGRAM WILL SERVE APPROXIMATELY 100 CLIENTS ANNUALLY (500 TOTAL) OVER A FIVE-YEAR PERIOD. PROJECT GOALS ALIGN WITH THE ZERO SUICIDE MODEL.

MODIFIED ASSERTIVE COMMUNITY TREATMENT SERVICES FOR CHRONICALLY HOMELESS PERSONS

THIS ACTION APPROVES AN AWARD IN THE AMOUNT OF $1,966,345 TO SUPPORT THE THREE AFFILIATED TRIBES SMART GRANT PROGRAM. THE PURPOSE OF THIS AWARD IS TO DEVELOP A PLAN FOR AND DEMONSTRATE THE USE OF UNCREWED AIRCRAFT SYSTEMS (UASS) TO SERVE HISTORICALLY UNDERSERVED POPULATIONS WITH BETTER ACCESS TO MEDICAL CARE AND EQUIPMENT. THE ACTIVITIES TO BE PERFORMED INCLUDE TO IDENTIFY USE CASES, BUILD PARTNERSHIPS, AND ENSURE THAT THE REQUIRED INFRASTRUCTURE IS IN PLACE TO ENABLE BVLOS OPERATIONS WITHIN THE MHA NATION. THUS, THIS WILL CREATE A BLUEPRINT FOR A SCALABLE SYSTEM OF BVLOS OPERATIONS IN RURAL AREAS (E.G., WITHIN THE STATE OF NORTH DAKOTA) LEVERAGING EXISTING PHYSICAL AND DIGITAL INFRASTRUCTURE DEPLOYED BY THE VANTIS NETWORK, WHICH IS HOSTED BY THE NORTHERN PLAINS UAS TEST SITE?A FEDERAL AVIATION ADMINISTRATION (FAA) APPROVED TEST SITE. THE EXPECTED OUTCOME IS THAT THE PRELIMINARY FEASIBILITY ANALYSIS WILL DEMONSTRATE THE ABILITY OF THE PROJECT TEAM TO DEVELOP A SAFE, EFFICIENT, AND SCALABLE NETWORK WITHIN MHA NATION. IN STAGE 1 THE PLANNING EFFORT WILL INCLUDE CONDUCTING A COMPREHENSIVE NEEDS ASSESSMENT TO ENSURE WE ARE ADDRESSING THE NEEDS OF THE PEOPLE OF MHA NATION AND ASSESSMENT ECONOMIC VIABILITY. THE INTENDED BENEFICIARIES WILL BE THE CITIZENS OF THE THREE AFFILIATED TRIBES OF FORT BERTHOLD RESERVATION. THERE ARE NO SUBAWARD ACTIVITIES IN THIS PROJECT.

GOVERNMENT TO GOVERNMENT AGREEMENT FOR WICHITA/AFFILIATED TRIVES

WICHITA TRIBAL YOUTH SUICIDE PREVENTION & SURVEILLANCE PROJECT

2020 CCDF

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES - ASPIN HEALTH NAVIGATORS

2018 CCDF

DEVELOP CURRICULUM TO COMBAT DIABETES

AMERICAN INDIAN VOCATIONAL REHABILITATION SERVICES

PROGRAM TO SUPPORT TRIBAL CLIMATE CHANGE SCIENCE NEEDS- TRIBAL CLIMATE RESILIENCE LIAISON

THE B.E.A.R. PROGRAM - THE B.E.A.R. PROGRAM CONSISTS OF FIVE FEDERALLY RECOGNIZED AMERICAN INDIAN TRIBES IN CENTRAL OKLAHOMA: THE WICHITA AND AFFILIATED TRIBES, THE APACHE TRIBE OF OKLAHOMA, THE FORT SILL APACHE TRIBE, THE CADDO NATION, AND THE DELAWARE NATION. WE SEEK TO SERVE ABOUT 200 AMERICAN INDIAN PEOPLE FOR TREATMENT SERVICES AND REACH OVER 5,000 IN PREVENTION IN CADDO, KIOWA, AND WASHITA COUNTIES OF OKLAHOMA IN TOTAL OVER THE LIFETIME OF THE PROJECT. OUR GOAL IS TO PREVENT OPIOID MISUSE AND ENCOURAGE LOCAL DOCTORS TO BECOME CERTIFIED IN MEDICATION ASSISTED THERAPY (MAT). OUR THREE COUNTIES ARE CLASSIFIED BY THE OKLAHOMA DEPARTMENT OF HEALTH AS MEDICALLY UNDERSERVED AND MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS. THERE ARE NO SUBSTANCE ABUSE TREATMENT OR ASSESSMENT CENTERS AND NO ACCESSIBLE PRACTICING PSYCHOLOGISTS OR PSYCHIATRISTS. AMERICAN INDIAN PEOPLE MUST NOW TRAVEL ONE HOUR OR MORE EACH WAY TO OKLAHOMA CITY FOR BEHAVIORAL HEALTH CARE. POVERTY AMONG AMERICAN INDIANS IS SEVERE AND ABOUT TWICE THAT OF WHITES IN TWO OF OUR THREE COUNTIES INCLUDING CADDO COUNTY WHICH CONTAINS 85% OF OUR TARGET POPULATION. NO SYSTEMATIC EFFORT TO ASSESS THE BEHAVIORAL HEALTH OF OUR AMERICAN INDIAN PEOPLE, OR TO PROVIDE THEM WITH SUBSTANCE ABUSE PREVENTION OR TREATMENT SERVICES, HAS EVER BEEN ACCOMPLISHED IN THE THREE-COUNTY AREA. WE PROPOSE TO BEGIN BY CONDUCTING ASSESSMENTS OF EACH COUNTIES’ READINESS TO SUPPORT EFFORTS TO REDUCE OPIOID ABUSE AND PROVIDE ACCESS TO BEHAVIORAL HEALTH CARE THAT IS RESPONSIVE TO OUR CULTURAL TRADITIONS AND LOCALLY AVAILABLE. BASED ON THESE ASSESSMENTS, WE WILL WORK TO PROVIDE STRATEGIC OPIOID MISUSE EVIDENCE-BASED PREVENTION SERVICES AND BEGIN TO CREATE TRIBAL PARTNERSHIPS WITH THREE SMALL LOCAL HOSPITALS TO PROVIDE MEDICATION ASSISTED THERAPY (MAT). IN ADDITION TO PROVIDING INFORMATION ABOUT OPIOIDS TO OUR AMERICAN INDIAN PEOPLE, WE SEEK TO PROVIDE THEM WITH INCREASED KNOWLEDGE OF THEIR LANGUAGE AND TRADITIONS IN THE FORM OF CULTURE CLASSES. OUR CULTURE CLASSES WILL BE STRUCTURED TO APPEAL TO YOUTH SEEKING THEIR AMERICAN INDIAN IDENTITY AND ELDERS WHO WISH TO SHARE THEIR TRADITIONS. CULTURE CLASSES WILL HIGHLIGHT CULTURALLY APPROPRIATE WELLNESS AND A DRUG FREE LIFESTYLE. OUR GRANT GOALS ARE SIMPLE: CREATE A STRATEGIC PLAN, DEVELOP AN AMERICAN INDIAN WORKFORCE, IMPLEMENT STRATEGIES THAT WORK, REDUCE DEATH BY OPIOID OVERDOSE, AND USE CULTURALLY APPROPRIATE PRACTICES.

2019 CCDF

2018 CCDF

CCDD-2022

WICHITA AND AFFILIATED TRIBES-EMERGENCY COVID-19 INITIATIVE (WAT-ECI) - THE WICHITA AND AFFILIATED TRIBES WILL LAUNCH A COVID-19 EMERGENCY PROGRAM FOR AMERICAN INDIAN (AI) BEHAVIORAL HEALTH. THE WAT-ECI PROGRAM USES TELEHEALTH TO SCREEN, ASSESS AND TREAT AI PERSONS AND FAMILIES FOR SERIOUS MENTAL ILLNESS, SUBSTANCE ABUSE DISORDER AND CO-OCCURRING DISORDER AND PROVIDE SOCIAL SUPPORTS AND PROFESSIONAL TREATMENT THROUGH TELEHEALTH ENABLING NATIVES RECEIVE VIRTUAL HELP IN CADDO AND COMANCHE COUNTIES IN SOUTHWEST OKLAHOMA. OUR TARGET POPULATION IS APPROXIMATELY 20,000 INDIVIDUALS, AND THEIR FAMILIES, WHO ARE AI ALONE OR IN PART IN CADDO AND COMANCHE COUNTIES. CADDO COUNTY HAS NO BEHAVIORAL HEALTH PRACTITIONERS OR TREATMENT CENTERS. COMANCHE COUNTY HAS BEHAVIORAL HEALTH SERVICES IN LAWTON, OKLAHOMA A MID-SIZE CITY OF 93,000, HOWEVER, RURAL AREAS OF THE COUNTY ARE UNDERSERVED. IN ADDITION TO PROVIDING IDENTIFICATION AND ASSESSMENT OF BEHAVIORAL HEALTH NEEDS, THE WAT-ECI WILL LINK AND SUPPORT NATIVES WITH ADDITIONAL SERVICES SUCH AS FOOD, HOUSING, HYGIENE SUPPLIES AND OTHER ESSENTIAL NEEDS TO ASSIST IN RELIEVING STRESS AS A RESULT OF THE COVID-19 PANDEMIC. BEHAVIORAL HEALTH CARE IS NOT ACCESSIBLE TO LARGE PORTIONS OF OUR SOCIETY AND AIS, IN PARTICULAR, FACE MANY ECONOMIC, CULTURAL, AND HISTORICAL BARRIERS IN ACCESSING SUCH SERVICES. WE KNOW THAT AIS TEND TO HAVE LOWER INCOME AND MUCH GREATER HEALTH AND BEHAVIORAL DISPARITIES THAN THE GENERAL POPULATION. TELEHEALTH OFFERS A LOW COST EASILY ACCESSIBLE MEDIUM OF ENGAGING WITH THEM. IT IS ESSENTIAL, HOWEVER, THAT THERAPISTS ARE NATIVE OR HAVE EXTENSIVE NATIVE EXPERIENCE TO REINFORCE THE CLIENT PATIENT RELATIONSHIP. THE GRANT WILL WORK WITH A LOCAL MEDIA ENTERPRISE TO MANAGE SOCIAL MEDIA PAGES ABOUT THESE OPPORTUNITIES AND ASSESS THE RESPONSE FOR EVALUATION PURPOSES. THERE WILL BE EXTENSIVE DATA COLLECTION AND ALL CLIENTS WILL BE REQUIRED TO COMPLETE INTAKE AND DISCHARGE DATA COLLECTION DOCUMENTS, BUT THEY WILL BE AIDED IN THAT PROCESS BY A GRANT FACILITATOR. THERE WILL BE SMALL NON-CASH INCENTIVES OFFERED FOR PARTICIPATION. THE GOALS OF THE WAT-ECI ARE TO: - PROVIDE TELEHEALTH BEHAVIORAL HEALTH SCREENING, ASSESSMENT AND TREATMENT TO 200 AMERICAN INDIAN CLIENTS AFFECTED BY COVID-19 IN SOUTHWESTERN OKLAHOMA. - ESTABLISH A TRIBALLY CONTROLLED, CULTURALLY APPROPRIATE TELEHEALTH SYSTEM THAT IS ACCESSIBLE AND COST EFFECTIVE. - IDENTIFY, TREAT, AND SUPPORT AMERICAN INDIAN INDIVIDUALS AND FAMILIES THAT HAVE SERIOUS MENTAL ILLNESS, SUBSTANCE ABUSE DISORDER OR BOTH. - DOCUMENT AND DISSEMINATE OUR EFFORTS FOR THE BENEFIT OF THE SCIENTIFIC COMMUNITY AND AMERICAN INDIAN PEOPLE THROUGHOUT THE STATE OF OKLAHOMA. WE WILL SERVE A MINIMUM OF 200 AMERICAN INDIAN CLIENTS DURING THE 16-MONTH SPAN OF THE GRANT.

2019 CCDF

NURSE EDUCATION PRACTICE AND RETENTION

DOMESTIC WATER GRANTS - REGULAR

TRIBAL YOUTH CONNECTIONS

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

WICHITA AND AFFILIATED TRIBES (WAT) - RAISING INTEREST IN SUICIDE EDUCATION (R.I.S.E) GLS - ABSTRACT GLS 2024 THE WICHITA AND AFFILIATED TRIBE (WAT) WILL IMPLEMENT RAISING INTEREST IN SUICIDE EDUCATION (RISE), A SUICIDE PREVENTION PROGRAM FOR NATIVE YOUTH 10-24 OF AGE IN THE INDIAN HEALTH SERVICE’S LAWTON SERVICE AREA IN SOUTHWEST OKLAHOMA. NATIVES HAVE THE HIGHEST RATES OF SUICIDE OF ANY RACE ESPECIALLY AMONG NATIVE MALE YOUTHS. OUR PROJECT TARGETS GAPS IN THE SUICIDE PREVENTION SYSTEM AND WILL ADDRESS UNMET NEED FOR SUICIDE PREVENTION AMONG NATIVE YOUTH. THE SERVICE AREA IS LARGE (9039 SQUARE MILES) AND CONTAINS 26,422 NATIVE PERSONS WHICH COMPRISE 8.7% OF THE TOTAL POPULATION. TWO COUNTIES, CADDO, AND COMANCHE, CONTAIN THE MAJORITY OF NATIVE AMERICANS (76.9%) IN THE SERVICE AREA, ALTHOUGH WE WILL WORK THROUGHOUT THE TEN COUNTIES. NATIVE YOUTH STRUGGLE TO OVERCOME DISPARITIES IN HEALTH INSURANCE COVERAGE, POVERTY, UNDERSTANDING THE ROLE OF MENTAL HEALTH IN SUICIDE, AND LACK OF MENTAL HEALTH TRAINING AMONG PUBLIC HEALTH EMPLOYEES. OUR PROJECT HAS THREE MAIN GOALS: · INCREASE THE NUMBER OF YOUTH-SERVING ORGANIZATIONS WHO CAN IDENTIFY, WORK WITH AND REFER NATIVE YOUTH TO MENTAL HEALTH SERVICES WHO ARE AT RISK OF SUICIDE, · INCREASE THE CAPACITY OF CLINICAL SERVICE PROVIDERS TO ASSESS, MANAGE, AND TREAT YOUTH AT RISK OF SUICIDE WITHIN THEIR 10-COUNTY CATCHMENT, AND · IMPROVE THE CONTINUITY OF CARE OF YOUTH IDENTIFIED TO BE AT RISK FOR SUICIDE, INCLUDING THOSE WHO HAVE BEEN DISCHARGED FROM EMERGENCY DEPARTMENTS AND INPATIENT PSYCHIATRIC UNITS, IN THEIR 10-COUNTY CATCHMENT. NUMEROUS STRATEGIES WILL BE EMPLOYED TO REACH THESE GOALS. WE WILL PROVIDE TRAUMA-INFORMED, EVIDENCE-BASED, AND CULTURALLY AND LINGUISTICALLY APPROPRIATE SUICIDE PREVENTION ACTIVITIES INCLUDING IMMEDIATE SUPPORT AND INFORMATION FOR HIGH RISK NATIVE YOUTH. WE WILL ALSO IMPLEMENT A RESPONSE SYSTEM TO ENSURE THAT TIMELY REFERRALS TO A QUALIFIED TREATMENT PROVIDER ARE COMPLETED. PATIENTS WILL BE PROVIDED SAFETY PLANNING AS PART OF WAT GLS. ALSO CENTRAL TO OUR SERVICES IS THE PROVISION OF POST-SUICIDE INTERVENTION SERVICES, CARE, AND INFORMATION TO FAMILIES OR FRIENDS. ALTHOUGH THE AREA IS LARGE WE WILL PROVIDE EVIDENCE-BASED TRAINING, WHERE POSSIBLE, TO EDUCATORS, CHILDCARE PROFESSIONALS, OBTAIN INPUT FROM INDIVIDUALS WITH LIVED EXPERIENCE, AND COLLECT AND ANALYZE DATA AND REPORT TO OUR FUNDER, THE SUBSTANCE ABUSE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES ADMINISTRATION (SAMHSA). OUR PROJECT WILL COMPILE INFORMATION FROM YOUTH IN CRISIS IN A NATIVE SUICIDE SURVEILLANCE DATABASE TO IDENTIFY RISK FACTORS TO TARGET. WE WILL SERVE A MINIMUM OF 450 YOUTH FACE TO FACE DURING THE FIVE YEAR GRANT AND REACH MANY MORE THROUGH OUR SOCIAL MEDIA PRESENCE. WE PROPOSE TO SERVE AT LEAST 50 YOUTH IN THE FIRST YEAR AND 100 YOUTH IN EACH OF SUCCEEDING FOUR YEARS.

E5C6-2021

2011 LIHEAP

2009 LIHEAP

TCIS PROJECT: THE TRIBAL COMMUNITIES IN SCHOOL PROJECT SEEKS TO PROVIDE INNOVATIVE PROGRAMMING THAT RELATES TO THE EDUCATIONAL NEEDS OF EDUCATIONALLY DISADVANTAGED INDIGENOUS CHILDREN AND YOUTH.

REHABILITATION SERVICES - AMERICAN INDIANS WITH DISABILITIES - AMERICAN INDIANS WITH DISABILITIES

2010 LIHEAP

MHA NATION MAT-PDOA PROGRAM. - THE THREE AFFILIATED TRIBES (MANDAN, HIDATSA, & ARIKARA NATION) IS LOCATED ON THE FORT BERTHOLD RESERVATION IN RURAL NORTH DAKOTA. THE THREE AFFILIATED TRIBES IS A TITLE 1 P.L. 93-638 PROGRAM WHICH IS SEEKING SUPPORT FROM THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES, SUBSTANCE ABUSE AND MENTAL HEALTH SERVICE ADMINISTRATION (SAMHSA)TO ESTABLISH THE MANDAN, HIDATSA, AND ARIKARA MEDICATION ASSISTED TREATMENT- PRESCRIPTION DRUG AND OPIOID ADDICTION (MHA NATION MAT-PDOA) MODEL OF CARE THROUGHOUT THE ELBOWOODS MEMORIAL HEALTH CARE SYSTEM. THERE ARE SIX SEGMENTS THAT MAKE UP THE RESERVATION. THE THREE AFFILIATED TRIBES CURRENTLY HAS 17,145 ENROLLED MEMBERS WITH 5,503 TRIBAL MEMBERS LIVING AND WORKING ON THE RESERVATION. 8,274 OR 48.259% OF THE TRIBAL MEMBERS ARE MALE AND 8,871 OR 51.741% ARE FEMALES. THE TRIBE HAS 5,349 MEMBERS THAT ARE UNDER THE AGE OF 17 YEARS OLD AND 10,093 BETWEEN THE AGES OF 18-59. THE TRIBE'S OVERALL AVERAGE LIFE EXPECTANCY IS 51.11 YEARS WITH FEMALES HAVING 57.96 YEARS AND MALES COMING IN AT 50.11 YEARS (TRIBES 2022 ENROLLMENT REPORT) THE MAIN GOALS ARE TO: 1. TO CONTINUE MAKING MAT ACCESSIBLE TO MEMBERS OF THE THREE AFFILIATED TRIBES. A. CONTINUE TRAINING STAFF IN MEDICATION ASSISTED TREATMENT AND TRAINING OF THE BEHAVIORAL HEALTH PERSONNEL IN EVIDENCE-BASED PRACTICES IN THE FIVE A MODEL FOR TOBACCO CESSATION (ASK, ADVISE, ASSESS, ASSIST, AND ARRANGE). B. CONTINUE EDUCATING THE EMHC STAFF AS WELL AS COMMUNITY MEMBERS ON PROTOCOLS FOR THE ADMINISTRATION OF NALOXONE. C. DEVELOP PROTOCOL FOR CASE MANAGEMENT AND TRACK OF CLIENTS WHO REQUEST OR REQUIRE MAT. 2. DEVELOP REFERRAL PROCESSES FROM PRIMARY CARE PROVIDERS TO BEHAVIORAL HEALTH STAFF FOR THOSE AT HIGH RISK OF SUBSTANCE ABUSE AS PERTAINS TO OPIOID AND MENTAL HEALTH AND WELLNESS. A. INCREASE THE KNOWLEDGE AND CONFIDENCE IN THE FOLLOWING REFERRAL PROCESSES AND WORKFLOW BY ANNUALLY ASSESSING OUR WORKFORCE BY USING THE REFERRED CARE SYSTEM AND ICARE EHR RPMS. 3. IMPROVE CARE AND OUTCOMES FOR INDIVIDUALS WHO ARE AT RISK FOR OVERDOSE AND DEATH ASSOCIATED WITH THE OPIOID EPIDEMIC WITH CASE MANAGING MAT AND ASSISTING PATIENTS WITH SUPPORT SERVICES. A. OUTCOMES WILL BE TRACKED VIA CASE MANAGEMENT THROUGH THE DEVELOPMENT OF AN OPIOID SPECIFIC PATIENT REGISTRY 4. SUSTAINABILITY A. ENROLLING CLIENTS IN CLIENTS IN PRIVATE, STATE, AND/OR FEDERALLY FUNDED INSURANCE PROGRAMS WILL HELP IN THE SUSTAINABILITY OF TRIBAL ORGANIZATIONAL MAT PROGRAM. ELBOWOODS MEMORIAL HEALTH CENTER WILL ASSESS OUR OBJECTIVES AT REGULAR INTERVALS (I.E. EVERY 3 MONTHS) AND UTILIZE THE IMPLEMENTATION TEAM TO CREATE CONTINUED ADVOCACY AND LONGEVITY FOR THE PROJECT. EMHC HAS EXPERIENCE WITH OPERATING A SAMHSA FUNDED GRANT AND ARE CURRENTLY OPERATING A SAMHSA MAT/TOR PROGRAM WHICH IS DUE TO EXPIRE BEFORE THE START OF THE NEW PROPOSED GRANT FUNDED PROGRAM. ADDITIONALLY, AS OF JANUARY 12, 2023, THE PREVIOUSLY STRINGENT REQUIREMENT OF OBTAINING AN X-WAIVER TO PRESCRIBE THIS BUPRENORPHINE HAS BEEN REMOVED. WITHOUT THIS REQUIREMENT THERE SHOULD BE INCREASED ORDERING FROM MORE DIVERSE SOURCES, WHICH WILL INCREASE ACCESS TO TREATMENT AND INCREASE THE NEED FOR MAINTENANCE TREATMENT. SINCE 2018, WHEN THE MAT PROGRAM IN ELBOWOODS WAS FIRST STARTED, THERE HAS BEEN AN INCREASE IN FACILITIES SURROUNDING THE FORT BERTHOLD RESERVATION THAT ALSO PROVIDE MAT SERVICES. AS OF THE TIME OF THIS APPLICATION, WITH THESE CHANGES MENTIONED ABOVE, EMHC IS IN THE PROCESS OF SHIFTING THE FOCUS OF THE PROGRAM TO ALLOW FOR MORE PATIENTS TO HAVE ACCESS TO THIS TREATMENT TO DECREASE THE FINANCIAL STRAIN ON OBTAINING THE TREATMENT (NO COST TO THE PATIENT THROUGH THE EMHC PHARMACY).

RECOVERY ACT HEALTH CENTER CLUSTER PROGRAM

FY 2025 COMPREHENSIVE TRIBAL CHILD SUPPORT SERVICES

WICHITA AND AFFILIATED TRIBES-OPIOID RESPONSE

MHA NATIVE CONNECTION PROGRAM - THE EMHC NATIVE CONNECTION PROGRAM OVER FIVE YEARS WILL WORK TO REDUCE THE NUMBER OF SUICIDE ATTEMPTS, COMPLETIONS, IDEATIONS, SUBSTANCE ABUSE AND INCREASE THE ACCESS TO MENTAL HEALTH SERVICES. ACTIVITIES WILL INCLUDE TALKING CIRCLES, HOSTING COMMUNITY AWARENESS EVENTS, CREATING A POSTVENTION PROTOCOL, ESTABLISHING A YOUTH ADVISORY BOARD, AND COLLABORATING WITH OTHER COMMUNITY STAKEHOLDERS. THE TARGET POPULATION IS NATIVE AMERICAN YOUTHS AGE 12 -24 YEARS OLD ON THE RURAL FORT BERTHOLD RESERVATION. THE FORT BERTHOLD RESERVATION IS HOME TO THE MANDAN, HIDATSA AND ARIKARA NATIONS (MHAN) ALSO KNOWN AS THE THREE AFFILIATED TRIBES (TAT). THE TAT IS LOCATED IN RURAL WESTERN NORTH DAKOTA ON THE BAKKEN OIL FIELD. THE RESERVATION COVERS AN ESTIMATE 988,000 ACRES AND IS BROKEN UP INTO 6 SEGMENTS. THE RESERVATION HAS SEEN A MAJOR INCREASE IN DEVELOPMENT THANKS TO THE OIL FIELD WHICH A PART OF THE RESERVATION SITS UPON. THE RESERVATION HAS SEEN A MAJOR INCREASE IN POPULATION, ECONOMIC ACTIVITY AND DEVELOPMENT, CRIME, DRUG USE, AND MORE. THE COMMUNITY IS TAKEN STEPS TO FIGHT THE INCREASE IN DRUG USE IN BOTH A LAW ENFORCEMENT WAY AND RECOVERY. FROM 2018 TO 2022 THE MHA HAS SEEN THE AVERAGE LIFE EXPECTANCIES DROP BY 11.79% OVER THE TIME FRAME. A LARGE CONTRIBUTING FACTOR FOR THE DECLINE HAS BEEN THE INCREASE NUMBERS OF YOUNG DRUG OVER DOSAGES AND AN INCREASE IN SUICIDAL SITUATIONS OF THE YOUNG MEMBERS. THIS TRAUMA THAT THE MEMBERS OF THE TRIBE FACE, HAVE A PROFOUND EFFECT ON THE QUALITY OF LIFE THAT THEY LIVE AFTER THE SITUATION. THE EMHC NATIVE CONNECTION PROJECT AIMS TO ADDRESS THE GROWING CASES OF SUICIDAL INCIDENTS, SUBSTANCE ABUSE CASES, AND GENERAL ACCESS TO MENTAL HEALTH THAT THE NATIVE AMERICAN YOUTH AGE 12 – 24 YEARS OLD ARE FACING ON THE FORT BERTHOLD RESERVATION. THE PROGRAM WILL WORK WITH THE LOCAL SCHOOLS TO HELP SCHEDULE AND ORGANIZE QPR AND OTHER MENTAL HEALTH CRISIS TRAINING FOR THE STAFF MEMBERS SO THAT THEY MAY BE BETTER PREPARED FOR AN EMERGENCY. ALONG WITH THE LOCAL SCHOOL STAFF MEMBERS, MEMBERS OF THE NATIVE CONNECTION PROGRAM WILL UNDERGO SIMILAR TRAINING SO THAT THEY TOO MIGHT BE BETTER PREPARED TO HANDLE MENTAL HEALTH CRISIS AND ASSIST SOMEONE WHO IS BATTLING A SUBSTANCE USE DISORDER (SUD). THE NATIVE CONNECTION PROGRAM IS WORKING TO REDUCE THE NUMBER OF SUICIDAL SITUATIONS, SUBSTANCE ABUSE AND TO INCREASE THE ACCESS TO MENTAL HEALTH SERVICES FOR THE YOUTH AND YOUNG ADULTS LIVING ON THE RESERVATION. THE PROGRAM IS WORKING TO ESTABLISH YOUTH TALKING CIRCLES THAT CAN BE USED TO INFORM PARTICIPANTS ABOUT HEALTH WAYS TO DEAL WITH SITUATIONS, WHAT SERVICES THEY CAN ACCESS, AND MORE. THE PROGRAM SEEKS TO CONTINUE OFFERING THE CLASSES TO THE GENERAL YOUTH AND THE YOUTHS IN THE PROBATION SYSTEM. THE STAFF MEMBERS ARE WORKING TO ESTABLISH A YOUTH ADVISORY BOARD AS WELL AS A YOUTH BOARD. THE TWO GROUPS WOULD BE MADE UP OF PROGRAM REPRESENTATIVES THAT SERVICE THE YOUTH AND YOUTH LEADERS. THE BOARD WILL DISCUSS COMMON ISSUES YOUTH EXPERIENCE AND DISCUSS WAYS THE ISSUES COULD BE ADDRESSED. THE ISSUES AND SUGGESTIONS WILL BE TAKEN TO THE YOUTH ADVISORY BOARD WHERE THE REPRESENTATIVES WILL DISCUSS WAYS TO IMPLEMENTED THE PROPOSED IDEAS. THE PROGRAM WILL LOOK TO COLLABORATE WITH FELLOW TRIBAL AND NON-TRIBAL PROGRAMS IN DEVELOPING A COMMUNITY WIDE POSTVENTION PROTOCOL FOR A YOUTH SUICIDE INCIDENT. THE DEVELOPMENT OF THE PROTOCOL WILL ALLOW FOR THE PROGRAMS OPERATING ON THE RESERVATION TO BETTER COMMUNICATE WITH EACH OTHER AND TO ENSURE A WARM HANDOFF BETWEEN PROGRAMS. THE PROTOCOL WILL HELP REDUCE THE NUMBER OF PATIENTS THAT FALL BETWEEN THE CRACKS OF THE DIFFERENT PROGRAMS ON THE RESERVATION. THE NC PROGRAM WILL LOOK TO HELP HOST AND TO HOST COMMUNITY WIDE EVENTS TO HELP INFORM THE COMMUNITY OF THE IMPORTANCE OF MENTAL HEALTH AND THE DANGER OF SUBSTANCE ABUSE. THE EVENTS WILL LARGELY BE BASED AROUND GONA STYLE EVENTS WITH ADDITIONAL COMMUNITY WALKS, INFORMATIONAL BOOTHS AND ATTENDING LOCAL POW WOW AND OTHER CULTURAL EVENTS.

WICHITA AND AFFILIATED TRIBES - NATIVE CONNECTIONS - THE WICHITA AND AFFILIATED TRIBES - NATIVE CONNECTIONS (WAT-NC) PROJECT PROPOSES TO DELIVER SUICIDE AND SUBSTANCE ABUSE PREVENTION SERVICES TO THE NATIVE YOUTH OF CADDO COUNTY OKLAHOMA. CADDO COUNTY IS AN IMPORTANT CENTER OF TRADITIONAL AMERICAN INDIAN ACTIVITY, AND SIX TRIBAL NATIONS HAVE THEIR HEADQUARTERS THERE. APPROXIMATELY 2,000 NATIVE YOUTH AGES 10-24 LIVE IN THE COUNTY. SUICIDE RATES FOR NATIVE YOUTH, ESPECIALLY MALES, ARE EXTREMELY HIGH AND FOUR TIMES AS HIGH AS THEY ARE FOR WHITE YOUTH. OUR PROJECT HAS SIX GOALS: 1. COMPLETE A COMMUNITY NEEDS ASSESSMENT AND A COMMUNITY READINESS ASSESSMENT 2. SUPPORT TRIBAL YOUTH SERVICING AGENCIES TO PROVIDE EMOTIONAL SUPPORT FOR NATIVE YOUTH. 3. CREATE PROTOCOLS TO ENSURE AT RISK YOUTH WHO HAVE ATTEMPTED SUICIDE RECEIVE FOLLOW UP CARE. 4. IMPROVE AND REVISE CRISIS RESPONSE PROTOCOLS FOR RESPONDING TO SUICIDES, SUICIDE ATTEMPTS, AND SUBSTANCE-ABUSE INTERVENTIONS. 5. IMPLEMENT A STRATEGIC ACTION PLAN TO TRACK AND COMPLETE ALL PROJECT GOALS AND MEASURABLE OBJECTIVES. 6. MAINTAIN PROJECT MOMENTUM THROUGH TRIBAL INCLUSION AND CONTINUOUS QUALITY IMPROVEMENT AMERICAN INDIAN YOUTH HAVE THE HIGHEST SUICIDE RATE OF ANY RACIAL GROUP IN THE UNITED STATES. MALES ARE PARTICULARLY SUSCEPTIBLE AND WILL BE AFFORDED GENDER SPECIFIC INTERVENTIONS. HIGH LEVELS OF DEPRESSION AND ANXIETY ARE DOCUMENTED FOR THE CADDO COUNTY YOUTH WE SEEK TO HELP. OUR PROJECT WILL PROVIDE MENTAL HEALTH AND SUBSTANCE ABUSES SERVICES TO ALL NATIVE YOUTH IN THE COUNTY REGARDLESS OF TRIBAL AFFILIATION. IN OKLAHOMA, NATIVE PEOPLE LIVE IN RACIALLY MIXED COMMUNITIES NOT RESERVATIONS. OUR PROJECT WILL ESTABLISH A YOUTH COALITION AND ADVISORY GROUP TO ENSURE WE OBTAIN FEEDBACK FROM OUR TARGET YOUTH. PROJECT METRICS. MALE AND FEMALE NATIVE YOUTH WILL BE ASSISTED WITH CULTURALLY APPROPRIATE INTERVENTIONS INCLUDING CULTURE CLASSES TO HELP THEM LEARN ABOUT THEIR NATIVE HERITAGE WHILE RECEIVING PREVENTION MESSAGES FROM TRAINED FACILITATORS. IN ADDITION TO CULTURALLY APPROPRIATE INTERVENTIONS, YOUTH WILL BE TRAINED IN EVIDENCE-BASED SUICIDE PREVENTION STRATEGIES INCLUDING SAFETALK, QUESTION PERSUADE AND REFER AND ASIST. WE ALSO WILL ENROLL LOCAL YOUTH IN A CULTURALLY APPROPRIATE PROGRAM KNOWN AS CULTURE AND DRUGS DON’T MIX DEVELOPED BY THE BUREAU OF INDIAN AFFAIRS (BIA) AND THE BUREAU OF INDIAN EDUCATION (BIE). WE WILL SERVE APPROXIMATELY 100 YOUTH IN OUR FIRST YEAR AND 200 YOUTH PER YEAR FOR YEARS 2,3,4 AND 5. FOR A PROJECT TOTAL OF 900 NATIVE YOUTH. IF NON-NATIVE WISH TO JOIN OUR WORK, THEY ARE VERY WELCOME. OUTCOME AND PROCESS DATA WILL BE COLLECTED TO ENSURE ACCOUNTABILITY. OUR PROJECT ALSO HAS CONTINUOUS QUALITY PROTOCOLS OPERATING FOR ALL FIVE YEARS.

WICHITA TRIBAL YOUTH SUICIDE PREVENTION & SURVEILLANCE PROJECT

SPECIAL DIABETES PROGRAMS FOR INDIANS

DESCRIPTION:THIS AGREEMENT PROVIDES FUNDING FOR THE OPERATION OF THE THREE AFFILIATED TRIBE'S CONTINUING ENVIRONMENTAL PROGRAMS WHILE GIVING IT GREATER FLEXIBILITY TO ADDRESS ITS HIGHEST ENVIRONMENTAL PRIORITIES, IMPROVE ENVIRONMENTAL PERFORMANCE, ACHIEVE SAVINGS AND STRENGTHEN THE PARTNERSHIP BETWEEN THE THREE AFFILIATED TRIBES AND EPA. THIS AGREEMENT FUNDS TRIBAL CONTINUING ENVIRONMENTAL PROGRAMS FOR AIR, WATER, LAND, AND DATA QUALITY; POLLUTION PREVENTION; BROWNFIELDS; AND CHEMICAL SAFETY.ACTIVITIES:THE ACTIVITIES TO BE PERFORMED INCLUDE THE IMPLEMENTATION OF THE FOLLOWING PROGRAMS: INDIAN GENERAL ASSISTANCE PROGRAM (GAP), CLEAN AIR ACT 105, BROWNFIELDS CERCLA 128(A), CLEAN WATER ACT 106, AND FEDERAL INSECTICIDE, FUNGICIDE, AND RODENTICIDE ACT (FIFRA). SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:THE ANTICIPATED DELIVERABLES INCLUDE QUARTERLY PROGRESS REPORTS AND A FINAL REPORT AT THE END OF THE GRANT PROJECT PERIOD; WRITTEN COMMUNICATION WITH THE PROJECT OFFICER, INCLUDING CHANGES TO THE APPROVED WORKPLAN AND/OR BUDGET, AND QUALITY ASSURANCE DOCUMENTS, SUCH AS QUALITY ASSURANCE PROJECT PLANS (QAPPS). THE EXPECTED OUTCOMES FROM THIS AGREEMENT ARE THE PROTECTION OF THE WATERS, LAND, AIR, AND HEALTH OF THE THREE AFFILIATED TRIBES. DIRECT BENEFICIARIES OF THIS PROGRAM ARE THE CITIZENS OF THE THREE AFFILIATED TRIBES AND THEIR ENVIRONMENT.

LIHEAP-2024

LIHEAP-2026 - LOW INCOME HOME ENERGY ASSISTANCE

LIHEAP-2023

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - RESPITE SERVICES FOR PERSONS WITH MENTAL ILLNESS AND /OR SUBSTANCE USE DISORDERS OFTEN EXPERIENCE UNNECESSARY AND COSTLY EMERGENCY ROOM VISITS OR INPATIENT STAYS DUE TO A LACK OF ALTERNATIVE SERVICES. THE 6 BED RESPITE WING WILL PROVIDE SHORT-TERM BEDS, PROFESSIONAL SUPERVISION, MEDICATION MANAGEMENT, AND PSYCHIATRIC TREATMENT TO HELP STABILIZE INDIVIDUALS IN PSYCHIATRIC CRISIS AND DIVERT THEM FROM HOSPITAL EMERGENCY ROOMS OR INPATIENT FACILITIES. THE RESPITE WING WILL BE STAFFED 24/7 AND PROVIDE A SAFE AND SECURE ENVIRONMENT. THE RESPITE WING PROJECT WILL BENEFIT ADULTS (AGE 18+) WITH BEHAVIORAL HEALTH/SUBSTANCE ABUSE ISSUES AND SERIOUS MENTAL ILLNESS IN CMHA’S SERVICE AREA, WHICH INCLUDES THE FOLLOWING TOWNS: ANDOVER, AVON, BERLIN, BLOOMFIELD, BOLTON, BRISTOL, BURLINGTON, CANTON, EAST GRANBY, EAST HARTFORD, EAST WINDSOR, ELLINGTON, ENFIELD, FARMINGTON, GLASTONBURY, GRANBY, HARTFORD, HEBRON, KENSINGTON, MANCHESTER, MARLBOROUGH, NEW BRITAIN, NEWINGTON, PLAINVILLE, PLYMOUTH, ROCKY HILL, SIMSBURY, SOMERS, SOUTH WINDSOR, SOUTHINGTON, STAFFORD, SUFFIELD, TOLLAND, VERNON, WEST HARTFORD, WETHERSFIELD, WINDSOR, WINDSOR LOCKS. CONTACT: RAYMOND J GORMAN, PRES&CEO CMHA RGORMAN@CMHACC.ORG 860 826-1358 EXT 1223

THIS EDA INVESTMENT SUPPORTS THE WICHITA AND AFFILIATED TRIBES WITH CONSTRUCTING A PHARMACY AT A TRIBAL HEALTH COMPLEX IN ANADARKO, OKLAHOMA. THE PROJECT WILL PROVIDE A PHARMACY BUILDING THAT WILL HELP ADVANCE THE ECONOMIC AND HEALTH RECOVERY OF THE WICHITA PEOPLE. IN ADDITION, THE PROJECT WILL STIMULATE LONG-TERM PROSPERITY AND GROWTH, TO HELP SPUR JOB CREATION AND DIVERSIFY THE LOCAL ECONOMY.

ROAD MAINTENANCE

TAT LAW ENFORCEMENT RURAL CRIMES INITIATIVE

CSC6-2021

LIHEAP-2022

COMMUNITY HEALTH AIDE PROGRAM: TRIBAL PLANNING & IMPLEMENTATION

WICHITA AND AFFILIATED TRIBES NATIVE CONNECTIONS PROJECT

DESCRIPTION:THE PURPOSE OF THIS ASSISTANCE AGREEMENT IS TO CONTINUE BUILDING THE AFFILIATED TRIBES OF NORTHWEST INDIANS (ATNI)'S ORGANIZATIONAL CAPACITY AS LEADERS IN REGIONAL AND NATIONAL TRIBAL ENVIRONMENTAL POLICY BY COORDINATING SHARED OBJECTIVES AND LOCALIZED STRATEGIES WITH ITS MEMBER TRIBES. ATNI WILL CONTINUE TO WORK TOWARD ESTABLISHING ITSELF AS A LEADING INTERTRIBAL ORGANIZATION TO COMMUNICATE, COORDINATE, AND PROMOTE ENVIRONMENTAL BEST MANAGEMENT PRACTICES FOR TRIBES IN THE GREATER NORTHWEST.ACTIVITIES:ACTIVITIES TO BE PERFORMED INCLUDE INFORMATION SHARING ON ENVIRONMENTAL BEST MANAGEMENT PRACTICES, ADDRESSING NATURAL RESOURCE CHALLENGES FOR TRIBES IN THE GREATER NORTHWEST AND ESTABLISHING TRIBAL NATURAL RESOURCE POLICY PRIORITIES, AND SERVING AS A RESOURCE CLEARINGHOUSE FOR ATNI MEMBER TRIBES REGARDING NEW AND PROPOSED ENVIRONMENTAL LAWS AND REGULATIONS THAT MAY AFFECT NATURAL RESOURCES, AMONG OTHER ACTIVITIES.SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:ANTICIPATED DELIVERABLES INCLUDE, AMONG OTHERS, TECHNICAL RESOURCE DOCUMENTS AND REPORTS, TO BE SHARED WITH ATNI MEMBER TRIBES. EXPECTED OUTCOMES INCLUDE BUILDING CAPACITY TO SUPPORT ATNI MEMBER TRIBES IN DEVELOPING THEIR OWN ENVIRONMENTAL POLICIES, BUILDING CONSENSUS AROUND REGIONAL TRIBAL ENVIRONMENTAL POLICIES, AND SUPPORTING MEMBER TRIBES BY PROVIDING INPUT ON ENVIRONMENTAL POLICY PRIORITIES THAT IMPROVE OVERALL AIR AND WATER QUALITY. INTENDED BENEFICIARIES ARE TRIBAL MEMBERS.

HOMELAND SECURITY GRANT PROGRAM

LIHEAP-2021

FY2026 TRIBAL CHILD SUPPORT COMPREHENSIVE GRANT

LIHEAP-2019

LIHEAP-2025 - LOW INCOME HOME ENERGY ASSISTANCE

2014 CCDF

FY 2023 COMPREHENSIVE TRIBAL CHILD SUPPORT ENFORCEMENT

INFANT & TODDLER PROGRAM

2014 LIHEAP

2015 LIHEAP

SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN

THIS PROJECT WILL IDENTIFY AND PRIORITIZE HIGHWAY MITIGATION MEASURES TO IMPROVE THE SAFETY OF THE TRAVELING PUBLIC WHILE MAINTAINING AND IMPROVING WILDLIFE MOVEMENT ALONG THE APPROXIMATELY 5-MILE CORRIDOR OF HIGHWAY 22, WITH A PARTICULAR FOCUS ON THE PORTION OF THIS CORRIDOR WHERE THE HIGHWAY BISECTS NORTH DAKOTA S FIRST TRIBAL NATIONAL PARK.

NATIVE AMERICAN INITIATIVE AGAINST HIV (NAIAH) - ABSTRACT THE NATIVE AMERICAN INITIATIVE AGAINST HIV (NAIAH) WILL PROVIDE NAVIGATION SERVICES TO NATIVE AMERICAN YOUTH IN WESTERN OKLAHOMA AGES 13-24. THE NAVIGATOR, LIKE A CASE MANAGER, WILL TRACK PROGRESS MADE BY INDIVIDUALS TOWARD HIV TESTING SINCE 2 OUT OF 10 NATIVES WITH HIV DO NOT KNOW IT. THE NAVIGATOR WILL HELP THOSE WHO HAVE BEEN DIAGNOSED POSITIVE TO RECEIVE SERVICES AVAILABLE TO THEM. INDIANS ARE A HIGH DISPARITY POPULATION WITH HIGH RATES OF POVERTY AND SUBSTANCE USE MAKING THEM AT HIGH RISK FOR HIV. NAIAH IS A FIVE-YEAR EFFORT THAT WILL CREATE PARTNERSHIPS OF EXISTING AGENCIES (INCLUDING FEDERALLY RECOGNIZED TRIBES AND INDIAN WELFARE STAKEHOLDERS) AND ESTABLISH NEW COALITIONS TO ENSURE RESOURCES REACH NATIVE YOUTH WITH OR AT RISK OF HIV. NAIAH WILL USE THE INDIAN HEALTH SERVICE’S (IHS) HIV PROGRAM AND TOOLKIT TO REACH NATIVES WITH LITTLE OR NO MEANS AND NO PERMANENT PHYSICIAN TO PROVIDE THEM MEDICAL ADVICE OR BEHAVIORAL HEALTH SERVICES. OUR PROGRAM WILL USE AVAILABLE IHS PROGRAMS. THE IHS ALSO HAS SEVERAL CLINICS IN THE SIX-COUNTY SERVICE AREA AS WELL AS LABORATORY CAPACITY TO COMPLETE HIV TESTING. IHS AND NAIAH ARE COMMITTED TO TREATMENT AS PREVENTION. TREATMENT AS PREVENTION IS BASED ON THE MEDICAL CERTAINTY THAT REDUCING THE VIRAL LOAD FOR NATIVES WITH HIV THROUGH THE USE OF ANTIRETROVIRAL DRUGS (ART), IS AN EFFECTIVE MEANS OF PREVENTING THE TRANSMISSION OF THE VIRUS. IT HAS BEEN DEMONSTRATED THAT WHEN VIRAL LOADS ARE LESS THAN 200 COPIES OF THE VIRUS PER MILLILITER OF BLOOD, THE RISK OF TRANSMISSION IS ALMOST NIL. THEREFORE, THE MORE PERSONS RECEIVING ART THE LOWER THE VIRAL LOAD RESULTING IN FEWER TRANSMISSIONS. THE AMERICAN INDIAN RATE OF UNINSURED IN OKLAHOMA IS TWICE THAT OF NON-HISPANIC WHITES. NATIVE PEOPLE WITHOUT WHO DO NOT HAVE A REGULAR PHYSICIAN AND REGULAR MEDICAL CARE ARE MUCH LESS LIKELY TO BE TESTED FOR HIV OR MAINTAIN TAKING THEIR ART IF THEY ARE POSITIVE. THE NAVIGATOR WILL HELP UNINSURED NATIVES BECOME INSURED AND ASSIST THEM IN LOCATION A PRIMARY CARE DOCTOR. THERE ARE ALSO RECENT IMPORTANT ADVANCES MADE IN HIV PREVENTION LIKE THE PRE AND POST CONTACT PROPHYLAXIS PILL. ESSENTIALLY, THESE ARE MEDICATIONS THAT CAN, IN MOST CASES, PREVENT THE VIRUS TAKING HOLD IF THERE IS SEXUAL OR INJECTION DRUG CONTACT WITH AN HIV POSITIVE PERSON. THE NAIAH NAVIGATOR WILL BE EXPERT IN THE USE OF THESE NEW STRATEGIES. IN ADDITION, BECAUSE SUBSTANCE USE CAUSES A LOWERING OF INHIBITIONS AND CAN LEAD TO UNPROTECTED SEX, THE NAVIGATOR WILL REFER SUBSTANCE USING YOUTH TO NATIVE BEHAVIORAL HEALTH TREATMENT FACILITIES THAT CAN HELP WITH BEHAVIORAL HEALTH ISSUES. LASTLY, THE PROGRAM WILL BRING ACTIVITIES TO YOUTH AND ADULTS SUCH AS THE GATHERING OF NATIVE AMERICANS TO ASSIST IN THEIR HEALING AND FOSTER NATIVE PRIDE AND WELLBEING IN HARMONY WITH NATURE. NAIAH WILL THE PROMOTE HEALTHY ASPECTS OF NATIVE CULTURE AND NATIVE PRIDE TO NATIVE YOUTH AND ADULTS. NAIAH WILL SERVE APPROXIMATELY 150 NATIVE YOUTH PER YEAR AND WILL REACH OVER 5,000 NATIVES IN THE SERVICE AREA THROUGH SOCIAL MEDIA AND INFORMATION DISSEMINATION EACH YEAR. SEVEN HUNDRED AND FIFTY YOUTH WILL BE SERVED OVER FIVE YEARS AND OVER 20,000 WILL BE REACHED.

THE WICHITA & AFFILIATED TRIBES IS A FEDERALLY RECOGNIZED TRIBE LOCATED IN SOUTHWEST OKLAHOMA. THE SOCIAL SERVICES DEPARTMENT, AN AGENCY OF THE WICHITA & AFFILIATED TRIBES TRIBAL GOVERNMENT, WORKS TO ADDRESS VIOLENCE AGAINST INDIAN WOMEN BY PROVIDING SUPPORT DOMESTIC VIOLENCE AND SEXUAL ASSAULT VICTIMS WITH EMERGENCY RELOCATION COSTS, TRANSPORTATION, ASSISTANCE WITH FILING PROTECTIVE ORDERS, EMERGENCY SHELTER OPTIONS, DEPOSITS FOR UTILITIES, EMERGENCY FOOD, CLOTHING, AND HOUSEHOLD ITEMS. WITH THIS FUNDING, THE SOCIAL SERVICES DEPARTMENT WILL BUILD AND IMPLEMENT A VICTIM SERVICES PROGRAM FOCUSED ON WOMEN AND MEMBERS OF THE TWO-SPIRIT/LGBTQ+ COMMUNITY. THE WICHITA & AFFILIATED TRIBES HAS PARTNERED WITH NATIVE ALLIANCE AGAINST VIOLENCE TO PLAN AND IMPLEMENT THIS PROJECT. THE TIMING FOR PERFORMANCE OF THIS NEW AWARD IS 36 MONTHS.

306C WWD NATIVE AMERICAN GRANTS - DOMESTIC WATER

GTFJC JV EXPANSION PROJECT

LIHEAP-2020

DESCRIPTION:EPA'S CERCLA SECTION 128(A) GRANT PROGRAM FUNDS ACTIVITIES THAT ESTABLISH OR ENHANCE THE CAPACITY OF STATE AND TRIBAL RESPONSE PROGRAMS. THE GOALS OF THIS FUNDING ARE TO PROVIDE FINANCIAL SUPPORT FOR THE ELEMENTS OF AN EFFECTIVE STATE OR TRIBAL RESPONSE PROGRAM, AS SPECIFIED IN CERCLA SECTION 128, AND TO ENSURE THAT STATES AND TRIBES MAINTAIN A PUBLIC RECORD OF SITES INCLUDED IN THEIR PROGRAMS. THE INFRASTRUCTURE INVESTMENT AND JOBS ACT ('IIJA') PROVIDED ADDITIONAL FUNDING TO CARRY OUT THE SECTION 128(A) GRANT PROGRAM. THE PURPOSE OF THIS AWARD IS TO ENHANCE THE CAPACITY OF MHA NATION'S BROWNFIELDS RESPONSE PROGRAM TO MEET THE SECTION 128(A) ELEMENTS. MHA NATION WILL OVERSEE AND PERFORM PLANNING, ASSESSMENT, AND CLEANUP OF BROWNFIELDS SITES THROUGHOUT THE STATE. ADDITIONAL ACTIVITIES UNDER THIS GRANT WILL INCLUDE ENHANCEMENT OF PROGRAM SUPPLIES, ADDITIONAL TRAINING FOR PROGRAM STAFF, PARTICIPATION IN RELEVANT BROWNFIELDS CONFERENCES, AND CONDUCTING SITE ASSESSMENTS AND CLEANUPS.ACTIVITIES:MHA NATION WILL PERFORM THE FOLLOWING ACTIVITIES: TIMELY SURVEY AND INVENTORY OF BROWNFIELD SITES, WHICH ARE PROPERTIES WHOSE EXPANSION, REDEVELOPMENT, OR REUSE MAY BE COMPLICATED BY THE PRESENCE OF HAZARDOUS SUBSTANCES. IT ALSO INCLUDES OVERSIGHT AND ENFORCEMENT AUTHORITIES TO ENSURE THAT RESPONSE ACTIONS PROTECT HUMAN HEALTH AND THE ENVIRONMENT; RESOURCES TO PROVIDE MEANINGFUL PUBLIC INVOLVEMENT; MECHANISMS FOR APPROVAL OF CLEANUP PLANS, AND VERIFICATION OF COMPLETE RESPONSES. THE OBJECTIVE OF THIS PROJECT IS TO ASSIST IN REMEDIATING AND REUSING BROWNFIELDS SITES THROUGHOUT THE STATE. THE FUNDS PROVIDED IN THIS COOPERATIVE AGREEMENT WILL BE USED TO ENHANCE PROGRAM CAPACITY THROUGH UPGRADED SUPPLIES AND PERSONNEL TRAINING, ALLOWING PERSONNEL TO ATTEND RELEVANT BROWNFIELDS CONFERENCES, AND ASSESSMENT AND CLEANUP OF RESIDENTIAL SITES.SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:MHA NATION WILL EXPAND PUBLIC EDUCATION AND OUTREACH OF THE MHA NATION VOLUNTARY CLEANUP PROGRAM TO UNDERSERVED COMMUNITIES. THIS FUNDING WILL ALLOW MHA NATION TO OVERSEE THE CLEANUP OF APPROXIMATELY 15 TO 20 RESIDENTIAL SITES CONTAMINATED WITH ASBESTOS, LEAD-BASED PAINT, AND METHAMPHETAMINE; ENHANCE THE PROGRAM THROUGH UPGRADES TO COMPUTERS AND SOFTWARE, AND SUPPORT PERSONNEL AND ENHANCE THE PROGRAM BY ATTENDING RELEVANT TRAININGS AND CONFERENCES.

DESCRIPTION:THIS AGREEMENT PROVIDES FUNDING UNDER THE INFLATION REDUCTION ACT (IRA) TO AFFILIATED TRIBES OF NORTHWEST INDIANS TO DEVELOP OR ENHANCE CLIMATE ACTION PLANS THAT ESTABLISH NEAR-TERM AND LONG-TERM GREENHOUSE GAS (GHG) EMISSION REDUCTION GOALS AND DEVELOP STRATEGIES TO ADDRESS THE HIGHEST PRIORITY SECTORS TO HELP THE TRIBE(S) OR TERRITORY ACHIEVE THOSE GOALS. SPECIFICALLY, THE RECIPIENT WILL PARTNER WITH THEIR 57 MEMBER TRIBES TO COLLABORATE, CONVENE, ASSESS, AND BUILD CAPACITY TO REDUCE CLIMATE POLLUTION THROUGH THE ENVIRONMENTAL PROTECTION AGENCY ('EPA'), CLIMATE POLLUTION REDUCTION GRANTS ('CPRG') INITIATIVE. FOR THE PURPOSES OF THIS GRANT, OUR SERVICE AREA INCLUDES TRIBAL LANDS IN THE FOLLOWING STATES: OREGON, WASHINGTON, IDAHO, ALASKA, MONTANA, AND CALIFORNIA.ACTIVITIES:IN GENERAL, ACTIVITIES INCLUDE THE DEVELOPMENT, UPDATING, AND EVALUATION OF PLANS TO REDUCE CLIMATE POLLUTION (I.E., TO REDUCE GHG EMISSIONS AND/OR ENHANCE CARBON SINKS). SPECIFIC ACTIVITIES INCLUDE CONVENE A CPRG ADVISORY COMMITTEE ('CPRG-AC') MADE UP OF MEMBERS THAT HAVE SELF-SELECTED TO SERVE, AND MANY OF WHOM WILL HAVE TECHNICAL EXPERTISE IN THIS FIELD, DEVELOP A PRIORITY CLIMATE ACTION PLAN AND COMPREHENSIVE CLIMATE ACTION PLAN.SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:TWO KEY DELIVERABLES WILL BE PRODUCED AND SUBMITTED OVER THE COURSE OF THE FOUR-YEAR PROGRAM PERIOD, INCLUDING: A PRIORITY CLIMATE ACTION PLAN (PCAP), DUE MARCH 1, 2024; AND A COMPREHENSIVE CLIMATE ACTION PLAN (CCAP), DUE AT THE CLOSE OF THE GRANT PERIOD.

2013 LIHEAP

2012 LIHEAP

SEE ATTACHED

MEDICAL ACCESS AND CHIP REAUTHORIZATION ACT (MACRA) FUNDING OPPORTUNITY: CONNECTING KIDS TO COVERAGE: OUTREACH AND ENROLLMENT COOPERATIVE AGREEMENTS

WICHITA AND AFFILIATED TRIBES-TRIBAL WELLNESS WORK-GROUP

DOMESTIC WATER GRANTS - 09/10 STIMULUS

IN FY2018 CONGRESS CREATED THE FIRST SET-ASIDE FROM THE CVF, “AVAILABLE TO THE OFFICE FOR VICTIMS OF CRIME FOR GRANTS, CONSISTENT WITH THE REQUIREMENTS OF THE VICTIMS OF CRIME ACT, TO INDIAN TRIBES TO IMPROVE SERVICES FOR VICTIMS OF CRIME.” THE PROGRAM IS OPEN ONLY TO FEDERALLY RECOGNIZED INDIAN TRIBES, AND IS ADMINISTERED VIA A FORMULA. TVSSA FUNDS MAY BE USED FOR ANY PURPOSE DIRECTLY RELATED TO SERVING VICTIMS OF CRIME, AND OVC ENCOURAGES ITS TRIBAL PARTNERS TO BE CREATIVE AND INNOVATIVE IN USING THE FUNDS TO PROVIDE CULTURALLY-RELEVANT, LINGUISTICALLY-APPROPRIATE, VICTIM-CENTERED SERVICES.  WICHITA & AFFILIATED TRIBES IS USING THIS FY 2022 TVSSA AWARD TO IMPLEMENT SERVICES FOR VICTIMS OF CRIME THAT MEET NEEDS IDENTIFIED BY THE COMMUNITY AND REFLECT TRIBAL COMMUNITY VALUES AND TRADITIONS.

THE WICHITA AND AFFILIATED TRIBES DEMENTIA CAPABLE HOME AND COMMUNITY BASED SERVICES INITIATIVE - OPTION B

OPIOID WORKFORCE EXPANSION PROGRAM- PARAPROFESSIONAL

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT (ICDBG)

ABSTRACT – PURPOSE AREA 3 WICHITA AND AFFILIATED TRIBES REINTEGRATION (REENTRY) PROGRAM THE WICHITA AND AFFILIATED TRIBES IS A FEDERALLY RECOGNIZED TRIBE LOCATED IN CADDO COUNTY, OKLAHOMA. WITH THIS FUNDING, THE WICHITA AND AFFILIATED TRIBES REINTEGRATION (REENTRY) PROGRAM WILL DEVELOP AND IMPLEMENT A COORDINATED, COMMUNITY BASED, CULTURALLY APPROPRIATE REINTEGRATION (REENTRY) PROGRAM WITH CASE MANAGEMENT SERVICES THROUGH NUMEROUS PARTNERSHIPS.  SERVICES WILL INCLUDE TREATMENT, AFTERCARE AND OTHER RE-ENTRY SUPPORTIVE SERVICES TO ADULT INDIVIDUALS RE-ENTERING COMMUNITIES FROM TRIBAL, LOCAL, STATE, AND FEDERAL CORRECTIONAL FACILITIES WITH THE OBJECTIVE TO REDUCE RECIDIVISM AND PROMOTE HEALING.  15-20 CLIENTS WILL BE ENROLLED ON A YEARLY BASIS WITH LENGTH OF THE PROGRAM LASTING ONE YEAR FOR EACH PROGRAM PARTICIPANT. BRIEF DESCRIPTION OF THE PROJECT’S PURPOSE:  A PRIMARY FOCUS OF OUR REENTRY EFFORTS IS TO REMOVE OR REDUCE BARRIERS TO SUCCESSFUL REENTRY SO THAT MOTIVATED INDIVIDUALS WHO HAVE SERVED THEIR TIME AND PAID THEIR DEBT TO SOCIETY ARE ABLE TO COMPETE FOR A JOB, ATTAIN STABLE HOUSING, SUPPORT THEIR CHILDREN AND THEIR FAMILIES, AND CONTRIBUTE TO THEIR COMMUNITIES.  FUNDING FOR A COMPREHENSIVE REENTRY PROGRAM IS EXPECTED TO HAVE A SIGNIFICANT IMPACT UPON OUR HIGH RATES OF NATIVE CRIME BY PROVIDING MUCH NEEDED SUPPORT IN HOUSING, HEALTH AND WELLNESS, EMPLOYMENT, MENTAL HEALTH COUNSELING AND SUBSTANCE ABUSE TREATMENT FOR NATIVES IN THE PROCESS OF REINTEGRATION. POPULATION TO BE SERVED:  THE POPULATION TO BE SERVED BY THIS PROJECT IS THE WICHITA TRIBAL ENROLLMENT APPROXIMATELY 3,481 TRIBAL MEMBERS AND THE PROGRAM WILL SERVE 100 CLIENTS PER TOTAL PROJECT, ESTIMATED 20 PER YEAR FOR 5 YEARS. ACTIVITIES THAT THE APPLICANT WILL IMPLEMENT TO ACHIEVE THE PROJECT’S GOALS AND OBJECTIVES. •    STAFFING:  HIRE A FULL TIME REINTEGRATION (REENTRY) PROGRAM DIRECTOR AND A FULL TIME REINTEGRATION (REENTRY) CASE MANAGER•    STAFF ORIENTATION AND MANDATORY GRANT TRAINING•    PURCHASING OFFICE FURNITURE, COMPUTERS, SUPPLIES AND RESOURCES FOR CLIENT SUPPORTIVE SERVICES (HOUSING ASSISTANCE FOR CLIENTS FOR DEPOSITS AND RENT ASSISTANCE, FUNDS FOR SPECIALIZED DUI     ASSESSMENTS, AND DRIVER’S LICENSE REINSTATEMENT FEES.)•    DEVELOPING A WICHITA TRIBE REINTEGRATION (REENTRY) PROGRAM THROUGH COMMUNITY BASED CASE MANAGEMENT SERVICES WITH NUMEROUS PARTNERS•    IMPLEMENTING/OPERATING THE WICHITA TRIBE REINTEGRATION (REENTRY) PROGRAM OVER A 5 YEAR TIMEFRAMEIF YOU ARE REQUESTING FUNDING IN MULTIPLE PURPOSE AREAS, IS THE RECEIPT OF FUNDING IN A PARTICULAR PURPOSE AREA REQUIRED FOR THE IMPLEMENTATION OF ANY OTHER PURPOSE AREA BEING REQUESTED? IF SO, EXPLAIN.   THOUGH RECEIPT OF FUNDING IS NOT REQUIRED TO IMPLEMENT THE OTHER PURPOSE AREAS, THEY ARE INTERTWINED. BECAUSE OF THE NUMEROUS SAFETY ISSUES FOR ALL TRIBES IN THE AREA, WE HAVE ALSO REQUESTED PA2 FUNDING FOR STRATEGIC PLANNING OF THE JUSTICE SYSTEM IN COORDINATION WITH ALL 6 TRIBES WITHIN THIS JURISDICTIONAL AREA. REENTRY WILL BE JUST ONE OF THE MANY ISSUES TO BE ADDRESSED WITHIN THIS STRATEGIC PLANNING PROCESS. PA9 PROPOSES TO DEVELOP AN EVIDENCED-BASED, PREVENTATIVE WRAP AROUND TRIBAL YOUTH PROGRAM FOR YOUTH 12-17 YEARS OLD, TO ASSIST WITH EDUCATIONAL EXPECTATIONS, MINIMIZE YOUTH TRUANCY, DROP-OUT RATES, DELINQUENCY, TEEN PREGNANCY, DRUG ABUSE, DEPRESSION AND SUICIDE THROUGH PREVENTION, INTERVENTION, AND COUNSELING TO INCREASE A YOUTH’S LEADERSHIP POTENTIAL AND TO PREVENT AND REDUCE NEGATIVE LIFE CHOICES.

THE WICHITA AND AFFILIATED TRIBES IS COMMITTED TO REVITALIZING THE WICHITA LANGUAGE THROUGH AN IMMERSIVE AND INCLUSIVE COMMUNITY APPROACH. RECOGNIZING THE POWER OF COLLECTIVE EFFORT IN LANGUAGE PRESERVATION, WE AIM TO FOSTER A VIBRANT LINGUISTIC COMMUNITY THAT ENGAGES NOT JUST INDIVIDUALS BUT FAMILIES, SCHOOLS, AND LOCAL ORGANIZATIONS. THIS PROJECT WILL CREATE TWO FULL-TIME POSITIONS DEDICATED TO LANGUAGE LEARNING AND INSTRUCTION THE WICHITA LANGUAGE PROGRAM MANAGER AND THE LANGUAGE APPRENTICE. WHILE ALSO PROVIDING LANGUAGE INSTRUCTION, THE PROGRAM MANAGER WILL OVERSEE LOGISTICS AT THE MONTHLY COMMUNITY LANGUAGE AND CULTURE DINNER: KIRIKIRI:SA:HIR HIKEECAK (WERE GOING TO TALK WICHITA). MEANWHILE, THE APPRENTICE WILL EMBARK ON A SELF-STUDY PLAN THAT INCLUDES WORKING WITH AN ELDER SPEAKER TO ELEVATE THEIR PROFICIENCY FROM NOVICE-LOW TO INTERMEDIATE-HIGH OVER THREE YEARS. OUR PRIMARY OBJECTIVE IS TO IMMERSE STUDENTS, PARENTS, AND COMMUNITY MEMBERS IN THE WICHITA LANGUAGE BY SHARING A MONTHLY MEAL WHILE ALSO CREATING AN ENGAGING LEARNING ENVIRONMENT. OUR KIRIKIRI:SA:HIR HIKEECAK EVENT OFFERS FREE MEALS (WITH TRADITIONAL FOOD COOKING DEMONSTRATIONS), GAMES, AND CULTURAL ACTIVITIES, ALONGSIDE INCREMENTAL STEPS TOWARDS FULL IMMERSION AIMING FOR 50 OF ALL COMMUNICATION AT THESE EVENTS BEING CONDUCTED IN WICHITA BY YEAR 3. TO FURTHER ENHANCE THE EVENTS EFFICACY, WE LL COLLABORATE MONTHLY WITH A SELECTED PARTNER BY INCORPORATING THE EXPERTISE OF ONE OF THE FOLLOWING ENTITIES: LITTLE SISTERS CULTURAL GROUP YOUNG MENS SOCIETY ZERO SUICIDE PROGRAM NATIVE CONNECTIONS PROGRAM TOBACCO CESSATION PROGRAM SPECIAL DIABETES PROGRAM THE WICHITA NUTRITION ADMINISTRATION FOOD DISTRIBUTION PROGRAM OR ONE OF OUR MANY WICHITA JUSTICE PROGRAMS. WICHITA LANGUAGE CURRICULUM WILL BE DEVELOPED ACCORDING TO THE PROGRAM INVOLVED PER EVENT NIGHT. FURTHER SUPPORTING OUR PRIMARY OBJECTIVE ARE OTHER KEY COLLABORATIONS WITH OUR EDUCATIONAL FACILITIES SUCH AS: THE WICHITA STAR ACADEMY AFTER-SCHOOL PROGRAM WICHITA EDUCATION OFFICE WICHITA SCHOOL READINESS PROGRAM AND WICHITA CHILD DEVELOPMENT CENTER. IN ADDITION TO MONTHLY EVENTS, OUR PROJECT EXTENDS ITS IMPACT THROUGH RESOURCE CREATION - FROM A LEVEL 1 WICHITA LANGUAGE WORKBOOK TO HOUSEHOLD ITEM LABELS WRITTEN IN WICHITA, POSTERS AND FLYERS - POSTED ON SOCIAL MEDIA AND GIVEN OUT AT ALL PARTNERING PROGRAMS TO PROMOTE PARTICIPATION. THE POSTERS WILL INCLUDE QR CODES THAT LINK TO SOUNDS OF THE WICHITA LANGUAGE. THESE RESOURCES SERVE DUAL PURPOSES - THEY PROVIDE STRUCTURED PATHWAYS FOR LEARNERS WHILE SUBTLY INTEGRATING THE USE OF WICHITA INTO DAILY ROUTINES. LOOKING AHEAD, THIS PROJECT LAYS THE GROUNDWORK FOR FUTURE INITIATIVES AIMED AT FURTHERING LANGUAGE REVITALIZATION WITHIN THE COMMUNITY - LIKE WORKING WITH PUBLIC SCHOOLS TO DEVELOP LANGUAGE CLASSES AND PROGRAMS USING OUR LEVEL 1 TEXTBOOK, OR CREATING ADVANCED TEXTBOOKS PLANNED FOR THE FUTURE.

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

CONTINUATION AND ENHANCEMENT OF VICTIMS SERVICES ON FORT BERTHOLD RESERVATION

THE KIRIKIR?I:S PEOPLE?S DICTIONARY AND LANGUAGE PROJECT WILL CREATE AN ONLINE DICTIONARY WEBSITE AND MOBILE APPLICATION AND ESTABLISH A SCHOOL-BASED KIRIKIR?I:S LANGUAGE EDUCATION INITIATIVE. - THE KIRIKIRʔI:S PEOPLE’S DICTIONARY AND LANGUAGE PROJECT WILL CREATE AN ONLINE DICTIONARY WEBSITE AND MOBILE APPLICATION AND ESTABLISH A SCHOOL-BASED KIRIKIRʔI:S LANGUAGE EDUCATION INITIATIVE.

FY 2022 COMPREHENSIVE TRIBAL CHILD SUPPORT ENFORCEMENT

2017 CCDF

2010 OCSET

FORT BERTHOLD COMPREHENSIVE REGIONAL TRANSPORTATION PLAN

RAISING INTEREST IN SUICIDE EDUCATION (R.I.S.E) - THE WICHITA AND AFFILIATED TRIBES, A FEDERALLY RECOGNIZED INDIAN TRIBE IN SW OKLAHOMA, PROPOSES TO ASSIST ALL THE NATIVE PEOPLE OF THE INDIAN HEALTH SERVICES LAWTON SERVICE AREA THROUGH THE NEWLY FORMED 988 SUICIDE HELP LINE FOR TWO YEARS. AT THIS TIME, SUICIDE, PARTICULARLY AMONG YOUNG MALE NATIVES HAS REACHED NEAR EPIDEMIC LEVELS. THE GRANT WILL PROVIDE EXPANDED , EARLY IDENTIFICATION OF SUICIDE RISK AND CULTURALLY APPROPRIATE HELP TO ALL NATIVES OF ANY TRIBE. THE LAWTON SERVICE AREA IS SLIGHTLY LARGER THAN THE STATE OF NEW JERSEY AND COMPRISES TEN COUNTIES OF OVER 9,000 SQUARE MILES. THERE ARE APPROXIMATELY 26,000 NATIVE PEOPLE WITHIN THE TEN-COUNTY SERVICE AREA. SEVEN TRIBAL NATIONS HAVE THEIR HEADQUARTERS IN THE LAWTON SERVICE AREA (APACHE OF OKLAHOMA, CADDO, COMANCHE, DELAWARE, KIOWA, WICHITA AND AFFILIATED AND FORT SILL APACHE. THE NATIVE POPULATION HAS POVERTY RATES GREATER THAN WHITES IN SEVEN OF TEN COUNTIES AND MANY NATIVE PEOPLE ARE WITHOUT HEALTH INSURANCE. ABOUT 50% OF THE POPULATION IS FEMALE. NATIVES IN OKLAHOMA HAVE HIGHER RATES OF SUICIDE THAN ANY RACE AND NATIVE MALES AGE 15-34 HAVE APPROXIMATELY FOUR TIMES THE RATE OF SUICIDE AS FEMALES AND ALMOST DOUBLE THE RATE OF THEIR WHITE MALE COUNTERPARTS. THE CDC REPORTS THAT NATIVE SUICIDE OF BOTH MALES AND FEMALES HAD GREATER INCREASES DURING THE FIRST YEAR OF COVID 19 COMPARED TO ALL OTHER RACES. IN REALITY, SUICIDE AMONG OUR NATIVE PEOPLE IS ACTUALLY MUCH HIGHER THAN IS REPORTED AS STUDIES BY THE SOUTHERN PLAINS TRIBAL HEALTH BOARD HAVE SHOWN THAT ABOUT 30% OF NATIVE SUICIDES ARE UNREPORTED, LIKELY DUE TO STIGMA. IN LESS THAN A YEAR, THE 988 SUICIDE HELP LINE HAS HAD EXCELLENT RESULTS. CALLERS TO THE 988 LINE HAVE MUCH SHORTER WAIT TIMES WHICH ALLOWS MORE PERSONS TO BE SERVED. THE WICHITA AND AFFILIATED WILL INITIALLY EXPAND SCREENING OF NATIVE YOUTH AT SCHOOLS AND WORKPLACES AND TRAIN TEACHERS AND STAFF ON INTERVENTIONS. THE PROJECT WILL PROVIDE CULTURALLY APPROPRIATE TRAINING TO BEHAVIORAL HEALTH PROFESSIONALS THROUGHOUT THE SERVICE AREA. TO DATE, THE MOST WIDELY USED INTERVENTIONS INCLUDE: ASIST, SAFE TALK, AND MENTAL HEALTH FIRST AID. THE GRANT WILL ALSO EXPLORE INNOVATIVE WAYS OF CALLING 988 INCLUDING ON LINE CHATS AND PHONE TO PHONE TEXTING. THE GRANT HAS FOUR BROAD GOALS AND SEVENTEEN MEASURABLE OBJECTIVES. APPROXIMATELY 150 STAKEHOLDERS PER YEAR WILL RECEIVE FACE TO FACE TRAININGS AND OVER 8,000 NATIVES EACH YEAR WILL BE REACHED THROUGH TRIBAL NEWSLETTERS, SOCIAL MEDIA, EARNED MEDIA AND RADIO AND TV. OVER 350 STAKEHOLDERS (INCLUDING 988 PERSONNEL) AND APPROXIMATELY 15,000 NATIVE WILL BE REACHED IN THE TWO-YEAR PROJECT.

WICHITA AND AFFILIATED TRIBES-OPIOID RESPONSE_2020

FY 2014 TRIBAL CHILD SUPPORT

2016 CCDF

THE TRIBAL ENTITY WITH PROJECT PARTNERS WILL WORK TO EXECUTE ACTIVITIES OUTLINED IN IRA PROVISION 50122 TO DEVELOP AND IMPLEMENT HOME ELECTRIFICATION AND APPLIANCE REBATES (HEAR) TO BENEFIT U.S. HOUSEHOLDS.

306C WWD NATIVE AMERICAN GRANTS - DOMESTIC WATER

CHILD SUPPORT ENFORCEMENT

INDIAN COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM

INDIAN TRIBES

WICHITA AND AFFILIATED TRIBES -COVID-19 ERSPTO HELP REDUCE SUICIDE AND SUBSTANCE USE DISORDERS ALONG WITH CARING FOR DOMESTIC VIOLENCE VICTIMS DURING THE COVID-19 CRISIS

TRIBAL CHILD SUPPORT ENFORCEMENT

2008 LIHEAP

WIC MODERNIZATION

2022 CCDF TRIBAL CONSTRUCTION

2020 CCDF TRIBAL CONSTRUCTION

2019 CCDF TRIBAL CONSTRUCTION

BIPARTISAN INFRASTRUCTURE LAW (BIL) – PREVENTING OUTAGES AND ENHANCING THE RESILIENCE OF THE ELECTRIC GRID FORMULA GRANTS TO STATES AND INDIAN TRIBES. THE OBJECTIVE OF THIS PROJECT IS TO IMPROVE THE RESILIENCE OF THE ELECTRIC GRID AGAINST DISRUPTIVE EVENTS.

THIS AWARD PROVIDES FUNDS TO ESTABLISH AND ENHANCE THE THREE AFFILIATED TRIBAL RESPONSE PROGRAM CAPABILITIES BY INVENTORYING BROWNFIELDS SITES, DEVE

FY2018

BIPARTISAN INFRASTRUCTURE LAW (BIL) – PREVENTING OUTAGES AND ENHANCING THE RESILIENCE OF THE ELECTRIC GRID FORMULA GRANTS TO STATES AND INDIAN TRIBES. THE OBJECTIVE OF THIS PROJECT IS TO IMPROVE THE RESILIENCE OF THE ELECTRIC GRID AGAINST DISRUPTIVE EVENTS. MODIFICATION 000001: -- ACTIVATE ALL HYPERLINKS IN THE ALRD. -- UNDER SECTION IV, ALRD RESPONSE / APPLICATION INFORMATION, PARAGRAPH A, THE LINK TO THE FEDCONNECT READY, SET, GO GUIDE WAS ADDED TO PROVIDE APPLICANTS WITH ADDITIONAL DETAILS OF HOW TO SUBMIT THEIR APPLICATION.

ASPIN HEALTH NAVIGATOR PROGRAM COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP MARKETPLACES

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

306C WWD NATIVE AMERICAN GRANTS - WASTE DISPOSAL

CCDF-2022

FLUID LAVAGE OF OPEN WOUNDS: A MULTICENTER, BLINDED, FACTORIAL TRIAL COMPARING ALTERNATIVE IRRIGATING SOLUTIONS & PRESSURES IN PATIENTS W/ OPEN FRAC

BIA CLIMATE CHANGE ADAPTION TRIBAL LIAISON

COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED EXCHANGES

COMPREHENSIVE DELIVERY OF IV-D CHILD SUPPORT SERVICES WITHIN THE BOUNDARIES OF THE FORT BERTHOLD INDIAN RESERVATION OF NORTH DAKOTA

GRANT: PETROLEUM ENGINEER & ENVIRONMENTAL SPECIALIST

WICHITA AND AFFILIATED TRIBES ASSESSMENT AND FEASIBILITY OF CHAP INTEGRATION

CCC3-2020

SEE ATTACHED

2016 CCDF

2017 CCDF

2015 CCDF

CCDF-2026 - CHILD CARE AND DEVELOPMENT FUND MANDATORY & MATCHING

FY 2013 TRIBAL CHILD SUPPORT

CCDF-2023

CCDF-2025 - CHILD CARE AND DEVELOPMENT FUND MANDATORY & MATCHING

CCDF-2024

TRGP-HIRE

HEALTH CENTER INFRASTRUCTURE SUPPORT

DRUG FREE COMMUNITIES

THREE AFFILIATED TRIBES TRIBAL SEXUAL ASSAULT PROGRAM

FY 2017

WICHITA TRIBAL TRANSITIONAL HOUSING ASSISTANCE PROGRAM FOR VICTIMS OF CRIME

LIEE-2023

2015 CCDF

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING (BHWET) PROGRAM

BEHAVIORAL HEALTH WORKFORCE EDUCATION AND TRAINING (BHWET) PROGRAM

RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM

TRIBAL CHILD SUPPORT ENFORCEMENT COMPREHENSIVE GRANTS FY 2016

RURAL NETWORK ALLIED HEALTH TRAINING PROGRAM

2013 CCDF

BEING EVERY ADDICT'S REASON (B.E.A.R) _ 2 PROGRAM - ABSTRACT FOR THE WAT TRIBAL OPIOID RESPONSE GRANT 2024 THE WICHITA AND AFFILIATED TRIBE (WAT) WILL IMPLEMENT BEING EVERY ADDICTS REASON 2 (BEAR 2), A COMPREHENSIVE OPIOID AND STIMULANT USE PREVENTION PROGRAM IN THE IHS LAWTON SERVICE AREA IN SOUTHWEST OKLAHOMA. OUR GOAL IS TO REDUCE OVERDOSE DEATH BY AMERICAN INDIANS. NATIONALLY, NATIVES HAD THE HIGHEST RATES OVERDOSE DEATH OF ANY RACE FROM 2018 TO 2021. FOCUS AREAS ARE TREATMENT, RECOVERY SUPPORT, HARM REDUCTION, AND PREVENTION, AND DATA COLLECTION. SEVEN FEDERALLY RECOGNIZED INDIAN NATIONS HAVE THEIR HEADQUARTERS IN THE 10 COUNTY AREA. IT IS PREDOMINANTLY RURAL AND CONTAINS OVER 34,000 NATIVE PERSONS WHO ARE AMERICAN INDIAN ALONE OR IN COMBINATION WITH SOME OTHER RACE NATIVES COMPRISE 11.4% OF THE SERVICE AREA’S TOTAL POPULATION. HOWEVER, TWO COUNTIES, CADDO, AND COMANCHE, CONTAIN THE MAJORITY OF NATIVE AMERICANS (61%) IN THE SERVICE AREA. NATIVES STRUGGLE TO OVERCOME DISPARITIES IN HEALTH INSURANCE COVERAGE AND POVERTY, AS WELL AS IDENTIFYING AND SERVING THE LGBTQ POPULATION. OUR GRANT HAS FIVE GOALS: 1. REDUCING THE NUMBER OF NATIVE OVERDOSE DEATHS IN THE AREA, 2. IMPLEMENTING GRANT ACTIVITIES THROUGH THE USE OF A STRATEGIC ACTION PLAN, 3. INCREASING NATIVE ACCESS TO FDA MEDICATIONS FOR OPIOID MISUSE PREVENTION, 4. INITIATING AND STABILIZING SUBSTANCE MISUSE TREATMENT THROUGH CULTURALLY APPROPRIATE MEANS, 5. FOCUSING ON NATIVE YOUTH OPIOID AND/OR STIMULANT PREVENTION. IN ADDITION, OUR GRANT SEEKS TO SERVE NATIVES WITH BOTH MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER (THE CO-OCCURRING POPULATION) AS WELL AS THE LGBTQ POPULATION. OTHER IMPORTANT GRANT OBJECTIVES WILL BE TO TRAIN NATIVE PEER RECOVERY SUPPORT SPECIALISTS (PRSS), TO FORM PARTNERSHIPS WITH OTHER NATIVE TRIBES, TO PROVIDE OUTPATIENT OR RESIDENTIAL TREATMENT FOR NATIVES WITH OPIOID OR STIMULANT USE DISORDER AND TO SYSTEMATICALLY SCREEN THE NATIVE POPULATION AND REFER THEM TO BEHAVIORAL HEALTH SERVICES IF INDICATED. THROUGHOUT THE FIVE-YEAR PROJECT, THE WAT WILL TRACK, ANALYZE AND EVALUATE ALL GRANT ACTIVITIES TO ENSURE PROJECT QUALITY. NUMEROUS STRATEGIES WILL BE EMPLOYED TO REACH THESE GOALS. WE WILL PROVIDE WELL TRAINED CASE MANAGERS AND OUTREACH SPECIALISTS, IMPLEMENT TRAUMA-INFORMED, EVIDENCE-BASED, AND CULTURALLY AND LINGUISTICALLY APPROPRIATE PREVENTION ACTIVITIES INCLUDING IMMEDIATE SUPPORT, INFORMATION, OR TREATMENT FOR HIGH-RISK NATIVES. WE WILL CONDUCT DATA ANALYSIS AND EVALUATION ACTIVITIES TO ASSESS PERFORMANCE AND IMPROVE PERFORMANCE. TABLE 1 BELOW LISTS NUMBERS THAT WILL BE SERVED. TABLE 1: NUMBER OF NATIVE INDIVIDUALS TO BE SERVED BY TOR BY MODALITY AND YEAR YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 TOTAL TREATMENT SERVICES* 50 75 75 75 75 350 RECOVERY SUPPORT SERVICES* 75 100 100 100 100 475 PREVENTION SERVICES 200 300 300 300 300 1400 HARM REDUCTION SERVICES 200 200 200 200 200 1000 GPRA/SPARS TARGET 50 75 75 75 75 350

OPIOID GRANT

2012 CCDF

2014 CCDF

FY2018 TRIBAL CHILD SUPPORT COMPREHENSIVE GRANT

NORTHERN LIGHTS WELLNESS PROGRAM

2009 OCSET

TRIBAL CHILD SUPPORT ENFORCEMENT COMPREHENSIVE GRANTS FY 2015

CARES ACT RLF

MHA NATION SOUTH SEGMENT REVIVING HORSE CULTURE.

THE JUVENILE DEPARTMENT OF THE THREE AFFILIATED TRIBES IS DEDICATED TO SERVING THE WELFARE OF YOUTH WITHIN THE MANDAN, HIDATSA, AND ARIKARA (MHA) NATION BY PROVIDING PROGRAMS THAT PROMOTE WHOLESOME ACTIVITIES AIMED AT ADDRESSING THE ROOT CAUSES OF JUVENILE DELINQUENCY. THE PROCESS BEGINS WITH A THOROUGH EVALUATION OF CASES INVOLVING JUVENILES UNDER THE AGE OF 18. BASED ON THE EVALUATION, THE COURT DETERMINES WHETHER THE YOUTH REQUIRE DETAINMENT, PROBATION, EXTENDED PROBATION, OR POSSIBLE INCARCERATION, AND MAY ALSO REFER THEM TO WELLNESS COURT. THE WELLNESS COURT OFFERS TARGETED SUPPORT FOR ISSUES SUCH AS SUBSTANCE USE, MENTAL HEALTH CHALLENGES, AND OTHER FACTORS IMPACTING THE JUVENILES BEHAVIOR. PARTICIPANTS ATTEND WELLNESS COURT FOR A PERIOD OF 12 MONTHS, DURING WHICH THEIR PROGRESS IN TREATMENT AND AFTERCARE IS CLOSELY MONITORED. THE COURT MAY ALSO REQUIRE PROBATION AS A MEANS TO ENSURE ONGOING SUPERVISION AND SUPPORT FOR THE JUVENILES REHABILITATION. CONFERENCE ACTIVITY DESCRIPTION: N/A

WIC ADMIN EXPENSES

RURAL HEALTH NETWORK DEVELOPMENT PROGRAM

2011 CCDF

DESCRIPTION:THIS AGREEMENT PROVIDES ASSISTANCE TO THE WICHITA AND AFFILIATED TRIBES TO BUILD ITS CAPACITY TO ADMINISTER ENVIRONMENTAL PROGRAMS ON INDIAN LANDS. ACTIVITIES:SPECIFICALLY, THE RECIPIENT WILL BUILD CAPACITY OF OFFICE STAFF TO LEARN AND ADDRESS ENVIRONMENTAL ISSUES, PROVIDE EDUCATION AND OUTREACH TO TRIBAL COMMUNITY, IMPLEMENT SOLID WASTE MANAGEMENT PRACTICES, COMMUNITY CLEAN-UP AND RECYCLING ACTIVITIES, AND CAPACITY DEVELOPMENT FOR INDOOR AIR PROGRAM.SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:QUARTERLY PROGRESS REPORTS, ANNUAL FEDERAL FINANCIAL REPORT (FFR), PESTICIDES INVENTORY, QUALITY MANAGEMENT PLAN (QMP), AND GEOGRAPHIC INFORMATION SYSTEM/GLOBAL POSITIONING SYSTEM QUALITY ASSURANCE PROJECT PLAN (GIS/GPS QAPP). THE INTENDED BENEFICIARY IS THE WICHITA AND AFFILIATED TRIBES.

FY 2016

2011 CCDF

WICHITA & AFFILIATED TRIBES - ICW