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-Recipients Facilitator: 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
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Regional Technical Expert Panel for States with Tribal Sub-recipients 6/1/2017
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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
Regional Technical Expert Panel for States with Tribal Sub-recipients 6/1/2017
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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.
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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
Regional Technical Expert Panel for States with Tribal Sub-recipients 6/1/2017
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Presenters
Kim Dash
Lucy Mendoza
LoniGreninger
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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
Regional Technical Expert Panel for States with Tribal Sub-recipients 6/1/2017
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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
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SAMHSA Materials on
Cultural Approaches to
Prevention
Kim Dash, MPH, PhD
CAPT Scientific Advisor
Regional Technical Expert Panel for States with Tribal Sub-recipients 6/1/2017
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Three Decision Support Tools
1. Culturally-informed
programs and
practices
2. Cultural factors that
are protective
3. Measures of cultural
factors
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Culturally-Informed Programs
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Culturally-Informed Programs
Best Research Evidence
PracticalExperience
Values and
TraditionsEBP
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Culturally-Informed Programs
• Description
• Developed by
• Settings
• Evaluation design
• Evaluation outcomes
• Evaluation studies
• Featured in contact
information
• Resources
Information on each program is organized into these categories:
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Culturally-Informed Programs
• 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:
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Culturally-Informed Programs
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:
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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
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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
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Cultural Factors Measures
Example Measures
• American Indian Way of Life
• Biculturalism
• Cherokee Self-Reliance
• Communal Mastery
• Cultural Identification
• Ethnic Identity
• Historical Loss
• Spirituality
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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).
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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
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• 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
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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
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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.
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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.”