The Pascua Yaqui Tribe's Health Services Division submits this proposal for a Healthy Transitions: Improving Life Trajectories for Youth and Youth Adult with Serious Mental Disorders Program grant, in order to provide developmentally, culturally, and linguistically appropriate services to transition age youth and young adults ages 16 to 25, males and females, who are either currently experiencing or are at-risk for developing seriously emotional disturbances in their lives. The tribal Pathways program will provide an array of evidence-based and promising practice, culturally focused services while also creating the infrastructure and appropriate seamless level of care to serve our young adults. The Tribal Coalition of Sewa U'usim Community Partnership (lead agency), Centered Spirit Mental Health Center and Education and Social Services will again coordinate services and address as part of the role on the Advisory Committee and Networking Board the pressing problems that are the result of COVID isolation the availability of new powerful drugs and the equity issues which face all tribal community nationally. Approximately 1000 youth will be reached through outreach efforts annually for a total of 5,000 over the five-year grant cycle. Approx. 100 youth annually, 500 total will be screened and enrolled in the Pathway project. It is projected that after the initial screening and assessment, 10% will be referred for higher levels of care within the tribal community. Approx. 75 tribal workforce staff annually, 375 total composed of professionals and paraprofessionals will receive training on new interventions and effective program approaches to work with SEDS/SMI young adult populations. We will provide balance and community and youth input by creating, within the first year, an Advisory committee that will include at least five family or youth members, community stakeholders and providers, and members of tribal leadership interested in addressing the issues. In place is a tribal-wide provider community Networking Board created in 2016 which answers to the Tribal Council and meets quarterly to review grant activities and service issues for the targeted populations (children, youth, and families), as well as suggested changes to policies and procedures which are then brought to the Tribal Council. The group will serve as a mechanism for initiating changes to benefit service delivery and address the needs of the target population. The Pathways program will utilize the GAIN Global Inventory an evidence-based model to screen and assess our youth and young adults and will either enroll them in life, job, and social skills training or refer them as needed for higher levels of mental healthcare. The Pathways staff is culturally focused and experienced in working with the population and in providing community partnership communication and activities. The Pathways youth will be given the Casey-Ansell Life Skills inventory and staff will utilize program manuals to help them determine clients' strengths and needs in the core skills necessary to move forward with a healthy normal lifestyle. Pathways will provide a Community resiliency model CRIM/TRIM to provide youth with trauma-focused awareness and controlled insights to allow them to stabilize and move forward with their life's journey. Youth referred for higher-level services will receive evidence-based, trauma-focused Cognitive Behavioral Therapy, utilizing many of the interventions from Honoring the Children Mending the Circle treatment model. Each enrolled member will develop their own Pathways plan, laying out the goals and objectives, to work with staff in order to help them in understanding the resources in an adult system of care. Both Sewa U'usim and Centered Spirit mental health clinic programs of our tribal Health Division have over 15 years of experience providing Medicaid-certified services to children, youth, and families in the tribal community.