This article describes the creation of a system of care in children's mental health by the Passamaquoddy Tribe located in Princeton, Maine. The history of this Native American community; the impact of oppression, historical trauma, and contemporary economic, health, and educational inequities on child and family health well-being; and the barriers to providing culturally competent child mental health services are reviewed. Descriptions of the key components and core concepts of the system of care are presented along with case examples highlighting the array of services. Finally, implications for practice in the creation of culturally competent systems of care within Native American communities are discussed.
