The American IndianAlaska Native National Resource Center for Substance Abuse and Mental Health Serv

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The American Indian/Alaska Native National
Resource Center for Substance Abuse and Mental
Health Services
The Indian Country Methamphetamine Initiative
Addressing a Problem Uniquely Affecting Indian
Country
Dale Walker, MD Michelle Singer Patricia Silk
Walker, PhD Douglas Bigelow, PhD ATNI Winter
Conference January 24, 2008 Yakima, Washington
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Six Behaviors That Contribute to Serious Health
Problems

• Tobacco use
• Poor nutrition
• Behaviors resulting in intentional or
  unintentional injury
• Physical inactivity
• Risky sex
• Alcohol and other drug abuse
• Methamphetamine!

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• Methamphetamine Use, by State in
• Young Adults (18 to 25)

Source SAMHSA, 2002-2005 .
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Methamphetamine Epidemiology
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Methamphetamine/Amphetamine Admissions by
Ethnicity and Urbanization 2004
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The Methamphetamine Effect
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Methamphetamine Identified as the Primary
Health/Community Concern

• In 2006, Tribal Round Table sessions, HHS
  Regional Tribal Consultations, and numerous
  tribal community gatherings with SAMHSA, OMH, and
  IHS identified Methamphetamine abuse as the
  primary health concern in Indian Country.

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Tribal leaders unveil new meth Initiative
Indian Country Today  
NCAI President, Joe Garcia Anchorage, Alaska
June 15, 2007
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Indian Country Methamphetamine Initiative (ICMI)

• 1.75 million awarded to Association of Indian
  Physician (AAIP) its partners (National Congress
  of American Indians, One Sky Center, South and
  Eastern Tribes, and Northwest Portland Area
  Indian Health Board)
• Tribal Sites
• Navajo Nation
• Winnebago Tribe
• Northern Arapaho Tribe
• Crow Nation
• Choctaw Nation

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ICMI Project Description

• Create a National education and information
  outreach campaign for all Native communities.
• Establish and transfer knowledge from community
  based, promising practices for prevention,
  intervention and treatment.
• Work across Federal agencies for a coordinated
  and consistent outreach strategy.

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The Indian Country Methamphetamine Initiative
Project Partners
OMH
HHS
SAMHSA
IHS
AAIP
USET
NPAIHB
OSC
NCAI
Choctaw
Crow
Navajo
Northern Arapaho
Winnebago
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ICMI Partners
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ICMI Major Project Deliverables

• Outreach/Education Kit for Tribes and others
• Identification of Partners/Advisory Groups
• Coordinated Federal-Tribal-State-Local Indian
  Country Communication and Training
• Minimum 5 Tribal Specific Projects Identified and
  Evaluated for Potential Transfer to Other NA
  Communities
• Final Project Evaluation
• Year 3 - Promising Practices Transfer Kits

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Toolkit Essentials

• Leadership Information
• Methamphetamine Basics
• Tribal Code-Policy
• Media
• Educational Materials and Presentations
• Prevention and Treatment
• Educational for Students, Parents,
  Community
• Community Organizing
• Fun Youth Items
•  Additional Resources

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How to Use the Toolkit

• Leadership and decision making
• Overview of each module
• Specific topics, issue pages
• Promising Practice approaches
• What the culture and science says
• Training, technical assistance,
• and consultation
• Reference documents
• Toolkit webpage

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ID Best Practice
Best Practice
Clinical/services Research
Mainstream Practice
Traditional Healing
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Choctaw Nation of Oklahoma

• Natural Highs Program
• Transformation process
• Experiential activities
• Relationship building
• Changing the way you live and think
• Changing how you think and you believe about life
  and yourself

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METH FREE CROWALITON Unity in Our War Against
Meth
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Meth Free Crow Walk Youth as our Warriors in
Reclaiming our Nation
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Dine Nation Methamphetamine Initiative
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What Works

• Community Education
• Age-appropriate presentations, brochures, ads
• Enforcement (NLE Drug Unit)
• Arrest and detainment for trafficking
• Caring members of the community
• Partnerships
• Communities, chapters, private businesses and
  tribal divisions and programs.

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Methamphetamine InitiativeA System of Works

• Northern Arapaho Tribe

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The concept of Worksin a Comprehensive Systems
Plan

• The Problem
• turf
• gaps
• duplications
• crossed purposes
• Fragmented Service System

• The Solution
• client-centered
• multi-agency
• comprehensive
• coordinated
• efficient
• Works

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Winnebago TribeTogether, WE Make A
Difference Methamphetamine Prevention on the
Winnebago Reservation

• Tipi Means,
• Tribal Health Educator

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Goals and Objectives Winnebago Meth Task Force

• Develop/maintain a Comprehensive Methamphetamine
  Prevention Strategy
• Collectively plan and implement
• Use Proactive measures
• Use available funds - take immediate action
• Working together to determine what fits for
  tribal members and the reservation

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Next Steps

• Add two additional Tribes
• NCAI provide PSAs and house the Tribal Meth
  Taskforce
• USET and NPAIHB will gather baseline data on
  methamphetamine use
• One Sky Center
• TA for writing best practices
• Create a training curriculum
• Train additional tribes in ICMI best practices
• Develop a cultural methamphetamine abuse
  education kit

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Contact us at 503-494-3703 E-mail Dale Walker,
MD onesky_at_ohsu.edu Or visit our
website www.oneskycenter.org