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

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Risky sex. Alcohol and other drug abuse. Methamphetamine! 3. Methamphetamine Use, by State in ... Metro without City. Non-Metro with City. Small Metro. Large ... – PowerPoint PPT presentation

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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
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
2
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!

3
  • Methamphetamine Use, by State in
  • Young Adults (18 to 25)

Source SAMHSA, 2002-2005 .
4
Methamphetamine Epidemiology
5
Methamphetamine/Amphetamine Admissions by
Ethnicity and Urbanization 2004
6
The Methamphetamine Effect
7
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.

8
Tribal leaders unveil new meth Initiative
Indian Country Today  
NCAI President, Joe Garcia Anchorage, Alaska
June 15, 2007
9
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

10
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.

11
The Indian Country Methamphetamine Initiative
Project Partners
OMH
HHS
SAMHSA
IHS
AAIP
USET
NPAIHB
OSC
NCAI
Choctaw
Crow
Navajo
Northern Arapaho
Winnebago
12
ICMI Partners
13
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

14
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

15
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

16
ID Best Practice
Best Practice
Clinical/services Research
Mainstream Practice
Traditional Healing
17
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

18
METH FREE CROWALITON Unity in Our War Against
Meth
19
Meth Free Crow Walk Youth as our Warriors in
Reclaiming our Nation
20
Dine Nation Methamphetamine Initiative
21
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.

22
Methamphetamine InitiativeA System of Works
  • Northern Arapaho Tribe

23
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

24
Winnebago TribeTogether, WE Make A
Difference Methamphetamine Prevention on the
Winnebago Reservation
  • Tipi Means,
  • Tribal Health Educator

25
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

26
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

27
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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