THE CONFEDERATED TRIBES OF THE COLVILLE RESERVATION • THE CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION • • HOH TRIBE • JAMESTOWN S’KLALLAM TRIBE • KALISPEL TRIBE OF INDIANS • LOWER ELWHA KLALLAM HCA supports prevention services in the TRIBE • NATION • TRIBE • INDIAN TRIBE • NISQUALLY INDIAN TRIBE • NOOKSACK INDIAN TRIBE • following communities and tribes. PORT GAMBLE S’KLALLAM TRIBE • PUYALLUP TRIBE OF INDIANS • PreventionPreventi oservicesn serv areice focuseds are f oinc ucommunitiessed in com andm uTribesnitie throughouts and Trib Washingtones throughQUILEUTEout Wa NATIONshingto •n • • SAUK-SUIATTLE INDIAN TRIBE • SHOALWATER BAY TRIBE • • YAKAMA NATION • SPOKANE TRIBE Ferndale Nooksack Selkirk Lummi ! ! ! Mount FernWHATCOMdale ! Baker _^ Nooksack OF INDIANS • • STILLAGUAMISH TRIBE San Juan Bellingham Republic Lummi WHATCOM ! PEND Island Upper SkagitSAN _^ OREILLE OF INDIANS • TRIBE • INDIAN TRIBAL ! Samish !Concrete Bellingham OKANOGAN Republic PEND ! Sedro- OKANOGAN FERRY ^ SAN Swinomish JUAN Omak STEVENS Kalispel _ OREILLE ! Woolley SKAGIT ! JUAN Concrete ! COMMUNITY • TRIBES • UPPER SKAGIT INDIAN TRIBE • Mt Vernon SaSauk-Suiattlemish ! Makah Oak _^ Upper _^ ! Colville Cusick ! San Juan ! FERRY STEVENS Harbor Stillaguamish Skagit SKAGIT Omak Newport YAKAMA NATION Crescent Port Townsend Darrington Kalispel CLALLAM ! ! ISLANDIsland _^ Swinomish Springdale ^ THE CONFEDERATED TRIBES OF MakLowerah Elwha Tulalip ! _ Forks Chimacum ! Oak Sauk- Quileute ! Klallam ! Marysville _^ Spokane Cusick Jamestown !South Stillaguamish Suiattle SPOKANE THE COLVILLE RESERVATION • THE HSNOHOMISHarbor _^ Colville S'Klallam Port Gamble Whidbey !Wellpinit East Hoh Crescent_^S’Klallam Jamestow!nMonroe CHELAN Darrington Valley Lower ISLAND Tulalip Rogers ! Springdale CONFEDERATED TRIBES OF THE CHEHALIS JEFFERSON North S'Klallam Shadle ! Suquamish DOUGLAS ! ! _^ Forks Elwha _^ Reardan ! Quileute _^ CLALLAM Kitsap Central Seattle_^ SNOHOMWatervilleISH ! Park Klallam ! Chimacum KING Marysville ! West RESERVATION • COWLITZ INDIAN TRIBE Bremerton! Port Gamble LINCOLN East MASON !!Chief Sealth Monroe Central Spokane Quinault North Mason SE Seattle ! SnoqualmieS'Klallam Valley ! KITSAP White Center- _^Wenatchee ! • HOH TRIBE • JAMESTOWN S’KLALLAM ! Suquamish ! DOUGLACheneyS _^ Hoh SkokomishJEFFERSON VashonN Highline Squaxin ! _^ Cle Elum- CHELAN West _^ Clover Island Auburn-Cascade Quincy ! TRIBE • KALISPEL TRIBE OF INDIANS • !Island North Kitsap Central Seattle Moses Waterville Reardan _^ Shelton Muckleshoot Roslyn KING ! ^ Tekoa Central GRAYS HARBOR Park ! !Puyallup _^ ! GRANT Lake _ FranklinBre Piercemerton_^ Sealth-Denny ! LOWER ELWHA KLALLAM TRIBE • LUMMI HoquiamQuinault _^_^ KITTITAS Ellensburg LINCOLN SPOKANE !! Tumwater ! KITSAP _^ SE Seattle !Snoqualmie Aberdeen ! Nisqually Bethel White Center Wenatchee ADAMS NATION • MAKAH TRIBE • MUCKLESHOOT Skokomish PIERCE _^ _^ WHITMAN THE CONFEDERATED TRIBES OF THE COLVILLE ! Tenino Vashon Island Othello THURSTON Squaxin ! INDIAN TRIBE • NISQUALLY INDIAN Shoalwater Bay ! MASON Puyallup _^Auburn-Cascade Wahluke ChehalisGRAYS Island ! Moses RESERVATION_^ • THE CONFEDERATED TRIBES OF THE South Bend Centralia _^ _^ Highland ! HARBOR Central Tacoma M!uckleshoot Cle Elum- Lake Tekoa SheltoMortonn _^_^YAKIMA !Yakima _^ GARFIELD TRIBE • NOOKSACK INDIAN TRIBE • PORT PACIFIC LEWIS ! Franklin Pierce Roslyn GRANTPomeroy_^ CHEHALIS RESERVATION • COWLITZ INDIAN TRIBE • Long Clover Park FRANKLIN ! Hoquiam White Wapato ! Beach Bethel ! ! ADAMS GAMBLE S’KLALLAM TRIBE • PUYALLUP ! _^ _^ Swan Kiona KITTITAS Clarkston Nisqually ! Dayton HOH TRIBE • JAMESTOWN S’KLALLAM TRIBE • KALISPEL WAHKIAKUM THURSTON PIERCE Benton ! ! Castle ! ! WHITMAN Wahkiakum ! _^ Sunnyside Pasco WALLA WALLA COLUMBIA TRIBE OF INDIANS • QUILEUTE NATION ! Rock _^ Rainier Prosser ! ASOTIN TRIBE OF INDIANS • LOWER ELWHA KLALLAM TRIBE Longview COWLITZ Yakama ! Walla Tenino-Bucoda BENTON _^Othello Cowlitz Kennewick Walla • QUINAULT INDIAN NATION • SAMISH Shoalwater Chehalis YAKIMA ! ! _^Wahluke • LUMMI NATION • MAKAH TRIBE • MUCKLESHOOT Bay SKAMANIA LEWIS Goldendale Yakima INDIAN NATION • SAUK-SUIATTLE INDIAN Klickitat-Morton! ^ INDIAN TRIBE • NISQUALLY INDIAN TRIBE • NOOKSACK PACIFIC CLARK _ Stevenson- _^Lyle FRANKLIN Pomeroy Long West Fort ! KLICKITAT TRIBE • SHOALWATER BAY TRIBE • Carson _^ Vancouver ! Wapato INDIAN TRIBE_^ • PORT GAMBLE S’KLALLAM TRIBE • Beach ! Vancouver _^ _^ ! White Dayton GARFIELD SKOKOMISH INDIAN TRIBE • SNOQUALMIE WAHKIAKUM! _^ Sunnyside _^ Clarkston Washougal Castle Swan _^ Pasco WALLA PUYALLUP TRIBE OF INDIANS • QUILEUTE NATION • LEGEND Wahkiakum _^ COLUMBIA _^ Rock _^Prosser _^ WALLA QUINAULTASO TINDIANIN NATION • SAMISH INDIAN NATION • TRIBE • SPOKANE TRIBE OF INDIANS • !LEGCommunityEND Prevention and Wellness Initiative CommunitiesCoMapwlit Labelz Full Name Map Label Full NameYak ama Map Label FullB ENameNTON Walla SKAMANIA _^ Walla SQUAXIN ISLAND TRIBE • STILLAGUAMISH *# Tribal prevention and wellness programs ColvilleCO WLITZ Confederated Tribes of Nisqually Nisqually Indian Tribe Snoqualmie Snoqualmie Tribe SAUK-SUIATTLE INDIAN TRIBE • SHOALWATER BAY TRIBE Community Prevention and Wellness the Colville Reservation SOURCES: DSHS Research and Data Analysis, Community Outcome and Risk Evaluation TRIBE OF INDIANS • SUQUAMISH TRIBE • ^ Chehalis Confederated Tribes of GeographicNooksack InformationNooksack System Indian Tribe (CORE). Spokane Spokane Tribe of Indians Tribal_ lands KLICKITAT • SKOKOMISH INDIAN TRIBE • SNOQUALMIE TRIBE • Initiative Communities CLARK the Chehalis Reservation CONTACT: Irina Sharkova, DSHS/FFA/RDA, [email protected], 360-902-0743. COUNTIES Cowlitz Cowlitz Indian Tribe Port Gamble S’KlallamKlick itaPortt-L yGamblele S’Klallam Tribe Squaxin Island Squaxin Island Tribe SWINOMISH INDIAN TRIBAL COMMUNITY West _^ DZ,ϱ, 2019 SPOKANE TRIBE OF INDIANS • SQUAXIN ISLAND TRIBE • *# Tribal prevention and wellness VaHohnc ouver HohSt Tribeeve ns_^on Puyallup Puyallup Tribe of Indians Stillaguamish Stillaguamish Tribe of Indians • TULALIP TRIBES • UPPER SKAGIT INDIAN programs Jamestown_^ S’KlallamWas h oJamestownugal S’Klallam Tribe Quileute Quileute Nation Suquamish Suquamish Tribe STILLAGUAMISH TRIBE OF INDIANS • SUQUAMISH TRIBE Kalispel _^ Kalispel Tribe of Indians Quinault Quinault Indian Nation Swinomish Swinomish Indian Tribal Community TRIBE • SWINOMISH INDIAN TRIBAL Tribal lands Lower Elwha Klallam Lower Elwha Klallam Tribe Samish Samish Indian Nation Tulalip Tulalip Tribes • SWINOMISH INDIAN TRIBAL COMMUNITY • TULALIP Lummi Lummi Nation Sauk-Suiattle Sauk-Suiattle Indian Tribe Upper Skagit Upper Skagit Indian Tribe TRIBES • UPPER SKAGIT INDIAN TRIBE • YAKAMA COMMUNITY Makah Makah Tribe Shoalwater Bay Shoalwater Bay Tribe Yakama Yakama Nation Source: DSHS Research and Data Analysis, Muckleshoot Muckleshoot Indian Tribe Skokomish Skokomish IndianS TribeOURCE: DSHS Research and Data Analysis, Community OuNATIONtcome and Risk Evaluation Community Outcome and Risk Evaluation Information System (CORE). Tribal prevention and Information System (CORE). DSHS| Research and Data Analysis Division | Olympia, WA භ OCTOBER 2016 CONTACT: Irina Sharkova, DSHS/RDA/PRES, [email protected], 360-902-0743 wellness programs

For more information contact: Sarah Mariani, Health Care Authority 360.725.9401 or [email protected]

HCA 82-0073 (10/19) Background How Services Are Selected Results Exemplary Tribal Prevention The Health Care Authority (HCA) provides opportunities Prevention services are selected by each Tribe to fit For the 2016 State Fiscal Year, tribes delivered 73 programs Professional 2015 for funding, technical assistance, and training to all their unique needs, culture and traditions. Through the to increase protective factors and reduce risk factors Ann Penn-Charles or “Miss Ann” of the Quileute Nation 29 Federally Recognized Tribes in for development of an annual prevention program plan with within tribal communities, including promoting peer was awarded the 2015 Washington State Exemplary community-based substance abuse prevention and HCA, each tribe implements programs based on research and community bonding, increasing healthy beliefs and Substance Abuse Prevention Award for Tribal Prevention mental health promotion services. Tribes enter into or selects evidence-based programs to best serve their clear standards, addressing family management, and Professional. She has worked in prevention for over 20 contractual agreements with HCA to provide prevention communities. decreasing academic failure. Community-wide programs years and is a natural community organizer. Miss Ann programs that honor their inherent right to design and are in place to change attitudes toward drug use, increase values the importance of comprehensive prevention operate culturally-relevant and appropriate programs. Prevention Training with Tribal Focus neighborhood attachment, and increase community planning and how to integrate prevention for her organization. Examples of substance use disorder community to be culturally sensitive. She leads a group HCA has supported multiple training opportunities for prevention and mental health promotion programs of youth on an annual substance-free Journey, Importance of Government to tribal prevention professionals, tribal community members, implemented in tribal communities include: connecting with other coastal tribes to build cultural and non-tribal prevention professionals who work with Government Relationships awareness among youth. She organizes a weekly Drum Native American popultions, such as participation in The Governor of Washington State formed the Centennial • Cultural Activities and Cultural Education Circle to honor Quileute Tribal traditions that draws tribal the National Prevention Network Conference and the Accord in partnership with the Federally Recognized members from the neighboring Hoh and Makah Tribes. Community Anti-Drug Coalitions of America (CADCA) • Gathering of Native Americans (GONA) Tribes of Washington in 1989. The Accord upholds that all Miss Ann coordinates several healing and organizing National Youth Leadership Institute. HCA has also Washington State agencies will have a policy to maintain • Healing of the Canoe groups in the community to further community supported multiple culturally specific Native American government-to-government relationships and form connectedness. focused training opportunities, such as: policies that allow the agencies to consult, collaborate, • Incredible Years and communicate properly with the Federally Recognized • Native American Substance Abuse Prevention Skills • LifeSkills Training Tribal Governments of Washington State. HCA has also Training (SAPST) by the Center for the Application of adopted a government-to-government policy called • Lock Up Your Medications/Marijuana Campaigns Prevention Technologies. Administrative Policy 7.01. This policy outlines protocols • Project Success Adaptations (i.e. Pulling for Success) between Tribal Governments and HCA when policy, • Natural Native Mentoring and Adverse Childhood funding, services, and other changes affect American Experiences (ACEs) by Mentoring Works Washington, • Positive Indian Parenting Indians and Alaska Natives. The policy also allows Institute for Youth Success (IYS), Office of each HCA Administration and the tribal governments Superintendent of Public Instruction (OSPI). • Question, Refer, Persuade (QPR) to form service delivery plans to ensure quality and • Second Step comprehensive services. HCA makes efforts to meet with • Incredible Years with focus on implementation in Tribal Communities by Incredible Years, Inc. each of the 29 Tribes on an annual basis to draft 7.01 plans • White Bison prevention curricula to ensure a collaborative working relationship between • Quarterly Tribal Learning Community Webinars by HCA. the tribes and HCA. • Elder/Youth Mentoring Programs

Goals Supported by these government-to-government agreements, tribal prevention programs and strategies seek to change beliefs, attitudes, and behaviors in order to delay initiation and reduce use of alcohol, tobacco*, marijuana, and other drugs. Programs are intended to increase protective factors of community connectedness and positive social bonding through cultural practices with a focus on Native American values.

“Miss Ann” of the Quileute Nation

*Tobacco prevention e orts are focused on use other than for sacred practices or traditional ceremonies. Background How Services Are Selected Results Exemplary Tribal Prevention The Health Care Authority (HCA) provides opportunities Prevention services are selected by each Tribe to fit For the 2016 State Fiscal Year, tribes delivered 73 programs Professional 2015 for funding, technical assistance, and training to all their unique needs, culture and traditions. Through the to increase protective factors and reduce risk factors Ann Penn-Charles or “Miss Ann” of the Quileute Nation 29 Federally Recognized Tribes in Washington for development of an annual prevention program plan with within tribal communities, including promoting peer was awarded the 2015 Washington State Exemplary community-based substance abuse prevention and HCA, each tribe implements programs based on research and community bonding, increasing healthy beliefs and Substance Abuse Prevention Award for Tribal Prevention mental health promotion services. Tribes enter into or selects evidence-based programs to best serve their clear standards, addressing family management, and Professional. She has worked in prevention for over 20 contractual agreements with HCA to provide prevention communities. decreasing academic failure. Community-wide programs years and is a natural community organizer. Miss Ann programs that honor their inherent right to design and are in place to change attitudes toward drug use, increase values the importance of comprehensive prevention operate culturally-relevant and appropriate programs. Prevention Training with Tribal Focus neighborhood attachment, and increase community planning and how to integrate prevention for her organization. Examples of substance use disorder community to be culturally sensitive. She leads a group HCA has supported multiple training opportunities for prevention and mental health promotion programs of youth on an annual substance-free Canoe Journey, Importance of Government to tribal prevention professionals, tribal community members, implemented in tribal communities include: connecting with other coastal tribes to build cultural and non-tribal prevention professionals who work with Government Relationships awareness among youth. She organizes a weekly Drum Native American popultions, such as participation in The Governor of Washington State formed the Centennial • Cultural Activities and Cultural Education Circle to honor Quileute Tribal traditions that draws tribal the National Prevention Network Conference and the Accord in partnership with the Federally Recognized members from the neighboring Hoh and Makah Tribes. Community Anti-Drug Coalitions of America (CADCA) • Gathering of Native Americans (GONA) Tribes of Washington in 1989. The Accord upholds that all Miss Ann coordinates several healing and organizing National Youth Leadership Institute. HCA has also Washington State agencies will have a policy to maintain • Healing of the Canoe groups in the community to further community supported multiple culturally specific Native American government-to-government relationships and form connectedness. focused training opportunities, such as: policies that allow the agencies to consult, collaborate, • Incredible Years and communicate properly with the Federally Recognized • Native American Substance Abuse Prevention Skills • LifeSkills Training Tribal Governments of Washington State. HCA has also Training (SAPST) by the Center for the Application of adopted a government-to-government policy called • Lock Up Your Medications/Marijuana Campaigns Prevention Technologies. Administrative Policy 7.01. This policy outlines protocols • Project Success Adaptations (i.e. Pulling for Success) between Tribal Governments and HCA when policy, • Natural Native Mentoring and Adverse Childhood funding, services, and other changes affect American Experiences (ACEs) by Mentoring Works Washington, • Positive Indian Parenting Indians and Alaska Natives. The policy also allows Institute for Youth Success (IYS), Office of each HCA Administration and the tribal governments Superintendent of Public Instruction (OSPI). • Question, Refer, Persuade (QPR) to form service delivery plans to ensure quality and • Second Step comprehensive services. HCA makes efforts to meet with • Incredible Years with focus on implementation in Tribal Communities by Incredible Years, Inc. each of the 29 Tribes on an annual basis to draft 7.01 plans • White Bison prevention curricula to ensure a collaborative working relationship between • Quarterly Tribal Learning Community Webinars by HCA. the tribes and HCA. • Elder/Youth Mentoring Programs

Goals Supported by these government-to-government agreements, tribal prevention programs and strategies seek to change beliefs, attitudes, and behaviors in order to delay initiation and reduce use of alcohol, tobacco*, marijuana, and other drugs. Programs are intended to increase protective factors of community connectedness and positive social bonding through cultural practices with a focus on Native American values.

“Miss Ann” of the Quileute Nation

*Tobacco prevention e orts are focused on use other than for sacred practices or traditional ceremonies. THE CONFEDERATED TRIBES OF THE COLVILLE RESERVATION • THE CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION • COWLITZ INDIAN TRIBE • HOH TRIBE • JAMESTOWN S’KLALLAM TRIBE • KALISPEL TRIBE OF INDIANS • LOWER ELWHA KLALLAM HCA supports prevention services in the TRIBE • LUMMI NATION • MAKAH TRIBE • MUCKLESHOOT INDIAN TRIBE • NISQUALLY INDIAN TRIBE • NOOKSACK INDIAN TRIBE • following communities and tribes. PORT GAMBLE S’KLALLAM TRIBE • PUYALLUP TRIBE OF INDIANS • PreventionPreventi oservicesn serv areice focuseds are f oinc ucommunitiessed in com andm uTribesnitie throughouts and Trib Washingtones throughQUILEUTEout Wa NATIONshingto •n QUINAULT INDIAN NATION • SAMISH INDIAN NATION • SAUK-SUIATTLE INDIAN TRIBE • SHOALWATER BAY TRIBE • SKOKOMISH INDIAN TRIBE • YAKAMA NATION • SPOKANE TRIBE Ferndale Nooksack Selkirk Lummi ! ! ! Mount FernWHATCOMdale ! Baker _^ Nooksack OF INDIANS • SQUAXIN ISLAND TRIBE • STILLAGUAMISH TRIBE San Juan Bellingham Republic Lummi WHATCOM ! PEND Island Upper SkagitSAN _^ OREILLE OF INDIANS • SUQUAMISH TRIBE • SWINOMISH INDIAN TRIBAL ! Samish !Concrete Bellingham OKANOGAN Republic PEND ! Sedro- OKANOGAN FERRY ^ SAN Swinomish JUAN Omak STEVENS Kalispel _ OREILLE ! Woolley SKAGIT ! JUAN Concrete ! COMMUNITY • TULALIP TRIBES • UPPER SKAGIT INDIAN TRIBE • Mt Vernon SaSauk-Suiattlemish ! Makah Oak _^ Upper _^ ! Colville Cusick ! San Juan ! FERRY STEVENS Harbor Stillaguamish Skagit SKAGIT Omak Newport YAKAMA NATION Crescent Port Townsend Darrington Kalispel CLALLAM ! ! ISLANDIsland _^ Swinomish Springdale ^ THE CONFEDERATED TRIBES OF MakLowerah Elwha Tulalip ! _ Forks Chimacum ! Oak Sauk- Quileute ! Klallam ! Marysville _^ Spokane Cusick Jamestown !South Stillaguamish Suiattle SPOKANE THE COLVILLE RESERVATION • THE HSNOHOMISHarbor _^ Colville S'Klallam Port Gamble Whidbey !Wellpinit East Hoh Crescent_^S’Klallam Jamestow!nMonroe CHELAN Darrington Valley Lower ISLAND Tulalip Rogers ! Springdale CONFEDERATED TRIBES OF THE CHEHALIS JEFFERSON North S'Klallam Shadle ! Suquamish DOUGLAS ! ! _^ Forks Elwha _^ Reardan ! Quileute _^ CLALLAM Kitsap Central Seattle_^ SNOHOMWatervilleISH ! Park Klallam ! Chimacum KING Marysville ! West RESERVATION • COWLITZ INDIAN TRIBE Bremerton! Port Gamble LINCOLN East MASON !!Chief Sealth Monroe Central Spokane Quinault North Mason SE Seattle ! SnoqualmieS'Klallam Valley ! KITSAP White Center- _^Wenatchee ! • HOH TRIBE • JAMESTOWN S’KLALLAM ! Suquamish ! DOUGLACheneyS _^ Hoh SkokomishJEFFERSON VashonN Highline Squaxin ! _^ Cle Elum- CHELAN West _^ Clover Island Auburn-Cascade Quincy ! TRIBE • KALISPEL TRIBE OF INDIANS • !Island North Kitsap Central Seattle Moses Waterville Reardan _^ Shelton Muckleshoot Roslyn KING ! ^ Tekoa Central GRAYS HARBOR Park ! !Puyallup _^ ! GRANT Lake _ FranklinBre Piercemerton_^ Sealth-Denny ! LOWER ELWHA KLALLAM TRIBE • LUMMI HoquiamQuinault _^_^ KITTITAS Ellensburg LINCOLN SPOKANE !! Tumwater ! KITSAP _^ SE Seattle !Snoqualmie Aberdeen ! Nisqually Bethel White Center Wenatchee ADAMS NATION • MAKAH TRIBE • MUCKLESHOOT Skokomish PIERCE _^ _^ WHITMAN THE CONFEDERATED TRIBES OF THE COLVILLE !Tenino Vashon Island Othello THURSTON Squaxin ! INDIAN TRIBE • NISQUALLY INDIAN Shoalwater Bay ! MASON Puyallup _^Auburn-Cascade Wahluke ChehalisGRAYS Island ! Moses RESERVATION_^ • THE CONFEDERATED TRIBES OF THE South Bend Centralia _^ _^ Highland ! HARBOR Central Tacoma M!uckleshoot Cle Elum- Lake Tekoa SheltoMortonn _^_^YAKIMA !Yakima _^ GARFIELD TRIBE • NOOKSACK INDIAN TRIBE • PORT PACIFIC LEWIS ! Franklin Pierce Roslyn GRANTPomeroy_^ CHEHALIS RESERVATION • COWLITZ INDIAN TRIBE • Long Clover Park FRANKLIN ! Hoquiam White Wapato ! Beach Bethel ! ! ADAMS GAMBLE S’KLALLAM TRIBE • PUYALLUP ! _^ _^ Swan Kiona KITTITAS Clarkston Nisqually ! Dayton HOH TRIBE • JAMESTOWN S’KLALLAM TRIBE • KALISPEL WAHKIAKUM THURSTON PIERCE Benton ! !Castle ! ! WHITMAN Wahkiakum ! _^ Sunnyside Pasco WALLA WALLA COLUMBIA TRIBE OF INDIANS • QUILEUTE NATION ! Rock _^ Rainier Prosser ! ASOTIN TRIBE OF INDIANS • LOWER ELWHA KLALLAM TRIBE Longview COWLITZ Yakama ! Walla Tenino-Bucoda BENTON _^Othello Cowlitz Kennewick Walla • QUINAULT INDIAN NATION • SAMISH Shoalwater Chehalis YAKIMA ! ! _^Wahluke • LUMMI NATION • MAKAH TRIBE • MUCKLESHOOT Bay SKAMANIA LEWIS Goldendale Yakima INDIAN NATION • SAUK-SUIATTLE INDIAN Klickitat-Morton! ^ INDIAN TRIBE • NISQUALLY INDIAN TRIBE • NOOKSACK PACIFIC CLARK _ Stevenson- _^Lyle FRANKLIN Pomeroy Long West Fort ! KLICKITAT TRIBE • SHOALWATER BAY TRIBE • Carson _^ Vancouver ! Wapato INDIAN TRIBE_^ • PORT GAMBLE S’KLALLAM TRIBE • Beach ! Vancouver _^ _^ ! White Dayton GARFIELD SKOKOMISH INDIAN TRIBE • SNOQUALMIE WAHKIAKUM! _^ Sunnyside _^ Clarkston Washougal Castle Swan _^ Pasco WALLA PUYALLUP TRIBE OF INDIANS • QUILEUTE NATION • LEGEND Wahkiakum _^ COLUMBIA _^ Rock _^Prosser _^ WALLA QUINAULTASO TINDIANIN NATION • SAMISH INDIAN NATION • TRIBE • SPOKANE TRIBE OF INDIANS • !LEGCommunityEND Prevention and Wellness Initiative CommunitiesCoMapwlit Labelz Full Name Map Label Full NameYak ama Map Label FullB ENameNTON Walla SKAMANIA _^ Walla SQUAXIN ISLAND TRIBE • STILLAGUAMISH *# Tribal prevention and wellness programs ColvilleCO WLITZ Confederated Tribes of Nisqually Nisqually Indian Tribe Snoqualmie Snoqualmie Tribe SAUK-SUIATTLE INDIAN TRIBE • SHOALWATER BAY TRIBE Community Prevention and Wellness the Colville Reservation SOURCES: DSHS Research and Data Analysis, Community Outcome and Risk Evaluation TRIBE OF INDIANS • SUQUAMISH TRIBE • ^ Chehalis Confederated Tribes of GeographicNooksack InformationNooksack System Indian Tribe (CORE). Spokane Spokane Tribe of Indians Tribal_ lands KLICKITAT • SKOKOMISH INDIAN TRIBE • SNOQUALMIE TRIBE • Initiative Communities CLARK the Chehalis Reservation CONTACT: Irina Sharkova, DSHS/FFA/RDA, [email protected], 360-902-0743. COUNTIES Cowlitz Cowlitz Indian Tribe Port Gamble S’KlallamKlick itaPortt-L yGamblele S’Klallam Tribe Squaxin Island Squaxin Island Tribe SWINOMISH INDIAN TRIBAL COMMUNITY West _^ DZ,ϱ, 2019 SPOKANE TRIBE OF INDIANS • SQUAXIN ISLAND TRIBE • *# Tribal prevention and wellness VaHohnc ouver HohSt Tribeeve ns_^on Puyallup Puyallup Tribe of Indians Stillaguamish Stillaguamish Tribe of Indians • TULALIP TRIBES • UPPER SKAGIT INDIAN programs Jamestown_^ S’KlallamWas h oJamestownugal S’Klallam Tribe Quileute Quileute Nation Suquamish Suquamish Tribe STILLAGUAMISH TRIBE OF INDIANS • SUQUAMISH TRIBE Kalispel _^ Kalispel Tribe of Indians Quinault Quinault Indian Nation Swinomish Swinomish Indian Tribal Community TRIBE • SWINOMISH INDIAN TRIBAL Tribal lands Lower Elwha Klallam Lower Elwha Klallam Tribe Samish Samish Indian Nation Tulalip Tulalip Tribes • SWINOMISH INDIAN TRIBAL COMMUNITY • TULALIP Lummi Lummi Nation Sauk-Suiattle Sauk-Suiattle Indian Tribe Upper Skagit Upper Skagit Indian Tribe TRIBES • UPPER SKAGIT INDIAN TRIBE • YAKAMA COMMUNITY Makah Makah Tribe Shoalwater Bay Shoalwater Bay Tribe Yakama Yakama Nation Source: DSHS Research and Data Analysis, Muckleshoot Muckleshoot Indian Tribe Skokomish Skokomish IndianS TribeOURCE: DSHS Research and Data Analysis, Community OuNATIONtcome and Risk Evaluation Community Outcome and Risk Evaluation Information System (CORE). Tribal prevention and Information System (CORE). DSHS| Research and Data Analysis Division | Olympia, WA භ OCTOBER 2016 CONTACT: Irina Sharkova, DSHS/RDA/PRES, [email protected], 360-902-0743 wellness programs

For more information contact: Sarah Mariani, Health Care Authority 360.725.9401 or [email protected]

HCA 82-0073 (10/19)