; (D) a high prevalence of community violence, including domestic violence, as demonstrated by instances of homicide and public health statistics, including treatment of injury or trauma; (E) high proportions of low-income children; (F) a high prevalence of child fatalities or near fatalities related to child abuse and neglect; (G) significant disparities in health outcomes for people giving birth and infants; (H) a high rate of exclusionary discipline and referrals to law enforcement; and (I) a high rate of homelessness and housing instability. (2) Data from Tribal areas The Secretary, acting through the Director of the Indian Health Service, shall consult with Indian Tribes to establish criteria to measure indicators of need, for purposes of paragraph (1), with respect to Tribal areas. (f) Use of funds (1) Required uses (A) In general A grant received under this section shall be used to establish or expand gender-responsive, culturally specific, trauma-informed care coordination services, including by instituting and conducting risk and needs assessments including— (i) using strengths-based approaches focused on protective factors for children and their caregivers, including prenatal people of any age