The U.S. Bureau of Indian Affairs invited a cross-section of six American Indian and Alaska Native communities to participate in a five-year pilot of the Tiwahe initiative. The Red Lake Nation, Fort Belknap Indian Community, Spirit Lake Nation, Ute Mountain Ute Tribe, Pascua Yaqui Tribe and the Association of Village Council Presidents received funding to assess their needs and design their models to improve the health, safety and well-being of families by implementing a coordinated service delivery model. Their aim was to increase access to family and social services; create alternatives to incarceration; improve links to appropriate prevention, intervention and treatment opportunities; improve case management services; and improve partnerships among the available providers of services for tribal children and families. This report is an evaluation of that process.