"Hardworking Rural Community Taps a Deep Well of Hope"
is an article from the Robert Wood Johnson Foundation that provides an overview of the residents of Klamath County, Oregon, including the Klamath Tribes, coming together as a community and forming the Healthy Klamath coalition to create healthier communities. The article discusses community efforts to address the behavioral and physical healthcare needs of the Klamath Tribes, and describes local efforts to promote healthcare careers to high school students and how the community offers scholarships to improve graduation rates. Klamath County is a recipient of the 2018 Robert Wood Johnson Foundation's Culture of Health Prize. Read the article here.
Alaska Native Community Resilience Study: Changing the Narrative in Suicide Prevention from Risk to Cultural & Community Strengths
The role of social determinants is evident in the disproportionately high rates of Alaska Native (AN) youth suicide which, when aggregated across a rural area, can be 18 times higher than the youth general population, ages 15-19 (124 vs 6.9/ per 100,000). Despite its importance, little is known about the community-level resilient and protective processes communities enact to protect their youth. The presentation below, posted on the Interagency Arctic Research Policy Committee (IARPC) Collaborations website recently, describes the overall effort, Alaska Native Collaborative Hub for Research Resilience (ANCHRR), and the research, Alaska Native Community Resilience Study (ANCRS), it supports. This research seeks to identify pathways from larger social and community processes down to individual, youth experiences, which can inform a wide variety of prevention efforts. The goals of the overall ANCHRR project are to establish a central hub for Alaska that anchors and supports our collective efforts in reducing the burden of AN youth suicide. The first aim of the research study will assess the association of a set of modifiable cultural, community and institutional factors (community resilience factors) with suicide and associated adverse outcomes (accidental death, alcohol-misuse requiring healthcare) in 64 rural and remote Alaska Native villages to identify community-level factors that are most predictive of youth health outcomes. The presentation describes the first year of this collaborative research project, and will show how the effort integrates and utilizes Alaska Native knowledge and guidance. The goal of this work is to identify vital community targets that can most effectively reduce youth suicide risk and promote resilience. Click here
to view the presentation directly, or sign up (for free) on IARPC here.
NIHB Releases Tribal Public Health Accreditation Readiness Case Study featuring Chickasaw Nation
The National Indian Health Board (NIHB) has provided support to Tribal health departments seeking public health accreditation through the Tribal Accreditation Support Initiative (ASI) since 2014. Twenty Tribal health departments have worked with NIHB to increase their readiness to apply for public health accreditation, a voluntary program in which Tribal, Local, and State health departments measure their performance against a set of nationally recognized, practice-focused and evidence-based standards.
Through the Tribal ASI, NIHB supported Chickasaw Nation to conduct accreditation and performance improvement activities in their health department. They used the Accreditation Readiness Model (ARM), a tool developed by NIHB, to measure both improvements and challenges, as well as to set priorities, and determine which initiatives are most successful. The case study illuminates the importance of using a readiness tool when making a system-wide change. As stated in the case study, "Knowledge and awareness, relationships, and attitudes are dimensions equally as important as meeting program milestones and contribute to strengthening a collaborative public health system."
To view the case study, click HERE
To learn more about the Tribal Public Health Accreditation Support Initiative, click HERE
New SAMHSA Fact Sheets Offers Guidance on Patient Care for Pregnant Mothers With Opioid Use Disorder (OUD)
SAMHSA announces the release of
Healthy Pregnancy, Healthy Baby: Opioids in Pregnancy
fact sheets. These four new fact sheets emphasize the importance of continuing a mother's treatment throughout her pregnancy and can be distributed by a variety of health care professionals. Fact sheet topics include information on:
- OUD and pregnancy
- OUD treatment
- Neonatal abstinence syndrome
- Personal considerations to address before hospital discharge
Fact sheets available HERE.
Urban Indian Health Institute Releases the Urban Diabetes Care & Outcomes Summary Report
The Urban Diabetes Care & Outcomes Summary Report (UDCOSR) reports on diabetes data for urban American Indian and Alaska Native (AIAN) people for audit years 2013-2017. UDCOSR reports on data from 31 urban Indian Health Programs, and is used to estimate rate and trends for diabetes outcomes, as well as highlight the strengths and gaps of diabetes health in urban AIAN patients.
To view the report, click here
Funding and Opportunities
ddressing Opioid Use Disorder in Pregnant Women and New Moms
Applications due 5pm Eastern, November 19, 2018
Women who are pregnant or new mothers struggling with Opioid Use Disorder face a variety of barriers in obtaining safe and effective care and treatment. Women and families in rural and under-resourced communities are particularly affected. Barriers may include but are not limited to:
- limited access to:
- local providers with both the training and capacity to meet patient treatment and recovery needs;
- family-centered, trauma-informed treatment and recovery approaches that include integrated supports;
- adequate care and long-term supports for infants born with Neonatal Abstinence Syndrome;
- significant stigma, prejudice, and discrimination which may hamper seeking treatment;
- interactions with the criminal justice system; and
- limited social supports such as transportation, safe housing, and employment.
The Addressing Opioid Use Disorder in Pregnant Women and New Moms Challenge will award $375,000 in prizes to support tech innovations to improve access to quality health care, including substance use disorder treatment, recovery, and support services for pregnant women with opioid use disorders, their infants, and families, especially those in rural and geographically isolated areas. Click
to learn more or apply.
2019-2022 Behavioral Risk Factor Surveillance System - Currently Accepting Public Comments
The Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) are currently accepting public comments and recommendations on a proposed revision of data collection for the 2019-2022 Behavioral Risk Factor Surveillance System. The purpose of this revision request is to add the following topics to the questionnaires: myalgic encephalomyelitis/chronic fatigue syndrome; hepatitis treatment; adverse childhood experiences; food stamps; and opioid use and misuse. Deadline is November 19.
34th Annual Alaska Native Diabetes Conference 2018
Wednesday-Friday, October 10-12, 2018 in Anchorage, AK
The 34th Annual Alaska Native Diabetes Conference will be held at the Sheraton Anchorage Hotel and Spa in Anchorage, AK from October 10-12, 2018. This conference has been designed specifically for physicians, physician assistants, nurse practitioners, nurses, pharmacists, dietitians, CHA/P, psychologists, exercise psychologists, certified diabetes educators, and other health care professionals who care for patients with diabetes. The focus of the conference is on Alaska Native People.
Click here to learn more.