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.