The Yakama Nation Behavioral Health Native Connection program overarching goal is to prevent and reduce suicidal behavior and substance use, reduce impact of trauma, and promote mental health among American Indian and Alaska Native youth (through the age of 24 years) residing on and near the Yakama Reservation. The goals are Goal1: Establish & Engage our youth advisory boards and community members in all decisions regarding project activities, including planning, implementation, and evaluation. Goal 2: Update our Community Needs Assessment, Community Readiness Assessment and Tribal Strategic Action Plan that addresses suicide prevention, substance use prevention, and mental health concerns. Goal 3: Implement plan to sustain established Tier 1 prevention strategies to reduce community-wide risks and increase resilience. Goal 4. Revise pre and postvention protocols to reflect the traditions and culture of the community that include procedures for drug overdose or near overdose to ensure at-risk youth are assessed for suicide and substance misuse warning signs and connect them and if desired their families to appropriate services (Tier 2). Goal 5: Implement PC-CARES-DO, a community outreach, informational and skill building intervention to close our gap in services for those at moderate risk whose needs have not been adequately addressed through other programming (Tier 3).