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APIA Primary Care Youth and Young Adult Substance Use Prevention Program

Award Number: H79SP085299
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE PREVENTION
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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APIA Primary Care Youth and Young Adult Substance Use Prevention Program - The Aleutian Pribilof Islands Association (APIA), an Indian Health Service 638 contractor serving the Unangax̂ (Aleut) tribal communities of Atka, Nikolski, St. George, and Unalaska, Alaska, proposes the APIA Primary Care Services Youth and Young Adult Substance Use Prevention Program. This five-year initiative will strengthen community-driven, culturally rooted substance use prevention and overdose reduction efforts for Unangax̂ youth and young adults ages 12–24. The Aleutian and Pribilof Islands region is characterized by extreme geographic isolation, limited access to specialty care, and significant socioeconomic challenges, including high poverty rates (15.6% of Alaska Native people in the region live below the poverty threshold) and multigenerational households facing unemployment and resource scarcity. Alaska Native youth experience elevated rates of early substance initiation, with statewide data showing 27.8% of Alaska Native high school students reporting current marijuana use and 13.7% reporting lifetime prescription pain medicine misuse in 2019. Overdose death rates among AI/AN populations have risen sharply, underscoring the urgent need for expanded prevention capacity. APIA will hire a dedicated Community Health Worker, expand staff training, and implement culturally tailored prevention strategies rooted in Unangax̂ values. Key efforts include a Year 1 community needs assessment and strategic plan, school- and family-based education, cultural gatherings (talking circles, art nights, Color Runs), overdose response training with FDA-approved reversal medications, and protocols addressing fentanyl and other emerging threats. The project will serve 525–750 unduplicated youth and families over five years, with annual increases in reach. Progress will be monitored using SAMHSA GPRA measures, post-event surveys, and regular data reviews to ensure accountability and sustainability. This initiative aligns with SAMHSA priorities by preventing substance misuse, promoting mental health and resilience, and building community-driven, trauma-informed systems to support healthy Unangax̂ futures.


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 = $350,000 )
2026	2026	ALEUTIAN PRIBILOF ISLANDS ASSOCIATION, INC.	1131 E INTL AIRPORT RD	ANCHORAGE	AK	99518	ANCHORAGE	USA	Center for Substance Abuse Prevention Projects of Regional and National Significance	000	1	9/8/2026	NEW	$350,000
														Subtotal = $350,000

Grand Total All Awards = $350,000

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APIA Primary Care Youth and Young Adult Substance Use Prevention Program

Award Number: H79SP085299

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE PREVENTION

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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