Public Health National Tribal - NEW MEXICO MAY 13-15, 2019
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MEET THE ARTIST ARTIST KRISTINA MALDONADO BAD HAND Kristina Maldonado Bad Hand is a Sicangu Lakota & Cherokee artist that hails from Taos, New Mexico. Her passion for community and social justice have led her to create, through illustration, a place in which indigenous youth, and particularly indigenous women, are empow- ered. She studied for four years at the Art Institute of Colorado and is an entrepreneur with big dreams. Kristina is currently a Community Liaison with Jeffco Indian Education, a commissioner on the Denver American Indian Commission and Chief Creative Director/co-founder of publishing and media start up, áyA Studios LLC.
CONTENTS Why Use the National Indian Health Board Event Mobile App?.....2 Welcome Letter...............................................................................3 What is the National Indian Health Board?....................................4 2019 Public Health Innovation Awards.........................................10 Agenda At-A-Glance.....................................................................12 Agenda..........................................................................................15 Sunday, May 12, 2019...............................................................15 Monday, May 13, 2019..............................................................15 Tuesday, May 14, 2019 ............................................................22 Wednesday, May 15, 2019........................................................30 NIHB Board Bios...........................................................................33 Summit Information.....................................................................35 Albuquerque Convention Center Floorplan.................................36 Exhibitors and Passport to Prizes................................................38 Summit Sponsors............................................... Inside Back Cover — • 10th Annual •— National Tribal Public Health Summit ALBUQUERQUE NEW MEXICO MAY 13-15, 2019 NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 1
WHY USE THE NATIONAL INDIAN HEALTH BOARD EVENT MOBILE APP? I t’s convenient. View the agenda, speakers, sponsors, maps, evaluations, receive event reminders, and more! Works on all your mobile devices. o more paper evaluations! Submitting electronic evaluations via the app saves roughly N 3,000 sheets of paper, helping to reduce NIHB’s environmental footprint. OU CAN WIN PRIZES BY FILLING OUT SESSION EVALUATIONS USING THE APP! Y The evaluations are for Plenary Sessions, Workshops, and Roundtable Sessions. HOW TO USE THE APP: 1. DSownload the NIHB app earch National Indian Health Board and 2. Select the TPHS 3. Log in download the app from 2019 event • Enter your First and Last Name. the Apple Store or Google • Type in your email and a verification Play, or enter this code will be sent to your email inbox. url into your mobile • Enter the verification code from browser https:// your email. crowd.cc/s/2ttFi OR just use this QR code to download the app and then follow from #2 above!! Available for iOS and Android. 2
WELCOME May 13 - 14, 2019 s, and Friends: Advocates, Colleague Dear Tribal Leaders, nual is pl ea se d to we lco me you to its 10th An Health Board (NIHB) to be here in this beau tiful location The National Indian it. W e ar e ho no re d ic Health Summ National Tribal Publ Mexico. in Albuquerque, New ssly ho ut In di an Co un try, has worked tirele ro ug ership with Tribes th frastructure, and colla borations that The NIHB, in partn he n th e sy ste m s, in the cades to strengt This week represents over the past four de be in g of ou r Pe op le. for the collective well- focus on devel- allow us to better care th at sh ar ed wo rk. The Summit will d culmination of muni- annual celebration an ge in pu bl ic he alt h efforts across our com ga Indian Country to en otion and Disease Pr evention; Tribal oping the capacity of ns on He alt h Pr om alth; feature sessio se and Behavioral He ties. The Summit will ste m s; Su bs tan ce M isu Infrastructure and Sy ergency Preparedness and Emerging Public Health Policy, Ch an ge ; an d Em rs and h and Climate keholders, practitione Environmental Healt Tr ib al lea de rs, sta h. We will hear from ensure healthy Nativ e communities Issues in Public Healt n jo in to ge th er an d nities how we all ca ll present key opportu health innovators on in g. Th is we ek wi blic health programm n return home feeling enriched and through innovative pu in g so th at yo u ca lationship-build ney together. for networking and re n co nt in ue to sh are this important jour that we ca connected to others so New g us in Albuquerque, Thank you for joinin per- ing your time and ex Mexico and for shar b- u to our sponsors, exhi tise with us. Thank yo this attendees for making itors, presenters and ing look forward to hear Summit a reality. I . hout the next few days from all of you throug Sincerely, Victoria Kitcheyan ard Chairperson, NIHB Bo NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 3
WHAT IS THE NATIONAL INDIAN HEALTH BOARD? PURPOSE To advocate for the rights of all federally recognized American Indian and Alaska Native Tribes through the fulfillment of the trust responsibility to deliver health and public health services. MISSION Established by the Tribes to advocate as the united voice of federally recognized American Indian and Alaska Native Tribes, NIHB seeks to reinforce Tribal sovereignty, strengthen Tribal health systems, secure resources, and build capacity to achieve the highest level of health and well-being for our People. WHAT IS THE NATIONAL INDIAN HEALTH BOARD? The National Health Board (NIHB) is a 501(c) 3 not for profit, charitable organization serving all 573 federally recog- nized Tribal governments for the purpose of ensuring that the federal government upholds its trust responsibilities to provide health care to the Tribes. Whether Tribes operate their own health care delivery systems through contracting and compacting or receive health care directly from the Indian Health Services (IHS), NIHB is their national advocate. NIHB also provides policy analysis on American Indian and Alaska Native (AI/AN) health and public health services, facilitates Tribal budget consultation, delivers timely information to all Tribal Governments, leads national Tribal public health programs, assists with Tribal capacity building, provides national and regional Tribal health events, conducts research, and provides training and technical assistance. These services are provided to Tribes, Area Health Boards, Tribal organizations, Tribal Leaders and members as well as federal agencies and private foundations. NIHB works collaboratively with the Tribes, through the Tribal health organizations, in the twelve IHS Service Areas, to accurately capture and present the Tribal perspective in response to federal legislation, regulations and policy. NIHB also serves as a conduit to foster collaboration between Indian Country and national and international organizations, foundations, corporations, academic institutions and other key stakeholders, in its quest to advance Indian health. OUR BOARD OF DIRECTORS Because NIHB serves all federally-recognized Tribes, our work must reflect the unity and diversity of Tribal values and opinions in an accurate, fair, and culturally-sensitive manner. This objective is accomplished through the efforts of the NIHB Board of Directors, which is comprised of representatives elected by the Tribes in each of the twelve IHS Service Areas, through their regional Tribal Health Board or health-serving organization. Each Health Board elects a representative and an alternate to sit on the NIHB Board of Directors. In Areas where there is no Area Health Board, Tribal governments choose a representative. The NIHB Board of Directors elects an Executive Committee comprised of Chairman, Vice-Chairman, Treasurer, and Secretary, who serve staggered, two-year terms and a Member-at-Large who serves a one year term. The Board of Directors meets quarterly. NIHB BOARD OF DIRECTORS NIHB serves and represents all Federally Recognized Tribes through our Board of Directors and partnership with Tribal Health Boards or health-serving organizations in each of the twelve IHS Service Areas: • Victoria Kitcheyan – Winnebago Tribe of Nebraska Tribal Council Member, NIHB Chairperson and Great Plains Area Representative • William Smith – Valdez Native Tribe Chairman, NIHB Vice Chairperson and Alaska Representative • Lisa Elgin – California Rural Indian Health Board Chairperson, NIHB Secretary and California Representative • Sam Moose –Director of Human Services at Fond du Lac Band of Lake Superior Chippewa, NIHB Treasurer and Bemidji Area Representative • Andrew Joseph, Jr. – Confederated Tribes of the Colville Reservation Tribal Council Vice Chairperson, Northwest Portland Area Indian Health Board Chairperson, NIHB Member-at-Large and Portland Area Representative • Marty Wafford – Southern Plains Tribal Health Board Chairperson, Oklahoma City Area Representative • Donnie Garcia – Albuquerque Area Indian Health Board Chairperson, Albuquerque Area Representative • Kaci Wallette – Fort Peck Assiniboine and Sioux Tribal Council Member, Billings Area Representative • Beverly Cook – St. Regis Mohawk Tribe Chief, Nashville Area Representative • Jonathan Nez – President, Navajo Nation, Navajo Area Representative • Phoenix Area – Vacant • Sandra Ortega – Tohono O’odham Nation Tribal Council Member, Tucscon Area Representative 4
ia n He a lt h B o a rd In c. lb u q u e rq____u__e__A d rea In ________________ __ __ __ __ __ ______ A __ __ __ __ __ __ __________________ Mescalero Apache Tri be __ __ __ __ __ __ nd of Na vaj os * Jicarilla Apache Nation * tain Ute Tribe Tóhajiilee Ba ian Tribe * Ute Moun ma h Ba nd of Na vaj os * Southern Ute Ind Ra Letter of Support Summit and l Tribal Public Health ce 10th Annual Nationa e Nationa l Beha vioral Health Conferen d Al ask a Nativ The 2019 American Indian an es, ral Conference attende mmit and AI /AN National Behavio Dear NIHB Health Su to the 10th Annual ., we are ple ased to welcome you alth querque Area Indian Health Bo ard , Inc tional Behavioral He and Alaska Native Na On behalf of the Albu the 20 19 Am eri can Ind ian selected to ho st the se im po rta nt c Health Summit and west Region has been National Tribal Publi qu erq ue Ar ea So uth t the country . lighted that the Albu us people throughou Conference We are de alt h an d wellness of Indigeno mo te the he conferences to pro hip with the Nationa l Indian HB ), Inc . ha s a lon g tradition of partners esp eci ally gra teful Ar ea Ind ian Health Board (AAI rta nt he alt h initiatives. We are Albuqu erq ue conferences an d im po work; the pro home ud ard , Inc . (N IHB) to host events, ds, his tor y, culture, language and serve He alt h Bo share our indigenous hospital ity , foo our culture night to ob for the opportunity to an d Tr ibe s. We inv ite all of you to attend of the co re act ivi ties Ind ige no us Ba nd s, Nations, Pueblos ate r un de rst an din g and appreciation h of to the 27 d bridge a gre from eac al songs and dances an k forward to learning some of our tradition d res ilie nc e for gen erations. We also loo t are tak ing pla ce to promote to our health an ventive practices tha that have contributed tions, an d pro mi sin g pre t our country . . us research, interven mmunities throughou you about the vigoro lan ds an d in urban Indigenous co tri ba l health and wellness on lla Apache Nation, the Ra ma h Ba nd of Navajos, the Jicari the the Tóhajiilee Band of Navaj os, the ibe, formed in 1980 for The AAIHB, namely e Tr ibe an d the So uthern Ute Indian Tr ma tte rs tha t pe rta in to , the Ute Mountain Ut vides leadership in ler o Ap ach e Tr ibe of tri be s; an d pro Mesca and wellness ent toward the health interest and commitm pe op le. eing of its the health and well-b vent and reduce the im pact of s in the co ns ort ium communities that pre int ain ing tru st responsi- bli c health activitie d and advocate for ma po rts pu nu es to lea IHB AA IH B sup ns and health disparit ies; an d co nti For four decades, AA adverse health conditio h car e ser vic es for all Native Americans. e tri ba l pu bli c health nm en t for quality he alt ass istance to enhanc fed era l go ver , an d tec hn ica l bility by the e services, training ality tribal health car d cultural values. has provided high qu llness wh ile respecting spiritual an aci ty, an d we infrastructure, cap ibal Epidemiology Ce nter n to the Al bu qu erq ue Area Southwest Tr ce Al bu qu erq ue Area the parent organizatio Indian Health Se rvi ves as ns in the AAIH B als o ser s, Pueblos an d Na tio alth promotio isease n/d ves the 27 Tribes, Band health assessment, he (AASTEC) which ser idemi olo gy, co mm un ity opment, health resear ch, and h services including ep veillance, student devel to provide public healt n, pu bli c he alt h sur n, program evaluatio prevention interventio can Indians. to im pro ve the quality of life of Ameri me you tra ini ng le we serve, we welco alt h Bo ard , Inc . an d the indigenous peop o im po rta nt eve nts. lf of the Al bu qu erq ue Area Indian He rt by yo ur pa rti cip ation in these tw On beha to your suppo gion. We look forward all to the Southwest Re en da nc e. for your att Thank you in advance Sincerely, ian Health Board, Inc. Albuquerque Area Ind ______________ ________________ __________________ __________ __________________ (Voice/Tdd) * Fax 505 /76 4-0446 * Toll Free 1-8 00-658-6717 __________________ o 87110 * 505/764-0036 ct Pla ce NE * Albuquerque, New Mexic 7001 Pro spe NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 5
SUMMIT TRACK INFORMATION AND FORMAT A VARIETY OF BREAKOUT SESSIONS Workshops: Roundtables: Trainings: A workshop is a standard 90-minute A roundtable is a 90-minute Trainings are half or full-day long presentation on a topic relevant to one informal participatory session. Each classes that provide a more in-depth or more of the conference tracks. session will consist of 4-5 individual exploration of a topic, as well as more 15-minute rounds. Every 15 minutes, activities and skills-building opportu- attendees will rotate to the next table nities. Institutes will have appropriate in the round. Presenters will remain breaks as planned by the facilitator. stationary. All institutes are offered on the post- Summit day, Wednesday, May 15th. SUMMIT TRACKS The Summit sessions are organized by different tracks that have grouped related content together. Tracks are color-coded and participants will be able to identify which breakouts belong to each Summit track by reading the session descriptions in the program book or looking at the Agenda At-a-Glance chart (in the program book and on the At-A-Glance poster by regis- tration). Tracks include: Health Promotion Environmental Substance Misuse Public Health Policy, Emergency and Disease Health and and Behavioral Infrastructure and Preparedness and Prevention – A Climate Change– Health – This track Systems –Efforts Emerging Issues in cornerstone of Tribal Environmental looks at behavioral towards improving Public Health –This public health is the stressors and health as an inte- health outcomes track addresses effort undertaken to climate change gral component for Tribal commu- preparedness and encourage individ- pose unique risks of holistic health. nities must also pay response capabilities uals and communi- for Tribal popula- Behavioral health close attention to of Tribal communi- ties to explore their tions across Indian captures a wide macro-level factors ties. It is important own health status Country. These degree of factors that influence those that Tribal nations and assist them to stressors can affect including substance health outcomes. are prepared and make better choices everything from and alcohol misuse Many factors play a equipped when that will improve fish and mammal and overdose, mental role including: law facing health emer- and maintain health migration patterns health illnesses such and policy, public gencies. Changes and healthy life- to water sanitation, as PTSD and depres- health accreditation, in factors such styles. This leads to allergen levels, air sion, suicide, and and the capacity as environments, a culture of wellness pollution, severe exposure to trauma of systems tasked economies, systems, rather than one of weather occur- and interpersonal with protecting and social structures sickness. The best rences, prevalence of violence. Behavioral promoting health and and even laws and opportunities to vector borne disease, health concerns may wellness. policies can pose create a culture of and a multitude co-occur with other new threats to the wellness in Indian of other impacts. health conditions public’s health and Country rely upon Facing these and such as chronic equally important disease preven- other challenges are disease, and can is a health system’s tion and health an important compo- pose significant ability to recognize promotion. nent of maintaining challenges for and respond to holistic health. individuals, fami- emerging threats. lies, and commu- nities. Improving behavioral health outcomes remains an important priority for Indian Country. NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 7
SUMMIT HIGHLIGHTS Monday, May 13, 2019 OPENING PLENARY OPENING RECEPTION, SDPI POSTER Special Diabetes Program for Indians (8:30 AM-12:00 PM) SESSION AND ANNUAL PUBLIC programs across Indian Country. HEALTH INNOVATION AWARDS Congress established SDPI in 1997 Please join us as we welcome national to address the growing epidemic leaders from across the country in PRESENTATION of diabetes in Indian Country and it addressing public health in Indian (BEGINNING AT 6:00 PM) quickly grew into the nation’s most Country. We will be hearing from Please join us for an opening recep- strategic, comprehensive, and effec- the U.S. Surgeon General Jerome M. tion to kick off the Summit events, tive effort to combat diabetes and its Adams, U.S. Congresswoman Debra help us honor our National, Regional, complications. Haaland (N.M.) and IHS Deputy and Local Public Health Innovation Director RADM Michael Weahkee Award winners and to learn more and many more! about the amazing work of the Tuesday, May 14, 2019 FITNESS EVENT: ELDERS FITNESS Clinic. So rise and shine, dress PRIZE DRAWINGS (6:30 AM-7:30 AM) comfortably, and bring a water bottle. Up to 3 lucky winners will be drawn Join us for an early morning elder for the Exhibitor and Marketplace fitness class, where gentle aerobic, CLOSING PLENARY (3:15 PM-5:00 PM) Passport prizes. See the back of the stretching, and balance exercises Will feature researchers and experts book on how to qualify. You must be will be adapted to your needs. All on climate change and smokeless present at the closing plenary to win. are welcome to join this class led by tobacco as well as remarks from Six winners will be also be chosen Kevin Tushka (Choctaw), a Diabetes Jefferson Keel, President, National from a pool of attendees who used Treatment and Prevention Lifestyle Congress of American Indians. the conference app to complete Coach at the Oklahoma City Indian session evaluations. Wednesday, May 15, 2019 NATIONAL OPIOID RESPONSE CENTERS FOR DISEASE CONTROL strategy initiatives. Tribal leaders, AND PREVENTION LISTENING health department staff, researchers, PLANNING (9:00 AM-12:00 PM) individuals living with and at risk for The Northwest Portland Area Indian SESSION – E-CIGARETTES AND infection, and other stakeholders Health Board and National Indian INDIAN COUNTRY (3:00 PM – 5:00 PM) from Indian Country are encouraged Health Board are working to build a The Office on Smoking and Health to attend a listening session to share strategic framework to be co-owned (OSH) would like to hear from with federal leaders their input for by all Tribes to help form a clear foun- tribal public health practitioners these national strategies and federal dation to develop and elevate priori- and leaders on the use, impacts, action plan. ties for action and further learning. and challenges of e-cigarettes in their communities and across CULTURE NIGHT (6:00 PM-8:00 PM) INDIAN HEALTH SERVICE (IHS) AND Indian Country. You won’t want to miss this exclu- VETERANS AFFAIRS (VA) LISTENING sive evening at the Indian Pueblo SESSION (9:00 AM-10:30 AM) SPECIAL LISTENING SESSION: Center featuring a Southwest indig- IHS and VA welcome your input, DEVELOPING THE NATIONAL enous buffet and cultural stories, comments and recommendations STRATEGIES FOR HIV AND VIRAL dances and songs. Culture night is to consider prior to formally initi- HEPATITIS AND AN STD FEDERAL sponsored by the Albuquerque Area ating Tribal Consultation and Urban ACTION PLAN (1:00 PM-3:00 PM) Indian Health Board in partnership Confer on updating a Memorandum During this session, federal leaders with Indian Pueblo Cultural Center, of Understanding (MOU) between will provide brief remarks on the Tóhajiilee Band of Navajos, Jicarilla IHS and VA later this year, as well as process, policies, and scientific Apache Nation, Mescalero Apache other IHS or VA programs. advances that guide HHS’ efforts Tribe, Ramah Band of Navajos, to develop the next iterations of Southern Ute Indian Tribe, and Ute the national HIV and viral hepatitis Mountain Ute Tribe. 8
NATIONAL INDIAN HEALTH BOARD SPECIAL DIABETES PROGRAM FOR INDIANS 2019 ANNUAL POSTER SESSION The Special Diabetes Program for Indians (SDPI) has been changing the lives of American Indians and Alaska Natives for the past twenty years. Congress established SDPI in 1997 to address the growing epidemic of diabetes in Indian Country and it quickly grew into the nation’s most strategic, comprehensive, and effective effort to combat diabetes and its complications. Once a year, the National Indian Health Board is proud to host SDPI programs from around Indian Country, and this year is no exception. We are thrilled to welcome the SDPI program participants to the Annual SDPI Poster Session, once again at the Summit Opening Reception, Monday, May 13, 6:00 pm - 8:00 pm, Ballroom B/C! SDPI COMMUNITY-DIRECTED GRANTS Alaska Native Tribal Health Navajo Nation Southern Indian Health Council, Inc. Consortium Navajo Nation Special Diabetes Native Own Wellness (California) Diabetes Prevention Program (Alaska) Program (Navajo) Spirit Lake Tribe Chinle Comprehensive Oklahoma City Indian Clinic Spirit Lake Tribe SDPI Program Healthcare Facility Get SET (Oklahoma City) (Great Plains) Chinle Service Unit Diabetes Program (Navajo) Parker Indian Health Services Stockbridge-Munsee Health and CRIT Special Diabetes Project- Wellness Center Fond du Lac Human Services Recreation Program (Phoenix) Stockbridge-Munsee Diabetes Fond du Lac Band of Lake Superior Program (Bemidji) Chippewa Diabetes Program (Billings) Rosebud Sioux Tribe Rosebud Wellness Program Winslow Indian Health Care Center Three Affiliated Tribes (Great Plains) Hozhoogo Iina Wellness Fort Berthold Diabetes Program Program (Navajo) (Great Plains) Sault Tribal Health Center/ Community Health- Yukon-Kuskokwim Health Indian Health Service, Towaoc, CO Diabetes Program Corporation Sleeping Ute Diabetes Prevention Sault Ste. Marie Tribe of Chippewa YKHC Diabetes Prevention & Program (Albuquerque) Indians Diabetes Program (Bemidji) Control (Alaska) Navajo Area Office SouthEast Alaska Regional Health Zuni Pueblo Navajo Wellness Model Consortium (SEARHC) Zuni Healthy Lifestyles Program Curriculum (Navajo) SEARHC Diabetes Program (Alaska) (Albuquerque) NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 9
AWARD RECIPIENTS 2019 PUBLIC HEALTH INNOVATION AWARDS NATIONAL-REGIONAL-LOCAL The Public Health Innovation Award were created to honor individuals, Tribes, organizations, and programs that have enriched and improved American Indian and Alaska Native public health. NIHB recognizes that public health is a Native traditional value, and that Tribes have led the way in creating and implementing public health programming and services that align not only with contemporary needs, but with cultural beliefs as well. The winners of these awards work to improve health status, implement new programming, address long standing health disparities, and/or increase the visibility of public health concerns. This year NIHB received many deserving nominations from across Indian Country. Though we only have three awards to grant, we would like to extend our thanks and congratulations to all of the hardworking, dedicated nominees. NATIONAL RECIPIENT James Segura (Salamatof Native Association) Chairman of the Board of Directors, Southcentral Foundation James Segura has served as Southcentral Foundation (SCF) Board Chairman for 35 years. SCF is a nonprofit Tribal organization serving 65,000 indigenous peoples. With his commitment to strong governance, he has led this Native Community through realizing the dream of a customer-owned, customer-driven health care system. The resulting Nuka System of Care has proven to impact whole population health. Consistent with the Native value of “sharing what we know,” Segura is expanding the reach of these innovations through his support for SCF’s Learning Institute, a new avenue for sharing knowledge and expertise with other Tribes/ Tribal organizations. The Institute develops and delivers workshops, trainings and consulting services for organizations interested in replicating Nuka concepts to improve health outcomes in their communities. Segura ensures the work is guided by the client’s core values so the collaboration can help the people of any region achieve whole- person wellness. 10
REGIONAL RECIPIENT Dr. Melanie Nadeau (Turtle Mountain Band of Chippewa Indians) Operational Director, American Indian Public Health Resource Center The American Indian Public Health Resource Center (AIPHRC) was developed to provide technical assis- tance around public health initiatives to Tribes in the Northern Plains, Minnesota, and across the nation. While at North Dakota State University, Dr. Nadeau obtained her PhD in social and behavioral epidemi- ology and focused her research on breast cancer risk factors for American Indian women on the Turtle Mountain Reservation, a study that was the first of its kind. Through her work at AIPHRC, Dr. Nadeau has been able to train and teach Tribal communities in Minnesota on Indigenous Evaluation through a public health lens. Melanie also specializes in data analysis and is great at working with Tribal communities and making data easy to understand and read. Dr. Nadeau was able to build the American Indian Public Health Resource Center from a small center to what the center is now - which operates on several grant projects that focuses on health equity, maternal and child health, and opioid use. Melanie is also a mother and wife and keeps up with her traditions. LOCAL RECIPIENT Toiyabe Indian Health Project Infection Control & Safety Committee The Toiyabe Indian Health Project is a non-profit community health clinic for residents of Inyo and Mono counties and provides services such as medical care, dental care, dialysis, pharmacy, optometry, counseling and behavioral health services, diabetes care, and family services. The Toiyabe Indian Health Project Safety and Infection Control Team, in partnership with Reno District IHS OEH&E, demonstrated exceptional leadership and commitment to improving the quality of care for patients, and outstanding cooperation in achieving program goals and objec- tives. To address health and safety issues identified by IHS during routine clinic assessments, the teams were able to prioritize and address safety issues, and implemented corrective action that significantly enhanced conditions at all clinic sites. The team’s dedication, commitment to mission, and leadership has resulted in significant improvements in safety management and the quality of care at the three Toiyabe Health Clinic sites. NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 11
AGENDA AT-A-GLANCE Main La Sala Lobby Ballroom B/C Cochiti Taos Picuris Level Lobby Registration and SUNDAY MAY 12 1:00 PM - 6:00 PM Information Desk 1:00 pm - 6:00 pm 6:30 AM - 8:00 AM 8:00 AM - 8:30 AM OPENING PLENARY SESSION 8:30 AM - 12:30 PM 8:30 am - 12:30 pm MONDAY, MAY 13 12:30 PM - 1:30 PM Lunch on your own Culturally Tailored Tobacco Blooming Large: Tackling Public Health Risk Communication Exhibitor Hall Open Messaging Among American the Health Risks of 1:30 PM - 3:00 PM in Emergency Responses 8:00 am - 5:00 pm Indians in Minnesota Harmful Algae Registration and 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm Information Desk 6:30 am - 6:00 pm Collaborative Climate Two Spirit Natives - Acceptance Crisis and Emergency Adaptation for Tribal 3:30 PM - 5:00 PM is Suicide Prevention Risk Communication Community Wellbeing 3:30 pm - 5:00 pm 3:30 pm - 5:00 pm 3:30 pm - 5:00 pm OPENING RECEPTION, SDPI POSTER SESSION, AND ANNUAL 6:00 PM - 8:00 PM PUBLIC HEALTH INNOVATION AWARDS PRESENTATION 6:00 pm - 8:00 pm 6:30 AM - 7:30 AM FITNESS EVENT - ELDERS FITNESS, LAGUNA, LOWER LEVEL 6:30 am - 7:30 am 8:00 AM - 8:30 AM The Role of Law in the Opioid When Shellfish Strike Crisis: Exploring the Role that Back. How Environmental Healthy Aging in Indian Country Federal, State, and Tribal Laws Monitoring Can Enhance 8:30 AM - 10:00 AM 8:30 am - 10:00 am Play in Facilitating a Response Access to Traditional to the Opioid Crisis in Indian Resources Country 8:30 am - 10:00 am 8:30 am - 10:00 am TUESDAY, MAY 14 IHS American Indian/Alaska Mino Bimaadiziiwin: Living Native Community Crisis Complexity and Simplicity the Good Life by Reconnecting 10:30 AM - 12:00 PM Response Guidelines: Community of Food Security Systems Wellness to Tradition Connections and Readiness 10:30 am - 12:00 pm Registration and 10:30 am - 12:00 pm 10:30 am - 12:00 pm Information Desk Exhibitor Hall Open 12:00 PM - 1:30 PM 6:30 am - 6:00 pm Lunch on your own 8:00 am - 5:00 pm Using a Diné Framework to Which way did the Coyote go? : The Power of Children Examine the Impacts of the Defining Qualitative Indicators to Promote Change: Gold King Mine Spill on Diné 1:30 PM - 3:00 PM and Performance Measures Integrating Science, Culture, Communities and Deepen from an Indigenous Perspective Understanding of Lessons Learned and Collective Action 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm CLOSING PLENARY SESSION 3:15 PM - 5:00 PM 3:15 pm - 5:00 pm 5:00 PM - 6:30 PM 6:30 AM - 8:00 AM 8:30 AM - 9:00 AM 9:00 AM -10:30 AM WEDNESDAY, MAY 15 National Opioid Response Planning 9:00 am - 12:00 pm 10:30 AM - 12:00 PM Dialetical Behavioral Registration and Therapy Training Information Desk Exhibitor Hall Open 8:30 am - 3:45 pm 12:00 PM - 1:00 PM 6:30 am - 6:00 pm 8:00 am - 4:00 pm Lunch on your own 12:00 pm - 1:00 pm 1:00 PM - 3:00 PM START UP! : Art Therapy Tips for Successful Grant Trauma Treatment for Writing Institute Native American Youth 1:00 pm - 5:00 pm 1:00 pm - 5:00 pm 3:00 PM - 5:00 PM 6:00 PM - 8:00 PM CULTURE NIGHT HOSTED BY THE ALBUQUERQUE AREA INDIAN HEALTH BOARD AT THE INDIAN PUEBLO CULTURAL CENTER 6:00 pm - 8:00 pm 12 KEY Track: Health Promotion and Disease Prevention Track: Emergency Preparedness and Emerging Issues in Public Health Track: Environmental Health and Climate Change
National Tribal Public Health Summit Santa Ana Navajo/Nambe Isleta/Jemez Anasazi San Miguel/Ruidoso Zuni 12:00 pm - 1:30 pm Needle Exchange and Healing Providing Nutrition Education Health Promotion and Disease to Wellness Court: Effective Aging in Place on the for the Non-Dietitian Prevention 1 Roundtable Methods in Indian Country Reservation 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm Federal Partners Ready Room Public Health Leadership 6:30 am - 8:00 pm Indian Country Drug Development for Tribal Leaders: A Substance Misuse and Endangered Children Promising Practice for Promoting Behavioral Health Roundtable 3:30 pm - 5:00 pm Public Health Advocacy 3:30 pm - 5:00 pm 3:30 pm - 5:00pm Collaboration and Strategic Tribal Epidemiology Centers: Public Health Policy, Planning to Reduce and Federal Indian Law as a Structural Connecting Communities Infrastructure and Prevent Opioid and Substance Determinant of Health with their Health Data Systems Roundtable Use Disorders in Alaska 8:30 am - 10:00 am 8:30 am - 10:00 am 8:30 am - 10:00 am 8:30 am - 10:00 am Advancing Indigenous As Dementia Impacts Our SOAR (Stop, Observe, Ask, Environmental Health and School-Based Health Services: Communities, What Can Be Done? Respond) for Native Communities Climate Change Roundtable Wholeness and Healing by Design 10:30 am - 12:00 pm 10:30 am - 12:00 pm 10:30 am - 12:00 pm 10:30 am - 12:00 pm 12:00 pm - 1:30 pm Native Community Approach PHAB Accreditation: Challenge HIV and the Opioid Epidemic; Health Promotion and Disease to Integration of Behavioral Accepted, Challenge How to Address it Locally Prevention 2 Roundtable Health Services Accomplished 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm 1:30 pm - 3:00 pm Climate Ready Tribes Climate and Health Learning Community In-Person Networking Event 5:00 pm - 6:30 pm Indian Health Service (IHS) and U.S. Department of Veterans Affairs Listening Session 9:00 am -10:30 am Centers for Disease Control and Prevention (CDC) Listening Session – E-cigarettes and Indian Country 10:30 am - 12:00 pm Lunch on your own 12:00 pm - 1:00 pm Dept. of Health and Human Services Listening Session: Developing National Strategies for HIV and Viral Hepatitis and Culture & Drugs Don’t Mix a STD Federal Action Plan 1:00 pm - 5:00 pm 1:00 pm-3:00 pm CDC Environmental Health Discussion Session 3:00 pm - 5:00 pm Track: Substance Misuse Track: Public Health Policy, and Behavioral Health Infrastructure & Systems NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 13
AGENDA AT-A-GLANCE ROUNDTABLE SESSIONS ROUNDTABLES ARE PARTICIPATORY SESSIONS. EACH SESSION WILL CONSIST OF 4 INDIVIDUAL 15-MINUTE ROUNDS. EVERY 15 MINUTES, ATTENDEES WILL ROTATE TO THE NEXT TABLE IN THE ROUND. PRESENTERS WILL REMAIN STATIONARY. ROOM: ANASAZI MONDAY, MAY 15 MONDAY, MAY 15 TUESDAY, MAY 16 TUESDAY, MAY 16 TUESDAY, MAY 16 1:30 - 3:00 PM 1:30 - 3:00 PM 8:30 AM - 10:00 AM 10:30 AM - 12:00 PM 1:30 - 3:00 PM HEALTH PROMOTION AND SUBSTANCE MISUSE PUBLIC HEALTH POLICY, ENVIRONMENTAL HEALTH PROMOTION AND DISEASE PREVENTION AND BEHAVIORAL INFRASTRUCTURE AND HEALTH AND CLIMATE DISEASE PREVENTION 1 ROUNDTABLE HEALTH ROUNDTABLE SYSTEMS ROUNDTABLE CHANGE ROUNDTABLE 2 ROUNDTABLE Table 1 An Assessment of Table 1 Table 1 Alcohol Regulation Reducing Tobacco-Related Table 1 Table 1 Wisdom of Our Elders: A MAY 12, 2019 • SUND AY Policies and the Impact Health Disparities through CDC Tribal Public Health Reconnecting with Mother Process for Developing on Alcohol-Related Policy, Systems, and Framework Roundtable Earth – Soul to Soil Traditional Cultural Deaths in American Environmental Changes Practices Curricula Indian and Alaskan Native Communities, New Mexico Table 2 Table 2 Table 2 Developing a study of Cultivating Generational Table 2 Table 2 A Policy Framework colorectal cancer risk Changes in Eastern Community Health Food Sovereignty as to Reduce the Tobacco and protective factors Tribal Nations through Representative: Tribal a Climate Adaption Disparity among Native among Alaska Native Traditional Practices Program Perspectives Strategy; Myk Americans: The Canli people using a commu- under the Good Health on Workforce Policy Heidt, Swinomish Coalition of Cheyenne nity-based participatory and Wellness in Indian and Sustainability river Sioux Tribe research framework Country (GHWIC) Grant Table 3 An Innovative Partnership Table 3 Table 3 Table 3 Between Public Advancing Food Promoting Cultural Table 3 Cultural Connections and Health Professionals Sovereignty on the Navajo Awareness in the Health Collaborative Climate Social Support: Four- and Academic Nation: A Native Youth’s Sciences through Adaptation for Tribal years of knowing from the Researchers to Promote Journey through Advocacy Relationship-Building Community Wellbeing Tribal Prevention Initiative Adolescent Sexual and and Policy Research and Immersion Training Reproductive Health on the Navajo Nation Table 4 Table 4 A Comparative Analysis Table 4 Table 4 Table 4 A Qualitative Analysis: A of Telephone Versus Integrating Tribal Disparities in Sexually When Shellfish Strike Pilot Study to Determine In-Person Survey Practices for Chronic Transmitted Diseases Back. How Environmental the Efficacy of a Vetted Administration for Disease Prevention in (STD) among American Monitoring Can Provider Program for Health Risk Factor American Indian/Alaska Indians and Alaska Enhance Access to Tribal Community Health Surveillance in Three Native Communities Natives (AI/AN) Traditional Resources Aides Serving Rural Tribal Communities and Remote Regions in New Mexico 14
AGENDA M O N D AY • MAY 13, 2019 — • 10th Annual •— National Tribal Public Health Summit ALBUQUERQUE NEW MEXICO MAY 13-15, 2019 S U N D AY • MAY 12, 2019 SUNDAY, MAY 12, 2019 1:00 PM - 6:00 PM Registration and Information MAIN LEVEL LOBBY MONDAY, MAY 13, 2019 M O N D AY • MAY 13, 2019 6:30 AM - 6:00 PM 8:45 AM – 8:50 AM Welcome Registration and Information MAIN LEVEL LOBBY 8:50 AM – 9:00 AM Opening Remarks 8:00 AM - 5:00 PM CHAIRPERSON KITCHEYAN, NIHB BOARD CHAIR Exhibit Hall Open 9:00 AM – 9:40 AM Tribes and the U.S. Public Health Service LA SALA LOBBY Commissioned Corps: Working Jointly to Improve Public Health Outcomes in Native Communities 8:30 AM - 12:30 PM U.S. SURGEON GENERAL DR. JEROME ADAMS, U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES OPENING PLENARY BALLROOM B/C 9:40 AM – 9:50 AM Tribal Collaboration with Congress to Promote 8:30 AM – 8:45 AM Tribal Health and Wellbeing (video address) Drum group & posting colors, Opening Prayer REPRESENTATIVE DEB HAALAND, U.S. CONGRESSWOMAN (NM) NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 15
9:50 AM – 10:10 AM 1:30 PM - 3:00 PM Remarks DR. SPERO MANSON, DIRECTOR, CENTERS FOR AMERICAN INDIAN AND ALASKA Breakout Sessions MAY 13, 2019 • M O N D AY NATIVE HEALTH 10:10 AM – 10:40 AM Adverse Childhood Experiences (ACES) 1:30 PM - 3:00 PM Presentation Culturally Tailored Tobacco Messaging Among DR. DONALD WARNE, ASSOCIATE DEAN FOR DIVERSITY, EQUITY, AND INCLUSION / American Indians in Minnesota DIRECTOR OF THE INDIANS INTO MEDICINE (INMED), UNIVERSITY OF NORTH DAKOTA 10:40 AM – 11:40 AM Track: Health Promotion and Disease Prevention HIV/HCV Harm Reduction Panel COCHITI VICKI BRADLEY, SECRETARY OF PUBLIC HEALTH AND HUMAN SERVICES, EASTERN BAND Traditional tobacco plays a vital role in many American OF CHEROKEE INDIANS Indian (AI) cultures. Commercial tobacco use rates are high JESSICA RIENSTRA, REGISTERED NURSE, LUMMI TRIBAL HEALTH CENTER throughout AI communities which contributes to significant DR. CHRISTINA ARREDONDO, MEDICAL DIRECTOR/PSYCHIATRIST, PASCUA YAQUI TRIBE disparities in lung cancer, heart disease, and other smok- HEALTH SERVICES DIVISION ing-related diseases. Understanding best practices for CLINTON ALEXANDER, INTERIM DIRECTOR, BEHAVIORAL HEALTH DIVISION - WHITE smoking cessation and prevention is critical to improving EARTH BAND OF OJIBWE health outcomes for AI people. We proposed that percep- tions of smoking cessation messages and beliefs about 11:40 AM – 12:00 PM cessation and prevention of smoking are more positive when Indian Health Service Updates on the White message arguments stress keeping tobacco sacred. To test House HIV Initiative this hypothesis a community engaged study was designed. RADM MICHAEL WEAKHEE, INDIAN HEALTH SERVICE, PRINCIPAL DEPUTY We believe that arguments that link smoking cessation and prevention to AI cultures will resonate stronger with AI 12:00 PM – 12:10 PM adult smokers and youth. AI adult smokers were sampled at Alzheimer’s Roadmap for Indian Country community events in the Minneapolis-St. Paul area. Findings DR. LISA MCGUIRE, LEAD, ALZHEIMER’S DISEASE AND HEALTHY AGING PROGRAM, show a highly consistent pattern that sacred tobacco CENTERS FOR DISEASE CONTROL AND PREVENTION messages induced more positive responses vs. health conse- 12:10 PM – 12:20 PM quences and generic tobacco messaging. Data collection into Closing Remarks the prevention of commercial tobacco use among AI youth STACY A. BOHLEN, CEO, NATIONAL INDIAN HEALTH BOARD is underway. We theorize a similar outcome that culturally inclusive messages will resonate more so than generic tobacco messaging. Cultural cues in smoking cessation and 12:30-1:30 PM prevention messages can positively affect perceptions and Lunch beliefs around smoking commercial tobacco. This study has important implications for the design of messages that encourage AI adults to quit smoking and prevent AI youth from initiating. TARLYNN TONE-PAH-HOTE, MICHAEL MUDGETT, AMERICAN INDIAN CANCER FOUNDATION 1:30 PM - 3:00 PM Providing Nutrition Education for the Non-Dietitian Track: Health Promotion and Disease Prevention ISLETA/JEMEZ Nutrition education is integral to total diabetes care and education. However, it is not always available from an Registered Dietitian (RD). The session will provide an over- view of goals and outcomes non RDs may consider estab- lishing with patients with diabetes as they provide nutrition education. Improving health and glucose control through food choices and physical activity will be emphasized. KELLI BEGAY, IHS DIVISION OF DIABETES 16
1:30 PM - 3:00 PM 1:30 PM - 3:00 PM Blooming Large: Tackling the Health Risks of Aging in Place on the Reservation M O N D AY • MAY 13, 2019 Harmful Algae TRACK: Public Health Policy, Infrastructure & Systems Track: Environmental Health and Climate Change NAVAJO/NAMBE PICURIS There is much we do not understand about the struggles One climate related health threat to coastal and tribal rural elders face when it comes to remaining independent. communities is increased Harmful Algae Blooms (HABs). Accounting for the elder point of view and context are essen- Warming sea temperatures have contributed to increased tial in evaluating and improving services directed to keep frequency, duration, and severity of naturally occurring elders independent and at home. Few studies have examined HABs events. The biotoxins from HABs bio-accumulate in the elder perspective on what they see as obstacles and filter feeding shellfish such as clams, oysters, and mussels facilitators to aging in place. The driving research question making them unsafe for human consumption. Last year is: How do Tribal Elders perceive barriers and facilitators to biotoxins reached lethal levels within important shellfish health in their community? Photovoice allows the opportunity harvest areas for the Lummi Nation and biotoxins are to capture the elder point of view on health in their commu- predicted to continue to increase with a warming climate. nity by using photographs paired with narrative to frame Lummi Nation tribal members have relied on intertidal shell- the salient issues. Participants were provided cameras and fish harvesting since time immemorial and it is paramount prompts to facilitate their photography. Follow up interviews for the tribe to increase monitoring, improve education, and were conducted to gather qualitative data to match the enhance distribution of HABs and shellfish biotoxin levels photos taken keeping the narrative in the elder’s voice. This to the community to protect the health of tribal members. study is a qualitative, participatory research project exam- The Lummi Nation is currently working towards improving ining the obstacles and facilitators to elders’ health while efforts to protect the health of the community from HABs / living in their homes. The elders told their stories that create biotoxins. three primary categories of narrative: safety (environmental MEGAN HINTZ, TAYLOR SOLOMON, LUMMI NATION events, changing home needs, and victimization), comfort (family nearby, pets, home updates to ease mobility), and support (home visits form providers, assistance with bills, 1:30 PM - 3:00 PM activity facilitation). Photovoice is an effective tool to give Needle Exchange and Healing to Wellness Court: voice to the elders to drive the narrative. The photos illus- Effective Methods in Indian Country trate a nuanced understanding of aging in place. ANNA TRESIDDER, EASTERN WASHINGTON UNIVERSITY Track: Substance Misuse and Behavioral Health NORA FLETT, SPOKANE TRIBE OF INDIANS SANTA ANA Indian Country has been disproportionately impacted by the 1:30 PM - 3:00 PM opioid crisis and its unintentional impacts. United South and Public Health Risk Communication in Eastern Tribes, (USET) is partnering with IHS Nashville area Emergency Responses Tribal Nations to identify best and promising practices for prevention, treatment and intervention practices. Recently, Track: Emergency Preparedness and Emerging Issues in USET held a day long workshop for Tribal Nations to share Public Health information on various initiatives implemented. During this presentation, USET, will provide an overview of what was TAOS learned in this workshop. Vicki Bradley, Health Director from Clear communication tailored to diverse audiences is critical the Eastern Band of Cherokee Indians (EBCI) will talk about to effectively managing a public health emergency response. their successful needle exchange program. Vickie will share This workshop will discuss key principles for communi- supportive statistics demonstrating the early and continuing cation in emergency situations, with focus on American participation in this program targeting at reducing the prev- Indian/Alaska Native (AI/AN) populations. The workshop will alence of Hep C in the community. Rhonda Decontie, Clerk also include a scenario-based learning exercise on AI/AN of Courts from Penobscot Nation, will talk about Penobscot’s resilience-building communication approaches and unique “Healing to Wellness “court and how it is a successful psychological stressors these populations may experience. model incorporating traditional methods to support those Finally, there will be a guided overview of online health in recovery. education resources and self-directed public health train- KATE GRISMALA, UNITED SOUTH AND EASTERN TRIBES, INC. ings available through the Centers for Disease Control and RHONDA DECONTIE, PENOBSCOT NATION TRIBAL COURT Prevention (CDC). VICKIE BRADLEY, EASTERN BAND OF CHEROKEE INDIANS ELIZABETH DAVLANTES, KELLY REGAN, DELIGHT SATTER, CENTERS FOR DISEASE CONTROL AND PREVENTION Track: Emergency Track: Health Track: Environmental Track: Substance Track: Public Health KEY Promotion and Disease Prevention Health and Climate Change Misuse and Behavioral Health Policy, Infrastructure & Systems Preparedness and Emerging Issues in Public Health NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 17
1:30 PM - 3:00 PM Table 3 - Advancing Food Sovereignty on the Navajo Nation: A Native Youth’s Journey through Health Promotion and Disease Prevention 1 Advocacy and Policy Research MAY 13, 2019 • M O N D AY Roundtable Session xAs part of the National Indian Health Board Health Policy Track: Health Promotion and Disease Prevention Fellowship, Native youth have the opportunity to research health policy issues pertinent in their Tribal communities. ANASAZI Fellows then take action and share their recommendations How do Roundtables work? Start at any table you would like with their Tribal leadership. For the 2017-2018 cohort of and you will have to opportunity to visit the other tables every Health Policy Fellows, food sovereignty and substance abuse 15 minutes and in any order that suits you. prevention were two top priorities. During this interactive round table, one 2017-2018 Health Policy Fellow, Natahlia Table 1 - Reducing Tobacco-Related Health Enoah, will discuss her research on Diné food policies and Disparities through Policy, Systems, and share her policy recommendations for advancing food sover- Environmental Changes eignty in her Tribal Nation. Ms. Enoah will also share infor- To respond to the multi-factored causes of chronic diseases mation about the National Indian Health Board Health Policy burdening the Alaska Native and American Indian peoples, Fellowship and how your young people and Tribal communi- including tobacco use and exposure, the Alaska Native ties may benefit from participating in this unique program. Epidemiology Center (EpiCenter) and the Inter Tribal Council NATAHLIA ENOAH, PRESBYTERIAN CENTER FOR COMMUNITY HEALTH of Arizona, Incorporated (ITCA) received separate five-year grants under “A Comprehensive Approach to Good Health Table 4 - Integrating Tribal Practices for Chronic and Wellness in Indian Country” from the CDC in 2014. Disease Prevention in American Indian/Alaska The ANTHC EpiCenter and ITCA partners with their Tribes Native Communities and Tribal Health Organizations (THOs) to address chronic Tribal Practices for Wellness in Indian Country (TPWIC), a diseases through community chosen, and culturally respon- 3-year program funded by the Centers for Disease Control sive, Policy, Systems, and Environmental (PSE) changes. The and Prevention, supports tribal practices as a protective results of the partnership between ANTHC EpiCenter and factor for building strength, resilience, and wellness in nine THO Partner Sites culminated in over 35 PSE changes American Indian/Alaska Native (AI/AN) communities. Seven including tobacco-free healthcare campus policies, clinical strategies were identified to strengthen connections to protocol and EHR improvements, tribal resolutions, and family, community, and culture, which can contribute to the increased community-clinical linkages. With the assistance reduction of chronic disease in AI/AN. The presenters will of ITCA, Tribes have developed and strengthened their introduce TPWIC and engage the participants by having them tobacco policies, expanded the reach federal tobacco educa- share their program approaches and innovations as it relates tion campaigns, and created tobacco education materials. to tribal practices. This will create a space for dialogue on TAJIA REVELS, ALASKA NATIVE TRIBAL HEALTH CONSORTIUM how tribes are engaging and implementing traditional and VANESSA DODGE AND GLENDA TOVAR, INTER TRIBAL COUNCIL OF ARIZONA, INC. cultural practices, intergenerational learning that supports well-being and resilience, seasonal cultural practices that Table 2 - Developing a Study of Colorectal Cancer foster health and wellness, and promoting traditional healthy Risk and Protective Factors among Alaska Native foods and physical activity. people using a Community-based Participatory SHANNON SALTCLAH, GORDON QUAM, CENTERS FOR Research Framework DISEASE CONTROL AND PREVENTION Colorectal cancer (CRC) is the second leading cancer among Alaska Native (AN) people, and the second leading cause of cancer mortality. We are developing a study of lifestyle and genetic risk and protective factors for CRC among AN people, conducted within a community-based participa- tory research framework. This presentation will engage attendees in a discussion on developing community-engaged research studies to understand risk and protective factors for chronic diseases among Tribal communities, using high- lights from our work. We will present our formative research process, how stakeholder feedback was incorporated into our study protocol, our plans for continued stakeholder and participant engagement, as well as for the return of research results to the AN community. We hope to hear from others engaged in similar research in other Tribal communities about their processes. Finally, this presentation will provide an opportunity for discussion of the respectful conduct of research involving biospecimens in AIAN communities. SARAH NASH, ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 18
3:30-5:00 pm concepts; public health policy development; and real time, emerging public health issues of local and national impor- Breakout Sessions tance. Workshop participants will learn about the TLPHS M O N D AY • MAY 13, 2019 planning process and evaluation results from two annual symposia, and will participate in a focused conversation to identify engagement strategies with tribal leaders to gain 3:30-5:00 pm public health support in their home communities. Two Spirit Natives - Acceptance is Suicide TASSY PARKER, NATHANIA TSOSIE, NORMAN COOEYATE, UNM CENTER FOR NATIVE Prevention AMERICAN HEALTH Track: Health Promotion and Disease Prevention 3:30 PM - 5:00 PM COCHITI Collaborative Climate Adaptation for Tribal In 1990, at a Gathering in Winnipeg, Canada, Native American Community Wellbeing and First Nations people, then called LGBT Natives, decided to reclaim the sacred nature of what it meant to families, Track: Environmental Health and Climate Change Tribes and Nations when a child born exhibiting gender PICURIS fluidity and/or an affinity for a gender other than what was biologically apparent. Those gathered in Winnipeg chose a Some of the most tragic impacts of climate change are name that would speak to the sacred nature of the Ancestors projected to come in the form of illness, injury, and death while reclaiming our places as strong people of medicine as well as collective psychosocial and cultural hardships. and healing. History speaks of those Ancestors who held The Pala Band of Mission Indians was recently awarded an honoured places within the Tribal community while moving NIHB Climate Ready Tribes grant to complete and implement fluidly between genders. In fact, many Tribes identified a climate adaptation plan that engages tribal community multiple genders and often, a gender was not assigned until stakeholders in increasing tribal health, wellbeing, and the child told the Tribe whom they were. Along with that resilience. This project builds upon previous work Pala has identity came sacred responsibilities to the Tribe, as healers, done to assess its own climate health vulnerability, and to as the namers and caretakers of children, as mediators help prepare tribes across the country through the federally between the genders and as protectors of the Tribe. Post funded Tribal Climate Health Project. Presenters will facil- contact, and with the creation of the genocidal tactic of what itate an interactive workshop to share the lessons learned was known as the Boarding/Residential Schools, many tradi- from these initiatives to date, including tools, templates, tional roles were destroyed in an effort to “kill the Indian to and other materials developed to support tribes. Presenters save the man.” In spite of multiple attempts to “eradicate the will also review the latest literature and evidence that has Indian problem,” the resilience of Indigenous people perse- informed Pala’s uniquely collaborative approach to building vered and now, Two Spirit people are working hard to regain tribal cohesion and wellbeing before, during, and after our places in the Sacred Hoops of our people. This workshop climate disasters. will share historical evidence of the sacred nature of Two SHASTA GAUGHEN, PALA BAND OF MISSION INDIANS Spirit people and how acceptance is a suicide prevention ANGIE HACKER, PROSPER SUSTAINABLY technique. SADE HEART OF THE HAWK ALI, ZERO SUICIDE INSTITUTE 3:30 PM - 5:00 PM Indian Country Drug Endangered Children 3:30 PM - 5:00 PM Track: Substance Misuse and Behavioral Health Public Health Leadership Development for Tribal Leaders: A Promising Practice for Promoting SANTA ANA Public Health Advocacy Tribal communities are experiencing the highest rates of substance use disorders among any population. This US TRACK: Public Health Policy, Infrastructure & Systems Department of Justice course will present facts, a brief over- NAVAJO/NAMBE view of why substance use rates are on the rise and discuss how this is impacting and contributing to tribal youth trauma. Leaders of Native Nations, Pueblos, and Tribes address We will learn from our past, look at the present, and discuss wide-ranging and pressing issues, including matters of strategies and methodologies – both western medicines public health. To promote informed, public health advocacy based and culturally rooted – that offer ways on combating and leadership skills of elected and appointed leaders, a substance use disorders. Discussion on data collection, team from the University of New Mexico Health Sciences evidence-based practices vs. evidence informed, community Center for Native American Health collaborated with tribal involvement, and local and regional agencies with tools to leaders to establish an annual Tribal Leaders Public Health address local problems requiring local solutions. Symposium (TLPHS). A six-month planning process involving tribal leaders provided the format and content of the first JACQUE GENCARELLE, DRUG ENFORCEMENT AGENCY annual TLPHS (2017). The TLPHS provides tribal leaders with a working knowledge of the public health model and Track: Emergency Track: Health Track: Environmental Track: Substance Track: Public Health KEY Promotion and Disease Prevention Health and Climate Change Misuse and Behavioral Health Policy, Infrastructure & Systems Preparedness and Emerging Issues in Public Health NATIONAL TRIBAL PUBLIC HEALTH SUMMIT • MAY 13-15, 2019 • ALBUQUERQUE CONVENTION CENTER • ALBUQUERQUE, NEW MEXICO 19
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