The Pascua Yaqui Tribe Health Services Division, with the Sewa U'usim Community Partnership as the lead agency, submits this application for the SAMHSA Screening, Brief Intervention, and Referral to Treatment (SBIRT) grant. The goal is to implement a screening-brief-intervention-referral-to-treatment public health model for children, adolescents, and/or adults, to include partnerships with primary care and school agencies. Partner agencies include Centered Spirit, Sewa U'usim Community Partnership, Community Health Nursing, Social Services, and Education. Partner agencies will expand to include the El Rio pediatrics clinic and Hiaki Charter High School by the beginning of year two.
The focus is on youth ages 12 to 21 living on the New Pascua and Old Pascua reservations. Approximately $800,000 is requested to hire and train six staff in the SBIRT approach and utilize evidence-based screening and assessment models and EB cognitive behavioral treatment to those needing additional services. Service would begin in the fourth month following notification of the award. Four hundred individuals will receive screening brief interventions/referrals for more intensive services annually. Over 100 individuals will be trained annually on accurate aspects of the dangers of substance use and abuse and on the SBIRT approach to care. More than 1,000 persons annually will receive information related to the impacts of drugs and alcohol on our community. A health promotion specialist will provide bimonthly information flyers with accurate information on drug use locally and nationally, and monthly radio shows will be conducted to discuss the issues and offer insights and information on local community services. Sewa U'usim will partner with other tribal agencies, the pediatrics clinic, and the local schools to develop a plan for screening and referral for everyone, especially those most at risk for ongoing substance use-impacted issues in the tribal community. The program is designed to expand and enhance the uptake of SBIRT into routine healthcare and other agencies with children/adolescents for a system-level approach to reducing alcohol and other drug consumption to avoid negative outcomes. Starting with the issues surrounding underage drinking, staff will deliver early intervention screening services for individuals at risk for or involved in risky alcohol and drug use. This will include possible referral to more extensive treatment for those with substance use disorders. SAMHSA notes that American Indians, multiracial populations, and African Americans (age 12 or older) report higher rates of alcohol and drug use than white populations (36.1%, 34.6%, and 20.3%, respectively, compared to 22.5%).