With Eagle’s Wings
Wind River Indian Reservation, Wyoming
October and November, 1998
WEW is designed to provide comprehensive mental health services to seriously emotionally and behaviorally challenged children on the Wind River Indian Reservation. Specific goals and objectives include providing a system of care, including wraparound services, case management, outreach, aftercare, and intensive services; developing multicultural training and resource programs for service providers to promote culturally competent mental health services; developing a community mental health planning and development board; ensuring the full involvement and partnership of families through development of a formal parent support network and advocacy program; and evaluating program effectiveness by using a data collection system that is culturally friendly and appropriate. The project is also trying to become a designated mental health catchment area so that it can be eligible for Medicaid reimbursement and apply for block grants.
WEW provides services to children and families who live on the Wind River Indian Reservation. The reservation includes 6,500 members of the Northern Arapaho Tribe, 3,400 members of the Eastern Shoshone Tribe, and a few members of other American Indian tribes. The reservation covers an area of approximately 2.6 million acres, which illustrates the necessity for transportation services. The target population served by WEW is children and youth aged 0–18 who reside within the boundaries of the Wind River Reservation or are enrolled as a Shoshone or Northern Arapaho. To be eligible for enrollment in WEW, children must have evidence of the presence of an emotional, behavioral or mental heath disorder diagnosable under the DSM–IV or ICD–9–CM. There must be evidence that the child or youth is not able to perform safely and independently in the areas of family or community, and the child or youth must have service needs involving two or more community agencies. At the time of the 04 site visit, WEW was serving 122 children, an increase of 26 children since the 2003 assessment. The number of referrals and intake fluctuate. Referral and intake have been as high as 20 youth per month, depending on both the staff available and children found to be eligible, with the average being approximately four per month. In the original grant proposal, enrollment was capped at 120, but the program continues to enroll children.