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Volume 3, No. 2 Special Edition

“Humankind has not woven the web of life. We are but one thread within it. Whatever we do to the web, we do to ourselves. All things are bound together. All things connect.” — Chief Seattle, 1854

A Quarterly Newsletter n A Multi-Agency Alcohol and Substance Abuse Prevention Collaboration Native Today! Bridging the Gap

© Dustinn Craig - 4wheelwarpony

INSIDE Bridging the Gap Between Traditional and Modern Day Practices 1 Native Youth Today: Bridging the Gap Between Director’s Corner 2 Traditional and Modern Day Practices Evidence-based Practices in American Indian/American Native Communities 5 Native youth are blending traditional and unique cultural characteristics and traditions of We R Native: Health Resource for Youth 6 modern best practices across the spectrum the more than 560 federally recognized tribes in NATIVE YOUTH PERSPECTIVE of behavioral health and wellness promotion. the United States may limit the generalizability Basic Health Services Lacking 7 They are engaged in efforts to incorporate tradi­ of interventions across tribes, requiring commu­ A Strength-Based Holistic Self-Assessment tional practices—such as healing circles, sweat nity-informed and tribal-specific adaptations Using Indigenous Teachings 8 lodges, and ceremonies—into community (Gone & Trimble, 2012; Trimble & Beauvais, 2001; Family Spirit 9 programs. In addition, there are many Evidence Whitesell, Kaufman, et al., 2012). “It is beautiful “Osapausi Amasalichi” (Choctaw – “I get Based Practices (EBPs) that are targeted towards to see Native youth bringing the traditional healing from that little garden”) 10 Native youth. Efforts to reduce substance use cultural ways back to communities. For AI/ Model Adolescent Suicide Prevention and prevent substance abuse with Native AN people, our culture is our spirit to the core, Program (MASPP) 11 youth should be implemented in partnership and these practices are bringing youth and National UNITY Conference 12 with American Indian/Alaska Native (AI/AN) families out of despair,” says Dr. Jami Bartgis, The Hero Project 13 communities, incorporate local expertise and President and Chief Executive Officer (CEO) of Wiconi Ohitika (Strong Life) Suicide knowledge, build on strengths and resources One Fire Associates in Sand Springs, OK, who Prevention Project 14 within the communities, and integrate unique works closely with Native American youth and Resources 15 cultural practices (Brown, Baldwin, & Walsh, communities in the planning process for mental Events 16 2012). It is also important to recognize that the health and wellness and evaluation of programs. (continued on page 3 on the softball field, carpools, and commu- President Obama, federal agencies, states, Director’s Corner nity gatherings that allowed for a newfound tribes, and communities have all recognized understanding of the important role that the importance of engaging our youth and Dr. Marcella youth can have in leadership. Leadership has supporting their efforts. The White House “Marcy” Ronyak no age limit --it may be the kindergartner Tribal Youth Gathering being held on July 9, who sees another student bullying someone 2015, and the 2015 National United Director, Office of at the lunch table and asks an adult for help; a National Indian Tribal Youth Conference Indian Alcohol middle school student who notices a being held on July 10-14, 2015, will and Substance classmate becoming more withdrawn and strengthen the connection to our Native Abuse depressed and then takes the time to ask if youth by providing them an opportunity to they are ok; a high school student who learn from each other and have their voices Education, leadership, innovation, mento- happens to be an outstanding athlete notices heard. Native youth have a voice, platform, that an unpopular student doesn’t have a and support of the nation, and we are in for ring, and holistic healing are all elements for improving wellness within a community. As date to the prom and takes them; or students some exciting days ahead as we watch to coming together to support one another or see how their influence can change the a federal employee, community member, develop new programming to meet the world, one community at a time. clinician, coach, and mother, I have needs of others in the community. All of recognized the importance of empowering these examples speak to the importance of About Dr. Marcella Ronyak our youth. In fact, my professional growth encouraging youth to take a leadership role Ph.D., LICSW, CDP was impacted by the sincere and powerful within their community as they are the words of my patients and Native youth change agents. Our youth are speaking out Dr. Marcella Ronyak received her doctorate within my community. Looking into the eyes and using their experiences, special talents, degree in Counseling Psychology & and faces of Native youth and having the innovated ideas, motivation, and cultural Educational Leadership from Washington opportunity to hear their personal stories, connection to help others implement State University in 2004 and completed her was not only an honor but a way to connect pre-doctoral internship with Colorado to the inner pain that was held inside. They programs and support, and change. State University Counseling Center in Fort had life experiences that changed their Collins, Colorado. worldview and personal wishes, desires, and Lifting our youth up and supporting their She completed her Master of Social Work drive to make a difference in this world. innovative ideas can shape the way we approach holistic healing within degree at Walla Walla College (University) It was during the non structured times, the communities. It is often said that youth are in 1998 as a part of the advanced standing

casual walks in the hallways of Paschal our future, so why not support a future that program and was a recipient of an Indian

Sherman Indian School, numerous hours can be bright and led by our youth? Health Service Scholarship in 1997-1998. Dr. Ronyak received her Bachelor’s degree in social work from Eastern Washington University in 1997.

TIWAHE INITIATIVE Promotes Family Stability to Fortify Tribal Communities

In Fiscal Year (FY) 2015, the Bureau of Indian Each tribe or tribal organization that Affairs received a $5 million increase in Tribal receives Social Services (TPA) and ICWA Priority Allocation (TPA) funding and a $5 (TPA) funding will receive a pro rata share of million increase in Indian Child Welfare Act these funds. In addition, four sites will be (ICWA) funding to support the Tiwahe selected as pilot projects for FY15 and will Initiative. Tiwahe (ti-wah-hay) means Family in receive additional funding to confront child the Lakota language, and was developed as a and family violence challenges. The Tiwahe delivery of services to children and families part of the President’s commitment to protect dollars are recurring, and will serve as a for the purpose of preserving the family and promote the development of prosperous sustainable resource to aid tribes in unit and supporting healthy and productive and resilient tribal communities. The funding is developing successful strategies to address families. Moreover, it is the intent of the designed to support tribal efforts to address these concerns. initiative to target American Indian/Alaska child abuse and neglect, family instability, Tiwahe is a six-year plan to strengthen Native children, youth, and families exposed domestic crime, barriers to accessing appro­ Indian families and promote family to violence, especially in domestic violence priate services and/or programs affecting tribal stability in order to fortify tribal and child endangerment situations. communities. Tiwahe is designed to build members. capacity and integrate the

Prevention & Recovery 2 Special Edition 2015 Bridging the Gap (continued from page 1) The programs that are funded by the Substance at the community center help to connect the Establishing a Abuse and Mental Health Services Adminis­ generations and teach young people the tradi­ tration (SAMHSA) grantees—including the tional ways. We have language and culture youth clubhouse and Systems of Care, Circles of Care, and Project classes, because it is important to keep our LAUNCH (Linking Actions for Unmet Needs in language alive, pass on traditional ceremonies, activities oriented Children’s Health) programs—is responsive craft skills, and cooking,” says Angela Valenzuela, to the youth voice. Staff members involved in a Systems of Care Program Manager for the around environment SAMHSA’s programs see Native youth blending Pascua Yaqui Tribe’s Sewa Uusim Community and play are more traditional and modern day practices first hand. Partnership. Arlene Cocio, the program’s youth Prevention & Recovery asked for their perspec­ resource coordinator, adds that intergener­ natural ways to tives on this movement and where it is heading. ational engagement of families organically generates conversations among youth and visit and talk with Knowing Who They Are and elders. “These activities strengthen commu­ a counselor than Where They Belong nication between the generations—young people and elders know each other and appointments or As part of forming and strengthening their have meaningful conversations and an open identities, Native youth have a strong desire to dialogue,” she says. sessions. learn cultural and traditional practices. Jennifer Ruiz, CEO of the Fresno American Indian Health Harnessing the Healing Power but unlike a counselor’s office, such activities Project in California, observed that programs do not carry the expectation or pressure to use that incorporate traditional and cultural activ­ of Culture words,” he says. ities are well attended by youth. Her organi­ Bringing the healing power of traditional zation conducted a survey of Native youth, practices into modern services is at the heart Some other examples of blending traditional which found that most who live in urban and of AI/ANs efforts in behavioral health. “AI/AN and modern practices include the Gathering suburban areas feel that having cultural and communities recognize that personal and of Native Americans (GONA) program, which traditional knowledge helps them cope. “Native intergenerational traumas are at the root cause is supporting youth leadership and mentoring identity is important to them, but many youth of behavioral and physical health problems in communities across the country. Through a feel disconnected from their tribal communities such as suicide, diabetes, and substance 4-day prevention curriculum for youth ages 12 or are not in touch with people who could share misuse,” says Dr. Bartgis. She explains that to 17, imparts four important teachings that traditional knowledge,” says Ms. Ruiz. Dr. Bartgis Native communities have learned to counter cross many indigenous cultures and commu­ adds that traditional cultural practices signify to these challenges and “are bringing people nities: Belonging, Mastery, Interdependence, everyone in the community who they are and back” with traditional cultural practices as part and Generosity. The curriculum also engages where they belong—giving them a purpose of a larger healing process. and encourages youth to consider how each and pride, which is particularly important for applies to their own lives, communities, and suicide prevention. Young people are leading the way when it the future of both. Program staff members comes to blending traditional and modern and community members are involved with “For the Pascua Yaqui Tribe in Arizona, the practices, and they are also encouraging fun activities for youth and can teach them religion, traditions, and culture are really one programs to provide services that are culturally different cultural practices (e.g., sweat lodges), and the same and part of our being as people. competent from the youth perspective. In some and these mentors have a strong influence on But not all youth have everyday exposure to ways, the two seem to overlap. For example, the teachings or practices that young people their culture, so they seek something to guide services underpinned by the deficit model carry forward. them and provide spiritual connections as discourage youth from treatment, and they well as links to the land and each other. When simply do not feel better by talking about This year will mark the fourth annual GONA they find those connections, young people problems in a counselor’s office for 50 minutes, event at One Fire Associates, LLC, which has experience the peace they did not have before,” says Dr. Bartgis. “Establishing a youth clubhouse seen increased youth participation every year— says Mildred Manuel, Program Manager for the and activities oriented around environment and from 44 young people during the first year to Ili Uusim Hiapsi program (Project LAUNCH), play are more natural ways to visit and talk with 70 (with a waiting list because of a necessary which promotes the wellness of tribal children a counselor than appointments or sessions,” she cap on attendees) during the third year. A from birth to eight years of age by supporting says. T. Kay Estes, a coordinator from the Pascua cross-site evaluation of GONA across multiple their physical, social, emotional, thinking and Yaqui Tribe, agrees that particularly for children, communities is documenting its outcomes and behavioral development. positive activities with someone who cares processes. Young people’s voices are strong about them is a more effective way of healing. regarding GONA. “Every year Native youth Others in this community stress the importance “While engaged in art, equine or other outdoor indicate that they want more ceremonies from of intergenerational activities for promoting activities, or various cultural practices, youth their communities—so the spiritual aspect is connections to elders and traditional culture. can express—form therapeutic connections— “Service projects, celebrations, and activities through their senses. This can lead to talking, (continued on page 4)

Prevention & Recovery 3 Special Edition 2015 Affordable Care Act: Expanding Access to Preventive Services for Youth

Under the Affordable Care Act (ACA), health For children, covered preventive services for sexually transmitted infections for plans must cover some essential preventive include developmental screening (for adolescents at high risk. services for everyone—including children children under age 3), autism screening, and adolescents. These include behav­ behavioral assessments at certain ages, For more information on the preventive ioral health preventive services. If covered blood pressure screening, and obesity services covered for children and adoles­ preventive services are received in a person’s screening and counseling. In addition to cents, please visit https://www healthcare provider network, whether it is in the these services, adolescents can receive gov/preventive-care-benefits/children/ Marketplace or Medicaid, they are free. depression screening, alcohol and drug use assessments, and screening and counseling

Bridging the Gap (continued from page 3) critical for them,” says Dr. Bartgis. “Trauma gets Ms. Areyan, who is from the Pascua Yaqui Tribe things and need to ask questions to learn. to you at the spirit, so that is where people but lived in Fresno at the time, was also part of Whenever I have reached out to elders, they need to heal—something the elders have been a grassroots research project. “The Native youth have always wanted to talk and help me under­ saying for many years. Ceremony as part of care, participating in the Fresno project liked the stand the history,” she says. Like most people especially for mental health, is very important to Medicine Wheel self-assessment for adults, and these days, Native communities and youth use Native youth,” she adds. because they were tired of ‘gloom and doom’ technology (e.g., text messaging, social media, assessments, took it upon themselves to adapt and video chatting) to stay connected—both to Putting the Youth Voice on this tool for people their age,” says Dr. Bartgis. those they have grown up with and others who Research, Building the Workforce With her guidance—and after learning and share their worldview—and let everyone know applying information on ethics, recruitment, about the latest events. Native youth are also taking part in communi­ and Institutional Review Boards—youth tested ty-based participatory research projects—an and revised the tool through several iterations Listening to Their Voices approach that equitably involves community to address measurement issues. The result was a members, representatives from key organi­ Throughout their discussions with Prevention valid, strength-based self-assessment for Native zations, and researchers in all aspects of the & Recovery, program staff noted that perhaps young people that is presented in youth-friendly process and decision-making. This approach is the most important aspect of services for language and rooted in traditional concepts of considered the gold standard for research in AI/ Native youth is including their voices. For holistic health. In addition to teaching youth AN communities because it empowers them to example, programs that have a youth council important information and skills, the project collect and use data in a way that is valuable and show both their intention to listen and offer a contributed to building the behavioral health meaningful from their perspective. When the direct mechanism for participation in decision- workforce of the future. Ms. Areyan, who was Fresno American Indian Health Project (funded making. Additionally, young people want to see then in high school and planning to become a by the SAMHSA Circles of Care Initiative) set that their input is having an impact. “It is really veterinarian, changed her career path because out to assess the needs of the local Native important to provide feedback to youth to show of the experience. “When I saw that kids actually community, program staff directly involved that the organization is incorporating their used this tool, I realized that I liked working youth in the process. suggestions. This shows them that you are truly with youth and having a positive impact on listening and improves the event or program, As part of the Community Needs Assessment their overall outlook and direction in life,” she including participation,” says Ms. Ruiz. Programs for the Fresno Native community, young people says. Now in college in Tennessee, Ms. Areyan is that can connect projects and services to received cameras to conduct photo-voice quali­ studying social services: “It’s a broad degree—I specific youth goals will likely see greater partic­ tative research. This type of research is similar to can take it wherever I want.” ipation. As college student Ms. Areyan notes: a focus group, except that photographs rather “The success of projects depends on listening to than verbal questions serve as a springboard Moving Into the Future what youth want to get out of it. Youth need a for important conversations about needs, Many programs that engage youth, such reason for everything and it has to be relevant challenges, and strengths. “Young people love as the photo-voice project and multimedia to them to get them interested.” to take pictures,” says Rachelle Areyan, who recordings of interviews with elders, incorporate participated in the needs assessment project technology. Ms. Areyan thinks that using multi­ when she was 17 years old. “Taking pictures media tools helps young people engage with in their communities motivated my peers to elders to ask about life when they were growing answer questions and discuss issues in a way up and the journey that Native Americans have that was comfortable to them.” made. “Young people don’t want to offend anyone, but we want to know the history behind

Prevention & Recovery 4 Special Edition 2015 Evidence-based Practices in American Indian/ Alaska Native Communities

“Community-driven, culturally grounded and substance abuse interventions. All inter­ targeting Native youth. For more information prevention interventions, derived from the ventions in the registry have met NREPP’s on these programs, visit SAMHSA’s National beliefs and values of a given tribe or culture, minimum requirements for review and have Registry of Evidence-based Programs and has become more acceptable and poten­ been independently assessed and rated for Practices (NREPP) at http://www .nrepp tially more effective for Native Youth”, (Gone Quality of Research and Readiness for Dissem­ samhsa .gov/ & Looking, 2011; Hawkins et al., 2004; Lane ination. The purpose of NREPP is to help the & Simmons, 2011; Lowe et al., 2012; Moran public learn more about available evidence- & Reaman, 2002; Nebelkopf et al., 2011; based programs and practices and determine Okamoto et al., 2014). which of these may best meet their needs.

The National Registry of Evidence-based This newsletter issues includes a variety of Programs and Practices (NREPP) is a tribally-focused substance use prevention searchable online database of mental health programs, practices and interventions that are

AMIkids Personal Growth Model

an appropriate treatment plan is developed, mined by the individualized treatment which combines the following components: plan. Staff implementing this component must be licensed mental health profes­ • Education. The education component sionals or therapists/counselors who are uses three primary methods to enhance supervised by a licensed mental health learning: experiential education, project- professional. Separating a troubled past based learning, and service learning. from a bright future Participants attend classes in an academic To learn more about the implementation of setting, and teachers use a rigorous AMIkids Personal Growth Model, contact: The AMIkids Personal Growth Model (PGM) is a curriculum designed to address the partic­ Judy Estren, J.D. (813) 887-3300 comprehensive approach to treatment for 10- ipants’ individualized needs and diverse jle@amikids org to 17-year-old youth who have been adjudi­ learning styles. Teachers implementing cated and, in lieu of incarceration, assigned this component must be certified and To learn more about the research of AMIkids to a day treatment program, residential highly qualified on the basis of State, local, Personal Growth Model, contact: treatment setting, or alternative school or who and AMIkids requirements. Kristin Winokur Early, Ph.D. (850) 521-9900 have been assigned to an alternative school kearly@thejrc com after failing in a conventional school setting. • Treatment. The treatment component is The AMIkids PGM, which is intended for use individualized on the basis of each partic­ Visit, http://www amikids org/our-services/ over 6-8 months, is designed to target and ipant’s assessments, and research-based amikids-personal-growth-model reduce the risk factors that sustain delinquent mental health and/or substance abuse behavior and academic failure, reduce recid­ interventions (e.g., cognitive behavioral This information was obtained from SAMHSA’s ivism, improve program completion rates, and therapy, motivational enhancement National Registry of Evidence –based promote academic achievement. therapy, functional family therapy, Programs and Practices (NREPP) http://www motivational interviewing) are provided nrepp samhsa gov/ Before services are provided through the to participants, as well as their families. AMIkids PGM, the risks, needs, and motivation Participants receive group services on to change of the youth and his or her family are a daily basis, and individual and family assessed. On the basis of these assessed needs, sessions are provided on a schedule deter­

Prevention & Recovery 5 Special Edition 2015 We R Native: A Multimedia Health Resource for Native Youth

We R Native is a multimedia health resource for Native teens and young adults, run by the Northwest Portland Area Indian Health Board. The site focuses on promoting life skills and healthy decision-making specifically for Native youth. This is done by providing accurate health information and encouraging young people to get actively involved in their own health and wellbeing. The service was designed using behavior change theory and formative research, with extensive input and website content created by Native youth across the U.S.

The service includes a website (www weRnative org), a text message service (text NATIVE to 24587), a YouTube channel, social media accounts (Facebook, Twitter, Instagram), and print marketing materials, about 31,000 viewers are reached per week and half of them access it from a tablet or mobile device.

We R Native includes content on social, search through other youth’s questions on the We Believe Native Youth will emotional, physical, sexual, spiritual health, site, or post one of their own. Change our World! and American Indian/Alaska Native (AI/AN) To help them achieve this goal, tools, resources, culture. To celebrate Valentine’s Day in February, Youth Ambassadors encouragement and inspiration are provided the site posted a weekly video series called Washington D.C., Nike World Headquarters, to Native youth. The text message service Native VOICES. The video was originally filmed the National Indian Health Board Annual and Facebook page alerts followers to health for a newly-released, evidence-based HIV/STD Conference… What do these places have in tips, new contests, internship opportunities, prevention intervention for American Indian common, you ask? These are just a few of the and news stories about Native youth. Since and Alaska Native youth 15-24 years old. To places our We R Native Youth Ambassadors its launch in 2011, the website has had almost celebrate Earth Day in April, the site launched a had the opportunity to visit this year. On their 200,000 page views, We R Native’s Facebook new informational section on My Environment, travels they helped spread the word about We page has had over 23,000 likes, and the 250 covering topics like: water, land, energy sources, R Native. Last year 16 Youth Ambassadors were health and wellness videos on YouTube have and how to take action. trained and supported as they spread positive had over 26,800 video views. vibes and created positive changes in their local Altogether, the website contains over 350 communities. Please Help Us Spread the Word health and wellness pages, all reviewed by Native youth and experts in public health, Native, Youth-Friendly Media and Make We R Native Better! mental health, community engagement, and Campaigns You can get involved and join the We R Native activism. Special features include monthly movement by liking them on Facebook (www We R Native also uses its media platforms to contests, community service grants (up to facebook com/weRnative) , signing up for the promote Native, youth-friendly social marketing $475), an “Ask Auntie” Q&A service, and a blog. text messaging service (text NATIVE to 24587), campaigns. Recent examples include a series of or by ordering a free We R Native promotional messages in March that let teens know how to Ask Auntie toolkit for use in your community. Stand Up Stand Strong, Don’t Just Stand By. Ask Auntie is one of the most popular The series included resources and tips for teens This is your community’s website, so if you see sections of the site! Youth can submit their to be more than just a bystander if they see anything missing, please let them know! They questions around any topic anonymously, something that could be violence or bullying. LOVE hearing suggestions on content to add, and Auntie responds with a short text or A drug and alcohol prevention campaign—I or getting photos or videos that we can posted video response. Topics covered range from Strengthen My Nation—is also regularly and shared. If you have any questions or ideas drugs and alcohol questions, to identity, to featured by We R Native. The campaign includes about how We R Native might work together to handling difficult emotions, to sexual health posters, Facebook posts, and videos on their spread the word about, please contact native@ questions. No question is off limits. Teens can YouTube channel npaihb org

Prevention & Recovery 6 Special Edition 2015 NATIVE YOUTH PERSPECTIVE Basic Health Services Lacking, Underfunded in Indian Country Teddy McCullough is from the Coyote Valley Band of Pomo Indians in Northern California and recently graduated from American University with a Bachelor’s degree in Political Science.

It’s hard to imagine the pain and suffering that an individual of any age must be going through to make the decision to take their own life. It’s even more difficult, maybe even impossible, to imagine what would make a 12-year-old girl decide to end her life. A few days before Christmas last year Santana Janis, a 12-year-old Lakota Indian on the Pine Ridge Reservation in South Dakota, hung herself in an abandoned building next to her home.

According to a recent Huffington Post article, Native Leaders Tell Senators How to Help Stop Youth Suicide by Rebecca or solutions to these problems. Be that as it While it is important to recognize the Klein, within a six-month period, between may, I believe that the best way to approach necessity of cultural methods in prevention December and June of this year, at least 14 mental health and substance use prevention and treatment, the fact of the matter is that young people between the ages of 12 and and treatment is through incorporating resources for basic mental health services 24 took their own lives on the Pine Ridge traditional and cultural practices of healing are lacking in Indian Country. According to Reservation. In that same amount of time, with contemporary methods. an article that was written in the New York Pine Ridge Hospital treated close to 400 Post entitled Pine Ridge Indian Reservation young people, under the age of 19, who had Cultural methods utilized by some of these Struggles With Suicides Among Its Young planned or attempted suicide. We may never programs vary depending on the history there are currently only six mental health know what caused these young people and identity of the tribal programs. However, counselors on the Pine Ridge reservation. The to make a life-ending decision. It could be these methods might include participating Bureau of Indian Affairs states that there are bullying, sexual abuse, poor living condi­ in sweat lodge ceremonies, smudging, only six individuals that serve as counselors tions, or any number of other hardships. One learning sacred dances, horsemanship for a population of close to 40,000. thing that is certain: suicide has become an programs, and many others. Integral epidemic, not only on the Pine Ridge Reser­ to the success of these programs is the How can we honestly believe that six mental vation but across all of Indian Country. involvement of elders, singing, dancing, and health professionals are enough to help the learning tribal history, values, and beliefs. 400 young people who have planned or I could go on and on for hundreds of pages Native people are tied to their tribe’s history, attempted suicide, let alone the hundreds with statistics and stories of the issues land, and spirituality. By involving Native of others who are 20 and older who have that Native youth face—from suicide and youth in their culture and identity, you also attempted to commit suicide in recent substance abuse, to sexual abuse and racist offer spiritual connection that can be very months. If we really want to tackle mental mascots. Nevertheless, debate rarely arises healing to many Native people, including health, substance abuse, and other issues over facts and statistics. The debate typically youth. Young people want to get in touch Natives are facing, then we need to start emerges over why this is occurring and how with their culture in whatever way they can, taking the issues seriously and providing we should address it. Unfortunately, there and many young Natives are participating in adequate and sustainable resources to really is no way of defining specific causes traditional methods of healing. combat the problems Native youth face.

Prevention & Recovery 7 Special Edition 2015 INDIGENIZING EVALUATION Youth Develop a Strength-Based Holistic Self-Assessment Using Indigenous Teachings

In 2011, the Fresno American Indian Health more relevant for youth and formally linked Project (FAIHP) was awarded a Substance the four components of health (spirit, mind, Abuse and Mental Health Services Admin­ heart, and body) to the GONA curriculum. istration (SAMSA) Circles of Care three-year The youth brought this tool to the annual planning grant. The Fresno Family Wellness GONA to formally use the tool as a part of Project supports the FAIHP and the local the curriculum and to pilot test the tool for community in a three-year journey to product improvement. A youth who had develop a system of care model. Using the been trained in GONA facilitation supported Gathering of Native Americans (GONA) a mini-teaching on the medicine wheel curriculum and a community-based and as a tool for balance of physical, mental, participatory evaluation model, the FAIHP emotional, and spiritual health, thereby partnered with a community evaluator and reinforcing the concepts presented by local systems consultant to engage local youth elders. The youth then administered the Native youth programs beyond Fresno and their families to guide the project. Personal Balance Tool to approximately 60 and this created a renewed momentum The GONA curriculum uses four worldview Native youth and conducted a smaller focus to improve the tool for use among other concepts that are consistent among many group to support product improvement. Native communities. The youth made a third indigenous communities. Local elders, revision to improve the measurement and While youth participating in the pilot project spiritual leaders, community helpers, and proceeded to plan and implement a second had a number of tangible suggestions, such trained GONA facilitators came together pilot project for the 2014 summer GONA. as using color-coded forms with crayons for an annual 4-day event focused on youth Following the same process, the tool was and improving upon the questions, they by instilling a sense of belonging, mastery, administered to a group of 70 Native youth identified the usefulness of the tool in setting interdependence, and generosity so that and a small focus group provided important personal goals and improving their under­ they can be a part of the solution to the content improvement with suggested standing of holistic health. Youth asked challenges faced by the local community. language and recommendations for how to if FAIHP could “bring back my medicine deliver the administration of the tool. This During the Circles of Care project, FAIHP wheel tool” next year so they could see what resulted in a fourth revision of the Youth supported and organized a Youth Council progress they had made. Youth participating Personal Balance tool. Today, the Youth that provided substantial human resources in the focus group were able to identify how Council is working with their evaluator to and leadership to the project. Through the tool helped them identify what areas write up the tool development in hopes of training, skill building, and supervision, the of their own life needed improvement and being published in a peer-reviewed journal youth conducted their own local needs how it helped them to “set [ their] own goals focused on American Indian/Alaska Native assessment by collecting survey data, elder for all parts of [them].” The initial reception Mental Health to support the spirit of gener­ interviews, and a youth-driven Photo Voice of the tool by the participating youth was osity’ that has become an important healing project. These early project experiences promising so the Council made a second component for the local System of Care. provided the skills and confidence the youth revision to the tool and disseminated it to needed to engage in evaluation activities. national sources so that other communities For more information contact: Jennifer Ruiz, could benefit from its use. Executive Director, Fresno American Indian In 2013, the Youth Council took on an even Health Project at jruiz@faihp org bigger evaluation project by developing By the spring of 2014, both urban and and testing the Personal Balance Self-As­ tribal communities were utilizing the Youth Acknowledgements: FAIHP would like to sessment tool, built upon the Medicine Personal Balance tool. San Diego County give special thanks to the Youth Council, Wheel, a common tool used across many formally approved its use by the San Diego GONA planning committee, Community tribal communities for teaching individuals American Indian Health Center Prevention Advisory Board, and the Tribes of the San 1 how to maintain holistic balance. With and Early Intervention Program, which Joaquin Valley who supported the GONA encouragement from Alan Rabideau and serves San Diego Native youth through and system of care planning effort with Shannon Crossbear, founders of the adult funding from the California Mental Health their time, their prayers, and their resources. version of the Personal Balance Tool, the Services Act. The Youth Council recognized Youth Council adapted the tool to make it the impact this tool could make in supporting

1. It is important to note that, while many tribes do utilize the medicine wheel and/or related concepts for teaching balance, not all tribes use this tool and it is not universal for all indigenous groups.

Prevention & Recovery 8 Special Edition 2015 Family Spirit Family Spirit is a culturally tailored home-vis­ iting intervention for American Indian/Alaska Native teenage mothers—who generally experience high rates of substance use, school dropout, and residential instability—from pregnancy through 36 months postpartum. The intervention is designed to increase parenting competence (e.g., parenting knowledge and self-efficacy), reduce maternal psychosocial and behavioral risks that could interfere with effective parenting (e.g., drug and alcohol use, depression, externalizing problems), and promote healthy infant and toddler emotional and social adjustment (i.e., internalizing and externalizing behaviors). It also aims to prepare toddlers for early school success, promote parents’ coping and life skills, and link families to (e.g., unstable housing, poverty, weak family consists of 63 structured lessons delivered appropriate community services. support, mental health and substance one-on-one by health educators in partic­ abuse issues) trigger a high level of coercive ipants’ homes, starting at about 28 weeks Family Spirit is based on Patterson’s social parenting associated with early childhood of gestation and continuing to 36 months interaction learning model, which suggests behavior problems that predict poor outcomes postpartum. The lessons, designed to corre­ that a parent’s stressful life circumstances in middle and later childhood. The intervention (continued on page 10) American Indian Life Skills Development/Zuni Life Skills Development

Suicide is the second leading cause of death participating in lessons 3 times per week. The Zuni Life Skills Development curriculum among American Indian/Alaska Native (AI/ Lessons are interactive and incorporate was developed with cultural components AN) 15 to 24-years-old, according to Centers situations and experiences relevant to AI/AN relevant to the people of the Zuni Pueblo in for Disease Control and Prevention data. The adolescent life, such as dating, rejection, New Mexico and was tested and evaluated estimated rate of completed suicides among divorce, separation, unemployment, and with that population. The Zuni curriculum AI/AN in this age group is about three times problems with health and the law. Most of the served as the basis for the broader American higher than among comparably aged U.S. lessons include brief, scripted scenarios that Indian Life Skills Development curriculum youth overall (37.4 vs. 11.4 per 100,000, respec­ provide a chance for students to employ that is now in use, which can be used with tively). American Indian Life Skills Development problem solving and apply the suicide-related other AI/AN populations when implemented (the currently available version of the former knowledge they have learned. with appropriate and culturally specific Zuni Life Skills Development program) is a modifications. school-based suicide prevention curriculum Lessons are delivered by teachers working designed to address this problem by reducing with community resource leaders and repre­ To learn more about the implementation or suicide risk and improving protective factors sentatives of local social services agencies. research for the American Indian Life Skills among AI/AN adolescents 14 -to -19 years old. This team-teaching approach ensures that Development/Zuni Life Skills Development, the lessons have a high degree of cultural and contact: The curriculum includes anywhere from 28 linguistic relevance even if the teachers are not to 56 lesson plans covering topics such as AI/AN or not of the same tribe as the students. Teresa D. LaFromboise, Ph.D. (650) 723-1202 building self-esteem, identifying emotions For example, the community resource leaders lafrom@stanford edu and stress, increasing communication and can speak to students in their own language problem-solving skills, recognizing and elimi­ to explain important concepts and can This information was obtained from SAMHSA’s nating self-destructive behavior, learning about relate curriculum materials and exercises to National Registry of Evidence –based Programs suicide, role-playing around suicide prevention, traditional and contemporary tribal activ­ and Practices (NREPP) at http://www nrepp and setting personal and community goals. The ities, beliefs, and values. A school counselor samhsa gov/ curriculum typically is delivered over 30 (typically of the same tribe) serves as the weeks during the school year, with students on-site curriculum coordinator.

Prevention & Recovery 9 Special Edition 2015 “Osapausi Amasalichi” (Choctaw – “I get healing from that little garden”)

In 2009, the Office of Juvenile Justice and Delin­ quency Prevention (OJJDP) solicited applica­ tions for the “Tribal Juvenile Detention and Green Reentry” demonstration grant. Daniel Mittan, Director of Court Services, is tasked with the development of the Probation Office for the Mississippi Band of Choctaw Indians (MBCI). He was learning about restorative justice theory and practices before “reentry” became popular terminology for the process of offenders being returned into their commu­ nities. When he saw this opportunity, he went to some of the elders to see if the grant could be worthwhile at Choctaw. He had investigated a American Indian/Alaska Native growing method referred to as “The Three-Sisters” and wondered if it was accepted as Choctaw. One of the elders replied with chuckles and stated that he had realized as a boy that his grand­ work plans), hiring of staff (Project Coordinator, • The U.S. Department of Agriculture Natural mother’s way of gardening seemed so different Adolescent Therapist, and a Secretary), and Resources Conservation Service also had a from the rows in gardens of others, but what developing relationships with “partners” on the representative assigned to MBCI he described was exactly what Mr. Mittan had Tribal, State, and Federal levels. discovered on the internet. The application The purpose of the project was to prevent and was submitted. Through a selection process, • Existing tribal agencies/departments like further control delinquency with the devel­ MBCI was identified with two other tribes Behavioral Health and Natural Resources opment of a demonstration program, using (Hualapai of Arizona and Rosebud Sioux of environmentally sustainable activities and South Dakota) to design and implement their • A “green” institution was required by the green technologies as a platform to deliver demonstration programs. grant and Mississippi State University services, while promoting culturally signif­ had an Extension Service Agent already icant and relevant Choctaw ways. The Chahta The first year was invested in strategic planning assigned to the tribe Immi (cultural preservation department) (a master plan, worked in detail down to specific

(continued on page 11

Family Spirit (continued from page 9) The 63 lessons can be delivered in 52 home To learn more about the research of Family visits, which occur weekly through 3 months Spirit, contact: spond to the changing developmental needs postpartum and gradually become less frequent of the mother and child during this period, thereafter. The studies reviewed for this summary Nicole Neault, M.P.H. address topics such as prenatal care, infant used earlier versions of the intervention that (505) 797-3305, nneault@jhsph edu care, child development, family planning, and included fewer visits and fewer lessons, and healthy living. Each home visit lasts about an in two of the studies, all planned visits were Allison Barlow, M.A., M.P.H., Ph.D. hour and includes a warm-up conversation, conducted within 6 months postpartum. (410) 614-2072, [email protected] lesson content, question-and-answer period, Visit, http://www jhsph edu/caih/familyspirit and review of summary handouts. Health To learn more about the implementation Educators, trained American Indian parapro­ Family Spirit, contact: This information was obtained from SAMHSA’s fessionals, deliver the lessons using illustrated Kristen Speakman, M.A., M.P.H. (505) 797-3305 National Registry of Evidence –based Programs table-top flipcharts. The bond formed between kspeakma@jhsph edu and Practices (NREPP) http://www nrepp the Health Educator and mother is intended to samhsa gov/ facilitate the mother’s progress toward goals.

Prevention & Recovery 10 Special Edition 2015 Model Adolescent Suicide Prevention Program (MASPP)

The Model Adolescent Suicide Prevention curriculum; community education; enhanced Program (MASPP) is a public health-oriented screening and clinical services; and extensive suicidal-behavior prevention and inter­ outreach provided through health clinics, vention program originally developed for social services programs, schools, and a small American Indian tribe in rural New community gatherings and events. In addition, Mexico to target high rates of suicide among neighborhood volunteers of various ages are its adolescents and young adults. The goals recruited to serve as “natural helpers.” These of the program are to reduce the incidence individuals engage in personal and program of adolescent suicides and suicide attempts advocacy, provide referrals to community through community education about suicide mental health services, and offer peer and related behavioral issues, such as child counseling (with guidance from professional abuse and neglect, family violence, trauma, mental health staff ) to youth who may prefer and alcohol and substance abuse. As a to seek assistance from trusted laypersons in a community-wide initiative, the MASPP incor­ less formal setting. To learn more about the implementation or porates universal, selective, and indicated research for the Model Adolescent Suicide interventions and emphasizes community Several evaluations of MASPP have been Prevention Program, contact: involvement, ownership, and culturally framed conducted, including one that followed the public health approaches appropriate for an program over 15 years of implementation. The Patricia Serna, LISW (575) 756-1897 American Indian population. professional staff involved in implementing the pserna@nccbs org program included a mental health technician, Central features of the program include clinical social worker, master’s-level counselor, This information was obtained from SAMHSA’s formalized surveillance of suicide-related and doctoral-level psychologist. National Registry of Evidence –based Programs behaviors; a school-based suicide prevention and Practices (NREPP) at http://www nrepp samhsa gov/

Osapausi Amasalich (continued from page 10) became engaged along with the elders from demonstration aquaponics operation (using One of the most significant partnerships the Choctaw Elderly Activity Center. From the fish to supplement the grow beds of included the assistance from the Choctaw very beginning the tribe’s Natural Resources vegetables, with the left over, naturally- Behavioral Health. Communication with Department offered support by designing the filtered water being returned to the fish tank). the full-time therapist at the tribal youth raised beds in the shape of symbols that had Solar power to run pumps, fans, and the detention center was improved, which, in cultural significance to tribal members. electric fence is being investigated with the turn, provided seamless mental and behav­ assistance of a local solar energy installer. ioral health services to participants and their Any youth coming into contact with the tribal families. They provided continued individual juvenile justice system was eligible, but those The project’s major goals were: 1) strengthen and group sessions and implementation of in detention for any length of time became the the youth, their family and community by evidence-based interventions like S.P.A.R.C.S. focus for services. The Choctaw people had providing culturally relevant activity that (Structured Psychotherapy for Adolescents always been attached to the “mother earth” renews foundational values like stewardship of Responding to Chronic Stress) and their own even in their stories of origin surrounding the “mother earth” and each member’s significance Alcohol and Other Drug awareness program. Nanih Waiya mound. The hours in the garden in the community; 2) replace alcohol and other Court Services also used Juvenile MRT® (Moral were at times a struggle, but life lessons about drug use with specific health and wellness Reconation Therapy). how they could contribute to others in need activity; and 3) ensure the identification of far outweighed the discomforts. Participants mental and behavioral needs, delivering the Although the grant was closed out at MBCI in remarked how cool it was to give some of appropriate service. Activities included: 1) 2014, the demonstration garden is flourishing the “first fruits” of their labors to elders at the assessments in detention; 2) orientation to the and has been expanded with the aid of adult Elderly Activity Center. The elders were grateful basic program of community gardening; and trustees scheduled for work at times when and never said a word about the summer 3) providing an advanced program of training youth are not present – expanding reentry to squash being allowed to get too big on the participants in life skills like residential energy include them. Truly, the Osapausi Amasalichi is vine. Before the grant ended, the project efficiency auditing, Red Cross CPR / First Aid living up to its name. also included a high-tunnel hoophouse (like and Safety certification, Native permaculture, a greenhouse), which also contains a and much more.

Prevention & Recovery 11 Special Edition 2015 National UNITY Conference AGENDA FRIDAY, JULY 10 – Theme: Social Development SATURDAY, JULY 11 – Theme: Physical Development SUNDAY, JULY 12 – Theme: Spiritual Development MONDAY, JULY 13 – Theme: Mental Development

National UNITY Conference July 10 - 14 , 2015 — Washington, D.C . Nearly 1,500 Native American youth from unified, and self- reliant Native America through UNITY has an impressive track record of across Indian Country are expected to gather greater youth involvement. UNITY began empowering and serving American Indian / in our nation’s capital to participate in the through the efforts of J.R. Cook, a Cherokee Alaska Native youth. UNITY has earned the annual National UNITY Conference taking from Oklahoma, who has worked with Native respect of national Native American organiza­ place July 10-14, 2015 at the Renaissance youth in leadership development for more tions, tribal leaders, and government officials. Washington, DC Downtown Hotel. The five-day than three decades. The organization grew agenda will feature several nationally known from a small group of interested Native youth The heart of UNITY is its affiliated youth councils keynote speakers, more than 30 workshops, in southwestern Oklahoma in 1976 to a national which are sponsored by tribes, Alaska Native a cultural exchange night, talent show, and organization today with affiliated youth councils villages, high schools, colleges, urban centers, awards banquet and dance. Many of the youth operating in 35 states and Canada. and others. Youth Councils are engaged in attending the conference represent the 145 annual projects in four areas – cultural preser­ UNITY affiliated youth councils from 35 states, UNITY evolved from a series of Indian programs vation, environmental awareness, healthy the largest Native American youth network of that Cook directed. After a successful basketball lifestyles, and community service. In April 2014, its kind in the nation. Access this link for the coaching stint, Cook devoted a decade of his UNITY had 140 affiliated youth councils in 35 conference agenda life to the Upward Bound project at South­ states. UNITY is the only organization to have a western Oklahoma State University in Weath­ network of youth councils. The United National Indian Tribal Youth (UNITY) erford, Oklahoma. At that time, it seemed to mission is to foster the spiritual, mental, physical, Cook there was more pressure for Native youth For more information, contact the UNITY office at and social development of American Indian and to fail than to succeed. (480) 718-9793 or visit http://www unityinc org/ Alaska Native youth and to help build a strong,

Red Cliff Wellness School Curriculum

The Red Cliff Wellness School Curriculum is Small-group discussions are extensively used, To learn more about the implementation of the a substance abuse prevention intervention along with small-group process activities, Red Cliff Wellness School Curriculum, contact: based in Native American tradition and culture. independent workbook activities, and collabo­ Ron DePerry, [email protected] Designed for grades K-12, the curriculum aims rative projects for older students. to reduce risk factors and enhance protective To learn more about the implementation factors related to substance use, including The school curriculum was created by or research of the Red Cliff Wellness School school bonding, success in school, increased the First American Prevention Center, an Curriculum, contact: perception of risk from substances, and identi­ arm of the Red Cliff Band of Lake Superior fication and internalization of culturally based Chippewa. The curriculum is part of a broader Eva Petoskey, M.S. (231) 357- 4886 values and norms. The Red Cliff program is wellness initiative that includes a community epetoskey@centurytel net taught by teachers who have been trained in curriculum and home wellness kit. Since its interactive, cooperative learning techniques initial development for Native American youth, This information was obtained from SAMHSA’s and facilitation. The manualized curriculum has the tribally based curriculum has been used National Registry of Evidence –based Programs separate components for grades K-3, 4-6, and in schools with a wide range of populations, and Practices (NREPP) at http://www nrepp 7-12. Each component includes 20-30 devel­ including some with only a small percentage samhsa gov/ opmentally appropriate lessons and activities of non-Native students. designed to enhance the values of sharing, The research reviewed in this summary respect, honesty, and kindness, and to assist involved only the elementary school students in understanding their emotions. component (grades 4-6) of the K-12 program.

Prevention & Recovery 12 Special Edition 2015 The Hero Project: Cultural/Adventure Rites of Passsage

The Hero Project (THP) is a high-risk behavior prevention program for Native and non-Native youths ages 11–18, which is based on the traditional stories of heroes and heroines from around the world. Through mental and physical adventure-based rites of passage, and activ­ ities such as hiking, rock climbing, camping, fishing, archery, white water rafting, cultural activities, and teachings, students awaken to the adventure of self-discovery. By placing their feet in ancient footsteps they awaken to their heroes within.

Each Hero Project is custom-designed for every tribe, school, district, or organization. The program kicks off with a large recruitment event, called An Epic Day, with up to 100 students. The event is followed by the core 8-week cycle adventure program, which meets with a group of between 5–10 students twice a week for up to 4 hours each session.

The program focuses on reducing risk factors and improving assets in the areas of self-esteem; internal locus of control; increased connection to their culture or feelings of belonging; decreased risk-taking behaviors; To learn more about the implementation of Also, visit the following Web Site(s): longer-term perspectives on life; increased Project Hero, contact: • http://www LiveYourMyth org positive attitudes toward school and attending • http://www MauiHeroProject com college; and an increased perception of the Loren Lapow, M.S.W. (808) 726-0969 • http://www DineHeroProject org harmful effects of alcohol, tobacco, and other mauiheroproject@gmail com drugs (ATOD). THP is based on social construc­ This information was obtained from SAMHSA’s tionist and narrative theories. The program has To learn more about research of Project Hero, National Registry of Evidence –based Programs been implemented with Native Hawaiian and contact: Susan Carter, Ph.D. (505) 670-3222 and Practices (NREPP) at http://www nrepp Native American populations both on and off susanleecarter@comcast net samhsa gov/ reservations, in Hispanic and border-town communities, as well as with non-Native populations in urban and rural settings.

planning, emergency planning, and finally, a For more information about Journey to Journey to Wellness celebratory event to close out the sessions. Wellness, contact Journey to Wellness (J2W) is an eight-week J2W is delivered along gender and age group Ms. José Pruden, Wellness Director wellness program for American Indian/Alaska divisions to promote comfort and safety. Battle River Treaty 6 Health Centre Inc. Native youth 12-18 years of age. Participants J2W was developed by Battlefords Tribal P.O. Box 1658 receive a sequenced set of eight one-hour Council (BTC) Indian Health Services staff. An North Battleford, Saskatchewan, sessions that are framed positively toward initial literature review of best practices was Canada S9A 3W2 healthy living styles while at the same time conducted. Input was sought from youth in the Voice: 1-306-937-6700 exploring risk factors, suicide prevention, and communities. The initial program was piloted to Email: jpruden@btchealth org other suicide-related issues. The sessions are female students in two communities. After pilot, activity-oriented and designed to engage focus groups were conducted with the partici­ This information was obtained from Suicide youth. Sessions topics include: relationship pants. In addition, focus groups were held with Prevention Resource Center (SPRC) at http:// building, problem solving, self-esteem building, male students to review the program and the www sprc org/. facts and myths of suicide, networking, life potential effectiveness with this population.

Prevention & Recovery 13 Special Edition 2015 Wiconi Ohitika (Strong Life) Suicide Prevention Project

Based on the culture, language, values and Activities designed to meet project objectives history of the Spirit Lake Dakota (Mni Wakan and goals are intended to address indicated, Oyate), this approach to youth suicide selective, and universal populations across prevention is designed to promote positive different levels of the social ecology. The strat­ self-identity, increased self-esteem, and egies were selected to meet the project’s goals greater knowledge of the Dakota way of and objectives: awareness activities-PSAs, life. Adapted from the American Life Skills videos, Sources of Strength; community program, Wiconi Ohitika works to reduce engagement—Suicide Prevention Coalition, risk factors that contribute to high rates of gatekeeper training (QPR – Question, Persuade, substance abuse and suicide by increasing and Refer; ASIST – Applied Suicide Intervention connectedness between youth and young Skills), and Youth American Indian Life Skills, adults, their families, and the community. Sources of Strength, and Cultural Activities. Strategies were selected based on whether Wiconi Ohitika’s four goals, with objectives, are: they were evidence based and culturally appro­ priate for American Native youth, their families, Goal 1: Increased awareness of suicide, its and their community. risk factors, protective factors and suicide prevention. For more information about the Wiconi Ohitika (Strong Life) Suicide Prevention Project, Goal 2: Increased identification of youth Visit, www littlehoop edu/content/index contact: at risk, referral to appropriate resources, php/component/content/article/9-cccc/125­ and follow-up. wiconi-ohitika Erica Cavanaugh Interim Project Director Goal 3: Increased youth, family, and This information was obtained from the Suicide Library and Community Services community engagement. Prevention Resource Center (SPRC) http:// P.O. Box 269 www sprc org/ Goal 4: Effective and efficient program Fort Totten, SD 58335 implementation and sustainability. Phone: (701) 766-1305 erica_cavanaugh@littlehoop edu

making and problem-solving skills. The To learn more about the research of Project Project Venture central components of the program include Venture, contact: a minimum of 20 1-hour classroom-based Project Venture is an outdoor experiential activities, such as problem-solving games and McClellan (Mac) Hall (505) 722-9176 youth development program designed initiatives, conducted across the school year; machall@niylp org primarily for 5th- to 8th-grade Native youth. weekly after-school, weekend, and summer It aims to develop the social and emotional skill-building experiential and challenge Susan Carter, Ph.D. (505) 508-2232 competence that facilitates youths’ resistance activities, such as hiking and camping; 3- to [email protected] to alcohol, tobacco, and other drug use. Based 10-day immersion summer adventure camps Visit, http://www niylp org on traditional American Indian/Alaska Native and wilderness treks; and community-oriented values such as family, learning from the natural service learning and service leadership This information was obtained from SAMHSA’s world, spiritual awareness, service to others, projects throughout the year. National Registry of Evidence –based Programs and respect. Project Venture’s approach is and Practices (NREPP) http://www nrepp positive and strengths based. The program is samhsa gov/ To learn more about the implementation of designed to foster the development of positive Project Venture, contact: self-concept, effective social interaction McClellan (Mac) Hall (505) 722-9176 skills, a community service ethic, an internal machall@niylp org locus of control, and improved decision

Prevention & Recovery 14 Special Edition 2015 Resources

NREPP is a searchable online registry of more than 340 substance abuse and mental health interventions NREPP was developed to help the public learn more about evidence-based interventions that are available for implementation.

NREPP does not endorse or approve interventions. Learn more about NREPP and current minimum requirements for inclusion in the registry. For more information, visit http://www nrepp samhsa gov/Index aspx

WE R Native is a comprehensive health resource for Native youth, by The Suicide Prevention Resource Center (SPRC) provides training, Native youth, providing content and stories about the topics that technical assistance, and resources specific to American Indian/Alaska matter most to them. WE R Native strives to promote holistic health Native populations to support suicide prevention and mental health and positive growth in our local communities and nation at large. For promotion. For more information, visit www sprc org more information, visit http://www wernative org/

The Fresno American Indian Health Project is a culturally sensitive health access and advocacy program designed to enhance the health SAMHSA’s Center for the Application of Prevention Technologies (CAPT) and well-being of the American Indian community in the City of Fresno, is a national substance abuse prevention training and technical assis­ CA. The Health Project provides public health services and access to tance (T/TA) system dedicated to strengthening prevention systems free & low cost quality health care. The primary program services are and the nation’s behavioral health workforce. Specifically, SAMHSA’s comprehensive case management, public health nursing, providing CAPT provides capacity-building training and technical assistance access to health services and prevention education. For more infor­ designed to help SAMHSA-funded grantees: mation, visit http://www faihp org/. • Successfully implement all five steps of SAMHSA’s Strategic Prevention Framework • Use data to inform strategic planning; and • Select and implement evidence-based interventions. To subscribe to the CAPT on the Web newsletter, visit https://captus OJJDP (Office of Juvenile Justice and Delinquency Prevention) within samhsa gov/capt-web-archives the U.S. Department of Justice administers the Tribal Juvenile Detention and Reentry Green demonstration grant which supports tribal efforts to provide comprehensive and quality programs for tribal youth who reside within or are being released from a tribal juvenile detention center. In this demonstration program and Web site, “green” refers to programs and activities such as indigenous and organic farming, composting, recycling programs, and beekeeping for example. More complex green activities might include training detained and reentry youth in skills of high demand jobs to assemble and install solar panels or wind turbines. For more information, visit http://www tribalreentry org/

Prevention & Recovery 15 Special Edition 2015 Indian Country Child Abuse Training Events Date: August 10 - August 13, 2015 Location: Byron G. Rogers Federal Building, Mt. Evans Conference Room, Denver, CO Register: Contact Indian Country Training Coordinators SSA, Cheryn Priestino (202) 324-6857, Email: Cheryn Priestino@ic fbi gov MAPA Linda Smith, (202) 324-6010, E-Mail: linda f smith@ic fbi gov White House Tribal Youth Gathering Date: July 9, 2015 Location: Renaissance Downtown Hotel, Washington, DC Registration: CLOSED

2015 National UNITY Conference National Association of Tribal Historic Preservation Officers Date: July 10 - 14, 2015 17th National Tribal Preservation Conference Location : Washington DC Date: August 17 - 21, 2015 Register: https://unity formstack com/forms/2015_national_reg Location: Albuquerque, NM For more information visit, http://nathpo org/wp/conferences/ nathpo-conferences/

Tribal Self-Governance Training and Technical Assistance Date: August 18 - 19, 2015 2015 National Native Media Conference Location: Mohegan Sun, Uncasville, CT Native American Journalists Association and Native Public Media Register: http://tribalselfgov org/events/event/self-governance-fi­ Date: July 9 - 12, 2015 nance-training/ Location: Hyatt Regency Crystal City, Arlington, VA Register: https://www eventbrite com/e/2015-national-native-me­ 12th Annual Direct Service Tribes National Meeting dia-conference-registration-15743624605?ref=ecount Date: August 26 - 27, 2015, Location: Flagstaff, AZ

44th AAIP Annual Meeting and National Health Conference National Indian Health Board (NIHB) Annual Consumer Conference Date: July 27 - August 2, 2015 Date: September 21 - 24, 2015 Location: Tulalip Casino Resort, Tulalip, WA (Outside Seattle) Location: Washington, DC Register: Visit www aaip org for more information. For more information contact National Indian Health Board (202) 507-4070 Feel free to copy and distribute Contributing Agencies

Newsletter Contact Information If you have any questions, concerns, or would like to contribute to this newsletter, please contact: Sharece N Tyer, Communications Chair Office of Indian Alcohol and Substance Abuse Office of Tribal Affairs and Policy Substance Abuse & Mental Health Services Administration 1 Choke Cherry Road, #4-1062 Rockville, MD 20857 Tel: (240) 276-2432 Email: [email protected]

Prevention & Recovery 16 Special Edition 2015