I N D I A N L E A D E R S H I P F O R I N D I A N H E A L T H

Northwest Portland Area Indian Health Board

Established in 1972, the Board is a non-profit tribal organization serving the 43 federally recognized

tribes of Oregon, Washington, and Idaho.

MISSION: To assist Northwest tribes

to improve the health status and quality of life of

member tribes and Indian people in their delivery of culturally

appropriate and holistic health care.

Suicide Prevention Team

 Four meetings in 2008 to develop a comprehensive intertribal Suicide Action Plan

 Rotating NW locations; travel support provided; many contributing partners:   NW Tribes

  Indian Health Service

  Youth Rehabilitation and Treatment Centers

  Universities

  State Health Department Suicide Prevention Programs

  State Dept. of Education

  NARA – Native American Youth Suicide Prevention Project

  Education Development Center – Suicide Prevention Resource Center

  Tribal and Public Schools

•  Prevalence, Demographics, Risk factors

Assess STD/HIV Epidemiology

• Availability of Screening & Treatment Services, Educational Resources, Prevention Activities, Risk Reduction Resources

Assess Current STD/HIV Capacity

• Resources, Community Awareness, Community Climate/Stigma, Support of Key Decision-makers, Availability of Staff and Funds

Assess Regional Readiness

• Targeting the Individual, Family, Tribe, and Clinic

Design Multilevel Action Plan

• Track & Evaluate Progress

Implement Strategies

Community Readiness

 The Community Readiness Model

  Developed by Plested, Thurman, Edwards and Oetting at the Tri-Ethnic Center For Prevention Research

 Based on three existing Models

  Treatment Readiness by Prochaska, DiClemente and Norcross; the Decision-Making Process Model by Rogers; and the Social Action Model by Warren.

 Purpose: Provide communities with an understanding of their readiness level, to help them select strategies that are more successful and cost effective.

Process For Using The Community Readiness Model

•  Identify Issue

• Define “community”

• Conduct Key Respondent Interviews

•  Score to Determine Readiness Level

• Develop Strategies/Conduct Workshops

• Community Change!

Red Talon Profile

Community Readiness Model

  Six Dimensions of Readiness   Community Climate   Leadership   Community Efforts   Community Knowledge of the Efforts   Community Knowledge about the Issue   Resources Related to the Issue

Red Talon Profile

Regional Suicide Readiness 1.  Regional Suicide Prevention & Treatment Efforts:

Preparation

2.  Community Knowledge about local and regional Suicide Prevention and Treatment Services: Vague awareness

3.  Leadership: Vague awareness

4.  Community Climate: Vague awareness

5.  Community Knowledge about Suicide: Preplanning

6.  Resources Related To Suicide Prevention and Treatment: Initiation

Suicide Prevention: Four Goals

Increase Capacity to Prevent Suicide

Increase Awareness

about Suicide

Improve Intertribal & Interagency Communication

Improve our understanding

of issues affecting the NW Tribes

2121  SW  Broadway,  Suite  300    Portland,  Oregon  97201    Phone:  (503)  228-­‐4185    Fax:  (503)  228-­‐8182    Email:  npaihb@npaihb.org  

  Stephanie Craig Rushing, PhD, MPH Project Director scraig@npaihb.org

  Colbie Van Eynde Project Coordinator cvaneynde@npaihb.org

  Lisa Griggs (Blackfeet) Project Coordinator lgriggs@npaihb.org

NPAIHB: www.npaihb.org

MSPI: http://www.npaihb.org/epicenter/project/mspi/

Northwest Portland Area Indian Health Board Indian  Leadership  for  Indian  Health  

Community  Readiness  Training  and    Technical  Assistance  Team  

"   Barbara  Plested  -­‐  bplested@aol.com  

"   Pamela  Jumper  Thurman  -­‐  pjthurman@aol.com    

"   Martha  Burnside  -­‐  martha.burnside@colostate.edu    

"   Irene  Vernon  -­‐  irene.vernon@colostate.edu  

"   Andrea  Israel  -­‐  andrea.israel@colostate.edu  

CA7AE  Website:  www.  happ.colostate.edu