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The Journey Of Native American People with Serious Mental Illness
Executive Summary

Common Themes, Specific Issues and Related Recommendations - Theme C

Funding and other resources are often inadequate, fragmented, and inequitably distributed.

Issues Recommendations
1.   Financial resources are inadequate. 1a. Provide more Congressional and State government resources specifically for mental health services to Native Americans.
2.   IHS Mental Health does not always receive Medicare and Medicaid funds that is should. 2a. Revise current IHS policies which direct Medicare and Medicaid funds to areas other than mental health services.
3.   Tribes often are either unaware of or not included in funding opportunities. 3a. Ensure that tribes are aware of all funds affecting tribal populations, including State block grants.
3b. Give funding priority to requests for Proposals that are Native American-related; require that they be collaborative efforts.
3c. Move to a better disbursement of funds through collaboration of tribes, States, and the HHS Department. Involve consumers and families in discussing how to better utilize funds.
4.   Tribes sometimes bid for Medicare and Medicaid funds without requisite capacity to receive them. 4a. Develop a strategy to assist tribe in capacity building to include the 638 process, development of program services, governance, and grant writing.
5.   Mental health planning efforts are cripples by lack of data on funding patterns. 5a. Develop resource documentation on the current status of funding, State by State, through NASMHPD.
6.   Providers are often unaware of or unable to access all available resources. 6a. Use the Alliance for the Mentally Ill as resource to Native American and providers.
6b. Combine Western and Native American traditional approaches to treatment and educate providers regarding both systems.
6c. Encourage providers, family members, consumers, and administrators to take action, for example, through writing to senators and representative , to ensure that the most contemporary treatments and services (such as Clozapine) are available to Indian communities.

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