National Council Of Urban Indian Health

STRENGTHENING THE URBAN INDIAN PUBLIC HEALTH SYSTEM VIA CAPACITY BUILDING ASSISTANCE IN POLICY AND REGULATION MONITORING

NCUIH- URBAN INDIAN EDUCATION AND RESEARCH ORGANIZATION COOPERATIVE AGREEMENT PROGRAM TO SUPPORT URBAN INDIAN HEALTH ORGANIZATIONS THROUGH EDUCATION,

NCUIH URBAN INDIAN EDUCATION & RESEARCH ORGANIZATION COOPERATIVE AGREEMENT

URBAN INDIAN EDUCATION AND RESEARCH PROGRAM

URBAN AI/AN IPC EDUCATION EXPANSION PROJECT - PROJECT ABSTRACT SUMMARYWHO WE ARE: THE NATIONAL COUNCIL OF URBAN INDIAN HEALTH (NCUIH) IS A NATIONAL 501(C)(3) MEMBERSHIP ORGANIZATION, DEVOTED TO THE SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY-COMPETENT HEALTH SERVICES FOR AMERICAN INDIANS AND ALASKA NATIVES (AI/AN) LIVING IN URBAN SETTINGS. AS THE ONLY NATIONAL ORGANIZATION ADVOCATING FOR THE HEALTH OF URBAN AI/AN, NCUIH PROVIDES CRITICALLY NEEDED TECHNICAL ASSISTANCE, TRAINING, POLICY SUPPORT, AND OTHER SERVICES TO THE URBAN INDIAN ORGANIZATIONS LOCATED THROUGHOUT THE UNITED STATES.PROPOSED PROJECT & PURPOSE: NCUIH WORKS WITH PROFESSIONALS AT THE FRONTLINE OF PREVENTING AND CONTROLLING THE SPREAD OF EMERGING AND RE-EMERGING INFECTIOUS DISEASE THREATS, SUCH AS COVID-19. NCUIH?S PUBLIC HEALTH PROGRAM EFFECTIVELY RESPONDS TO, MANAGES AND ADDRESSES PUBLIC HEALTH THREATS THROUGHOUT INDIAN COUNTRY. UNDER THIS COOPERATIVE AGREEMENT, NCUIH PROPOSES THE ?TARGET AND TRAIN? AND ?INTEGRATE AND EXTEND? STRATEGIES.OUTCOMES: UNDER THIS PROPOSAL, SHORT-TERM, INTERMEDIATE AND LONG-TERM OUTCOMES INCLUDE:?SHORT TERM OUTCOMES: 1) INCREASED DISTRIBUTION OF EXISTING GUIDANCE FOR THE PREVENTION AND CONTROL OF EMERGING AND RE-EMERGING INFECTIOUS DISEASES TO WORKERS THAT SERVE URBAN AI/AN 4) ESTABLISH RAPID/LIVING LEARNING NETWORKS THAT ENGAGE BOTH INFECTIOUS DISEASE PREVENTION AND CONTROL SPECIALISTS AND FRONTLINE WORKERS?INTERMEDIATE OUTCOMES: 1) INCREASED NUMBER OF HEALTHCARE PROFESSIONALS WHO ARE TRAINED AND UNDERSTAND BEST PRACTICES FOR THE PREVENTION AND CONTROL OF INFECTIOUS DISEASES 2) INCREASED ADOPTION OF GUIDANCE BY WORKERS AND WORKPLACE LEADERS TO IMPLEMENT BEST PRACTICES THAT PROTECT WORKERS AND COMMUNITY MEMBERS FROM INFECTIOUS DISEASES 3) EXPANDED PARTICIPATION AND REACH OF LIVING-LEARNING NETWORKS AMONG POPULATIONS IN ENVIRONMENTS THAT INCREASE RISK FOR INFECTIOUS DISEASES?LONG TERM OUTCOMES: 1) FEWER HEALTHCARE ASSOCIATED INFECTIONS AMONG PATIENTS AND HEALTHCARE WORKERS 2) FE WER COMMUNITY-ACQUIRED INFECTIONS ACROSS PUBLIC AND PRIVATE SETTINGS 3) IMPROVED CLINICAL OUTCOMES AMONG PATIENTS WITH OR WHO ARE AT INCREASED RISK FOR EMERGING INFECTIOUS DISEASESPOPULATION TO BE SERVED: NCUIH SERVES AI/AN COMMUNITIES WITH A SPECIAL FOCUS ON THOSE LIVING IN URBAN AREAS. ACCORDING TO THE LAST CENSUS, OVER 70 PERCENT OF AI/AN PEOPLE LIVE IN URBAN AREAS, WHICH IS OVER FOUR MILLION PEOPLE. HOWEVER, URBAN INDIAN ORGANIZATIONS (UIOS) ARE FREQUENTLY LEFT OUT OF THE NATIONAL DISCUSSION AND, AS A RESULT, ARE OMITTED FROM KEY LEGISLATION INTENDED TO BENEFIT ALL INDIAN HEALTH. THE RESULT OF BEING CONSISTENTLY LEFT OUT OF LEGISLATION GREATLY IMPACTS URBAN AI/AN COMMUNITIES AND IS DEBILITATING AS THE UIO PATIENT POPULATION CONTINUES TO INCREASE. NCUIH IS AT THE FOREFRONT OF PROTECTING AND ADVOCATING FOR INDIAN HEALTH TO ENSURE THE FUTURE OF ACCESS TO QUALITY, CULTURALLY COMPETENT HEALTHCARE THROUGHOUT INDIAN COUNTRY. THIS PROJECT HAS THE ABILITY TO IMPACT 65,000 AI/AN PATIENTS ANNUALLY, AS WELL AS AN ADDITIONAL 50,000 NON-AI/AN PATIENTS THAT ARE MOSTLY UNDERSERVED PEOPLE OF COLOR.

VACCINATION COVERAGE IMPROVEMENT - TO EXPAND ON WORKPLAN ACTIVITIES TO IMPROVE VACCINATION COVERAGE AND TO IMPLEMENT STRATEGIES TO REDUCE RACIAL AND/OR ETHNIC DISPARITIES IN ADULT VACCINATION COVERAGE, THEREFORE, IMPROVING THE HEALTH OF AMERICAN INDIAN AND ALASKA NATIVE POPULATIONS LIVING IN URBAN AREAS.

POLICYMAKER'S EDUCATION ON URBAN INDIAN HEALTH PLIGHT, RESEARCH, TECHNICAL ASSISTANCE, COORDINATION; AND EDUCATIONAL A

POLICYMAKER'S EDUCATION ON URBAN INDIAN HEALTH PLIGHT, RESEARCH, TECHNICAL ASSISTANCE, COORDINATION; AND EDUCATIONAL A

NATIONAL COUNCIL OF URBAN INDIAN HEALTH

NCUIH 360 ORGANIZATIONAL STRATEGIC SKILLS PLATFORMS EXPANSION

NATIVE CONNECTIONS--NCUIH SUPPORTING URBAN NATIVE YOUTH (SUNY) PROJECT

ACCESS AND RESOURCES FOR COMMUNITY HEALTH (ARCH) PROGRAM

NATIVE CONNECTIONS--NCUIH SUPPORTING URBAN NATIVE YOUTH (SUNY) PROJECT

NCUIH NATIONAL URBAN INDIAN BEHAVIORAL HEALTH AWARENESS PROJECT - ABSTRACTAMERICAN INDIANS AND ALASKA NATIVES (AI/AN) THAT LIVE IN URBAN AREAS PRESENT WITH A UNIQUE MORBIDITY AND MORTALITY PROFILE, AND THEY ENDURE A DISPROPORTIONATE RATE OF BEHAVIORAL HEALTH ISSUES. THE MOST SIGNIFICANT MENTAL HEALTH CONCERNS FACING URBAN AI/ANS INCLUDE A HIGH PREVALENCE OF DEPRESSION, SUBSTANCE USE DISORDERS, SUICIDE, ANXIETY, AND PTSD. SUICIDE IS THE SECOND LEADING CAUSE OF DEATH OF URBAN INDIAN YOUTH. MAINSTREAM HEALTHCARE SYSTEMS AND PROVIDERS ARE OFTEN NOT ABLE TO MEET URBAN AI/AN MORBIDITY, MORTALITY, AND PUBLIC HEALTH CONCERNS, PARTICULARLY IN A CULTURALLY SENSITIVE MANNER.THROUGH THE NATIONAL URBAN INDIAN BEHAVIORAL HEALTH AWARENESS (NUIBHA) PROGRAM, THE NATIONAL COUNCIL OF URBAN INDIAN HEALTH (NCUIH) PROPOSES TO PROVIDE A NATIONAL INFORMATION-SHARING PROGRAM BY WHICH THE AWARENESS, VISIBILITY, ADVOCACY, AND EDUCATION FOR BEHAVIORAL HEALTH ISSUES OF URBAN INDIAN HEALTH CARE CAN BE IMPROVED AND ACHIEVE A NATIONAL PRIORITY. AS THE ONLY NATIONAL NONPROFIT DEDICATED TO THE SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY-COMPETENT HEALTH SERVICES FOR AI/AN LIVING IN URBAN SETTINGS, NCUIH RECOGNIZES THE NEED TO PROVIDE EDUCATION, TECHNICAL SUPPORT, AND TRAINING TO URBAN INDIAN ORGANIZATIONS (UIOS) TO ADDRESS ONGOING BEHAVIORAL HEALTH DISPARITIES AND ACHIEVE HEALTHY PEOPLE 2030 GOALS.NCUIH IS WELL-POSITIONED TO ADVANCE BEHAVIORAL HEALTH OUTCOMES WITHIN THE URBAN INDIAN POPULATION BY ENGAGING THE 41 UIOS THAT PROVIDE CULTURALLY APPROPRIATE HEALTH SERVICES TO AI/AN PEOPLE LIVING IN URBAN AREAS. NUIBHA, WITH ITS COMPREHENSIVE NATIONAL PROJECT APPROACH, WILL ENGAGE UIOS IN STRATEGIC ACTIVITIES THAT OFFER A PLATFORM TO VOICE COMMON CONCERNS, RAISE AWARENESS OF THE POPULATION?S BEHAVIORAL HEALTH DISPARITIES ON A NATIONAL LEVEL, AND PROMOTE THE DISSEMINATION AND SHARING OF BEST PRACTICES, RESOURCES, AND TECHNIQUES. NCUIH AIMS TO PROVIDE TECHNICAL ASSISTANCE AND RESOURCES THAT ARE CULTURALLY RELEVANT, CULTURALLY COMP ETENT, AND TAILORED TO THE SITUATIONAL AND CONTEXTUAL NEEDS OF BEHAVIORAL HEALTH WITHIN THE URBAN INDIAN COMMUNITY THROUGH TECHNICAL ASSISTANCE AND A COMMUNITY OF LEARNING SERIES. THE COMMUNITY OF LEARNING MODEL IS A PEER-TO-PEER RESOURCE SHARING METHOD THAT PROVIDES UIOS WITH AN OPPORTUNITY TO LEARN FROM WITHIN THE URBAN COMMUNITY OF INNOVATIVE PRACTICES, PREVENTION EFFORTS, GRANT WRITING AND STRATEGIC PLANNING BEST PRACTICES, TO IMPROVE BEHAVIORAL HEALTH PROGRAMS AND PATIENT SERVICES AT FACILITIES SERVING URBAN AI/AN THROUGHOUT THE COUNTRY. A NATIONAL BEHAVIORAL HEALTH LISTENING SESSION WILL BE PROVIDED FOR URBAN AI/AN TO NOT ONLY BRING FORTH CHALLENGES, BUT DETERMINE INNOVATIVE SOLUTIONS THROUGH DISCUSSIONS WITH BEHAVIORAL HEALTH STAFF AND EXPERTS IN THE FIELD, LEADING TO INFORMED ADVOCACY TOWARDS BEHAVIORAL HEALTH CARE FOR URBAN AI/AN. THIS NATIONAL BEHAVIORAL HEALTH AWARENESS PROGRAM WILL PROVIDE A PLATFORM AND MECHANISM TO EXAMINE AND PRIORITIZE QUALITY PREVENTION, TREATMENT, AND RECOVERY ELEMENTS AT THE URBAN AI/AN POPULATION LEVEL. IT SUPPORTS BETTER CARE AND HEALTHIER COMMUNITIES THROUGH THE DISSEMINATION OF PROVEN INTERVENTIONS AND PRACTICES. THE PROGRAM WILL INCREASE AWARENESS, VISIBILITY, ADVOCACY, AND EDUCATION FOR BEHAVIORAL HEALTH ISSUES ON A NATIONAL SCALE FOR UIOS AND THE URBAN AI/AN PEOPLE THEY SERVE.

NCUIH NATIONAL URBAN INDIAN BEHAVIORAL HEALTH AWARENESS - THROUGH THE NATIONAL URBAN INDIAN BEHAVIORAL HEALTH AWARENESS (NUIBHA) PROGRAM, THE NATIONAL COUNCIL OF URBAN INDIAN HEALTH (NCUIH) PROPOSES TO DELIVER A NATIONAL INFORMATION-SHARING PROJECT BY WHICH THE AWARENESS, VISIBILITY, ADVOCACY, AND EDUCATION FOR BEHAVIORAL HEALTH OF URBAN INDIAN HEALTH CARE CAN BE IMPROVED UPON AND PRIORITIZED ON A NATIONAL LEVEL, FOR THE BENEFIT OF THE 41 URBAN INDIAN ORGANIZATIONS (UIOS) AND THE URBAN AMERICAN INDIAN/ALASKA NATIVE (AI/AN) POPULATION THEY SERVE. THE NUIBHA PROGRAM WILL PROVIDE A PLATFORM AND MECHANISM TO EXAMINE AND PRIORITIZE QUALITY PREVENTION, TREATMENT, AND RECOVERY ELEMENTS IN THE URBAN AI/AN POPULATION. IT SUPPORTS BETTER CARE AND HEALTHIER COMMUNITIES THROUGH THE DISSEMINATION OF PROVEN INTERVENTIONS AND PRACTICES. THE NEED FOR A PROGRAM TO COMBAT THE OPIOID EPIDEMIC AND THE BROADER BEHAVIORAL HEALTH CRISIS IN INDIAN COUNTRY IS SUBSTANTIAL. AMERICAN INDIANS AND ALASKA NATIVES, INCLUDING THOSE WHO LIVE IN URBAN AREAS OF THE UNITED STATES, EXPERIENCE HIGH RATES OF BEHAVIORAL HEALTH ISSUES CAUSED BY CENTURIES OF GENERATIONAL TRAUMA RESULTING FROM COLONIZATION AND HOSTILE ACTS OF THE UNITED STATES GOVERNMENT. IN FACT, AI/AN PEOPLE EXPERIENCE SERIOUS MENTAL ILLNESSES AT A RATE 1.58 TIMES HIGHER THAN THE NATIONAL AVERAGE, AND HIGH RATES OF ALCOHOL AND SUBSTANCE ABUSE. BETWEEN 1999 AND 2015, THE DRUG OVERDOSE RATES THROUGHOUT INDIAN COUNTRY INCREASED BY MORE THAN 500%. IN ADDITION, NATIVE YOUTH EXPERIENCE THE HIGHEST RATES OF SUICIDE AND DEPRESSION, WITH THE NATIVE YOUTH SUICIDE RATE BEING 2.5 TIMES THAT OF THE NATIONAL AVERAGE, MAKING IT THE SECOND LEADING CAUSE OF DEATH IN URBAN INDIAN YOUTH. UNFORTUNATELY, MAINSTREAM HEALTHCARE SYSTEMS AND PROVIDERS ARE OFTEN UNABLE TO ADDRESS THESE AND OTHER HEALTH ISSUES IN A CULTURALLY SENSITIVE MANNER, WHICH EXACERBATES THE CHALLENGES. NCUIH IS WELL-POSITIONED TO ADVANCE POSITIVE BEHAVIORAL HEALTH OUTCOMES WITHIN THE URBAN INDIAN POPULATION BY ENGAGING THE 41 UIOS THAT PROVIDE CULTURALLY APPROPRIATE HEALTH SERVICES TO AI/AN PEOPLE LIVING IN URBAN AREAS. AS THE ONLY NATIONAL NONPROFIT ORGANIZATION DEDICATED TO THE SUPPORT AND DEVELOPMENT OF QUALITY, ACCESSIBLE, AND CULTURALLY-COMPETENT HEALTH SERVICES FOR AI/AN PEOPLE LIVING IN URBAN SETTINGS, NCUIH RECOGNIZES THE OPPORTUNITY TO PARTNER WITH UIOS TO ADDRESS ONGOING BEHAVIORAL HEALTH DISPARITIES IN THESE COMMUNITIES. EDUCATION, TECHNICAL SUPPORT AND TRAINING WILL BE USED TO ACHIEVE THIS GOAL. THROUGH THE NUIBHA PROGRAM, WITH ITS COMPREHENSIVE NATIONAL PROJECT APPROACH, NCUIH WILL ENGAGE UIOS IN SIX REQUIRED STRATEGIC ACTIVITIES THAT OFFER A PLATFORM TO VOICE COMMON CONCERNS, RAISE AWARENESS OF THE POPULATION’S BEHAVIORAL HEALTH DISPARITIES ON A NATIONAL LEVEL, AND PROMOTE THE DISSEMINATION AND SHARING OF BEST PRACTICES, RESOURCES, AND TECHNIQUES. THROUGH THESE SIX ACTIVITIES, NCUIH WILL: • HOST A BEHAVIORAL HEALTH URBAN INDIAN LISTENING SESSION AT THE NCUIH ANNUAL CONFERENCE TO PROVIDE A SPACE FOR DIRECT INPUT FROM URBAN INDIAN LEADERS, BEHAVIORAL HEALTH STAFF, AND FIELD EXPERTS. • PARTICIPATE IN THE AI/AN TASK FORCE OF THE NATIONAL ACTION ALLIANCE FOR SUICIDE PREVENTION, BY PROVIDING TECHNICAL SUPPORT ON BEHAVIORAL HEALTH ISSUES RELATED TO URBAN INDIAN POPULATIONS AND PROGRAMS. DESIGN AND FACILITATE NATIONAL ACTION ALLIANCE HOPE FOR LIFE DAY CAMPAIGN. • HOST A RESOURCE BOOTH AT OUR ANNUAL CONFERENCE TO RAISE AWARENESS OF BEHAVIORAL HEALTH. • PROVIDE TECHNICAL ASSISTANCE AND RESOURCES THROUGH OPEN OFFICE HOURS, CONDUCTED IN A VIRTUAL CLASSROOM SETTING THAT IS CULTURALLY RELEVANT AND COMPETENT, AND TAILORED TO THE SITUATIONAL AND CONTEXTUAL NEEDS OF BEHAVIORAL HEALTH WITHIN THE URBAN INDIAN COMMUNITY. • USE EXISTING MEDIA PLATFORMS TO COMMUNICATE TO UIOS ON BEHAVIORAL HEALTH PROGRAMS, BEST PRACTICES, SERVICE DELIVER, QUALITY IMPROVEMENT AND STRATEGIES. • DEVELOP AN INTERNAL QUALITY IMPROVEMENT PROCESS TO SUPPORT CONTINUOUS EVALUATION AND IMPROVEMENT IN BEHAVIORAL HEALTH WORK.

NCUIH NATIONAL URBAN INDIAN BEHAVIORAL HEALTH AWARENESS

PPHF ? 2013 - COOPERATIVE AGREEMENT TO SUPPORT NAVIGATORS IN FEDERALLY-FACILITATED AND STATE PARTNERSHIP EXCHANGES

TBH COVID-19