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Disparity of Education, Services, and Research:

The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services. Disparity of Education, Services, and Research: A National Strategy for Native Mental Health and Addictions Prevention and Treatment Las Vegas, Nevada December 8, 2005.

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Disparity of Education, Services, and Research:

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  1. The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services Disparity of Education, Services, and Research: A National Strategy for Native Mental Health and Addictions Prevention and Treatment Las Vegas, Nevada December 8, 2005 Dale Walker, MD Patricia Silk Walker, PhD Douglas Bigelow, PhD Bentson McFarland, MD, PhD Michelle Singer

  2. For information, contact us at 503-494-3703 E-mail Dale Walker, MD onesky@ohsu.edu Or visit our website: www.oneskycenter.org

  3. Native Aspirations!

  4. Overview • An Environmental Scan • Behavioral Health Care Issues • Fragmentation and Integration • Introduction to One Sky Center • Opportunities for Partnership

  5. AmericanIndian and Alaska Native Health Disparities • Have same health disorders as general population • Greater prevalence • Greater severity • Much less access to Tx • Cultural relevance more challenging • Social context disintegrated

  6. Agencies Involved in B.H. Delivery 1. Indian Health Service (IHS) A. Mental Health B. Primary Health C. Alcoholism / Substance Abuse 2. Bureau of Indian Affairs (BIA) A. Education B. Vocational C. Social Services D. Police 3. Tribal Health 4. Urban Indian Health • State and Local Agencies • Federal Agencies: SAMHSA, VAMC

  7. Difficulties of Program Integration • Separate funding streams and coverage gaps • Agency turf issues • Different treatment philosophies • Different training philosophies • Lack of resources • Poor cross training • Consumer and family barriers

  8. Different goals Resource silos One size fits all Activity-driven How is it working? (Carl Bell, 7/03)

  9. Best Practice Culturally specific Outcome driven Integrating resources We need Collaboration, Integration, and Synergy : Community Mobilization (Carl Bell, 7/03)

  10. Native Communities Advisory Council / Steering Committee One Sky Center

  11. Program Goals • Promote and nurture effective and culturally appropriate prevention, treatment, and mental health services • Identify and disseminate evidence-based prevention, treatment, and mental health practices • Provide training and technical assistance • Help to expand capacity

  12. Cook Inlet Tribal Council Alaska Native Tribal Health Consortium Tribal Colleges and Universities Northwest Portland Area Indian Health Board One Sky Center United American Indian Involvement National Indian Youth Leadership Project Jack Brown Adolescent Treatment Center Na'nizhoozhi Center One Sky Center Partners

  13. Projects • Review SAMHSA portfolio: 134 projects • Mental health liaison – SAMHSA/ IHS • Medicaid, state, Indian funding • Best practices consensus project • National traffic safety – drivers training • Suicide and substance abuse • Suicide prevention

  14. Identify Best Practice Best Practice Evidence Based Mainstream Practice Traditional Healing

  15. Circle of Care Traditional Healers Child & Adolescent Programs Primary Care A&D Programs Best Practices Boarding Schools Colleges & Universities Prevention Programs Emergency Rooms

  16. Community MobilizationPartnered Collaboration Community-Based Organizations Grassroots Groups Treatment-Education-Research

  17. Native Aspirations!

  18. = OSC Technical Assistance Provision

  19. Activities and Products • Motivational Interviewing Manual • Best Practices Monograph • Promising Programs Review • Suicide – Consultation List • Suicide Program Directory • Community Assessment Instrument • Traffic Safety Programs in Native Areas • School List of Native Students • Service Learning Program • Methamphetamine Treatment and Prevention • Suicide Prevention Website • Cognitive Behavior Therapy Manual • Schools/Colleges • HIV – AIDS • Tele Health • CDC

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