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

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The American Indian/Alaska Native National
Resource Center for Substance Abuse and Mental
Health Services
Developing our Careers, Enhancing our Leadership
Skills Minority Issues
Dale Walker, MD Patricia Silk Walker, PhD
Douglas Bigelow, PhD Bentson McFarland, MD,
PhD, Laura Loudon, MS Michelle Singer Oregon
Health and Science University American
Psychiatric Association Annual Meeting
Washington, DC May 4, 2008
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Goals For Today
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What Its All About!
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Introduce Self

• Cherokee
• Physician
• Psychiatrist
• Teacher
• Family Man

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Native Communities
Advisory Council / Steering Committee
One Sky Center
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One Sky Center Partners
Tribal Colleges and Universities
Cook Inlet Tribal Council
Alaska Native Tribal Health Consortium
Prairielands ATTC
Red Road
Northwest Portland Area Indian Health Board
One Sky Center
Harvard Native Health Program
United American Indian Involvement
Jack Brown Adolescent Treatment Center
National Indian Youth Leadership Project
Tri-Ethnic Center for Prevention Research
Na'nizhoozhi Center
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The Career Startup

• Get the geography and history down
• Finding the right spot
• Getting the right questions
• Meeting the right people
• Building bridges
• Optimism always

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Native Health Problems

• Alcoholism 6X
• Tuberculosis 6X
• Diabetes 3.5 X
• Accidents 3X
• Depression 3x
• Suicide 2.5x
• Violence?

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American Indians

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

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What I do Professor (1)

• Center Director for CAIHER
• National Mentor Program
• Recruitment and Retention
• Cultural Competence
• Indian OHSU Summit
• One Sky Center Director
• Tribal/ Urban Technical Assistance, Consultation
• Develop Evidence Based Treatment/ Traditional
• Suicide
• Methamphetamine Initiative

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What I do Professor (2)

• Community
• Clinician
• Patient Care /Community Care
• Research
• Disparity
• Treatment Outcome effectiveness
• Multigenerational
• Bridging/Making Connections, Partnerships

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What I do Nationally

• APA
• Minority Deputy Representative to Speaker
• Committee of American Indian Psychiatrists
• Washington State, Oregon State
• Components
• Strategic Plan
• Task Force on Minority Affairs
• Council on Advocacy and Public Policy
• IHS, BIA, NCAI, NIHB

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Challenges

• My Identities
• Political
• Social
• Economic
• Complexity of Issues
• Your Friends, your Allies, Other

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Rewards

• You will always be the student
• Meeting so many Tribes
• There are some Dedicated People out there
• The mentorship opportunities

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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.

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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

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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

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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

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Circle of Care
Traditional Healers
Child Adolescent Programs
Primary Care
Best Practices
AD Programs
Boarding Schools
Colleges Universities
Prevention Programs
Emergency Rooms
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Contact us at 503-494-3703 E-mail Dale Walker,
MD onesky_at_ohsu.edu Or visit our
website www.oneskycenter.org