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Medicine Shield: Prevention Navigation by and for Urban American Indians

Award Number: H79SP082207
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE PREVENTION
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 08/31/2021
PERIOD OF PERFORMANCE END DATE: 08/30/2026

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Medicine Shield: Prevention Navigation by and for Urban American Indians - The Friendship House Medicine Shield Program will implement a culturally-responsive navigation approach to serve Urban American Indians and Alaska Natives (AI/AN) in the San Francisco Bay Area. This program will serve 560 AI/AN youth and adults through prevention navigation services, trainings, events, youth programming and a public campaign, addressing a population with high risk factors for HIV and substance abuse in an area hardest hit by the HIV epidemic. The Medicine Shield Program is a natural extension for Friendship House (FH), a San Francisco-based nonprofit run by and for AI/AN people for 56 years. FH has well-established partnerships with public agencies and community-based organizations, and has stewarded previous SAMHSA and IHS grants relating to substance abuse and HIV prevention. Through the Medicine Shield Program, FH will expedite services by facilitating linkage to adult substance abuse treatment, HIV/Hepatitis testing and services, access to traditional healing, and cultural activities for youth that incorporate prevention services. FH will build capacity with public and private agencies through training and outreach, addressing the lack of culturally-competent services for AI/AN people relating to substance abuse and HIV prevention and treatment. FH will form a community Advisory Council to review EBP training material and adapt it to the Native context, with the goal of training providers. The Medicine Shield Program will promote the STIRR model (Screening, Testing, Immunization, Reducing risk, and Referring for treatment of HIV infection). Specific goals and objectives are: Goal 1: Partner to implement community-based substance & HIV prevention strategies. Objective 1a: Using STIRR model, outreach to test for HIV/Hepatitis. Serve 200 annually. Objective 1b: Link 100% of HIV/Hep diagnosed with medical care, confirmatory testing, and educated about risk factors and advantages of care and treatment. Objective 1c: Collaborating with community service agencies, begin conducting STIRR in Q1. Goal 2: Provide training to providers on HIV screening and how to best link clinical care. Objective 2a: Build Advisory Council to adapt Strategic Prevention Framework w/Native strategies, meeting monthly in prep for provider trainings. (Advisory Council=20-25 members). Objective 2b. SPF training development to 250 providers on SUD/ HIV prevention (50 annually) Goal 3: Navigation/linkage to substance misuse and HIV care and treatment. Objective 3a: Facilitate linkage to adult services, residential SUD tx, cultural activities & healing practices, increasing substance abstinence by 60%: 30 served annually. Objective 3b: Provide 50 youth w/cultural intervention services to prevent substance misuse. 65% of youth will report increased confidence in managing substance misuse, including vaping. Goal 4: Create social media public awareness campaign on SM/HIV risks & treatment. Objective 4a: Advisory Council work sessions to develop framework; 30 participants engaged. Objective 4b: Facilitate AI/AN-focused public messaging/awareness with Native youth in charge of social media campaign. 70% of youth will report increased feeling of social connectedness.


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 = $0 )
2026	2025	THE FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	5	12/2/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $200,000 )
2025	2025	THE FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	5	9/25/2025	NON-COMPETING CONTINUATION	$200,000
														Subtotal = $200,000

Issue Date FY: 2024 ( Subtotal = $200,000 )
2024	2024	THE FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	4	7/16/2024	NON-COMPETING CONTINUATION	$200,000
2024	2024	THE FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	003	4	9/4/2024	NON-COMPETING CONTINUATION	$0
2024	2023	THE FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	3	1/26/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2024	2023	THE FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	3	2/16/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $200,000

Issue Date FY: 2023 ( Subtotal = $200,000 )
2023	2023	FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS, THE	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	3	7/25/2023	NON-COMPETING CONTINUATION	$200,000
2023	2022	FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS, THE	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	2/17/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $200,000

Issue Date FY: 2022 ( Subtotal = $200,000 )
2022	2022	FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS, THE	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	2	7/30/2022	NON-COMPETING CONTINUATION	$200,000
2022	2021	FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS, THE	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	3/15/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $200,000

Issue Date FY: 2021 ( Subtotal = $200,000 )
2021	2021	FRIENDSHIP HOUSE ASSOCIATION OF AMERICAN INDIANS, THE	56 JULIAN AVE	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	7/7/2021	NEW	$200,000
														Subtotal = $200,000

Grand Total All Awards = $1,000,000

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Medicine Shield: Prevention Navigation by and for Urban American Indians

Award Number: H79SP082207

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE PREVENTION

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 08/31/2021

PERIOD OF PERFORMANCE END DATE: 08/30/2026

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