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Background and History of the Circles of Care Initiative

Background and History of the Circles of Care Initiative. Jill Erickson, MSW CMHS Project Officer. CIRCLES OF CARE III SM 05-008. Tribal Infrastructure Grants for Transforming Behavioral Health Systems for American Indian and Alaska Native (AI/AN) Children and their Families

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Background and History of the Circles of Care Initiative

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  1. Background and History of the Circles of Care Initiative Jill Erickson, MSWCMHS Project Officer

  2. CIRCLES OF CARE IIISM 05-008 • Tribal Infrastructure Grants for Transforming Behavioral Health Systems for American Indian and Alaska Native (AI/AN) Children and their Families • Standard Grant Announcement, Infrastructure Grants-INF 05 PA

  3. Americans understand that MH care is essential for all overall health MH is consumer and family driven Disparities in MH care are eliminated, cultural and rural/remote Early MH screening, assessment and referral: common practice Excellent MH care is delivered and research is accelerated Technology is used to access MH care and information. New Freedom Commission: Transforming Mental Health Care in America

  4. To develop system of care models designed by AI/AN community members, in partnership with program and evaluation staff. To engage community in assessing service system needs, gaps, potential resources, and plans . To include special emphasis on mental health/substance abuse. To increase system response and options based on values of community served To evaluate the feasibility per available resources. To support Healthy People 2010 goals: reduce suicides, increase access to treatment Goals, Circles of Care

  5. History of the Initiative • CASSP grants to States 1984, to plan a system of care, excluded Tribes • OTA Report of 1990, found only 17 child trained MH providers for total Tribal population. • 1992+ Series of meetings, SAMHSA, Indian Health Service, other federal agencies, providers, and Tribal leaders to address disparities. • Circles of Care I awarded in 1998, followed by Circles of Care II in 2001.

  6. ELIGIBILITY, Circles of Care • Tribal Governments, Federally Recognized, as defined by PL 93-638 • Urban Indian Programs, as defined by PL 94-437 • Tribal Colleges and Universities (TCU), added in 2004 • Previous Grantees not Eligible.

  7. Award Information • $2.4 Million for 7-9 awards. • Average annual award, $250k to $350k • Awards may be requested up to 3 years, depending on availability of funds • Cost sharing/match is not required. • Technical assistance provided on-site and in grantee meetings

  8. Circles of Care I Grantees(1998-2001 Projects) • Cheyenne River Sioux Tribe – SD • Feather River Tribal Health - CA • Shared Vision Project - MT • First Nations Community Healthsource – NM • Oglala Sioux Tribe – SD • Choctaw Nation of Oklahoma • Urban Indian Health Board – Oakland, CA • Fairbanks Native Association- AK • Inter-Tribal Council of Michigan

  9. Circles of Care II Grantees(2001-2004 Projects) • Tlingit and Haida Tribes - AK • Pascua Yaqui Tribe - AZ • Salt River Pima-Maricopa Indian Community - AZ • United American Indian Involvement - CA • Blackfeet Indian Tribe - MT • Ute Indian Tribe - UT • Puyallup Tribal Health Authority - WA

  10. Technical Assistance • National Indian Child Welfare Association, Program Technical Assistance, (IAA, IHS) • National Center for American Indian and Alaska Native Mental Health Research, (IAA, NIMH)

  11. Tribal Consultation • E.O. 13175, DHHS Policy on Tribal Consultation. SAMHSA participates in regional meetings with other agencies and tribes. • Circles of Care was developed over 5 year period, beginning with exploratory meeting at the National Indian Health Board. • An advisory committee of tribal leaders and providers in the field developed the concept for the grants.

  12. Special Journal Edition, U of CO • American Indian and Alaska Native Mental Health Research, V.11, #2, 2004 • Circles of Care I, outcomes • http://uchsc.edu/ai/ncaianmhr/journal/11(2).pdf

  13. Circles III, New Announcement • Announced December 16, 2004 • Due date: February 25, 2005 • Notification planned to all tribal programs, urban Indian programs, TCU’s • TA for prospective applicants, January 2005 • www.samhsa.gov

  14. SAMHSA - New Address • 1 Choke Cherry Road, Rockville MD, 20857 • Center for Mental Health Services • Center for Substance Abuse Treatment • Center for Substance Abuse Prevention • Jill.Erickson@samhsa.hhs.gov • (240) 276-1926

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