The Pascua Yaqui tribe is federally recognized, located in Pima County, Arizona, outside of Tucson, AZ, 50 miles from the border with Mexico. Services will be provided on reservation trust lands, New Pascua reservation and the newly granted Old Pascua Pueblo. The population of focus: Children, ages 0 to 21, and families of the Pascua Yaqui Tribe. The tribal Centered Spirit Mental Health Program, an SOC partner agency, diagnosed over 860 clients with opioid dependence from 2016 – 2020 (PYT, 2022). Drug-induced deaths are the third highest leading cause of death among the Pascua Yaqui community, which just under diabetes and heart disease (PCHD, Nov 2023). Poverty, a leading factor affecting the health and wellbeing of Tribal members, represents a substantial challenge within the Pascua Yaqui community, with 30.5% of the total population living below poverty level in 2021, which is double that of Pima County (14.6%) and the state of Arizona (12.8%). We share a common goal with SAMHSA: To improve behavioral health outcomes for tribal children and youth birth through 21, through the implementation, expansion, and integration of the System of Care approach, using screening and assessment and an array of counseling, life skills, and cultural supports to prepare children and youth at risk for or with SED. A team of eight SOC/CMHI experienced, culturally focused staff will create a sustainable infrastructure of services that are established on the reservation and expand system of care screening and assessment treatment and support services to children on our expanded reservation site to improve mental health outcomes for all our tribal children and youth. Over 90% served will be tribal heritage, and the funds requested will be used to address the disparity of services among underserved and minority populations, specifically our tribal children. The Pascua Yaqui Health Services Division submits this application, selecting the Sewa U’usim Community Partnership (SUCP) as the lead agency, which is a current provider of a System of Care grant.
The project goal will be achieved through Objectives, which will include: Obj1. Increase public awareness, expansion of culturally appropriate resources, EB models of care, and training of professionals to increase mental health outcomes for youth by10% annually. Obj2. Create a comprehensive support team to increase by 20 over the 4-year period the number sustained resources available to the new tribal land to better understand community needs and impact positive outcomes for youth and families. Obj3. Improve number of children served by tribal providers by 10% annually in the area of treatment, targeted substance, suicide and aftercare services. Increase by 10% annually the number of youths taking part in life skills activities and skills to adult across both existing and the new tribal community. Obj4. Increase harm reduction activities within the PYT community by 10% annually. Central to delivery of services will be a youth technology capability, which will focus on youth and young adults using PSA’s, streaming videos and a communitywide awareness and prevention campaign. We will screen youth with practice based and EB White Bison prevention training and EB cognitive behavioral treatment. We are requesting funding consideration for a four-year, $1,000,000 a year grant. With those funds, we will enroll 425 youth into SOC services, provide awareness/prevention activities and screening to 750 youth, conduct outreach to 6,250 individuals, and train 300 individuals throughout the four-year funding period. To that end, we will provide four workshops for professionals annually, and youth will create three radio PSA videos for screening purposes, prevention, and resources for those at risk for SED.