The cultural/social stigma associated with behavioral health issues, including suicide and illegal drug use, and reluctance within the tribal community to expose themselves and family members to legal, child welfare, and social repercussions, prevents self-reporting and referrals of persons involved in substance abuse or high-risk/suicidal behaviors. IHC aims to ensure all IHC patients are aware and have access to culturally competent, trained 988 crisis center support; to improve integration and support of 988 crisis centers, Consortium Tribes, and IHC to ensure there is timely navigation and follow-up care; and to facilitate collaborations with Tribal, state and local health providers, law enforcement, and other first responders in a manner which respects Tribal sovereignty.