American Indian Health and Family Services of Southeast Michigan’s (AIHFS) Collaborative Spirit of Hope, Wellness and Healing for our Community Project will serve American Indian/Alaska Natives (AI/AN) age 10 to 24 in Southeast, Michigan and in MI Tribal locations. In collaboration with our Manidookewigashkibjigan Sacred Bundle: R.E.S.P.E.C.T. Project, advisory councils, intra-agency and inter-agency partnerships, and utilizing evidence based, practice based, and culturally based practices (i.e. traditional healing), we will design an assessment driven Action Plan to develop, implement, and sustain early intervention strategies and follow-up care, for our local, county, and regional AI/AN youth. Outcomes are to prevent and reduce suicidal behavior and substance use, reduce the impact of trauma, and promote overall mental health via a Three-Tiered approach encompassing the following goals/objectives:
¿ Increase collaboration with existing intra and inter-agency youth serving programs to coordinate care for AI/AN youth at-risk of suicide and/or substance abuse.
¿ Increase the number of intra and inter-agency behavioral health (BH) providers trained to accurately identify AI/AN youth, and trained to be aware of, and refer to, culturally appropriate services for those at-risk of suicide and/or substance abuse.
¿ Increase the capacity of AIHFS and external agencies, who serve youth, to provide culturally appropriate evidence based, and practice based traditional healing services that include follow-up care.
¿ Increase referrals to, and utilization of, behavioral health care services for AI/AN youth at-risk of suicide and/or substance abuse services.
¿ Improve, and develop, policies and procedures, in collaboration with youth serving intra and inter-agency programs, to provide continuity of care and follow-up care for youth at-risk of suicide and/or substance abuse.
Objectives are to: 1) Assess gaps in services and collaboration needs (year one); 2) Engage intra and inter-agency youth serving programs to coordinate care for at-risk youth (20 annually, 100 total); 3) Train agencies/providers in identification of AI/AN youth (100 annually, 500 total), and in the provision of evidence based (EB) and practice based (PB) (i.e. traditional healing) suicide and substance abuse prevention/intervention services (100 annually, 500 total), and create coordinated follow-up services (100 annually, 500 total), 4) Become a Wayne County contracted provider (year 1 and ongoing); 5) Engage in outreach/marketing of programs for AI/AN youth (100 annually, 500 total); 6) Refer at-risk youth to their home community (i.e. tribal and/or urban), BH providers, and conduct follow-up care (60 annually, 300 total); 7) Design standards of care for at-risk youth, and coordination and follow-up care procedures (years 1&2); 8) Design policies and procedures for the utilization of EB and PB (i.e. traditional healing) services for at-risk youth (years 1& 2); and 9) Further develop our postvention committee (by 3 months).