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Guam Focus on Life (GFOL) program

Award Number: H79SM091132
ORGANIZATION: CENTER FOR MENTAL HEALTH SERVICES
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2026
PERIOD OF PERFORMANCE END DATE: 09/29/2031

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Guam Focus on Life (GFOL) program - The Guam Behavioral Health and Wellness Center (GBHWC), Guam's single state authority for mental health and substance use, is requesting GLS-2026 funding to expand the Guam Focus on Life (GFOL) program. This initiative shifts Guam’s suicide prevention model from standalone awareness campaigns to an accelerated, highly integrated, data-driven, and culturally responsive youth crisis network. GFOL directly serves youth up to age 24 across the entire U.S. territory of Guam (representing 23% of the island's 153,000 residents) through four coordinated youth-service providing systems: 1) GBHWC-MCRT (Mobile Crisis Response Team), 2) University of Guam (UOG) I’Pinangon, 3) Sanctuary Inc. (operated by WestCare Pacific Islands), 4) Department of Youth Affairs (DYA). Youth suicide in Guam is an escalating public health emergency that significantly outpaces U.S. national averages. In 2024, Guam recorded an age-adjusted suicide rate of 28.9 per 100,000-more than double the provisional U.S. rate of 13.6 per 100,000. Individuals under 30 accounted for 44% of all suicide deaths from 2014-2024, with the 20–29 age bracket representing the largest distinct share at 33%. The male-to-female suicide ratio is a stark 9:1, and indigenous CHamorus experience the highest localized rate at 57 per 100,000. 88% of youth suicides occur at home, yet families lack structured prevention supports. Concurrently, the island suffers from a lack of cross-sector screening tools and fragmented school crisis protocols. Goals and Measurable Objectives: •Goal 1: Establish an Accelerated Cross-Sector Risk Response System. Execute formal MOUs and operationalize uniform Columbia Suicide Severity Rating Scale (C-SSRS) screening protocols across all four partner systems by the end of Year 1. Screen at least 200 youth throughout the partner systems annually in Years 2-5 to achieve a 25% increase in completed crisis referral pathways. • Goal 2: Expand Community Helper Capacity. Ensure 85% of partner direct-service staff complete baseline training by the end of Year 2. Train 1,275 community helpers and engage at least 200 youth via the SafeGU mobile app featuring 988 click-to-call integration. • Goal 3: Build Sustainable Data Infrastructure. Fully operationalize the interagency Suicide Mortality Review Team (SMRT) by the end of Year 1 to track real-time trends and epidemiological reporting. The program will be managed by a robustly trained team led by a Project Director, a Program Manager, and a contractual Project Evaluator. Key activities include tiered cross-sector C-SSRS screening, a Train-the-Trainer framework to insulate the project against workforce turnover, and localized awareness messaging amplified via multi-media platforms. To maximize continuity of care, MCRT and 988 will implement a mandatory post-crisis contact protocol supporting youth and families from 72 hours up to one year post-activation. All five required SAMHSA SUPRT-P indicators will be compiled and uploaded to SPARS as required.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $735,000 )
2026	2026	GUAM BEHAVIORAL HEALTH & WELLNESS CENTER	790 GOV CARLOS G CAMACHO RD	TAMUNING	GU	96913	GUAM	USA	Center for Mental Health Services Projects of Regional and National Significance	000	1	8/11/2026	NEW	$735,000
														Subtotal = $735,000

Grand Total All Awards = $735,000

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Guam Focus on Life (GFOL) program

Award Number: H79SM091132

ORGANIZATION: CENTER FOR MENTAL HEALTH SERVICES

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2026

PERIOD OF PERFORMANCE END DATE: 09/29/2031

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