Pascua Yaqui Tribe Substance Abuse Prevention ,Treatment and Aftercare Program - The Pascua Yaqui Tribe of Arizona through the Pascua Yaqui Health Services Division’s, Sewa U’usim (translates to “flower children”) Community Partnership Program (the lead agency) seeks $400,000 in annual funding from the Indian Health Services, Substance Abuse and Suicide Prevention (SASP) Program to expand the scope of evidence based and practice-based substance use services; and enhance coordination of the network of care including providers serving the Tribal community. Expanded Services: The Sewa U’usim Substance Use Prevention (SUP) project will bring the Honoring Children, Mending the Circle (HC-MC), a cultural adaption of the evidence based, trauma focused cognitive behavioral therapy (TFCBT) to a larger behavioral health provider group to enhance treatment services for referred community members. Annually, the SUP project will screen 100 youth and enroll 25 youth in services with a substance use diagnosis; The SUP team will also provide three (3) workshops for youth serving professionals on new screening and assessment tools; training 15 professionals to increase their knowledge and skills to improve our youth serving professional’s ability to identify and refer youth for services. The team will also provide enhanced early intervention, training and aftercare services to youth, professionals, and community members by bringing in White Bison to train our youth on the Purpose of Life Youth program. The team will train 100 youth, 20 professionals from multiple cross Tribal programs, and 20 community members in the Purpose of Life program. Six annual workshops will be provided to the community on awareness and referral process for individuals impacted by substance abuse; serving at least 75 community members seeking help and support services. The early recognition aspect of the workshops will help the SUP project get to those in need before major additive behaviors begin. The enhancement and coordination of the network to improve care coordination will be a key task for the SUP Project Manager. Working with the Child and Family Directors Networking Board we will explore policies quarterly on the day-to-day operations of providers to look at options for changing the current way referral and serves are delivered for addictive and abusing members. The target population will be children/youth 7-12 and13 to 24 years old and their families. We will be, due to early onset for alcohol use provide a weekly 7- to 12-year-old group on resistance and coping skills. The SUP project will leverage other support services, provided by Sewa U’usim, such as referral for Parenting services, as part of the Motherhood and Fatherhood is Sacred which will provide 25 training slots annually for the SUP team for placement of referred parents in the six session program. The SUP team will also enhance youth leadership and cultural support services by bring the Generation Indigenous (Gen-I) Initiative from the Center for Native American youth to the community. Gen-I focuses on improving the lives of Native youth through new investments and increased engagement. This initiative will take a comprehensive, culturally responsive approach to ensure all Native youth can reach their full potential. Gen-I helps improve the lives of Native youth by prompting a national dialogue, policies, and programs to mobilize and cultivate the next generation of Native leaders. For the Pascua Yaqui Tribe, Gen-I will provide an additional support to our Youth MOVE and Pathways Young Adult Programs within Sewa U’usim. The SUP project will employ four (4) staff, one Project Manager, 2.5 Care Specialist/Therapists to train and serve members and a part time Epidemiologist to track data and coordinate outcome measure for the project.