The Spirit Lake Suicide Prevention Program (SLSP) and its project partners—including, the Spirit Lake Recovery and Wellness Center, Spirit Lake Health Center, Behavioral Health Department, Tiwahe Initiative, Cankdeska Cikana Community College, and Four Winds High School—are in the Fort Totten district in Fort Totten, North Dakota. The Spirit Lake Tribe Enrollment Office reported approximately 7,574 total Tribal Members with approximately 3,783 residing on the Reservation in Fort Totten, Crow Hill, Mission District, and Woodlake, and 3,697 residing off the Reservation. 248 Tribal youth are enrolled in the Cankdeska Cikana Community College, 181 in Four Winds High School, 66 in Warwick High School, 78 in Minnewaukan High School, and 127 in New Rockford High School. Current barriers to proper and effective intervention include transportation, lack of capacity of parents or guardians, lack of providers, no hospital beds or overnight housing for temporary homeless, low buy-in from youth over 18 years of age, and an inability to follow up with at-risk youth. The goal of this grant is to enable the Spirit Lake Suicide Prevention Department to create and codify an efficient system of programs, policies, and capacity building for the Spirit Lake Tribal Health Department, Tribal Behavioral Health Clinic, and Educational Institutions to effectively prevent suicide and mitigate suicide risk among the youth of the Spirit Lake Tribe. The objectives of the grant are:
1. Determine the community’s needs by gathering data from 80 – 100 Tribal youth, 40 Tribal parents and guardians, 10 Tribal community service providers, 5 Tribal cultural leaders, 10 Tribal Elders, and up to 20 Tribal and Non-Tribal regional youth advocates and service providers in Year 1.
2. Develop and mobilize internal capacity through a minimum of 5 annual trainings and a minimum of 4 annual advisory council meetings to improve prevention, social connectedness, and resilience.
3. Draft and obtain feedback from the advisory council for a comprehensive Spirit Lake Youth Suicide Prevention Program and Policy document through a minimum of 3 phased feedback sessions in Year 1, 3, and 5.
4. Draft and obtain feedback from the advisory council on the Performance Report through a minimum of 3 phased feedback sessions conducted at the end of each year.
Number of Unduplicated Individuals to be Served with Award Funds
Year 1 - 36
Year 2 - 48
Year 3 - 60
Year 4 - 60
Year 5 - 60
Total - 264
The SLSP will provide Safety Planning Intervention (SPI+), an Evidence-Based Intervention (EBI) and Indigenous Support Groups, a Practice-Based Intervention (PBI) to build resiliency, promote positive development, and increase self-sufficiency behaviors among adults (25+ age) who are at risk for suicidal behaviors. The Safety Planning Intervention (SPI+) will provide rapid follow-up for adults who have attempted suicide, experienced a suicidal crisis, or have experienced domestic violence. SLSP’s wraparound strategy will begin with an initial meeting with the individual and family and will utilize traditional knowledge associated with healing ceremonies with primary services provided by Recovery & Wellness and Behavioral Health and secondary "recovery support services" being provided by Tribal services providers such as Victims Assistance Program, Social Services, Public Health Nursing, etc. SLSP will work with the patient and the Behavioral Health Clinic to create a program for recover support.