Fort Defiance Indian Hospital Board, Inc., (FDIHB) is a tribally chartered, 501(c)(3) nonprofit healthcare organization that operates and manages three facilities in the southeastern region of the Navajo Nation; Tsehootsooi Medical Center (TMC), Nahata’ Dziil Health Center (NDHC) and the Nihi Dine’é Bá Wellness Center. FDIHB serves community members in the Fort Defiance Agency which has a population of 47,213. The goal of the Circles of Care Grant Program is to build a solid systems of care infrastructure in two communities in the Fort Defiance Service Area so that mental health services are readily available to youth and their families.
FDIHB proposes to implement the following primary activities to meet program objectives for the Circles of Care Grant Program:
• Formulate an interdisciplinary Task Force;
• Conduct a Community Needs Assessment
• Develop a coordinated system of care;
• Place a School-Based Mental Health Specialists in the Navajo, New Mexico community;
• Provide evidence-based training to staff, task force members, administrators, educators, and parents in the communities within the service area. Includes Botvin Life Skills Education, Applied Suicide Intervention Skills Training (ASIST), Youth Mental Health First Aid, and Question, Persuade, Refer (QPR);
• Implement a Navajo Culturally-Sensitive Suicide and Substance Abuse Prevention Education Series to integrate into evidence-based training
The Fort Defiance Agency encompasses a 3,000 square mile area and is divided into 27 chapter communities which are spread across four counties in two states. FDIHB provides services to community members living in 16 of the 27 chapter communities. There are approximately 25 schools in the Fort Defiance service area. They include seven Bureau of Indian Education (BIE) schools, one charter school, two private schools, and 14 public schools belonging to four school districts in Arizona and New Mexico. Based on school demographic profiles, the total population is approximately 5,619 students grades PreK to Grade 12. The geographic area is designated as a “Health Professional Shortage Area” by the Arizona Department of Health Services, signifying as having a shortage of dental, mental, and primary health care and also designated as an Arizona Medically Underserved Area (AzMUA).
FDIHB proposes to serve approximately 1,000 unduplicated individuals (youth and adults) per year and over 3,000 over the entire project period through School-based Mental Health services, evidence-based training curriculums, prevention activities and outreach efforts. The vision is to gradually create a systems of care in the remaining 14 communities in the Fort Defiance service area.