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Linda Sue Warner, Ph.D.

• Comanche Member) degree from the University of Oklahoma is in General Administration.  She has forty‐eight years’ experience working with American Indian/Alaska Native/Native Hawaiian peoples. Dr. Warner is extensively published with over two hundred fifty articles, presentations, technical reports, books and book chapters that explore processes linked to cultural knowledge bases and pedagogy.  In April 2018, Dr. Warner was honored with a career achievement award from the University of Oklahoma.

March 19, 20193:15pm – 4:15 pm

Tribal Assisted Living 

Practices

WHO WE ARE

Kendall Brune. Ph.D.

* Chickasaw Descendent) He is a Fellow with the ACHCA and serves NAB as a University Accreditation Board Examiner.  Research Fellow for the Chickasaw Nation, Robert Woods Johnson Health Policy Fellow at Meharry Medical College. Owns and operates three ALF’s

DISCLOSURE OF BUSINESS INTEREST

I have commercial interests in the following organization(s): (or I consult for the following organizations)

List the Name of Your Employer: Self Employed-Your title: Owners, Operators and Consultants-Name of organization: Anthemcare Tennessee-What the company does? Assisted Living and Adult Day Care ServicesIf consultant for organizations, only list the names of the companies for which you

consult. Tribal Tech, Indian Health Services, Chickasaw Nation, Tohono O’dham Nation,

Pawnee Nation, Ottawa Nation, Spokane Tribe and Technical Advisory Services for Attorney’s (TASA)

Educational: Meharry Medical College, Pawnee Tribal College and University of North Texas

-List all commercial interests. Anthem USA, Anthem Care Management, Anthem Lakes, Anthemcare Tennessee,

Alente Enterprise, Brune & Associates, Small Town 66, American Indian Medical Healthcare Institute, First Nations Medical Services, American Indian Medical Technology Services, HIPAA Complete, SafeT Doc, Keagem Enterprises, Fairview Village Health Centers, Fairview Village Adult Care Centers, Veteran Business Associates and Veteran Villages of America

Learning Objectives• Discuss native philosophies reflected in elder

assisted living communities– Tribal Values

• Distinguish opportunities and challenges in tribal elder care– Elder Care Strategies

• Summarize elder care strategies for culturally diverse populations– Linking Appropriate Strategies

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PRE-TEST

1. How many federally recognized tribes have sovereign status in the United States?

2. How many federally recognized tribes reside in the boundaries of your state?

QUESTION 3: IS THIS A FROG OR A TOAD?

Responsibility: To support political an

OR IS IT A QUESTION OF PERSPECTIVE?

Dr. Linda Sue Warner

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TRIBAL DATA

Federally Recognized: 573

*Eligible for funding and services from the Bureau of Indian Affairs

*State recognized tribes exists in those states that have established authority for recognition; state recognized tribes are not federally recognized; however, federally recognized tribes may be state-recognized.

WHAT DOES THE DATA SHOW US?

“knowing” and “understanding”

Inter‐tribal consensus

generalization

Primary Relationships

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COMPARISON

NWOK HISTORICAL PRACTICE

“KNOWING” (verb) Knowledge (noun)

Holistic Dissection & disconnect

knowledge

Place-based

CMS – Indian Health LTC Facilities• 17 LTC Facilities that are

Tribally Owned– Confederated Tribes of the

Colville Reservation– Shoshone Tribe of the

Wind River Reservation– Gila River Indian

Community– Navajo Nation– Tohono O’odham Nation– Pueblo of Laguna– Comanche Nation– Red Lake Band of

Chippewa Indians– Omaha Tribe– Oglala Sioux Nation– Rosebud Sioux Nation– Oneida Nation– Mississippi Band of

Choctaw Indians– Eastern Band of Cherokee

Indians– Blackfeet Nation– Maniilaq – Utuqqanaat

Inaat, 3 Alaskan Tribes

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Alaska tribal storyInupiaq tribe

• 35 miles above the Artic Circle, 

• Lies the northernmost nursing home in the country,

• Utuqqanaat Inaat. Located in Kotzebue, 

• It serves a capacity of 18 residents, most of which are native Alaskans, specifically of the Inupiat tribe

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Cultural Housing Tribal focused

EnvironmentEnergy – living with nature

Cultural nutritionTribal – hunter and gather

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From the tundra to the table

Barriers to culturally significant care• Language Barriers,

– Teaching an Old Native tongue

– New Native Generation do not know….

• Cultural Barriers,– Hunter society,– Support a gatherer,

barriers

• Staffing Barriers in Native Community– Lack of Professional

staff in – Agency staff, Qtrly

staffing• Cultural/Meaningful

Activities– Ice Fishing,– Shooting– Picking Foods

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Thank you

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