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The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services. The Indian Country Methamphetamine Initiative: Addressing a Problem Uniquely Affecting Indian Country. Dale Walker, MD Michelle Singer Patricia Silk Walker, PhD Douglas Bigelow, PhD - PowerPoint PPT Presentation
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The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services
The Indian Country Methamphetamine Initiative:
Addressing a Problem Uniquely Affecting
Indian Country Dale Walker, MD Michelle Singer Patricia Silk Walker, PhD
Douglas Bigelow, PhD
ATNI Winter Conference: January 24, 2008Yakima, Washington
Six Behaviors That Contribute to Serious Health
Problems:• Tobacco use• Poor nutrition• Behaviors resulting in intentional or unintentional
injury• Physical inactivity• Risky sex • Alcohol and other drug abuse –
Methamphetamine!
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Methamphetamine Use, by State inYoung Adults (18 to 25)
Source: SAMHSA, 2002-2005 .
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Methamphetamine: Epidemiology
Past Month Illicit Drug Use among Youths Aged 12 to 17, by Race/Ethnicity: 2002
Methamphetamine: Epidemiology
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Methamphetamine/Amphetamine Admissions by Ethnicity and
Urbanization: 2004 Race/
Ethnicity
Large Central Metro
Large Fringe Metro
Small Metro
Non-Metro with City
Non-Metro without
City
White 56% 77% 78% 86% 87%
Black 5% 3% 2% 1% 1%
Hispanic 28% 14% 11% 6% 4%
American Indian/ Alaska Native
2% 1% 3% 4% 6%
Asian Pacific Islander
3% 2% 3% 2% 1%
Other 6% 3% 3% 1% 1%
Source: 2003 SAMHSA Treatment Episode Data Set (TEDS).
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The Methamphetamine Effect
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Methamphetamine Identified as the Primary Health/Community
Concern
• In 2006, Tribal Round Table sessions, HHS Regional Tribal Consultations, and numerous tribal community gatherings with SAMHSA, OMH, and IHS identified Methamphetamine abuse as the primary health concern in Indian Country.
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“Tribal leaders unveil new meth Initiative” Indian Country Today
NCAI President, Joe Garcia Anchorage, Alaska June 15, 2007
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Indian Country Methamphetamine Initiative
(ICMI)• $1.75 million awarded to Association of Indian
Physician (AAIP) its partners (National Congress of American Indians, One Sky Center, South and Eastern Tribes, and Northwest Portland Area Indian Health Board)
• Tribal Sites– Navajo Nation – Winnebago Tribe – Northern Arapaho Tribe– Crow Nation – Choctaw Nation
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ICMI Project Description
• Create a National education and information outreach campaign for all Native communities.
• Establish and transfer knowledge from community based, promising practices for prevention, intervention and treatment.
• Work across Federal agencies for a coordinated and consistent outreach strategy.
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The Indian Country Methamphetamine Initiative:
Project Partners
SAMHSA
AAIP
USET NPAIHB OSC NCAI
Choctaw Crow Navajo Northern Arapaho Winnebago
IHS OMH HHS
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Winnebago
Navajo
Choctaw
Crow
Northern Arapaho
NPAIHB
AAIP
USET
OSC
NCAI
ICMI Partners
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ICMI Major Project Deliverables
• Outreach/Education Kit for Tribes and others • Identification of Partners/Advisory Groups• Coordinated Federal-Tribal-State-Local Indian
Country Communication and Training• Minimum 5 Tribal Specific Projects Identified
and Evaluated for Potential Transfer to Other NA Communities
• Final Project Evaluation• Year 3 - Promising Practices Transfer Kits
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Toolkit Essentials
• Leadership Information• Methamphetamine Basics• Tribal Code-Policy • Media• Educational Materials and Presentations
Prevention and Treatment
Educational for Students, Parents, Community• Community Organizing • Fun Youth Items• Additional Resources
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How to Use the Toolkit
• Leadership and decision making• Overview of each module• Specific topics, issue pages• Promising Practice approaches• What the culture and science says• Training, technical assistance, and consultation• Reference documents • Toolkit webpage
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ID Best Practice
Best Practice
Clinical/servicesResearch
TraditionalHealing
MainstreamPractice
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Choctaw Nation of Oklahoma
• “Natural Highs Program”• Transformation process • Experiential activities• Relationship building• Changing the way you live
and think • Changing how you think
and you believe about life and yourself
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METH FREE CROWALITON Unity in Our
“War Against Meth”
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Meth Free Crow Walk: Youth
as our Warriors in Reclaiming our Nation
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Dine Nation Methamphetamine Initiative
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What Works
• Community Education – Age-appropriate presentations, brochures, ads
• Enforcement (NLE Drug Unit) – Arrest and detainment for trafficking
• Caring members of the community
• Partnerships – Communities, chapters, private businesses and tribal divisions
and programs.
Methamphetamine Initiative
A System of “Works”
Northern Arapaho Tribe
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The concept of “WorksWorks”in a Comprehensive Systems Plan
The Problem: – “turf” – gaps – duplications – crossed purposes
Fragmented Service System
The Solution:– client-centered – multi-agency– comprehensive– coordinated– efficient
“WorksWorks”
The Solution:– client-centered – multi-agency– comprehensive– coordinated– efficient
“WorksWorks”
Winnebago Tribe
Together, WE Make A Difference:
Methamphetamine Prevention on the
Winnebago ReservationTipi Means,
Tribal Health Educator
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Goals and Objectives Winnebago Meth Task Force
• Develop/maintain a Comprehensive Methamphetamine Prevention Strategy
• Collectively plan and implement • Use Proactive measures• Use available funds - take immediate
action• Working together to determine what fits for
tribal members and the reservation
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Next Steps• Add two additional Tribes
• NCAI provide PSAs and house the Tribal Meth Taskforce
• USET and NPAIHB will gather baseline data on methamphetamine use
• One Sky Center:
– TA for writing best practices
– Create a training curriculum
– Train additional tribes in ICMI best practices
– Develop a cultural methamphetamine abuse education kit
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Contact us at503-494-3703
E-mailDale Walker, [email protected]
Or visit our website:www.oneskycenter.org