CAPT Webinar PPT Template - EDC WEBINAR Regional Technical ... Indian values Greater importance ......

Regional Technical Expert Panel for States with Tribal Sub-recipients 6/1/2017

1

1

Opening Thought

CAPT WEBINAR

Regional Technical Expert Panel for

States with Tribal Sub-RecipientsFacilitator:

Terri Yellowhammer, JD

CAPT Training and Technical Assistance

Specialist

Presenters:

Kim Dash, MPH, PhD

CAPT Scientific Advisor

June 1, 2017

Lucilla Mendoza MSW, CPP

Prevention Systems Development Manager

Washington State Department of Social & Health

Services

Loni Greninger

Tribal Liaison/Administration

Washington State Division of Behavioral Health

& Recovery


2

3

This training was developed under the Substance Abuse and

Mental Health Services Administration’s Center for the

Application of Prevention Technologies task order. Reference

#HHSS283201200024I/HHSS28342002T.

The views expressed in this webinar do not necessarily

represent the views, policies, and positions of the Substance

Abuse and Mental Health Services Administration or the U.S.

Department of Health and Human Services.

This webinar is being recorded and archived, and will be

available to all webinar participants. Please contact the

webinar facilitator if you have any concerns or questions.

4

Facilitator

Terri is a CAPT Training and

Technical Assistance (T/TA)

specialist and Tribal T/TA

liaison, overseeing the

identification and

coordination of culturally

responsive services to tribal

grantees. She has extensive

experience working with

American Indians at the

tribal, state, and national

levels.

Terri Yellowhammer


3

5

Presenters

Kim Dash

Lucy Mendoza

LoniGreninger

6

Today’s Agenda

• Welcome and introductions

• Review objectives

• Discuss SAMHSA tools on cultural approaches to

prevention

• Washington State will share their experiences

working with tribal sub-recipients

• Examples of how the CAPT can help


4

7

Objectives

• Discuss how the CAPT decision support tools on

culturally informed prevention practices can be

used by prevention practitioners

• Share successes and challenges of working with

tribal communities, and lessons learned

• Identify ways the CAPT can support states in

building and maintaining positive working

relationships with tribal communities

8

SAMHSA Materials on

Cultural Approaches to

Prevention

Kim Dash, MPH, PhD

CAPT Scientific Advisor


5

9

Three Decision Support Tools

1. Culturally-informed

programs and

practices

2. Cultural factors that

are protective

3. Measures of cultural

factors

10

Culturally-Informed Programs


6

11


Best Research Evidence

PracticalExperience

Values and

TraditionsEBP

12


• Description

• Developed by

• Settings

• Evaluation design

• Evaluation outcomes

• Evaluation studies

• Featured in contact

information

• Resources

Information on each program is organized into these categories:


7

13


• Athena Forum

• Child Trends

• First Nations Behavioral

Health Association

• Indian Health Service

• Johns Hopkins’ Center

for American Indian

Health

• OJJDP Model Programs

• One Sky Center

• Public Health Agency of

Canada

• SAMHSA NREPP

• DHHS Home Visiting

Programs hail from these national sources:

14


1. Look at protective factors

2. Identify relevant programs

3. Determine strength of evidence

4. Balance strength of evidence against other

needs

5. Refine your search by considering outcomes

6. Determine feasibility of implementation

7. Develop an evaluation plan, if needed

Using information in this tool:


8

15

Cultural Protective Factors

Inclusion criteria:

• Written in English

• Published between 2005 and 2016

• Retrieved from relevant databases

• Focused on American Indian or Alaska Native

populations

16

Cultural Protective Factors

Factor Outcome Population Citation

Living by traditional way Lifetime meth

use

Pregnant American

Indian teens from rural

reservation

communities in the

Southwest US

Barlow et

al., 2010Greater importance

ascribed to traditional

Indian values

Greater importance to

practicing traditional

Indian values

Low or no

substance use

during

pregnancy

Pregnant American

Indian teens from rural

reservation

communities in the

Southwest US

Barlow et

al., 2010

Cultural pride/spirituality Fewer or no

alcohol abuse,

dependence

symptoms

American Indian youth Yu &

Stiffman,

2007


9

17

Cultural Factors Measures

Example Measures

• American Indian Way of Life

• Biculturalism

• Cherokee Self-Reliance

• Communal Mastery

• Cultural Identification

• Ethnic Identity

• Historical Loss

• Spirituality

18

Cultural Factors Measures

Measure Items Population Citation

Religiosity and Spirituality

This 3-item scale (α =

.73) measures

the importance of

spirituality and culture

to an individual and

their degree of

engagement in

traditional Native

American family

activities and customs,

and cultural identity.

How proud are you

of your American

Indian ancestry?

How important is

being spiritual to

you?

Do you feel spiritual

values are a part of

your life?

American

Indian youth

between

ages 13 and

19 years old

Yu, M., &

Stiffman,

A.R.

(2007).


10

19

Questions?

Tribal Prevention and Wellness Programs

Division of Behavioral Health and Recovery (DBHR),

Behavioral Health Administration,

WA State DSHS

Lucy Mendoza, MSW, Prevention Systems Development Manager

Loni Greninger, MPA, Tribal Administrator


11

21

• Loni Greninger is a citizen of the Jamestown S’Klallam Tribe in Sequim, WA. She has a Masters in Public Administration from The Evergreen State College in Olympia, WA. Before she joined the DBHR Team, Loni worked within the DSHS Office of Indian Policy as a Regional Manager. She currently works as the Tribal Administrator at the Division of Behavioral Health and Recovery, DSHS.

• Lucilla Mendoza has a Masters in Social Work (MSW) from Boise State University. Before working with the State of Washington she began her career with working with underrepresented students attending Lewis-Clark State College; including Native American, Latino, and International students. She also spent time working as a coordinator of a Substance Use Disorder Prevention coalition in a rural community in Washington State. She participated in the CSAP Fellowship program at the DSHS, Division of Behavioral Health and Recovery and is now a Prevention System Development Manager. She is the lead staff for Tribal Prevention Programs and has worked with WA State Tribes for the past 4 years.

Washington State• 7.1 Million Seahawks Fans (people)

• 39 Counties

• 29 Federally Recognized Tribes

• State Baseball Team – Seattle Mariners

• State Football Team – Seattle Seahawks

• 5 volcanos: Mount Baker, Glacier Peak, Mount Rainier, Mount Adams, and Mount St. Helens

• Forest covers half of our land area

6/1/2017 22


12

Tribal Presence in WA State• 29 Federally Recognized Tribes in WA, seven

Recognized American Indian Organizations (RAIOs)/Urban Indian Health Programs (UIHP).

• WA State values the Government-to-Government relationship with the Federally Recognized Tribes of Washington State. – 1987: DSHS Administrative Policy 7.01

– 1989: Washington State Centennial Accord

23

24


13

Government to Government • Indian Policy Advisory Committee (IPAC)

– Created in 1984, IPAC is a body of tribal representatives utilized for consultation on major policy changes (funding, legislation, etc.). IPAC has five subcommittees that meet on a regular basis; ad hoc meetings are added as needed.

• Administrative Policy 7.01– Dictates how DSHS will communicate, collaborate, and

consult with the 29 Tribes, as well as communicate and collaborate with the RAIOs.

– Annual “7.01 Planning” includes annual review of service plans created in partnership to serve a common population.

25

Office of Indian Policy • “The Office of Indian Policy's role is to assist

the collective needs of Tribal Governments and Recognized American Indian Organizations to assure quality and comprehensive program service delivery from the Department of Social and Health Services to all American Indians and Alaska Natives in Washington state.”

• https://www.dshs.wa.gov/sesa/indian-policy

26

https://www.dshs.wa.gov/sesa/indian-policy


14

27

Office of Indian Policy

Rehabilitation Administration

Economic Services

Administration

Division of Behavioral Health and Recovery

Indian Child Welfare

Developmental Disabilities

Administration

Aging and Long-Term Supports

Administration

29 Federally Recognized Tribes

Formal Relationship

28

29 Tribes

Division of Behavioral Health and Recovery

Program Relationship

• Tribal Prevention and Wellness Programs

• Mental Health Promotion Projects (MHPP)

• Marijuana Prevention/Treatment Focused Projects (DMA)

• 1 Tribal Administrator (Loni)

• 4 Treatment Staff (Treatment Managers)

• 1 Tribal Prevention Lead (Lucy)

• 4 Prevention Staff (Prevention System Managers)


15

Tribal Prevention Programs• 26 of 29 Federally Recognized Tribes in WA

use DBHR funding for either substance use disorder prevention programs, DMA projects, or Mental Heath Promotion projects.

• DSHS partners with the Office of Indian Policy to provide funding through consolidated contracts.

29

30

Funding Streams

Substance Abuse Block

Grant

State Marijuana Prevention

(DMA)Funds

State Mental Health

Promotion (MHPP)

Funds


16

Tribal Prevention DBHR Workgroup• Prevention staff working with tribes developed a

work plan to increase resources for our tribal partners.– Increase capacity of Tribes by increasing training, and

technical assistance with are culturally relevant.– Work on developing document management systems

to assist with tribal tracking and resource development.

– Expand resources to support tribal prevention programs.

– Increase knowledge and capacity to the Prevention team in working with Tribes.

31

Protocol for Working with Tribes

• Meet and greet meetings (face to face is best!).

• Consistent staff working with tribes.

• Single point of contact at the tribes and DBHR.

• Each Prevention System Manager (PSM) connects with tribal staff on a quarterly or monthly basis as needed.

• DBHR PSMs are able to travel to visit Tribes to offer technical assistance.

32


17

Tribal Prevention Program• Incorporate Center for Substance Abuse

Prevention (CSAP) strategies.

• Provide evidence-based practice (EBP) Lists for suggested activities for MHPP and Marijuana Misuse and Abuse Prevention Risk Factors.

• Allow for flexibility to implement innovative and cultural programs.

33

34


18

35

Communication Efforts• Prevention Toolkit

• Tribal prevention partner list serve

• Weekly announcements to prevention partners

36


19

Increased Training for Tribes• Native American – Substance Abuse Prevention

Skills Training • Quarterly Learning Community Meeting• Tribal Substance Use Disorder Prevention

Gathering • Evidence Based Practice Trainings for Tribal

Communities– Incredible Years – Quileute Nation– Natural Native Mentoring – Chehalis Tribe– Positive Indian Parenting, Spokane, WA– Family Spirit Presentation – Learning Community

37

View and Post Trainings on the Athena Forum

• Website for prevention professionals in Washington State: www.theAthenaForum.org

6/1/2017 38

http://www.theathenaforum.org/


20

Increase Tribal Participation in the Healthy Youth Survey• Ask HYS.net• State, Educational Service

Districts (ESDs), and County level data

• Fact Sheets• Frequency Reports• Two Tribal Schools

participated in 2016• 1,154 American

Indians/Alaska Native (AI/AN) participants completed the survey

39

Tribal Partnerships• DBHR assists to create relationships between

Tribes, RAIOs and Urban Indian Health Programs (UIHPs) and their local Community Prevention and Wellness Initiative Coalitions (CPWIs).

• DBHR invites tribal participation on conference and training planning meetings.

• DBHR invites tribal participation on the Statewide SPE Prevention Consortium.

• Tribal representation on the State Epidemiological Outcomes Workgroup.

• Annual 7.01 Planning

40


21

41

Tribal Prevention Program HighlightsTribal Prevention and Wellness and Community Prevention and Wellness Partnerships

Tribal Prevention Program Highlights

WA State Exemplary Tribal Prevention Professional

Quileute Nation- 2015

Miss Ann Penn-Charles

Chehalis Tribe - 2016

Steven Dorland

42


22

Challenges• Staff turnover at DBHR and the Tribes.

• Statewide training for new data systems.

• Looking to engage and identify funding resources for RAIOs.

• Limited tools for choosing EBPs specifically for tribes and limited tools for evaluation of these programs.

43

Successes• Consistent staff at DBHR allows for stronger

engagement with tribes.

• Commitment to increase resources to tribes.

• DBHR values the Gov-to-Gov relationship.

• DBHR understands that tribal culture can bring healing in the area of behavioral health.

• “7.01 Plans” give a history of tribal programs and use of DBHR funds.

44


23

Thank You!Loni Greninger, MPA / Tribal Administrator

Division of Behavioral Health and Recovery (DBHR)

Behavioral Health Administration (BHA)

Washington State Department of Social and Health Services (DSHS)

(O) (360) 725-3475 / (c) 360-819-6575 / [email protected]

Lucilla Mendoza MSW, CPP / Prevention System Development Manager

Division of Behavioral Health and Recovery (DBHR)

Behavioral Health Administration (BHA)

Washington State Department of Social and Health Services (DSHS)

(O) 360-725-3760 / [email protected]

6/1/2017 45

46

Questions?

mailto:[email protected]



24

47

Successes

What successes have

you experienced in your

work with tribal

community sub-

grantees?

48

Challenges

What challenges have

you experienced in your

work with tribal

community sub-

grantees?


25

49

Please Share

Now that you have heard

from your grantee peers,

has anything additional

come to mind based on

their experiences and/or

yours?

50

How the CAPT Can Help:

Examples

• Training/technical assistance (T/TA) around

cultural responsiveness

• Connecting less experienced grantees with more

experienced grantees

• Substance Abuse Prevention Skills Training

(SAPST) for American Indians and Alaska

Natives, if sub-recipients are interested


26

51

CAPT T/TA on Working with Tribal

Communities

• What are some other ways the CAPT can help

meet your needs moving forward?

• Is there a need for additional peer sharing

opportunities or resources on this topic?

• If so, what would you find most useful?

52

Please Share…

Based on what you heard

today, is there anything

you may do differently in

your work with tribal

communities?


27

53

Resource Team Contact

Information

Chuck Klevgaard

Central RT Coordinator

[email protected]

Alyssa O’Hair West RT Coordinator [email protected]

Lourdes Vazquez Southeast RT Coordinator [email protected]

Marie Cox Southwest RT Coordinator [email protected]

Gisela Rots Northeast RT Coordinator [email protected]

54

If you have questions or comments, please

don’t hesitate to contact:

Melissa Martin

CAPT Training and Technical Assistance

Associate

[email protected]








28

55

Evaluation

Please click on the link below to provide feedback

on this event:

https://www.surveymonkey.com/r/feedback-CAPT-

1877

Your feedback is very important to us!

56

Closing Thought

https://www.surveymonkey.com/r/feedback-CAPT-1877

CAPT Webinar PPT Template - EDC WEBINAR Regional Technical ... Indian values Greater importance ......

Documents

Transcript of CAPT Webinar PPT Template - EDC WEBINAR Regional Technical ... Indian values Greater importance ......