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Integration of a Culturally Responsive Family Peer Delivered Engagement Strategy in Coordinated Specialty Care

Award Number: R01MH136132
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 01/01/2025
PERIOD OF PERFORMANCE END DATE: 12/31/2029

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Integration of a Culturally Responsive Family Peer Delivered Engagement Strategy in Coordinated Specialty Care - ABSTRACT Johns Hopkins and its partners, the White Mountain Apache Tribe (WMAT) and Navajo Nation are uniquely positioned and prepared to advance suicide prevention science through the funding opportunity “Service-Ready Tools for Identification, Prevention and Treatment of Individuals at Risk for Suicide” (RFA-MH-21-110). Native American (NA) communities experience substantially higher rates of suicide and sharp increases over time relative to other groups, exacerbated by chronic underfunding of health care and mental health services. Despite these adversities, NAs have exercised tribal sovereignty to support some of the most innovative, practical, and effective approaches to suicide prevention. One such model, the Celebrating Life program (CL), a community-based suicide surveillance and case management system, was developed originally by the WMAT and shown to help contribute to reductions in suicide attempts and deaths over time. The CL program is now being scaled through the Southwest Hub for Youth Suicide Prevention (U19MH113136). As this program has scaled, our pilot work has revealed barriers to implementation, including 1) challenges to risk identification, and 2) difficulties matching individuals’ level of risk to evidence-based interventions as a means to improve scarce resource efficiencies. To help overcome these barriers to implementation, NIMH funded our team to develop and pilot test Native-RISE (U19MH113136-02S3). Native-RISE is a systems-level strategy that leverages predictive analytics to enhance risk identification and integrates and improves the efficiency of local NA case managers who deliver brief contact interventions. The proposed project will leverage our team’s historic MOU with Indian Health Service (IHS) and decades-long trust-relationships with tribal partners to test Native-RISE and its integration in partnership with three NA-serving health care settings through a Hybrid Type III randomized implementation trial. Specifically, this project aims to 1) optimize the implementation of Native-RISE across three NA-serving health care settings, 2) determine the effectiveness of Native-RISE in reducing suicide attempts and improving the reach of evidence-based suicide prevention services, and 3) describe the costs associated with implementing Native-RISE to inform scale-up and sustainability. Our study addresses key priorities for NIMH (NOT-MH-21-090) and is in line with NIMH’s strategic plan Objective 4.3. If results are achieved, Native-RISE will become an effective and scalable approach that improves services to prevent suicide and advances our understanding of how to implement predictive analytics and more personalized care for suicide prevention.


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 = $861,606 )
2026	2026	WASHINGTON STATE UNIVERSITY	240 FRENCH ADMINISTRATION BLDG	PULLMAN	WA	99164	WHITMAN	USA	Mental Health Research Grants	000	2	4/7/2026	NON-COMPETING CONTINUATION	$861,606
														Subtotal = $861,606

Issue Date FY: 2025 ( Subtotal = $756,742 )
2025	2025	WASHINGTON STATE UNIVERSITY	240 FRENCH ADMINISTRATION BLDG	PULLMAN	WA	99164	WHITMAN	USA	Mental Health Research Grants	000	1	12/30/2024	NEW	$756,742
2025	2025	WASHINGTON STATE UNIVERSITY	240 FRENCH ADMINISTRATION BLDG	PULLMAN	WA	99164	WHITMAN	USA	Mental Health Research Grants	001	1	8/5/2025	NEW	$0
														Subtotal = $756,742

Grand Total All Awards = $1,618,348

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Integration of a Culturally Responsive Family Peer Delivered Engagement Strategy in Coordinated Specialty Care

Award Number: R01MH136132

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 01/01/2025

PERIOD OF PERFORMANCE END DATE: 12/31/2029

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