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IllumiNatives: The Innovative Evolution of Peer Involvement in Evaluation of a Native American Focused System of Care Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA
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Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Dec 26, 2015

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Page 1: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

IllumiNatives: The Innovative Evolution of Peer Involvement in Evaluation of a Native American

Focused System of Care

Amanda WhiteCraneMichelle Antone

Native American Health CenterSan Francisco, CA

Page 2: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Ice Breaker/Warm Up

Page 3: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Objectives

The development of BlanketWeavers

& IllumiNatives: Community-based advisory boards

Complementing Native American views and culture about what makes a family strong.

Navigating the transition to providing peer support services

Sustainability of systems of care.

Page 4: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Urban Trails Development

Partnership between the Child, Youth and Family System of Care and the Native American Health Center

AI/ANs were poorly represented in SFSOC data systems, which is indicative of a lack of culturally competent care for this population

Page 5: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Urban Trails-Our Story

How we first became involved in Urban Trails

Page 6: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Michelle – Family Involvement Specialist

Page 7: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Amanda – Evaluation Specialist

Page 8: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

When is the next Meeting??

Governing Body BlanketWeavers Leadership Meeting Evaluation Advisory Board IllumiNatives Clinical Planning UT-SF Project Planning NAHC Internal Strategic Planning Cultural and Linguistic Planning Sustainability Meeting

Page 9: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

BlanketWeavers

Blanket Weavers is our Family Involvement Team.

Always making sure the family voice is heard

Empowering families/stakeholders to be at the table with the decision makers.

Having clear communication between family members, community members & service providers.

Educating system partners about “our” community

Page 10: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Involving Youth and Families in Evaluation Efforts

Culturally Appropria

te

Involvement of Youth and

Families

IllumiNatives

Page 11: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.
Page 12: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Individual and Family LevelOutcomes Measures

Improved interpersonal relationship skills BERS-2, PSI, CBCL

Increased job readiness BERS-2, EQ-R2 Prevent entry into foster care & juvenile

justiceLSQ, MSSC, DS-R, EDIF, CIUF

Increased academic performance EQR-2, BERS-2

Increased management of anxiety, anger, or depression

BERS-2, CBCL, RADS-2, YIQ-R, YSS

Increased self-esteem & positive Native/Indigenous identity

Local Evaluation

Community Level Outcomes Measures

Increased social connectedness BERS-2, PEI surveys

Improved integration & sustainability of inter-Tribal cultural practices

Sustainability Tool. Process Evaluation questions

System level Outcomes Measures

Improved identification of Indigenous youth within public systems

Tracking form for agencies

EDIF, CIUFIncreased engagement of Indigenous youth

and caregiversEDIF, CIUF

Decreased stigma and discrimination Local Evaluation

Page 13: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Individual and Family LevelOutcomes Measures

Improved interpersonal relationship skills BERS-2, PSI, CBCL

Increased job readiness BERS-2, EQ-R2 Prevent entry into foster care & juvenile

justiceLSQ, MSSC, DS-R, EDIF, CIUF

Increased academic performance EQR-2, BERS-2

Increased management of anxiety, anger, or depression

BERS-2, CBCL, RADS-2, YIQ-R, YSS

Increased self-esteem & positive Native/Indigenous identity

Local Evaluation

Community Level Outcomes Measures

Increased social connectedness BERS-2, PEI surveys

Improved integration & sustainability of inter-Tribal cultural practices

Sustainability Tool. Process Evaluation questions

System level Outcomes Measures

Improved identification of Indigenous youth within public systems

Tracking form for agencies

EDIF, CIUFIncreased engagement of Indigenous youth

and caregiversEDIF, CIUF

Decreased stigma and discrimination Local Evaluation

Page 14: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Community Based Participatory Research/Evaluation

DesignData

Collection

Data Analysis

Reporting

Findings

Continuous Community Involvement

Page 15: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Projects Overall Program Survey Development

Youth Summer Program Cultural Competency/Satisfaction

Interpret and present national longitudinal study of children’s mental health services

Analysis of Focus Groups Mental Health Stigma Cultural Identity

Page 16: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

What makes a FAMILY STRONG?

Child

Family

Culture

Friends

Community

Page 17: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Wrap Around Support

Family Friends

Community Culture

Schools

Juvenile Justice

Substance Abuse

Services

Prevention

Social Services

Recreation

Community

Gatherings

Native Programs

Page 18: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Reflecting on the Transition to Peer Internship

Page 19: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Sustainability

Program Ownership Integration into existing community

systems Empowerment

Our Stories/Our Voices Culturally Based lasting interventions Power changes – In our hands Continuous search for resources/partnerships

Social Justice – We are still here!

Page 20: Amanda WhiteCrane Michelle Antone Native American Health Center San Francisco, CA.

Questions?

Contact us: Amanda White Crane

[email protected]

Michelle Antone [email protected]