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Shaping our Future in a New Era of Leadership


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Title: Shaping our Future in a New Era of Leadership

The Indian Country Methamphetamine Initiative
  • Shaping our Future in a New Era of Leadership
  • 2009 Tribal Self-Governance Conference
  • May17-21, 2009

Methamphetamine Use Becomes Tribal Concern
  • In 2006, Methamphetamine abuse was identified
    as a problem by tribes through
  • Tribal Round Table sessions
  • HHS Regional Tribal Consultations
  • Numerous tribal community gatherings with OMH,
    SAMHSA, IHS, and DOJ

  • Young Adults Aged 18 to 25 Reporting Past Year
    Methamphetamine Use 2002 to 2005

Source SAMHSA, 2002-2005 .
Methamphetamine Epidemiology
Past Month Illicit Drug Use among Youths Aged
12-17 by Race/ Ethnicity 2002
  • The ICMI Stakeholders will
  • Develop a national information and outreach
  • Develop a culturally specific methamphetamine use
    education kit.
  • Document and evaluate promising practices in
    education on methamphetamine use.
  • Create awareness multi-disciplinary teams and

Federal Partners
  • Office of Minority Health
  • Substance Abuse and Mental Health Services
  • Department of Justice
  • National Institutes of Health
  • Indian Health Service
  • Corporation for National and Community Service

ICMI Stakeholders in 2006
Stakeholders in 2008
  • Chippewa-Cree Tribe
  • Choctaw Nation
  • Crow Nation
  • Gila River Indian Community
  • Navajo Nation
  • Northern Arapaho Tribe
  • Salt River Pima-Maricopa Indian Community
  • San Carlos Apache Nation
  • Winnebago Tribe
  • Yakama Nation

Stakeholders in 2009
  • National Organizations
  • Association of American Indian Physicians
  • One Sky Center of the Oregon Health and Science
  • Tribal Organizations
  • National Congress of American Indians
  • Northwest Portland Area Indian Health Board
  • United South and Eastern Tribes, Inc.

Association of American Indian Physicians
  • To improve the health of American Indian and
    Alaskan Natives. Its mission today is to pursue
    excellence in Native American healthcare by
    promoting education in the medical disciplines,
    honoring traditional healing principles and
    restoring the balance of mind, body, and spirit.
  • HHS Grantee
  • Provide Leadership and coordination
  • Contracts
  • Reporting
  • Fiscal Reimbursement
  • Evaluation

National Congress of American Indians
  • NCAI serves to secure the rights and benefits to
    which we are entitled to enlighten the public
    toward the better understanding of the Indian
    people to preserve rights under Indian treaties
    or agreements with the United States and to
    promote the common welfare of the American
    Indians and Alaska Natives.
  • Provide Leadership
  • National Meth Task Force
  • Meth Toolkit
  • Raise Awareness
  • Partnership for Drug Free America

One Sky Center
  • One Sky Center a National Resource Center for
    American Indians and Alaska Natives.
  • Provide Technical Assistance and Training to
    Tribal Partners and Tribes
  • Assist Tribal Partners with Initiative Evaluation
  • Assist in the development of Best Practice Models

United Southern and Eastern Tribes
  • Assist in implementing and enhancing American
    Indian/Alaskan Native disease surveillance
    systems (ongoing collection, analysis,
    interpretation, and dissemination of health data)
    to help guide public health policy and action
  • Develop and disseminate survey tool to selected
  • Pilot survey tool with Tribal Partners
  • Integrate survey tool into Meth Toolkit
  • Review project materials for culturally
    appropriate content
  • Assist with project evaluation

Northwest Portland Area Indian Health Board
  • To collaborate with Northwest American Indian
    Tribes to provide health-related research,
    surveillance, and training to improve the quality
    of life of American Indians and Alaskan Natives
  • Assist USET with the development of the Survey
  • Pilot the Survey Instrument with the Northwest
    Portland Area Indian Health Board member Tribes
  • Validate Survey
  • Identify other Data Sources Tribes can use

Ojibwa Ne-i-yah-w InitiativeA Culture-based
Approach to Community Healing
  • Development of Initiative Membership and
    Operational Plan
  • Institutional and Community Review of Research
    Proposals, Reporting, and Methods
  • Holistic Approaches
  • Inter-Governmental Agreements

Choctaw Nation of Oklahoma
  • Adventure Therapy
  • Natural Highs Program
  • Transformation process
  • Experiential activities
  • Relationship building
  • Changing the way you live and think
  • Changing how you think and how you believe about
    life and yourself
  • Creation of challenge in a safe environment
  • Horses, Canoes, Tradition Camps

Meth Free Crow Walk Youth as our Warriors in
Reclaiming our Nation
  • Meth Free Crowalition
  • Establish a War Against Meth Focus on
    accountability, prevention, intervention, and
  • Combine forces for Unity
  • Diverse community representation
  • Youth and Community Development mentorship,
    leadership, trust, establishment of community

Dine Nation What Works?
  • Community Education
  • Age-appropriate presentations,
  • brochures, and ads
  • Enforcement
  • Arrest and detainment
  • for trafficking
  • Caring members
  • In the community
  • Partnerships
  • Communities, chapters, private businesses
  • and tribal divisions and programs
  • Training for best, evidence-based practice,
    integrated public health model.
  • Team is experienced at mobilizing communities
    across large area for interventions.

The Concept of Worksin a Comprehensive Systems
  • Works
  • The Solution
  • client-centered
  • multi-agency
  • comprehensive
  • coordinated
  • efficient
  • Fragmented
  • Service System
  • The Problem
  • turf
  • gaps
  • duplications
  • crossed purposes

San Carlos Apache Tribe Best Practices
  • Development of a broad-based, local coalition
    (Strategic Tribal Empowerment Prevention Program)
  • Community Assessment
  • Local activities that are locally determined
  • Sustainability and buy-in

Winnebago Tribe Meth Task Force Goals and
  • Develop/maintain a Comprehensive Meth Prevention
  • Collectively plan and implement
  • Use Proactive measures
  • Use available funds - take immediate action
  • Work together to determine what fits
  • Broad based, multi-agency, systematic,
    family/community focused prevention-
  • Will it reduce treatment need?

Gila River Anti-Meth Project
  • A Component of the Gila River Prevention
    coalition was developed by a concerned group of
    community leaders, members and representatives to
    address and change substance abuse among the
    Tribes youth
  • Mission To promote cultural pride and strength
    in wellness
  • Vision Gila River service providers working
    collectively with community members towards an
    empowered and health Gila River Indian Community

Gila River Anti-Meth Initiative
Gila River Anti-Meth Project
  • Objectives
  • Strengthen Meth Coalition by meeting in all seven
  • Provide Community Block parties to increase
  • Parent presentations utilizing Meth Toolkit
    throughout Gila River
  • Meth Awareness Days using Native speakers
  • Partnering with the Gila River Boys and Girls

Gila River Anti-Meth Project
Other Example Strategies and Programs
  • Families and Schools Together
  • Parenting Wisely
  • Preparing for Drug-free Years
  • Project Alert
  • Project Venture (NIYLP)
  • Promoting Alternative Thinking Strategies
  • American Indian Life Skills (Zuni Pueblo)

Other Example Strategies and Programs
  • Cultural Enhancement Through Story Telling
    (Tohono Oodham)
  • AI Strengthening Families Program
  • (University of Utah)
  • Creating Lasting Family Connections
  • Dare to Be You
  • With Eagles Wings (Northern Arapaho Nation)
  • Families That Care - Guiding Good Choices Across
    Ages (Mentoring) (Temple University)

Partnered Collaboration

Grassroots Groups
Community-Based Organizations
Program Level Organizational Partners
  • Education
  • Family Survivors
  • Health/Public Health
  • Mental Health
  • Substance Abuse
  • Elders, Traditional
  • Law Enforcement
  • Juvenile Justice
  • Medical Examiner
  • Faith-Based
  • County, State, and Federal Agencies
  • Student Groups

The Indian Country Methamphetamine Initiative
Contact information Lisa Neel, Tribal ICMI
Coordinator Email Beverly
Watts Davis, Senior Advisor to
Administrator Email beverly.wattsdavis_at_samhsa.hh Lorenzo Olivas, Regional Minority Health
Consultant Email