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Join us in exploring career development and leadership enhancement in minority issues within Native communities. Learn about challenges, indigenous knowledge, traditional medicine, evidence-based practices, and best practices in mental health services. Discover the circle of care, traditional healers, and effective programs. Contact us to learn more!
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The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services Developing our Careers, Enhancing our Leadership Skills: Minority Issues Dale Walker, MD Patricia Silk Walker, PhD Douglas Bigelow, PhD Bentson McFarland, MD, PhD, Laura Loudon, MS Michelle Singer Oregon Health and Science University American Psychiatric Association Annual Meeting Washington, DC May 4, 2008
Introduce Self • Cherokee • Physician • Psychiatrist • Teacher • Family Man
Native Communities Advisory Council / Steering Committee One Sky Center
One Sky Center Partners Tribal Colleges and Universities Cook Inlet Tribal Council Alaska Native Tribal Health Consortium Prairielands ATTC Red Road Northwest Portland Area Indian Health Board One Sky Center Harvard Native Health Program United American Indian Involvement Jack Brown Adolescent Treatment Center National Indian Youth Leadership Project Tri-Ethnic Center for Prevention Research Na'nizhoozhi Center
The Career Startup • Get the geography and history down • Finding the right spot • Getting the right questions • Meeting the right people • Building bridges • Optimism always
Native Health Problems Alcoholism 6X Tuberculosis 6X Diabetes 3.5 X Accidents 3X Depression 3x Suicide 2.5x Violence?
AmericanIndians • Have same disorders as general population • Greater prevalence • Greater severity • Much less access to Tx • Cultural relevance more challenging • Social context disintegrated
What I do: Professor (1) • Center Director for CAIHER • National Mentor Program • Recruitment and Retention • Cultural Competence • Indian OHSU Summit • One Sky Center Director • Tribal/ Urban Technical Assistance, Consultation • Develop Evidence Based Treatment/ Traditional • Suicide • Methamphetamine Initiative
What I do: Professor (2) • Community • Clinician • Patient Care /Community Care • Research • Disparity • Treatment Outcome effectiveness • Multigenerational • Bridging/Making Connections, Partnerships
What I do: Nationally • APA • Minority Deputy Representative to Speaker • Committee of American Indian Psychiatrists • Washington State, Oregon State • Components • Strategic Plan • Task Force on Minority Affairs • Council on Advocacy and Public Policy • IHS, BIA, NCAI, NIHB
Challenges • My Identities • Political • Social • Economic • Complexity of Issues • Your Friends, your Allies, Other
Rewards • You will always be the student • Meeting so many Tribes • There are some Dedicated People out there • The mentorship opportunities
Definitions: Indigenous Knowledge • Is local knowledge unique to a given culture or society; it has its own theory, philosophy, scientific and logical validity, which is used as a basis for decision-making for all of life’s needs.
Definitions: Traditional Medicine • The sum total of health knowledge, skills and practices based upon theories, beliefs and experiences indigenous to different cultures…used in the maintenance of health. WHO 2002
Definitions: Evidence-based Practices • Interventions that show consistent scientific evidence of improving a person’s outcome of treatment and/or prevention in controlled settings. SAMHSA 2003
Definitions: Best Practices • Examples and cases that illustrate the use of community knowledge and science in developing cost effective and sustainable survival strategies to overcome a chronic illness. WHO 2002
Circle of Care Traditional Healers Child & Adolescent Programs Primary Care Best Practices A&D Programs Boarding Schools Colleges & Universities Prevention Programs Emergency Rooms
Contact us at 503-494-3703 E-mail Dale Walker, MD onesky@ohsu.edu Or visit our website: www.oneskycenter.org