Division of Behavioral Health Tribal Self-Governance Annual Consultation Conference Monday April 1, 2019

Behavioral Health IHS Mission: To raise the physical, mental, social, and spiritual health of the American Indians and Alaska Natives to the highest level. Division of Behavioral Health serves as the primary source of national advocacy, policy development, management, and administration of behavioral health, alcohol and substance abuse, and family violence prevention programs.

Overview of IHS OCPS DBH Leadership IHS Staff Introductions OCPS Acting Director -- CDR Angela Fallon, RN DBH Acting Director -- Tamara James, PhD DBH Deputy Director -- CAPT Andrew Hunt, LCSW

Behavioral Health Initiative Overview IHS National Management aspects: Domestic Violence Prevention Program (DVPP) Substance Abuse and Suicide Prevention Program (SASPP) Zero Suicide Initiative (ZSI) Increase awareness and knowledge as part of Tribal Consultation.

Explanatory Statement* “...encourages IHS to provide behavioral health grant funding through contracts and compacts authorized by the Indian Self-Determination and Education Assistance Act rather than through grant instruments to ensure that Contract Support Costs are available.” * 2018 Consolidated Appropriations Act The 2018 Consolidated Appropriations Act, which is the Authorization Language, the Explanatory Statement “encourages” IHS to provide BH grant funding through contracts and compacts authorized by the Indian Self-Determination and Education Assistance Act rather than through grant instruments to ensure that Contract Support Costs are available.

Overview of IHS National Management Functions that support behavioral health initiatives: IHS Staff Subject Matter Experts, Fiscal and Reporting Oversight and Evaluation, Program Administration (Division of Behavioral Health), Grants Administration (Division of Grants Management), Trainings, Capacity Building, Data Coordination, etc. Tribal Epidemiology Centers Project Evaluation Technical Assistance Contracts Training & Technical Assistance Cooperative Agreements Raising National Awareness, Visibility, & Advocacy

Tribal Consultation & Urban Confer Topics Funding Mechanism Distribution Methodologies Funding Formulas Impact on current grantees Funding for Urban Indian Organizations Demonstrating Effectiveness Advocacy & National Awareness

2018 Tribal Consultation & Urban Confer Sessions May Convene NTAC (5/11) Letter Announcing Consultation and Confer (5/18) All Tribes & Urban Indian Orgs Call Learning Sessions June Host Virtual Consultation Sessions Host Virtual and In-Person Confer Sessions July All Tribes and Urban Indian Orgs Call July 25-27: Convene NTAC @ National BH Conference August Deadline for Comments (8/1) All Tribes & Urban Indian Orgs Call September All Tribes and Urban Indian Orgs Call Agency Deliberation & Decision Making October

National Tribal Technical Advisory Committee on Behavioral Health Purpose: acts as an advisory body to DBH and to the Director of the Indian Health Service, with the aim of providing guidance and recommendations on programmatic issues that affect the delivery of behavioral health care for American Indian and Alaska Natives. Leadership: Tribal Co-Chair: Ms. Theresa Galvan (Navajo Nation) Federal Co-Chair: Tamara James (Acting DHB Director) Membership: one primary and one alternate representative from each of the 12 IHS areas nominated by IHS Area Directors, in consultation with Tribal leaders must be elected Tribal leaders or a designee selected by Tribal leaders www.ihs.gov/dbh/consultationandconfer/ntac/

Meeting Agendas & Summary Reports are posted on the DBH website: NTAC Meetings Meeting Agendas & Summary Reports are posted on the DBH website: www.ihs.gov/dbh/consultationandconfer/moreinformation/ October & December 2018 are posted March 2019 Meeting Agenda is posted, Summary Report is in process.

March 2019 Meeting in Alpine, CA Joint SAMSHA TTAC Session: Multi-agency Approach to Suicide Prevention Multi-agency Plan for Improving Tribal Data Recommendations Joint tribal advisory committees completed recommendations to be shared with IHS and SAMHSA. Currently being finalized with SAMHSA.

March 2019 Meeting in Alpine, CA National Tribal Advisory Committee on Behavioral Health: IHS DBH provided additional information related to Behavioral Health Initiatives. DBH shared the IHS Strategic Plan and Behavioral Health Priorities Recommendations -- Tribal advisory committee request in-person meeting with IHS Leadership. Results: Agency response is currently under consideration by IHS leadership.

Upcoming Highlights: DBH will administer Opioid Epidemic & Strategy Funding: IHS received $10 Million in Fiscal Year 19 funding under the Special Behavioral Health Pilot Program. A proposed plan of action includes the initiation of Tribal Consultation and Urban Confer on grant funding. A Dear Tribal Leader Letter will be released that covers the background and consultation/confer plan.

2019 AI/AN National Behavioral Health Conference: Upcoming Highlights: 2019 AI/AN National Behavioral Health Conference: May 15-17,2019 in Albuquerque, NM. Additional Information can be found on the National Indian Health Board website.

Questions?

Domestic Violence Prevention Program (DVPP) DVPP Project Breakdown: 5 year funding cycle from 2015-2020 83 projects funded through two Purpose Areas (PA) Tribes / Tribal Organizations: 56 projects (grants) Urban Indian Organizations: 14 projects (grants) IHS Federal Facilities: 13 projects (federal program awards) Projects by IHS Area and Tribe can be found at: https://www.ihs.gov/dvpi/fundedprojects/ This slides displays the overview of the DVPP breakdown. DVPP is on a 5-year cycle from 2015 to 2020. Read from the slide.

Substance Abuse and Suicide Prevention Program (SASPP) SASPP Project Breakdown: 5-year funding cycle from 2015-2020 175 projects funded through four Purpose Areas (PA) Tribes / Tribal Organizations: 135 projects (grants) Urban Indian Organizations: 22 projects (grants) IHS Federal Facilities: 18 projects (federal program awards) Projects by IHS Area and Tribe can be found at: https://www.ihs.gov/mspi/includes/themes/responsive2017/display_objects/documents/mspiihsareas2017.pdf

Zero Suicide Initiative (ZSI) ZSI Project Breakdown: 3-year funding cycle from 2017-2020 8 projects funded Tribes / Tribal Organizations: 5 projects (grants) IHS Federal Facilities: 3 projects (federal program awards) Projects by IHS Area and State can be found online at: https://www.ihs.gov/suicideprevention/zerosuicide/news/