ABSTRACT
Turtle Mountain Native Connections Project
The Turtle Mountain Band of Chippewa Indians, through the Turtle Mountain Outreach (TMO) program, proposes to utilize community adult, youth, and mental health professional advisory teams to plan and implement prevention and intervention measures to decrease significantly high rates (when compared to the North Dakota general population) of substance misuse and suicide ideation, attempts, and completions. The tribal community median household income is nearly half of other North Dakotans in the same region. The tribal population under the age of 18 is nearly 35% of the total population and, and represents 3,328 TMBCI youth within this catchment area; these children and youth are the focus of this grant request. (US Census Bureau, 2022).
Turtle Mountain Outreach (TMO) provides the Turtle Mountain reservation community with awareness of risks to youth suicide and substance abuse/misuse and provides resources that can mitigate and intervene in the prevention of suicide, substance use and misuse, and deterioration of mental health. The purpose of Turtle Mountain Outreach is to provide Turtle Mountain with the tools and resources to plan and design a family-driven, community-based, and culturally competent system of care to support children and youth, and families who are at risk for mental health problems or other challenges. TMO is organized into a coordinated network, builds meaningful partnerships with families and youth, and addresses their cultural needs so they can function better at home, in school, and throughout life. The current status of socioeconomic, social, and mental health continues to demonstrate the need for TMO to continue and to expand their programing to meet the needs.
TMO will, conduct needs and readiness assessments to better understand what the current systems of care are active in the reservation community, to determine the relationships that exist, and analyze the gaps in these relationships and collaborate with the existing advisory teams and partners to improve the continuum of care and community awareness.
TMO will provide training for community members, youth, and care providers. TMO has identified a variety of practice-based prevention and intervention trainings that will provide participants with skills to assist at risk youth and prevent possible suicide; these include: Suicide education, prevention, intervention, and intervention, Sources of Strength, Mental Health First Aid, Trauma-Informed Care, Safe Talk, ASIST, Suicide Risk Assessment, Mental Health First Aid for Adult and Youth, and QPR. TMO will create a training schedule for community adults and youth to be conducted quarterly throughout the grant award period.
TMO has also recognized and identified the need to decrease wait-time for emergency care when families and youth, who experience a crisis that may result in suicide or self-harm. TMO will contract with local, indigenous Behavior Health providers to meet this need.