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Mental Health Programs, Indian Health Service DOCUMENT RESUME RC 009 505 AUTHOV A_Aleave, Carolyn L.; 1ir, Morton TITLE L;ervice Networks and Patterns of Utili' M.ntal Health Programs, Indian Health Service (It V- iume 9: Portland Area, 1966-1973. INSTITUTION Washington Univ., Seattle. SPONS AGENCY Health Services Administration (DHEW/ ckvill Md. Indian Health Service. PUB DATE 75 cONTLACT iHS-HSM-110-73-342 NoTF 1H5r,.;011,.2 ot 10-vc-ilm I1ILIL LCiUd ;.= 009 1.)77-586 HMS Pki , MF-$0.83 IlC-$1O.03 V us Posta_ iUt Activiti oholism; *American Indians; Consulta ion Programs; Cultural Background; *Delivery ystems; Family Programs; Foster Homes; Geography; i.Jtory; Interagency Coordination; *Mental Health Programs; Obj,2ctives; Problems; Professional Personnel; *Program Descriptions; *Program Development; *Regional Programs; Reservations (Indian) ;Transportation; Tribes IDENTT *Indian Health Service (Portland Area) ;Indian Mental Health Project ADSTFACT The ninth volume in a 10-volume report on the historical development (1966-1973) of the B administrative Area Offices of the Indian Health Service (IRS) Mental Health Programs, this report presents information on the Portland Area Otfice. Included in this document are:(1) The Context (early history of the Oregon Territory, geography and tribal characteristics, population of American Indians served by IHS, and Area Office and transportation links);(2) Mental Health Activities Prior io1969 (University of Washington Medical School at Yakima and Neah Bay and Fort Hall Suicide Prevention Program) ;(3) First Full 'lime Mental Health Team in 1969 (staff; consultation patterns; objectives; and special projects such as foster homes, peptic ulcer study of Makah tribe, alcohol abuse treatment planning, etc.) ; (4) 1970-72 Program Development (staff and special programs/projects including Chema a Boarding School, Warm Springs Mental Health aad Alcohol Project, etc.); (5) 1973-74 Program Developments (staffing patterns; staff activity; selected Service Unit Programs including Northwest Coastal tribes, Rocky Mountain tribes, Great Dasin reservations, and Columbia Plateau reservations); (6)Warm Springs: Health Program (Warm Springs reservation, Alcohol Abuse Program, Children's Group Home, Multiple Problem Family Project, major mental illness, coordination of total program, success characteristics, and aides); (7) Summary (achievements and problems). (JC) menu acquired by ERIC include many informal unpublished materials not available from other sources. ERIC makes every effort to obtain the best copy available. Nevertheless, items of marginal reproducibility are often encountered and this affects the quality of the microfiche and hardcopy reproductions ERIC makes available via the ERIC Document Reproduction Service (EDRS). EDRS is not responsible for the quality of the orighal doctutent, Reproductions supplied by EDRS are the best that can be made from the original. PORTLAND AREA MENTAL it,LTH PROGRAMS OF THE INDlAMHEALTH SERVLC 564973 (712 C IHS Con No. IHS HSM 110T 342 A docurnetary narrative in partima 1 ment of contract enti d: Se--- etvorks and Patterns of Utilization Mental Feedth Prorrame Indian Health Service Prepared by Carolyn L Attneave, MD. and Morton Beiser, M Department of BelvIoral Sciences, Harvard School of Public,e th 1 has been prepare1 in connection with rtri initial evaluation contrac to appraise TWI Mental alth Programs seven yearafte7 their formal 1ntroductin into the system in 1966. (Mil Cor Ito, 10.73-312) As originally conceived the report wns to hhated upon Of about three pr g ams In the eight ma,lor Areas: One ouitandin, one evete,and one new or oth w1e rtru1ing. Administrati 1 Chiefs of Mental iealtb and their staffs found it impossible to participate in sucha selection end instead the titaff has been required to inform them5elvea aboutover 90 r,rogra and preaertt their tindLngabout each as objectively as possible. The chapter for each Area foliowe a standard arrengenent of info varying tn detail as the Area development indi ates. There Is first a descrip , tiOt of the geographic and cultural context within which Area programs and Service Units vork. Secondly, thera it a reporting of the historical roots of mental health activities in the Area as far back in time as it has been possible to find evidence of them. In ee In5ta.ncethis is coincidental vith the form &thin of IPS in 1955, but in most it anpeara a few years before introduction of form 1 budg tted mental health staff. The Latter sections of the report develop in chronological order (usually in tws year segments ) the personnel and activity of the Kett 1 Health programs for the Area. Unique and special programs are presented in detail. Finally, an Overview and summary of acbieve. ments and problems :yet to be resolved concludes the description othc whi h vas completed as of the spring of 2973. The concluding chanter of the report and the extensive sections on inpatient programs will le of interest to all Areas. It is also hoped that staff in one Area will find it of value to see vbat other Areas have done or are facing in the way of similar problems. and differing ones. Hovey when need arises, or interest is focused on only one Area it is hoped thst that chapter mecr be used as an indetendent unit. PORTLAND AREA I HI''ALTH S E1V7CES 4 TAL EMTH PROORAMS Page TEE CONTEXT Early History of the OregonTerritory 1 A. 2 B. Geography and TribalCharacteristics by ITS 9 C. Population of Area Inians Served 10 D. Area Office andTranstortation Links EARLY MENTAL HEALTHACTIVITIES (mop TO 1969) 13 A. Univtrsity of WashingtonMdc.L School 13 Ultima 1. 15 2. Veth BaY 33 B. Fort Mall Suicide PreventIonProgram FINST FULL TINT MENTAL HUMPTEAM 1969 James Shore, M.D. aad Staff 39 A. 40 B. Consaltation Patterns 47 Objectives Established C. 61 Special Projects D. 61 Foster Homes for IndianCh drer 1. 63 2. Peptic Ulcer Study of HakeTrite Sensitty of Mothers andAdolesce ts 3. 64 to Preventive HealthCare 65 4, Alcohol Abuse TreatmentPlanning Groundwork Lald in 1969-70 farU e of 5. 6/ Mental Health Workers 6T Other Activities In TheFirst Year 6. 68 7. Loolt to the Future rvi FR =RAM DEVELOPMENT197O T2 69 A. Staff Staff 69 1. Increase in Professional Mental Health Workers: 2. Develonment of Cadre of 71 19TO-T2 74 VISTA Commurity MentalHealth Workers 3, 75 Srecial Programs and Projects B. 75 1. Chetave Boarding School Health and Alcohol Project 89 2. Wart Strings Mental (see also sectionVI) Fort Hall SuicidePrevention Pro am: 3. 89 Progress in 1970-72 Pttge PROGRAM DEVELOPMENTS 1973-74 A. Staffing'Patterns 92 1. Personnel Changes 92 2. Paraprofessional ,upervision 94 3. National Social Work Associa e Prog am 95 4. Centralization versus Decentralizat on 95 Staff Activity 96 1. Development of the Mental Health & Social Serrices Report Forms 96 2. Analysis of 1971 Staff Activity 97 3. 1973 Estimates of Staff Activities 101 4. Suicide Epidemiology Developed 103 C. Selected Service Unit Programs 104 1. Northwest Coastal Tribes 104 a. Lummi, Swinomish and NooksaA (Northwest Washington Service Unit) 104 Small Tribes of Western Washington (Western Washington Service Unit) 107 Makah, Quilleute, and Lower Elwah (Neah Bay Service unit) 108 d. Quinault, Ebehalis, Soalwater and Hoh (Quinault Service Unit) 109 2. Rocky Mountain Tribes Nez Perce, Coeur d'Alene, and Kootenai (Northern Idaho Service Unit) 109 Great Basin Reservations Shoshone and Bannock Tribes (Fort Hall Service Unit) 111 Columbia Plateau Reservations 112 a. Yakima Service Unit 112 b. Colville Confederated Tribes (Colville Service Unit) 122 c. Spokane (served by Colville Service Unit) 125 d. Umatilla (Umatilla Service Un 125 WPM SPRINGS: HEALTH PROGRAM A. ,Description of Warm Springs Reservation 131 1. Contemporary Characteristics 131 2. Historical Perspective 137 3. Tribal Industries and EMployment PractIces 138 4. Tribal Health Program 140 Alcohol Abuse Program 140 1. Justification 140 2. Plan of Program 144 6 C. Children's Group Home 146 1. Need and Justification 146 2. Tribal Involvement 147 3. NIME Putding 148 4. Progress Report 149 5 Achievement of Cr terion Goals 153 D. Multiple Problem Family Project 153 2. Description of Need 153 2. Plan of Action 154 3. Preliminary Indicators of Effective evs 157 E. Major Mental Illness 158 F. CHR end MCE Aides 159 G. Coordination of Total Program 159 H. Characteristics Basic to Success 165 VII. PORTLAND AREA SUMNARY A. Achievements 167 B. Problems Yet to be Solved 169 TLAND AREA FE ,CrNEt LTS17 METITAL HEALTH BRANCH SOCIAL SERVICE BRANCH Branch Dates of eployment Position CHAWA Tom Keast 7 6/1 72 Soci er Al Folz 0/72--610 714 Soci .r cOLNELLE Jo Maroelley MH II/ 3/ MHW Nancy. Melise SS MSW Caroline Sellars MH Secretary Ted Kmmmers SS .12/27/70-5 28/72 MSW Lena Wilson MH 12/12/71--6/10/73 Secretary FORT_HALL Robert Pepper MH 173-- MSW Roserine Martin MH /72-- IOW Eula Perove MH /72-- MUW John Bopp SS 1/66--4 30/72 MSW Thelna Waller MH 4/6 69-1/19/73 MSW LUNLMI Vendean Washintor1 MHW Jay Navarro MH PsrehoLogit NEAH BAT Paula Rope MH /74 MHW Donna Sones Grosz MH /70 8 0/73 MH11.1 NORTHERN IDAHO Tom Keast MH 6/1/72-- MSW Bob Franc MH MHW TAKHOLAR Ted Kmmmers MH 72 IMATILIA Terrr Farrow* MH 11129/70-- Clarence Cowapoo MH 10/28/73-- _n loni raining--Portl_d Stat, niversity 8 iatd Area Fcronne1List connued Name Branch Dat s of Fmpl ient Poition WELLPINIT MEW Chris Sijohn If 3/17/74 WTSTERN LAsr1INrTOIr John Bopp /30/72 YAKIMA Richard Gaulke SS 12/1/66 MSW Fred Martin MR 3/13/72-- MHW Pete Olney MH 5/12/7h- MHW Francis Gopher MH 12/23/73-- Secretary Dolly Tallsequah MH 9/10/71-12/23/73 Secretary PORTLAND AREA OFFICE Billee VonFumetti MH 7 1/70--(chief in 73) RN--Chief, MH Al Folz SS 6/10/74 MSW--Chief, SS Dolores Gregory M.D.
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