Southern Plains Tribal Health Board Foundation

EPIDEMIOLOGY PROGRAM

SOUTHERN PLAINS TRIBAL PUBLIC HEALTH CAPACITY PROJECT

SOUTHERN PLAINS TRIBAL HEALTH BOARD CSTLTS 2.0

SPTHB-GHWIC-2.0

OKLAHOMA INTER-TRIBAL CONSORTIUM (ITC) SPF SIG

SOUTHERN PLAINS TRIBAL HEALTH INFRASTRUCTURE PROJECT

OKLAHOMA AREA TRIBAL HEALTH COMPREHENSIVE PREVENTION PROGRAM: PPHF2014

SPTHB TRIBAL HEALTH EXPERIENTIAL STUDENT INTERNSHIP SEMINAR (THESIS) PROGRAM - THE SOUTHERN PLAINS TRIBAL HEALTH BOARD (SPTHB) OKLAHOMA AREA TRIBAL EPIDEMIOLOGY CENTER (OKTEC) AIMS TO BUILD SUPPORT AND GROWTH TO THE TRIBAL PUBLIC HEALTH WORKFORCE WITHIN OKLAHOMA AREA TRIBES (OAT) AND SURROUNDING TRIBAL COMMUNITIES THROUGH AN INTERNSHIP PROGRAM THAT EMPHASIZES BUILDING SKILLS AND CAPACITY WITHIN UNDERGRADUATE NATIVE STUDENTS. INTERNS WILL EXPERIENCE TRAINING, MENTORSHIP, AND EXPOSURE TO CULTURAL AND ACADEMIC COMPETENCIES THROUGH ASYNCHRONOUS AND SYNCHRONOUS CURRICULUM. OKTEC WILL CONTINUE TO ENGAGE IN ACTIVITIES THAT WILL DEVELOP AND SUSTAIN PARTNERSHIPS WITH TRIBAL NATIONS, NON-TRIBAL ENTITIES (SUCH AS STATE, COUNTY, FEDERAL, UNIVERSITIES, AND NON-PROFITS) FOR VARIED INTERNSHIP PLACEMENT PROJECTS. THE TRIBAL HEALTH EXPERIENTIAL STUDENT INTERNSHIP SEMINAR (THESIS) PROGRAM WILL EMPHASIZE TRAINING AND CAREER ADVANCEMENTS THROUGH VARIOUS TRIBAL SERVING INSTITUTIONS WITH A FOCUS ON PREVENTION AND CONTROL OF DISEASE, INJURY, OR DISABILITY, EVALUATION, AND ACADEMIC ENRICHMENT AND DEVELOPMENT SESSIONS. THESIS INTERNS WILL ENGAGE IN PEER-TO-PEER LEARNING, ONE-ON-ONE MENTORING, POSTER PRESENTATIONS, AND WILL ULTIMATELY BECOME A NETWORK OF FUTURE TRIBAL PUBLIC HEALTH PROFESSIONALS THOUGH CONTINUED TECHNICAL ASSISTANCE, FIELD RELATED PROFESSIONAL OPPORTUNITIES, AND THROUGH SUPPORT OF INTERNS’ COMMITMENT IN ADVANCEMENT OF HIGHER EDUCATION WITHIN PUBLIC HEALTH.

SPTHB ETHIC NATIVE TEST - NATIVE TEST: DELIVERING HIV SELF-TESTING KITS TO DOORSTEPS ACROSS INDIAN COUNTRY, STRIVING FOR SYNDEMIC ELIMINATION THE OKLAHOMA TRIBAL EPIDEMIOLOGY CENTER (OKTEC) SEEKS TO RAISE THE HEALTH OF AMERICAN INDIANS/ALASKAN NATIVES (AI/ANS), SPECIFICALLY STRIVING FOR THE ELIMINATION OF THE HIV/STI SYNDEMIC BY PARTICIPATING IN ACTIVITIES TO PREVENT, DIAGNOSE, TREAT, AND RESPOND AT THE INDIVIDUAL, FAMILY, COMMUNITY, AND SYSTEM LEVELS, AS OUTLINED IN THE INDIGENOUS HIV/AIDS SYNDEMIC STRATEGY. THE OKTEC AIMS TO INCREASE THE NUMBER OF AI/ANS THAT KNOW THEIR HIV STATUS BY DELIVERING HIV SELF-TESTING KITS TO DOORSTEPS ACROSS INDIAN COUNTRY THROUGH INNOVATIVE METHODS SUCH AS AN SMS-BASED TEXTING SYSTEM, WEBSITE, AND COMMUNITY-BASED EFFORTS FOR REQUESTING AN HIV SELF-TESTING KIT. THE OKTEC PROGRAM ACTIVITIES ATTEMPT TO ADDRESS THE GAP IN HIV SELF-TESTING (HIVST) FOR AI/AN COMMUNITIES MOST AFFECTED BY HIV TRANSMISSION BY 1) INCREASING KNOWLEDGE OF HIV STATUS; 2) REDUCING THE INCIDENCE OF HIV AMONG AI/ANS; 3) INCREASING ENGAGEMENT AND ACCESS TO HIV TREATMENT AND PREVENTION SUPPORT SERVICES; AND 4) INCREASING ACCESS AND USE OF SAFE SPACES FOR PRIORITY POPULATIONS. THESE ACTIVITIES ARE CONDUCTED THROUGH THE NATIVE TEST PROGRAM, A UNIQUE TEXTING SERVICE ESTABLISHED IN 2021 TO REQUEST AN HIV SELF-TEST KIT WITHOUT INTERNET ACCESS. NATIVE TEST, A NATIONWIDE REACHING PROJECT COORDINATED BY THE OKTEC, HAS 63 PARTNER ORGANIZATIONS ACROSS INDIAN COUNTRY. THIS PROGRAM IS FOR ANYONE NATIONWIDE 13 YEARS OR OLDER INCLUDING BOTH AI/AN INDIVIDUALS AND NON-NATIVE INDIVIDUALS. THE PLATFORM ALSO PROVIDES INDIVIDUALS WITH ACCESS TO INFORMATION ON HIV PREVENTATIVE CARE (PREP) AND LINKS TO FREE STI TESTING, IN SELECT AREAS. NATIVE TEST HAS DISTRIBUTED OVER 7,000 HIV SELF-TEST KITS, LINKED OVER 30 PEOPLE TO PREP CARE AND DISTRIBUTED OVER 100,000 CONDOMS. WITH THE IHS ETHIC II FUNDS, NATIVE TEST WILL SEEK TO EXPAND, CONTINUE TO PRIORITIZE HIVST EDUCATION AND TEST KIT DISTRIBUTION, ENHANCE PROGRAM PROMOTION AND OUTREACH, EXPAND COMMUNITY COLLABORATIONS AND PARTNERSHIPS, AND ENCOURAGE LINKAGES TO HIV TREATMENT, PREVENTIO N, AND OTHER ESSENTIAL SERVICES. IMPLEMENTATION AND QUALITY IMPROVEMENT OF CEDAR: CONTROLLING EPIDEMICS BY DESIGNING ACCESSIBLE RESPONSES THE SOUTHERN PLAINS TRIBAL HEALTH BOARD (SPTHB) AND THE OKLAHOMA AREA TRIBAL EPIDEMIOLOGY CENTER (OKTEC) SEEKS TO RAISE THE HEALTH OF AMERICAN INDIAN/ALASKA NATIVES (AI/ANS), SPECIFICALLY STRIVING FOR THE REDUCTION OF SYPHILIS/HIV/HEPATITIS/STI SYNDEMIC BY PARTICIPATING IN ACTIVITIES TO PREVENT, DIAGNOSE, TREAT, AND RESPOND AT THE INDIVIDUAL, COMMUNITY, AND SYSTEM LEVELS; AS OUTLINED IN THE INDIGENOUS HIV/AIDS SYNDEMIC STRATEGY (INDIGI-HAS) AND THE ENDING THE HIV EPIDEMIC: A PLAN FOR AMERICA (EHE). THE OKTEC AIMS TO INCREASE THE NUMBER OF AI/AN PERSONS THAT KNOW THEIR STATUS AND ARE ENGAGED IN CARE. THIS AIM IS SUPPORTED BY THE PROPOSED ACTIVITIES IN THIS APPLICATION TO PROMOTE QUALITY IMPROVEMENT PLANS (QIPS) FOR SYPHILIS/HIV/HEPATITIS/STIS THROUGH IHS/TRIBAL/URBAN (I/T/U) HEALTH FACILITIES. THE QIPS WILL BE SUPPORTED BY THE CONTROLLING EPIDEMICS BY DESIGNING ACCESSIBLE RESPONSES (CEDAR) FRAMEWORK. THE CEDAR FRAMEWORK WILL APPROACH QPIS THROUGH A SYNDEMIC LENSE AND CONSIDER THE ACCESSIBILITY OF THE CARE CONTINUUM FROM COMMUNITY TO COMPLETION OF TREATMENT AND RETENTION IN CARE. THE SIX OBJECTIVES IN THE WORKPLAN GUIDE A PATH TO THE GOALS OUTLINED IN THE INDIGI-HAS AND EHE, BY INCREASING THE KNOWLEDGE OF STATUS, INCREASING THE RETENTION IN CARE, AND REDUCING THE BURDEN AND SPREAD OF DISEASE THROUGH VIRAL SUPPRESSION OR COMPLETED TREATMENT PLANS FOR SYPHILIS/HIV/HEPATITIS/STIS. PREVIOUS WORK SPTHB AND TRIBAL HEALTH SYSTEMS HAVE ACCOMPLISHED IN HEPATITIS C ELIMINATION, PREP PRESCRIBING TRAINING INITIATIVES, SYPHILIS CLUSTER RESPONSE, AND HIV CARE CONTINUUM EVALUATION; HAVE CREATED THE FOUNDATION FOR A SYNDEMIC QUALITY IMPROVEMENT PLAN THAT ENCOMPASSES INDIGENOUS VALUES, TRADITIONAL PRACTICE, AND NOVEL APPROACHES.

TECPHI TRIBAL CONSORTIUM - CDC-RFA-DP22-2206 COMPONENT A SPTHB – OKTEC ABSTRACT THE SOUTHERN PLAINS TRIBAL HEALTH BOARD (SPTHB) AIMS TO BUILD PUBLIC HEALTH CAPACITY AND INFRASTRUCTURE WITHIN OUR SERVICE AREA MORE SPECIFICALLY IN THE INDIAN HEALTH SERVICE-OKLAHOMA CITY AREA (IHS-OCA) AND THE OKLAHOMA AREA TRIBES (OAT) FOR DISEASE SURVEILLANCE, EPIDEMIOLOGY, PREVENTION AND CONTROL OF DISEASE, INJURY, OR DISABILITY, AND PROGRAM MONITORING AND EVALUATION, TO ASSURE INTENDED OUTCOMES ARE REACHED. THE OKLAHOMA TRIBAL EPIDEMIOLOGY CENTER (OKTEC) WILL OFFER THE HIGHEST QUALITY SERVICES TO THE TRIBES, TRIBAL ORGANIZATIONS, AND URBAN INDIAN ORGANIZATIONS WITHIN THE KANSAS, OKLAHOMA, AND TEXAS AREA. WE HAVE IDENTIFIED FOUR PROJECTS THAT ARE DESIGNED TO STRENGTHEN PUBLIC HEALTH CAPACITY AND INFRASTRUCTURE INCLUDING: 1) BUILD INFRASTRUCTURE THROUGH HIRING AND MAINTAINING STAFF, 2) BUILD INFRASTRUCTURE WITHIN THE TEC FOR THE IHS-OCA SERVICE AREA. 3) BUILD INFRASTRUCTURE WITHIN THE IHS-OCA AND OAT SERVICE AREA BY DEVELOPING AND SUSTAINING TRAININGS FOR TTU STAFF; AND 4) IMPROVE DATA QUALITY AND DATA SYSTEMS FOR AI/AN POPULATIONS. ADDITIONALLY, WE HAVE ONE LARGE ASSESSMENT PROJECT THAT IS DESIGNED TO ASSESS THE CAPACITY AND PERFORMANCE OF THE OAT’S PUBLIC HEALTH SYSTEMS TO MEET THE NATIONAL PUBLIC HEALTH ACCREDITATION STANDARDS AND DELIVER ESSENTIAL PUBLIC HEALTH FUNCTIONS. THIS WILL BE ACCOMPLISHED BY DEVELOPING A TRIBAL PUBLIC HEALTH ADVISORY COMMITTEE FROM SUPPORTED PARTNERSHIPS FROM CHEROKEE NATION, CHOCTAW NATION, MUSCOGEE CREEK NATION, AND CHICKASAW NATION TO DEFINE THE COLLABORATION’S PURPOSE, STRUCTURE, GAPS, AND EXPECTATIONS. OKTEC WILL CONTINUE TO ENGAGE IN ACTIVITIES THAT WILL DEVELOP AND SUSTAIN PARTNERSHIPS WITH TRIBAL NATIONS, NON-TRIBAL ENTITIES (SUCH AS STATE, COUNTY, FEDERAL, UNIVERSITIES, AND NON-PROFITS), AND THROUGH TRAININGS AND WORKSHOP ACCORDING TO IDENTIFIED NEED AND COMMON TECHNICAL ASSISTANCE REQUESTS FOR IHS-OCA AREA PARTNERS. WE WILL CONTINUE TO ENHANCE OUR GRANT OPPORTUNITY LIST SERVE TO IHS-OCA PARTNERS.

SPTHB TOR 3.0 PROGRAM - PROJECT ABSTRACT SUMMARY: AS PART OF THE SOUTHERN PLAINS TRIBAL HEALTH BOARD (SPTHB) TOR INITIATIVE PROJECT, THE SPTHB WILL SUB-AWARD THE OKLAHOMA CITY INDIAN CLINIC (OKCIC) TO PARTNER ON PROVIDING PREVENTION, TREATMENT AND RECOVERY SUPPORT TO 22,034 AIS FROM MORE THAN 200 TRIBES THAT THE OKCIC SERVES. THE COOPERATIVE AGREEMENT BETWEEN SPTHB AND OKCIC WILL ENHANCE THE CAPACITY FOR HIGHLY EFFECTIVE, EVIDENCE-BASED INTERVENTIONS, BY ELEVATING THE IMPORTANCE OF TRIBAL IDENTITY, CULTURE, SPIRITUAL BELIEFS AND PRACTICES FOR IMPROVING WELL-BEING OF THE AIS THEY SERVE. GOAL 1: UPDATE STRATEGIC PLAN WITH INPUT FROM OKCIC STAFF TO STREAMLINE PROGRAMMING AND SERVE A HIGHER NUMBER OF MAT PATIENTS OBJ. 1.1 CONDUCT AN INTERNAL NEEDS ASSESSMENT MEETING WITH OKCIC AND SPTHB STAFF WITHIN 30 DAYS OF AWARD. OBJ. 1.2 CREATE UPDATED STRATEGIC PLAN WITHIN 60 DAYS OF AWARD OBJ. 1.3 INCREASE INTAKE OF MAT PATIENTS IN FIRST YEAR FROM 20 TO 25 GOAL 2: IMPLEMENT INCREASED STIGMA AWARENESS MESSAGING AND TRAINING, FOR BOTH PROVIDERS AND CLINICIANS, IN AN EFFORT TO DECREASE STIGMA TOWARDS PATIENTS WITH OUD AND ENCOURAGE MORE PROVIDERS TO PRESCRIBE MAT. OBJ. 2.1 AT LEAST 50% OF ALL OKCIC PRIMARY CARE PROVIDERS AND CLINICIANS WILL TAKE STIGMA QUESTIONNAIRE OBJ. 2.2 100% OF ALL OKCIC PRIMARY CARE PROVIDERS AND CLINICIANS WILL BE EXPOSED TO STIGMA AWARENESS MESSAGING AND EDUCATION OBJ. 2.3 STIGMA QUESTIONNAIRE WILL BE ADMINISTERED ANNUALLY TO TRACK PROGRESS. OBJ. 2.4 STIGMA TRAINING WILL BE INCLUDED IN ANNUAL DE-ESCALATION TRAINING FOR CLINICIANS GOAL 3: IMPLEMENT EFFECTIVE PREVENTION AND HARM REDUCTION STRATEGIES THAT WILL INCREASE AWARENESS OF OPIOID MISUSE AND OPIOID USE DISORDER, AS WELL AS INCREASE COMMUNITY ACCESS TO PREVENTION AND HARM REDUCTION RESOURCES. OBJ. 3.1 DISTRIBUTE AT LEAST 1,000 MEDICATION LOCK BAGS TO COMMUNITY MEMBERS BY SEPTEMBER 30TH, 2029. OBJ. 3.2 DISTRIBUTE AT LEAST 5,000 MEDICATION DISPOSAL POUCHES TO COMMUNITY MEMBERS BY SEPTEMBER 30TH, 2029 OBJ. 3.3 DISTRIBUTE AT LEAST 500 HARM REDUCTION KITS TO COMMUNITY MEMBERS BY SEPTEMBER 30TH, 2029 OBJ. 3.4 DISTRIBUTE NALOXONE TO AT LEAST 2,000 COMMUNITY MEMBERS BY SEPTEMBER 30TH, 2029 OBJ. 3.5 INCREASE AVERAGE MONTHLY NUMBER OF VISITS TO TOR LANDING PAGE (VIA AWARENESS CAMPAIGN MESSAGING) FROM 5 TO 8. OBJ. 3.6 CONTINUE UNIVERSAL SCREENING FOR BEHAVIORAL RISK FACTORS, FOCUSING ON ALCOHOL USE, WITH A GOAL OF 65% PATIENTS RECEIVING ANNUAL SCREENINGS AND 10% OF PATIENTS AGES 9-75 WHO SCREENED POSITIVE FOR RISKY/HARMFUL BEHAVIORS RECEIVING A BRIEF NEGOTIATED INTERVIEW OR BRIEF INTERVENTION IN AMBULATORY CARE WITHIN SEVEN DAYS OF A POSITIVE SCREEN. GOAL 4:CONTINUE TO IMPLEMENT SERVICE DELIVERY MODELS THAT ENABLE THE FULL SPECTRUM OF TREATMENT AND RECOVERY SUPPORT SERVICES WHICH WILL FACILITATE POSITIVE TREATMENT OUTCOMES AND LONG-TERM RECOVERY. OBJ. 4.1 TREAT A TOTAL OF 125 UNDUPLICATED MAT PATIENTS BY SEPTEMBER 30TH, 2029 OBJ. 4.2 100% OF MAT PATIENTS WILL BE SCREENED FOR BENEFITS, AND REFERRED TO WRAP-AROUND SERVICES, INCLUDING BUT NOT LIMITED TO; INDIVIDUAL AND GROUP COUNSELING, PHYSICAL THERAPY, AND PEER RECOVERY SUPPORT SERVICES BY SEPTEMBER 30TH, 2029. OBJ. 4.3 ALL PHYSICAL THERAPISTS TO UNDERGO AT LEAST TWO ADDITIONAL CHRONIC PAIN MANAGEMENT TRAINING BY SEPT. 2029 OBJ. 4.4 AT LEAST 50% OF MAT PATIENTS WITH A CHRONIC PAIN DIAGNOSIS WILL UTILIZE EITHER IN PERSON PHYSICAL THERAPY OR A HOME EXERCISE PLAN (HEP) ASSIGNED BY A PHYSICAL THERAPIST BY SEPTEMBER 30TH, 2029. GOAL 5: IMPLEMENT COMMUNITY RECOVERY SUPPORT SERVICES THAT INCORPORATE INPUT FROM INDIVIDUALS IN RECOVERY OBJ. 5.1 PROVIDE CULTURALLY RELEVANT COMMUNITY RECOVERY SUPPORT TRAINING TO 100% OF NEW PRSS AND BEHAVIORAL HEALTH STAFF BY SEPTEMBER 30TH, 2029. OBJ. 5.2 REFER AT LEAST 75% OF MAT PATIENTS TO OUTSIDE COMMUNITY RECOVERY SUPPORT SERVICES BY SEPTEMBER 30TH, 2029. GOAL 6: ASSESS AND COMMUNICATE THE IMPACT OF THE GRANT TO BUILD UPON AND IMPROVE PROGRAMMING OUTCOMES

OKLAHOMA TRIBAL CONSORTIUM PARTNERSHIP FOR SUCCESS INITIATIVE

SPTHB GHWIC 3.0 PROGRAM - THE SPTHB GOOD HEALTH AND WELLNESS IN INDIAN COUNTRY PROGRAM WILL COLLABORATE WITH TRIBES AND TRIBAL SERVICING ORGANIZATIONS IN RURAL AND URBAN AREAS OF OKLAHOMA, TEXAS, AND KANSAS. USING A CULTURE-FIRST APPROACH, THE SPTHB WILL PROVIDE THE LEADERSHIP, STEWARDSHIP, TECHNICAL ASSISTANCE, TRAINING, AND RESOURCES NECESSARY TO ASSIST IN IMPROVING THE HEALTH OF AI/AN PEOPLE BY REDUCING RATES OF DEATH AND DISABILITY ACROSS THE LIFESPAN FROM CHRONIC DISEASES AND THE PREVALENCE OF COMMERCIAL TOBACCO USE, PREDIABETES AND DIABETES, HIGH BLOOD PRESSURE, AND CHOLESTEROL, AND OTHER CHRONIC DISEASE RISK FACTORS AND CONDITIONS. AT LEAST SEVEN SUB-AWARDS WILL BE DETERMINED USING TWO METHODS AT THREE FUNDING LEVELS. THIS PROJECT WILL PROVIDE ASSISTANCE THROUGH AWARDED AND COMPETITIVE SUB-AWARDS TO TRIBAL PARTNERS TO CARRY OUT COMPONENT 1 STRATEGIES AND ACTIVITIES AND ESTABLISH PSE CHANGES THAT PROMOTE HEALTH AND PREVENT CHRONIC DISEASES AND THEIR RISK FACTORS USING A CULTURE-FIRST APPROACH. COMPETITIVE SUB-AWARDS WILL BE PRIORITIZED THROUGH SCORING CRITERIA DEVELOPED BY THE GHWIC ADVISORY COMMITTEE IN YEAR ONE. AGAIN, THE FOCUS WILL BE PLACED ON AREAS WHERE NEED AND POTENTIAL IMPACT ARE GREATEST ACCORDING TO THE GRANT OBJECTIVES, USING A CULTURE-FIRST APPROACH. THE THREE LEVELS OF FUNDING WILL BE $145,000 (3), $75,000 (2), AND $20,000 (2). THIS WILL ALLOW TRIBES OF MULTIPLE CAPACITIES TO DEVELOP OR ENHANCE PROGRAMS USING A CULTURE-FIRST APPROACH TO CHRONIC DISEASE PREVENTION, MANAGEMENT, AND CONTROL. THE INTENDED OUTCOME OF THIS PROGRAM IS TO AWARD AT LEAST SEVEN (7) SUB-AWARDS USING AT LEAST 50% OF THE ANNUAL AWARD TO FOCUS ON IMPLEMENTING EVIDENCE-INFORMED AND CULTURALLY ADAPTED STRATEGIES TO IMPROVE THE HEALTH OF TRIBAL COMMUNITY MEMBERS AND TO PREVENT CHRONIC DISEASES AND RISK FACTORS. OUR STRATEGIES ARE TO PREVENT OBESITY AND PREVENT AND CONTROL COMMERCIAL TOBACCO USE AND EXPOSURE. OUR COMMUNITY-CLINICAL LINKAGE STRATEGIES ARE TO PREVENT TYPE 2 DIABETES, HEART DISEASE, AND STROKE. ADDITIONALLY, THE SPTHB WILL PROVIDE TRAINING, TECHNICAL ASSISTANCE, AND EVALUATION SUPPORT TO ALL TRIBES, TRIBAL SERVING ORGANIZATIONS, AND URBAN INDIAN ORGANIZATIONS IN THE SOUTHERN PLAINS AREA WITH REMAINING AWARD FUNDS. THIS PROJECT AIMS TO INCREASE A SENSE OF BELONGING AND PHYSICAL, EMOTIONAL, AND MENTAL WELL-BEING WITHIN AI/AN COMMUNITIES WITH A RENEWED AND DEEPER FOCUS ON USING CULTURAL PRACTICES TO PREVENT, MANAGE, AND CONTROL CHRONIC DISEASE. ADDITIONALLY, THIS PROJECT AIMS TO INCREASE PSE CHANGES WITHIN TRIBAL COMMUNITIES BASED ON THE NEEDS AND INTERESTS OF THE TRIBES. THE CDC’S GHWIC IMPLEMENTATION GUIDE WILL BE USED FOR EVIDENCE-BASED PSE CHANGE EFFORTS TO SUPPORT THE C1 STRATEGIES, INCLUDING TOBACCO AND SMOKE-FREE POLICIES, WORKPLACE HEALTH PROMOTION, NUTRITION, AND PHYSICAL ACTIVITY. DATA WILL BE COLLECTED ON AN ONGOING BASIS, ANALYZED, AND FINDINGS WILL BE SHARED WITH STAKEHOLDERS THROUGH THE SPTHB QUARTERLY. THIS ALLOWS STAKEHOLDERS TO USE THE EVALUATION FINDINGS TO INFORM AND IMPROVE THE PROGRAM CONSISTENTLY AND CONTINUALLY THROUGHOUT THE PROGRAM'S LIFE CYCLE. KEEPING WITH THE CDC FRAMEWORK, THE EVALUATION PLAN IS A LIVING DOCUMENT, SUBJECT TO CORRECTIONS AND IMPROVEMENT THROUGHOUT THE PROGRAM'S LIFE. PROGRAM OUTCOMES AND PROCESS OUTCOMES WILL BE DETERMINED WITH DATA COLLECTION AND SPECIFIC QUESTIONS TO ESTABLISH BOUNDARIES FOR THE EVALUATION BY DEFINING THE PROGRAM'S ASPECTS. OVERALL, THE EVALUATION AND PERFORMANCE MEASUREMENTS WILL 1) HELP DEMONSTRATE ACHIEVEMENT OF PROGRAM OUTCOMES; 2) BUILD A STRONGER EVIDENCE BASE FOR SPECIFIC PROGRAM INTERVENTIONS, INCLUDING THE COMPONENT 1 AWARDEE(S) AND THE SPTHB SUB-AWARDEES; 3) CLARIFY THE APPLICABILITY OF THE EVIDENCE BASE TO DIFFERENT POPULATIONS, SETTINGS, AND CONTEXTS SUCH AS THE NUANCES OF THE SPTHB AREA TRIBAL NATIONS AND HEALTH SERVICES; AND 4) DRIVE CONTINUOUS PROGRAM IMPROVEMENT.

SOUTHERN PLAINS TRIBAL HEALTH BOARD (SPTHB) 988 TRIBAL SUPPORT PROJECT - 1. PROJECT TITLE: SOUTHERN PLAINS TRIBAL HEALTH BOARD (SPTHB) 988 TRIBAL SUPPORT PROJECT 2. REQUESTED AWARD AMOUNT: $962,500 3. APPLICANT ORGANIZATION NAME: SOUTHERN PLAINS TRIBAL HEALTH BOARD/OKLAHOMA AREA TRIBAL EPIDEMIOLOGY CENTER 4. APPLICANT ORGANIZATION ADDRESS: 9705 N BROADWAY EXTN, SUITE 200, OKC, OK 73114 5. APPLICANT ORGANIZATION FACILITY TYPE: TRIBAL ORGANIZATION, NON-PROFIT 503C 6. PROJECT DIRECTOR NAME AND TITLE: AMBER MARTINEZ, PROGRAM MANAGER 7. PROJECT DIRECTOR CONTACT INFORMATION: 405-835-6806, AMARTINEZ@SPTHB.ORG 8. PROJECT COORDINATOR NAME AND TITLE: SHIELA WILLIAMS, PROGRAM COORDINATOR 9. PROJECT COORDINATOR CONTACT INFORMATION: 405-652-9200, SWILLIAMS@SPTHB.ORG 10. BRIEF DESCRIPTION OF THE TARGET POPULATION: FOR THIS PROJECT, THE POPULATION OF FOCUS IS ANY NATIVE AMERICAN / AMERICAN INDIAN (NA/AI) RESIDING IN OKLAHOMA. ACCORDING TO THE U.S. CENSUS BUREAU (2020), THERE ARE 332,791 PEOPLE WHO IDENTIFY AS NATIVE AMERICAN ONLY. THERE ARE APPROXIMATELY 535,675 PEOPLE WHO IDENTIFY AS NATIVE AMERICAN IN COMBINATION WITH ANOTHER ETHNICITY. PRECISE GENDER IDENTITY, SEXUAL ORIENTATION, AND SOCIOECONOMIC ESTIMATES FOR OUR CATCHMENT AREA ARE NOT AVAILABLE, BUT A RECENT REPORT BY THE BUREAU OF INDIAN AFFAIRS REPORTS THAT 49% OF OKLAHOMA NATIVES UNDER 16 YEARS OF AGE ARE FEMALE, WHILE IN THE 16-64 AGE GROUP WHICH COMPRISES MOST OF THE TOTAL, 51% ARE FEMALE, AND IN THE 65 AND OVER GROUP, 58% ARE FEMALE. 11. PROJECT SUMMARY: AS PART OF SAMHSA’S EFFORTS TO PROVIDE RESOURCES TO IMPROVE RESPONSE TO 988 CONTACTS ORIGINATING IN OKLAHOMA TRIBAL JURISDICTIONS, THE SPTHB AIMS TO (1): ENHANCE ACTIVITIES THAT ENSURE ACCESS TO CULTURALLY COMPETENT, TRAINED 988 CRISIS CENTER SUPPORT STAFF, (2) ENSURE THERE IS NAVIGATION AND FOLLOW-UP CARE BY IMPROVING INTEGRATION AND SUPPORT OF 988 CRISIS CENTERS, TRIBAL NATION AND TRIBAL ORGANIZATIONS, AND (3) FACILITATE COLLABORATIONS WITH TRIBAL AND NON-TRIBAL ENTITIES KEY TO THE SUCCESS OF 988 CRISIS CENTERS WHILE MAINTAINING AND RESPECTING TRIBAL SOVEREIGNTY. THREE GOALS WILL BE IMPLEMENTED TO ACHIEVE THESE AIMS: (1): INCREASE ACTIVITIES THAT ENSURE ACCESS TO TRAUMA-INFORMED, CULTURALLY COMPETENT, TRAINED LOCAL 988 CRISIS CENTER SUPPORT STAFF TO INCREASE AND IMPROVE UTILIZATION OF 988 BY NA/AI RESIDING IN THE SPTHB CATCHMENT AREA. (2): IMPROVE INTEGRATION AND SUPPORT OF 988 CRISIS CENTERS, TRIBAL NATIONS, AND TRIBAL ORGANIZATIONS IN THE SPTHB CATCHMENT AREA TO ENSURE THERE IS NAVIGATION AND INCREASED FOLLOW-UP CARE FOR THE DESCRIBED POPULATION OF FOCUS. (3): INCREASE COLLABORATIONS WITH TRIBAL, STATE AND TERRITORY HEALTH PROVIDERS, URBAN INDIAN ORGANIZATION, LAW ENFORCEMENT AND OTHER FIRST RESPONDERS IN MANNER WHICH RESPECTS TRIBAL SOVEREIGNTY TO REDUCE THE RISK OF SUICIDE IN OUR POPULATION OF FOCUS.

SPTHB SPF-RX 2.0 - THE SOUTHERN PLAINS TRIBAL HEALTH BOARD’S (SPTHB) SPF RX PROJECT AIMS TO REACH THE 39 FEDERALLY RECOGNIZED AMERICAN INDIAN SOVEREIGN NATIONS HOUSED IN OKLAHOMA, BEGINNING WITH 10 INITIALLY SO THAT A STRONG FOUNDATION IS IN PLACE TO BUILD A NATIVE-FOCUSED, CULTURALLY SENSITIVE OUD PREVENTION INFRASTRUCTURE. SPTHB WILL INITIALLY SERVE 87,000 TRIBAL CITIZENS ANNUALLY THROUGH CURRENT PARTNERSHIPS WITH 7 SOVEREIGN NATIONS. SPTHB’S SPF RX PROJECT WILL BROADEN OUR EXISTING PRESCRIPTION DRUG MISUSE PREVENTION EFFORTS BY CREATING A STATEWIDE, NATIVE-FOCUSED INFRASTRUCTURE THAT BUILDS UPON OUR COUNTY-SPECIFIC INITIATIVES FROM PREVIOUS SUBSTANCE USE PREVENTION FUNDING. WE WILL INITIATE AWARENESS CAMPAIGNS AND CAPACITY-BUILDING ABOUT OPIOID USE DISORDER (OUD) AND PREVENTION, AS WELL AS THE ROLE AND VALUE OF PRESCRIPTION DRUG MONITORING PROGRAMS (PDMP) AS A TOOL TO DETER OUD. GOAL ONE IS TO RAISE AWARENESS ABOUT THE DANGERS OF SHARING MEDICATIONS AND WORK WITH PHARMACEUTICAL AND MEDICAL COMMUNITIES ON THE RISKS OF OVERPRESCRIBING TO YOUNG ADULTS IN TRIBAL COMMUNITIES. GOAL TWO IS TO RAISE TRIBAL COMMUNITY AWARENESS AND BRING PRESCRIPTION DRUG ABUSE PREVENTION ACTIVITIES AND EDUCATION TO SCHOOLS, COMMUNITIES, PARENTS, PRESCRIBERS, AND THEIR PATIENTS. GOAL THREE IS TO INCORPORATE PRESCRIPTION DRUG MONITORING PROGRAM (PDMP) DATA INTO TRIBAL NEEDS ASSESSMENTS AND STRATEGIC PLANS AS INDICATORS OF THE PROGRAM’S SUCCESS.

SPTHB TOR 2.0 PROGRAM - PROJECT ABSTRACT SUMMARY: AS PART OF THE SOUTHERN PLAINS TRIBAL HEALTH BOARD (SPTHB) TOR INITIATIVE PROJECT, THE SPTHB WILL SUB-AWARD THE OKLAHOMA CITY INDIAN CLINIC (OKCIC) TO PARTNER ON PROVIDING PREVENTION, TREATMENT AND RECOVERY SUPPORT TO 20,739 AIS FROM MORE THAN 200 TRIBES THAT THE OKCIC SERVES. THE COOPERATIVE AGREEMENT BETWEEN SPTHB AND OKCIC WILL ENHANCE THE CAPACITY FOR HIGHLY EFFECTIVE, EVIDENCE-BASED INTERVENTIONS, BY ELEVATING THE IMPORTANCE OF TRIBAL IDENTITY, CULTURE, SPIRITUAL BELIEFS AND PRACTICES FOR IMPROVING WELL-BEING OF THE AIS THEY SERVE. GOAL 1: UPDATE STRATEGIC PLAN WITH INPUT FROM MAT PHARMACISTS, BEHAVIORAL HEALTH STAFF, PHYSICAL THERAPISTS, AND OKCIC QI TO STREAMLINE PROGRAMMING AND SERVE A HIGHER NUMBER OF MAT PATIENTS OBJ. 1.1 CONDUCT AN INTERNAL NEEDS ASSESSMENT MEETING WITH OKCIC AND SPTHB STAFF WITHIN 30 DAYS OF AWARD. OBJ. 1.2 CREATE UPDATED STRATEGIC PLAN WITHIN 60 DAYS OF AWARD OBJ. 1.3 INCREASE INTAKE OF MAT PATIENTS IN FIRST YEAR FROM 12 TO 20. GOAL 2: IMPLEMENT INCREASED MAT WAIVER PROVIDER EDUCATION FOR ALL OKCIC PRIMARY CARE PROVIDERS OBJ. 2.1 AT LEAST 75% OF ALL OKCIC PRIMARY CARE PROVIDERS WILL RECEIVE MAT-WAIVER EDUCATION WITHIN 90 DAYS OF AWARD. OBJ. 2.2 AT LEAST 75% OF ALL OKCIC PRIMARY CARE PROVIDERS WILL RECEIVE ANNUAL MAT-WAIVER CONTINUING EDUCATION. OBJ. 2.3 OBTAIN AT LEAST ONE NEW MAT-WAIVER CERTIFIED PROVIDER IN YEAR ONE OBJ. 2.4 OBTAIN AT LEAST ONE NEW MAT-WAIVER CERTIFIED PROVIDER IN YEAR TWO GOAL 3: IMPLEMENT EFFECTIVE PREVENTION AND HARM REDUCTION STRATEGIES, AS WELL AS INCREASE COMMUNITY ACCESS TO PREVENTION AND HARM REDUCTION RESOURCES. OBJ. 3.1 DISTRIBUTE AT LEAST 200 MEDICATION LOCK BAGS TO COMMUNITY BY SEPTEMBER 30TH, 2024. OBJ. 3.2 DISTRIBUTE AT LEAST 1,000 MEDICATION DISPOSAL POUCHES TO COMMUNITY BY SEPTEMBER 30TH, 2024. OBJ. 3.3 DISTRIBUTE AT LEAST 100 HARM REDUCTION KITS TO COMMUNITY BY SEPTEMBER 30TH, 2024. OBJ. 3.4 DISTRIBUTE NALOXONE TO AT LEAST 300 COMMUNITY BY SEPTEMBER 30TH, 2024. OBJ. 3.5 100% OF PATIENTS AND COMMUNITY MEMBERS RECEIVING NARCAN WILL RECEIVE TRAINING ON HOW TO IDENTIFY AN OVERDOSE AND HOW TO PROPERLY ADMINISTER NARCAN, AND 90% WILL SHOW AN INCREASE IN KNOWLEDGE OBJ. 3.6 INCREASE REACH OF PUBLIC AWARENESS CAMPAIGN AIMED AT AMERICAN INDIANS IN THE OKLAHOMA CITY METROPOLITAN AREA TO 200,000 BY SEPT. 30TH, 2024. OBJ. 3.7 CONTINUE UNIVERSAL SCREENING FOR BEHAVIORAL RISK FACTORS GOAL 4: CONTINUE TO IMPLEMENT SERVICE DELIVERY MODELS THAT ENABLE THE FULL SPECTRUM OF TREATMENT AND RECOVERY SUPPORT SERVICES WHICH WILL FACILITATE POSITIVE TREATMENT OUTCOMES AND LONG-TERM RECOVERY. OBJ. 4.1 TREAT A TOTAL OF 40 UNDUPLICATED MAT PATIENTS BY SEPTEMBER 30TH, 2024. OBJ. 4.2 100% OF MAT PATIENTS WILL BE SCREENED FOR BENEFITS, AND REFERRED TO WRAP-AROUND SERVICES OBJ. 4.3 ALL PHYSICAL THERAPISTS TO UNDERGO AT LEAST ONE ADDITIONAL CHRONIC PAIN MANAGEMENT TRAINING BY SEPT. 2024 OBJ. 4.4 AT LEAST 50% OF MAT PATIENTS WITH A CHRONIC PAIN DIAGNOSIS WILL UTILIZE EITHER IN PERSON PHYSICAL THERAPY OR A HOME EXERCISE PLAN (HEP) ASSIGNED BY A PHYSICAL THERAPIST BY SEPTEMBER 30TH, 2024. GOAL 5: IMPLEMENT COMMUNITY RECOVERY SUPPORT SERVICES THAT INCORPORATE INPUT FROM INDIVIDUALS IN RECOVERY OBJ. 5.1 PROVIDE CULTURALLY RELEVANT COMMUNITY RECOVERY SUPPORT TRAINING TO 100% OF NEW PRSS AND BEHAVIORAL HEALTH STAFF BY SEPTEMBER 30TH, 2023. OBJ. 5.2 REFER AT LEAST 75% OF MAT PATIENTS TO OUTSIDE COMMUNITY RECOVERY SUPPORT SERVICES BY SEPTEMBER 30TH, 2024. GOAL 6: ASSESS AND COMMUNICATE THE IMPACT OF THE GRANT TO BUILD UPON AND IMPROVE PROGRAMMING OUTCOMES. OBJ. 6.1 CONDUCT QUARTERLY MEETINGS WITH SPTHB TOR PROGRAM DIRECTOR AND OKCIC TOR STAFF TO REGULARLY ASSESS PROGRAM IMPLEMENTATION AS ASSESSED BY NUMBER OF MEETINGS AND PROCESS IMPROVEMENTS MADE. OBJ. 6.2 BY SEPTEMBER 2024, BE ABLE TO SHOW AN IMPROVEMENT IN PROGRAM OUTCOMES (TO MINIMALLY INCLUDE AN INCREASE IN NUMBER OF MAT PATIENTS) COMPARED TO FIRST TOR GRANT CYCLE.

SPTHB TOR INITIATIVE

NATIVE ROOTS PFS

DENTAL PREVENTIVE AND CLINICAL SUPPORT CENTERS PROGRAM

SPTHB PUBLIC HEALTH RESILIENCE PROJECT

SPTHB TPI GRANT

SPTHB NATIVE ROOTS - PROJECT ABSTRACT THE SOUTHERN PLAINS TRIBAL HEALTH BOARD (SPTHB) SEEKS FUNDING THROUGH THE SAMHSA STRATEGIC PREVENTION FRAMEWORK-PARTNERSHIPS FOR SUCCESS FOR COMMUNITIES AND TRIBES (SPF-PFS) TO EXPAND EVIDENCE-BASED STRATEGIES ADDRESSING YOUTH SUBSTANCE USE (SU) AND MENTAL HEALTH (MH) WITHIN HUGHES, OKFUSKEE, OKLAHOMA, AND SEMINOLE COUNTIES IN CENTRAL OKLAHOMA. THIS PROJECT BUILDS ON SPTHB’S PREVIOUS SAMHSA GRANTS, WHICH ALLOWED THEM TO ESTABLISH MEANINGFUL RELATIONSHIPS WITHIN THE COUNTIES’ SCHOOL DISTRICTS AND INCREASE ACCESS TO SERVICES FOR AMERICAN INDIAN/ALASKA NATIVE (AI/AN) YOUTH. THROUGH THIS FUNDING OPPORTUNITY, SPTHB WILL IMPLEMENT TARGETED INTERVENTIONS TO REDUCE YOUTH SU AND INCREASE POSITIVE MH OUTCOMES. THE UNDUPLICATED NUMBER OF INDIVIDUALS WE ARE PROPOSING TO SERVE ANNUALLY AND OVER THE ENTIRE PROJECT PERIOD WITH GRANT FUNDS IS APPROXIMATELY 1000 (200/YR.). FOR THE SELECTED MIDDLE AND HIGH SCHOOLS, THE AI/AN POPULATION RANGES FROM 2% IN BETHANY SCHOOL DISTRICT TO 29.0% IN WETUMKA SCHOOL DISTRICT. THE FOLLOWING INFORMATION PROVIDES AN OVERVIEW OF HOW WE WILL ADDRESS THE IDENTIFIED CAPACITY NEEDS, SERVICE GAPS, AND THE REQUIRED ACTIVITIES. KEY PROJECT ACTIVITIES INCLUDE: ASSESSMENT – CONDUCT A COMPREHENSIVE NEEDS ASSESSMENT AND PREVENTION CAPACITY ASSESSMENT OF RESOURCES AND READINESS. IDENTIFY YOUTH AND COMMUNITY PARTNERS TO SERVE ON THE ASSESSMENT WORKGROUP THROUGHOUT THE LIFE OF THE PROJECT. CAPACITY – IDENTIFY AND ENGAGE TARGETED STRATEGIC PARTNERSHIPS AND CONVENE A COMMUNITY ADVISORY WORKGROUP. ENGAGE/RE-ENGAGE OKLAHOMA CITY PUBLIC SCHOOL TEACHERS AND SCHOOL ADMINISTRATORS TO PROMOTE PROGRAMS AND ACTIVITIES. PLANNING – CREATE A PFS STRATEGIC PLANNING WORKBOOK TO INCLUDE STANDARDS FOR YOUTH, COMMUNITY, AND OTHER PARTNERS. IMPROVE ENGAGEMENT WITH EMERGING RURAL PARTNERS IN OUR AREA. IMPLEMENTATION – INITIATE DELIVERY OF SELECTED PREVENTION SERVICES AND PROVIDE ONGOING PREVENTION SERVICES. CREATE AN IMPLEMENTATION GUIDEBOOK. IDENTIFY ONE-TWO ADDITIONAL PROGRAMS TO ENHANCE EXISTING SUBSTANCE-USE PREVENTION EFFORTS. EVALUATION – COMPLETE AND MONITOR A PROJECT EVALUATION PLAN AND UPDATE ANNUALLY. CONDUCT AN ANNUAL CAPACITY SURVEY. DEVELOP AN ACTIVITY TRACKER WITH A VISUAL DASHBOARD TO MONITOR PROGRESS. FOOTNOTE 1 DISTRICT AND SCHOOL PROFILES, OKLAHOMA EDUCATIONAL INDICATORS PROGRAM, OFFICE OF EDUCATIONAL QUALITY AND ACCOUNTABILITY, HTTPS://WWW.SCHOOLREPORTCARD.ORG/. ACCESSED MARCH 13, 2025.

SPTHB NATIVE CONNECTIONS 2.0 - THE SOUTHERN PLAINS TRIBAL HEALTH BOARD’S (SPTHB) TRIBAL EPIDEMIOLOGY CENTER (TEC) IS ONE OF 12 TECS IN THE NATION AND SUPPORTS 43 FEDERALLY RECOGNIZED TRIBES IN OKLAHOMA, KANSAS, AND TEXAS. OUR AGENCY HAS LONG HISTORY OF PROVIDING TRAINING AND TECHNICAL ASSISTANCE (TTA), GUIDANCE, AND CONSULTING SERVICES TO PUBLIC HEALTH PROFESSIONALS, NURSES, DOCTORS, COMMUNITY HEALTH REPRESENTATIVES, COMMUNITY MEMBERS, TRIBES, STATE AND LOCAL AGENCIES, NON-PROFITS, AND MANY OTHER ORGANIZATIONS, AS WELL AS ACTING AS THE FISCAL AGENT RESPONSIBLE FOR MULTIPLE FUNDING OPPORTUNITIES. DISPARITIES EXIST IN CADDO COUNTY AT SEVERAL LEVELS: RURAL, RACIAL (AS IT RELATES TO AI/ANS), AND SOCIO-ECONOMIC. IN ADDITION, THE DATA ILLUSTRATE CADDO COUNTY AS A MEDICALLY UNDERSERVED AREA AND A HEALTH PROFESSIONAL SHORTAGE AREA WITH REGARDS TO RURAL HEALTH CLINICS, COMMUNITY MENTAL HEALTH CENTERS, AND BEING A LOW-INCOME MENTAL HEALTH CATCHMENT AREA. THERE IS A CLEAR NEED FOR SUICIDE PREVENTION AND OTHER MENTAL HEALTH INTERVENTIONS AND TREATMENT OPTIONS IN THE CATCHMENT. DATA REPORTED FROM THE VIOLENT DEATH REPORTING SYSTEM AND THE OKLAHOMA YOUTH RISK BEHAVIOR SURVEY INDICATE THE OKLAHOMA YOUTH SUICIDE RATE INCREASED 41% SINCE 2006, COMPARED TO A 33% INCREASE IN THE YOUTH SUICIDE RATE NATIONALLY FOR THE SAME TIME PERIOD. THE OKLAHOMA YOUTH MALE SUICIDE RATE INCREASED 23% SINCE 2006, AND THE YOUTH FEMALE SUICIDE RATE INCREASED 79% IN THE SAME TIME FRAME. IN THE 10-24-YEAR-OLD AGE GROUP, THE MALE SUICIDE RATE WAS NEARLY THREE TIMES THAT OF THE FEMALE RATE IN OKLAHOMA. AMERICAN INDIAN/ALASKA NATIVE YOUTH HAD THE SECOND HIGHEST RATE OF SUICIDE AMONG THE 10-14 AGE GROUP. IN THE 10-24 AGE GROUP, AI/ANS HAD THE HIGHEST SUICIDE RATE AMONG ALL GENDER, RACE, AND ETHNIC GROUPS, WITH A 39% HIGHER RATE THAN WHITE MALES WHO HAD THE SECOND HIGHEST RATES AMONG ALL GROUPS. GOAL 1- INCREASE THE CAPACITY OF THE LOCAL TRIBAL COMMUNITY TO PROVIDE TOOLS, SERVICES, AND RESOURCES THAT PROMOTE THE MENTAL HEALTH OF AI/AN YOUTH. GOAL 2: INCREASE ACCESS TO MENTAL HEALTH SERVICES FOR AI/AN YOUTH BY ENHANCING CROSS-SYSTEM COLLABORATION WITHIN AND ACROSS TRIBES, AS WELL AS AMONG VARIOUS NON-TRIBAL SECTORS. GOAL 3: DECREASE SUICIDE AMONG AI/AN STUDENTS AND THEIR PEERS BY IMPLEMENTING AN EVIDENCE-BASED, PEER-TO-PEER, SCHOOL-BASED PROGRAM THAT PROVIDES KNOWLEDGE, SKILLS, AND RESOURCES IN SUICIDE PREVENTION. GOAL 4: DECREASE SUBSTANCE USE AMONG AI/AN YOUTH BY CONDUCTING ACTIVITIES THAT ADDRESS SUBSTANCE MISUSE AND OVERDOSE.

SOUTHERN PLAINS TRIBAL HEALTH BOARD CARA INITIATIVE

SPTHB CIRCLES OF CARE PROGRAM

SOUTHERN PLAINS TRIBAL HEALTH BOARD SPF-RX INITIATIVE

OKLAHOMA TRIBAL CONSORTIUM PARTNERSHIP FOR SUCCESS INITIATIVE

OKLAHOMA AREA TRIBAL HEALTH COMPREHENSIVE PREVENTION PROGRAM: PPHF2014

OKLAHOMA CITY AREA INTER-TRIBAL HEALTH BOARD EPIDEMIOLOGY CENTER HEALTH DISPARITIES PROJECT

SOUTHERN PLAINS TRIBAL HEALTH BOARD SPF-RX INITIATIVE

SPTHB CHAP ASSESSMENT PROGRAM

NATIVE CONNECTIONS ALLIANCE

SOUTHERN PLAINS INTER-TRIBAL EPIDEMIOLOGY CENTER AMERICAN INDIAN/ALASKA NATIVE HEALTH DISPARITIES PROGRAM

THE OK CITY AREA INTER-TRIBAL HEALTH BOARD STATE PREVENTION ENHANCEMENT

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

NATIVE CONNECTIONS ALLIANCE

RURAL COMMUNITIES OPIOID RESPONSE PROGRAM-OVERDOSE RESPONSE

TBH COVID-19

STAND DOWN (SD)