BE HAVIORAL HE AL T H PROGRAMS ROCK Y MOUNT AI N T RI - PowerPoint PPT Presentation

BE HAVIORAL HE AL T H PROGRAMS ROCK Y MOUNT AI N T RI BAL E PI DE MI OL OGY CE NT E R ► Ma y 15 th 2017

Roc ky Mounta in T riba l E pide miolog y Ce nte r (RMT E C)  A divisio n o f the Ro c ky Mo unta in T rib a l L e a de rs Co unc il (RMT L C)  RMT E C se rve s the trib e s o f Mo nta na , a nd Wyo ming  T E Cs a nd HHS: ► I n additio n to de sig nating T E Cs as pub lic he alth autho ritie s, I HCI A allo ws T E Cs ac c e ss to data he ld b y the se c re tary o f HHS. I HCI A state s that the se c re tary “shall g rant to e ac h e pide mio lo g y c e nte r . . . ac c e ss to use o f the data, data se ts, mo nito ring syste ms, de live ry syste ms, and o the r pro te c te d he alth info rmatio n in the po sse ssio n o f the Se c re tary.” 22 I t also dire c ts the dire c to r o f the Ce nte rs fo r Dise ase Co ntro l and Pre ve ntio n (CDC) to pro vide te c hnic al assistanc e to T E Cs in pe rfo rming the func tio ns o utline d in I CHI A

RMT E C Mission State me nt ► T o e mpo we r Ame ric a n I ndia n Na tio ns a nd Urb a n I ndia n c o mmunitie s b y b uilding c o mmunity-drive n pub lic he a lth a nd e pide mio lo g ic a l c a pa c ity thro ug h o utre a c h a nd c re a tive pa rtne rships. …E mpo we r ing tr ibe s with r e liable data fo r planning and pr o gr am de ve lo pme nt.

Roc ky Mounta in T riba l E pide miolog y Ce nte r (RMT E C) Co mmunity Pro g ra ms E pide mio lo g y linke d to a nd Clinic a l Surve illa nc e Se rvic e He a lth Ca re Po lic y a nd Syste ms E nviro nme nta l I nte rve ntio ns Appro a c he s

Me th/ Suic ide Pre ve ntion (MSPI) Dome stic Viole nc e Pre ve ntion (DVPI) Se ve n trib e s in Mo ntana and Wyo ming have MSPI , MSPI /GE N-I , and DVPI funding fro m I ndian He alth Se rvic e to re duc e and pre ve nt me thamphe tamine use , suic ide , and do me stic vio le nc e .  MSPI a nd DVPI initia tive s inc lude :  Swe a ts fo r wo me n in the ja il syste m  Anti-b ullying c urric ulums in the sc ho o ls  Me dic a tio n a ssiste d tre a tme nt pro g ra ms fo r sub sta nc e a b use c a re  Summe r pro g ra ms fo r te e na g e rs  Wra p a ro und c a re in the sc ho o l syste m  RMT E C wo rks with the Ce nte r fo r He a lth E q uity, E duc a tio n, a nd Re se a rc h (CHE E R) a t Bo sto n Unive rsity Sc ho o l o f Me dic ine to pro vide te c hnic a l a ssista nc e o n:  Se lf-e va lua tio n  Da ta c o lle c tio n to o ls  Ba se line da ta c o lle c tio n  Da ta a na lysis to tra c k re sults  Co mple tio n o f I HS re po rting re q uire me nts fo r c o ntinue d funding

COUNCIL OF ST AT E AND T E RRIT ORIAL E PIDE MIOL OGIST S (CST E ) SUBST ANCE ABUSE SURVE IL L ANCE Surve illanc e o f Sub stanc e Use and Me ntal He alth fo r Ame ric an I ndian Co mmunitie s Give n e me rg ing surve illa nc e infra struc ture a nd the Billing s Are a I ndia n He a lth Se rvic e funding prio ritie s o f me nta l he a lth a nd sub sta nc e use , RMT E C will b e de ve lo ping a surve illa nc e stra te g y fo r trib e s in the re g io n, whic h ma y inc lude : .  Re vie wing the list o f re c o mme nde d indic a to rs  De te rmining ho w the se da ta a re c urre ntly use d b y RMT E C a nd trib e s  De ve lo ping a stra te g y fo r e nha nc ing c urre nt surve illa nc e  Cre a ting ne w surve illa nc e stra te g ie s fo r trib e s se rve d b y RMT E C AIM #1 Pro vide te c hnic a l a ssista nc e fo r trib e s to unde rsta nd e me rg ing pub lic he a lth issue s a nd ne e ds fo r da ta surve illa nc e o f sub sta nc e a b use a nd b e ha vio ra l he a lth diso rde rs. AIM #2 Ba se d o n kno wle dg e g a ine d fro m the ne e ds a sse ssme nt a nd lite ra ture re vie w, de ve lo p a te c hnic a l a ssista nc e a nd tra ining pla n fo r trib a l c o mmunitie s to stre ng the n o r de ve lo p surve illa nc e syste ms to a ddre ss SUD a nd b e ha vio ra l he a lth ne e ds.

Opioid Pre ve ntion Pilot Proje c t with Bla c kfe e t F ro m Plans to Ac tio n: Pre ve ntio n and Suppo rt fo r Pre g nant Blac kfe e t Wo me n Using Opio ids A fo llo w-up o n a pre vio us Mo nta na He a lthc a re F o unda tio n pla nning g ra nt fro m 2016 whic h funde d RMT E C a nd the Bo sto n Unive rsity Sc ho o l o f Me dic ine to pe rfo rm initia l pla nning o n o pio id pre ve ntio n a mo ng pre g na nt wo me n o n Bla c kfe e t. T he ne w funding will c o ntinue this wo rk b y:  So lidifying a nd c o o rdina ting the wo rk o f the OPT  Co nduc ting fo c us g ro ups/ ke y info rma nt inte rvie ws with o pio id-use rs a nd with c linic ia ns o n Bla c kfe e t  Co nduc ting a g a p a na lysis to de te rmine a ny tre a tme nt sho rtfa lls fo r o pio id-using pre g na nt wo me n o n Bla c kfe e t  Asse ssing the a de q ua c y o f pre na ta l sc re e ning  E sta b lishing a re fe rra l syste m fo r c a re T he Mo ntana He althc are F o undatio n will assist with c re atio n o f a b usine ss plan fo r Me dic atio n Assiste d T re atme nt o n the Re se rvatio n

T riba l Pre ve ntion Initia tive (T iPI) Aiming to re duc e unde rag e alc o ho l & drug ab use and pro mo te a ho listic c o mmunity b ase d we llne ss mo ve me nt b ase d o n trib al traditio ns, c usto ms and c o mmunity value s.  T he pro je c t is fo c use d o n re a c hing a t le a st 1200 yo uth a nd the ir fa milie s fro m the se c o mmunitie s b y ha ving the m c o mple te a pa rtic ipa nt surve y a nd b e e ng a g e d in c ultura l b a se d pre ve ntio n a c tivitie s in the ir ho me c o mmunity.  T he pro g ra m c o lle c ts info rma tio n thro ug h yo uth surve ys a nd pro vide s c o mmunity b a se d, c o mmunity de sig ne d a nd c o mmunity c o ntro lle d pre ve ntio n pro je c ts tha t inte g ra te trib a l c ulture a nd tra ditio ns into the ir g ra nt a c tivitie s. Highlights inc lude suppo r ting so be r c o mmunity e ve nts fo r yo uth, suc h as: Cultura l c a mps, the Cre a to rs Ga me , po wwo ws, da nc e s, b a ske tb a ll to urna me nts a nd c linic s, sc ho o l o utre a c h, c ultura l wa lks, c ultura l hike s, c o mmunity g a the ring s, swe a ts, b e a ding , drum g ro ups, b lo c k pa rtie s, stre e t da nc e s, a nd mo re

T ra nsitiona l Re c ove ry a nd Culture Proje c t (T RAC) Pro viding Pe e r Re c o ve ry Suppo rt se rvic e s to the trib e s and urb an I ndian c o mmunitie s (Billing s, MT and Rive rto n, WY)  T RAC re lie s o n c ulture b a se d a c tivitie s, inc luding the use o f tra ditio na l c e re mo nie s to he lp I ndia n c lie nts g o ing thro ug h the re c o ve ry pro c e ss.  T RAC ha s ha d a po sitive impa c t o n Pe e rs who ha ve pa rtic ipa te d in we e kly me e ting s, ta lking c irc le s, swe a ts, a nd o the r c ultura l b a se d suppo rt.  T he se lo c a l a c tivitie s a re impo rta nt to Pe e rs in the ir re c o ve ry b e c a use the y a re a c c e ssib le , mo re c o mfo rta b le b e c a use the y use lo c a l pe o ple a nd b e c a use the y re ly upo n c o mmunity va lue s a nd c ultura l te a c hing s fa milia r to the Pe e r. Hig hlig hts inc lude :  T ra ining 31 Pe e r Me nto rs to pro vide Pe e r Re c o ve ry Suppo rt in six c o mmunitie s, re a c hing mo re tha n 2,200 Ame ric a n I ndia n pe o ple in re c o ve ry thro ug h c ultura lly b a se d re c o ve ry suppo rt  Mo re tha n 224 Pe e rs in re c o ve ry re c e ive d individua l a nd g ro up suppo rt.  T RAC re a c he d mo re tha n 12,000 pe o ple in six c o mmunitie s o ve r a 3-ye a r pe rio d.

Child He a lth Me a sure s (CHM) Se c onda ry Da ta Ana lysis A Clinic al T ranslatio nal Re se arc h Pro g ram (CT RP) thro ug h Mo ntana State Unive rsity (MSU) and Natio nal I nstitute s o f He alth (NI H) ► T he CHM Pro je c t is a 10-ye a r c o ho rt initia tive (2007-2017) tha t c o lle c ts he a lth da ta o n sc ho o l a g e d c hildre n 5-19 ye a rs ► to hig hlig ht the hig h ra te s o f c hildho o d o b e sity a nd he a rt dise a se a mo ng c hildre n o n pa rtic ipa ting trib a l re se rva tio ns. ► T he prima ry g o a l o f the pro je c t is to de sc rib e CHM da ta to ide ntify a nd a ddre ss a Dia b e te s inte rve ntio n fo r Ame ric a n I ndia n yo uth

Good He a lth a nd We llne ss in India n Country (GHWIC) T o b ac c o Supple me ntal F unding ► GHWI C is a 4-ye a r (Se pt 2015-Se pt 2019) g ra nt tha t fo c use s o n wo rking with trib a l pa rtne rs o n c o mme rc ia l to b a c c o c e ssa tio n e ffo rts within Ame ric a n I ndia n c o mmunitie s. ►  Pro mo te the use o f Ame ric a n I ndia n Quitline s  Pro vide a re a -wide T ips me dia c a mpa ig n te c hnic a l a ssista nc e / e duc a tio n to he a lth sta ff a nd T rib a l T o b a c c o Pre ve ntio n Spe c ia list (T PS) fro m the 7 re se rva tio ns a nd 3 urb a n c e nte rs.  I nc re a se e ffo rts to wa rd po lic y c ha ng e  Ame ric a n I ndia n T o b a c c o Surve y