The%20American%20Indian/Alaska%20Native%20National%20Resource%20Center%20for%20Substance%20Abuse%20and%20Mental%20Health%20Services

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The American Indian/Alaska Native National
Resource Center for Substance Abuse and Mental
Health Services
Disparity of Education, Services, and Research A
National Strategy for Native Mental Health and
Addictions Prevention and Treatment Las Vegas,
Nevada December 8, 2005
Dale Walker, MD Patricia Silk Walker, PhD
Douglas Bigelow, PhD Bentson McFarland, MD,
PhD Michelle Singer
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• For information, contact us at
• 503-494-3703
• E-mail
• Dale Walker, MD
• onesky_at_ohsu.edu
• Or visit our website
• www.oneskycenter.org

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Native Aspirations!
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Overview

• An Environmental Scan
• Behavioral Health Care Issues
• Fragmentation and Integration
• Introduction to One Sky Center
• Opportunities for Partnership

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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 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

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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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Different goals
Resource silos
One size fits all
Activity-driven
How is it working?
(Carl Bell, 7/03)
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Best Practice
Culturally specific
Outcome driven
Integrating resources
We need Collaboration, Integration, and Synergy
Community Mobilization
(Carl Bell, 7/03)
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Native Communities
Advisory Council / Steering Committee
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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One Sky Center Partners
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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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Identify Best Practice
Best Practice
Evidence Based
Mainstream Practice
Traditional Healing
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Circle of Care
Traditional Healers
Child Adolescent Programs
Primary Care
AD Programs
Best Practices
Boarding Schools
Colleges Universities
Prevention Programs
Emergency Rooms
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Community MobilizationPartnered Collaboration

Community-Based Organizations
Grassroots Groups
Treatment-Education-Research
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Native Aspirations!
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OSC Technical Assistance Provision
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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