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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 l.jpg

Background and History of the Circles of Care Initiative

Jill Erickson, MSWCMHS Project Officer


Circles of care iii sm 05 008 l.jpg
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


New freedom commission transforming mental health care in america l.jpg

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


Goals circles of care l.jpg

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


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History of the Initiative members, in partnership with program and evaluation staff.

  • 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.


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ELIGIBILITY, Circles of Care members, in partnership with program and evaluation staff.

  • 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.


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Award Information members, in partnership with program and evaluation staff.

  • $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


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Circles of Care I Grantees members, in partnership with program and evaluation staff.(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


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Circles of Care II Grantees members, in partnership with program and evaluation staff.(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


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Technical Assistance members, in partnership with program and evaluation staff.

  • National Indian Child Welfare Association, Program Technical Assistance, (IAA, IHS)

  • National Center for American Indian and Alaska Native Mental Health Research, (IAA, NIMH)


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Tribal Consultation members, in partnership with program and evaluation staff.

  • 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.


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Special Journal Edition, U of CO members, in partnership with program and evaluation staff.

  • 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


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Circles III, New Announcement members, in partnership with program and evaluation staff.

  • 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


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SAMHSA - New Address members, in partnership with program and evaluation staff.

  • 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