SIHC's Circles of Care - The proposed Southern Indian Health Council, Inc. Youth Behavioral Health Circle of Care will thoughtfully plan, develop, and implement a formalized infrastructure for behavioral health services and programming. The Circle of Care approach will build on current efforts and the strengths of the community to enable provision of accessible high-quality community-based services and approaches that are individualized, culturally-appropriate and require interagency collaboration. Anticipated outcomes include the creation of a Circles of Care Advisory Board, community involvement, network development, interagency commitments for coordination of services, policy recommendations, and enhanced behavioral health service provision. All youth between ages 0-25 years and their families, who receive services or programming through the Southern Indian Health Council Behavioral Health, will have the potential to be impacted by the implementation of a collaboratively developed systems of care approach to addressing behavioral health needs. Further use of a systems of care sub-strategy will result in the development of an innovative indigenized therapeutic strategy. A Kumeyaay Dungeons & Dragons storyline and gameplay will be designed for youth between ages 12-25 and will integrate teachings on traditional narratives, beliefs, practices; emphasize active skills-building; facilitate communication and interaction among elders, families, and youth; and Kumeyaay cultural knowledge, language, medicine. Implementation of the culturally tailored Kumeyaay Dungeons & Dragons therapeutic strategy is anticipated to result in positive impacts on measured biopsychosocial health factors, and provide evidence of interagency collaboration. All proposed project activities will facilitate the sustainability of the Circles of Care approach to addressing youth behavioral health needs, decreasing health disparities experienced by Native youth, and streamlining a coordinated system of care the Southern Indian Health Council community.