# Presentation: 028032

## CMHS Tribal Initiatives November 15, 2004 

**CMHS Tribal Initiatives**** ****November 15, 2004**** **

**Ted Searle, M.B.A., Acting Deputy Director**
**Center for Mental Health Services**

***SAMHSA Matrix ***
***In Service Series***

## Achieving the Promise

**Goal 1   Americans understand that mental health is essential to overall health.**
**Goal 2   Mental health care is consumer and family driven.**
**Goal 3   ****Disparities in mental health services are eliminated.**
**Goal 4   Early mental health screening, assessment, and referral to services are common practice.**
**Goal 5   Excellent mental health care is delivered and research is accelerated.**
**Goal 6   Technology is used to access mental health care and information.**

**In a Transformed Mental Health System . . .**

***SAMHSA Matrix In Service***

**Achieving the Promise**

## SAMHSA Guidelines for Assessing Cultural Competence

***SAMHSA Matrix In Service***

**Experience or track record with target population**
**Training and staffing on gender/age/cultural competence**
**Language accommodation**

**Materials**
**Evaluation, accommodation**
**Community representation**
**Implementation plan**

## Child Mental Health Initiative

***SAMHSA Matrix In Service***

- Six year cooperative agreements to transform the mental health system of care
- Severe emotional disturbance (SED), system involvement, CW, JJ, Ed
- State, territory, and tribal governments
- $100m/year, $1m to $2m to each grantee, match requirement
- 2004, 63 grants: 8 tribal, 2 territories
- 20 new awards this coming year

## Child Mental Health Initiative 

*98-99 funded cohort, (12 state/2 tribal grantees)*

***SAMHSA Matrix In Service***

- White, not Hispanic				57.5%
- African American:				24.9%
- American Indian/Alaska Native:		11.7%
- Hispanic/Latino:					11.0%
- Multi-Racial					8.3%
- Asian					 	1.0%
- Other Native Hawaiian/Pacific Islander:         	0.6%
- Other:						1.3%

## Circles of Care

***SAMHSA Matrix In Service***

**Federally Recognized Tribes, Urban Indian Programs, (now, Tribal Colleges and Universities)**
**Three year grant to build infrastructure for child/adolescent behavioral health**
**$250-$350,000/year, no match required**
**New announcement pending, November 04, due late January 05.**
**TA planned for prospective applicants: **
**Seattle  December 7-8, 2004**
**Denver December 13-14, 2004 **

## Circles of Care 

**Cohort I Grantees 1998-2001**

***SAMHSA Matrix In Service***

**Choctaw Nation, OK**
**Cheyenne River Sioux Tribe, SD**
**Fairbanks Native Association, AK**
**Feather River Tribes, CA**
**First Nations Cl., NM**

**In Care Network, MT**
**Intertribal Council, MI**
**Native American Health Center, CA**
**Oglala Sioux Tribe**

## Circles of Care 

**Cohort II Grantees 2001-2004**

***SAMHSA Matrix In Service***

**Blackfeet Nation, MT**
**Pascua Yaqui Tribe of AZ**
**Puyallup Tribe, WA**
**Salt River Pima-Maricopa Tribes of AZ**

**Tlingit and Haida Tribes of SE AK**
**Ute Indian Tribe, UT**
**United Indian Involvement, CA**

## Circles of Care 

**Technical Assistance**

***SAMHSA Matrix In Service***

- National Indian Child Welfare Association
- Program development, on-site TA, and grantee meetings
- Funded via IAA w/ Indian Health Service
- National Center for AI/AN Mental Health Research, University of Colorado
- Cross-site evaluation, on-site TA, and grantee meetings
- Funded via IAA w/ National Institute for Mental Health

## Other Tribal Activities at CMHS

**Child and Adolescent Mental Health and Substance Abuse State Infrastructure Grants (****Puyallup Nation, WA, Circles of Care 2001-2004)**
**Safe Schools/Healthy Students**
**One Sky Center ****(Contract on Youth Suicide Prevention)**
**First Nations and the National Alliance for Multi-Ethnic Behavioral Health Associations (NAMBHA)**
**Mental Health Transformation State Incentive Grants**

***SAMHSA Matrix In Service***

## First Nations Behavioral Health Association

**Established 2003**
**Initial Partners: NASMHPD, SAMHSA/CMHS**
**Executive Director: Paulette Running Wolf, ****	****Ph.D., (Blackfeet)**
**Board of Directors:**
**President: Dale Walker, M.D., (Cherokee) **
**Vice President: Ethleen Iron Cloud-Two Dogs, M.S., ****	****(Oglala Lakota) **
**Secretary/Treasurer: Holly Echo Hawk, M.S., ****	****(Pawnee) **

***SAMHSA Matrix In Service***

## “The secret of our success is that we never, never give up.”		

**“****The secret of our success is that we never, never give up.”****	****	**

- ―*Wilma Mankiller, Former Principal Chief,*
*Cherokee Nation of Oklahoma*