Area I Inc

HEAD START: FULL YEAR PART DAY HANDICAPPED TRAINING AND TECHNICAL ASSISTANCE

HEAD START AND EARLY HEAD START

HEAD START AND EARLY HEAD START

SOUTHWEST TRIBAL EPIDEMIOLOGY CENTER

NORTHWEST TRIBAL EPIDEMIOLOGY CENTER

NPAIHB TRIBAL OPIOID RESPONSE CONSORTIUM PHASE 6 - ESTABLISHED IN 1972, NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) IS A NON-PROFIT 501(C)(3) TRIBALLY DESIGNATED ORGANIZATION SERVING THE 43 FEDERALLY RECOGNIZED TRIBES OF ID, OR, AND WA. THE MISSION OF THE NPAIHB IS TO ASSIST NW TRIBES IN IMPROVING THE HEALTH STATUS AND QUALITY OF LIFE OF MEMBER TRIBES AND AMERICAN INDIAN/ALASKA NATIVE (AI/AN) PEOPLE IN THEIR DELIVERY OF CULTURALLY APPROPRIATE AND HOLISTIC HEALTH CARE. THE NPAIHB'S TOR6 WILL WORK TO INCREASE ACCESS TO CULTURALLY APPROPRIATE TREATMENT AND RECOVERY ACTIVITIES WITH THE INTENT OF REDUCING UNMET TREATMENT NEEDS AND SUBSTANCE USE-RELATED DEATHS, AS WELL AS A FOCUS ON USING CULTURAL AND COMMUNITY STRENGTHS AS PREVENTION AND INTERVENTION. THE FOLLOWING 34 NW TRIBES AGREED TO APPLY AS A CONSORTIUM IN FY24 WITH THE NPAIHB: BURNS PAIUTE TRIBE, CHEHALIS TRIBE, COEUR D'ALENE TRIBE, COLVILLE TRIBES, CONFEDERATED TRIBES OF COOS LOWER UMPQUA AND SIUSLAW INDIANS, CONFEDERATED TRIBES OF WARM SPRINGS, CONFEDERATED TRIBES OF THE UMATILLA INDIAN RESERVATION, COQUILLE TRIBE, COW CREEK BAND OF UMPQUA, COWLITZ TRIBES, HOH TRIBE, JAMESTOWN S'KLALLAM TRIBE, KALISPEL TRIBE, KLAMATH TRIBES, KOOTENAI TRIBE, LOWER ELWHA KLALLAM TRIBE, MAKAH TRIBE, NEZ PERCE TRIBE, NISQUALLY TRIBE, NW BAND OF SHOSHONE, PORT GAMBLE S'KLALLAM TRIBE, QUILEUTE TRIBE, QUINAULT INDIAN NATION, SAMISH INDIAN NATION, SAUK-SUIATTLE INDIAN TRIBE, SHOALWATER BAY INDIAN TRIBE, SNOQUALMIE INDIAN TRIBE, SPOKANE TRIBE, SQUAXIN ISLAND TRIBE, STILLAGUAMISH TRIBE, SUQUAMISH TRIBE, SWINOMISH TRIBE, TULALIP TRIBE, AND THE UPPER SKAGIT TRIBE. OUR PROPOSED ACTIVITIES WILL STRENGTHEN OUR PARTNERSHIPS WITH NW TRIBES, THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), THE INDIAN HEALTH SERVICE (IHS), AND THE STATES OF ID, OR, AND WA. THE NPAIHB TOR6 WILL EXPAND ACCESS TO INTEGRATED HEALTH SERVICES, THUS REACHING CRITICALLY UNDERSERVED AI/AN PEOPLE LIVING IN THE UNITED STATES. THROUGH THE PROJECT ACTIVITIES, THIS PROJECT HAS THE OPPORTUNITY TO REACH AT LEAST 59,017 TRIBAL MEMBERS ANNUALLY THROUGH OUTREACH, EDUCATION, SOCIAL MARKETING, AND MEDIA MESSAGES, AND PROVIDING GPRA TREATMENT & RECOVERY SERVICES TO 40 TRIBAL MEMBERS. SUBSTANCE USE DISORDER (SUD) PREVENTION, EDUCATION, AND TREATMENT FOR THIS TOR6 GRANT ARE INCLUSIVE OF OPIOID AND STIMULANT USE AND MISUSE DISORDERS. THE GOALS AND OBJECTIVES FOR THE GRANT ARE: GOAL 1: PREVENT NEW CASES OF SUBSTANCE USE DISORDER IN AI/AN COMMUNITIES BY INCREASING THE USE OF EVIDENCE AND CULTURE-BASED INTERVENTIONS AND INNOVATIVE COMMUNITY-BASED STRATEGIES. THE OBJECTIVES ARE (1) INCLUDE CULTURE AND TRADITION IN SUD PREVENTION STRATEGIES; (2) INCREASE AWARENESS OF TRIBAL SUBSTANCE USE RESPONSE IN AI/AN COMMUNITIES THROUGH SOCIAL MARKETING & MEDIA MATERIALS AND MESSAGING; AND (3) EDUCATE COMMUNITY MEMBERS, HEALTHCARE PROVIDERS, AND/OR HEALERS ABOUT OPIOIDS AND STIMULANTS. GOAL 2: INCREASE ACCESS TO TREATMENT AND RECOVERY SERVICES AND OVERDOSE REVERSAL CAPACITY BY INCREASING ACCESS TO TRIBAL, EVIDENCE-BASED, AND PRACTICE-BASED, TRAINING, TREATMENT, AND RECOVERY SERVICES. THE OBJECTIVES ARE (1) INCORPORATE HARM REDUCTION INTO TRIBAL TREATMENT AND RECOVERY SERVICES; (2) DEVELOP PROGRAMS FOR SUB-POPULATIONS AFFECTED BY SUD (E.G., PREGNANT MOTHERS AND BABIES, ACTIVE MILITARY, VETERANS, AND THOSE INCARCERATED); (3) DEVELOP AN INTEGRATED AND INCLUSIVE TREATMENT MODEL OF CARE; (4) DEVELOP COMPREHENSIVE AND INCLUSIVE RECOVERY SERVICES; AND (5) OFFER ONGOING TRAINING TO PROVIDERS. GOAL 3: INCREASE CAPACITY BUILDING WITHIN THE TRIBES FOR THE SUSTAINABILITY OF SUD PREVENTION, CARE, AND SERVICES. THE OBJECTIVES ARE (1) CULTIVATE RESPONSIVE LEADERSHIP; AND (2) CULTIVATE RESPONSIVE COMMUNITIES.

NPAIHB TOR5 - THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD’S TRIBAL OPIOID RESPONSE CONSORTIUM PHASE 5 WILL FACILITATE THE EXPANSION OF NORTHWEST TRIBES’ CAPACITY FOR TRIBAL SUBSTANCE USE RESPONSE. THE OVERARCHING MISSION IS TO DEVELOP A COMPREHENSIVE AND STRATEGIC APPROACH TO ASSIST TRIBES IN ADDRESSING THE COMPLEX FACTORS ASSOCIATED WITH A COMPREHENSIVE SUBSTANCE USE RESPONSE BY UTILIZING STRATEGIES OUTLINED IN THE TRIBAL OPIOID RESPONSE STRATEGIC AGENDA. THIS INCLUDES EXPANDING ACCESS TO CULTURALLY APPROPRIATE PREVENTION, TREATMENT, AND RECOVERY ACTIVITIES TO REDUCE UNMET TREATMENT NEEDS AND SUBSTANCE-RELATED DEATHS THROUGH A STRATEGIC RESPONSE PLAN. TOR5 HAS THE OPPORTUNITY TO REACH AT LEAST 50,000 TRIBAL MEMBERS ANNUALLY (100,000 OVER 2 YEARS) THROUGH OUTREACH, EDUCATION, SOCIAL MARKETING AND MEDIA MESSAGES, AND TREATMENT AND RECOVERY SERVICES. SUD PREVENTION, EDUCATION, AND TREATMENT FOR THIS TOR5 GRANT ARE INCLUSIVE OF OPIOID AND STIMULANT USE AND MISUSE DISORDERS. THE GOALS AND OBJECTIVES FOR THE GRANT ARE: GOAL 1: PREVENT NEW CASES OF SUBSTANCE USE DISORDER IN AI/AN COMMUNITIES BY INCREASING THE USE OF EVIDENCE AND CULTURE-BASED INTERVENTIONS AND INNOVATIVE COMMUNITY-BASED STRATEGIES. THE THREE OBJECTIVES ARE 1) INCLUDE CULTURE AND TRADITION INTO SUD PREVENTION STRATEGIES; 2) INCREASE AWARENESS OF TRIBAL SUBSTANCE USE RESPONSE IN AI/AN COMMUNITIES THROUGH SOCIAL MARKETING & MEDIA MATERIALS AND MESSAGING AND; 3) EDUCATE COMMUNITY MEMBERS, HEALTHCARE PROVIDERS, AND/OR HEALERS ABOUT OPIOIDS AND STIMULANTS. GOAL 2: INCREASE OVERDOSE REVERSAL CAPACITY AND ACCESS TO TRIBAL, EVIDENCE- AND PRACTICE-BASED TRAINING, TREATMENT, AND RECOVERY SERVICES. THE FIVE OBJECTIVES ARE 1) INCORPORATE HARM REDUCTION INTO TRIBAL TREATMENT AND RECOVERY SERVICES; 2) DEVELOP PROGRAMS FOR SUB-POPULATIONS AFFECTED BY SUD (I.E. PREGNANT MOTHERS AND BABIES, ACTIVE MILITARY AND VETERANS, THOSE INCARCERATED); 3) DEVELOP AN INTEGRATED AND INCLUSIVE TREATMENT MODEL OF CARE; 4) DEVELOP COMPREHENSIVE AND INCLUSIVE RECOVERY SERVICES AND; 5) OFFER ONGOING TRAINING TO PROVIDERS. GOAL 3: INCREASE CAPACITY BUILDING WITHIN THE TRIBES FOR THE SUSTAINABILITY OF SUD PREVENTION, CARE, AND SERVICES. THE TWO OBJECTIVES ARE 1) CULTIVATE RESPONSIVE LEADERSHIP AND; 2) CULTIVATE RESPONSIVE COMMUNITIES. NPAIHB’S PRIMARY ROLE IN THE TOR5 IS TO PROVIDE LEADERSHIP, COORDINATION, DATA MANAGEMENT, ANALYTIC SUPPORT, AND TRAINING AND TECHNICAL ASSISTANCE TO PARTICIPATING TRIBES IN BOTH THE APPLICATION AND ADMINISTRATION OF THE SAMHSA TOR 2022 GRANT. OUR PROPOSED ACTIVITIES WILL STRENGTHEN OUR PARTNERSHIPS WITH NORTHWEST TRIBES, THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), THE INDIAN HEALTH SERVICE (IHS), AND THE STATES OF IDAHO, OREGON, AND WASHINGTON. THE NPAIHB TOR5 WILL EXPAND ACCESS TO INTEGRATED HEALTH SERVICES, THUS REACHING CRITICALLY UNDERSERVED AMERICAN INDIAN/ALASKA NATIVE (AI/AN) PEOPLE LIVING IN THE UNITED STATES.

PUBLIC HEALTH IMPROVEMENT AND TRAINING

SPECIAL DIABETES PROGRAM FOR INDIANS

HEAD START AND EARLY HEAD START

NOX-NU-WIT

ADDRESSING THE SYNDEMIC IN INDIAN COUNTRY THROUGH INTEGRATED, MULTI-LEVEL INITIATIVES ENGAGING YOUTH, 2SLGBTQ PEOPLE, TRIBAL EPICENTERS AND HEALTH BOARDS, AND HEALTHCARE PROVIDERS VIA NATIONAL NETWORK - THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB), ESTABLISHED IN 1972 BY THE 43 FEDERALLY-RECOGNIZED TRIBES OF IDAHO, OREGON, AND WASHINGTON, WORKS TO ELIMINATE HEALTH DISPARITIES AND IMPROVE THE QUALITY OF LIFE OF AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) PEOPLE. THROUGH OVER 50 YEARS OF COLLABORATION WITH NORTHWEST TRIBES, STATES, FEDERAL AGENCIES, AND COMMUNITY PARTNERS ON AI/AN HEALTH RESEARCH, SURVEILLANCE, AND POLICY CHANGE, NPAIHB SUPPORTS AND LEADS EFFORTS TO IMPROVE THE CAPACITY OF IHS, TRIBAL, AND URBAN (I/T/U) HEALTH FACILITIES ACROSS THE U.S. TO CARRY OUT CORE STRATEGIES TO END THE HIV/HEPATITIS C (HCV)/SYPHILIS EPIDEMICS (THE SYNDEMIC) IN THEIR COMMUNITIES. GUIDED BY THE INDIGENOUS HIV/AIDS SYNDEMIC STRATEGY, NPAIHB PROMOTES A BROAD ARRAY OF INTERVENTIONS, CENTERING A HOLISTIC PERSPECTIVE THAT ALIGNS WITH THE COMMUNITIES’ NEEDS, AND HONORS THE PRINCIPLE OF INDIGENOUS SOVEREIGNTY. NPAIHB PLANS TO ADDRESS THE SYNDEMIC ACROSS INDIAN COUNTRY VIA THE FOLLOWING INITIATIVES: 1. NATIONAL YOUTH ENGAGEMENT IN HIV/HCV/SEXUALLY TRANSMITTED INFECTION (STI) HEALTH RESOURCES, COMMUNITY ENGAGEMENT AND CAPACITY BUILDING, VIA SUPPORTING NPAIHB’S EXISTING PROGRAMS, INCLUDING WERNATIVE, HEALTHY NATIVE YOUTH, AND PROJECT RED TALON NETWORK, AND THROUGH LAUNCHING AND COORDINATING A NEW NATIONAL YOUTH ENGAGEMENT NETWORK: THIS NETWORK WILL DESIGN AND DISSEMINATE CULTURALLY-RELEVANT HIV/HCV/STI HEALTH RESOURCES FOR: 1) AI/AN TEENS/YOUNG ADULTS; 2) THE COMMUNITY PARTNERS AND CARING ADULTS WHO SUPPORT THEM; AND 3) OTHER GRANTEES, TO BUILD ORGANIZATIONAL CAPACITY NATIONWIDE. 2. NATIONAL TWO-SPIRIT/LESBIAN, GAY, BISEXUAL, TRANSGENDER, QUEER (2SLGBTQ+) COMMUNITY ENGAGEMENT, ADVOCACY, CAPACITY DEVELOPMENT, AND FORMATIVE EVALUATION VIA NPAIHB’S PATHS REMEMBERED PROGRAM. PATHS REMEMBERED INCREASES ACCESS TO AFFIRMING HEALTHCARE, INCLUDING HIV PREP, DOXYPEP, HIV DIAGNOSIS AND CARE, MPOX PREVENTION, AND OTHER PREVENTATIVE SEXUAL HEALTHCARE, FOR AI/AN 2SLGBTQ+ PEOPLE BY ADDRESSING STIGMA AND DISCRIMINATION THAT AFFECTS THEM IN HEALTHCARE SETTINGS; EDUCATING 2SLGBTQ+ CLINICIANS ON THE PROTECTIVE EFFECTS OF INDIGENOUS-SPECIFIC SEXUAL ORIENTATION AND GENDER IDENTITIES, AND ACCESS TO LAND, CULTURE, LANGUAGE, CEREMONY, AND INDIGIQUEER COMMUNITY; AND EMPOWERING INDIGENOUS 2SLGBTQ+ PEOPLE BY PROVIDING INFORMATION ABOUT INDIGIQUEER TRADITIONS. 3. REGIONAL AND NATIONAL TRIBAL EPICENTERS/HEALTH BOARDS/URBAN INDIAN HEALTH PROGRAMS VIA NPAIHB’S SYNDEMIC SUPPORT PROGRAM: THE NATIONAL CENTER FOR SYNDEMIC CLINICAL SUPPORT WORKS TO IMPROVE HEALTH SYSTEMS AND EPIDEMIOLOGIC/CLINICAL CAPACITY AROUND SYNDEMIC PREPAREDNESS AND RESPONSE WITHIN I/T/U SETTINGS AND INCREASE ACCESS AND UPTAKE TO SEXUAL HEALTH EDUCATION AND TESTING WITHIN THE NORTHWEST AND ACROSS INDIAN COUNTRY. THE PROGRAM OVERSEES SEVERAL PROJECTS THAT SUPPORT THE PREVENTION, DIAGNOSIS, AND TREATMENT OF SYNDEMIC-RELATED CONDITIONS, INCLUDING THE NATIVE HEALTH RESOURCES WEBSITE (NATIVEHEALTHRESOURCES.COM), AN ONLINE PORTAL FOR INDIGENIZED HEALTH EDUCATION MATERIALS, COMPREHENSIVE SYNDEMIC FACILITY ASSESSMENTS THAT SUPPORT LOCAL SYNDEMIC PREPAREDNESS AND RESPONSE, AND SEXUAL HEALTH CAMPAIGN DEVELOPMENT/DISSEMINATION. 4. NATIONAL EXTENSIONS FOR COMMUNITY HEALTH OUTCOMES (ECHO) VIA NPAIHB’S INDIAN COUNTRY ECHO PROGRAM: INDIAN COUNTRY ECHO IS TRANSFORMING HEALTHCARE IN INDIAN COUNTRY BY INCREASING ACCESS TO SPECIALTY TREATMENT IN RESERVATION/RURAL/UNDERSERVED AREAS. INDIAN COUNTRY ECHO PROVIDES FRONTLINE HEALTHCARE PROVIDERS WITH THE KNOWLEDGE AND SUPPORT THEY NEED TO MANAGE PATIENTS WITH, AND PREVENT COMPLEX CONDITIONS LIKE, HIV, HCV, SUBSTANCE USE DISORDERS, STIS, AND OTHERS. THE NATIONAL PROGRAM ENGAGES HEALTHCARE PROVIDERS IN A CONTINUOUS LEARNING SYSTEM AND PARTNERING WITH SPECIALIST MENTORS AT AN ACADEMIC MEDICAL CENTER OR HUB. THROUGH THESE MULTI-LEVEL APPROACHES, WHICH ARE NEEDED IN RURAL, RESOURCE-LIMITED AI/AN SETTINGS, NPAIHB WILL CONTINUE TO ADDRESS THE SYNDEMIC ACROSS INDIAN COUNTRY.

HIGH GROWTH

NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) TRIBAL OPIOID RESPONSE (TOR) CONSORTIUM PHASE 3 (TOR3)

HEAD START FULL YEAR PART DAY HANDICAPPED TRAINING AND TECHNICAL ASSISTANCE

AASTEC TRIBAL PUBLIC HEALTH CAPACITY BUILDING AND QUALITY IMPROVEMENT PROJECT

SPECIAL DIABETES PROGRAM FOR INDIANS - DIABETES IS THE FIFTH LEADING CAUSE OF DEATH IN AMERICAN INDIAN/ALASKA NATIVES (AI/AN) IN THE PHOENIX AREA ACCORDING TO THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, IHS TRENDS IN INDIAN HEALTH, 2014 EDITION. THE PHOENIX INDIAN MEDICAL CENTER’S (PIMC) ESTIMATED DIABETES PREVALENCE IS 17.2 PERCENT, WITH APPROXIMATELY 8800 PATIENTS WITH DIABETES SEEN YEARLY. WITH THIS SIGNIFICANT NUMBER OF PATIENTS WITH DIABETES, IT IS ESSENTIAL TO KEEP IMPROVING OUR SERVICES IN ORDER TO WORK WITH PATIENTS AT RISK FOR DIABETES AND THOSE WHO ALREADY HAVE A DIABETES DIAGNOSIS. THE PIMC DIABETES CENTER OF EXCELLENCE (DCOE) IS HOUSED IN THE AMBULATORY CARE DIVISION AT PIMC. THE DCOE’S GOAL IS TO PROVIDE DIABETES EDUCATION AND COUNSELING SERVICES THAT IS UNIQUELY SUITED TO AI/AN POPULATIONS IN BOTH INPATIENT AND OUTPATIENT SETTINGS. PLANS TO IMPROVE DELIVERY OF DIABETES EDUCATION SERVICES WILL BE ACCOMPLISHED THROUGH THE PATIENT CENTERED MEDICAL HOME (PCMH) BY WORKING CLOSELY WITH OUR PRIMARY CARE MEDICAL CLINIC (PCMC). BY BUILDING CO-LOCATED CARE TEAMS, PROVIDING CLOSE REFERRAL FOLLOW-UP, IMPROVING DOCUMENTATION, AND ENHANCING THE FUNCTION OF DIABETES CLASSES WE PLAN TO IMPROVE OUR SELECTED BEST PRACTICE – DIABETES-RELATED EDUCATION. IN ADDITION, PLANS TO SUPPORT INTERVENTION OF HIGH RISK POPULATIONS INCLUDING OBESE/OVERWEIGHT ADULTS AND YOUTH, AS WELL AS INFANTS BY INCREASING RATES OF BREASTFEEDING WILL CONTINUE. THROUGH THESE EFFORTS OF PROVIDING EDUCATIONAL INTERVENTIONS WHICH INCLUDES DIABETES TEACHING AND PHYSICAL ACTIVITY/NUTRITION EDUCATION, WE EXPECT TO ULTIMATELY BE ABLE TO DEMONSTRATE A DECREASE IN DIABETES RELATED CO-MORBIDITIES, BETTER CONTROL OF BLOOD SUGARS, DECREASED BMIS AND AN OVERALL IMPROVED FEELINGS OF WELLNESS AND CONFIDENCE BY OUR PATIENTS AND THEIR FAMILIES. SDPI PROVIDES THE NECESSARY FUNDING TO CONTINUE OPERATION OF THE DCOE AND FOLLOW OUR ORGANIZATION’S MISSION. WE PLAN TO WORK COLLABORATIVELY TO PROMOTE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH OF OUR AI/AN PATIENTS TO THE HIGHEST LEVEL POSSIBLE.

SPECIAL DIABETES PROGRAMS FOR INDIANS

WELLNESS FOR EVERY AMERICAN INDIAN TO ACHIEVE AND VIEW HEALTH EQUITY (WEAVE-NW)

AASTEC GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY 2.0

ELEVATING NW TRIBAL HEALTH SCIENCES: NW NARCH PROGRAM - PROJECT SUMMARY: OVERALL THREE PREMISES UNDERLIE THE DEVELOPMENT OF OUR NW NARCH. FIRST, DESPITE LONGSTANDING EFFORTS BY TRIBAL, FEDERAL, AND STATE HEALTH CARE PROGRAMS, THE AVAILABLE DATA SHOW SUBSTANTIAL DISPARITIES IN HEALTH FOR NW AMERICAN INDIAN AND ALASKA NATIVE PEOPLE (AI/ANS) COMPARED TO NON-AI/ANS. NW TRIBAL LEADERS FEAR THAT THEIR HEALTH STATUS IS GETTING WORSE INSTEAD OF BETTER; THIS FEAR UNFORTUNATELY HAS BEEN SUBSTANTIATED WITH HEALTH DATA THAT SHOW INCREASES IN KEY CHRONIC DISEASE CONDITIONS, INSTEAD OF DECREASES, OVER THE PAST 20 YEARS. SECOND, INDIAN COMMUNITIES DISTRUST HEALTH RESEARCH BECAUSE OF NEGATIVE EXPERIENCES WITH NON-AI/AN RESEARCHERS WHO DID NOT RESPECT TRIBAL NEEDS OR SENSITIVITIES, EVEN THOUGH CAREFULLY IMPLEMENTED HEALTH RESEARCH HAS THE POTENTIAL TO PROVIDE SOLUTIONS TO REDUCE, AND ULTIMATELY ELIMINATE, EXISTING HEALTH DISPARITIES. THIRD, HEALTH RESEARCH DONE BY HIGHLY SKILLED AI/ANS WHO ARE SENSITIVE TO THE CULTURE AND SPECIFIC CONCERNS OF NW AND OTHER INDIAN COMMUNITIES CAN BRIDGE THE GAP BETWEEN ACADEMIA AND COMMUNITY, THOUGH CURRENTLY WE LACK THE CRITICAL MASS OF AI/AN RESEARCHERS NECESSARY TO ACCOMPLISH THIS TASK. IN RESPONSE TO THESE THREE ISSUES, WE HAVE ESTABLISHED THE NW NARCH TO FORM A TRIBAL-ACADEMIC PARTNERSHIP FOR COMMUNITY-BASED HEALTH RESEARCH FOCUSED ON ELIMINATING RACIAL HEALTH DISPARITIES AND WILL CONTINUE THIS PARTNERSHIP WITH THIS APPLICATION. THE 43 NW INDIAN COMMUNITIES REPRESENTED BY NPAIHB HAVE A LONG TRACK RECORD OF COORDINATED EFFORTS TO IMPROVE THEIR HEALTH STATUS; OUR TRIBAL-ACADEMIC PARTNERSHIPS WITH OREGON HEALTH & SCIENCE UNIVERSITY AND PORTLAND STATE UNIVERSITY WILL BUILD A WIDE-REACHING AND MULTI-LAYERED INFRASTRUCTURE TO INCREASE THE SKILLS OF AI/AN RESEARCHERS, AND ADDRESS HEALTH PROBLEMS OF CRITICAL IMPORTANCE TO THE TRIBES. OUR BOARD DELEGATES AND BOARD OF ADVISORS HAVE DIRECTED US TO PURSUE THREE TRAINING PROJECTS IN THIS APPLICATION: 1) A FELLOWSHIP PROGRAM THAT WILL INCREASE THE NUMBERS OF TRIBAL PEOPLE WHO ARE TRAINED TO CONDUCT CANCER PREVENTION RESEARCH AMONG TRIBAL PEOPLE, 2) CONTINUATION OF OUR SUMMER RESEARCH TRAINING INSTITUTE FOR AI/AN HEALTH PROFESSIONALS, SO THAT THEY CAN DEVELOP THE SKILLS NEEDED TO FUNCTION AS RESEARCHERS IN THEIR CURRENT ROLES WITH THEIR TRIBAL ORGANIZATIONS 3) AN APPLIED BIOSTATISTICS FELLOWSHIP DESIGNED TO TRAIN A CADRE OF AI/AN PEOPLE TO CONDUCT A VARIETY OF ANALYSES WITH THEIR OWN TRIBAL DATA OR THROUGH ACCESSING ADMINISTRATIVE DATASETS, AND 4) A PILOT RESEARCH PROJECT ON FALL PREVENTION USING VERY HIGH TECHNOLOGY METHODS FOR BALANCE ASSESSMENTS. WE TRUST THAT WE WILL HAVE SUBSTANTIAL IMPACT ON AI/AN COMMUNITIES THROUGH SUPPORTING TRAINEES AND INCREASING THE NUMBER OF RIGOROUSLY TRAINED TRIBAL PEOPLE IN CONDUCTING HEALTH AND BIOMEDICAL RESEARCH OF RELEVANCE TO THE TRIBES…CONSISTENT WITH THE NIH STRATEGIC PLAN FOR TRIBAL HEALTH RESEARCH FY 2019-2023.

(MAISD) PROJECT SAFE (SCHOOLS, AGENCIES, AND FAMILIES ENGAGED): A MYALLIANCE COLLABORATIVE TO ENHANCE AND EXPAND MUSKEGON COUNTY SCHOOL SUPPORTS TO REDUCE THE IMPACT OF PERVASIVE VIOLENCE.

NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD

PROJECT AWARE - OTTAWA AREA INTERMEDIATE SCHOOL DISTRICT'S (OAISD) INTERCONNECTED SYSTEMS FRAMEWORK (ISF) MODEL DEMONSTRATION - SUMMARY: THIS PROJECT WILL PROVIDE SUPPORT TO LOCAL DISTRICTS AND SCHOOLS IN THE OTTAWA AREA INTERMEDIATE SCHOOL DISTRICT (OAISD) SERVICE AREA AROUND PREVENTATIVE BEHAVIORAL SUPPORTS USING THE POSITIVE BEHAVIORAL INTERVENTIONS AND SUPPORTS (PBIS) FRAMEWORK WITH THE INTEGRATION OF MENTAL HEALTH SUPPORTS THROUGH THE INTERCONNECTED SYSTEMS FRAMEWORK (ISF) MODEL. THIS MODEL IS A THREE-TIERED FRAMEWORK DESIGNED TO CREATE AND GUIDE LINKAGES BETWEEN EDUCATIONAL SYSTEMS AND MENTAL HEALTH SYSTEMS; STREAMLINE THE REFERRAL PROCESS FOR STUDENTS TO RECEIVE SERVICES; SUPPORT SCHOOL-BASED SOCIAL, EMOTIONAL, AND BEHAVIORAL SUPPORTS; AND RESPOND TO STUDENTS SUFFERING ILL EFFECTS FROM TRAUMATIC EVENTS AND CRISES BY PROVIDING SERVICES WITHIN THE SCHOOL SETTING. POPULATION TO BE SERVED: OTTAWA COUNTY STUDENT DEMOGRAPHIC INFORMATION: TOTAL COUNT: 47,4721; AMERICAN INDIAN/ALASKAN: 0.20%; ASIAN: 2.8%; AFRICAN AMERICAN: 2.3%; HISPANIC/LATINX: 16.79%; NATIVE HAWAIINA/OTHER PACIFIC ISLANDER: 0.09%; TWO OR MORE RACES: 4.45%; WHITE: 73.43%; MALE: 48.68%; FEMALE: 51.32%; GAY OR LESBIAN: 3%; BISEXUAL: 11%; OTHER SEXUAL ORIENTATION: 4%; LANGUAGES SPOKEN: 14; ENGLISH LEARNERS: 4.92%; STUDENTS WITH DISABILITIES: 11.9%; FAMILIES IN TRANSITION/HOMELESS: 423; ECONOMICALLY DISADVANTAGED: 34.4%; AGES SERVED: BIRTH-26 (SOURCES: MDE/DEPI/MISCHOOLDATA; OTTAWA COUNTY YOUTH ASSESSMENT SURVEY(YAS), 2021). THE 2021 OTTAWA COUNTY YAS REPORTED THE FOLLOWING INFORMATION OF NATIONAL (N), STATE (S), COUNTY (C), AND HOLLAND PUBLIC SCHOOLS (HPS) DATA: STUDENTS WITH DEPRESSION - 36.7% (N), 36.4% (S), 31.4% (C), AND 33.8% (HPS); SUICIDE ATTEMPTS - 8.9% (N), 7.8% (S), 7.8% (C), AND 8.7% (HPS); SERIOUSLY THOUGHT ABOUT SUICIDE - 18.8% (N), 18.7% (S), 19.5% (C), AND 19.2% (HPS); MADE A SUICIDE PLAN - 8.9% (N), 7.8% (S), 7.8% (C), AND 14.9% (HPS). STRATEGIES & INTERVENTIONS: IMPLEMENTATION OF PBIS WITH THE ISF MODEL FOR INTEGRATION OF MENTAL HEALTH SERVICES IN SCHOOLS. SPECIFIC TRAININGS WILL BE PROVIDED AROUND DISTRICT SYSTEMS, DATA, AND PRACTICES; TIERS 1, 2, AND 3 OF PBIS; PBIS IMPLEMENTATION IN THE CLASSROOM; SOCIAL AND EMOTIONAL LEARNING; MENTAL HEALTH AWARENESS AND RESPONSE; SWIS; QPR; STAFF WELLNESS; RESTORATIVE PRACTICES; CHAMPS; TRAILS; TRAUMA SENSITIVE SCHOOLS; FUNCTIONAL BEHAVIOR ASSESSMENT AND POSITIVE BEHAVIOR SUPPORT PLANNING; THERAPEUTIC CRISIS INTERVENTION; BLUE ENVELOPE; AND CRISIS PREVENTION INTERVENTION. PROJECT GOALS: GOAL 1: CREATE EFFECTIVE, COMPREHENSIVE SYSTEMS & STRUCTURES TO SUPPORT ISF INSTALLATION & IMPLEMENTATION AT A MODEL DEMONSTRATION DISTRICT. GOAL 2: CREATE AN EFFECTIVE & EFFICIENT THREE-TIERED SYSTEM OF SUPPORTS FOR STUDENTS USING AN ISF MODEL WITHIN A PBIS FRAMEWORK AT THE SCHOOL LEVEL. GOAL 3: ESTABLISH & CONTINUOUSLY IMPROVE AN EFFECTIVE & EFFICIENT SINGLE SYSTEM FOR REFERRALS FOR MENTAL HEALTH SUPPORTS/SERVICES IN DISTRICTS & SCHOOLS. GOAL 4: INCREASE KNOWLEDGE & AWARENESS OF DISTRICT/SCHOOL STAFF, STUDENTS, FAMILIES, & COMMUNITIES AROUND ISSUES RELATED TO MENTAL HEALTH, SUBSTANCE ABUSE, & CO-OCCURRING ISSUES/DISORDERS AMONG SCHOOL-AGED YOUTH.

STRENGTHENING INDIGENOUS HEALTH AND SCIENCE RESEARCH: NW NARCH PROGRAM - ABSTRACT: OVERALL - STRENGTHENING INDIGENOUS HEALTH AND SCIENCE RESEARCH: NW NARCH PROGRAM IN RESPONSE TO THE NATIONAL NARCH PROGRAMMATIC OBJECTIVES, NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD HAS ESTABLISHED THE NW NARCH TO FORM A TRIBAL-ACADEMIC PARTNERSHIP FOR HEALTH RESEARCH FOCUSED ON ELIMINATING RACIAL HEALTH DISPARITIES AND WILL CONTINUE THIS PARTNERSHIP WITH THIS APPLICATION. THE NW TRIBAL COMMUNITIES REPRESENTED BY THE BOARD HAVE A LONG TRACK RECORD OF COORDINATED EFFORTS TO IMPROVE THEIR HEALTH STATUS. OUR TRIBAL-ACADEMIC PARTNERSHIP WILL BUILD A WIDE-REACHING AND MULTI-LAYERED INFRASTRUCTURE TO INCREASE THE SKILLS OF AI/AN RESEARCHERS, AND ADDRESS HEALTH PROBLEMS OF CRITICAL IMPORTANCE TO THE TRIBES REGIONALLY, AS WELL AS THOSE PRIORITY HEALTH ISSUES OF AI/ANS NATIONWIDE. IN THIS APPLICATION, WE HAVE DEFINED MULTIPLE AIMS IN TWO TRAINING PROJECTS THAT ARE CONSISTENT WITH THE NATIONAL NARCH PROGRAMMATIC EMPHASIS. FOR OUR GRADUATE AND UNDERGRADUATE SUPPORT FELLOWSHIP GRANT (PROJECT 1), OUR KEY AIM IS TO SUPPORT RESEARCH TRAINING THAT IS CONDUCTED IN A SCIENTIFICALLY RIGOROUS TRAINING PROGRAM, IN PARTNERSHIP WITH ACCREDITED PROGRAMS LOCALLY AND REGIONALLY, SO THAT TRAINEES WILL DEVELOP SKILLS TO CONDUCT POPULATION HEALTH SCIENCES RESEARCH AND ADDRESS HEALTH-RELATED ISSUES OF MAJOR IMPORTANCE TO TRIBAL PEOPLE. FOR PROJECT 2, WE AIM TO REACH FURTHER UP ‘THE PIPELINE’ AND PROVIDE POPULATION SCIENCES TRAINING AND HANDS-ON RESEARCH EXPERIENCES FOR TRIBAL HIGH SCHOOL SENIORS AND JUNIORS IN AN ENRICHMENT PROGRAM THAT INCLUDES HANDS-ON, MENTORED RESEARCH - AND WILL CONTINUE TO NURTURE THEM AS THEY PROGRESS IN ACADEMIA. THIS IS A NEW AREA FOR OUR NARCH, BUT THE BOARD, OHSU, AND PSU FACULTY AND CONSULTANTS ON THIS GRANT HAVE VAST EXPERIENCE WITH THIS DEMOGRAPHIC GROUP. THE SPECIFIC AIMS FOR EACH PROJECT ARE PRESENTED IN DETAIL IN THEIR INDIVIDUAL GRANT SECTIONS. THESE PROPOSALS ARE IN EXACT ALIGNMENT WITH THE NIH STRATEGIC PLAN FOR TRIBAL HEALTH RESEARCH FY 2019-2023. IMPACT: WE HAVE PLANNED AN EXCITING SET OF PROJECTS IN COLLABORATION WITH UNIVERSITY PARTNERS AT OHSU AND PSU, WITH ADVISORY BOARD MEMBERS, AND WITH HIGHLY QUALIFIED AND EXPERIENCED (MOSTLY TRIBAL) CONSULTANTS. OUR PLANS BUILD ON STRENGTHS WE DEVELOPED IN THE FIRST TEN CYCLES OF NARCH FUNDING. WE HAVE MADE SOME INNOVATIVE CHANGES FOR THIS ROUND OF APPLICATIONS AND ARE PLEASED THAT OUR PROJECTS WILL INCLUDE INVOLVEMENT OF AI/AN PERSONNEL IN KEY ROLES—INCLUDING FORMER NARCH-FUNDED STUDENTS AND FELLOWS IN KEY ROLES. OUR PROGRAM LEADERSHIP IS EXPERIENCED IN AI/AN HEALTH RESEARCH, OUR ADVISORY COMMITTEE IS ENTHUSIASTIC ABOUT ASSISTING OUR EFFORTS, AND OUR TRIBAL COMMUNITIES ARE FULLY SUPPORTIVE OF OUR PLANS. WE PREDICT THAT OUR PROGRAM WILL ADDRESS SOME OF THE HEALTH DISPARITIES EXPERIENCED BY AI/AN COMMUNITIES, AND THAT WE WILL HELP BRIDGE THE GAP BETWEEN ACADEMIA AND THE TRIBAL COMMUNITIES THROUGH OUR DIVERSE ACTIVITIES.

CHILD SAFETY SEAT INTERVENTION FOR PACIFIC NORTHWEST TRIBES

NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) TRIBAL OPIOID RESPONSE (TOR) CONSORTIUM

WELLNESS FOR EVERY AMERICAN INDIAN TO ACHIEVE & VIEW HEALTH EQUITY - NORTHWEST (WEAVE)

AASTEC COMPREHENSIVE APPROACHES TO AMERICAN INDIAN HEALTH & WELLNESS PROJECT

NORTHWEST TRIBAL EPICENTER INFRASTRUCTURE STRENGTHENING

TRIBAL EPIDEMIOLOGY CENTER CONSORTIUM TO INCREASE VACCINATION COVERAGE ACROSS AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) ADULT POPULATIONS CURRENTLY EXPERIENCING DISPARITIES(TEC-IAVC)

NPAIHB 988 TRIBAL RESPONSE - OVER 3 YEARS, THE NPAIHB 988 TRIBAL RESPONSE PROJECT WILL FACILITATE INCREASED ACCESS TO BEHAVIORAL HEALTH ON-CALL CRISIS SERVICES THROUGH THE 988 SUICIDE & CRISIS LIFELINE CALL CENTERS IN THE NW & INCREASE THE CONNECTION & SUPPORT FELT BY TRIBES WHEN ENGAGING WITH THESE CALL CENTERS. THE NW TRIBES & PARTNERING CALL CENTERS ARE DEEPLY COMMITTED TO COMPLETING THIS SCOPE OF WORK & SUSTAINING PARTNERSHIPS TO ASSIST IN IMPROVING THE RESPONSE TO MENTAL HEALTH & SUBSTANCE USE EMERGENCIES FOR TRIBAL PEOPLE. THE NPAIHB IS A TRIBALLY DESIGNATED NON-PROFIT ORGANIZATION REPRESENTING THE 43 FEDERALLY-RECOGNIZED TRIBES IN WA, OR, & ID. HOUSED AT THE NPAIHB, THE THRIVE PROJECT HAS WORKED WITH THE NW TRIBES TO PREVENT SUICIDE SINCE 2009 & THE TOR TEAM HAS WORKED TO PREVENT SUBSTANCE MISUSE SINCE 2018. IN COLLABORATION WITH NW TRIBES, REGIONAL PARTNERS, & 988 CALL CENTERS, THE NPAIHB WILL BUILD REGIONAL SUICIDE & SUBSTANCE USE DISORDER (SUD) CRISIS RESPONSE PARTNERSHIPS TO PREVENT & IMPROVE THE RESPONSE OF SUICIDE & SUD EMERGENCIES AMONG AI/AN PPL. OUR APPROACH BUILDS UPON OUR STRONG TRIBAL NETWORK & EXPERTISE IN CULTURALLY-RELEVANT BEHAVIORAL HEALTH STRATEGIES AS WELL AS ON STRATEGIES TO PROMOTE SUICIDE & SUD RESOURCES. THE PROJECT WILL REACH AT LEAST 10,000 PPL. ANNUALLY & 30,000 THROUGHOUT THE LIFE OF THE GRANT. OUR GOALS AND OBJECTIVES ARE TO: G1 IMPROVE INTERTRIBAL & INTERAGENCY COLLABORATION & COMMUNICATION ABOUT THE 988 SUICIDE & CRISIS LIFELINE, SUICIDE PREVENTION, & TREATMENT TO SHARE & MAXIMIZE LIMITED RESOURCES, BY COLLABORATING WITH LOCAL, REGIONAL, & STATE PARTNERS. 1.1 COORDINATE QTLY. PARTNER CALLS WITH LOCAL 988 CALL CENTERS, TRIBES, & STATE REPRESENTATIVES TO IMPROVE EFFECTIVE 988 RESPONSE & LINKAGE TO TRIBAL RESOURCES. 1.2 CREATE 1 OPPORTUNITY IN EACH STATE FOR TRIBAL STAFF AND COMMUNITY MEMBERS TO MEET CALL CENTER STAFF & LEARN HOW THE CALL CENTER OPERATES. 1.3 REVIEW CURRENT 988 CRISIS CALL CENTER TRAINING & CONTINUING EDUCATION CURRICULA/MATERIALS TO ENSURE THEY ARE CULTURALLY APPROPRIATE AND TRAUMA-INFORMED. 1.4 WORK WITH PARTNERS TO CREATE 988 RESPONSE DOCUMENTS WHICH WILL ASSIST WITH CONTINUED PARTNERSHIP & SUSTAINABILITY AFTER FUNDING CONCLUDES. G2 PROMOTE MENTAL HEALTH & IMPROVE SOCIAL ACCEPTABILITY OF MENTAL HEALTH SERVICES FOR AI/AN PPL. 2.1 DEVELOP, UPDATE, PRINT, & DISSEMINATE SUICIDE PREVENTION SOCIAL MARKETING & MEDIA CAMPAIGN MATERIALS TAILORED TO AI/AN PPL., REACHING AT LEAST 10,000 PPL. ACROSS INDIAN COUNTRY. 2.2 ACROSS THE 43 NW TRIBES, STAFF WILL PROMOTE LOCAL CRISIS CALL CENTERS WITH RELATIONSHIPS WITH TRIBES IN THEIR AREA TO INCREASE THE USABILITY OF THE 988 CALL LINE. G3 THROUGH PARTNERSHIPS, INCREASE CAPACITY OF LOCAL 988 CENTERS TO IMPLEMENT A COMPREHENSIVE & COORDINATED RESPONSE TO AI/AN PPL. AT RISK FOR SUICIDE. 3.1 FUND 2-5 TRIBES & 3-5 NW CRISIS CALL CENTERS TO FACILITATE PARTNERSHIPS & WORK TO IMPROVE CALL CENTER RESPONSE FOR TRIBAL MEMBERS CALLING IN. 3.2 HOST QTLY. PARTNER CALLS WITH LOCAL 988 CALL CENTERS & TRIBES TO IMPROVE LINKAGE TO TRIBAL RESOURCES & DEVELOP NECESSARY DOCUMENTS, POLICIES, AND/OR PROCEDURES FOR PARTNERSHIPS. 3.3 ASSIST ALL SUB-AWARDED 988 CRISIS CENTERS WITH CREATING A PLAN TO IDENTIFY & TRACK REFERRALS & DEVELOP A RESPONSE FOR STAFF TO ESTABLISH FOLLOW-UP CONTACT PROTOCOLS FOR AI/ANS AFTER CRISIS ENCOUNTERS. 3.4 DEVELOP QUALITY IMPROVEMENT PLAN FOCUSING ON PROCEDURES, POLICIES, ASSESSMENT, REFERRAL, & ACCESS TO LOCAL CARE TO ENSURE A COMPREHENSIVE & COORDINATED RESPONSE TO AI/AN PPL. AT IMMINENT RISK OF SUICIDE. G4 INCREASE TRIBAL CAPACITY & EXPAND THEIR DELIVERY OF SUICIDE & SUD PREVENTION/EARLY INTERVENTION/CRISIS INTERVENTION STRATEGIES IN NW TRIBAL SETTINGS. 4.1 PROVIDE TA TO 15 NW TRIBES TO IMPROVE & EXPAND THEIR DELIVERY OF SUICIDE AND/OR SUD PREVENTION/SCREENING/INTERVENTION/RECOVERY STRATEGIES IN THEIR COMMUNITY. 4.2 HOST A SUD & A SUICIDE PREVENTION, INTERVENTION AND/OR CRISIS TRAINING FOR THOSE WORKING WITH OR AT NW TRIBE & INCLUDE 988 CALL CENTER INFORMATION.

THRIVE (TRIBAL HEALTH: REACHING OUT INVOLVES EVERYONE)

AASTEC STRENGTHENING PUBLIC HEALTH SYSTEMS AND SERVICES IN INDIAN COUNTRY PROGRAM

AASTEC STRENGTHENING TRIBAL PUBLIC HEALTH INFRASTRUCTURE FOR CHRONIC DISEASE PREVENTION & MANAGEMENT PROGRAM

2013 NARCH 7

NATIONAL NATIVE HIV NETWORK TECHNICAL ASSISTANCE CENTER - ADDRESSING PERSISTENT DISPARITIES IN HIV PREVENTION AND TREATMENT AMONG AMERICAN INDIAN/ALASKA NATIVE (AI/AN) COMMUNITIES IS CRUCIAL IN THE UNITED STATES. DESPITE SIGNIFICANT STRIDES IN HIV AWARENESS, AI/AN POPULATIONS CONTINUE TO FACE DISPROPORTIONATE BURDENS OF HIV INCIDENCE AND PREVALENCE. IN 2021, 223 NEW HIV DIAGNOSES WERE REPORTED AMONG AI/AN INDIVIDUALS, UNDERLINING THE URGENT NEED FOR TARGETED INTERVENTIONS. COMPOUNDED BY HIGH RATES OF SEXUALLY TRANSMITTED INFECTIONS (STIS) AND HEPATITIS C, THESE DISPARITIES DEMAND IMMEDIATE ACTION. TO TACKLE THESE CHALLENGES, THE ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC. (AAIHB) PROPOSES THE NATIONAL NATIVE HIV NETWORK TECHNICAL ASSISTANCE CENTER. THIS INITIATIVE AIMS TO ENHANCE THE CAPACITY OF AI/AN COMMUNITIES TO IMPLEMENT EVIDENCE-BASED HIV PREVENTION AND TREATMENT STRATEGIES. BY PROVIDING CULTURALLY APPROPRIATE TECHNICAL ASSISTANCE, TRAINING, AND SUPPORT TO CDC-FUNDED ORGANIZATIONS, TRIBAL HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS, THE PROJECT SEEKS TO EMPOWER THE HIV WORKFORCE TO PLAN, IMPLEMENT, AND EVALUATE COMPREHENSIVE PREVENTION PROGRAMS. OVER A 5-YEAR PERIOD, THE NATIONAL NATIVE HIV NETWORK TECHNICAL ASSISTANCE CENTER ENDEAVORS TO CULTIVATE A HIGHLY SKILLED HIV WORKFORCE FOCUSED ON REDUCING NEW INFECTIONS, INCREASING ACCESS TO CARE, AND IMPROVING HEALTH OUTCOMES FOR AI/AN INDIVIDUALS. SHORT-TERM OBJECTIVES INCLUDE STRENGTHENING ORGANIZATIONAL CAPACITY AND STRUCTURAL ENVIRONMENTS TO SUPPORT EFFECTIVE HIV PREVENTION PROGRAMS. INTERMEDIATE-TERM GOALS PRIORITIZE ADDRESSING SYNDEMIC CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH (SDOH) THAT CONTRIBUTE TO HIV-RELATED HEALTH DISPARITIES AMONG AI/AN PEOPLE. THROUGH TAILORED STRATEGIES AND ACTIVITIES, THE NNHN TAC WILL DELIVER CAPACITY-BUILDING ASSISTANCE TO A DIVERSE WORKFORCE, INCLUDING PROFESSIONAL, TECHNICAL, CLINICAL, AND MANAGERIAL STAFF WITHIN CDC-FUNDED ORGANIZATIONS AND TRIBAL HEALTH DEPARTMENTS. TRAINING AND SUPPORT WILL ADDRESS CHALLENGES RELATED TO HIV PREVENTION, REDUCING DISPARITIES, AND PROMOTING HEALTH EQUITY. CONTINUOUS MONITORING, EVALUATION, AND COLLABORATION WITH PARTNERS WILL ENSURE PROGRESS TOWARD ACHIEVING PROJECT GOALS AND FOSTERING SUSTAINABLE IMPROVEMENTS IN HIV PREVENTION AND TREATMENT OUTCOMES WITHIN AI/AN COMMUNITIES.

AASTEC TRIBAL EPIDEMIOLOGY CENTERS PUBLIC HEALTH INFRASTRUCTURE (TECPHI) PROGRAM - CHRONIC DISEASES SUCH AS TYPE 2 DIABETES, CARDIOVASCULAR DISEASE, CANCER, STROKE AND THEIR UNDERLYING RISK FACTORS EXACT A HEIGHTENED TOLL ON THE AMERICAN INDIAN/ALASKA NATIVE (AI/AN) POPULATION IN THE FORM OF DISPROPORTIONATE MORBIDITY/MORTALITY, EXORBITANT MEDICAL COSTS, PREMATURE DEATH, LOSS OF PRODUCTIVITY, AND DIMINISHED QUALITY OF LIFE. SIMILARLY, INFECTIOUS DISEASE SUCH AS THE COVID-19 PANDEMIC HAS HAD A DISPROPORTIONATE IMPACT ON AI/AN POPULATIONS, WHICH IS EXACERBATED BY THESE UNDERLYING CHRONIC CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH. AT THE SAME TIME, TRIBAL PUBLIC HEALTH CAPACITY AND INFRASTRUCTURE IS SIGNIFICANTLY UNDER-RESOURCED AND UNDER-DEVELOPED. THIS 5-YEAR, COMPONENT A PROJECT WILL MOBILIZE A MULTIDISCIPLINARY PARTNERSHIP OF THE ALBUQUERQUE AREA SOUTHWEST TRIBAL EPIDEMIOLOGY CENTER (AASTEC), ITS PARENT ORGANIZATION THE ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC. (AAIHB), AND THE 27 INDIAN HEALTH SERVICE (IHS) ALBUQUERQUE AREA TRIBES TO DELIVER ESSENTIAL PUBLIC HEALTH SERVICES AND SUPPORT EFFORTS TO EFFECTIVELY IDENTIFY AND ADDRESS UNDERLYING SOCIAL DETERMINANTS OF HEALTH, REDUCE PERSISTENT HEALTH DISPARITIES, AND IMPROVE THE OVERALL HEALTH AND WELLBEING OF AI/AN POPULATIONS. AASTEC WILL STRENGTHEN ITS CAPACITY AND PROVIDE LEADERSHIP, TECHNICAL ASSISTANCE, TRAINING AND RESOURCES TO ALL 27 ALBUQUERQUE AREA TRIBES TO ACHIEVE A LONG-TERM OUTCOME OF A STRENGTHENED DELIVERY OF ESSENTIAL PUBLIC HEALTH SERVICES BY OUR TRIBAL EPIDEMIOLOGY CENTER AND THE TRIBES THROUGHOUT OUR SERVICE AREA. SPECIFIC ACTIVITIES THAT WILL BE EMPLOYED TO ACHIEVE THESE OUTCOMES, AT A MINIMUM, WILL INCLUDE: 1) SUPPORT TEC WORKFORCE DEVELOPMENT AND CAPACITY BUILDING BY PROVIDING ON-GOING TRAINING AND TECHNICAL ASSISTANCE IN ESSENTIAL PUBLIC HEALTH SERVICES AND CORE PUBLIC HEALTH COMPETENCIES; 2) COLLECT, ASSESS, AND MONITOR DATA ON HEALTH STATUS OF AI/AN POPULATIONS; 3) SUPPORT PLANNING, IMPLEMENTATION, MONITORING, AND EVALUATION OF CULTURALLY RELEVANT PRACTICED-BASED ACTIVITIES TO ADDRESS IDENTIFIED HEALTH PRIORITIES; 4) PARTICIPATE IN THE COMMUNITY OF PRACTICE (COP) VIA VIRTUAL MEETINGS AND TRAININGS TO CONVENE ALL TECS TO SHARE IDEAS, SUCCESSES, AND CHALLENGES, EXCHANGE LESSONS LEARNED, AND ESTABLISH BEST PRACTICES; 5) CREATE A SUSTAINABILITY PLAN TO SUSTAIN INCREASED WORKFORCE CAPACITY AND ENHANCED PUBLIC HEALTH INFRASTRUCTURE BEYOND THE 5-YEAR PERIOD OF PERFORMANCE; 6) PROVIDE RESOURCES, TRAINING, AND TECHNICAL ASSISTANCE TO TRIBES AND UIOS TO SUPPORT THE IMPLEMENTATION, MONITORING, AND EVALUATION OF THE TRIBAL/COMMUNITY HEALTH IMPROVEMENT PLAN; 7) DEVELOP NEW AND/OR MODIFY EXISTING PUBLIC HEALTH SURVEILLANCE TOOLS TO SUPPORT THE COLLECTION AND USE OF TRIBALLY-RELEVANT PUBLIC HEALTH DATA, AND 8) EVALUATE PUBLIC HEALTH INFRASTRUCTURE AND HEALTH DATA ACCESS AND CAPACITY WITHIN ALBUQUERQUE AREA TRIBES. A COMPREHENSIVE, MIXED-METHODS EVALUATION, ENCOMPASSING BOTH PROCESS AND OUTCOMES PERFORMANCE MEASURES, WILL ALSO BE IMPLEMENTED THROUGHOUT ALL FIVE YEARS OF THIS PROJECT.

NATIVE AMERICAN RESEARCH CENTERS FOR HEALTH (NARCH V)

TRIBAL CHW FOR COVID RESPONSE AND RESILIENT COMMUNITIES PROGRAM

TRIBAL OPIOID RESPONSE CONSORTIUM PHASE 4 (TOR4) - NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) TRIBAL OPIOID RESPONSE CONSORTIUM PHASE 4 (TOR4): THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD’S TRIBAL OPIOID RESPONSE CONSORTIUM PHASE 4 (TOR4) WILL ASSIST THE NW TRIBES IN EXPANDING THEIR CAPACITY FOR TRIBAL SUBSTANCE USE RESPONSE. THE OVERARCHING MISSION OF THIS TOR4 IS TO DEVELOP A COMPREHENSIVE AND STRATEGIC APPROACH TO ASSIST TRIBES IN DEVELOPING CAPACITY TO ADDRESS THE COMPLEX FACTORS ASSOCIATED WITH A COMPREHENSIVE SUBSTANCE USE RESPONSE BY UTILIZING STRATEGIES OUTLINED IN THE TRIBAL OPIOID RESPONSE STRATEGIC AGENDA. THIS INCLUDES EXPANDING ACCESS TO CULTURALLY APPROPRIATE PREVENTION, TREATMENT, AND RECOVERY ACTIVITIES TO REDUCE UNMET TREATMENT NEED AND SUBSTANCE RELATED DEATHS THROUGH A STRATEGIC RESPONSE PLAN. TOR4 HAS THE OPPORTUNITY TO REACH AT LEAST 18,000 TRIBAL MEMBERS ANNUALLY (36,000 OVER 2 YEARS) THROUGH OUTREACH, EDUCATION, SOCIAL MARKETING AND MEDIA MESSAGES, AND TREATMENT & RECOVERY SERVICES. SUD PREVENTION, EDUCATION, AND TREATMENT FOR THIS TOR4 GRANT IS INCLUSIVE OF OPIOID AND STIMULANT USE AND MISUSE DISORDERS. THE GOALS AND OBJECTIVES FOR THE GRANT ARE: GOAL 1: PREVENT NEW CASES OF SUBSTANCE USE DISORDER IN AI/AN COMMUNITIES BY INCREASING USE OF EVIDENCE AND CULTURE-BASED INTERVENTIONS AND INNOVATIVE COMMUNITY-BASED STRATEGIES. THE THREE OBJECTIVES ARE 1) INCLUDE CULTURE AND TRADITION INTO SUD PREVENTION STRATEGIES; 2) INCREASE AWARENESS OF TRIBAL SUBSTANCE USE RESPONSE IN AI/AN COMMUNITIES THROUGH SOCIAL MARKETING & MEDIA MATERIALS AND MESSAGING AND; 3) EDUCATE COMMUNITY MEMBERS, HEALTHCARE PROVIDERS, AND/OR HEALERS ABOUT OPIOIDS AND STIMULANTS. GOAL 2: INCREASE ACCESS TO TREATMENT AND RECOVERY SERVICES AND OVERDOSE REVERSAL CAPACITY BY INCREASING ACCESS TO TRIBAL, EVIDENCE-BASED, AND PRACTICE-BASED, TRAINING, TREATMENT, AND RECOVERY SERVICES. THE FIVE OBJECTIVES ARE 1) INCORPORATE HARM REDUCTION INTO TRIBAL TREATMENT AND RECOVERY SERVICES; 2) DEVELOP PROGRAMS SPECIFICALLY FOR PREGNANT MOTHERS AND BABIES AFFECTED BY SUD; 3) DEVELOP AN INTEGRATED AND INCLUSIVE TREATMENT MODEL OF CARE; 4) DEVELOP COMPREHENSIVE AND INCLUSIVE RECOVERY SERVICES AND; 5) OFFER ONGOING TRAINING TO PROVIDERS. GOAL 3: INCREASE CAPACITY BUILDING WITHIN THE TRIBES FOR SUSTAINABILITY OF SUD PREVENTION, CARE, AND SERVICES. THE TWO OBJECTIVES ARE 1) CULTIVATE RESPONSIVE LEADERSHIP AND; 2) CULTIVATE RESPONSIVE COMMUNITIES. NPAIHB’S PRIMARY ROLE IN THE TOR4 IS TO PROVIDE LEADERSHIP, COORDINATION, DATA MANAGEMENT AND ANALYTIC SUPPORT, AND TRAINING AND TECHNICAL ASSISTANCE TO PARTICIPATING TRIBES IN BOTH THE APPLICATION AND ADMINISTRATION OF THE SAMHSA TOR 2021 GRANT. OUR PROPOSED ACTIVITIES WILL STRENGTHEN OUR PARTNERSHIPS WITH NORTHWEST TRIBES, THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), THE INDIAN HEALTH SERVICE (IHS), AND THE STATES OF IDAHO, OREGON, AND WASHINGTON. THE NPAIHB TOR4 WILL EXPAND ACCESS TO INTEGRATED HEALTH SERVICES, THUS REACHING CRITICALLY UNDERSERVED AI/AN PEOPLE LIVING IN THE UNITED STATES

AAIHB TRIBAL OPIOID RESPONSE PROJECT - FROM 1999 TO 2019, OPIOID-ONLY MORTALITY RATES INCREASED FROM 2.8 TO 15.8 PER 100 000 (P<0.001) FOR AMERICAN INDIAN/ALASKA NATIVE (AI/AN) WOMEN AND 4.6 TO 25.6 PER 100 000 (P<0.001) FOR AI/AN MEN IN THE U.S. DURING THE SAME TIME PERIOD, THE AI/AN POPULATION ALSO EXHIBITED SIGNIFICANT INCREASES IN MORTALITY RATES DUE TO OPIOIDS IN COMBINATION WITH OTHER SUBSTANCES (I.E., ALCOHOL, BENZODIAZEPINES, AND METHAMPHETAMINE), WHERE ALL OPIOID-RELATED MORTALITY RATES INCREASED SIGNIFICANTLY (P<0.001) FROM 5.2 TO 33.9 PER 100 000 AI/AN PERSONS. SIMILAR BEHAVIORAL HEALTH DISPARITIES ARE WITNESSED AMONG THE AI/AN POPULATION IN NEW MEXICO. THE AAIHB TOR PROJECT HAS BEEN DESIGNED TO ADDRESS THE OPIOID OVERDOSE CRISIS IN TRIBAL COMMUNITIES VIA A COLLABORATION OF A TRIBALLY DESIGNATED ORGANIZATION, THE ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC. (AAIHB), FOUR OF ITS SIX CONSORTIUM TRIBES (JICARILLA APACHE NATION, MESCALERO APACHE TRIBE, RAMAH NAVAJO, TO’HAJIILEE NAVAJO) AND ZUNI PUEBLO. THE OVERARCHING PURPOSE OF THE AAIHB TOR PROJECT IS TO SUPPORT THE CONTINUUM OF PREVENTION, RECOVERY, AND HARM REDUCTION SERVICES FOR OPIOID USE DISORDER (OUD) AND CO-OCCURRING SUBSTANCE USE DISORDERS AMONG AI/AN YOUTH AND ADULTS. PROJECT GOALS AND MEASURABLE OBJECTIVES ARE ALIGNED WITH THE FOUNDATIONAL ELEMENTS, PRIORITIES AND STRATEGIES OF THE NATIONAL TRIBAL BEHAVIORAL HEALTH AGENDA. OUR THREE INTERSECTING GOALS INCLUDE THE FOLLOWING: 1) TRAINING, CERTIFICATION AND MOBILIZING A CADRE OF AI/AN PEER SUPPORT WORKERS IN ALL 5 PARTICIPATING TRIBES; 2) STRENGTHENING OPIOID PREVENTION AND EDUCATION SERVICES AND AWARENESS IN AI/AN COMMUNITIES; 3) DEVELOPING AND SUSTAINING, CULTURALLY CENTERED HARM PREVENTION/ REDUCTION SERVICES WITHIN AI/AN COMMUNITIES. THE AAIHB TRIBAL OPIOID RESPONSE PROJECT WILL WEAVE IN FOUR EVIDENCE BASED PRACTICES INTO THIS EFFORT – MENTAL HEALTH FIRST AID (MHFA), QUESTION, PERSUADE AND REFER (QPR), MOTIVATIONAL INTERVIEWING (MI), AND PROJECT VENTURE (PV). THESE SELECTED EBPS ARE APPROPRIATE FOR THE PROPOSED OUTCOMES, HAVE STRONG EVIDENCE, AND A HISTORY OF SUCCESSFUL IMPLEMENTATION WITH DIVERSE COMMUNITIES IN NEW MEXICO, INCLUDING TRIBAL COMMUNITIES. WE WILL ALSO IMPLEMENT THE FOLLOWING COMMUNITY DEFINED EVIDENCE PRACTICES: BRAVE INTERVENTION, GATHERING OF NATIVE AMERICANS (GONA), AND WHITE BISON’S WELLBRIETY TRAININGS. THE AAIHB TOR PROJECT IS THEREFORE WELL POSITIONED TO STRENGTHEN PREVENTION, RECOVERY, AND HARM REDUCTION ACTIVITIES AMONG AI/AN YOUTH AND ADULTS THROUGHOUT OUR REGION TO ENGAGE TRIBES, CREATE AWARENESS OF OUD AND PREVENTION PATHWAYS, INCREASE ACCESS TO HARM REDUCTION PRACTICES, AND ENHANCE RECOVERY SUPPORT FOR AFFECTED INDIVIDUALS AND FAMILIES THAT ARE CURRENTLY EXPERIENCING SUBSTANTIAL BEHAVIORAL HEALTH DISPARITIES.

TRIBAL HEALTH: REACHING OUT INVOLVES EVERYONE

2013 NARCH 7

TRIBAL EPIDEMIOLOGY CENTERS PUBLIC HEALTH INFRASTRUCTURE (TECPHI): NORTHWEST TRIBAL EPIDEMIOLOGY CENTER (NWTEC) - THE NORTHWEST TRIBAL EPIDEMIOLOGY CENTER (NWTEC), ONE OF THE 12 DESIGNATED TRIBAL EPIDEMIOLOGY CENTERS IN THE U.S., IS SUBMITTING AN APPLICATION FOR COMPONENT A OF THE FUNDING OPPORTUNITY TRIBAL EPIDEMIOLOGY CENTERS PUBLIC HEALTH INFRASTRUCTURE (CDC-RFA-DP22-2206). THIS APPLICATION BUILDS ON A 25-YEAR HISTORY AS A WELL-ESTABLISHED AND SUCCESSFUL TRIBAL EPIDEMIOLOGY CENTER, AND WILL SERVE THE 43 FEDERALLY-RECOGNIZED TRIBES LOCATED WITHIN THE PORTLAND AREA OF THE INDIAN HEALTH SERVICE, WHICH INCLUDES THE STATES OF IDAHO, OREGON, AND WASHINGTON. UNDER THIS FUNDING OPPORTUNITY, THE NWTEC WILL STRENGTHEN THE PUBLIC HEALTH INFRASTRUCTURE AND CAPACITY OF THE NWTEC AND THE NORTHWEST TRIBES THROUGH THE FOLLOWING OVERARCHING STRATEGIES: STRENGTHENING THE NWTEC’S PUBLIC HEALTH CAPACITY AND INFRASTRUCTURE TO MEET NATIONAL PUBLIC HEALTH STANDARDS AND DELIVER THE 10 ESSENTIAL PUBLIC HEALTH SERVICES THROUGH WORKFORCE DEVELOPMENT IN ESSENTIAL PUBLIC HEALTH SERVICES AND CORE PUBLIC HEALTH COMPETENCIES, DEVELOPING DATA SYSTEMS FOR NW TRIBAL COMMUNITIES, AND CULTIVATING PARTNERSHIPS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH IN AI/AN POPULATIONS. STRENGTHENING THE PUBLIC HEALTH CAPACITY AND INFRASTRUCTURE OF AREA TRIBES TO MEET NATIONAL PUBLIC HEALTH ACCREDITATION STANDARDS AND DELIVER THE 10 ESSENTIAL PUBLIC HEALTH SERVICES BY CONDUCTING A COMPREHENSIVE PLANNING PROCESS RESULTING IN A REGIONAL NW TRIBAL COMMUNITY HEALTH IMPROVEMENT PLAN. AT THE END OF THE FIVE-YEAR PROJECT PERIOD, THE NWTEC WILL HAVE ACHIEVED THE FOLLOWING OUTCOMES: INCREASED TEC AND TRIBAL CAPACITY TO DELIVER AT LEAST THREE OF THE 10 ESSENTIAL PUBLIC HEALTH SERVICES; INCREASED USE OF EVALUATION RESULTS FOR PROGRAM IMPROVEMENT; INCREASED NUMBER OF SUCCESS STORIES DISSEMINATED THAT DEMONSTRATE THE PROGRAM’S IMPACT; INCREASED TEC AND TRIBAL CAPACITY TO PLAN, IMPLEMENT, AND EVALUATE CULTURALLY RELEVANT PUBLIC HEALTH PROGRAMS; INCREASED IMPLEMENTATION OF DATA-DRIVEN, CULTURALLY RELEVANT, PRACTICE-BASED PUBLIC HEALTH PROGRAMS; AND INCREASED TEC AND TRIBAL STAFF TRAINED IN PUBLIC HEALTH CORE COMPETENCIES.

PROMOTING AI/AN HEALTH: NW NARCH PROGRAM

NATIVE AMERICAN RESEARCH CENTERS FOR HEALTH (NARCH V)

COMMUNITY HEALTH WORKER TRAINING PROGRAM - PROJECT OVERVIEW: THE PROJECT PROPOSES TO INTEGRATE THE COMMUNITY HEALTH WORKER (CHW) PROGRAM AND THE COMMUNITY HEALTH AIDE PROGRAM (CHAP) CORE CURRICULUMS TO BUILD EDUCATION PATHWAYS TO EXPAND THE PUBLIC HEALTH WORKFORCE. TRIBAL LEADERS AND TRIBAL HEALTH PROGRAMS IN OUR AREA SUPPORT LONG-TERM SUSTAINABLE SOLUTIONS THAT BUILD UP OUR COMMUNITIES, CREATE OPPORTUNITIES FOR OUR YOUTH AND TRIBAL CITIZENS, EDUCATE OUR HEALERS, AND TRAIN THE NEXT GENERATION OF THE WORKFORCE. WE ARE BUILDING OUR PUBLIC HEALTH WORKFORCE THROUGH THE CHAP, A PROGRAM THAT TRAINS INDIVIDUALS FROM THE COMMUNITY TO PROVIDE PRIMARY CARE IN PHYSICAL, BEHAVIORAL, AND ORAL HEALTH. THE CHAP IS VITAL TO EXPANDING ACCESS TO CARE IN OUR TRIBAL COMMUNITIES AND TACKLING IMPORTANT SOCIAL DETERMINANTS OF HEALTH. CHAP PROVIDERS OF ALL DISCIPLINES WERE VITAL TO THE RECENT COVID-19 RESPONSE. CHAP BUILDS AN ACCESSIBLE EDUCATION LADDER INTO THE HEALTH CARE PROFESSIONS, INCREASES ACCESS TO CULTURALLY RELEVANT, TRAUMA-INFORMED PRIMARY CARE, BUILDS INTEGRATED PRIMARY CARE TEAMS, AND CREATES PROFESSIONAL WAGE JOBS IN COMMUNITIES. EXPANDING CHAP TO INCLUDE CHWS IS A STRAIGHTFORWARD AND VALUABLE EXPANSION THAT WILL ENSURE A WELL-ROUNDED PUBLIC HEALTH DELIVERY SYSTEM. OUR PROGRAM PRIMARILY SERVES AI/AN POPULATIONS, BOTH IN TRAINEES AND POPULATION SERVED. GOALS: EXPAND CHWS INTO OUR PUBLIC HEALTH WORKFORCE THROUGH TRAINING OF NEW CHWS. UPSKILL EXISTING CHW BY INTEGRATING THE CORE CHW COMPETENCIES WITH CHAP CORE CURRICULUM FOR ALL THREE DISCIPLINES OF PROVIDERS AND CREATING EDUCATION PATHWAYS TO MORE ADVANCED JOBS. INCREASE ACCESS TO PRIMARY CARE FOR AI/AN COMMUNITIES THROUGH CHW AND CHAP PROVIDERS. ADVANCE HEALTH EQUITY AND INCREASE THE NUMBER OF AI/AN PROVIDERS AND CHW AVAILABLE TO TRIBAL HEALTH PROGRAMS. OUR OBJECTIVES INCLUDE TRAINING 240 NEW AND/OR INTEGRATED CHW/CHAP PROVIDERS IN THE AREAS OF PHYSICAL, BEHAVIORAL, AND ORAL HEALTH OVER 3 YEARS, AND BUILD 2 NEW EDUCATION PARTNERSHIPS ACROSS THE PACIFIC NORTHWEST TO BRING TRAINING CLOSER TO OUR TRIBAL COMMUNITIES. HHS/HRSA CLINICAL PRIORITIES: TELEHEALTH/TELEMEDICINE, CHILDHOOD OBESITY, BEHAVIORAL HEALTH, OPIOID SUBSTANCE USE, INTIMATE PARTNER VIOLENCE, RURAL HEALTH, COVID-19, AND HEALTH EQUITY PROJECT METHODOLOGY: OUR PROJECT WORKS WITH EXISTING EDUCATION PROGRAMS AND THE ECHO PLATFORM TO EXPAND HEALTH WORKFORCE TRAINING IN TRIBAL COMMUNITIES AND STRENGTHEN OUR HEALTH INFRASTRUCTURE TO MEET THE NEEDS OF OUR COMMUNITIES. WE WILL CENTRALIZE OUR HEALTH EDUCATION PROVIDER PROGRAMS FOR CHAP, OTHER BEHAVIORAL HEALTH PROVIDER TRAINING PROGRAMS, AND CHW WITHIN AN INTEGRATED HEALTH EDUCATION PROGRAM CALLED OUR “CORE CURRICULUM.” THIS CORE CURRICULUM WILL BE EXPANDED TO INCLUDE THE CORE CHW COMPETENCIES. INDIVIDUALS WHO COMPLETE THE INTEGRATED CORE CURRICULUM WILL BE CERTIFIABLE AS CHWS AND WILL HAVE COMPLETED THE PREREQUISITES FOR COMMUNITY HEALTH AIDE, BEHAVIORAL HEALTH AIDE, AND DENTAL HEALTH AIDE EDUCATION PROGRAMS. THIS WILL SERVE TWO PURPOSES, FIRST, IT WILL EXPAND THE AVAILABILITY OF CHWS IN OUR REGION AND ENSURE THAT ALL CHAP HAVE BASIC CHW TRAINING. SECOND, IT WILL SET CHWS ON AN EDUCATION PATHWAY THAT WILL LEAD THEM TO REWARDING CAREERS AS PRIMARY ORAL, BEHAVIORAL, OR PHYSICAL HEALTH CARE PROVIDERS THROUGH THE CHAP PROGRAM. WE OFFER THE CORE CURRICULUM IN INTEGRATED COHORTS TO ENSURE THAT REGARDLESS OF CHAP DISCIPLINE, ALL FUTURE PROVIDERS HAVE EXPOSURE TO THE OTHER DISCIPLINES OF HEALTH CARE. THIS FACILITATES RELATIONSHIP BUILDING AND UNDERSTANDING ACROSS HEALTH CARE FIELDS.

AASTEC GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY 3.0 - TYPE 2 DIABETES, CARDIOVASCULAR DISEASE (CVD), STROKE AND THEIR ASSOCIATED RISK FACTORS EXACT A HEIGHTENED TOLL ON THE AMERICAN INDIAN/ALASKA NATIVE (AI/AN) POPULATION IN THE FORM OF DISPROPORTIONATE MORBIDITY/MORTALITY, EXORBITANT MEDICAL COSTS, PREMATURE DEATH, LOSS OF PRODUCTIVITY, AND DIMINISHED QUALITY OF LIFE. THESE ALARMING HEALTH TRENDS LED THE ALBUQUERQUE AREA SOUTHWEST TRIBAL EPIDEMIOLOGY CENTER’S (AASTEC) EXECUTIVE COUNCIL, A REPRESENTATIVE BODY OF TRIBAL LEADERS AND HEALTH DIRECTORS, TO DESIGNATE CHRONIC DISEASE PREVENTION AND MANAGEMENT AS A TOP STRATEGIC PRIORITY. PUBLIC HEALTH FRAMING OF HEALTH DISPARITIES TYPICALLY FOCUSES ON SOCIAL DETERMINANTS OF HEALTH (SDOH), BUT SIMPLY FRAMING CHRONIC DISEASE DISPARITIES AS BEING DRIVEN BY SDOH (I.E., FOOD SECURITY, SOCIOECONOMIC STATUS, ACCESS TO CARE, RELIABLE TRANSPORTATION, SAFE HOUSING, NEIGHBORHOOD CHARACTERISTICS, ETC.) DOES NOT DESCRIBE THE DEEP HISTORICAL ROOTS OF THE HEALTH CONDITIONS IMPACTING AI/AN TODAY. SETTLER COLONIALISM AND THE SEIZING OF AI/AN LAND AND RESOURCES THAT BEGAN WHEN EUROPEAN COLONIZING NATIONS FIRST ARRIVED IN WHAT IS NOW KNOWN AS THE U.S., AND THE IMPOSITION OF UNJUST FEDERAL INDIAN POLICIES CANNOT BE IGNORED AS FACTORS THAT HAVE CONTRIBUTED TO THE DISPROPORTIONATE BURDEN OF CHRONIC DISEASES EXPERIENCED BY AI/AN. TO ADDRESS THE PERSISTENT AND PERVASIVE HEALTH DISPARITIES AND INJUSTICES EXPERIENCED BY AI/ANS, STRATEGIES DRIVEN BY TRIBAL CORE VALUES THAT REFLECT INDIGENOUS REALITIES AND INDIGENOUS LIFEWORLDS THAT ARE INCLUSIVE OF TRIBAL BELIEFS, SYSTEMS, PRACTICES, IDENTITIES, AND HISTORIES MUST EMERGE AND BE LED BY TRIBES. THIS 5-YEAR CULTURAL APPROACH TO GOOD HEALTH AND WELLNESS COMPONENT 2 PROJECT WILL MOBILIZE A MULTIDISCIPLINARY PARTNERSHIP OF THE ALBUQUERQUE AREA SOUTHWEST TRIBAL EPIDEMIOLOGY CENTER (AASTEC), ITS PARENT ORGANIZATION THE ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC. (AAIHB), THE 27 INDIAN HEALTH SERVICE (IHS) ALBUQUERQUE AREA TRIBES, AND EXTERN AL PARTNERS TO ADDRESS THE BURDEN OF THE AFOREMENTIONED CHRONIC DISEASES AND THEIR AFFILIATED RISK FACTORS AMONG THE AI/AN POPULATION IN OUR REGION. AASTEC WILL PROVIDE FUNDING, TRAINING, TECHNICAL ASSISTANCE, AND EVALUATION SUPPORT TO ALBUQUERQUE AREA TRIBES, URBAN INDIAN ORGANIZATIONS, AND OTHER TRIBAL ENTITIES TO CONDUCT ACTIVITIES ACROSS ALL COMPONENT 1 STRATEGIES AND TRAINING/TA TO ESTABLISH TRIBAL DRIVEN POLICY, SYSTEMS, AND ENVIRONMENTAL (PSE) CHANGES THAT PROMOTE HEALTH AND PREVENT CHRONIC DISEASES AND THEIR RISK FACTORS. ROUTINE TRAININGS WILL BE PROVIDED IN THE DOMAINS OF NATIVE FITNESS AND PHYSICAL ACTIVITY, HOLISTIC HEALTH STRATEGIES, CHRONIC DISEASE PREVENTION AND MANAGEMENT, TEAM-BASED HEALTH CARE, PSE STRATEGIES, AND OTHER TOPICS IDENTIFIED BY TRIBES DURING THE FIRST TWO ROUNDS OF GHWIC. A CADRE OF UP TO 340 TRIBAL PARAPROFESSIONALS WILL ALSO BE TRAINED TO BECOME INTEGRATED MEMBERS OF CHRONIC DISEASE PREVENTION/MANAGEMENT TEAMS WITHIN THEIR LOCAL HEALTH CARE SYSTEMS. AASTEC WILL PROVIDE SUBAWARDS FOR UP TO 14 ALBUQUERQUE AREA TRIBES TO IMPLEMENT COMPONENT 1 STRATEGIES THAT BUILD ON EXISTING COMMUNITY PRIORITIES AND INFRASTRUCTURE TO: 1) PROVIDE A FOUNDATION FOR CHRONIC DISEASE PREVENTION BY IMPLEMENTING COMMUNITY-CHOSEN, TRADITIONAL AI/AN PRACTICES THAT BUILD RESILIENCE AND STRENGTHEN CONNECTIONS TO FAMILY, CULTURE, AND COMMUNITY; 2) ESTABLISH AND ENHANCE SYSTEMS THAT CONNECT COMMUNITY MEMBERS TO COMMUNITY, CLINICAL, AND SOCIAL SERVICES AND PROGRAMS TO PREVENT, MANAGE, AND CONTROL CHRONIC DISEASES AND THEIR RISK FACTORS; AND 3) PROMOTE THE IMPLEMENTATION OF MULTI-DISCIPLINARY TEAM-BASED CARE TO PREVENT, MANAGE, AND CONTROL CHRONIC DISEASES AND TO CONNECT PATIENTS TO COMMUNITY AND SOCIAL SERVICE PROVIDERS TO ADDRESS HEALTH-RELATED SOCIAL AND ECONOMIC NEEDS. THE AIM OF THIS PROJECT IS TO SUPPORT A HOLISTIC APPROACH TO HEALTH AND WELLBEING TO PREVENT, MANAGE, AND CONTROL CHRONIC DISEASES.

WEAVE-NW - THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD’S (NPAIHB’S) NORTHWEST TRIBAL EPIDEMIOLOGY CENTER (NWTEC) IS SUBMITTING THIS APPLICATION IN RESPONSE TO CDC-RFA-DP-24-0025, A CULTURAL APPROACH TO GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY (GHWIC). NPAIHB SEEKS FUNDING UNDER COMPONENT 2. STRATEGIES AND METHODS ADDRESS SEVERAL AREAS OF HEALTHY PEOPLE 2030, INCLUDING SOCIAL DETERMINANTS OF HEALTH AND PUBLIC HEALTH INFRASTRUCTURE. THROUGH THIS PROJECT WE SEEK TO BUILD THE PUBLIC HEALTH INFRASTRUCTURE ADDRESSING HEART DISEASE AND STROKE, DIABETES, OBESITY, ORAL HEALTH, AND OTHER MODIFIABLE HEALTH RISK FACTORS. OUTCOMES: THE LONG-TERM OUTCOMES OF THIS PROJECT ARE TO INCREASE THE PRESENCE AND QUALITY OF CULTURALLY-RESPONSIVE CHRONIC DISEASE PREVENTION INITIATIVES, INCLUDING THE CONSUMPTION OF HEALTH-PROMOTING AND TRADITIONAL FOODS; INCREASE RATES AND DURATION OF BREASTFEEDING; REDUCE THE PREVALENCE OF COMMERCIAL TOBACCO USE; REDUCE THE INCIDENCE OF TYPE 2 DIABETES, HYPERTENSION, AND HYPERCHOLESTEROLEMIA; AND REDUCE THE PREVALENCE OF EARLY CHILDHOOD CARIES. STRATEGIES AND ACTIVITIES: WE WILL PROVIDE DIRECT FUNDING TO OUR MEMBER TRIBES TO EXPAND C1 STRATEGIES AND ACTIVITIES. WE WILL PROVIDE TRAINING, TECHNICAL ASSISTANCE, EVALUATION SUPPORT, HEALTH COMMUNICATION DEVELOPMENT AND CONTINUED SUPPORT OF MULTI-SECTORAL PARTNERSHIPS THROUGH THE PROJECT. TRAINING TOPICS WILL INCLUDE EPIDEMIOLOGY AND DATA USE, HEALTH PLANNING, POLICY DEVELOPMENT, COMMERCIAL TOBACCO CESSATION, MATERNAL CHILD HEALTH INITIATIVES, CHRONIC DISEASE PREVENTION AND MANAGEMENT, AND BREASTFEEDING PROMOTION. USING OUR TRIBAL POLICY GUIDE, DEVELOPED IN PARTNERSHIP WITH NORTHWEST TRIBES, WE WILL PROVIDE TRAINING AND TECHNICAL ASSISTANCE ON PRACTICAL STEPS TO ASSESS COMMUNITY READINESS, DEVELOP, AND IMPLEMENT TRIBAL POLICY TO ADDRESS CHRONIC DISEASE. WE WILL COORDINATE AND PROVIDE LEADERSHIP FOR OUR MULTI-SECTOR PARTNERSHIPS, INCLUDING THE NORTHWEST TRIBAL FOOD SOVEREIGNTY COALITION (NTFSC) AND THE NORTHWEST TRIBAL BREASTFEEDING COALITION (NWIBC). WE WILL ALSO CONTINUE TO EXPAND THE DIABETES ECHO, WHICH IS A KNOWLEDGE-SHARING NETWORK LINKING TRIBAL PROVIDERS WITH EXPERTS AND SPECIALISTS IN A VIRTUAL CLINIC SETTING. THESE CLINICS PROVIDE TRAINING AND CONSULTATION FOR PRIMARY CARE CLINICIANS AND HEALTHCARE EXTENDERS TO BUILD THEIR CAPACITY TO PROVIDE CARE IN TRIBAL COMMUNITIES. WE WILL PARTNER WITH THE MATERNAL AND CHILD HEALTH ECHO TO PROVIDE DIDACTIC AND/OR CASE PRESENTATIONS ADDRESSING MATERNAL OR YOUTH TOBACCO USE, BREASTFEEDING, EARLY CHILDHOOD ORAL HEALTH, AND FIRST SOVEREIGN FOODS, INCLUDING PROMOTING WATER AS A BEVERAGE. COLLABORATIONS: THIS APPLICATION IS SUPPORTED BY A RESOLUTION, PASSED UNANIMOUSLY BY OUR MEMBER TRIBES, EXPANDS COLLABORATIVE RELATIONSHIPS TO ENHANCE HEALTH EQUITY BUILT OVER THE PAST 10 YEARS OF THE GHWIC PROJECT. WEAVE-NW PROJECT WILL COLLABORATE WITH AREA TRIBES AWARDED COMPONENT 1 FUNDING, AND ADDITIONAL TRIBES PROVIDED AWARDS UNDER THIS PROGRAM. WE WILL COLLABORATE WITH CDC CHRONIC DISEASE SECTIONS RELEVANT TO THE TRIBAL OBJECTIVES AND NWTEC STRATEGIES TO COORDINATE EVIDENCED-BASED AND CULTURALLY APPROPRIATE STRATEGIES. WE WILL COLLABORATE INTERNALLY WITH ALL NWTEC PROJECTS, INCLUDING THE YOUTH FOCUSED WE R NATIVE AND I-LEAD PROJECTS THAT ARE LEADERS IN THEIR USE OF SOCIAL MEDIA PLATFORMS FOR MEDIA MESSAGING STRATEGIES. WE WILL ALSO COLLABORATE WITH TRIBAL-SERVING ORGANIZATION PARTNERS, AS WELL AS WITH OUR REGIONAL STATES AND INDIAN HEALTH SERVICE. EVALUATION: THE PURPOSE OF THIS EVALUATION IS TO IDENTIFY THE STRENGTHS AND AREAS FOR IMPROVEMENT IN WEAVE-NW’S SUPPORT OF POLICY, SYSTEM, AND ENVIRONMENT CHANGES (PSES) TO PROMOTE NORTHWEST TRIBES’ HEALTH. TARGET AUDIENCE: WEAVE-NW WILL SERVE THE 43 FEDERALLY-RECOGNIZED AI/AN TRIBES IN IDAHO, OREGON, AND WASHINGTON STATES.

SPECIAL DIABETES PROGRAMS FOR INDIANS

ENCHANCING HEALTH EQLUALITY IN NORTHWEST TRIBES

OPIOID-IMPACTED FAMILY SUPPORT PROGRAM

SCHOOL CLIMATE TRANSFORMATION GRANTS TO LEAS

EMPOWERING AI/AN HEALTH RESEARCHERS: NORTHWEST NARCH 10 PROGRAM

AAIHB TRIBAL OPIOID RESPONSE PROJECT - FROM 1999 TO 2019, OPIOID-ONLY MORTALITY RATES INCREASED FROM 2.8 TO 15.8 PER 100000 (P<0.001) FOR AMERICAN INDIAN/ALASKA NATIVE (AI/AN) WOMEN AND 4.6 TO 25.6 PER 100000 (P<0.001) FOR AI/AN MEN IN THE U.S. DURING THE SAME TIME PERIOD, THE AI/AN POPULATION ALSO EXHIBITED SIGNIFICANT INCREASES IN MORTALITY RATES DUE TO OPIOIDS IN COMBINATION WITH OTHER SUBSTANCES (I.E., ALCOHOL, BENZODIAZEPINES, AND METHAMPHETAMINE), WHERE ALL OPIOID-RELATED MORTALITY RATES INCREASED SIGNIFICANTLY (P<0.001) FROM 5.2 TO 33.9 PER 100000 AI/AN PERSONS. SIMILAR BEHAVIORAL HEALTH DISPARITIES ARE WITNESSED AMONG THE AI/AN POPULATION IN NEW MEXICO. THE AAIHB TOR PROJECT HAS BEEN DESIGNED TO ADDRESS THE OPIOID OVERDOSE CRISIS IN TRIBAL COMMUNITIES VIA A COLLABORATION OF A TRIBALLY DESIGNATED ORGANIZATION, THE ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC. (AAIHB), AND FOUR OF ITS SIX CONSORTIUM TRIBES – JICARILLA APACHE, MESCALERO APACHE, RAMAH NAVAJO, AND TO’HAJIILEE NAVAJO. THE OVERARCHING PURPOSE OF THE AAIHB TOR PROJECT IS TO SUPPORT THE CONTINUUM OF PREVENTION, RECOVERY, AND HARM REDUCTION SERVICES FOR OPIOID USE DISORDER (OUD) AND CO-OCCURRING SUBSTANCE USE DISORDERS AMONG AI/AN YOUTH AND ADULTS. PROJECT GOALS AND MEASURABLE OBJECTIVES ARE ALIGNED WITH THE FOUNDATIONAL ELEMENTS, PRIORITIES AND STRATEGIES OF THE NATIONAL TRIBAL BEHAVIORAL HEALTH AGENDA, AND INCLUDE THE FOLLOWING CORE COMPONENTS: 1) TRAINING, CERTIFICATION A MOBILIZING A CADRE OF AI/AN PEER SUPPORT WORKERS IN ALL 4 PARTICIPATING TRIBES; 2) DEVELOPING AND DISSEMINATING CULTURALLY CENTERED STRATEGIC MESSAGING PRODUCTS; 3) FACILITATING COMMUNITY TRAININGS ON NALOXONE USE, MENTAL HEALTH FIRST AID (MHFA), QUESTION PERSUADE REFER (QPR), TRAUMA-INFORMED CARE, ADVERSE CHILDHOOD EXPERIENCES (ACE), AND/OR SOCIAL DETERMINANTS OF HEALTH (SDOH); 4) FACILITATING PROJECT VENTURE COURSES WITH AI/AN YOUTH; 5) DISSEMINATING NALOXONE WITHIN THE PARTICIPATING TRIBES; AND 6) REVIEWING AND ENHANCING EXISTING TRIBAL HARM REDUCTION POLICIES/PRACTICES IN ALL FOUR PARTICIPATING COMMUNITIES. AT LEAST THREE EVIDENCE BASED PRACTICES INTO THIS EFFORT – PROJECT VENTURE (PV), MENTAL HEALTH FIRST AID (MHFA), AND QUESTION, PERSUADE AND REFER (QPR). THESE SELECTED EBPS ARE APPROPRIATE FOR THE PROPOSED OUTCOMES, HAVE STRONG EVIDENCE, AND HAVE A HISTORY OF SUCCESSFUL IMPLEMENTATION WITH DIVERSE COMMUNITIES IN NEW MEXICO, INCLUDING TRIBAL COMMUNITIES. THE AAIHB TOR PROJECT IS THEREFORE WELL POSITIONED TO STRENGTHEN PREVENTION, RECOVERY, AND HARM REDUCTION ACTIVITIES AMONG AI/AN YOUTH AND ADULTS THROUGHOUT OUR REGION TO ENGAGE TRIBES, CREATE AWARENESS OF OUD AND PREVENTION PATHWAYS, INCREASE ACCESS TO HARM REDUCTION PRACTICES, AND ENHANCE RECOVERY SUPPORT FOR AFFECTED INDIVIDUALS AND FAMILIES THAT ARE CURRENTLY EXPERIENCING SUBSTANTIAL BEHAVIORAL HEALTH DISPARITIES.

NORTHWEST TRIBAL DENTAL SUPPORT CENTER

AAIHB 988 TRIBAL RESPONSE PROJECT - THE AAIHB 988 TRIBAL RESPONSE PROJECT IS A COLLABORATION OF A TRIBALLY DESIGNATED ORGANIZATION, THE ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC. (AAIHB), ALL SIX OF ITS CONSORTIUM TRIBES – JICARILLA APACHE, MESCALERO APACHE, RAMAH NAVAJO, TO’HAJIILEE NAVAJO, SOUTHERN UTE AND UTE MOUNTAIN UTE, AND THREE PUEBLO TRIBES IN OUR SERVICE AREA – SANTO DOMINGO (KEWA) PUEBLO, ISLETA PUEBLO AND ZUNI PUEBLO. THE OVERARCHING PURPOSE OF THE AAIHB 988 TRIBAL RESPONSE PROJECT IS TO 1) IMPROVE RESPONSE TO 988 CONTACTS ORIGINATING IN TRIBAL COMMUNITIES AND/OR ACTIVATED BY AMERICAN INDIANS IS IN THE AAIHB SERVICE AREA; 2) IMPROVE INTEGRATION TO ENSURE THERE IS NAVIGATION AND FOLLOW-UP CARE; AND (3) FACILITATE COLLABORATIONS WITH TRIBAL/STATE HEALTH PROVIDERS, TRIBAL ORGANIZATIONS, LAW ENFORCEMENT, AND OTHER FIRST RESPONDERS IN A MANNER WHICH RESPECTS TRIBAL SOVEREIGNTY. PROJECT ACTIVITIES WILL, AT A MINIMUM, INCLUDE: 1) COMPLETING TRIBAL READINESS OR NEEDS ASSESSMENTS TO IDENTIFY ASSETS AND GAPS IN TRIBAL CRISIS RESPONSE AND FOLLOW-UP PROTOCOLS; 2) DEVELOPING AND IMPLEMENTING A TRIBE-SPECIFIC ACTION AND SUSTAINABILITY PLANS; 3) DEVELOPING QUALITY IMPROVEMENT PLANS FOR EXISTING 988 CRISIS CENTERS; 4) ADAPTING AND DISSEMINATING 988 CRISIS CENTER COMMUNICATION PRODUCTS TO STRENGTHEN TRIBAL COMMUNITY AWARENESS AND UTILIZATION OF EXISTING 988 CRISIS CENTERS; 5) CREATING OR ENHANCING SCREENING AND REFERRAL PROTOCOLS TO ENSURE NAVIGATION AND FOLLOW-UP CARE FOR TRIBAL MEMBERS POST CONTACT WITH 988 CRISIS CENTERS; 6) TRAINING A MOBILIZING A CADRE OF PEER SUPPORT WORKERS IN ALL 9 PARTICIPATING TRIBES TO PROVIDE CRISIS SERVICES; 7) OFFERING INSTRUCTOR TRAINING AND CERTIFICATION IN EVIDENCE-BASED PRACTICES FOR SUICIDE PREVENTION AND CRISIS SERVICES, I.E, ASIST, QPR AND MENTAL HEALTH FIRST AID; AND 8) TRAINING 988 CRISIS CENTER STAFF TO ENHANCE CULTURAL COMPETENCY AND UNDERSTANDING OF THE NEEDS AND PRIORITIES OF PARTICIPATING TRIBES. WE WILL ALSO ESTABLISH A PROJECT COALITION THAT ENCOMPASSES TRIBAL PROGRAM STAFF (I.E., BEHAVIORAL HEALTH, LAW ENFORCEMENT, EMTS, COMMUNITY HEALTH WORKERS, ETC.) FROM EACH OF THE 9 PARTICIPATING TRIBES, AAIHB PROJECT STAFF, AND 988 CRISIS CENTER STAFF. THE CREATION AND SUSTAINMENT OF SUCH A DIVERSE COALITION IS EXPECTED TO ENHANCE COMMUNICATION AND COORDINATION OF ALL PROJECT ACTIVITIES AND ENSURE THAT THEY ALIGN WITH TRIBAL PRIORITIES AND IMPORTANT CULTURAL CONSIDERATIONS. THE AAIHB 988 TRIBAL RESPONSE PROJECT WILL IMPLEMENT A COMPREHENSIVE DATA COLLECTION AND PERFORMANCE MEASUREMENT PROTOCOL TO ASSESS PROGRAM IMPLEMENTATION, IMPACT, PROGRESS, AND OUTCOMES.

SPECIAL DIABETES PROGRAMS FOR INDIANS

PREVENTION FOR COMMUNITY WELLNESS: POSITIVE DIRECTIONS FOR NATIVE HEALTH

TEACHING AMERICAN HISTORY GRANTS

EHS 2009 ARRA EXPANSION

A NW TRIBAL EPICENTER COLLABORATION TO IMPROVE THE USE OF MOTOR VEHICLE INJURY DATA

AI/AN HEALTH EQUITY INITIATIVE PROJECT

SPECIAL DIABETES PROGRAMS FOR INDIANS

OPIOID/ADDICTION ECHO: CAPACITY EXPANSION AND COLLABORATION

NW TRIBAL COMPREHENSIVE CANCER PROJECT - THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) IS A TRIBAL ORGANIZATION GOVERNED BY THE 43 FEDERALLY RECOGNIZED TRIBES OF IDAHO, OREGON, AND WASHINGTON, AND REPRESENTS 401,000 AMERICAN INDIAN/ALASKA NATIVE (AI/AN) PEOPLE. OUR TRIBAL ELDERS AND HEALTH CARE PLANNERS CLEARLY RECOGNIZE THE IMMENSE IMPACT THAT CANCER HAS IN OUR TRIBES, AND THEY HAVE LOOKED TO THE NPAIHB’S NORTHWEST TRIBAL COMPREHENSIVE CANCER PROJECT (NTCCP) FOR LEADERSHIP IN CANCER PREVENTION IN TRIBAL COMMUNITIES. WITH CDC FUNDING, OUR PROJECT HAS PROVIDED CRITICAL SERVICES FOR OUR CONSTITUENT TRIBES FOR TWENTY-TWO YEARS. AS THE FIRST TRIBAL CANCER CONTROL PROJECT IN THE CDC COMPREHENSIVE CANCER CONTROL PROJECT, WE CONTINUE TO SET A HIGH STANDARD IN DELIVERING CULTURALLY APPROPRIATE SERVICES ROOTED WITHIN AN INDIGENOUS FRAMEWORK AND GOVERNED BY TRIBAL VOICE. THE NTCCP WILL CONTINUE TO IMPLEMENT EVIDENCE-BASED INTERVENTIONS (EBIS) THAT ALIGN WITH THE THREE PRIORITY AREAS OF PRIMARY PREVENTION, EARLY DETECTION AND SCREENING AND THE HEALTH AND WELLBEING OF CANCER SURVIVORS. THROUGH THE PROPOSED EBIS, AND CENTERING THE 20-YEAR TRIBAL COMPREHENSIVE CANCER CONTROL PLAN, WE SEEK TO DECREASE CANCER INCIDENCE AND MORTALITY, IMPROVE SCREENING, INCREASE COMMUNITY CANCER EDUCATION, REDUCE THE TIME FROM APPEARANCE OF SYMPTOMS AND SIGNS TO DIAGNOSIS, IMPROVE TREATMENT COMPLIANCE, AND LENGTHEN CANCER SURVIVORSHIP FOR TRIBAL MEMBERS IN OUR REGION. THE ANTICIPATED OUTCOMES BY THE END OF THIS PROJECT PERIOD ARE AS FOLLOWS: INCREASE PERCENT OF AI/AN YOUTH AGES 13 - 17 WHO HAVE COMPLETED THE HPV VACCINATION SERIES FROM 67.5% TO 70.5% BY JUNE 2023. DECREASE AI/AN YOUTH COMMERCIAL TOBACCO USE FROM 29.2% TO 26.2% BY JUNE 2023. DECREASE PERCENT OF AI/AN ADULT SMOKING PREVALENCE FROM 25% TO 22% BY JUNE 2023. INCREASE THE PERCENT OF AI/AN WOMEN AGE 50 YEARS AND OLDER WHO HAVE HAD A MAMMOGRAPHY SCREENING WITHIN THE PAST TWO YEARS FROM 22.8% TO 25.8% BY JUNE 2023. INCREASE THE PERCENT OF AI/AN WOMEN AGE 24 – 64 WHO HAVE HAD A CERVICAL CANCER SCREENING TEST WITHIN THE PAST TWO YEARS FROM 27.4% TO 30.4% BY JUNE 2023. INCREASE THE PERCENT OF AI/AN ADULTS AGED 45 – 75 YEARS WHO ARE UP TO DATE ON A USPSTF RECOMMENDED COLORECTAL SCREENING TEST FROM 24.4% TO 27.4% BY JUNE 2023. INCREASE THE NUMBER OF TELEHEALTH ECHO/TRAININGS ON CANCER SURVIVORSHIP FOR HEALTH PROFESSIONALS FROM 3 TO 5 BY JUNE 2023. WE HAVE ESTABLISHED MULTIPLE PARTNERSHIPS WITH TRIBAL, STATE, AND FEDERAL PROGRAMS IN ADDITION TO CANCER CENTERS, UNIVERSITIES, AND PRIVATE FOUNDATIONS CONCERNED WITH CANCER PREVENTION AMONG TRIBAL PEOPLES. WE WILL CONTINUE TO NURTURE AND MAINTAIN OUR LONGSTANDING PARTNERSHIPS WITH CANCER REGISTRIES TO INCREASE PROGRAM CAPACITY AND SUPPORT CANCER CONTROL PLANNING. THE TRIBAL CANCER COALITION WILL CONTINUE TO MEET WITH TRIBAL AND COMPREHENSIVE CANCER PARTNERS TO ADDRESS CANCER PREVENTION AND CONTROL, BUILD PARTNERSHIPS, SHARE DATA, CANCER RESOURCES, IDENTIFY AND ADDRESS COMMON PRIORITIES, AND DEVELOP STRATEGIES TO ELIMINATE CANCER HEALTH DISPARITIES. WHILE WE HAVE MADE SUBSTANTIAL CONTRIBUTIONS TO TRIBAL CANCER PREVENTION AND CONTROL IN NW TRIBES, THERE ARE STILL CHALLENGES AHEAD. WE ARE OPTIMISTIC THAT WORKING CLOSELY WITH OUR TRIBAL COALITION MEMBERS, OUR PARTNERS, AND OUR CDC COLLEAGUES, WE WILL IMPACT THE REDUCTION OF CANCER INCIDENCE AND MORTALITY. WE STRIVE FOR IMPROVEMENT IN CANCER SURVIVORSHIP AND QUALITY OF LIFE TOWARD THE NEXT SEVEN GENERATIONS OF HEALTHIER, CANCER-FREE TRIBAL COMMUNITIES.

NORTHWEST TRIBAL CANCER NAVIGATOR PROGRAM

AAIHB COMMUNITY OPIOID INTERVENTION PILOT PROJECT - THE ALBUQUERQUE AREA INDIAN HEALTH BOARD (AAIHB) COMMUNITY OPIOID INTERVENTION PILOT PROJECT (COIPP) WILL BRING TOGETHER A MULTIDISCIPLINARY PARTNERSHIP TO SUPPORT THE DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF CULTURALLY APPROPRIATE, EVIDENCE-BASED PRACTICES TO ADDRESS OPIOID USE DISORDER AMONG AMERICAN INDIAN/ALASKA NATIVE (AI/AN) INDIVIDUALS IN THE INDIAN HEALTH SERVICE (IHS) ALBUQUERQUE AREA. THE AAIHB COIPP WILL FOCUS ON TWO OVERARCHING GOALS, EACH WITH NUMEROUS OBJECTIVES TO BE IMPLEMENTED OVER THE NEXT 3 YEARS TO 1) EMPLOY CULTURALLY APPROPRIATE AND EFFECTIVE PUBLIC HEALTH INTERVENTIONS FOR OPIOID PREVENTION, TREATMENT, AND HARM REDUCTION STRATEGIES TO IMPROVE THE PHYSICAL, SOCIAL, EMOTIONAL, AND CULTURAL WELL-BEING OF AI/AN INDIVIDUALS; AND 2) BUILD AND STRENGTHEN CULTURALLY APPROPRIATE, TRAUMA-INFORMED SERVICES IN TRIBAL SETTINGS TO IMPROVE HEALTH OUTCOMES FOR AI/AN INDIVIDUALS AND THEIR FAMILIES.THE PROJECT WILL BE BASED UPON THE COMMUNITY COALITION MODEL, WHICH HAS EMERGED AS A CENTRAL PREVENTION STRATEGY FOR SUBSTANCE USE. COMMUNITY COALITIONS ARE A MULTI-SECTOR PARTNERSHIP MODEL DESIGNED TO ADDRESS FACTORS IN THE COMMUNITY THAT POTENTIALLY INCREASE SUBSTANCE USE AND SUPPORT INTERVENTIONS THAT PROMOTE POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE TO REDUCE SUBSTANCE USE. THE AAIHB COIPP WILL PROVIDE UP TO 10 SUB-AWARDS TO TRIBES IN THE IHS ALBUQUERQUE AREA TO IMPLEMENT THE COMMUNITY COALITION MODEL AND FORM A TRIBAL COMMUNITY OPIOID TASK FORCE COMPRISED OF, AT A MINIMUM, TRIBAL LEADERSHIP, HEALTH PROGRAM STAFF, COMMUNITY MEMBERS, LAW ENFORCEMENT, AND BEHAVIORAL HEALTH PROGRAMS. THE TASK FORCES WILL FOCUS ON CONDUCTING COMMUNITY ASSET AND NEEDS ASSESSMENTS UTILIZING QUANTITATIVE AND QUALITATIVE DATA TO IDENTIFY THE PREVAILING ATTITUDES AND BEHAVIORS ASSOCIATED WITH OPIOID USE AND THE CURRENT STAGE OF READINESS FOR COMMUNITY AND SYSTEM CHANGE. THIS WILL INFORM PRIORITIES FOR THE COMMUNITY RESPONSE TO OPIOID USE AND BEST PRACTICES TO IMP LEMENT FOR YEAR TWO AND THREE. SUB-AWARDEES WILL BE ENCOURAGED TO ADDRESS ACTIVITIES THAT FOCUS ON POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE RELATED TO OPIOID USE PREVENTION, TREATMENT, AND RECOVERY.DURING EACH PROJECT YEAR, THE AAIHB COIPP WILL PROVIDE AT LEAST THREE TRAININGS ON CULTURALLY APPROPRIATE AND TRAUMA INFORMED BEST PRACTICES TO IMPLEMENT OPIOID PREVENTION, TREATMENT, INCLUDING MEDICATED ASSISTED THERAPY, HARM REDUCTION, AND RECOVERY STRATEGIES. THE AAIHB TARGET AUDIENCE WILL INCLUDE TRIBAL PARTNERS FROM CLINIC AND COMMUNITY-BASED SETTINGS FROM THE 27 TRIBES IN THE IHS ALBUQUERQUE AREA. TRAININGS WILL BE OFFERED IN SEVERAL FORMATS INCLUDING ONSITE WORKSHOPS, CONFERENCE PARTICIPATION, AND WEBINARS. IN ADDITION, EVERY YEAR, WE WILL CONVENE SUB-AWARDEES AND REGIONAL PARTNERS FOR A TWO-DAY SUMMIT AND DISSEMINATE BEST PRACTICES, LESSONS LEARNED, AND NETWORK WITH OTHER TRIBAL SUB-AWARDEES AND REGIONAL PARTNERS.A COMBINATION OF PROCESS AND OUTCOMES EVALUATION APPROACHES WILL BE IMPLEMENTED THROUGHOUT THE PROJECT TO MEASURE PERFORMANCE. THE PROPOSED EVALUATION PLAN IS CONSISTENT WITH THE AAIHB LOGIC MODEL AND IHS COMMUNITY OPIOID INTERVENTION PILOT PROJECT CRITERIA. THE AAIHB COIPP STAFF WILL WORK IN PARTNERSHIP WITH OUR TRIBAL EPIDEMIOLOGY CENTER TO BUILD A CUSTOMIZED, SECURE DATABASE, WHICH WILL BE UTILIZED BY ALL PROGRAM STAFF. THE PROPOSED PROJECT IS THEREFORE SORELY NEEDED AND WILL BE LED BY AN EXPERIENCED TEAM AT THE ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC. (AAIHB) WHO WILL BUILD UPON SUCCESSFUL STI/HIV/AIDS PREVENTION/EDUCATION SERVICES TO LEAD A COMMUNITY OPIOID PREVENTION PILOT PROJECT THAT WILL PROMOTE AWARENESS, PREVENTION, SCREENING, REFERRAL AND LINKAGE TO CARE.

NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (BOLD IMPLEMENTATION, COMPONENT 2)

NPAIHB ZERO SUICIDE INITIATIVE COORDINATING CENTER

CENTERS FOR INDEPENDENT LIVING - CENTERS FOR INDEPENDENT LIVING

DENTAL PREVENTATIVE AND CLINICAL SUPPORT CENTERS PROGRAM

NW TRIBAL COMPREHENSIVE CANCER PROGRAM (NTCCP)

COVID (P.L. 116-260) & AMERICAN RESCUE PLAN

2014 NARCH 8

SPECIAL DIABETES PROGRAM FOR INDIANS - CVD/HEALTHY HEART INITIATIVE

SPECIAL DIABETES PROGRAM FOR INDIANS - CVD/HEALTHY HEART INITIATIVE

IMPROVING DATA & ENHANCING ACCESS - (IDEA)

NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) TRIBAL OPIOID RESPONSE (TOR) CONSORTIUM PHASE 2 (TOR2)

AAIHB STD/HIV/AIDS PREVN PROG CAPACITY BLDG INITIATIVE FOR SA AND HIV PREVN SRVS

SPECIAL DIABETES PROGRAMS FOR INDIANS- DATA IMPROVEMENT

NATIONAL CANCER PREVENTION AND CONTROL PROGRAM

NARCH III

FY 05 SERVICES TO TRAFFICING

NORTHWEST OPIOID ECHO PROJECT: COLLABORATIONS TO STRENGTHEN OUR TRIBAL NATIONS

SPECIAL DIABETES PROGRAMS FOR INDIANS

VOLUNTEERS OF AMERICA BAY AREA INC. LINKAGE TO LIFE: REBUILDING BROKEN BRIDGES

NARCH III

DESCRIPTION:THE AGREEMENT PROVIDES ASSISTANCE TO THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) TO IMPLEMENT A PROGRAM OF VOLUNTARY TESTING FOR LEAD IN DRINKING WATER AT TRIBAL SCHOOLS AND CHILD CARE CENTERS. SPECIFICALLY, THE RECIPIENT ANTICIPATES WORKING WITH 104 FACILITIES, INCLUDING TRIBALLY-OPERATED CHILD CARE CENTERS, AMERICAN INDIAN (AI)/ALASKA NATIVE (AN) HEAD START AND EARLY HEAD START CENTERS, TRIBALLY-OPERATED SCHOOLS AND STATE SCHOOLS ON RESERVATIONS NOT SERVED THROUGH THE STATE PROGRAMS. ACTIVITIES:THE ACTIVITIES INCLUDE THE TESTING OF ALL OUTLETS USED FOR ANY LEVEL OF CONSUMPTION, TRAINING OF LOCAL AND IN-HOUSE STAFF OF SAMPLING ACTIVITIES, DEVELOPMENT OF SAMPLING, MAINTENANCE, AND MANAGEMENT PLANS, DEVELOPMENT OF DATABASES, OUTREACH AND EDUCATION ACTIVITIES, AND DEVELOPMENT OF REMEDIATION PLANS FOR ANY SITES THAT COME BACK WITH LEAD CONTAMINATION ISSUES.SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES:THE EXPECTED OUTCOMES INCLUDE SAFE DRINKING WATER AT CHILD CARE CENTERS AND SCHOOLS. THE INTENDED BENEFICIARIES INCLUDE OCCUPANTS AT TRIBALLY-OPERATED CHILD CARE CENTERS AND SCHOOLS.

INTERGENERATIONAL INTERTRIBAL (I2) POSITIVE DIRECTIONS FOR NATIVE HEALTH - THE SAMHSA NATIVE CONNECTIONS "INTERGENERATIONAL INTERTRIBAL (12) POSITIVE DIRECTIONS FOR NATIVE HEALTH" IS A FIVE-YEAR GRANT THAT WILL HELP AMERICAN INDIAN COMMUNITIES IDENTIFY AND ADDRESS THE BEHAVIORAL HEALTH NEEDS OF NATIVE YOUTH. THE OVERALL PROGRAM GOAL IS TO PREVENT AND REDUCE SUICIDAL BEHAVIOR AND SUBSTANCE MISUSE AND PROMOTE MENTAL HEALTH AMONG NATIVE YOUTH UP TO AGE 24. AAIHB WILL PARTNER WITH TRIBAL COMMUNITIES TO: 1)REDUCE SUBSTANCE USE AND SUICIDE IDEATION BY INCREASING POSITIVE CULTURAL IDENTITY IN TRAUMA SURVIVORS THROUGH A CULTURALLY ADAPTED CURRICULUM. BY STRENGTHENING NATIVE AMERICAN YOUTH'S CONNECTION TO THEIR CULTURAL IDENTITY, WE WILL HONOR WHO THEY ARE AND ALSO CONTRIBUTE TO A DECREASE IN SUBSTANCE USE AND POOR MENTAL HEALTH OUTCOMES. 2) PROVIDE MENTAL HEALTH PROMOTION, TRAUMA-INFORMED CARE APPROACHES, SUICIDE PREVENTION, AND SUBSTANCE MISUSE AWARENESS. A COMPREHENSIVE APPROACH TO IMPROVE THE WELL-BEING OF THE COMMUNITY INVOLVES CREATING COMMUNITY-WIDE AWARENESS TO FIGHT STIGMA, PROVIDE SUPPORT AND EDUCATE THE PUBLIC ABOUT MENTAL HEALTH, SUICIDE, AND SUBSTANCE MISUSE. 3) INCREASE COMMUNITY ENGAGEMENT AND CAPACITY TO ADDRESS SUICIDE AND SUBSTANCE MISUSE IN THE COMMUNITY. THE PROJECT TEAM WILL PARTNER WITH THE INTERGENERATIONAL COMMUNITY ADVISORY PANEL (ICAP) AND THE ALBUQUERQUE AREA SOUTHWEST TRIBAL EPIDEMIOLOGY CENTER (AASTEC) EXECUTIVE COUNCIL/COMMUNITY SCIENTIFIC ADVISORY COUNCIL (EC/CSAC) COMPOSED OF COMMUNITY MEMBERS, ELDERS, YOUTH, AND HEALTH AND SOCIAL SERVICE PERSONNEL TO GUIDE THE PROJECT. MOST IMPORTANTLY, THE ICAP/EC/CSAC WILL MAKE DECISIONS THAT INFORM THE CULTURAL ADAPTION OF THE "CULTURE AND DRUGS DON'T MIX" CURRICULUM.

TRIBAL COMMUNITY HEALTH PROVIDER PROJECT

AAIHB COMMUNITY OPIOID INTERVENTION PREVENTION PROJECT - THE ALBUQUERQUE AREA INDIAN HEALTH BOARD (AAIHB) COMMUNITY OPIOID INTERVENTION PREVENTION PROJECT (COIPP) WILL BRING TOGETHER A MULTIDISCIPLINARY PARTNERSHIP TO SUPPORT THE DEVELOPMENT, IMPLEMENTATION AND EVALUATION OF CULTURALLY APPROPRIATE, EVIDENCE-BASED PRACTICES TO ADDRESS OPIOID USE DISORDER AMONG AMERICAN INDIAN/ALASKA NATIVE (AI/AN) INDIVIDUALS IN THE INDIAN HEALTH SERVICE (IHS) ALBUQUERQUE AREA. THE AAIHB COIPP WILL FOCUS ON TWO OVERARCHING GOALS, EACH WITH NUMEROUS OBJECTIVES TO BE IMPLEMENTED OVER THE NEXT 5 YEARS TO 1) ADVANCE PROFESSIONAL AND COMMUNITY CAPACITY TO IMPLEMENT CULTURALLY RELEVANT AND TRAUMA-INFORMED PUBLIC HEALTH EDUCATION AND TRAINING STRATEGIES FOR OPIOID USE PREVENTION, HARM REDUCTION, AND TREATMENT.; AND 2) DEVELOP AND IMPROVE ACCESS TO CULTURALLY APPROPRIATE, TRAUMA-INFORMED RESOURCES TO ENHANCES SERVICES FOR PERSONS DEALING WITH OUD AND THEIR FAMILIES. THE PROJECT WILL ADOPT THE SANCTUARY MODEL, A THEORY-DRIVEN FRAMEWORK FOR INITIATING AND SUSTAINING SYSTEMIC AND ORGANIZATIONAL TRANSFORMATIONS AIMED AT ESTABLISHING TRAUMA-INFORMED ENVIRONMENTS.10 CENTRAL TO THE SANCTUARY MODEL ARE FOUR FOUNDATIONAL PILLARS: SHARED VALUES, SHARED LANGUAGE, SHARED KNOWLEDGE, AND SHARED PRACTICE. THIS COMPREHENSIVE APPROACH TARGETS SYSTEMIC SHIFTS WITHIN ORGANIZATIONS AND COMMUNITIES, STRIVING TO CULTIVATE SAFE, NON-VIOLENT ENVIRONMENTS CONDUCIVE TO HEALING AND SUPPORT FOR INDIVIDUALS IMPACTED BY TRAUMA. THE AAIHB COIPP WILL PROVIDE TWO SUB-AWARDS TO TRIBES IN THE IHS ALBUQUERQUE AREA TO IMPLEMENT COMMUNITY-DRIVEN STRATEGIES TO DEVELOP COMMUNITY AWARENESS AND EDUCATION CAMPAIGNS, EXPAND ACCESS TO MEDICATIONS FOR OPIOID USE DISORDER (MOUD), BUILD A SUPPORT SYSTEM FOR STRENGTHENING NATIVE FAMILIES, AND INCREASE HARM REDUCTION ACTIVITIES. SUB-AWARDEES WILL BE ENCOURAGED TO ADDRESS ACTIVITIES THAT FOCUS ON POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE RELATED TO OPIOID USE PREVENTION, TREATMENT, AND RECOVERY. DURING EACH PROJECT YEAR, THE AAIHB COIPP WILL PROVIDE AT LEAST FIVE TRAININGS AND DEVELOP RESOURCES ON CULTURALLY APPROPRIATE, AND TRAUMA INFORMED BEST PRACTICES TO IMPLEMENT OPIOID PREVENTION, TREATMENT, INCLUDING MEDICATED ASSISTED THERAPY, HARM REDUCTION, AND RECOVERY STRATEGIES. THE AAIHB TARGET AUDIENCE WILL INCLUDE TRIBAL PARTNERS FROM CLINIC AND COMMUNITY-BASED SETTINGS FROM THE 27 TRIBES IN THE IHS ALBUQUERQUE AREA. IN ADDITION, EVERY YEAR, WE WILL CONVENE SUB-AWARDEES AND REGIONAL PARTNERS FOR THE HOPE IN HEALING NATIVE OPIOID SUMMIT, A TWO-DAY EVENT TO DISSEMINATE BEST PRACTICES AND LESSONS LEARNED. FURTHERMORE, THE AAIHB COIPP WILL RECRUIT AND RETAIN UP TO 5 PEER FACILITATORS OF THE COMMUNITY REINFORCEMENT AND FAMILY TRAINING (CRAFT). CRAFT, A STRUCTURED PROGRAM SPANNING 8–10 WEEKS, IS DESIGNED TO SUPPORT FAMILIES COPING WITH SUBSTANCE USE DISORDER, EQUIPPING PARTICIPANTS WITH CONSTRUCTIVE COMMUNICATION STRATEGIES WHILE FOSTERING HEALTHY BOUNDARIES. FINALLY, THE AAIHB COIPP WILL PROVIDE ESSENTIAL HARM REDUCTION SUPPLIES TO AMERICAN INDIAN/ALASKA NATIVE INDIVIDUALS AND TRIBAL ORGANIZATIONS INCLUDING NALOXONE, FENTANYL AND XYLAZINE TEST STRIPS, AND DETERRA MEDICATION DISPOSAL BAGS. THIS SERVICE SIGNIFICANTLY BOLSTERS ACCESS TO VITAL SUPPLIES THAT MAY OTHERWISE BE SCARCE OR DIFFICULT TO OBTAIN WITHIN THESE COMMUNITIES. THE PROPOSED PROJECT IS THEREFORE SORELY NEEDED AND WILL BE LED BY AN EXPERIENCED TEAM AT THE ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC. (AAIHB) WHO WILL BUILD UPON SUCCESSFUL IMPLEMENTATION OF THE 2021 COMMUNITY OPIOID PREVENTION PILOT PROJECT TO PROMOTE AWARENESS, PREVENTION, SCREENING, REFERRAL AND LINKAGE TO CARE FOR OPIOID USE DISORDER.

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

DESCRIPTION:BROWNFIELDS ARE REAL PROPERTY, THE EXPANSION, DEVELOPMENT OR REUSE OF WHICH MAY BE COMPLICATED BY THE PRESENCE OR POTENTIAL PRESENCE OF A HAZARDOUS SUBSTANCE, POLLUTANT, OR CONTAMINANT. THIS AGREEMENT WILL PROVIDE FUNDING FOR HEADWATERS REGIONAL DEVELOPMENT COALITION TO CAPITALIZE A REVOLVING LOAN FUND AS AUTHORIZED BY CERCLA 104(K)(3) IN ANACONDA-DEER LODGE, BEAVERHEAD, BUTTE-SILVER BOW, GRANITE, JEFFERSON, MADISON, AND POWELL COUNTIES, IN MONTANA.ACTIVITIES:SPECIFICALLY, THIS AGREEMENT WILL PROVIDE FUNDING FOR THE RECIPIENT TO CAPITALIZE A REVOLVING LOAN FUND FROM WHICH TO MAKE LOANS AND SUBGRANTS TO CLEAN UP BROWNFIELD SITE(S) AND CONDUCT OTHER NECESSARY ACTIVITIES TO PRUDENTLY MANAGE THE RLF. ADDITIONALLY, THE RECIPIENT WILL COMPETITIVELY PROCURE (AS NEEDED) AND DIRECT A QUALIFIED ENVIRONMENTAL PROFESSIONAL TO OVERSEE THE ENVIRONMENTAL SITE ACTIVITIES, WILL CREATE A COMMUNITY INVOLVEMENT PLAN AND ADMINISTRATIVE RECORD FOR EACH SITE THAT IS REMEDIATED, AND WILL REPORT ON PROGRAM INCOME, INTERIM PROGRESS, AND FINAL ACCOMPLISHMENTS BY COMPLETING AND SUBMITTING RELEVANT PORTIONS OF THE PROPERTY PROFILE FORM AND BROWNFIELDS RLF FORM USING EPA'S ASSESSMENT, CLEANUP AND REDEVELOPMENT EXCHANGE SYSTEM (ACRES). SUBRECIPIENT:SUBAWARDS WILL BE USED TO REMEDIATE HAZARDOUS MATERIALS AND PETROLEUM AT BROWNFIELDS SITES AND WILL BE PROVIDED TO ELIGIBLE ENTITIES FOR THESE ACTIVITIES.OUTCOMES: FURTHER, THE RECIPIENT WILL ISSUE APPROXIMATELY LOANS AND SUBGRANTS TO REMEDIATE NUMEROUS BROWNFIELD SITE(S) WHICH WILL BE DEFINED THROUGH COMMUNITY OUTREACH; ANTICIPATES HOLDING A MINIMUM OF FOUR COMMUNITY MEETINGS, AND FINALIZING ANALYSIS OF BROWNFIELD CLEANUP ALTERNATIVES FOR EACH SITE WHERE CLEANUP ACTIVITIES OCCUR, AND SUBMITTING 20 QUARTERLY REPORTS. WORK CONDUCTED UNDER THIS AGREEMENT WILL BENEFIT THE RESIDENTS, BUSINESS OWNERS, AND STAKEHOLDERS IN AND NEAR ANACONDA-DEER LODGE, BEAVERHEAD, BUTTE-SILVER BOW, GRANITE, JEFFERSON, MADISON, AND POWELL COUNTIES, IN MONTANA.

DESCRIPTION:BROWNFIELDS ARE REAL PROPERTY, THE EXPANSION, DEVELOPMENT OR REUSE OF WHICH MAY BE COMPLICATED BY THE PRESENCE OR POTENTIAL PRESENCE OF A HAZARDOUS SUBSTANCE, POLLUTANT, OR CONTAMINANT. THIS AGREEMENT WILL PROVIDE FUNDING UNDER THE INFRASTRUCTURE INVESTMENT AND JOBS ACT (IIJA) FOR HEADWATERS RESOURCE CONSERVATION AND DEVELOPMENT (RCANDD) TO RE-CAPITALIZE A REVOLVING LOAN FUND AS AUTHORIZED BY CERCLA 104(K)(5)(A)(II) IN THE SEVEN-COUNTY REGION WHICH INCLUDES BEAVERHEAD, BUTTE-SILVER BOW, DEER LODGE, GRANITE, JEFFERSON, MADISON, AND POWELL COUNTIES, MONTANA. ACTIVITIES:SPECIFICALLY, THIS AGREEMENT WILL PROVIDE FUNDING FOR THE RECIPIENT TO RE-CAPITALIZE A REVOLVING LOAN FUND FROM WHICH TO MAKE LOANS AND SUBGRANTS TO CLEAN UP BROWNFIELD SITE(S) AND CONDUCT OTHER NECESSARY ACTIVITIES TO PRUDENTLY MANAGE THE RLF. ADDITIONALLY, THE RECIPIENT WILL COMPETITIVELY PROCURE (AS NEEDED) AND DIRECT A QUALIFIED ENVIRONMENTAL PROFESSIONAL TO OVERSEE THE ENVIRONMENTAL SITE ACTIVITIES, WILL CREATE A COMMUNITY INVOLVEMENT PLAN AND ADMINISTRATIVE RECORD FOR EACH SITE THAT IS REMEDIATED, AND WILL REPORT ON PROGRAM INCOME, INTERIM PROGRESS, AND FINAL ACCOMPLISHMENTS BY COMPLETING AND SUBMITTING RELEVANT PORTIONS OF THE PROPERTY PROFILE FORM AND BROWNFIELDS RLF FORM USING EPA'S ASSESSMENT, CLEANUP AND REDEVELOPMENT EXCHANGE SYSTEM (ACRES). SUBRECIPIENT:$500,000 IN LOANS AND $140,000 IN SUBGRANTS WILL PROVIDED TO ELIGIBLE ENTITIES (MUNICIPALITIES AND NON-PROFITS) TO PROCURE THE SERVICES OF A QUALIFIED ENVIRONMENTAL PROFESSIONAL TO OVERSEE AND SUBCONTRACT THE REMEDIATION OF CONTAMINATION OF SITES THROUGHOUT THE HEADWATERS RCANDD'S 6-COUNTY SERVICE AREA.OUTCOMES:FURTHER, THE RECIPIENT WILL ISSUE APPROXIMATELY LOANS AND SUBGRANTS TO REMEDIATE UP TO SEVEN BROWNFIELD SITE(S); ANTICIPATES HOLDING FIVE COMMUNITY MEETINGS IN ADDITION TO MEETINGS CONDUCTED FOR EACH BROWNFIELD REMEDIATION; FINALIZING UP TO SEVEN ANALYSIS OF BROWNFIELD CLEANUP ALTERNATIVES, AND SUBMITTING 20 QUARTERLY REPORTS. WORK CONDUCTED UNDER THIS AGREEMENT WILL BENEFIT THE RESIDENTS, BUSINESS OWNERS, AND STAKEHOLDERS IN AND NEAR THE SEVEN-COUNTY REGION WHICH INCLUDES BEAVERHEAD, BUTTE-SILVER BOW, DEER LODGE, GRANITE, JEFFERSON, MADISON, AND POWELL COUNTIES, MONTANA.

TEACHING AMERICAN HISTORY GRANTS

WE R NATIVE YOUTH DEVELOPMENT PROJECT

IMPROVING DATA AND ENHANCING ACCESS

STRENGTHENING EXISTING NATIONAL ORGANIZATIONS SERVING RACIAL/ETHNIC POPUL

ACADEMY FOR CAREER DEVELOPMENT

NW TRIBAL COMPREHENSIVE CANCER PROGRAM (NTCCP)

HEAD START ARRA EXPANSION

WELLNESS FOR EVERY AMERICAN INDIAN TO ACHIEVE & VIEW HEALTH EQUITY - NORTHWEST (WEAVE)

AASTEC COMPREHENSIVE APPROACHES TO AMERICAN INDIAN HEALTH & WELLNESS PROJECT

CD10-1011 STRENGTHENING PUBLIC HEALTH INFRASTRUCTURE FOR IMPROVED HEALTH OUTCOMES

STRENGTHENING ENVIRONMENTAL HEALTH CAPACITY (EHC) TO DETECT, PREVENT, AND CONTROL ENVIRONMENTAL HEALTH HAZARDS THROUGH DATA-DRIVEN, EVIDENCE-BASED APPROACHES

SOUTHWEST TRIBAL YOUTH PROJECT

AWARD PURPOSE:ETA PROVIDES EMPLOYMENT RECOVERY DWGS TO ADDRESS THE EMPLOYMENT-RELATED IMPACTS OF MASS LAYOFFS AND OTHER QUALIFYING JOB LOSS EVENTS. EMPLOYMENT RECOVERY DWGS GENERALLY DELIVER EMPLOYMENT AND TRAINING ASSISTANCE (AS WITH DISASTER RECOVERY DWGS, THESE INCLUDE CAREER, TRAINING AND SUPPORTIVE SERVICES) TO DISLOCATED WORKERS TO PROVIDE THEM WITH THE SKILLS THEY NEED TO BECOME REEMPLOYED. ACTIVITIES PERFORMED:THE ACTIVITIES RELATED TO EXPANDING ACCESSIBILITY AND CAPACITY THROUGH VIRTUAL PLATFORMS AND OTHER TECHNOLOGY WILL ENHANCE ONLINE OR REMOTE ACCESS TO PRIORITY POPULATIONS IN HISTORICALLY MARGINALIZED COMMUNITIES OR AREAS HARD HIT BY THE COVID-19 PANDEMIC OR OTHER ECONOMIC TRANSITIONS. DELIVERABLES:EMPLOYMENT RECOVERY DWGS ARE INTENDED TO ENHANCE THE ABILITY OF THE PUBLIC WORKFORCE SYSTEM TO PROVIDE EFFECTIVE, ACCESSIBLE, AND EQUITABLE SOLUTIONS FOCUSED ON DELIVERING HIGH-QUALITY EMPLOYMENT OPPORTUNITIES FOR UNEMPLOYED AMERICANS. INTENDED BENEFICIARY:EMPLOYMENT RECOVERY DWGS ARE AVAILABLE TO STATES, LOCAL WORKFORCE DEVELOPMENT BOARDS AND OTHER ELIGIBLE APPLICANTS WHEN CERTAIN QUALIFYING EVENTS OCCUR. ALL PARTICIPANTS IN EMPLOYMENT RECOVERY DWG PROJECTS MUST BE ELIGIBLE DISLOCATED WORKERS AS DEFINED BY THE WORKFORCE OPPORTUNITY AND INNOVATION ACT, AND INCLUDE THOSE LAID OFF THROUGH NO FAULT OF THEIR OWN, DISPLACED HOMEMAKERS WHO HAD RELIED ON THE INCOME OF ANOTHER FAMILY MEMBER, AND CERTAIN MILITARY MEMBERS AND SPOUSES. SUBRECIPIENT ACTIVITIES:EMPLOYMENT RECOVERY DWGS SUPPORT PROVISION OF SERVICES TO DISLOCATED WORKERS GRANT RECIPIENTS MAY PARTNER WITH SUBRECIPIENTS AS WELL AS PROVIDE SERVICES THROUGH AMERICAN JOB CENTERS WITHIN THE AREA COVERED BY THE GRANT AS APPROPRIATE.

SPECIAL DIABETES PROGRAM FOR INDIANS - CVD

HEALTHY HEART PROJECT (CVD/SDPI)

SPECIAL DIABETES PROGRAM FOR INDIANS - CVD/HEALTHY HEART INITIATIVE

SPECIAL DIABETES PROGRAM FOR INDIANS - CVD/HEALTHY HEART INITIATIVE

YOUTH BUILD

PURPOSE: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING AWARDS ARE AUTHORIZED UNDER THE CONSOLIDATED APPROPRIATIONS ACT, 2022 PUBLIC LAW 117-328 AND THE EXPLANATORY STATEMENT FOR DIVISION L OF THAT ACT. PROJECTS SELECTED FOR COMMUNITY PROJECT FUNDING/CONGRESSIONAL DIRECTED SPENDING ARE LISTED IN THE JOINT EXPLANATORY STATEMENT (JES) THAT ACCOMPANIES A SPECIFIC FISCAL YEAR’S APPROPRIATIONS ACT OR CONGRESSIONAL RECORD. THE JES LISTS PROJECT, RECIPIENT, STATE, AMOUNT AND CONGRESSIONAL SPONSOR.; ACTIVITIES TO BE PERFORMED: ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING AWARD PROJECTS INCLUDE A WIDE VARIETY OF ACTIVITIES THAT RESULT IN ECONOMIC DEVELOPMENT OR COMMUNITY DEVELOPMENT OUTCOMES. HUD WILL NOT KNOW THE FULL SCOPE OF THE PROJECT UNTIL THE RECIPIENT SUBMITS THE REQUIRED PROJECT NARRATIVE AND CONFIRMS ALIGNMENT WITH THE LANGUAGE AS PROVIDED IN THE CONGRESSIONAL RECORD. TO FIND THE DETAILS OF THE GRANT AWARD AS WRITTEN WITHIN THE CONGRESSIONAL RECORD USE THE FOLLOWING LINK AND PATH SELECTIONS TO GET TO THE DESCRIPTION OF THE ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING GRANTS HTTPS://WWW.HUD.GOV/PROGRAM_OFFICES/COMM_PLANNING/EDI-GRANTS, SELECT THE FISCAL YEAR OF INTEREST, SCROLL DOWN TO PROGRAM LAWS AND REGULATIONS, UNDER FISCAL YEAR 20XX CONSOLIDATED APPROPRIATIONS ACT, 20XX: CONGRESSIONAL RECORD (JOINT EXPLANATORY STATEMENT).; EXPECTED OUTCOMES: COMPLETION OF THE PROJECT AS DESCRIBED IN THE JOINT EXPLANATORY STATEMENT (JES) PROJECT DESCRIPTION AND SUBSEQUENT APPROVED PROJECT NARRATIVE.; INTENDED BENEFICIARIES: THE PROJECT BENEFICIARIES ARE THE INDIVIDUALS AND/OR ORGANIZATIONS THAT ARE AWARDED GRANT FUNDS OR SERVED BY THE ENTITIES THAT ARE AWARDED GRANT FUNDS AS IDENTIFIED IN THE JES RECIPIENT OR PROJECT DESCRIPTION SECTIONS.; SUBRECIPIENT ACTIVITIES: THE SUBRECIPIENT ACTIVITIES ARE UNKNOWN AT THE TIME OF AWARD.

NORTHWEST TRIBAL ELDERS PROJECT (NTEP)

OPIOID-IMPACTED FAMILY SUPPORT PROGRAM - THE TRIBAL BEHAVIORAL HEALTH PROVIDER TRAINING PROJECT WILL PROVIDE CULTURALLY SPECIFIC BEHAVIORAL HEALTH AIDE (BHA) EDUCATION AND TRAINING TO AMERICAN INDIAN/ALASKA NATIVES (AI/ANS) TO ADDRESS THE BEHAVIORAL HEALTH CARE PROFESSION SHORTAGES IN THE PORTLAND AREA SO CHILDREN WHOSE PARENTS AND CAREGIVERS ARE IMPACTED BY OPIOID USE DISORDER (OUD) AND OTHER SUBSTANCE USE DISORDER (SUD) AND THEIR FAMILY MEMBERS EXPERIENCE INCREASED ACCESS TO INTEGRATED, CULTURALLY RELEVANT, INTERPROFESSIONAL BEHAVIORAL HEALTH SERVICES. IMPORTANT DELIVERABLES OF THE PROJECT WILL BE RECRUITMENT, RETENTION, EMPLOYMENT, AND SUSTAINABILITY. WE’LL RECRUIT AI/AN STUDENTS FROM WASHINGTON, OREGON, AND IDAHO TRIBAL COMMUNITIES WHO WILL COMPLETE THE BHA EDUCATION PROGRAM AT NORTHWEST INDIAN COLLEGE (NWIC) OR HERITAGE UNIVERSITY (HU) WITH PATHWAYS TO PERMANENT EMPLOYMENT IN TRIBAL BEHAVIORAL HEALTH PROGRAMS. PARA-PROFESSIONAL AND PROFESSIONAL BEHAVIORAL HEALTH PROVIDERS WILL INCREASE BY 10% IN THE FIRST YEAR AND MAINTAIN THAT 10% INCREASE IN YEARS 2 THROUGH 4. BHAS WILL APPLY FOR BHA CERTIFICATION THROUGH THE PORTLAND AREA COMMUNITY HEALTH AIDE PROGRAM (CHAP) CERTIFICATION BOARD. BHA TRAINEES AND GRADUATES WILL BE LINKED WITH MENTORS WHO ARE ELDERS AND CULTURAL KNOWLEDGE KEEPERS IN THEIR COMMUNITY AND/OR BEHAVIORAL HEALTH PROFESSIONALS WHO PRACTICE THROUGH THE LENS OF DECOLONIZATION AND IN THE RIGHT RELATIONSHIPS, ACKNOWLEDGING THE IMPORTANCE OF INDIGENOUS TRAUMA CARE WITH SCREENING AND ASSESSMENT AS A SACRED TRUST. DATA WILL BE COLLECTED TO MEASURE CONTRIBUTIONS TO STUDENT RECRUITMENT, RETENTION, EMPLOYMENT, CERTIFICATION, AND PROGRAM SUSTAINABILITY. OTHER DATA WILL EXAMINE BASELINE FIGURES RELATED TO OVERDOSE, DEATH, PROVIDER DEMOGRAPHICS, AND CHILD WELFARE DATA. THE BHA TRAINING PROJECT TACKLES SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH BY CONNECTING WITH TRIBES, TRIBAL HEALTH PROGRAMS, AND TRIBAL LEADERS TO BREAK DOWN BARRIERS TO EDUCATION FOR AI/AN STUDENTS. THE GOALS OF OUR TRIBAL PARTNERS INCLUDE HEALTHIER POPULATIONS, AND WE SUPPORT THAT GOAL BY CREATING INFRASTRUCTURE TO TRAIN MORE AI/AN HEALTH CARE PROVIDERS TO INCREASE ACCESS TO CARE AND IMPROVE HEALTH OUTCOMES. KEY PARTNERS INCLUDE NORTHWEST INDIAN COLLEGE (NWIC), HERITAGE UNIVERSITY, AND THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB). THIS PROJECT IS ROOTED IN CHAP WHICH EVOLVED OVER THE LAST 60 YEARS IN ALASKA AND BECAME AVAILABLE TO TRIBES OUTSIDE OF ALASKA IN 2010. THE NPAIHB IS THE FIRST AREA HEALTH BOARD IN THE LOWER 48 TO IMPLEMENT THE BEHAVIORAL HEALTH AIDE PROGRAM AS PART OF THEIR CHAP.

COMMUNITY CONNECT GRANT

ECONOMIC DEVELOPMENT INITIATIVE, COMMUNITY PROJECT FUNDING, AND MISCELLANEOUS GRANTS

HUMAN IMMUNODEFICIENCY VIRUS(HIV)PREVENTION PROJECTS FOR CBO

TRIBAL HEALTH: REACHING OUT INVOLVES EVERYONE

SOUTHWEST TRIBAL NATIVE AMERICAN RESEARCH CENTER FOR HEALTH (NARCH X)

SPECIAL DIABETES PROGRAMS FOR INDIANS

AAIHB TRIBAL INJURY PREVENTION PROGRAM

NORTHWEST TRIBAL INJURY PREVENTION PROGRAM (NWIPP)

PURPOSEETA PROVIDES EMPLOYMENT RECOVERY DWGS TO ADDRESS THE EMPLOYMENT-RELATED IMPACTS OF HIGHER THAN AVERAGE DEMAND AMONG DISLOCATED SERVICE MEMBERS AND THEIR SPOUSES. EMPLOYMENT RECOVERY DWGS GENERALLY DELIVER EMPLOYMENT AND TRAINING ASSISTANCE (AS WITH DISASTER RECOVERY DWGS, THESE INCLUDE CAREER, TRAINING AND SUPPORTIVE SERVICES) TO DISLOCATED WORKERS TO PROVIDE THEM WITH THE SKILLS THEY NEED TO BECOME REEMPLOYED.ACTIVITIES TO BE PERFORMEDEMPLOYMENT RECOVERY DWGS GENERALLY DELIVER EMPLOYMENT AND TRAINING ASSISTANCE INCLUDING CAREER, TRAINING AND SUPPORTIVE SERVICES TO DISLOCATED WORKERS TO PROVIDE THEM WITH THE SKILLS THEY NEED TO BECOME REEMPLOYED.EXPECTED OUTCOMESFOR GRANTEES THAT ARE STATES OR OUTLYING AREAS, STATE PERFORMANCE GOALS FOR THE TITLE I WIOA DISLOCATED WORKER PROGRAM SERVE AS A BASIS FOR EACH DWGS PERFORMANCE GOALS. THIS PROJECT PROPOSES TO SERVE 400 PARTICIPANTS.INTENDED BENEFICIARIESEMPLOYMENT RECOVERY DWGS ARE AVAILABLE TO STATES, LOCAL WORKFORCE DEVELOPMENT BOARDS AND OTHER ELIGIBLE APPLICANTS WHEN CERTAIN QUALIFYING EVENTS OCCUR. ALL PARTICIPANTS IN EMPLOYMENT RECOVERY DWG PROJECTS MUST BE ELIGIBLE DISLOCATED WORKERS AS DEFINED BY THE WORKFORCE OPPORTUNITY AND INNOVATION ACT, AND INCLUDE THOSE LAID OFF THROUGH NO FAULT OF THEIR OWN, DISPLACED HOMEMAKERS WHO HAD RELIED ON THE INCOME OF ANOTHER FAMILY MEMBER, AND CERTAIN MILITARY MEMBERS AND SPOUSES.SUBRECIPIENT ACTIVITIESEMPLOYMENT RECOVERY DWGS SUPPORT PROVISION OF SERVICES TO DISLOCATED WORKERS GRANT RECIPIENTS MAY PARTNER WITH SUBRECIPIENTS AS WELL AS PROVIDE SERVICES THROUGH AMERICAN JOB CENTERS WITHIN THE AREA COVERED BY THE GRANT AS APPROPRIATE.

TRIBAL COMMUNITY HEALTH PROVIDER PROJECT (TCHPP)

THIS AGREEMENT WILL PROVIDE FUNDING FOR HEADWATERS RESOURCE CONSERVATION AND DEVELOPMENT AREA AND ITS COALITION PARTNERS TO INVENTORY, CHARACTERIZE, ASSESS, AND CONDUCT CLEANUP PLANNING AND COMMUNITY INVOLVEMENT RELATED ACTIVITIES FOR BROWNFIELD SITES. BROWNFIELDS ARE REAL PROPERTY, THE EXPANSION, DEVELOPMENT OR REUSE OF WHICH MAY BE COMPLICATED BY THE PRESENCE OR POTENTIAL PRESENCE OF A HAZARDOUS SUBSTANCE, POLLUTANT, OR CONTAMINANT. FUNDS WILL BE USED TO CONDUCT PHASE I AND PHASE II ENVIRONMENTAL SITE ASSESSMENTS, PREPARE AN INVENTORY OF BROWNFIELD SITES, AND PRIORITIZE BROWNFIELDS. GRANT FUNDS WILL ALSOL BE USED TO SUPPORT COMMUNITY OUTREACH ACTIVITIES. ASSESSMENT ACTIVITIES WILL FOCUS ON THE SOUTHWESTERN MONTANA COUNTIES OF ANACONDA-DEER LODGE, BEAVERHEAD, BUTTE-SILVER BOW, GRANITE, JEFFERSON, MADISON, AND POWELL. COALITION PARTNERS ARE THE BUTTE LOCAL DEVELOPMENT CORPORATION AND ANACONDA LOCAL DEVELOPMENT CORPORATION AND THE PROJECT WILL SUPPORT THESE COMMUNITIES BY FACILITATING T

TRIBAL HEALTH: REACHING OUT INVOLVES EVERYONE (THRIVE) PURPOSE AREA 2

NW TRIBAL COMPREHENSIVE CANCER PROGRAM (NTCCP)

DRUG-FREE COMMUNITIES (DFC) SUPPORT PROGRAM- NEW

AAIHB ENDING THE HIV/HCV EPIDEMICS IN INDIAN COUNTRY PROJECT - THE ALBUQUERQUE AREA INDIAN HEALTH BOARD'S ENDING THE HIV/HCV EPIDEMICS IN INDIAN COUNTRY (ETHIC) PROJECT WILL BE IMPLEMENTED WITH THE 27 TRIBES, NATIONS, AND PUEBLOS OF THE ALBUQUERQUE AREA IHS. THE PROJECT WILL FOCUS ON THREE OVERARCHING GOALS, EACH WITH NUMEROUS OBJECTIVES TO BE IMPLEMENTED OVER THE NEXT 3 YEARS. THE THREE OVERARCHING GOALS INCLUDE 1) EMPLOY CULTURALLY APPROPRIATE AND EFFECTIVE PUBLIC HEALTH INTERVENTIONS FOR STI/HIV/HCV PREVENTION; 2) ENHANCE PUBLIC HEALTH INFRASTRUCTURE FOR STI/HIV/HCV DIAGNOSIS AND LINKAGE TO TREATMENT SERVICES IN TRIBAL SETTINGS; AND 3) BUILD AND STRENGTHEN CULTURALLY APPROPRIATE, TRAUMA-INFORMED, AND STRENGTHS-BASED SERVICES IN TRIBAL SETTINGS TO DECREASE HEALTH INEQUITIES. THE PROJECT WILL SEEK TO INCREASE ACCESS TO HIV/HCV TESTING, PREP, DECREASE RISK BEHAVIORS, INCREASE LINKAGE TO TREATMENT, AND FINALLY ADDRESS STRUCTURAL AND ENVIRONMENTAL INEQUITIES.

TRIBAL HEALTH: REACHING OUT INVOLVES EVERYONE (THRIVE) - PURPOSE AREA 4

DESCRIPTION:THIS PROJECT WILL ASSIST NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) IN BUILDING CAPACITY AND DEVELOPING PROGRAMS TO PROTECT THE TRIBAL ENVIRONMENT AND HEALTH. THE PRIMARY PURPOSES OF THIS AWARD INCLUDE: GAP MANAGEMENT AND CAPACITY BUILDING. STATUS OF ENVIRONMENTAL PUBLIC HEALTH IN TRIBAL CLIMATE CHANGE PLANS, GOALS AND ACTIVITIES. PARTNERSHIP DEVELOPMENT.ACTIVITIES:ACTIVITIES TO BE PERFORMED IN THIS PROJECT INCLUDE: CREATE WRITTEN ADMINISTRATIVE, TECHNICAL AND RECORD-KEEPING PROCEDURES, POLICIES AND GUIDELINES FOR MANAGING THE GAP GRANT PROGRAM. DEVELOP AND MAINTAIN A SYSTEM FOR TRACKING ALL REPORTS, ACTIVITIES, EXPENSES AND FINAL OUTPUTS AND DELIVERABLES. RESEARCH AND PARTICIPATE IN OTHER ONLINE AND IN PERSON TRAININGS RELEVANT TO CLIMATE CHANGE AND EJ RELATED TO TRIBES. COLLECT INFORMATION FROM ALL TRIBES ON CURRENT AND PAST PLANS, VULNERABILITY ASSESSMENTS AND ACTIVITIES RELATED TO CLIMATE CHANGE. RESEARCH GROUPS THAT INTEGRATE PUBLIC HEALTH INDICATORS AND GOALS INTO CLIMATE CHANGE PREPARATION, MITIGATION AND ADAPTATION.SUBRECIPIENT:NO SUBAWARDS ARE INCLUDED IN THIS ASSISTANCE AGREEMENT.OUTCOMES: DELIVERABLES, OUTCOMES, AND INTENDED BENEFICIARIES INCLUDE: CREATE A TRAINING PLAN FOR STAFF THAT REFLECTS THE CAPACITY-BUILDING PRIORITIES FOR THE ENVIRONMENTAL PROGRAM. BUILD STAFF CAPACITY TO MANAGE THE ENVIRONMENTAL PROGRAM. INTEGRATE ENVIRONMENTAL PUBLIC HEALTH GOALS, OBJECTIVES AND ACTIVITIES INTO CLIMATE CHANGE PLANS AND ACTIVITIES TO ENSURE THE LONG-TERM PROTECTION OF PUBLIC HEALTH IN THE FACE OF CLIMATE CHANGE. STRENGTHEN STAFF CONFIDENCE, SKILLS, AND KNOWLEDGE RELATED TO GRANT MANAGEMENT (ADMINISTRATIVE) AND CLIMATE CHANGE SCIENCE, THE VALUE AND IMPORTANCE OF TRADITIONAL ECOLOGICAL KNOWLEDGE (TEK), AND HOW PUBLIC HEALTH IS AFFECTED BY CLIMATE CHANGE (TECHNICAL). CREATE AND MAINTAIN MEANINGFUL COALITIONS AND PARTNERSHIPS TO EXPAND THE OVERALL PROJECT IMPACT AND REACH, AND ULTIMATE OUTCOMES.

NIAGARA FALLS NATIONAL HERITAGE AREA, INC. DEVELOPS PROJECTS THAT ASSIST IN THE PROMOTION, FACILITATION, AND IMPROVEMENT OF PEOPLES UNDERSTANDING OF THE IMPORTANT NATURAL, CULTURAL AND RECREATIONAL RESOURCES ALONG THE SCHUYLKILL RIVER WATERSHED IN THE EASTERN PENNSYLVANIA REGION, THROUGH PRESERVATION RESOURCE INITIATIVES ENGAGING THE PUBLIC AND PROVIDING FINANCIAL SUPPORT TO THE REGION AND STAFF, BOLSTERING THE LOCAL ECONOMY. PROJECTS INCLUDE ADMINISTERING THE DISCOVER NIAGARA SHUTTLE BUS SYSTEM AND NIAGARA FALLS UNDERGROUND RAILROAD HERITAGE CENTER.

THE PURPOSE OF THE HERITAGE PARTNERSHIP PROGRAM FUNDING IS TO ENGAGE NATIONAL HERITAGE AREA RECIPIENTS PARTNERS COMMUNITIES AND OR VISITORS IN SHARED ENVIRONMENTAL STEWARDSHIP. THIS IS DONE BY PROMOTING GREATER PUBLIC AND PRIVATE PARTICIPATION IN PRESERVATION CONSERVATION EDUCATION AND OUTDOOR RECREATION PROGRAMS AND ACTIVITIES AND BUILDING RESOURCE STEWARDSHIP ETHICS IN ITS PARTICIPANTS. THIS PROJECT SUPPORTS THE OPERATIONS OF THE NIAGARA FALLS NATIONAL HERITAGE AREA. BENEFICIARIES INCLUDE GENERAL PUBLIC STATES AND OR THEIR POLITICAL SUBDIVISIONS NONPROFITS PRIVATE ENTITIES THE HERITAGE AREA MANAGEMENT COORDINATING ENTITY.

PROVIDE FUNDING THROUGH THE HERITAGE PARTNERSHIP PROGRAM FUND AND TECHNICAL SUPPORT FOR NATIONAL HERITAGE AREAS, SPECIFICALLY THE RECIPIENT, THE NIAGARA FALLS NATIONAL HERITAGE AREA, INC., COORDINATING MANAGEMENT ENTITY FOR THE NIAGARA FALLS NATIONAL HERITAGE AREA. THE PURPOSE OF THE AWARD IS TO IMPLEMENT THE RECIPIENT S 2014 LONG-RANGE INTERPRETIVE PLAN PLACEMAKING MASTER PLAN. THE RECIPIENT AND THE NATIONAL PARK SERVICE (NPS) COLLABORATE, WITH THE NPS PROVIDING TECHNICAL AND FINANCIAL SUPPORT THROUGHOUT THE MANAGEMENT PLAN IMPLEMENTATION. SPECIFIC PROJECTS INCLUDE ADMINISTERING THE DISCOVER NIAGARA SHUTTLE PUBLIC ART INTERPRETATION INVENTORY, DIGITIZATION AND EXHIBIT DESIGN OF NIAGARA FALLS ARCHIVAL COLLECTIONS INTERPRETATION EDUCATION PUBLIC RELATIONS AND ADMINISTERING NIAGARA FALLS UNDERGROUND RAILROAD HERITAGE CENTER. BENEFICIARIES INCLUDE COMMUNITIES WITHIN THE NATIONAL HERITAGE AREA AND THE GENERAL PUBLIC.

PURPOSE OF AWARD THE PURPOSE OF THIS AWARD IS THE IMPLEMENTATION OF THE NIAGARA FALLS NATIONAL HERITAGE AREA NHA MANAGEMENT PLAN BY THE RECIPIENT IN ACCORDANCE WITH P L 110 229 THE NPS AND RECIPIENT WILL COLLABORATE IN THE PROMOTION, FACILITATION, AND IMPROVEMENT OF PEOPLE S UNDERSTANDING OF THE IMPORTANT NATURAL, CULTURAL AND RECREATIONAL RESOURCES OF NIAGARA FALLS NATIONAL HERITAGE AREA SUMMARY OF PROJECT SPECIFIC ACTIVITIES OPERATION OF THE NIAGARA FALLS NATIONAL HERITAGE AREA TO IMPLEMENT THE COMPREHENSIVE MANAGEMENT PLAN AND THE LONG RANGE INTERPRETATION PLAN PERFORMANCE GOALS INCLUDING MILESTONES AND EXPECTED OUTCOMES OPERATIONS AND MANAGEMENT OF THE NIAGARA FALLS NHA TO WORK WITH PARTNERS FOR MULTIPLE ACTIVITIES, INCLUDING JUNIOR RANGER PROGRAMS, MOBILE APPLICATIONS, AND THE DISCOVER NIAGARA SHUTTLE, PUBLIC ART PROGRAMS, NIAGARA FALLS UNDERGROUND RAILROAD HERITAGE CENTER IMPLEMENTATION OF THE LONG RANGE INTERPRETIVE PLAN NFNHA PLACEMAKING MASTER PLAN ECONOMIC IMPACT STUDY TO UNDERSTAND THE IMPACT THE NATIONAL HERITAGE AREA HAS ON WESTERN NEW YORK STATE BENEFICIARIES THE PROJECT BENEFICIARIES UNDER THIS AGREEMENT INCLUDE THE PUBLIC AND THE COMMUNITIES ASSOCIATED WITH THE NIAGARA FALLS NATIONAL HERITAGE AREA AS WELL AS PARTNER ORGANIZATIONS

ALBUQUERQUE AREA SOUTHWEST TRIBAL EPIDEMIOLOGY CENTER (AASTEC) INJURY PREVENTION PROGRAM

CF CONGRESSIONALLY DIRECTED GRANTS

ENHANCED COMPREHENSIVE SERVICES TO FOREIGN NATIONALS AND DOMESTIC VICTIMS OF HUMAN TRAFFICKING OVER A TWO-YEAR PERIOD.

ENHANCED COMPREHENSIVE SERVICES TO FOREIGN NATIONALS AND EXPANSION OF SERVICES TO INCLUDE DOMESTIC VICTIMS OF HUMAN TRAFFICKING OVER A TWO-YEAR PERIO

INTERGENERATIONAL INTERTRIBAL (I2) POSITIVE DIRECTIONS FOR NATIVE HEALTH

INJURY PREVENTION PROGRAM

HEAD START: FULL YEAR PART DAY HANDICAPPED TRAINING AND TECHNICAL ASSISTANCE

CARES ACT RLF

SPECIAL DIABETES PROGRAMS FOR INDIANS

NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB) WILL CONDUCT LEAD TESTING OF DRINKING WATER FOR 90 FACILITIES SERVING A APPROXIMATELY 200,000 PEOPLE FROM TRIBES, INCLUDING 2,000 &NDASHAND 3,000 AI/AN CHILDREN, WITHIN THE STATES OF IDAHO, OREGON, AND WASHINGTON. THE OBJECTIVE IS TO TEST AS MANY DRINKING WATER OUTLETS AS POSSIBLE IN TRIBALLY OPERATED SCHOOLS AND CHILDCARE CENTERS AND AMERICAN INDIAN/ALASKA NATIVE (AI/AN) HEAD START AND EARLY HEAD START CENTERS. GRANTEE PLANS TO CONSULT EPA&RSQUOANDS 3TS FOR REDUCING LEAD IN DRINKING WATER GUIDANCE TO INFORM THESE ACTIVITIES.

RETIRED AND SENIOR VOLUNTEER PROGRAM

FY 2025 ILCL ~ STATE PLAN INDEPENDENT LIVING CENTERS

NORTHWEST TRIBAL DENTAL SUPPORT CENTER - THE NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD (NPAIHB), A NON-PROFIT TRIBAL ORGANIZATION REPRESENTING ALL 43 FEDERALLY RECOGNIZED TRIBES IN THE PORTLAND AREA (IDAHO, OREGON, AND WASHINGTON), REQUESTS AN ANNUAL FUNDING OF $440,000 FOR A FIVE-YEAR GRANT PERIOD TO OPERATE THE NORTHWEST TRIBAL DENTAL SUPPORT CENTER (NTDSC). THE NTDSC HAS DEMONSTRATED ITS ABILITY TO DELIVER AN EFFICIENT AND EFFECTIVE DENTAL SUPPORT CENTER, IMPROVING ORAL HEALTH IN AMERICAN INDIAN/ALASKA NATIVE (AI/AN) COMMUNITIES, AND HAS MET OR EXCEEDED ALL PREVIOUS GOALS OVER THE LAST 25 YEARS. NTDSC WILL FOCUS ON TWO PRIORITY GOALS FOR THE PORTLAND AREA: SUPPORTING, GUIDING, TRAINING, AND ENHANCING I/T/U DENTAL PROGRAMS; AND ENSURING THAT THE SERVICES OF THE NTDSC AND THE I/T/U DENTAL PROGRAMS RESULT IN MEASURABLE IMPROVEMENTS OR OUTCOMES IN THE ORAL HEALTH OF THE AI/AN PATIENTS SERVED. NTDSC WILL OPTIMIZE THE COMBINED RESOURCES AND INFRASTRUCTURE OF THE IHS HEADQUARTERS AND IHS PORTLAND AREA TO WORK TOWARD THESE GOALS. NTDSC WILL COLLABORATE WITH BOTH THE IHS AREA DENTAL OFFICER (ADO) AND THE NPAIHB DENTAL HEALTH AIDE PROJECT (DHAP) TO ENSURE THAT OUR SERVICES COMPLEMENT EACH OTHER. NTDSC PROPOSES THREE OBJECTIVES AND 14 ACTIVITIES TO IMPROVE THE ORAL HEALTH OF THE AI/AN POPULATION AND ADDRESS THE NEEDS OF THE DENTAL PROGRAMS IN THE PORTLAND AREA. THE THREE BROAD OBJECTIVES ARE: 1. PROMOTE CLINICAL AND COMMUNITY-BASED ORAL HEALTH PROMOTION/DISEASE PREVENTION PROJECTS AND ACTIVITIES, INCLUDING SUPPORT FOR A ROBUST ORAL HEALTH SURVEILLANCE SYSTEM MONITORING THE DISEASE BURDEN OF THE AI/AN POPULATION IN THE PORTLAND AREA; 2. ENSURE QUALITY AND EFFICIENT CARE THROUGH PUBLIC HEALTH AND STANDARDS OF CARE PRINCIPLES TO IMPROVE DENTAL ACCESS AND ORAL HEALTH OUTCOMES FOR THE PORTLAND AREA; AND 3. PROVIDE CONTINUING DENTAL EDUCATION (CDE) AT LEVELS MEETING STATE REQUIREMENTS FOR IDAHO, OREGON, AND WASHINGTON. THE OBJECTIVES AND ACTIVITIES WILL POSITIVELY IMPACT PROGRESS TOWARD MEETING OR EXCEEDING THE GOVERNMENT PERFORMANCE AND RESULTS ACT (GPRA) OBJECTIVES AND WORKING TOWARD REDUCING ORAL HEALTH DISPARITIES BETWEEN AI/AN PEOPLE AND IN THE U.S. POPULATION. ALL 46 DENTAL CLINICS IN THE PORTLAND AREA WILL HAVE ACCESS TO SERVICES PROVIDED BY THE NTDSC. NTDSC STAFF CONSISTS OF A PROJECT DIRECTOR, A PROJECT COORDINATOR, AND A CLINICAL/PREVENTION CONSULTANT. THE STAFF AND CONSULTANT HAVE VAST COLLECTIVE EXPERIENCE WITH IHS AND TRIBAL DENTAL PROGRAMS. THE NTDSC’S ACTIVITIES WILL BE SUPPORTED THROUGH COMMUNICATION WITH LOCAL DENTAL PROGRAMS VIA ON-SITE PROGRAM REVIEWS; EMAIL AND TELEPHONE CONSULTATIONS; VIRTUAL AND IN-PERSON TRAININGS; THE NTDSC WEBPAGE, THE ANNUAL NORTHWEST TRIBAL DENTAL MEETING (NTDM); AND ONGOING TRAINING AND TECHNICAL ASSISTANCE. NTDSC WILL WORK WITH IHS HEADQUARTERS BY PARTICIPATING IN THE NATIONAL IHS UPDATES DENTAL MEETING PLANNING COMMITTEE; PROMOTING GPRA OBJECTIVES; PARTICIPATING IN NATIONAL MEETINGS; AND COLLABORATING WITH OTHER DENTAL SUPPORT CENTERS. ALL OBJECTIVES WILL BE EVALUATED USING A COMBINATION OF PROCESS AND OUTCOME EVALUATION TECHNIQUES.

INVESTIGATING MATERNAL OPIOID USE, NEONATAL ABSTINENCE SYNDROME AND RESPONSE IN NW TRIBAL COMMUNITIES

YMCA CARING COMMUNITY CENTERS (APARTMENT OUTREACH PROGRAMS)

INTERGENERATIONAL INTERTRIBAL (I2) POSITIVE DIRECTIONS FOR NATIVE HEALTH

ASSISTS THE NATIONAL PARK SERVICE IN IMPLEMENTING THE NFNHA MANAGEMENT PLAN AND LONG RANGE INTERPRETIVE PLAN

APPLICATION FOR ADMINISTRATION OF SUPPLEMENTAL PLANNING GRANT FOR CARES ACT RECOVERY ASSISTANCE

CHANGING OUR COMMUNITY ONE CHILD AT A TIME

HEALTHY HEART PROJECT (CVD/SDPI)

SPECIAL DIABETES PROGRAM - CVD

SEVEN RIVERS RESOURCE CONSERVATION AND DEVELOPMENT AREA, INC. WILL CONDUCT A THREE-YEAR FMPP PROJECT TO SUPPORT AGRITOURISM OPERATIONS IN SOUTHWEST GEORGIA THROUGH A MARKETING AND EDUCATION INITIATIVE. THE GOAL OF THIS PROJECT, WHICH HAS EVOLVED AS A RESPONSE TO THE INJURIOUS ECONOMIC EFFECTS OF COVID-19 ON LOCAL FARMS, IS TO RAISE THE COLLECTIVE GROSS REVENUE OF AGRITOURISM OPERATIONS IN THE PROJECT AREA BY 50 PERCENT BY 2024. THIS GOAL WILL BE ACHIEVED THROUGH INTENSIVE ONLINE AND MULTIMEDIA MARKETING, ANNUAL MEETINGS AND WORKSHOPS, AND PLANNING STEPS TO ORGANIZE A FORMAL FARMER-LED AGRITOURISM ASSOCIATION. BY THE CONCLUSION OF THE PROJECT, NO FEWER THAN 25 FARMS WILL REPORT AN INCREASE IN SALES AND UNDERSTANDING OF AGRITOURISM BEST PRACTICES.

ALBUQUERQUE AREA INDIAN HEALTH BOARD, INC. STD/HIV/AIDS PREVENTION PROGRAM'S ENHANCED HIV/AIDS SCREENING AND ENGAGEMENT IN CARE PROJECT.

ENHANCED TRAINING AND SERVICES TO END ABUSE IN LATER LIFE PROGRAM

TA W/ NIAGRARA FALLS NHA, INC..

TA W/ NIAGARA FALLS NHA, INC.

RESPONSE CIRCLES

TA W/ NIAGARA FALLS NHA, INC P13AC00420

CHARACTERIZING DISPARITIES AND ELUCIDATING OPPORTUNITIES ACROSS THE CERVICAL CANCER CONTINUUM AMONG NATIVE AMERICAN WOMEN

SPECIAL DIABETES PROGRAMS FOR INDIANS- DATA IMPROVEMENT

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

NARCH IV

P13AC00420

NIAGARA FALLS NATIONAL HERITAGE AREA

FY FUNDING

NIAGARA FALLS NHA MANAGEMENT PLAN IMPLEMENTATION

WWD INDIVIDUALLY-OWNED WATER WELL SYSTEMS GRANTS

RETIRED AND SENIOR VOLUNTEER PROGRAM

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

PARTNERSHIP PLANNING GRANT

SPECIAL DIABETES PROGRAMS FOR INDIANS

JOBS-PLUS PILOT INITIATIVE

CHIPRA INCREASED OUTREACH AND ENROLLMENT OF INDIANSPROJECT RAISE (REALIZATION IN AMERICAN INDIAN SUPPORT AND ENROLLMENT)

NIAGARA FALLS NHA MANAGEMENT PLAN IMPLEMENTATION

WWD INDIVIDUALLY-OWNED WATER WELL SYSTEMS GRANTS

FY 2016 CITIZENSHIP AND INTEGRATION GRANT PROGRAM: CITIZENSHIP AND NATURALIZATION APPLICATION SERVICES

CENTERS FOR INDEPENDENT LIVING

(EARMARK: ACF/OCS) STATEWIDE 2-1-1 INFORMATION AND REFERRAL SYSTEM

RETIRED AND SENIOR VOLUNTEER PROGRAM

FY2024-2025 CENTERS FOR INDEPENDENT LIVING

FY2023-2024 CENTERS FOR INDEPENDENT LIVING

FY2024-2025 CENTERS FOR INDEPENDENT LIVING

FY2023-2024 CENTERS FOR INDEPENDENT LIVING

CENTERS FOR INDEPENDENT LIVING

THIS EDA PLANNING INVESTMENT SUPPORTS THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE ECONOMIC DEVELOPMENT STRATEGY (CEDS) FOR THE REGION SERVED BY THE HEADWATERS RESOURCE CONSERVATION AND DEVELOPMENT AREA, INC., WHICH COMPRISES THE COUNTIES OF BEAVERHEAD, DEER LODGE, GRANITE, JEFFERSON, MADISON, POWELL, AND SILVER BOW. THE CEDS PROCESS IS DESIGNED TO BRING TOGETHER THE PUBLIC AND PRIVATE SECTORS IN THE CREATION OF AN ECONOMIC DEVELOPMENT ROADMAP TO DIVERSIFY AND STRENGTHEN THE REGIONAL ECONOMY.

FY2022-2023 CENTERS FOR INDEPENDENT LIVING

FY2022-2023 CENTERS FOR INDEPENDENT LIVING

NARCH IV

WWD INDIVIDUALLY-OWNED WATER WELL SYSTEMS GRANTS

2021 CILS

2020 CILS

2019 CENTERS FOR INDEPENDENT LIVING