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The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services. Disparity of Health Services and Research: A National Strategy for Native Mental Health and Addictions Prevention and Treatment NAMI National Meeting, Washington, DC, June 30, 2006. - PowerPoint PPT Presentation
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The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services
Disparity of Health Services and Research: A National Strategy for Native Mental Health and Addictions Prevention
and Treatment
NAMI National Meeting, Washington, DC, June 30, 2006
Dale Walker, MD Patricia Silk Walker, PhD Douglas Bigelow, PhD
Bentson McFarland, MD, PhD Michelle Singer
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One Sky Center
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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
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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
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One Sky Center Partners
Jack Brown Adolescent Treatment Center
Alaska Native Tribal Health Consortium
United American Indian Involvement
Northwest Portland Area Indian Health Board
Na'nizhoozhi Center
Tribal Colleges and Universities
National Indian Youth Leadership Project
Cook Inlet Tribal Council
Tri-Ethnic Center for Prevention Research
Red Road
Prairielands ATTC
Harvard Native Health Program
One Sky Center
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One Sky Center Outreach
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What It’s All About!
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Presentation Overview
• Introduce One Sky Center• An Environmental Scan• Native Behavioral Health System Issues• Fragmentation and Integration• Integrated care approaches and interagency
coordination are best overall solutions
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Six Missions Impossible?• How do we define health, education, and
social problems? • How do we define disaster?• How do we ask for help?• How do we get Federal and State agencies to
work together and with us?• How do we build our communities?• How do we restore what is lost?
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A Quiet Crisis: Federal Funding and Unmet Needs
in Indian Country, July 2003
Funding not sufficient to meet needs for:• Health care• Education • Public safety• Housing• Infrastructure development needed
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American Indian 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
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Agencies Involved in B.H. Delivery
1. Indian Health Service (IHS)A. Mental HealthB. Primary HealthC. Alcoholism / Substance Abuse
2. Bureau of Indian Affairs (BIA)A. EducationB. VocationalC. Social ServicesD. Police
3. Tribal Health4. Urban Indian Health5. State and Local Agencies6. Federal Agencies: SAMHSA, VAMC
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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
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How are we functioning? (Dale Walker, Carl Bell, 7/03)
One size fits allOne size fits all
Different goals Different goals Resource silosResource silos
Activity-drivenActivity-driven
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We need Synergy and an Integrated System: Community Mobilization
(Dale Walker, Carl Bell, 7/03)
Culturally Specific
Culturally Specific
Best Practice
Best Practice
IntegratingResources
IntegratingResources
Outcome Driven
Outcome Driven
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Identify Best Practice
Best Practice
Evidence Based
TraditionalHealing
MainstreamPractice
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Circle of Care
Best Practices
Child & Adolescent Programs
Prevention Programs
Primary Care
EmergencyRooms
TraditionalHealers
A&D Programs
Colleges & Universities
Boarding Schools
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Community MobilizationPartnered Collaboration
Treatment-Education-Research
Grassroots Groups
Community-BasedOrganizations
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Native Aspirations!
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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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Contact us at503-494-3703E-mail Dale Walker, [email protected] visit our website:www.oneskycenter.org