Founded in 1986, GPTLHB is a formal representative board of the seventeen tribal nations and one service unit in the GPA. The mission of Great Plains Tribal Leaders Health Board (GPTLHB), a 501(c)(3) community-based tribal entity, is to work with tribal communities and provide quality public health support and healthcare advocacy to improve the health status and eradicate health disparities among the region's tribal members.1 The vision of the GPTLHB is for all tribal nations and communities to reach optimum health and wellness through lasting partnerships and culturally significant values empowered by tribal sovereignty. Hecel Oyate Kin Nipi Kte, So That The People May Live.
GPTLHB intends to continue implementing a navigator program for American Indian and Alaska Native youth, ages 0-24, and their families, who are at risk for suicide in the He Sapa area (Rapid City, South Dakota). The Teca Kici Okijupi-Connecting With Our Youth (CWOY) navigator program, currently funded by SM-19-006, will provide suicide prevention and early intervention strategies in child- and youth-serving organizations.
GPTLHB’s Oyate Health Center (OHC), a tribally managed walk-in clinic, has over 22,200 active users, with 5,657 under 18. In 2023, OHC serviced at least 4,255 individuals aged 24 and under, which comprise 26.6% of total patients who receive services at the clinic. The suicide ideation or attempt rate for youth seen at OHC is alarming. Based on OHC data from 2017 through 2023, the male suicide or attempt rate for youth 17 and under is 219 per 100,000. More alarming, the female suicide or attempt rate is 711 per 100,000. Between 2017 and 2023, OHC recorded 488 suicide ideations or attempts by patient relatives. Out of the 488, 143 attempts or ideations were made by individuals 24 and under.
There is a rising need for enhanced infrastructure to increase the capacity to implement, sustain, and improve effective behavioral health services around suicide prevention, intervention, and postvention in the region. Inpatient and outpatient behavioral health services throughout Rapid City have long waitlists, staff shortages, and transportation barriers. Though the 2024 National Strategy for Suicide Prevention identifies the need to improve availability and access to culturally relevant suicide prevention information and activities, there is only one culturally oriented suicide prevention program serving American Indian and Alaska Native youth in Rapid City, and that is the Connecting With Our Youth program
The program proposes goals to 1) increase the number of youth-serving organizations that can identify and work with youth at risk of suicide; 2) increase the capacity of clinical service providers to assess, manage, and treat youth at risk of suicide; and 3) improve the continuity of care and follow-up of youth identified to be at risk for suicide, including those who have been discharged from the emergency department and inpatient psychiatric units. Program staff will achieve these goals by strengthening a referral system and providing one-on-one support to youth identified to be at risk for suicide, including those who have been discharged from the emergency department and inpatient psychiatric units, The program will also facilitate relevant trainings, such as Lakota Mental Health First Aid, for youth, families, clinical providers, and community organizational staff.