CMHS Tribal Initiatives November 15, 2004

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SAMHSA Matrix In Service Series
CMHS Tribal Initiatives November 15, 2004

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

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Achieving the Promise
In a Transformed Mental Health System . . .
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.
SAMHSA Matrix In Service
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SAMHSA Guidelines for Assessing Cultural
Competence

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

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

SAMHSA Matrix In Service
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Child Mental Health Initiative

• 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

SAMHSA Matrix In Service
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Child Mental Health Initiative 98-99 funded
cohort, (12 state/2 tribal grantees)

• 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

SAMHSA Matrix In Service
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Circles of Care

• 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

SAMHSA Matrix In Service
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Circles of Care Cohort I Grantees 1998-2001

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

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

SAMHSA Matrix In Service
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Circles of Care Cohort II Grantees 2001-2004

• 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

SAMHSA Matrix In Service
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Circles of Care Technical Assistance
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
SAMHSA Matrix In Service
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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
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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
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The secret of our success is that we never,
never give up.
?Wilma Mankiller, Former Principal
Chief, Cherokee Nation of Oklahoma
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