All Nations

URBAN INDIAN HEALTH

SPECIAL DIABETES PROGRAMS FOR INDIANS

HEALING INDIGENOUS RELATIVES

ALL NATIONS CONNECTING KIDS TO COVERAGE

RISING STRONG - PROJECT ABSTRACT SUMMARY ALL NATIONS HEALTH CENTER WAS ESTABLISHED IN 1970 TO MEET THE PHYSICAL, MENTAL, EMOTIONAL, AND SPIRITUAL WELLNESS NEEDS OF AMERICAN INDIANS AND ALASKA NATIVES (AIAN) LIVING WITHIN MISSOULA COUNTY, MONTANA. ALL NATIONS HEALTH CENTER SERVES ALL EIGHT FEDERALLY RECOGNIZED MONTANA TRIBES, AND ALL TRIBAL MEMBERS UP TO SECOND DEGREE DESCENDANTS REGARDLESS OF TRIBAL AFFILIATION. THROUGH BOTH LOCAL DATA AND PEER-REVIEWED, EVIDENCE-BASED RESEARCH, WE KNOW THAT THERE ARE MANY CHRONIC HEALTH ISSUES THAT AIANS FACE THAT AREN’T ADDRESSED WITH TRIBAL PRACTICES. THERE ARE APPROXIMATELY 4,894 AIANS IN MISSOULA COUNTY WHO MAY EXPERIENCE GEOGRAPHICAL, SOCIAL, CULTURAL, AND SPIRITUAL BARRIERS TO HEALTH AND WELLNESS, FURTHER CONTRIBUTING TO THE CHRONIC DISEASES THAT AIAN PEOPLES EXPERIENCE. ALL NATIONS PURPOSES TO BRIDGE THE GAP OF THE SOCIAL DETERMINANTS OF HEALTH BY BUILDING SOCIAL CONNECTEDNESS IN MISSOULA’S AI/AN COMMUNITY AND FAMILIES WHILE FOCUSING ON TRIBAL PRACTICES THAT BUILD RESILIENCY. ALL NATIONS PURPOSES THE RISING STRONG PROGRAM WILL PROVIDE FAMILY AND COMMUNITY ACTIVITIES THAT CONNECT CULTURAL TEACHINGS TO HEALTH AND WELLNESS THROUGH COLLABORATIONS WITH COMMUNITY ORGANIZATIONS AND CONNECTIONS WITH AI/AN COMMUNITY MEMBERS. THE FOLLOWING ARE THE STRATEGY’S SELECTED BASED OF THE LOGIC MODEL: 1. STRATEGY 1: FAMILY AND COMMUNITY ACTIVITIES THAT CONNECT CULTURAL TEACHINGS TO HEALTH AND WELLNESS. 2. STRATEGY 3: SOCIAL AND CULTURAL ACTIVITIES THAT PROMOTE COMMUNITY WELLNESS. 3. STRATEGY 4: INTERGENERATIONAL LEARNING OPPORTUNITIES THAT SUPPORT WELLBEING AND RESILIENCE.

PATH TO WALKING WELL - ALL NATIONS HEALTH CENTER (ALL NATIONS) IS A NON-PROFIT 501(C)(3) URBAN INDIAN HEALTH PROGRAM (UIHP) LOCATED IN WESTERN MONTANA. THE NON-PROFIT AGENCY IS CONTRACTED THROUGH INDIAN HEALTH SERVICE (IHS)AS A COMMUNITY-BASED ORGANIZATION ESTABLISHED IN 1970. ALL NATIONS OFFERS COMPREHENSIVE MEDICAL AND BEHAVIORAL HEALTH SERVICES TO AMERICAN INDIANS/ALASKA NATIVES (AI/AN) AND THEIR FIRST AND SECOND DEGREE DESCENDANTS AND IS COMMITTED TO PROVIDING TRAUMA INFORMED CARE. ALL NATIONS RECEIVED ITS FIRST DIABETES TREATMENT AND PREVENTION FUNDING IN 1999 AS A CYCLE 3 SDPI GRANTEE. ALL NATIONS HAS SELECTED THE SDPI DIABETES BEST PRACTICE: DIABETES-RELATED EDUCATION. DIABETES-RELATED EDUCATION ALLOWS ALL NATIONS THE ABILITY TO MAXIMIZE THE DIVERSE SKILL SET OF IT'S MULTIDISCIPLINARY TEAM AND CONTINUE ITS SHIFT TOWARDS AN INTEGRATED HEALTHCARE MODEL THAT IS ABLE TO INCORPORATE PREVENTIVE MEDICINE STRATEGIES ACROSS THE LIFESPAN FOR THE POPULATION WE SERVE. THIS IN TURN PROVIDES GREATER FLEXIBILITY FOR ALL NATIONS DIABETES EDUCATORS TO GROW AND MANEUVER THROUGH COORDINATED CLINIC AND COMMUNITY-BASED SERVICES UTILIZING PRIMARY, SECONDARY, AND TERTIARY PREVENTION STRATEGIES IN AN EFFORT TO IMPROVE DIABETES OUTCOMES FOR OUR TARGET POPULATION. DIABETES-RELATED EDUCATION IS COST EFFECTIVE, HAS DEMONSTRATED EFFICACY IN VALUE-BASED CARE MODELS, AND OFFERS BROADER APPLICATION IN PATIENT OUTREACH AND ENGAGEMENT. THROUGH DIABETES-RELATED EDUCATION, WE ARE ABLE TO TARGET A GREATER SEGMENT OF ELIGIBLE AI/AN WITHIN OUR SERVICE AREA. DIABETES-RELATED EDUCATION, ALSO, GIVES US THE FLEXIBILITY TO ADAPT CURRICULUM CONTENT TO MEET THE CULTURALLY UNIQUE NEEDS OF OUR SERVICE USERS. WE RECOGNIZE THAT CULTURALLY RESPONSIVE DIABETES-RELATED EDUCATION INCLUDES HONORING RESILIENCY FACTORS WITHIN OUR TRIBAL COMMUNITIES THAT EMPOWERS OUR PARTICIPANTS TO EMBRACE INHERENT STRENGTHS AND RESULTING SUCCESSES. THE FOLLOWING FIVE MAJOR ACTIVITIES HAVE BEEN SELECTED TO IMPROVE THE REQUIRED KEY MEASURE IN 2023: -SUBMISSION OF THE ADCES DIABETES EDUCATION ACCREDITATION PROGRAM APPLICATION AND IMPLEMENT THE ADCES7 SELF-CARE BEHAVIORS MODEL FRAMEWORK -OFFER DIABETES PREVENTION PROGRAMMING ACROSS THE LIFESPAN FOR YOUTH, ADULTS, AND FAMILIES -SUPPORT INDIGENOUS FOOD SOVEREIGNTY INITIATES -PROVIDE DIABETES COMMUNITY OUTREACH AND SCREENING SERVICES AT COMMUNITY EVENTS -PROVIDE DIRECT CLIENT SUPPORT ADDRESSING BARRIERS TO DIABETES-RELATED EDUCATION

MISSOULA NATIVE CONNECTIONS

ALL NATIONS COMMUNITY HEALTH CENTER, INC., A NONPROFIT COMMUNITY-BASED HEALTHCARE ORGANIZATION LOCATED IN MISSOULA, MT, WILL USE THE FUNDS FROM THIS AWARD TO SUSTAIN ITS CURRENT HUMAN TRAFFICKING SERVICES PROGRAM BY: (1) CONTINUING TO EMPLOY A 1.0 FTE PROJECT DIRECTOR TO COORDINATE PROJECT ACTIVITIES, AND A 1.0 FTE CASE MANAGER TO PROVIDE ADVOCACY, CASE MANAGEMENT, AND OTHER SUPPORTIVE SERVICES TO AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) VICTIMS OF HUMAN TRAFFICKING; (2) PROVIDING TRAINING ON HOW TO PROVIDE CULTURALLY APPROPRIATE SERVICES TO AI/AN HUMAN TRAFFICKING VICTIMS FOR STAFF FROM ITS COLLABORATIVE PARTNER ORGANIZATIONS; (3) CONDUCTING COMMUNITY OUTREACH ACTIVITIES TO GENERATE AWARENESS AND UNDERSTANDING OF THE NEEDS OF AI/AN VICTIMS OF HUMAN TRAFFICKING, AND THE SERVICES AVAILABLE THROUGH THIS PROJECT; AND (4) HOSTING A SUMMIT ON HUMAN TRAFFICKING.

MISSOULA BEACON

ALL NATIONS HEALTH TRIBAL BEHAVIORAL HEALTH SUBSTANCE USE PREVENTION - ALL NATIONS HEALTH CENTER (ANHC) WILL IMPLEMENT THE FIVE YEAR ALL NATIONS YOUTH SUBSTANCE USE AND OVERDOSE PREVENTION INITIATIVE IN MISSOULA COUNTY AND NEARBY WESTERN MONTANA COMMUNITIES. THE PROJECT WILL PREVENT AND REDUCE SUBSTANCE USE AND OVERDOSE AMONG AMERICAN INDIAN AND ALASKA NATIVE (AI/AN) YOUTH AND YOUNG ADULTS THROUGH AGE 24 BY BUILDING RESPONSIVE PREVENTION SYSTEM THAT STRENGTHENS RESILIENCE, OVERDOSE READINESS, EARLY IDENTIFICATION, AND CONNECTIONS TO CARE. MISSOULA IS AN URBAN HUB FOR NATIVE YOUTH AND YOUNG ADULTS WHO LIVE LOCALLY, ATTEND THE UNIVERSITY OF MONTANA, TRAVEL FROM RURAL OR RESERVATION COMMUNITIES, OR MOVE BETWEEN MISSOULA AND HOME COMMUNITIES FOR CARE, EDUCATION, EMPLOYMENT, COURT INVOLVEMENT, AND FAMILY SUPPORT. THE POPULATION OF FOCUS INCLUDES MIDDLE SCHOOL AND HIGH SCHOOL YOUTH; YOUNG ADULTS AGES 18 TO 24; NATIVE STUDENTS AND WORKERS; YOUTH AND FAMILIES INVOLVED WITH FAMILY TREATMENT COURT, CHILD WELFARE, PRIMARY CARE, BEHAVIORAL HEALTH, CAMPUS HEALTH, AND COMMUNITY SERVICES; AND YOUNG PEOPLE EXPERIENCING EARLY OR EPISODIC SUBSTANCE USE, SUBSTANCE USE DISORDER, CO OCCURRING ANXIETY OR DEPRESSION, GRIEF, TRAUMA EXPOSURE, OVERDOSE RISK, HOUSING OR TRANSPORTATION BARRIERS, OR DIFFICULTY ACCESSING AGE APPROPRIATE AND RESPONSIVE CARE. FAMILIES, CAREGIVERS, ELDERS, TEACHERS, PEERS, AND YOUTH SERVING PROFESSIONALS WILL PARTICIPATE AS PROTECTIVE ADULTS AND PARTNERS. ANHC PROVIDES INTEGRATED MEDICAL, DENTAL, BEHAVIORAL HEALTH, SUBSTANCE USE, YOUTH, OUTREACH, TRANSPORTATION, CRISIS, AND CARE COORDINATION SERVICES. THE REMAINING NEED IS A STANDING PREVENTION STRUCTURE WITH DEDICATED COORDINATION, YOUTH GUIDANCE, CONSISTENT EDUCATION, TRAINED STAFF AND PARTNERS, WRITTEN OVERDOSE AND REFERRAL PROCEDURES, ACTIVE FOLLOW UP, SHARED DATA DEFINITIONS, AND REGULAR PERFORMANCE REVIEW. ACTIVITIES WILL INCLUDE LISTENING SESSIONS AND TALKING CIRCLES; A YOUTH COMMUNITY BOARD; A YEAR 1 NEEDS ASSESSMENT AND STRATEGIC PREVENTION PLAN GUIDED BY SAMHSA'S STRATEGIC FRAMEWORK; EDUCATION ON ALCOHOL, CANNABIS, VAPING, PRESCRIPTION MEDICATION MISUSE, FENTANYL, STIMULANTS, POLYSUBSTANCE USE, SAFE STORAGE, COPING, HELP SEEKING, RECOVERY, RESILIENCE, AND PROTECTIVE FACTORS; OVERDOSE RECOGNITION AND RESPONSE TRAINING, INCLUDING OPIOID OVERDOSE REVERSAL MEDICATION ADMINISTRATION AND GOOD SAMARITAN INFORMATION; WORKFORCE DEVELOPMENT; PUBLIC OUTREACH; WARM HANDOFF PROCEDURES; AND A DATA DASHBOARD. FAMILY TREATMENT COURT, CURRY HEALTH CENTER AND CLINICAL PSYCHOLOGY CENTER AT THE UNIVERSITY OF MONTANA, AND THE MONTANA CONSORTIUM FOR URBAN INDIAN HEALTH WILL SUPPORT OUTREACH, REFERRALS, TECHNICAL ASSISTANCE, WORKFORCE CAPACITY, DATA STEWARDSHIP, AND SUSTAINABILITY. THE PROJECT WILL BUILD A COMMUNITY DIRECTED NATIVE YOUTH PREVENTION SYSTEM, INCREASE PREVENTION EDUCATION AND RESILIENCE, IMPROVE OVERDOSE RESPONSE READINESS, STRENGTHEN LINKAGE TO CARE AND SUPPORT SERVICES, AND INCREASE WORKFORCE AND PARTNER CAPACITY THROUGH DATA INFORMED IMPROVEMENT. ALL REQUIRED ACTIVITIES WILL BEGIN WITHIN FOUR MONTHS OF AWARD. BY THE END OF YEAR 1, ANHC WILL COMPLETE THE NEEDS ASSESSMENT AND STRATEGIC PLAN, ESTABLISH THE YOUTH COMMUNITY BOARD, HOLD AT LEAST FOUR STRUCTURED PLANNING SESSIONS, APPROVE WRITTEN OVERDOSE RESPONSE PROTOCOLS, AND ESTABLISH REFERRAL AND DATA SYSTEMS. ACROSS FIVE YEARS, THE PROJECT WILL SERVE 1,550 UNDUPLICATED DIRECT PARTICIPANTS, REACH 20,000 PEOPLE THROUGH INDIRECT AND POPULATION LEVEL PREVENTION, TRAIN 1,150 PEOPLE IN OVERDOSE RESPONSE AND OPIOID OVERDOSE REVERSAL MEDICATION ADMINISTRATION, AND ACTIVELY LINK 235 YOUTH AND YOUNG ADULTS TO NEEDED SERVICES. STAFF WILL REVIEW DATA MONTHLY, AND YOUTH, PARTNERS, AND LEADERSHIP WILL REVIEW A DASHBOARD QUARTERLY TO GUIDE IMPROVEMENT AND SUSTAINABILITY.

URBAN INDIAN HEALTH

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