The American IndianAlaska Native National Resource Center

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The American IndianAlaska Native National Resource Center

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SAMHSA Administrator's Policy on Tribal Eligibility ... SAMHSA AI/AN Grants 2005. Drug-Free Communities Support Program. New Circles of Care grants ... – PowerPoint PPT presentation

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Title: The American IndianAlaska Native National Resource Center

1
One Sky Center
The American Indian/Alaska Native National
Resource Center for Substance Abuse and Mental
Health Services
Mental Health in Native Communities
Strengthening Our System of Care HHS Region
VIII Tribal Consultation Denver, Colorado June
8-9, 2005
Dale Walker, MD Steve Sawmell Patricia Silk
Walker, PhD Douglas Bigelow, PhD Laura
Loudon, MS
2

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

3
Overview

An Environmental Scan
Behavioral Health Care Issues
Fragmentation and Integration
Introduction to One Sky Center
SAMHSA Activities

4
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5
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6
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

7
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

8
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

9
Different goals
Resource silos
One size fits all
Activity-driven
How is it working?
(Carl Bell, 7/03)
10
Best Practice
Culturally specific
Outcome driven
Integrating resources
We need Collaboration, Integration, and Synergy
Community Mobilization
(Carl Bell, 7/03)
11
Native Communities
Advisory Council / Steering Committee
One Sky Center
12
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

13
One Sky Center Partners
14
Identify Best Practice
Best Practice
Evidence Based
Mainstream Practice
Traditional Healing
15
Circle of Care
Traditional Healers
Child Adolescent Programs
Primary Care
AD Programs
Best Practices
Boarding Schools
Colleges Universities
Prevention Programs
Emergency Rooms
16
Community MobilizationPartnered Collaboration

Community-Based Organizations
Grassroots Groups
Treatment-Education-Research
17
SAMHSA Administrators Policy on Tribal
Eligibility

Tribal entities are eligible for all grants for
which States are eligible unless there is a
compelling reason to the contrary. Any reason
for excluding Tribal entities from grant
eligibility needs to be justified and approved by
the Administrator.

18
SAMHSA AI/AN Grants 2005

Drug-Free Communities Support Program
New Circles of Care grants
New Substance Abuse Treatment Capacity grants
Suicide grants, one set-aside for a tribal
organization.
Child and Adolescent Mental Health and Substance
Abuse State Infrastructure Grants
Child Mental Health Systems of Care grants
Youth/Schools Violence Prevention
Recovery Community Services Program

19
SAMHSA National Outcomes Measures