Kodiak Area Native Association - Substance Abuse Prevention, Treatment, and Aftercare Program - The Kodiak Area Native Association (KANA) is proposing programming to meet the objectives under the Substance Abuse and Suicide Prevention’s Substance Abuse Prevention, Treatment, and Aftercare (SAPTA) program. Through the activities described in this application, KANA proposes to reduce the prevalence of substance abuse and decrease the overall use of addicting and illicit substances among Native populations by improving care coordination, expanding behavioral health care services using culturally appropriate evidence-based models, and expanding on Generation Indigenous Initiative activities that promote early intervention strategies for Native youth at risk for substance use behavior. The proposed activities are intended to target multiple sub-populations within the Kodiak region, including Native youth and residents of the region’s rural village communities. KANA proposes to utilize SAPTA resources to implement project activities that will expand KANA’s capacity to address substance use. To improve care coordination, KANA intends to provide training for staff outside of the Behavioral Health Department on substance use screening, trauma-informed care, and secondary trauma. KANA will offer broad-based community education and outreach related to substance use, and will expand training and support for the rural Village Response Teams to inflate their capacity to address substance use and overdose crises. KANA also intends to expand behavioral health services by supporting training for behavioral health support staff, improving policies and procedures related to integrated care and referrals, and directly funding a substance use treatment provider. Finally, KANA will support a variety of youth and family engagement activities, support activities and events hosted by community partners, and collaborate with those partners to assess the viability of youth education models such as Safety First and Prime for Life. Accomplishing these goals relies heavily on strong partnerships with community stakeholders, including the Kodiak Island Borough School District, Kodiak Women’s Resource and Crisis Center, Kodiak Island Housing Authority, and the 10 Federally recognized Alaska Native Tribes in the Kodiak region. KANA has developed relationships with these entities and countless others since its founding more than 50 years ago. Collaborative partnerships related to substance use prevention and treatment having been strengthened through the duration of KANA’s Methamphetamine and Suicide Prevention Initiative Purpose Area 3 grant, in operation from 2015-2021. KANA intends to continue strengthening and expanding these relationships to achieve the proposed SAPTA project. Internally, KANA’s SAPTA project will work closely with other programs, such as the SAMHSA-funded Native Connections project and KANA’s newly proposed Suicide Prevention, Intervention, and Postvention and Domestic Violence Prevention programs. These programs will expand the Prevention Department by providing for the hiring of additional Prevention Specialists, an Education & Training Coordinator, and a Health Promotion Coordinator. Prevention Specialists will act as cross-trained generalists responsible for carrying out the majority of the proposed activities. The Education & Training Coordinator will work closely with KANA managers and directors to address the policy, procedure, and training components of the proposed project. The Health Promotion Coordinator will lead the development and dissemination of public health messaging, promoting activities and events, as well as supporting external programmatic communications Through the proposed project, KANA will address the IHS-determined Goals and internally created Objectives to achieve the purpose of the SAPTA program to reduce the prevalence of substance use behaviors among Native populations throughout the Kodiak region.