Shaping our Future in a New Era of Leadership

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The Indian Country Methamphetamine Initiative

• Shaping our Future in a New Era of Leadership
• 2009 Tribal Self-Governance Conference
• May17-21, 2009

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Methamphetamine Use Becomes Tribal Concern

• In 2006, Methamphetamine abuse was identified
  as a problem by tribes through
• Tribal Round Table sessions
• HHS Regional Tribal Consultations
• Numerous tribal community gatherings with OMH,
  SAMHSA, IHS, and DOJ

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• Young Adults Aged 18 to 25 Reporting Past Year
  Methamphetamine Use 2002 to 2005

Source SAMHSA, 2002-2005 .
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Methamphetamine Epidemiology
Past Month Illicit Drug Use among Youths Aged
12-17 by Race/ Ethnicity 2002
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Purpose

• The ICMI Stakeholders will
• Develop a national information and outreach
  campaign.
• Develop a culturally specific methamphetamine use
  education kit.
• Document and evaluate promising practices in
  education on methamphetamine use.
• Create awareness multi-disciplinary teams and
  partnerships.

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Federal Partners

• Office of Minority Health
• Substance Abuse and Mental Health Services
  Administration
• Department of Justice
• National Institutes of Health
• Indian Health Service
• Corporation for National and Community Service

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ICMI Stakeholders in 2006
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Stakeholders in 2008
TRIBES

• Chippewa-Cree Tribe
• Choctaw Nation
• Crow Nation
• Gila River Indian Community
• Navajo Nation

• Northern Arapaho Tribe
• Salt River Pima-Maricopa Indian Community
• San Carlos Apache Nation
• Winnebago Tribe
• Yakama Nation

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Stakeholders in 2009

• National Organizations
• Association of American Indian Physicians
• One Sky Center of the Oregon Health and Science
  University
• Tribal Organizations
• National Congress of American Indians
• Northwest Portland Area Indian Health Board
• United South and Eastern Tribes, Inc.

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Association of American Indian Physicians

• To improve the health of American Indian and
  Alaskan Natives. Its mission today is to pursue
  excellence in Native American healthcare by
  promoting education in the medical disciplines,
  honoring traditional healing principles and
  restoring the balance of mind, body, and spirit.
  
• HHS Grantee
• Provide Leadership and coordination
• Contracts
• Reporting
• Fiscal Reimbursement
• Evaluation

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National Congress of American Indians

• NCAI serves to secure the rights and benefits to
  which we are entitled to enlighten the public
  toward the better understanding of the Indian
  people to preserve rights under Indian treaties
  or agreements with the United States and to
  promote the common welfare of the American
  Indians and Alaska Natives.
• Provide Leadership
• National Meth Task Force
• Meth Toolkit
• Raise Awareness
• Partnership for Drug Free America

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One Sky Center

• One Sky Center a National Resource Center for
  American Indians and Alaska Natives.
• Provide Technical Assistance and Training to
  Tribal Partners and Tribes
• Assist Tribal Partners with Initiative Evaluation
• Assist in the development of Best Practice Models

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United Southern and Eastern Tribes

• Assist in implementing and enhancing American
  Indian/Alaskan Native disease surveillance
  systems (ongoing collection, analysis,
  interpretation, and dissemination of health data)
  to help guide public health policy and action
• Develop and disseminate survey tool to selected
  tribes
• Pilot survey tool with Tribal Partners
• Integrate survey tool into Meth Toolkit
• Review project materials for culturally
  appropriate content
• Assist with project evaluation

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Northwest Portland Area Indian Health Board

• To collaborate with Northwest American Indian
  Tribes to provide health-related research,
  surveillance, and training to improve the quality
  of life of American Indians and Alaskan Natives
• Assist USET with the development of the Survey
  Instrument
• Pilot the Survey Instrument with the Northwest
  Portland Area Indian Health Board member Tribes
• Validate Survey
• Identify other Data Sources Tribes can use

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Ojibwa Ne-i-yah-w InitiativeA Culture-based
Approach to Community Healing

• Development of Initiative Membership and
  Operational Plan
• Institutional and Community Review of Research
  Proposals, Reporting, and Methods
• Holistic Approaches
• Inter-Governmental Agreements

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Choctaw Nation of Oklahoma

• Adventure Therapy
• Natural Highs Program
• Transformation process
• Experiential activities
• Relationship building
• Changing the way you live and think
• Changing how you think and how you believe about
  life and yourself
• Creation of challenge in a safe environment
• Horses, Canoes, Tradition Camps

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Meth Free Crow Walk Youth as our Warriors in
Reclaiming our Nation

• Meth Free Crowalition
• Establish a War Against Meth Focus on
  accountability, prevention, intervention, and
  treatment
• Combine forces for Unity
• Diverse community representation
• Youth and Community Development mentorship,
  leadership, trust, establishment of community
  norms

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Dine Nation What Works?

• Community Education
• Age-appropriate presentations,
• brochures, and ads
• Enforcement
• Arrest and detainment
• for trafficking
• Caring members
• In the community
• Partnerships
• Communities, chapters, private businesses
• and tribal divisions and programs

• Training for best, evidence-based practice,
  integrated public health model.
• Team is experienced at mobilizing communities
  across large area for interventions.

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The Concept of Worksin a Comprehensive Systems
Plan

• Works
• The Solution
• client-centered
• multi-agency
• comprehensive
• coordinated
• efficient

• Fragmented
• Service System
• The Problem
• turf
• gaps
• duplications
• crossed purposes

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San Carlos Apache Tribe Best Practices

• Development of a broad-based, local coalition
  (Strategic Tribal Empowerment Prevention Program)
• Community Assessment
• Local activities that are locally determined
• Sustainability and buy-in

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Winnebago Tribe Meth Task Force Goals and
Objectives

• Develop/maintain a Comprehensive Meth Prevention
  Strategy
• Collectively plan and implement
• Use Proactive measures
• Use available funds - take immediate action
• Work together to determine what fits
• Broad based, multi-agency, systematic,
  family/community focused prevention-
• Will it reduce treatment need?

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Gila River Anti-Meth Project

• A Component of the Gila River Prevention
  coalition was developed by a concerned group of
  community leaders, members and representatives to
  address and change substance abuse among the
  Tribes youth
• Mission To promote cultural pride and strength
  in wellness
• Vision Gila River service providers working
  collectively with community members towards an
  empowered and health Gila River Indian Community

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Gila River Anti-Meth Initiative
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Gila River Anti-Meth Project

• Objectives
• Strengthen Meth Coalition by meeting in all seven
  Districts
• Provide Community Block parties to increase
  awareness
• Parent presentations utilizing Meth Toolkit
  throughout Gila River
• Meth Awareness Days using Native speakers
• Partnering with the Gila River Boys and Girls
  Club

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Gila River Anti-Meth Project
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Other Example Strategies and Programs

• Families and Schools Together
• Parenting Wisely
• Preparing for Drug-free Years
• Project Alert
• Project Venture (NIYLP)
• Promoting Alternative Thinking Strategies
• American Indian Life Skills (Zuni Pueblo)

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Other Example Strategies and Programs

• Cultural Enhancement Through Story Telling
  (Tohono Oodham)
• AI Strengthening Families Program
• (University of Utah)
• Creating Lasting Family Connections
• Dare to Be You
• With Eagles Wings (Northern Arapaho Nation)
• Families That Care - Guiding Good Choices Across
  Ages (Mentoring) (Temple University)

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Partnered Collaboration

Grassroots Groups
Community-Based Organizations
Research-Education-Treatment
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Program Level Organizational Partners

• Education
• Family Survivors
• Health/Public Health
• Mental Health
• Substance Abuse
• Elders, Traditional

• Law Enforcement
• Juvenile Justice
• Medical Examiner
• Faith-Based
• County, State, and Federal Agencies
• Student Groups

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The Indian Country Methamphetamine Initiative
Contact information Lisa Neel, Tribal ICMI
Coordinator Email lneel_at_kauffmaninc.com Beverly
Watts Davis, Senior Advisor to
Administrator Email beverly.wattsdavis_at_samhsa.hh
s.gov Lorenzo Olivas, Regional Minority Health
Consultant Email lorenzo.olivas_at_hhs.gov