SOUTHCENTRAL FOUNDATION

SELF-GOVERNANCE

HEALTH CENTER CLUSTER DEMONSTRATION GRANTS -- ALASKA INITIATIVE

SOUTHCENTRAL FOUNDATION SPECIAL DIABETES PROGRAM FOR INDIANS - PROJECT TITLE: SPECIAL DIABETES PROGRAM FOR INDIANS APPLICANT ORGANIZATION: SOUTHCENTRAL FOUNDATION ADDRESS: 4501 DIPLOMACY DRIVE, ANCHORAGE, ALASKA 99508 PROJECT DIRECTOR: VELDA MILLER CONTACT PHONE NOS. (VOICE/FAX): (907) 729-8891 EMAIL ADDRESS: VMILLER@SOUTHCENTRALFOUNDATION.COM WEB SITE ADDRESS: HTTP://WWW.SOUTHCENTRALFOUNDATION.COM/ AMOUNT OF REQUEST: $1,878,744 SOUTHCENTRAL FOUNDATION (SCF) WAS ESTABLISHED IN 1982 AS A 501(C)3 NONPROFIT HEALTH CARE ORGANIZATION OPERATING UNDER THE TRIBAL AUTHORITY OF COOK INLET REGION, INC. SCF’S PURPOSE IS TO IMPROVE THE HEALTH AND WELL-BEING OF ALASKA NATIVE AND AMERICAN INDIAN PEOPLE BY DEVELOPING AND IMPLEMENTING COMPREHENSIVE HEALTH RELATED SERVICES THAT MEET CHANGING NEEDS, ENHANCE CULTURE, AND EMPOWER INDIVIDUALS AND FAMILIES TO TAKE CHARGE OF THEIR LIVES. A FULL ARRAY MEDICAL AND BEHAVIORAL HEALTH SERVICES ARE PROVIDED TO APPROXIMATELY 65,000 ALASKA NATIVES AND AMERICAN INDIAN PEOPLE LIVING IN THE MUNICIPALITY OF ANCHORAGE, THE MATANUSKA-SUSITNA BOROUGH, AND THE SURROUNDING VILLAGES AND RESIDENTS OF 60 RURAL VILLAGES IN SOUTH CENTRAL ALASKA. SCF’S SERVICE AREA EXTENDS 107,400 SQUARE MILES – FROM THE ALEUTIAN CHAIN AND PRIBILOF ISLANDS ON THE WEST COAST ALL THE WAY EAST TO THE CANADIAN BORDER. SCF’S MISSION IS WORKING TOGETHER WITH THE NATIVE COMMUNITY TO ACHIEVE WELLNESS THROUGH HEALTH AND RELATED SERVICES; ITS VISION IS A NATIVE COMMUNITY THAT ENJOYS PHYSICAL, MENTAL, EMOTIONAL, AND SPIRITUAL WELLNESS. THIS REQUEST IS FOR $1,878,744 THAT ADDRESSES DIABETES WHICH IS A DIFFICULT CONDITION TO TREAT BECAUSE IT IS CLOSELY TIED TO A PERSON’S LIFESTYLE AND OFTEN REQUIRES THE INDIVIDUAL TO MAKE SIGNIFICANT CHANGES IN THEIR AND THEIR FAMILY’S DAILY LIVES. EDUCATION, MANAGEMENT, AND TREATMENT REQUIRE TEAMWORK BETWEEN THE CUSTOMER-OWNERS AND THEIR PRIMARY CARE PROVIDERS, CASE MANAGERS, EDUCATORS, DIETITIANS, AND PHARMACISTS. ENSURING CLOSE COORDINATION AND COMMUNICATION AMONG ALL THESE INDIVIDUALS CAN BE CHALLENGING, EVEN IN THE COORDINATED CARE MODEL OF SCF. SCF’S PROGRAM WILL WORK WITH ITS PRIMARY CARE CLINICS TO ADDRESS THESE ISSUES: IMPROVEMENT OF SDPI ELEMENTS O NUTRITIONAL EDUCATION BY REGISTERED DIETICIANS (RDS) WILL BE IMPROVED BY THE ADDITION OF A NEW RD FOR THE VALLEY NATIVE PRIMARY CARE CENTER. O IMPROVE OTHER DIABETES EDUCATION BY INCREASING THE STREAMLINE REFERRALS FROM PRIMARY CARE PROVIDERS AND RDS TO OTHER BEHAVIORAL LIFESTYLE CHANGE PROGRAMS THAT ARE OFFERED BY HEALTH EDUCATORS, CLINICAL EXERCISE PHYSIOLOGISTS, AND CERTIFIED DIABETES EDUCATORS. O IMPROVE A1C 7.0-7.9 RATES BY HAVING CUSTOMERS TRACK OUTCOMES FOR THEIR OVERALL HEALTH AND ENHANCE PROGRAMS THAT ARE SERVED UNDER AS OTHER DIABETES EDUCATION. APRIL KYLE, PRESIDENT/CEO OF SOUTHCENTRAL FOUNDATION, FULLY SUPPORTS THE EFFORTS OF THE SDPI PROGRAM AND ITS IMPLEMENTATION AT SCF. THE LEADERSHIP OF SCF CONTINUES TO MAKE DIABETES PREVENTION, CARE, AND MANAGEMENT A LONG-TERM STRATEGIC GOAL. ONE OF THE CORE OBJECTIVES, BY THE BOARD OF DIRECTORS, IN PARTNERSHIP WITH SCF PRESIDENT/CEO AND VICE PRESIDENT LEADERSHIP TEAM, DETERMINED THAT ORGANIZATION SHOULD CONTINUE TO DEVELOP AND SUPPORT SERVICES TO “REDUCE THE RATE OF AND IMPROVE THE MANAGEMENT OF DIABETES," WHICH HAS BEEN A FAMILY WELLNESS CORPORATE INITIATIVE SINCE 2009.

SOUTHCENTRAL FOUNDATION NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM - SCF IS AN ALASKA NATIVE HEALTH CARE ORGANIZATION ESTABLISHED UNDER THE TRIBAL AUTHORITY OF COOK INLET REGION INC. (CIRI) IN 1982 TO IMPROVE THE HEALTH AND SOCIAL CONDITIONS OF ALASKA NATIVE PEOPLE. SOUTHCENTRAL FOUNDATION'S (SCF) SERVICE AREA, KNOWN AS THE ANCHORAGE SERVICE UNIT (ASU), EXTENDS 107,400 SQUARE MILES -FROM THE ALEUTIAN CHAIN AND PRIBILOF ISLANDS ON THE WEST COAST ALL THE WAY EAST TO THE CANADIAN BORDER. SCF PROVIDES COMPREHENSIVE HEALTH RELATED SERVICES TO APPROXIMATELY 65,000 ALASKA NATIVES/AMERICAN INDIANS LIVING IN ANCHORAGE, THE MATANUSKA-SUSITNA BOROUGH, AND THE SURROUNDING VILLAGES AND RESIDENTS OF 55 RURAL VILLAGES. FOR THE PAST 21 YEARS, SCF HAS OPERATED BREAST AND CERVICAL CANCER SCREENING BOTH INDEPENDENTLY AND IN CONJUNCTION WITH STATEWIDE PARTNERS AND THE NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM. SINCE 1991, SCF HAS SCREENED 31,965 UNIQUE WOMEN. IN THIS APPLICATION, SCF SEEKS TO CONTINUE THIS IMPORTANT EFFORT TO SCREEN FOR BREAST AND CERVICAL CANCER IN ALASKA. THE PURPOSE OF THE SCF’S NBCCEDP IS TO DECREASE CANCER INCIDENCE, MORBIDITY, AND MORTALITY BY FOCUSING ON THE UNDERSERVED POPULATION WHO HAVE INCREASED CANCER RISK DUE TO HEALTH DISPARITIES. SCF SEEKS TO ACCOMPLISH THIS BY PROVIDING RESOURCES AND COMPREHENSIVE EVIDENCE-BASED INTERVENTIONS TO PREVENT, DETECT, DIAGNOSE, AND REFER TO CANCER TREATMENT.

CONGRESSIONALLY DIRECTED SPENDING FOR CONSTRUCTION PROJECTS

SOUTHCENTRAL FOUNDATION NUTAQSIIVIK TRIBAL MIECHV PROGRAM

BUILDING CAPACITY FOR DISSEMINATION AND IMPLEMENTATION RESEARCH IN A TRIBAL HEALTHCARE SYSTEM - PROJECT SUMMARY - OVERALL AVERAGE LIFE EXPECTANCY FOR ALASKA NATIVE AND AMERICAN INDIAN (ANAI) PEOPLE IS 10 YEARS SHORTER THAN NON- HISPANIC WHITES, AND ANAIS HAVE HIGHER DEATH RATES FROM CONDITIONS SUCH AS DIABETES, HEART DISEASE, AND CANCER. YET, HEALTHCARE SERVICES IN ANAI COMMUNITIES ARE SIGNIFICANTLY UNDERFUNDED. TRIBES AND HEALTH ORGANIZATIONS SERVING ANAI PATIENTS NEED EVIDENCE ABOUT THE SUCCESSFUL IMPLEMENTATION OF EFFECTIVE INTERVENTIONS TO IMPROVE ANAI HEALTH OUTCOMES. SOUTHCENTRAL FOUNDATION (SCF), A TRIBALLY-OWNED AND OPERATED HEALTHCARE ORGANIZATION WITH AN AWARD-WINNING MODEL OF HEALTHCARE DELIVERY AND REDESIGN, THUS PROPOSES A SET OF FIVE INDEPENDENT YET RELATED EFFORTS IN THIS CENTER APPLICATION, “BUILDING CAPACITY FOR DISSEMINATION AND IMPLEMENTATION RESEARCH IN A TRIBAL HEALTHCARE SYSTEM.” SCF IS THE PRIMARY APPLICANT AND WILL LEAD THESE EFFORTS WITH LOCAL PARTNERS AT THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM AND UNIVERSITY OF ALASKA, AS WELL AS NATIONAL PARTNERS AT THE UNIVERSITY OF WASHINGTON, MAYO CLINIC, AND UNIVERSITY OF ARKANSAS MEDICAL SCIENCES. OTHER EXPERTS WITHIN AND OUTSIDE OF ALASKA WILL PROVIDE ADDITIONAL SUPPORT. IMPLEMENTING A DIABETES SCREENING AND REFERRAL SERVICES DEVELOPED FOR DENTAL CLINICS WITHIN AN URBAN ALASKA NATIVE HEALTH CARE SETTING (RP1) WILL STUDY THE IMPLEMENTATION OF AN EVIDENCE-BASED INTERVENTION TO IDENTIFY ANAIS AT RISK FOR DIABETES; METABOLISM-INFORMED CARE TO AID ALASKA NATIVE PEOPLE TO QUIT SMOKING (RP2) WILL ASSESS THE ACCEPTABILITY AND FEASIBILITY OF USING A NICOTINE METABOLITE RATIO TEST TO SELECT SMOKING CESSATION TREATMENT; AND JUMPSTARTING CULTURALLY-INFORMED ADVANCE CARE PLANNING WITH ANAI PEOPLE IN PRIMARY CARE (RP3) WILL EVALUATE THE EFFECTIVENESS AND IMPLEMENTATION OF AN EVIDENCE- BASED, CULTURALLY-TAILORED PALLIATIVE CARE INTERVENTION IN ANAIS WITH SERIOUS ILLNESS. TWO CAPACITY BUILDING EFFORTS WILL OPTIMIZE SUCCESS OF THE RPS AND CENTER AS A WHOLE. THE RESEARCHER CAREER ENHANCEMENT PROJECT WILL PROVIDE ONGOING TRAINING AND MENTORING IN FOUNDATIONAL RESEARCH SKILLS AND BUILD NEW CAPACITY IN D&I RESEARCH. THE ADMINISTRATIVE CORE WILL SUPPORT COMMUNICATION AND COORDINATION, IMPLEMENT A UNIFIED EVALUATION STRATEGY, AND CREATE A NEW CAREER PATHWAY FOR ANAI RESEARCH ADMINISTRATORS. ALL CENTER COMPONENTS WILL BE EVALUATED USING TWO WELL-RECOGNIZED D&I RESEARCH FRAMEWORKS: REACH, EFFECTIVENESS, ADOPTION, IMPLEMENTATION, AND MAINTENANCE (RE-AIM) AND THE CONSOLIDATED FRAMEWORK FOR IMPLEMENTATION RESEARCH (CFIR). THE PROPOSED CENTER WILL EXPAND RESEARCH CAPACITY WITHIN AN ESTABLISHED ANAI-LED AND -OPERATED RESEARCH DEPARTMENT. FULFILLMENT OF THE SPECIFIC AIMS WILL ADVANCE THE CAPACITY THE TRIBAL HEALTHCARE ORGANIZATION AND ANAI RESEARCHERS TO LEAD FUTURE RESEARCH FOCUSED ON IMPROVING THE HEALTH OF ANAIS.

ALASKA NATIVE COMMUNITIES ADVANCING VACCINE UPTAKE - PROJECT SUMMARY ALASKA NATIVE AND AMERICAN INDIAN (ANAI) COMMUNITIES ARE EXPERIENCING A DISPROPORTIONATE SHARE OF SARS- COV-2 INFECTION AND ITS SEQUELAE IN THE US. AS OF SEPTEMBER 2021, ANAI PEOPLE HAD A CUMULATIVE INCIDENCE OF 9,256 COVID-19 CASES PER 100,000, COMPARED WITH 5,445 AMONG NON-HISPANIC WHITES. THE CURRENT RATE OF COVID-19 ASSOCIATED DEATHS PER 100,000 POPULATION IS 220 AMONG ANAI PEOPLE, COMPARED WITH 137 AMONG NON-HISPANIC WHITES. WIDESPREAD VACCINATION REMAINS THE BEST STRATEGY TO CONTROL COVID-19 MORBIDITY AND MORTALITY, BUT THE US HAS ONE OF THE LOWEST VACCINE ACCEPTANCE RATES IN THE WORLD WITH WIDE REGIONAL VARIABILITY. LITTLE RESEARCH HAS ATTEMPTED TO UNDERSTAND OR ADDRESS BARRIERS TO COVID-19 VACCINATION IN ANAI PEOPLE, DESPITE UNIQUE GEOGRAPHICAL, HISTORICAL, AND CULTURAL FACTORS THAT COULD INFLUENCE VACCINE UPTAKE IN THIS POPULATION. WE HAVE FORMED A CONSORTIUM OF TRIBAL HEALTH LEADERS FROM ACROSS ALASKA TO BETTER UNDERSTAND VACCINE ATTITUDES AND INTENTIONS, INCLUDING HESITANCY, AND TO INCREASE VACCINE UPTAKE IN ALASKAN ANAI COMMUNITIES. IN CONJUNCTION WITH COMMUNITY ADVISORS, WE WILL DEVELOP AND IMPLEMENT A THEORY-DRIVEN INTERVENTION THAT IS GROUNDED IN ANAI VALUES OF RELATIONALITY AND RESPECT. FIRST, WE WILL USE VACCINATION TRACKING DATA TO ASSESS CURRENT RATES OF VACCINE UPTAKE AND ANALYZE PREEXISTING QUANTITATIVE AND QUALITATIVE DATA REGARDING VACCINE ATTITUDES, INTENTIONS, AND BEHAVIOR AMONG ANAI PEOPLE IN RURAL AND URBAN AREAS OF ALASKA. WE WILL ALSO CONDUCT A SURVEY IN SOUTHCENTRAL ALASKA TO INFORM INTERVENTION DESIGN. SECOND, WE WILL WORK WITH STATEWIDE TRIBAL HEALTH LEADERS AND REGIONAL COMMUNITY ADVISORY BOARDS TO CREATE EDUCATIONAL INFORMATION, STORIES, AND MESSAGES KEYED TO THE BELIEFS AND PERCEIVED NORMS THAT DRIVE VACCINE BEHAVIOR. THIS CONTENT WILL BE INCORPORATED INTO AN EHEALTH TOOLKIT FOR USE BY COMMUNITY MEMBERS AND SPECIALLY TRAINED COMMUNITY VACCINE ADVOCATES, LAYPEOPLE WHO VOLUNTEER TO PROVIDE INFORMATION AND MOTIVATIONAL/EMOTIONAL SUPPORT TO THEIR FRIENDS, FAMILIES, AND COMMUNITIES. THIRD, WE WILL LAUNCH THE INTERVENTION IN THE SOUTHCENTRAL REGION OF ALASKA AND EVALUATE EFFECTIVENESS USING THE REACH, EFFECTIVENESS, ADOPTION, IMPLEMENTATION, AND MAINTENANCE (RE- AIM) FRAMEWORK. REFINEMENTS BASED ON PROGRAM DATA AND PARTICIPANT FEEDBACK WILL BE MADE, THEN THE REFINED INTERVENTION WILL BE DEPLOYED IN TWO RURAL REGIONS OF ALASKA AND EVALUATED. THIS PROJECT WILL ADD TO THE LIMITED EVIDENCE BASE REGARDING ADULT VACCINE ATTITUDES, INTENTIONS, AND BEHAVIORS AMONG ANAI PEOPLE. IT HOLDS THE POTENTIAL TO INCREASE VACCINATION IN A HARD-HIT POPULATION AND BUILD SUPPORT FOR FUTURE VACCINATION AS SARS-COV2 CONTINUES TO EVOLVE. OUR FINDINGS WILL HAVE BROADER APPLICABILITY TO VACCINE OUTREACH AND ENGAGING ANAI COMMUNITIES IN LEVERAGING PEER RELATIONSHIPS, THEIR SOCIAL NETWORKS, AND EHEALTH TO PROMOTE HEALTH EDUCATION AND BEHAVIOR CHANGE.

JUMPSTARTING CULTURALLY-INFORMED ADVANCE CARE PLANNING WITH ANAI PEOPLE IN PRIMARY CARE - PROJECT SUMMARY CHRONIC DISEASE CAUSES THE MOST DEATH AND DISABILITY IN THE UNITED STATES (US), AND AMERICAN INDIAN/ALASKA NATIVE PEOPLE (ANAIS) ARE MORE LIKELY THAN PEOPLE OF ALL OTHER RACES TO DIE OF HEART DISEASE, DIABETES, CHRONIC LOWER RESPIRATORY DISEASE, CIRRHOSIS, STROKE, PNEUMONIA, KIDNEY DISEASE, AND HYPERTENSION. AMONG ANAIS AGE 55 AND OLDER, 90% HAVE AT LEAST ONE CHRONIC CONDITION, COMPARED WITH 78% OF THEIR US PEERS. AS THE OLDER ANAI POPULATION RAPIDLY INCREASES, WITH HIGHER RATES OF SERIOUS ILLNESS THAN THE GENERAL POPULATION, THERE IS AN URGENT NEED FOR STRATEGIES TO PROVIDE CULTURALLY TAILORED PALLIATIVE AND END-OF-LIFE CARE INTERVENTIONS FOR SERIOUSLY ILL ANAIS. HOWEVER, ANAIS ARE FAR LESS LIKELY THAN THEIR US PEERS TO USE PALLIATIVE CARE, INCLUDING ADVANCE CARE PLANNING (ACP), WHICH INVOLVES DISCUSSING PATIENT VALUES AND GOALS TO ALIGN CARE WITH PATIENT PREFERENCES. ACP LEADS TO BETTER OUTCOMES FOR PATIENTS, THEIR FAMILIES, AND HEALTH SYSTEMS, INCLUDING DECREASED DEPRESSION, ANXIETY, AND GRIEF, FEWER NON-BENEFICIAL END-OF-LIFE TREATMENTS, AND REDUCED COST. ACP IS TYPICALLY DOCUMENTED IN ADVANCE DIRECTIVES (ADS) THAT SPECIFY PATIENT PREFERENCES FOR LIFE-SUSTAINING TREATMENTS AND WHO CAN MAKE MEDICAL DECISIONS ON THEIR BEHALF. YET, LESS THAN A THIRD OF SERIOUSLY ILL US ADULTS HAVE ADS, AND ANAIS AGE 55 AND OLDER ARE ONLY HALF AS LIKELY TO HAVE ADS AS THEIR WHITE PEERS. PREVIOUS RESEARCH SUGGESTS THAT ANAIS WILL ENGAGE IN ACP AND COMPLETE ADS WHEN GIVEN ACCESS TO TIMELY AND CULTURALLY APPROPRIATE ACP CONVERSATIONS, BUT NO ACP COMMUNICATION INTERVENTIONS HAVE BEEN RIGOROUSLY TESTED WITH ANAIS. OUR TEAM USED COMMUNITY ENGAGEMENT METHODS TO CULTURALLY TAILOR AN ACP COMMUNICATION INTERVENTION AND PILOT THE TAILORED INTERVENTION—JUMPSTART ANAI—WITH 68 SERIOUSLY ILL ADULT ANAIS AT SOUTHCENTRAL FOUNDATION (SCF), A TRIBAL HEALTH SYSTEM IN ALASKA. WE RECRUITED 97% OF THE TARGET SAMPLE (N=70) AND RETAINED >75% OF PATIENTS AT FOLLOW-UP. WE ALSO FOUND THAT 95% OF PATIENTS STATED THAT JUMPSTART ANAI HELPED THEM TO HAVE ACP CONVERSATIONS WITH THEIR PRIMARY CARE PROVIDERS. THIS PROJECT EXPANDS UPON A STRONG COMMUNITY-ACADEMIC PARTNERSHIP TO IMPLEMENT JUMPSTART ANAI IN THE TRIBAL HEALTH SYSTEM AND EVALUATE IT USING AN INNOVATIVE TYPE 1 HYBRID EFFECTIVENESS-IMPLEMENTATION APPROACH. OUR SPECIFIC AIMS ARE TO: 1) ENGAGE STAKEHOLDERS TO TAILOR AN IMPLEMENTATION PLAN FOR THE TRIBAL HEALTH SYSTEM THAT INTEGRATES JUMPSTART ANAI INTO ROUTINE PRIMARY CARE PRACTICE; 2) CONDUCT A CLUSTER-RANDOMIZED TRIAL WITH 40 PRIMARY CARE PROVIDERS AND 280 SERIOUSLY ILL ANAI PATIENTS TO TEST THE EFFECTIVENESS OF JUMPSTART ANAI FOR INCREASING ACP AS COMPARED TO USUAL CARE; AND 3) CONDUCT A RIGOROUS MIXED-METHODS PROCESS EVALUATION USING THE CONSOLIDATED FRAMEWORK FOR IMPLEMENTATION RESEARCH TO ASSESS BARRIERS AND FACILITATORS TO IMPLEMENTING JUMPSTART ANAI SYSTEM-WIDE. IMPROVING ACCESS TO AND DELIVERY OF CULTURALLY APPROPRIATE EVIDENCE-BASED ACP IS A HIGH PRIORITY FOR ALASKA’S TRIBAL HEALTH LEADERS AND COMMUNITIES. BY EVALUATING THE EFFECTIVENESS OF A CULTURALLY TAILORED ACP INTERVENTION AND TAILORING IMPLEMENTATION OF THE INTERVENTION INTO ROUTINE CARE, THIS STUDY WILL PROVIDE CRITICAL EVIDENCE FOR IMPROVING PALLIATIVE CARE AND END-OF-LIFE CARE FOR SERIOUSLY ILL ANAI PEOPLE AND THEIR FAMILIES.

SOUTHCENTRAL FOUNDATION RURAL SASP SAPTA PROGRAM

SEE NOTICE OF AWARD, ATTACHMENT 1 - TERMS AND CONDITIONS, ATTACHMENT D, STATEMENT OF WORK, ABSTRACT.

SCF TOR BENTEH NUUTAH FOUR DIRECTIONS - PROJECT ABSTRACT: PROJECT TITLE: SCF TOR BENTEH NUUTAH FOUR DIRECTIONS APPLICANT NAME: SOUTHCENTRAL FOUNDATION ADDRESS: 4501 DIPLOMACY DRIVE, ANCHORAGE, AK 99508 WEBSITE: HTTPS://WWW.SOUTHCENTRALFOUNDATION.COM/ ORGANIZATIONAL OVERVIEW: SOUTHCENTRAL FOUNDATION (SCF) IS AN ALASKA NATIVE 501(C) (3) NONPROFIT HEALTH CARE ORGANIZATION ESTABLISHED UNDER THE TRIBAL AUTHORITY OF COOK INLET REGION, INC. IN 1982. SCF'S VISION IS A NATIVE COMMUNITY THAT ENJOYS PHYSICAL, MENTAL, EMOTIONAL AND SPIRITUAL WELLNESS. TO REACH THIS VISION, SCF IS COMMITTED TO ADDRESSING THE DEVASTATING IMPACT OF OPIOID USE DISORDER AND OTHER SUBSTANCE ABUSE IN OUR COMMUNITIES. PROJECT NEED: ALASKA HAS SEEN A 38% ANNUAL INCREASE IN OVERDOSE DEATHS BASED ON PRELIMINARY 2023 DATA, WITH 75% OF ALL THE OPIOID OVERDOSE DEATHS INVOLVING FENTANYL. UNDER THESE CRISIS CONDITIONS, THERE ARE FEW SERVICE PROVIDERS LIKE SCF THAT CAN ADDRESS THE FULL CONTINUUM OF CARE, WITH CULTURALLY APPROPRIATE SERVICES, SUD, AND MOUD TREATMENT IN THE MSB. POPULATION OF FOCUS: THE POPULATION OF FOCUS FOR THE PROPOSED PROJECT IS ADULT RESIDENTS OF THE MSB AND NORTHERN ANCHORAGE MUNICIPALITY, INCLUDING ALASKA NATIVE AND AMERICAN INDIAN ADULTS WHO ARE EXPERIENCING OPIOID USE DISORDER AND OTHER SUBSTANCE MISUSE. PROPOSED PROJECT: THE GOAL OF THE SCF TOR BENTEH NUUTAH FOUR DIRECTIONS PROPOSAL IS TO REDUCE UNMET TREATMENT NEEDS AND OPIOID OVERDOSE-RELATED DEATHS IN THE MSB AND THE NORTHERN MOA THROUGH THE PROVISION OF TREATMENT SERVICES AND THE IMPLEMENTATION OF HARM PREVENTION/REDUCTION SERVICES FOR OPIOID USE DISORDER AND OTHER SUBSTANCE USE DISORDERS BY INCREASING ACCESS TO CULTURALLY APPROPRIATE AND EVIDENCE-BASED TREATMENT, INCLUDING MEDICATIONS FOR ADDICTION TREATMENT. TWO CHOSEN REQUIRED CATEGORIES: (TREATMENT AND HARM PREVENTION/REDUCTION): TREATMENT: IMPLEMENT OUTPATIENT SERVICE DELIVERY MODELS THAT ENABLE THE FULL SPECTRUM OF TRAUMA-INFORMED TREATMENT AND RECOVERY SUPPORT SERVICES THAT FACILITATE POSITIVE TREATMENT OUTCOMES AND LONG-TERM RECOVERY FROM OPIOID AND STIMULANT USE DISORDERS. OBJECTIVE 1: PROVIDE A CONTINUUM OF SERVICES IN THE MSB AND NORTHERN MOA THAT IS AGE-AND GENDER-APPROPRIATE, PATIENT-CENTERED, COMMUNITY FOCUSED, AND CULTURALLY COMPETENT TO A MINIMUM OF 40 UNDUPLICATED ADULTS IN YEAR 1, 50 IN YEAR 2, 60 IN YEAR 3, 70 IN YEAR 4, AND 80 IN YEAR 5. • PROVIDE A ROBUST TELE-BEHAVIORAL HEALTH SERVICE OPTION AND LEARNING CIRCLES TO INCREASE THE CAPACITY TO SUPPORT MOUD/STIMULANT USE DISORDER PREVENTION, TREATMENT, AND RECOVERY. • PROVIDE MEDICAL-ASSISTED TREATMENT, MEDICATED OPIOID USE DISORDER TREATMENT, SUBSTANCE ABUSE TREATMENT, CRISIS INTERVENTION, TRAUMA INFORMED INDIVIDUAL AND FAMILY THERAPY, AND INTEGRATED CASE MANAGEMENT. • PROVIDE THE SCF “PATH TO HEALTHY LIVING PLAN” CULTURALLY APPROPRIATE AND EVIDENCE-BASED MODEL OF CARE FOR RECOVERY. • PROVIDE TRANSPORT FOR THOSE NEEDING ASSISTANCE TO ATTEND TREATMENT OR LEARNING CIRCLES. • EDUCATE COMMUNITY HEALTH AND SOCIAL SERVICE PROVIDERS ON REFERRALS AND THE PATH TO HEALTHY LIVING PLAN MODEL OF TREATMENT. • COLLECT GPRA SURVEY AND DATA FOR REPORTING AND ANALYSIS. • PROVIDE COMMUNITY-BASED SUPPORT AND EDUCATION GROUPS FOR FAMILY MEMBERS STRUGGLING WITH SUD USING EVIDENCE. HARM PREVENTION/REDUCTION: IMPLEMENT HARM PREVENTION/REDUCTION SERVICES. OBJECTIVE 2: INCREASE ACCESS BY 75% THROUGH THE BENTEH NUUTAH FOUR DIRECTIONS CLINIC TO HARM PREVENTION AND REDUCTION SERVICES DURING THE 5-YEAR PROJECT PERIOD TO HELP SUPPORT THE REDUCTION OF FATAL OVERDOSE EVENTS IN THE MSB AND NORTHERN MOA. • PURCHASE AND DISTRIBUTE NALOXONE, XYLAZINE AND OTHER OPIOID OVERDOSE REVERSAL MEDICATIONS TO REDUCE THE INCIDENCE OF FATAL OVERDOSES. • PURCHASE AND DISTRIBUTE DRUG CHECKING SUPPLIES, INCLUDING FENTANYL AND XYLAZINE TESTING STRIPS, AS GUIDED BY SAMHSA. • PURCHASE AND DISTRIBUTE OTHER SUPPLIES, SUCH AS LOCK BAGS, TO ENHANCE HARM REDUCTION EFFORTS. • UTILIZE STAFF MEMBERS TO ANNUALLY ATTEND MSB AREA EVENTS.

PARTNERSHIP TO SUPPORT INDIGENOUS-DRIVEN GENOMIC RESEARCH - SOUTHCENTRAL FOUNDATION’S (SCF) PROPOSED BUILDING PARTNERSHIPS AND BROADENING PERSPECTIVES TO ADVANCE ETHICAL, LEGAL, AND SOCIAL IMPLICATIONS (BBAER) PROGRAM WILL EXTEND MEANINGFUL COLLABORATION WITH AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) COMMUNITIES AND AI/AN-SERVING HEALTH SYSTEMS IN ALASKA AND OKLAHOMA WITH THE OVERALL AIM OF PROMOTING TRIBALLY-DEFINED APPROACHES TOWARD GENOMIC RESEARCH WITH HIGH IMPACT.  AS SOVEREIGN NATIONS, TRIBES HAVE THE RIGHT TO OVERSEE RESEARCH WITH THEIR CITIZENS. TO ADDRESS AI/AN HEALTH DISPARITIES, GENOMIC RESEARCH – WHETHER AT THE COMMUNITY LEVEL OR VIA LARGE REPOSITORIES WITH DATA AND BIOLOGICAL SPECIMENS FROM AI/AN PEOPLE FROM A MULTITUDE OF TRIBES – MUST BE CONDUCTED FROM AN APPROACH DEFINED BY AI/AN COMMUNITIES AND LED BY AND IN PARTNERSHIP WITH AI/AN PEOPLE. SCF IS A TRIBALLY-OWNED AND OPERATED HEALTHCARE ORGANIZATION AND PROVIDES SERVICES TO MORE THAN 70,000 AI/AN PEOPLE IN SOUTHCENTRAL ALASKA. SCF RESEARCHERS HAVE LED INQUIRY INTO THE ETHICAL CONDUCT OF GENOMIC RESEARCH WITH AI/AN PEOPLE SINCE 2006. ENGAGING AI/AN TRIBAL LEADERSHIP TO ASSESS INTEREST IN PURSUING GENOMICS HAS BEEN CENTRAL TO SCF’S EMPIRIC EFFORTS. SCF RESEARCHERS DR. VANESSA HIRATSUKA AND MS. JULIE BEANS WILL LEAD THIS EFFORT AND EXTEND THEIR EXPERIENCE IN CREATING MEANINGFUL DIALOGUES WITH AI/AN COMMUNITIES ABOUT COMMUNITY BENEFIT AND IMPACT OF GENOMICS. OUR BBAER PROGRAM WILL LEVERAGE LONG-TERM PARTNERSHIPS WITH DR. JESSICA BLANCHARD AT THE UNIVERSITY OF OKLAHOMA AND DR. SUSAN TRINIDAD AT THE UNIVERSITY OF WASHINGTON TO ACHIEVE THE FOLLOWING SPECIFIC AIMS: (1) WE WILL DEVELOP SCF’S COMMUNITY-DRIVEN ELSI RESEARCH VISION AND STRATEGIC MANAGEMENT APPROACH; (2) WE WILL IDENTIFY AND EVALUATE THE IMPACTS OF APPROACHES USED TO INCLUDE AI/AN PEOPLE AND COMMUNITIES IN GENOMIC RESEARCH THROUGH DOCUMENT ANALYSIS AND DISCOURSE TRACING, DESCRIBE TRIBAL CITIZENS’ PERSPECTIVES OF GENOMIC RESEARCH USING FOCUS GROUPS IN ALASKA AND OKLAHOMA, AND EXPLORE TRIBAL LEADERS’ EXPERIENCES AND EXPECTATIONS FOR HOW TO ACHIEVE HIGH IMPACT AND MAXIMIZE BENEFIT IN GENOMIC RESEARCH USING PUBLIC DELIBERATION IN ALASKA AND OKLAHOMA; (3) WORKING WITH AI/AN COMMUNITY MEMBERS AND EXPERTS, TRIBAL LEADERS, AND NIH PROGRAM STAFF, WE WILL DEVELOP AND IMPLEMENT TOOLS AND METHODS TO PROMOTE AND ASSESS OUR PROGRESS TOWARD MEANINGFUL COLLABORATION AND TEAM SCIENCE IN INDIGENOUS-DRIVEN GENOMIC RESEARCH THROUGH THE LENSES OF RELATIONAL ACCOUNTABILITY AND TRANSFORMATIVE AGENCY; (4) WE WILL USE THE RESEARCH AND EVALUATION CAPACITY ASSESSMENT TOOL AND RESOURCE PACKAGE (RECAP) TO IDENTIFY RESEARCH CAPACITY BUILDING NEEDS AND IMPLEMENT ANNUAL WORK PLANS, PERSONNEL DEVELOPMENT AND DISTRIBUTION OF RESOURCES TO SUPPORT LONG-TERM MAINTENANCE OF AN SCF ELSI RESEARCH AGENDA; AND (5) WE WILL TRAIN THE NEXT GENERATION OF EARLY CAREER SCHOLARS IN AI/AN ELSI THROUGH MENTORED RESEARCH EXPERIENCES IN PARTNERSHIP WITH AI/AN PEOPLE AND COMMUNITIES. ACCOMPLISHING BBAER ACTIVITIES WILL FURTHER ESTABLISH SCF AS A NATIONAL LEADER IN NORMATIVE AND EMPIRIC ELSI RESEARCH OF IMPORTANCE TO AI/AN COMMUNITIES.

CH'AQINIYA NETWORK

FAMILY WELLNESS WARRIORS EXPANSION

THE GRANTS TO INDIAN TRIBAL GOVERNMENTS PROGRAM (REFERRED TO AS THE TRIBAL GOVERNMENTS PROGRAM) WAS AUTHORIZED TO ASSIST TRIBAL GOVERNMENTS AND AUTHORIZED DESIGNEES OF TRIBAL GOVERNMENTS TO RESPOND TO DOMESTIC VIOLENCE, DATING VIOLENCE, SEXUAL ASSAULT, SEX TRAFFICKING, AND STALKING IN THEIR COMMUNITIES. THE TRIBAL GOVERNMENTS PROGRAM SUPPORTS PROJECTS THAT:  (1) DECREASE THE INCIDENCE OF VIOLENT CRIME AGAINST INDIAN WOMEN; (2) STRENGTHEN THE CAPACITY OF INDIAN TRIBES TO EXERCISE THEIR SOVEREIGN AUTHORITY TO RESPOND TO VIOLENT CRIMES COMMITTED AGAINST INDIAN WOMEN; AND (3) ENSURE THAT PERPETRATORS OF VIOLENT CRIMES COMMITTED AGAINST INDIAN WOMEN ARE HELD ACCOUNTABLE FOR THEIR CRIMINAL BEHAVIOR. THE GRANTEE WILL IMPLEMENT THIS PROJECT IN COLLABORATION WITH EITHER A NONPROFIT, NONGOVERNMENTAL INDIAN VICTIM SERVICES PROGRAM, SUCH AS A DOMESTIC VIOLENCE SHELTER PROGRAM OR RAPE CRISIS CENTER; A NONPROFIT, NONGOVERNMENTAL TRIBAL DOMESTIC VIOLENCE OR SEXUAL ASSAULT COALITION; AND/OR AN ADVISORY COMMITTEE THAT INCLUDES WOMEN FROM THE COMMUNITY TO BE SERVED BY THE PROPOSED PROJECT.  THE TIMING FOR PERFORMANCE OF THIS AWARD IS 36 MONTHS.

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

IGF::OT::IGF CONSULTING PROJECT FOR THE DEVELOPMENT OF A RELATIONSHIP BASED CARE MODEL

SOUTHCENTRAL FOUNDATION'S CONNECTING KIDS TO COVERAGE OUTREACH AND ENROLLMENT PROGRAM - PROJECT TITLE: CONNECTING KIDS TO COVERAGE EXPANSION AND ENHANCEMENT APPLICANT NAME: SOUTHCENTRAL FOUNDATION ADDRESS: 4501 DIPLOMACY DRIVE, ANCHORAGE, AK 99508 WEBSITE: HTTPS://WWW.SOUTHCENTRALFOUNDATION.COM/ PROJECT DIRECTOR: MICHELLE WENGER, ADMINISTRATOR GRANT FUNDS REQUESTED: PROJECT PERIOD AT $3,000,00 OR 5 BUDGET PERIODS AT $600,000 EACH ORGANIZATIONAL OVERVIEW: SOUTHCENTRAL FOUNDATION (SCF) IS AN ALASKA NATIVE 501(C) (3) NONPROFIT WITH A VISION OF A NATIVE COMMUNITY THAT ENJOYS PHYSICAL, MENTAL, EMOTIONAL, AND SPIRITUAL WELLNESS. TO REACH THIS VISION, SCF IS COMMITTED TO ASSISTING ALASKA NATIVE AND AMERICAN INDIAN (AI/AN) CHILDREN AND FAMILIES OBTAIN, MAINTAIN, AND UTILIZE HEALTH CARE INSURANCE. PROJECT GOALS: THIS PROJECT WILL AIM TO REACH AI/AN CHILDREN, PARENTS, AND PREGNANT INDIVIDUALS IN ALASKA. WHILE THE PROPOSED PROJECT FOCUSES ON AI/AN PEOPLE, SCF WILL PROVIDE ANYONE SCREENING, ENROLLMENT, AND APPLICATION ASSISTANCE. THE PROJECT INCORPORATES TARGETING A MIX OF URBAN AND RURAL COMMUNITIES AND A STATEWIDE REACH WITH THE PARTNERSHIP REFERRAL NETWORK. PROPOSED PROJECT: THIS PROJECT AIMS TO ENHANCE SCF’S CONNECTING KIDS TO COVERAGE (CKC) PROGRAM TO INCREASE ENROLLMENT OF ELIGIBLE CHILDREN, PARENTS, AND PREGNANT INDIVIDUALS IN ALASKA IN MEDICAID AND DENALI KID CARE (DKC). DKC IS ALASKA’S CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP). BECAUSE AI/AN PEOPLE GENERALLY LIVE IN AREAS OF PERSISTENT POVERTY IN BOTH RURAL AND URBAN ENVIRONMENTS, OFTEN RELOCATING BETWEEN HYPER RURAL AND HUB COMMUNITIES DUE MEDICAL CARE SHORTAGES, ADDITIONAL SUPPORT IN ACCESSING HEALTH INSURANCE IS NEEDED. AS A RESULT, THIS PROPOSED PROJECT EMPHASIZES EDUCATION, OUTREACH, ENROLLMENT, ONE-ON-ONE DIRECT APPLICATION ASSISTANCE, AND COMMUNITY COLLABORATOR ENGAGEMENT. SCF HAS SECURED WRITTEN AGREEMENTS WITH THE STATE OF ALASKA, ALLOWING ACCESS TO THE STATE’S DATA SYSTEMS TO VERIFY AND SUPPORT ENROLLMENTS. ADDITIONALLY, THE IQUALIFY SOFTWARE IS A COMPREHENSIVE TOOL FOR THE PROJECT STAFF TO MANAGE THE MEDICARE, MEDICAID, DKC ENROLLMENT PROCESS, INCLUDING DISTINCTLY TRACKING AND REPORTING FOR MULTIPLE PROJECTS. THE OUTREACH AND ENROLLMENT PLAN INCORPORATES FOUR PRIMARY STRATEGIES: 1) OUTREACH EVENTS AND INITIATIVES COVERS THE WORK IN THE COMMUNITY AT EVENTS, WITH PARTNERS, AND THROUGH SOCIAL MEDIA TO SHARE INFORMATION ABOUT HEALTH INSURANCE COVERAGE OPTIONS. 2) APPLICATION AND RENEWAL ASSISTANCE IS THE DIRECT AND ONE-ON-ONE SUPPORT PROVIDED BY SCF’S HEALTH BENEFITS SPECIALISTS (HBS). THE HBS ARE STRATEGICALLY EMBEDDED IN THE COMMUNITY AND CLINIC LOCATIONS TO REACH THE TARGET POPULATION. 3) A PARTNERSHIP REFERRAL NETWORK HAS BEEN ESTABLISHED TO SUPPORT SCF’S CKC PROGRAM AND COLLABORATIVELY WORK ON TARGETED OUTREACH EFFORTS. 4) SCHOOL-BASED OUTREACH IS ESTABLISHED IN THE ANCHORAGE SCHOOL DISTRICT (ASD), ALASKA’S LARGEST SCHOOL DISTRICT. THE COMPREHENSIVE PLAN INCLUDES REALISTIC YET AMBITIOUS TARGET MEASURES, WITH THE ULTIMATE GOAL OF INCREASING THE NUMBER OF ELIGIBLE AI/AN CHILDREN AND FAMILIES WITH HEALTH INSURANCE IN ALASKA. HISTORICAL ACHIEVEMENT ON PROJECT ENROLLMENT AND RENEWAL GOALS: SCF HAS BEEN A CKC GRANTEE FOR NEARLY 15 YEARS. OVER THE PAST THREE YEARS, SCF HAS STRENGTHENED ITS COLLABORATIVE EFFORTS WITH THE ASD AND STAFF ARE BEING INVITED TO SCHOOL EVENTS BY PRINCIPLES. THE PROGRAM HAS CONTINUED TO FORTIFY ITS RELATIONSHIP WITH THE STATE OF ALASKA TO ENSURE THAT SUBMITTED APPLICATIONS ARE IN GOOD ORDER, REDUCING THE RISK OF PROCEDURAL BASED REJECTIONS. SCF IS ONE OF THE ONLY ORGANIZATIONS IN ALASKA THAT HAS ACCESS TO THE STATE’S DATA SYSTEM TO TRACK APPLICATION STATUS. THE PROGRAM HAS SUBMITTED NEW ENROLLMENTS AND RENEWAL APPLICATIONS AT A RATE THAT EXCEEDS THE STATE’S APPLICATION PROCESSING CAPACITY.

OATA-2023

COMMITMENT TO RECOVERY: ALASKA NATIVE COMMUNITY NEEDS FOR SUBSTANCE USE TREATMENT - ABSTRACT SOUTHCENTRAL FOUNDATION (SCF) IS A SUCCESSFUL TRIBALLY-OWNED AND -OPERATED HEALTHCARE ORGANIZATION IN SOUTHCENTRAL ALASKA, A REGION SPANNING 104,713 SQUARE MILES, 55 RURAL VILLAGES, AND SERVING 70,000 ANAI PEOPLES REPRESENTING 229 FEDERALLY-RECOGNIZED TRIBES. IN 2018, SCF COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH THE INTENTION TO IMPROVE EXISTING SERVICES AND DEVELOP NEW PROGRAMS. THE CHNA INCLUDED QUANTITATIVE AND QUALITATIVE METHODS TO GATHER CROSS-SECTIONAL INFORMATION ABOUT THE HEALTH NEEDS OF THE AN/AI PEOPLES SERVED BY SCF TO ASSESS PERFORMANCE AND IDENTIFY ANY GAPS ACROSS SEVEN DOMAINS (MANUSCRIPT IN PREPARATION). PARTICIPANTS INCLUDED HEALTHCARE SYSTEM LEADERSHIP, STAFF, AND CUSTOMER-OWNERS. TWO OF THE TOP THREE HEALTH NEEDS IDENTIFIED THROUGH THE CHNA WERE SUBSTANCE USE (ALCOHOL, DRUG, AND TOBACCO MISUSE) AND BEHAVIORAL HEALTH. MORE SPECIFICALLY, PARTICIPANTS REPORTED NEEDS FOR MORE PREVENTION, ADDICTION AWARENESS, AND BOTH SHORT-TERM AND LONG-TERM TREATMENT FOR SUD. BEHAVIORAL HEALTH NEEDS INCLUDED INCREASED ACCESS TO SERVICES, EXPANDED TREATMENT FOR BEHAVIORAL HEALTH ISSUES (E.G., DEPRESSION, ANXIETY) AND SUICIDE PREVENTION, AWARENESS, AND SUPPORT. SINCE THESE RESULTS WERE SHARED WITH SCF KEY STAKEHOLDERS, LEADERSHIP HAS MADE SIGNIFICANT EFFORTS TO IMPROVE ACCESS TO SERVICES AND ADDRESS SOME OF THE NEEDS IDENTIFIED BY CHNA PARTICIPANTS. HOWEVER, SINCE THE COVID-19 PANDEMIC LED TO AN INCREASE IN THE USE OF TELEMEDICINE FOR ALL SERVICES, THERE IS A NEED TO ENGAGE THE AN/AI COMMUNITY SERVED BY SCF TO BETTER UNDERSTAND WHETHER ATTEMPTS TO IMPROVE ACCESS AND ADDRESS THE SPECIFIED NEEDS HAVE BEEN MET, OR IF ADDITIONAL NEEDS BEEN IDENTIFIED SINCE THE PANDEMIC. THE GOAL OF THE PROPOSED PROJECT IS TO COMPLETE A CHNA FOCUSED ON SUBSTANCE USE TREATMENT SERVICES OFFERED TO SCF CUSTOMER-OWNERS, BOTH URBAN AND RURAL. WHILE THE LITERATURE SUGGEST THAT CO-OCCURRING SUBSTANCE USE AND MENTAL HEALTH DISORDERS CAN IMPACT SERVICE UTILIZATION, AND THIS IS A COMPONENT OF INTEREST OF THE INVESTIGATIVE TEAM, THE DESIGN AND SCOPE OF THIS CHNA WILL BE ESTABLISHED IN COLLABORATION WITH THE PROPOSED PROJECT’S STEERING COMMITTEE. OUR SPECIFIC AIMS ARE TO: 1. ASSESS THE NEEDS FOR SUBSTANCE USE TREATMENT SERVICES AT SOUTHCENTRAL FOUNDATION. THIS WILL BE ACHIEVED THROUGH 20 INTERVIEWS WITH CLINICIANS AND LEADERSHIP, 250 CUSTOMER-OWNER SURVEYS, AND 4 FOCUS GROUPS WITH RURAL CLINICS AND ONE COMMUNITY- BASED TREATMENT PROGRAM EXTERNAL TO SCF. 2. BUILD CAPACITY OF ONE ALASKA NATIVE INVESTIGATOR (MS. ALIASSA SHANE) WITH ONGOING MENTORSHIP BY LOCAL AND ACADEMIC INVESTIGATORS WITH EXPERTISE IN SUBSTANCE USE DISORDERS. THIS WILL BE ACHIEVED THROUGH MONTHLY MENTORING MEETINGS, ANNUAL ATTENDANCE AT ONE PROFESSIONAL CONFERENCE, AND ONE TRAINING FOCUSED ON DEVELOPMENT OF SUBSTANCE USE DISORDER OR INDIGENOUS METHODS. 3. DRAFT HEALTH SYSTEM RECOMMENDATIONS AND CONCEPTUAL FRAMEWORK FOR A PHASE II STUDY. THIS WILL BE ACHIEVED THROUGH A REPORT AND MEETINGS WITH THE STEERING COMMITTEE FOR SOUTHCENTRAL FOUNDATION LEADERSHIP. THESE AIMS WILL CONTRIBUTE TO THE LIMITED KNOWLEDGE ABOUT EFFECTIVE TREATMENT AND RECOVERY SERVICES AMONG AN/AI PEOPLES IN A REAL-WORLD ENVIRONMENT. THESE ACTIVITIES HAVE POTENTIAL APPLICABILITY IN OTHER TRIBAL HEALTH SYSTEMS ACROSS THE NATION AND OTHER HEALTH SYSTEMS THAT SEEK TO PROVIDE CULTURALLY GROUNDED TREATMENT AND RECOVERY SERVICES.

FAMILY PROFESSIONAL PARTNERSHIP/CSHCN - PROJECT TITLE: SOUTHCENTRAL FOUNDATION FAMILY-TO-FAMILY HEALTH INFORMATION CENTER (F2F HIC) APPLICANT ORGANIZATION NAME: SOUTHCENTRAL FOUNDATION ADDRESS: 4501 DIPLOMACY DR., SUITE 100, ANCHORAGE, AK 99508 PROJECT DIRECTOR NAME: MARISA WANG, MPA CONTACT PHONE NUMBERS (V,F,D): (907) 729-4955; (907) 729-4997; (907) 729-4996 EMAIL ADDRESS: MWANG@SOUTHCENTRALFOUNDATION.COM WEBSITE ADDRESS: SOUTHCENTRALFOUNDATION.COM GRANT FUNDS REQUESTED: $96,750 PER YEAR FOR 5 YEAR PROBLEM: ALASKA HAS 229 FEDERALLY RECOGNIZED TRIBES, ONE OF THE HIGHEST PERCENTAGES OF ALASKA NATIVE/AMERICAN INDIAN POPULATIONS IN THE COUNTRY, ACROSS 586,412 SQUARE MILES OF PREDOMINATELY ROADLESS LAND. AN/AI FAMILIES EXPERIENCE BARRIERS TO ACCESSING APPROPRIATE HEALTH CARE, INCLUDING GEOGRAPHIC DISTANCES, LACK OF CULTURALLY RESPONSIVE INFORMATION, HIGH RATES OF TURNOVER AMONGST HEALTH CARE PROVIDERS, EXPENSIVE TRAVEL COSTS TO ACCESS MEDICAL CARE AND THE EXTREME STRESSOR WHILE TRAVELING FOR MEDICAL CARE, SUCH AS HAVING TO LEAVE SOME FAMILY MEMBERS BEHIND IN HOME COMMUNITIES. CHRONIC CONDITIONS, SUCH AS DIABETES AND ASTHMA, ARE FURTHER IMPACTED BY THE BARRIERS TO ACCESS ROUTINE CARE AND TREATMENT. GOALS AND OBJECTIVES: INTERVENTION ACTIVITIES SUPPORT THREE PRIMARY GOALS: 1. IMPROVE HEALTH AND DEVELOPMENTAL OUTCOMES FOR ALASKA NATIVE AND AMERICAN INDIAN CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS (CYSHCN); 2. IMPROVE QUALITY OF SHARED DECISION MAKING BETWEEN TRIBAL FAMILIES AND HEALTH CARE PROVIDERS; AND 3. STRENGTHEN THE ALASKAN TRIBAL HEALTHCARE SYSTEM’S WORKFORCE THROUGH EDUCATION, TRAINING, AND DIRECT OUTREACH ON BEST APPROACHES TO SUPPORTING TRIBAL CYSHCN AND THEIR FAMILIES. OBJECTIVE 1.1: INCREASE THE NUMBER FROM BY 10% FROM BASELINE THE NUMBER OF FAMILIES OF TRIBAL CYSHCN WHO HAVE RECEIVED INFORMATION, EDUCATION, OR TRAINING FROM THE F2F HIC TEAM BY MAY 31, 2027. OBJECTIVE 2.1: INCREASE THE NUMBER FROM BY 10% FROM BASELINE THE NUMBER OF PROFESSIONALS SERVING TRIBAL C YSHCNS WHO HAVE RECEIVED INFORMATION, EDUCATION, OR TRAINING FROM THE F2F HIC TEAM BY MAY 31, 2027. OBJECTIVE 2.2: INCREASE THE NUMBER FROM BY 10% FROM BASELINE THE NUMBER OF TRIBAL CYSHCNS AND THEIR FAMILIES TRAINED TO PARTNER AT ALL LEVELS OF SHARED DECISION-MAKING. OBJECTIVE 3.1: INCREASE THE NUMBER FROM BY 10% FROM BASELINE THE NUMBER AND TYPE OF GOVERNMENTAL AGENCIES AND PROGRAMS; AND TRIBAL AND COMMUNITY-BASED ORGANIZATIONS RECEIVING CYSHCN INFORMATION. METHODOLOGY: SCF’S F2F HIC WILL BE INTEGRATED INTO ITS SPECIALTY PEDIATRIC CLINIC, WHICH HAS STATE-WIDE PEDIATRIC SERVICES RESPONSIBILITY AS PART OF THE ALASKA TRIBAL HEALTHCARE SYSTEM, THE ALASKA NATIVE MEDICAL CENTER AND THROUGH AGREEMENTS WITH THE ALASKA NATIVE TRIBAL HEALTH CONSORTIUM. COORDINATION: SCF WILL PARTNER WITH STONE SOUP GROUP (SSG) TO PROVIDE STRENGTH-BASED, CULTURALLY ATTUNED, ONE-TO-ONE FAMILY SUPPORT TO CYSHCN AND THEIR FAMILIES. EVALUATION: EVALUATION QUESTIONS INCLUDE: IS THE TARGET POPULATION ACCESSING INFORMATION THROUGH THE PARENT NAVIGATOR?; DO FAMILIES FIND STABILITY, SUPPORT AND THE RESOURCES THEY NEED, AFTER CONNECTING WITH THE PARENT NAVIGATOR?; ARE PROGRAMS/RESOURCES FOR NATIVE CYSHCN INCREASING?; DO PROFESSIONALS ENGAGE PARENTS OF CYSHCN IN HEALTH CARE DECISION MAKING?; AND DO FAMILIES RECEIVE ACTIONABLE INFORMATION TO HELP THEM ADVOCATE FOR THEIR CHILD?

FY 2023 EARLY CHILDHOOD DEVELOPMENT

OATC-2023

TRIBAL INJURY PREVENTION COLLABORATION - ATV SAFETY & TABI - SOUTHCENTRAL FOUNDATION (SCF) IS SEEKING FUNDING FOR ALL-TERRAIN VEHICLE (ATV) SAFETY AND TRAUMATIC BRAIN INJURY (TBI) THROUGH PART I OF THE TRIBAL INJURY PREVENTION COOPERATIVE AGREEMENT PROGRAM. SCF IS AN ALASKA NATIVE-OWNED, 501(C)(3) NONPROFIT HEALTH CARE ORGANIZATION SERVING OVER 70,000 ALASKA NATIVE AND AMERICAN INDIAN (AN/AI) INDIVIDUALS, AND WAS INCORPORATED IN 1982 UNDER THE TRIBAL AUTHORITY OF COOK INLET REGION, INC. (CIRI). TO REDUCE AND ELIMINATE TBI, THIS PROJECT WILL PROVIDE EDUCATION, TRAINING, AND SOCIAL CHANGE WHICH WILL ELIMINATE ATV MORBIDITY AND MORTALITY IN RURAL ALASKA. THE PROJECT HAS TWO PARTS: IT WILL PROVIDE STATEWIDE SUPPORT FOR ATV-RELATED INITIATIVES, AND IT WILL IMPROVE EARLY IDENTIFICATION AND INTERVENTION SERVICES FOR INDIVIDUALS WITH TRAUMATIC AND ACQUIRED BRAIN INJURIES (TABI). A KEY COMPONENT OF THIS FIRST EVIDENCE-BASED MODEL IS ATV SAFETY RODEOS IN RURAL VILLAGES AT WHICH TRAINERS DISTRIBUTE SAFETY HELMETS TO PARTICIPATING YOUTH. • 5-YEAR GOAL: BY THE END OF YEAR 5, THERE WILL BE A 20% INCREASE IN THE PROPORTION OF CHILDREN UNDER 18 YEARS OF AGE WHO HAVE COMPLETED THE ATV SAFETY RODEO IN THE SCF-SERVED ASU COMMUNITIES. O OBJECTIVE 1.1: TRAIN AND PROVIDE FREE CERTIFIED HELMETS TO AT LEAST 25 INDIVIDUALS OF WHOM AT LEAST 50% ARE UNDER THE AGE OF 18 AT ATV SAFETY EVENTS IN AT LEAST 4 NETWORK COMMUNITIES EACH YEAR. O OBJECTIVE 1.2: REDUCE THE NUMBER OF TBIS REQUIRING SERVICE AT A NETWORK FQHC OR VILLAGE HEALTH CLINIC BY 25% FROM BASELINE. O OBJECTIVE 1.3: ATTAIN 50% REDUCTION OF ATV-RELATED INCIDENTS AT NETWORK VILLAGES OVER THE NEXT FIVE YEARS O OBJECTIVE 1.4: PROVIDE ATV SAFETY TRAINING IN RELATION TO TBIS TO AT LEAST 75% OF RURAL PROVIDERS AT PROJECT SERVICE SITES OVER THE NEXT FIVE YEARS. THE REQUESTED FUNDING AMOUNT IS $150,000.00 PER YEAR OVER 5 YEARS: EACH BUDGET PERIOD BEGINNING WITH THE CALENDAR YEAR STARTING ON JANUARY 1ST, 2026

IGF::OT::IGF CORE CONCEPTS TRAINING

LEASE OF ANCHORAGE VET CENTER

TRPH-2022

LEASE FOR SPACE

OANT-2023

IGF::OT::IGF VISN 20 EXECUTIVE LEADERSHIP MEETING NUKA TRAINING

CONFERENCE: SOUTHCENTRAL FOUNDATION'S 3RD ANNUAL NUKA CONFERENCE JUNE 17-21, 2013.IGF::CL::IGF.

DENTAL FITNESS CLASS 3

SPEAKER FEE

OTHER PROFESSIONAL SERVICES