Benewah Medical Center dba Marimn Health is requesting $250,000 under the SAMHSA Fiscal Year 2020 Tribal Behavioral Health Grant Program (Native Connections) to provide outreach, training, mentoring and referral to Native American youth up to the age of 24 for suicide ideation, substance misuse and mental health to enhance existing services. Currently, limited services are available to youth. They mostly consist of post-vention activities for the young-adult age group returning from in-treatment or for those returning home from incarceration. Activities specific to youth are the Healing of the Canoe curriculum which was implemented into the Coeur d’Alene Tribal School last year, serving 25 pre-teens; and individual referral and counseling. After a recent completed suicide by a tribal youth, behavioral health counselors were present on-site at schools to provide crisis intervention counseling to staff and students. Cognitive Behavioral Intervention for Trauma in Schools (CBITS) is scheduled for implementation in 2020. The Marimn Youth Project is designed to enhance existing youth services through outreach, educational and referral activities to schools, youth programs, family and community members. Marimn Health proposes hiring five Healthy Lifestyle Coaches to provide training, education and mentoring services to youth within these various venues. Marimn Health has strong community support through the Tribal Collaboration Committee which consists of concerned tribal entities, elders and staff from youth-serving agencies. Marimn Health has been contacted concerning the provision of services of this nature by the Coeur d’Alene Tribal School, Lakeside School District, Native Services Boys and Girls Club, Indian Child Welfare Program (ICWP), and Coeur d’Alene Tribal Social Services. These inter-agency partners will collaborate to revise and update inter-agency policies regarding the required policy enhancements to close service gaps for those youth who display high risk behaviors. The goal of this program is to prevent suicide, prevent substance misuse, reduce the impact of trauma and promote mental health. The infrastructure is in place at Marimn Health to provide behavioral health services which address substance use disorder, mental health, outpatient medically assisted treatment, referral to in-patient as needed, and related information and training for suicide prevention. Marimn Health offers Question Persuade Refer (QPR) Gatekeeper training to the community, and is initiating Trauma Informed Care Training in 2020 for the work force and community. The clinic is well positioned to provide the activities required under the Native Connections grant.