Summary: The proposed project will focus on expanding wraparound services to Nebraska Native American youth and young adults who have serious mental disorders. The treatment approach taken by counselors in the area will be trauma-centered, respecting the culture and languages of the populations. The two communities to be served will be the Santee Sioux Nation and the Omaha Tribe, totaling 849 members within the population of focus (ages 16 to 25).
Project name: Nebraska Tribal Healthy Transitions.
Populations to be served: Demographics: The population of focus represent 14.6% of the total population of both communities (Santee Sioux Nation and Omaha Tribe; n = 5,810). Percentage of Disconnected youth (16-24 years old who are neither working nor attending school) is the highest in Thurston County (Omaha Reservation), 3.9 times higher when compared to all counties in Nebraska (29.8% vs. 7.6%, respectively), and one of the highest in the nation (Social Science Research Council, 2016). The unemployment rate for the population of focus (labor force 16 to 24 years) in Santee is 35.3%, and in the Omaha reservation is 26%, which is 2 to 3 times higher compared to an average of 11% for the same age group in the State of Nebraska.
Clinical characteristics: Native American suicide rates of in the catchment area are the highest when compared to all other races/ethnicities, and are 2.2 times higher when compared to the White population (2.7% vs. 1.2%, respectively. National Center for Health Statistics, 2003-2012). Thurston County, where the Omaha reservation is located, shows the highest suicide rate among all counties in Nebraska (University of Nebraska, 2015). In fact, Thurston County shows the highest percentage (16%) of people with mental distress in Nebraska (Behavioral Risk Factor Surveillance System, 2016).
Strategies/interventions: The project will implement evidence-based practices (EBPs) at the community level that are culturally and linguistically competent and ensure the active participation of youth, young adults, and families in service and treatment decisions to improve the health outcomes for youth and young adults with serious mental disorders.
Project goals: 1) Expand wraparound services for the population of focus with local trusted and competent behavioral health services that are culturally and linguistically appropriate. 2) Promote cross-site tribal collaboration (Santee Sioux Nation and Omaha Tribe) through services and providers to increase system-level efficiencies and effectiveness with the purpose to replicate these efforts across all Native American communities in Nebraska.
Measurable objectives: 1) Provide culturally and linguistically competent mental health services to 45 youth/young adults affected by SED by the end of year one of the project. 2) Provide mental health services to all youth potentially affected by SED by the end of year 5 of the project.