Evolution of San Francisco Bay Area urban trails.

The Family and Child Guidance Clinic of the Native American Health Center (NAHC) has developed strong working relationships with San Francisco Bay Area system partners in order to serve the mental health needs of American Indian/Alaska Native children and families. NAHC worked relentlessly with stakeholders to pave the Urban Trails that urban Indigenous community members utilize to access culturally competent care. These Urban Trails have been grounded in a community-based system of care model and cultural framework that links substance abuse and mental health through a holistic approach congruent with Indigenous values and traditions. This article describes how NAHC has partnered with community members and organizational stakeholders to develop and sustain an effective holistic system for serving urban Indigenous people.