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Rural Health Information Hub

Rural Health
Resources by Topic: Tribal communities

TIP 61: Behavioral Health Services for American Indians and Alaska Natives
Presents guidelines from the Substance Abuse and Mental Health Services Administration (SAMHSA) for behavioral health providers serving American Indians and Alaska Natives. Features a discussion of the behavioral health disparities facing tribal communities and provides guidance for the development and implementation of culturally competent treatment practices. Includes an executive summary and literature review.
Date: 02/2019
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Superfund: EPA Should Improve the Reliability of Data on National Priorities List Sites Affecting Indian Tribes
Examines the Environmental Protection Agency's (EPA) list of seriously contaminated sites for those having a health or cultural impact on Native American tribes, actions taken by the EPA to address tribal needs when cleaning up these sites, and EPA records on the sites and their consultation with tribes. Provides recommendations for the EPA. Appendices include a list of identified sites and 6 case studies.
Additional links: Full Report
Date: 01/2019
Sponsoring organization: Government Accountability Office
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AKVDRS Suicide Death Update - Alaska, 2012-2017
Details a study on the suicide death rate in Alaska from 2012-2017. Features rates for American Indian and Alaska Native, by substance use, and by region.
Author(s): Deborah Hull-Jilly, Scott Saxon
Citation: State of Alaska Epidemiology Bulletin, 1
Date: 01/2019
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Rural Eye Healthcare: Optometrist Explains the Benefits of the Medical Model of Optometry
A rural optometrist from a California Federally Qualified Health Center discusses the connection between vision and overall health and the health benefits that optometric care brings to rural patients. Also discusses additional community health training optometry graduates may consider, such as an Indian Health Service residency program for optometrists.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Teleophthalmology: Ophthalmologists Talk Remote Eye Care Solutions
Discusses the role of remote eye care technology in meeting rural eye care needs. Highlights the use of teleophthalmology in rural Oregon. Features a collaboration of the Joslin Diabetes Center and the Indian Health Service to address diabetic retinopathy using remote surveillance.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Behavioral and Clinical Characteristics of American Indian/Alaska Native Adults in HIV Care — Medical Monitoring Project, United States, 2011–2015
Reports on sociodemographic, behavioral, and clinical characteristics of American Indian/Alaska Native (AI/AN) patients in HIV care. Includes information on stigma, healthcare discrimination, social supports, depression, substance use, sex without a condom, antiretroviral therapy adherence, and viral suppression.
Author(s): Amy R. Baugher, Linda Beer, Heather M. Bradley, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(5152), 1405-1409
Date: 01/2019
Sponsoring organization: Centers for Disease Control and Prevention
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Community-Engaged and Culturally Relevant Research to Develop Behavioral Health Interventions with American Indians and Alaska Natives
Describes in detail the process of developing a community engaged and culturally sensitive research approach intervention for American Indian and Alaska Native (AI/AN) populations that was used to establish substance abuse and violence prevention programs.
Author(s): McKinley, C.E., Figley, C.R., Woodward, S.M., et al.
Citation: American Indian and Alaska Native Mental Health Research, 26(3), 79-103
Date: 2019
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Evaluating Home-Based Health Coaching from Community Health Representatives for Navajo Adults with Type 2 Diabetes
Reports on the Community Outreach and Patient Empowerment (COPE) program that utilizes community health representatives (CHRs) in the home setting to assist Navajo adults with diabetes management. Discusses CHRs' community-wide health promotion strategies and individualized in-home patient care. Includes results of the program on participant health.
Author(s): Sonya S. Shin, A. Katrina Nelson, Letizia Trevisi, et al.
Date: 2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Tribal Opioid Response: Healing Our Nations Together - National Strategic Agenda
Addresses the tribal opioid epidemic, with recommendations based on input from tribal policymakers, service providers, and community members. Offers insights from experts, feedback from people with opioid use disorder, and tips for creating a plan to collect and analyze opioid data from local communities.
Date: 2019
Sponsoring organizations: National Indian Health Board, Northwest Portland Area Indian Health Board
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Impact of Community Health Representative-Led Patient Activation and Engagement on Home-Based Kidney Care
Describes a study examining the effectiveness of a home-based education program for Zuni adults with kidney disease in rural New Mexico. Compares patients' knowledge, skills, and confidence to manage their kidney disease; quality of life; and clinical risk factors to patients who received care at local Zuni Indian Health Services clinics. Explores the role of community health representatives as part of the clinical care team.
Additional links: Results Summary
Author(s): Vallabh Shah, Robert Nelson, Thomas Faber, Val Panteah
Date: 2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
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