The American IndianAlaska Native National Resource Center for Substance Abuse and Mental Health Serv - PowerPoint PPT Presentation

Loading...

PPT – The American IndianAlaska Native National Resource Center for Substance Abuse and Mental Health Serv PowerPoint presentation | free to view - id: 1a8400-YTYzN



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

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

Description:

Adolescent Treatment Center. Alaska Native Tribal Health Consortium ... Data analysis of SAMHSA's national survey on drug use and health (NSDUH) ... – PowerPoint PPT presentation

Number of Views:72
Avg rating:3.0/5.0
Slides: 52
Provided by: ohsu9
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

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


1
The American Indian/Alaska Native National
Resource Center for Substance Abuse and Mental
Health Services
Exploring New Frontiers A National Strategy for
Native Behavioral Health Sioux Falls, South
Dakota August 9-11, 2005
Dale Walker, MD Patricia Silk Walker, PhD
Douglas Bigelow, PhD Bentson McFarland, MD,
PhD Laura Loudon, MS Michelle Singer
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
  • Introduce the SAMHSA Family
  • Best Practice Evidence-Based Indigenous
    Knowledge

4
(No Transcript)
5
(No Transcript)
6
Health Problems
  • Alcoholism 6X
  • Tuberculosis 6X
  • Diabetes 3.5 X
  • Accidents 3X
  • Physicians 72/100,000 (US 242)
  • 60 Over 65 live in poverty
    (US 27)

7
American Indians
  • Have same disorders as general population
  • Greater prevalence
  • Greater severity
  • Much less access to Tx
  • Cultural relevance more challenging
  • Social context disintegrated

8
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

9
Different goals
Resource silos
One size fits all
Activity-driven
How are we functioning? (Carl Bell, 7/03)
10
Evidence based
Culturally specific
Outcome driven
Integrating resources
We need Synergy and an Integrated System (Carl
Bell, 7/03)
11
Disconnect Between Addictions / Mental Health
  • Professionals are undertrained in one of two
    domains
  • Patients are underdiagnosed
  • Patients are undertreated
  • Neither integrates well with medical and social
    service

12
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

13
(No Transcript)
14
Program Goals
  • Promote and nurture effective and culturally
    appropriate prevention and treatment
  • Identify and disseminate evidence-based
    prevention and treatment practices
  • Provide training and technical assistance
  • Help to expand capacity

15
One Sky Center Partners
16
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

17
(No Transcript)
18
(No Transcript)
19
Indigenous Knowledge
Definitions
  • Is local knowledge unique to a given culture or
    society it has its own theory, philosophy,
    scientific and logical validity, which is used as
    a basis for decision-making for all of lifes
    needs.

20
Traditional Medicine
Definitions
  • The sum total of health knowledge, skills and
    practices based upon theories, beliefs and
    experiences indigenous to different culturesused
    in the maintenance of health.
  • WHO 2002

21
Evidence-based Practices
Definitions
  • Interventions that show consistent scientific
    evidence of improving a persons outcome of
    treatment and/or prevention in controlled
    settings.
  • SAMHSA 2003

22
Best Practices
Definitions
  • Examples and cases that illustrate the use of
    community knowledge and science in developing
    cost effective and sustainable survival
    strategies to overcome a chronic illness.
  • WHO 2002

23
World Conference on Science
A partnership begins!
  • Recommended that scientific and indigenous
    knowledge be integrated in interdisciplinary
    projects dealing with culture, environment and
    chronic illness.
  • 1999

24
ID Best Practice
Best Practice
Clinical/services Research
Mainstream Practice
Traditional Healing
25
Circle of Care
Traditional Healers
Child Adolescent Programs
Primary Care
Best Practices
AD Programs
Boarding Schools
Colleges Universities
Prevention Programs
Emergency Rooms
26
(No Transcript)
27
Lifetime, Annual and 30 Day Prevalence of
Intoxication Among 224 Urban Indian Youth
R. Dale Walker, M.D. 100 completion sample
28
Changes in Lifetime Substance Use Among Urban
Indian Youth Over Nine Years
Percentage ever used
R. Dale Walker, M.D.
100 Completion Sample
29
Age of Onset of Substance Use Among Urban
American Indian Adolescents, by Substance Used
R. Dale Walker, M.D. (5/2000) Cohorts 4 5
were sampled every third year recall and
sampling bias apply
30
Integrated Treatment
  • Any mechanism by which treatment interventions
    for co-occurring disorders are combined within
    the context of a primary treatment relationship
    or service setting.
  • -CSAT

31
Effective Interventions for Adults
  • Cognitive/Behavioral Approaches
  • Motivational Interventions
  • Psychopharmacological Interventions
  • Modified Therapeutic Communities
  • Assertive Community Treatment
  • Vocational Services
  • Dual Recovery/Self-Help Programs
  • Consumer Involvement
  • Therapeutic Relationships

32
Effective Interventions for Youth
  • Family Therapy
  • Multisystemic Therapy
  • Case Management
  • Therapeutic Communities
  • Community Reinforcement
  • Circles of Care
  • Motivational Enhancement

33
What makes a partnership work?
  • Trust do away with stereotypes
  • Real participation at all levels
  • Build in incentives for all stakeholders
  • Education and training of all stakeholders
  • Dissemination of knowledge
  • Enhanced communication
  • Social to scientific interaction

34
Partnered Collaboration

Community-Based Organizations
Grassroots Groups
Research-Education-Treatment
35
(No Transcript)
36
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICE
ADMINISTRATION (SAMHSA) www.samhsa.gov
  • Grant Opportunities, Website links, Publications
  • 1-800-729-6686
  • 1-800-487-4889 (TDD)

37
SAMHSAs Strategic Plan
VISION A Life in the Community for Everyone
MISSION Building Resilience and Facilitating
Recovery
EFFECTIVENESS
ACCOUNTABILITY
CAPACITY
Measure and report program performance
Increase service availability
Improve service quality
38
The SAMHSA Matrix
39
SAMHSAs Strategic Prevention Framework Steps
40
(No Transcript)
41
SPF, Coalitions Drug Courts
Comprehensive Community Strategies
Recovery Support Relapse Prevention
Primary Prevention
Intervention Drug Court
42
The State Incentive Grants
  • Implements SAMHSAs Strategic Prevention
    Framework to
  • 24 States, 2 Territories, 5 years _at_ 2.3 million
    per year
  • Prevent onset and reduce progression of substance
    abuse
  • Reduce community substance abuse problems
  • Build State and community prevention capacity and
    infrastructure
  • Uses National Outcome Measures and builds
    Epidemiological Workgroups at the State and
    Community level.
  • Places emphasis on Underage Drinking

43
(No Transcript)
44
Drug-Free Communities Program
  • The GOALS are to
  • Reduce substance abuse among youth and adults by
    addressing the factors in a community that
    increase the risk of substance abuse and
    promoting the protective factors that reduce risk
    of substance abuse.
  • Establish and strengthen collaboration among
    communities, drug courts, private nonprofit
    agencies, and federal, state, local and tribal
    governments to support the efforts of community
    coalitions to prevent and reduce substance abuse
    among youth.
  • The Drug-Free Communities Act (Pub. L. No.
    105-20) was signed into law on June 27, 1997. On
    December 14, 2001, Public Law 107-82, 115 Stat.
    814 (2001), reauthorized the program for 5 years.

45
Fetal Alcohol Spectrum Disorders (FASD) Center
for Excellence
  • The FASD Center For Excellence builds FASD State
    systems through
  • Drug Courts and Family Courts
  • Training and technical assistance
  • Women in recovery summit
  • Birth mothers video
  • Materials/ resources for SA treatment systems
  • Public education materials for general audiences
  • Data analysis of SAMHSAs national survey on drug
    use and health (NSDUH)
  • Inventory of prevention and treatment programs
  • State system meetings
  • Web site www.fascenter.samhsa.gov

46
Centers for the Application of Prevention
Technologies (CAPTs)
47
Addiction Technology Transfer Centers (ATTC)
48
(No Transcript)
49
(No Transcript)
50
(No Transcript)
51
(No Transcript)
About PowerShow.com