Sault Ste. Marie Tribe of Chippewa Indians A Cultural Approach to Good Health and Wellness in Indian Country (GHWIC 24-0025) - Sault Ste. Marie Tribe of Chippewa Indians Abstract The Sault Ste. Marie Tribe of Chippewa Indians (Sault Tribe), as a Federally Recognized Tribe, is applying for Component 1 funding under the Cultural Approach to Good Health and Wellness in Indian Country (GHWIC), CDC-RFA-DP24-0025. The Sault Tribe GHWIC project will implement strategies designed to reduce health disparities and increase health equity among Sault Tribe members. Sault Tribe GHWIC aspires to reduce the rates of death and disability from chronic diseases, the prevalence of commercial tobacco use, prediabetes and diabetes, high blood pressure, obesity, oral disease, and other chronic disease risk factors and conditions among Sault Tribe members. Sault Tribe will implement evidence-informed and culturally-adapted chronic disease prevention, management, and control strategies to improve the health of our community members and to prevent chronic diseases and their risk factors. Our approach will include: 1. Provide a foundation for chronic disease prevention by implementing community-chosen, traditional AI/AN practices that build resilience and strengthen connections to family, culture, and community. 2. Establish and enhance systems that connect community members to community, clinical, and social services and programs to prevent, manage, and control chronic diseases and their risk factors. 3. Promote the implementation of multi-disciplinary team-based care to prevent, manage, and control chronic diseases and to connect patients to community and social service providers to address health-related social and economic needs. The expected intermediate outcomes of Sault Tribe GHWIC include: • Increased cultural connectedness among community members. • Increased sense of social connectedness. • Increased referrals for community members to clinical, social, and community service providers and programs who completed a visit. • Increased participation in prevention, management, and control programs, including self-management and self-monitoring, for commercial tobacco use, diabetes (including prediabetes), high blood pressure, obesity (physical activity and nutrition), and oral health. • Increased participation in traditional and contemporary wellness activities that prevent commercial tobacco use, diabetes (including prediabetes), high blood pressure, obesity, and oral diseases. • Increased use of multidisciplinary care teams that provide patient care using evidence-based practices and guidelines to prevent and manage chronic diseases and risk factors. • Increased use of services for patients from multidisciplinary care teams. This Sault Tribe GHWIC 24-0025 project will provide our health staff the opportunity expand upon the successes of our Good Health and Wellness in Indian Country (GHWIC DP14-1421 and GHWIC DP19-1903) projects and our Tribal Practices for Wellness in Indian Country projects, to collaborate with our community coalitions and leaders to continue to improve health, prevent chronic disease, and reduce health disparities among Sault Tribe members with the highest risk or burden of chronic disease.