Together Overcoming Diabetes - Great Plains

Inclusion Criteria - Adult Index Participants: * 18 years and older * Self-identifies as American Indian or Alaska Native * Rapid City-based participants who reside within 1 hour transportation range of the Oyate Health Center * Verification from a health provider to confirm Type 2 Diabetes diagnosis by laboratory test. * Caregiver to a 10- to 25-year-old in their home at the time of screening. * Willing to complete all implementation and follow-up assessments. * Willing to be randomized for the intervention. Exclusion Criteria - Adult Index Participants: * Inability to participate in full intervention or evaluation (e.g., planned move, residential treatment, etc.) * Willing to serve as 'support person' for the adult participant. * Has a circumstance that might impact successful participation based on provider judgment considering instances where diabetes control can become more difficult with advanced disease or special conditions including: pregnant, nursing, or planning to become pregnant, end-stage renal disease on dialysis, diabetes due to secondary causes such as Cushing's or Cystic Fibrosis, or any condition that may inhibit participation Inclusion Criteria - Youth Support Participants: * Between 10 years and 25 years old * Self-identifies as American Indian or Alaska Native. * Willing to serve as 'support person' for the adult participant. * Willing to complete all implementation and follow-up assessments. * Willing to be randomized for the intervention. Exclusion Criteria - Youth Support Participants: * Cognitively or visually impaired * Youth in foster care (due to potential mobility of foster youth).