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Rural Tribal Health – Resources

Selected recent or important resources focusing on Rural Tribal Health.

Reviewing the Broken Promises Report: Examining the Chronic Federal Funding Shortfalls in Indian Country
Video recording and testimony from a November 19, 2019 House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States hearing focused on the U.S. Commission on Human Rights report Broken Promises: Continuing Federal Funding Shortfall for Native Americans, which evaluated federal spending on Native American programs.
Date: 11/2019
Type: Video/Multimedia
Sponsoring organization: House Committee on Natural Resources Subcommittee for Indigenous Peoples of the United States
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FY 2016 Report to Congress on Outcome Evaluations of Administration for Native Americans Projects
An evaluation of the activities and outcomes of Administration for Native Americans (ANA) funding in native communities in accordance with the Native American Programs Act (NAPA), and the Government Performance and Results Act of 1993. Describes and measures the impact of the funding, the effectiveness of the planned goals, the methods used for economic and social development including sustainability efforts. Highlights projects related to community health, healthy living, behavioral health, environmental health, and food and nutrition. Includes data on Native American community-driven projects useful to leaders, planners, service providers, and tribal government agencies.
Date: 11/2019
Type: Document
Sponsoring organizations: Administration for Children and Families, Administration for Native Americans
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Subcommittee on Health Oversight Hearing: Native Veterans' Access to Healthcare
Discusses the current state of healthcare access for Native American veterans. Features testimonies from representatives from the National Indian Health Board, the National Congress of American Indians, and the Alaska Native Health Board, among others.
Additional links: Witness Testimonies
Date: 10/2019
Type: Document
Sponsoring organization: House Veterans' Affairs Committee, Subcommittee on Health
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Tribal Nursing Homes: Principles of Trauma-informed Care
Details a trauma informed care framework for tribal nursing homes. Outlines ways tribal nursing homes can factor cultural beliefs and historical trauma into their care decisions.
Date: 09/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Collaborating for Prosperity With American Indians and Alaska Natives: Rural Development Programs for Tribes, Tribal Families, Children, and Communities
Highlights the major USDA Rural Development (RD) programs and initiatives that support American Indians and Alaska Natives. Covers topics such as food security, housing, education, healthcare, economic opportunity, and infrastructure. Features success stories of how these programs have been used in tribal communities. Also includes contact information for the RD office in each state.
Date: 09/2019
Type: Document
Sponsoring organization: USDA Rural Development
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Indian Health Service: Facilities Reported Expanding Services Following Increases in Health Insurance Coverage and Collections
Report details rates of health insurance coverage in patients seen at Indian Health Service facilities. Looks at the rates of coverage by third party insurers, such as Medicare, Medicaid, and private plans, from 2013-2018.
Additional links: Full Report
Date: 09/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Oversight Hearing on "GAO Report on Tribal Access to Spectrum: Promoting Communications Services in Indian Country"
Presents the Senate Committee on Indian Affairs oversight hearing on the need for accelerating deployment of high-speed cable internet to improve tribal access to broadband services specifically licensed spectrum. Features testimony from representatives from Federal Communications Commission (FCC), the Government Accountability Office (GAO), Gila River Telecommunications, Inc. Chairperson Belinda Nelson, and Chief Technology Director for Santa Fe Indian School Kimball Sekaquaptewa.
Date: 09/2019
Type: Document
Sponsoring organization: Senate Committee on Indian Affairs
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Promoting Health Coverage of American Indian and Alaska Native Children
Provides an overview of the health disparities American Indian and Alaska Native (AI/AN) children face. Reports on healthcare coverage trends for AI/AN children from 2008 to 2015, with information on three public sources of coverage: the Indian Health Service (IHS), Medicaid, and the Children's Health Insurance Program (CHIP). Includes recommendations to improve coverage for AI/AN children.
Author(s): Lauren Roygardner, Andy Schneider, Doug Steiger
Date: 09/2019
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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The Role of Tribal Epidemiology Centers: Podcast with Vanesscia Cresci, MSW, MPA, and Rosalina James, PhD
Podcast discusses the role of tribal epidemiology centers in studying and mitigating health disparities among American Indians and Alaska Natives. Details some of the ways tribal epidemiology centers are able to serve their communities more effectively than outside entities.
Author(s): Camelia Singletary
Citation: JPHMP Direct
Date: 08/2019
Type: Document
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Organizational Challenges to Improving Quality of Care in Indian Health Service Hospitals
Identifies organizational issues hindering the Indian Health Service (IHS) from improving the management of IHS hospitals. Discusses concerns related to formal structure, policies and roles; awareness of hospital performance and problems; and IHS officials' confidence in the agency's ability to make sustained improvements. Recommends strategies for improvement.
Author(s): Suzanne Murrin
Date: 08/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Implementation of Liver Cancer Education Among Health Care Providers and Community Coalitions in the Cherokee Nation
Describes an intervention in 2017-2018 to plan and implement activities to increase knowledge and awareness of liver cancer prevention among Cherokee Nation health care providers. Includes recommendations to improve viral hepatitis surveillance, increase support for strategies to eliminate hepatitis B virus, and enhance services including risk factor screening and serologic testing.
Author(s): Behnoosh Momin, Jorge Mera, Whitney Essex, et al.
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Adult Health Status among Native American Families Participating in the Growing Resilience Home Garden Study
Reports the results of a randomized controlled trial examining the impacts of home food gardens on the health status of 176 adults from 96 families of the Northern Arapaho and Eastern Shoshone tribes living on the Wind River Indian Reservation in Wyoming. Compares the rates of obesity, high blood pressure, and diabetes among study participants with the state and national disease rates in 2017, and American Indian and Alaska Native (AI/AN) national disease rates in 2015.
Author(s): Christine M. Porter, Alyssa M. Wechsler, Shawn J. Hime, Felix Naschold
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Dentistry in the Navajo Nation: Q&A with Dr. Crystal Willie Sekaquaptewa
An interview with the first Native American to work as a dentist in the Utah Navajo Health System. Discusses the importance of patient education and cultural competency.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Expanding the Native American Health Care Workforce
Offers recommendations for increasing the number of American Indian and Alaska Native (AI/AN) medical school applicants, students, and graduates based on a summit, Populating the Native Health Care Workforce with American Indian and Alaska Native Physicians. Discusses the distribution of AI/AN physicians and the need for more AI/AN physicians to address health workforce shortages and disparities in Indian Country.
Date: 08/2019
Type: Document
Sponsoring organizations: Association of American Indian Physicians, Association of American Medical Colleges, UnitedHealth Group
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Creating a Public Health Community of Practice to Support American Indian and Alaska Native Communities in Addressing Chronic Disease
Describes use of the ECHO (Extension for Community Healthcare Outcomes) model to support and evaluate program objectives of the Centers for Disease Control and Prevention's Good Health and Wellness in Indian Country (GHWIC) program.
Author(s): Shawna L. Williams, Alexis Kaigler, Amy Armistad, David K. Espey, Bruce B. Struminger
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Good Health and Wellness in Indian Country: A New Partnership and Approach
Overview of the Centers for Disease Control and Prevention's Good Health and Wellness in Indian Country (GHWIC) program, designed to use tribal wisdom to protect and promote physical, mental, and spiritual wellbeing.
Author(s): Ursula E. Bauer, David K. Espey
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Obesity and Diabetes in the Winnebago Tribe of Nebraska: From Community Engagement to Action, 2014-2019
Describes interventions implemented on the Winnebago Tribe reservation in rural Nebraska and Iowa, focusing on community-selected and culturally adapted policies, systems, and environmental improvements to reduce obesity and type 2 diabetes. Strategies include infant and childhood obesity prevention education, promotion of healthy foods and beverages, and improvements to pedestrian safety and built environment.
Author(s): Larry Alonso, Lorelei Decora, Ursula Bauer
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Investigating Risk Factors for Colorectal Cancer Among Alaska Native People: Podcast with Drs. Sarah Nash and Diana Redwood
Podcast recording and transcript highlighting a study done on colorectal cancer rates among Alaska Native people. Outlines the structure of the study and discusses some of the challenges and findings of the study.
Author(s): Sheryl Monks
Date: 08/2019
Type: Audio
Sponsoring organization: JPHMP Direct
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A Holistic Approach to Chronic Disease Prevention: Good Health and Wellness in Indian Country
Describes the development, funding, and implementation of a 5-year program, begun in 2014, supporting American Indian and Alaska Native (AI/AN) communities and tribal organizations to simultaneously address chronic diseases and their risk factors. Identifies approaches useful for agencies and organizations working with AI/AN populations.
Author(s): Nancy S. Andrade, David K. Espey, Mary E. Hall, Ursula E. Bauer
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Tribal Practices for Wellness in Indian Country
Essay examining efforts of the Tribal Advisory Committee of the Centers for Disease Control and Prevention/Agency for Toxic Substances and Disease Registry to increase tribal practices supporting physical, emotional, and spiritual well-being. Describes convenings held in 2015 and 2016.
Author(s): Nancy S. Andrade, Marita Jones, Shelley M. Frazier, et al.
Citation: Preventing Chronic Disease, 16
Date: 07/2019
Type: Document
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IHS Needs to Improve Oversight of Its Hospitals' Opioid Prescribing and Dispensing Practices and Consider Centralizing Its Information Technology Functions
Reports on a review of Indian Health Service (IHS) hospitals with a focus on opioid prescriptions and dispensing and information technology (IT) and cybersecurity. Identifies deficiencies related to opioid policies and procedures and supports centralizing IHS IT systems.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Rosebud Hospital: Indian Health Service Management of Emergency Department Closure and Reopening, A Case Study
Examines management of Indian Health Services (IHS) closure of Rosebud Hospital in South Dakota and its reopening to identify lessons learned. Addresses reasons for hospital closure, the impact of the closure, corrective actions taken following to its reopening, and issues with sustaining improvements and compliance. Supports developing procedures for temporary emergency department closures and investing in rural workforce recruitment, retention, and training, among other recommendations.
Date: 07/2019
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Storytelling in Patient-Centered Native Healthcare
Focuses on storytelling as a means of building trust between physicians and patients in tribal communities. Discusses the Southcentral Foundation which provides healthcare services to American Indians and Alaska Natives in southcentral Alaska.
Date: 07/2019
Type: Document
Sponsoring organization: National Indian Council on Aging
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Translating the Interplay: Indigenous Knowledge and Modern Medicine
Video emphasizing the importance of addressing health disparities related to lung cancer, healthcare access, screenings, prevention, and education on clinical trials. Encourages efforts to include Native American communities in screening, disease prevention, and clinical research. Explores ways in which translational science and community-based participatory research can create bonds between researchers and the public.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Roswell Park Comprehensive Cancer Center
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Improving the Health of Alaska Native People Through Use of a Policy Change Model and Capacity Building
Examines efforts by the Alaska Native Tribal Health Consortium in 2014-2017 to promote health and wellness through policy, systems, and environmental strategies. Describes a model outlining steps for policy change, including engaging the community, building support, and assessing education and outreach needed for decision makers and the public.
Author(s): Diane Redwood, Kristen Mitchell-Box, Erin Peterson, Ellen Provost
Citation: Preventing Chronic Disease, 16
Date: 05/2019
Type: Document
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Healthy Brain Initiative: Road Map for Indian Country
Report discusses Alzheimer's disease and dementia among American Indian and Alaska Native populations. Includes an overview of the disease and details the trends among Native Americans. Provides strategies and resources for tribal communities to provide early diagnosis, treatment, and care for elders with dementia.
Date: 05/2019
Type: Document
Sponsoring organizations: Alzheimer's Association, Centers for Disease Control and Prevention
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The Special Diabetes Program for Indians: Estimates of Medicare Savings
Examines the potential Medicare savings due to the Special Diabetes Program for Indians (SDPI) efforts in providing diabetes prevention and treatment services to American Indians and Alaska Natives. Focuses on diabetes prevalence and end-stage renal disease related to diabetes. Appendix II includes additional information about the Special Diabetes Program for Indians.
Date: 05/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reducing Cancer Among Native Populations: Models for Research, Prevention, and Treatment
Highlights the work of a cancer researcher, a foundation director, and healthcare provider who are engaging American Indians and Alaska Natives in cancer research, prevention, and treatment.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Health and Health Care for American Indians and Alaska Natives (AIANs)
Compares the rates of poverty, job security, insurance coverage, and chronic health needs in the American Indian and Alaska Native populations in the U.S.
Additional links: Infographic, Slides
Date: 05/2019
Type: Document
Sponsoring organization: Kaiser Family Foundation
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New Dental Provider Orientation
Presentation template provides guidance for new or prospective dentists working in the Indian Health Service (IHS). Details the scope and mission of IHS and highlights the hiring process and demands of oral health providers. Presents general information regarding IHS facilities across the country.
Date: 04/2019
Type: Document
Sponsoring organization: Indian Health Service
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The Oral Health of American Indian and Alaska Native Children Aged 1-5 Years: Results of the 2018-19 IHS Oral Health Survey
Details the results of a survey on the oral health of American Indian and Alaska Native children ages 1-5. Compares rates to other groups and with rates from 2010 and 2014. Discusses the potential negative health effects of poor oral health during childhood.
Author(s): Kathy R. Phipps, Timothy L. Ricks, Nathan P. Mork, Timothy L. Lozon
Date: 04/2019
Type: Document
Sponsoring organization: Indian Health Service
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VA and Indian Health Service: Actions Needed to Strengthen Oversight and Coordination of Health Care for American Indian and Alaska Native Veterans
Report discusses the relationship between the Department of Veterans Affairs (VA) and the Indian Health Service (IHS) with regard to providing care to American Indian and Alaska Native veterans. Details the cooperative agreement between the two entities and the ways their efforts could be improved.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Randomized Control Trial of Culturally Adapted Cognitive Processing Therapy for PTSD Substance Misuse and HIV Sexual Risk Behavior for Native American Women
Presents a study on culturally adapted Cognitive Processing Therapy (CPT) to improve PTSD and substance abuse outcomes and lower the risk of contracting HIV in Native American women. Details data by age, education, and employment status, among other measures.
Author(s): Cynthia R. Pearson, Debra Kaysen, David Huh, Michele Bedard-Gilligan
Citation: AIDS and Behavior, 23(3), 695-706
Date: 03/2019
Type: Document
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Where Are They Now: Indian Programs on the GAO High Risk List
Features a Senate Committee on Indian Affairs oversight hearing discussing three high risk programs serving American Indians and Alaska Natives. Features testimony from representatives of the Government Accountability Office, the Bureau of Indian Education, the Bureau of Indian Affairs, and the Indian Health Service.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Public Witness Hearing — Tribal Programs: Day 1, Morning Session
Provides a recording of a U.S. House Committee on Appropriations, Subcommittee on Interior, Environment, and Related Agencies hearing focused on American Indian/Alaskan Native health needs and relevant federal programs and funding, such as the Indian Health Service. Discussions address the impact of the opioid epidemic, murdered and missing indigenous women, health disparities in areas such as diabetes, health workforce recruitment, and more. Includes links to testimonies from tribal chairs and organizations related to tribal health.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organization: House Committee on Appropriations
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Indian Health Service Strategic Plan FY 2019-2023
Highlights the strategic plan for the Indian Health Service's 2019-2023 fiscal years. Features operational goals for cultural competency, innovation, and program management.
Date: 02/2019
Type: Document
Sponsoring organization: Indian Health Service
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Casino Ownership and Health-Related Community Resources Among Native American Tribes in California
Examines the association between tribal casino ownership and health-related resources available to Native Americans, using survey data collected in 2015-2016 from 81 federally recognized tribes in California.
Author(s): Vanessa M. Oddo, Lina Pinero Walkinshaw, Jessica C. Jones-Smith
Citation: Preventing Chronic Disease, 16
Date: 02/2019
Type: Document
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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
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Climate Change & Tribes: Exploring Current Impacts and Future Predictions for America's First People
Report highlights the current and potential impact of climate change on American Indian and Alaska Native communities. Looks at potential consequences of climate change pertaining to health and food access, as well as strategies for tribal communities to adapt to these changes.
Date: 01/2019
Type: Document
Sponsoring organization: National Indian Health Board
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2019 Legislative and Policy Agenda for Indian Health
Provides policy recommendations from the National Indian Health Board regarding tribal health issues. Addresses Medicaid access, Indian Health Service funding, tribal public health, behavioral health, and more.
Date: 01/2019
Type: Document
Sponsoring organization: National Indian Health Board
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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
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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2019 National Tribal and Rural Training Needs Assessment
Reports findings from a survey of rural and tribal first response organizations to understanding their training needs. Includes information on demographics, core capabilities, training needs, and training information and delivery preferences.
Author(s): Kay Lang, Christopher Murtagh, Richards P. Davis
Date: 2019
Type: Document
Sponsoring organizations: Center for Best Practices in Law Enforcement, Rural Domestic Preparedness Consortium
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Through the Diamond Threshold: A Community-based Psycho-educational Group Training Program for Treatment of Substance Use Disorders among American Indians
Discusses an intervention providing cultural competency training for providers of substance use disorder treatment in American Indian communities. Features a literature review outlining the training's framework.
Author(s): Rockey R. Robbins, Bryan G. Stare, Brittany M. Riggin
Citation: American Indian and Alaska Native Mental Health Research, 26(1), 79-105
Date: 2019
Type: Document
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Sources of Stress among Midwest American Indian Adults with Type 2 Diabetes
Highlights a study on the stressors in the lives of American Indians with type 2 diabetes. Presents conclusions drawn from focus groups among 5 tribes in Minnesota and Wisconsin. Details the stressors and discusses the role they play in the participants' lives.
Author(s): Jessica H. L. Elm, Melissa L. Walls, Benjamin D. Aronson
Citation: American Indian and Alaska Native Mental Health Research, 26(1), 33-62
Date: 2019
Type: Document
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Diné (Navajo) Healer Perspectives on Commercial Tobacco Use in Ceremonial Settings: An Oral Story Project to Promote Smoke-free Life
Presents a study discussing the role of American Indian (AI) healers in defining the ceremonial uses of tobacco in opposition to the regular use of commercial tobacco products in AI communities. Aims to shape culturally competent tobacco-free policies.
Author(s): Jamie Wilson, Samantha Sabo, Carmenlita Chief, et al.
Citation: American Indian and Alaska Native Mental Health Research, 26(1), 63-78
Date: 2019
Type: Document
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Wac'inyeya: Hope among American Indian Youth
Study aims to identify the factors that make American Indian (AI) youth hopeful for the future. Highlights data on AI youth suicide and details the methods of the focus-group based study.
Author(s): Jacqueline S. Gray, Lisa Schrader, Devon S. Isaacs, Megan K. Smith, Naomi M. Bender
Citation: American Indian and Alaska Native Mental Health Research, 26(2), 151-171
Date: 2019
Type: Document
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Investing in Native Communities: Philanthropic Funding for Native American Communities and Causes
Provides access to information about funding in Native communities, and helps practitioners connect with organizations and peers who are grounded in philanthropic work across a range of issue areas. Features statistics including amounts and percentages of annual foundation funding explicitly benefiting Native Americans from 2002-2016, and lists of top foundations and top recipients of grant dollars explicitly benefiting Native Americans in 2015 and 2016, with breakdowns by organization and U.S. region.
Date: 2019
Type: Document
Sponsoring organizations: Candid, Native Americans in Philanthropy
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Investing in Native Communities
Web portal providing research, funding data, historical context, and other resources to help funders understand the importance of supporting the causes of Native communities, and to gain knowledge and experience from other supporting organizations.
Date: 2019
Type: Website
Sponsoring organizations: Candid, Native Americans in Philanthropy
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Racial Misclassification in Mortality Records among American Indians/Alaska Natives in Oklahoma from 1991 to 2015
Analyzes American Indian and Alaska Native (AI/AN) age-adjusted mortality rates before and after linking with Indian Health Service (IHS) health records and adjusting for racial misclassification in Oklahoma from 1991 to 2015. Examines differences in misclassification by gender, age, race, geography, and cause of death. Includes practice and policy implications.
Author(s): Tyler M. Dougherty, Amanda E. Janitz, Mary B. Williams, et al.
Citation: Journal of Public Health Management and Practice, 25(suppl 5), S36-S43
Date: 2019
Type: Document
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An Evaluation of Hepatitis C Virus Telehealth Services Serving Tribal Communities: Patterns of Usage, Evolving Needs, and Barriers
Examines the use of Extension for Community Healthcare Outcomes (ECHO) programs and impacts on providing hepatitis C virus (HCV) care in the Indian Health Service (IHS), tribal, and urban health care facilities that serve mostly rural American Indian/Alaska Native (AI/AN) populations.
Author(s): David Stephens, Jessica Leston, Norah A. Terrault, et al.
Citation: Journal of Public Health Management and Practice, 25(suppl 5), S97-S100
Date: 2019
Type: Document
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A Comparative Analysis of Telephone and In-person Survey Administration for Public Health Surveillance in Rural American Indian Communities
Explores the impact of survey administration type, telephone and in-person interviews, on survey participation in rural American Indian and Alaska Native (AI/AN) tribes. Includes demographic statistics of survey participants by sex, age, educational attainment, employment, and income. Covers practice and policy implications.
Author(s): Kevin C. English, Judith Espinoza, Dornell Pete, Amanda Tjemsland
Citation: Journal of Public Health Management and Practice, 25(suppl 5), S70-S76
Date: 2019
Type: Document
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Improving Tribal Nation–Specific Mortality Numerators in the South and Eastern Tribes
Discusses matching mortality data from tribal electronic health records (EHRs) to state data using closed, direct, and open data collection methods for a mortality surveillance project for South and Eastern tribal nations. Covers data collection limitations, and practice and policy implications.
Author(s): Christy Duke, Bryan Hendrix, Toria Reaves
Citation: Journal of Public Health Management and Practice, 25(suppl 5), S44-S47
Date: 2019
Type: Document
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The Burden of Unintentional Injury Mortality among American Indians/Alaska Natives in Michigan, Minnesota, and Wisconsin
Describes the prevalence of unintentional injury mortality for American Indian and Alaska Native (AI/AN) populations in Michigan, Minnesota, and Wisconsin. Highlights populations groups that would benefit from policy and practice actions from tribal, federal, state, and local governments, organizations, communities, and leaders to reduce unintentional injuries and related mortality.
Author(s): Meghan A. Porter, Alexandra N. Cirillo Lilli, Chalyse N. Schellinger
Citation: Journal of Public Health Management and Practice, 25(suppl 5), S20-S28
Date: 2019
Type: Document
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Cigarette Use among American Indians and Alaska Natives in Metropolitan Areas, Rural Areas, and Tribal Lands
Examines 2012 to 2016 data from the National Survey of Drug Use and Health to determine whether cigarette use among American Indian and Alaska Natives (AI/AN) is lower in metro areas compared to rural areas and tribal lands. Includes demographic statistics on AN/AI populations by place of residence, including small metro, rural, and tribal lands.
Author(s): James K. Cunningham, Jamie Ritchey, Teshia A. Solomon, Felina M. Cordova
Citation: Journal of Public Health Management and Practice, 25, S11-S19
Date: 2019
Type: Document
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A Forgotten Danger: Burden of Influenza Mortality among American Indians and Alaska Natives, 1999-2016
Analyzes the frequency and distribution of influenza-related mortality for American Indian and Alaska Native (AI/AN) populations from 1999 through 2016. Includes statistics for the ten states with the highest AI/AN influenza-related mortality rates, and discusses policy and practice implications to improve the overall health for AI/AN populations.
Author(s): Matthew Doxey, Lyle Chrzaszcz, Adrian Dominguez, Rosalina D. James
Citation: Journal of Public Health Management and Practice, 25(suppl 5), S7-S10
Date: 2019
Type: Document
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The Role of Tribal Epidemiology Centers in Serving the Public Health Needs of American Indians and Alaska Natives
Describes tribal epidemiology centers (TECs) and how they came to be. Details the mission and core functions TECs have to serve the public health needs of American Indian and Alaska Native populations.
Author(s): Vanesscia L. Cresci, Rosalina D. James
Citation: Journal of Public Health Management and Practice, 25, S1-S2
Date: 2019
Type: Document
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American Indian/Alaska Natives & Cardiovascular Diseases
Reports on the incidence of heart disease, stroke, and high blood pressure in the American Indian and Alaska Native populations. Also provides data on smoking, physical inactivity, and diabetes.
Date: 2019
Type: Document
Sponsoring organization: American Heart Association
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Social Medicine in Practice: Realizing the American Indian and Alaska Native Right to Health
Explores the health disparities facing American Indian and Alaska Native populations and the social determinants of health specific to Native nations. Features a case study of the Maniilaq Social Medicine Program (SMP) in Alaska, which aims to address Native health disparities.
Author(s): Lucas Trout, Corina Kramer, Lois Fischer
Citation: Health and Human Rights Journal, 20(2), 19–30
Date: 12/2018
Type: Document
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Broken Promises: Continuing Federal Funding Shortfall for Native Americans
Updates the 2003 report, A Quiet Crisis: Federal Funding and Unmet Needs in Indian Country, evaluating federal spending on Native American programs, including those related to healthcare, housing, education, infrastructure, criminal justice, and economic development. Provides policy recommendations addressing funding, tribal sovereignty, and data collection.
Date: 12/2018
Type: Document
Sponsoring organization: U.S. Commission on Civil Rights
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Indian Health Service: Spending Levels and Characteristics of IHS and Three Other Federal Health Care Programs
Compares Indian Health Services (IHS) spending with other federal programs that provide healthcare services, such as the Veterans Health Administration (VHA), Medicare, and Medicaid. Looks at the different services provided by each program and the way each program is funded.
Additional links: Full Report
Date: 12/2018
Type: Document
Sponsoring organization: Government Accountability Office
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HIV Surveillance Report: Diagnoses of HIV Infection in the United States and Dependent Areas, 2017
Details the rates of HIV infection nationally, with breakdowns by age, race/ethnicity, geographical region, metropolitan statistical area of residence, and many other categories. Highlights infection rates for American Indian and Alaska Native populations, among other groups.
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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American Indians and Alaska Natives Must Be Included in Research on Adverse Childhood Experiences
Highlights a report on adverse childhood experiences (ACEs) in tribal populations. Presents data on poverty, substance abuse, and age, among other factors, of American Indian and Alaska Native populations across the nation.
Author(s): Deana Around Him, Alex DeMand
Date: 11/2018
Type: Document
Sponsoring organization: Child Trends
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Tribal Broadband: FCC Should Undertake Efforts to Better Promote Tribal Access to Spectrum
Examines wireless broadband access for tribal entities, barriers to obtaining spectrum licensing for tribes, and steps taken by the Federal Communications Commission (FCC) to support tribal access. Provides recommendations for the FCC to improve broadband wireless internet access in rural tribal areas.
Additional links: Full Report
Date: 11/2018
Type: Document
Sponsoring organization: Government Accountability Office
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A Year in Region XI Head Start: Children's Growth and Development from the American Indian and Alaska Native Family and Child Experiences Survey 2015 (AI/AN FACES 2015)
Reports on a national study of Region XI Head Start children's progress using data from the American Indian and Alaska Native Head Start Family and Child Experiences Survey. Focuses on changes in measures related to preparedness for school and includes a brief section on physical health.
Author(s): Sara Bernstein, Lizabeth Malone, AI/AN FACES 2015 Workgroup
Date: 11/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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A Regional Analysis of Hepatitis C Virus Collaborative Care with Pharmacists in Indian Health Service Facilities
Reports on an Indian Health Service (IHS) review to identify and address gaps in hepatitis C virus (HCV) treatment of American Indian/Alaska Natives (AI/ANs). The study took place at 11 separate healthcare facilities in mostly rural Oklahoma and Kansas. The HCV treatment included a strong pharmacy component with a collaborative practice agreement, and HCV telehealth services for specialist support.
Author(s): Rebecca Geiger, Jessica Steinert, Grant McElwee,et al.
Citation: Journal of Primary Care & Community Health, 9, 1-5
Date: 10/2018
Type: Document
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Culturally-Relevant Online Cancer Education Modules Empower Alaska's Community Health Aides/Practitioners to Disseminate Cancer Information and Reduce Cancer Risk
Discusses a study based on post-training surveys from online learning modules providing cancer education for Community Health Aide/Practitioners (CHA/Ps) serving rural Native Alaskan communities. Details CHA/Ps perceptions of the training and how they plan to apply it in their practice.
Author(s): Katie Cueva, Laura Revels, Melany Cueva, et al.
Citation: Journal of Cancer Education, 33(5), 1102-1109
Date: 10/2018
Type: Document
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American Indian and Alaska Native Heritage Month: November 2018
Presents a number of demographic facts about American Indians and Alaska Natives drawn from U.S. Census data.
Date: 10/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Region XI American Indian and Alaska Native Head Start: A Portrait of Children and Families
Details a report on the American Indian and Alaska Native children and families who have participated in a Head Start Program. Highlights demographic and social factors, as well as the occurrence of depressive symptoms in parents. Discusses the health and wellness of the children in the program, specifically rates of obesity and perceived overall health.
Author(s): Meryl Yoches Barofsky, Laura Hoard, the AI/AN FACES 2015 Workgroup
Date: 10/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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The State of Tribal Data Capacity in Indian Country: Key Findings from the Survey of Tribal Data Practices
Presents a study on the practices and capacity of data collection by American Indian and Alaska Native tribes. Breaks down data by BIA region, the population size of responding tribes, and the tribal uses of collected data, among other factors.
Date: 10/2018
Type: Document
Sponsoring organization: National Congress of American Indians Policy Research Center
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Indigenous People and Domestic Violence: Who's Bringing Solutions
Features Alaska's Southcentral Foundation and its Family Wellness Warriors Initiative to address Native Alaskan domestic violence issues.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Oversight Hearing on "GAO Reports Relating to Broadband Internet Availability on Tribal Lands"
Presents a U.S. Senate Committee on Indian Affairs oversight hearing on broadband access on tribal lands. Discusses the U.S.Government Accountability Office (GAO) report: Broadband Internet: FCC's Data Overstate Access on Tribal Lands. Features testimony from representatives from the GAO, the Federal Communications Commission (FCC), the National Tribal Telecommunications Association, and AMERIND Risk.
Date: 10/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Participation in Cultural Traditions Promotes Happiness and Peacefulness Among American Indian, Alaska Native, and Native Hawaiian Elders
Explores the role traditional cultural practices play in the psychological wellness in American Indian, Alaska Native, and Native Hawaiian elders. Looks at rates of happiness, calmness, nervousness, and melancholy.
Author(s): Andrew Herting, Collette Adamsen
Date: 09/2018
Type: Document
Sponsoring organization: National Resource Center on Native American Aging
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Diabetes and Associated Cardiovascular Complications in American Indians/Alaskan Natives: A Review of Risks and Prevention Strategies
Summarizes the findings on the prevalence of diabetes mellitus (DM) and DM-related cardiovascular disease (CVD) complications among American Indian/Alaskan Native (AI/AN) populations. Identifies the risk factors, and the genetic factors that influence the pervasiveness of DM and CVD within the AI/ANs. Recognizes existing health disparities among AI/ANs, and discusses the Special Diabetes Program for Indians (SDPI) with DM Prevention.
Author(s): Anil Poudel, Joseph Yi Zhou, Darren Story, Lixin Li
Citation: Journal of Diabetes Research, 2018
Date: 09/2018
Type: Document
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The Costs and Benefits of Expanding Hepatitis C Screening in the Indian Health Service
Estimates whether increasing hepatitis C screening for American Indians and Alaskan Natives would be cost-effective and provides recommendations for the Indian Health Service.
Author(s): Divya Vohra, Monica Huang, So O'Neil
Date: 09/2018
Type: Document
Sponsoring organization: Mathematica
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Digging In: Supporting a Healthy, Sustainable Food Future in Omaha Nation
Highlights a report on the Omaha Nation Food System Initiative to provide access to a sustainable source of healthy food for the Native people living on Omaha Reservation. Details the effects of the initiative on health and wellness of the people in the community.
Date: 09/2018
Type: Document
Sponsoring organization: Center for Rural Affairs
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FLH Office of Tribal Transportation Program Delivery Guide - 2018
A procedural guide for tribal communities entering into an agreement with the Federal Highway Administration (FHWA). Outlines the roles and responsibilities of tribes and the FHWA in the implementation of a Tribal Transportation Program Agreement (TTPA).
Date: 09/2018
Type: Document
Sponsoring organization: Federal Highway Administration
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Tribal Broadband: Few Partnerships Exist and the Rural Utilities Service Needs to Identify and Address Any Funding Barriers Tribes Face
Examines tribal broadband access, federal funding to tribal entities for improving broadband access, and barriers to obtaining such federal funding. Identifies tribal partnership agreements that have increased broadband access and discusses the outcomes. Addresses challenges specific to rural areas and the healthcare benefits of broadband access.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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The Indian Health Service Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements
Reports on the Indian Health Service's (IHS) failure to resolve audit recommendations in the allotted time for the 2015 and 2016 fiscal years. Details the number of recommendations resolved and the number past-due after the required 6-month period.
Date: 09/2018
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Indian Health Service: Considerations Related to Providing Advance Appropriation Authority
Examines the effects of budget uncertainty on Indian Health Service (IHS) funding and considerations that should be taken into account if IHS was given advance appropriation authority like the Department of Veterans Affairs (VA). Focuses on administrative impacts, provider recruitment and retention, and the financial effects for tribes.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Using Community-based Participatory Research to Develop Healthy Retail Strategies in Native American-owned Convenience Stores: The THRIVE Study
Highlights a study on the Tribal Health and Resilience in Vulnerable Environments (THRIVE) retail intervention that implements healthy food options in convenience stores in Native American communities. Details the results of a participant survey about the perceived food environment in their communities, and describes the implementation strategies, as well as the foods offered by the intervention.
Author(s): Valarie Blue Bird Jernigan, Mary Williams, Marianna Wetherill, et al.
Citation: Preventive Medicine Reports, 11, 148-153
Date: 09/2018
Type: Document
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Prevention of Underage Drinking on California Indian Reservations Using Individual- and Community-Level Approaches
Reports on a study evaluating the long term effects of combined individual-level and community-level interventions to reduce the consumption of alcohol by tribal youth living in 9 rural California reservations. The overall impact of combining interventions was assessed using anonymous data from the California Healthy Kids Survey (CHKS). Comparisons of consumption were made between tribal youth in the intervention area and tribal youth outside the intervention area.
Author(s): Roland S. Moore, David A. Gilder, Joel W. Grube, Juliet P. Lee, Jennifer A. Geisler, et al.
Citation: American Journal of Public Health, 108(8), 1035-1041
Date: 08/2018
Type: Document
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Field Oversight Hearing on "Overcrowded Housing and the Impacts on American Indian and Alaska Natives."
Presents the Senate Committee on Indian Affairs field hearing in Savoonga, AK on the effect the lack of housing is having on the Native Village of Savoonga. Features testimony from representatives from Savoonga, AK, the U.S. Department of Housing and Urban Development, the Bering Straits Regional Housing Authority, and the Norton Sound Health Corporation.
Date: 08/2018
Type: Document
Sponsoring organization: Senate Committee on Indian Affairs
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Indian Health Service: Agency Faces Ongoing Challenges Filling Provider Vacancies
Reports on the Indian Health Service's (IHS) progress in filling provider vacancies. Discusses the strategies used to attract providers and highlights their strengths and shortcomings. Compares vacancy rates by IHS area.
Additional links: Full Report
Date: 08/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Feasibility and Outcomes of an Out-of-School and Home-based Obesity Prevention Pilot Study for Rural Children on an American Indian Reservation
Evaluates the feasibility, and behavioral health and physical health outcomes resulting from the Generations Health intervention program to prevent obesity in children. This intervention program focuses on physical activity, nutrition, sleep and reduction of screen time, and engages parents and families in home-based activities supporting their child's health.
Author(s): Blakely Brown, Kari Jo Harris, Daniel Heil, Michael Tryon, Aric Cooksley, et al.
Citation: Pilot and Feasibility Studies, 4(129)
Date: 07/2018
Type: Document
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A Portrait of American Indian and Alaska Native Children and Families
Describes the population characteristics of American Indian and Alaska Native (AI/AN) children and their families, and estimates the need for early care, education attendance, and healthcare coverage. Features statistics on rates and types of health insurance coverage for young AI/AN children and for their parents.
Author(s): Meryl Yoches Barofsky, Nina Chien, Lizabeth Malone, Sara Bernstein, Kaitlyn Mumma
Date: 07/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Long-term Outcomes of Lifestyle Intervention to Prevent Diabetes in American Indian and Alaska Native Communities: The Special Diabetes Program for Indians Diabetes Prevention Program
Highlights a study on long-term outcomes of diabetes prevention efforts in American Indian and Alaska Native communities. Details outcomes over a 10 year period and breaks down data by age, physical activity, and weight, among other factors.
Author(s): Luohua Jiang, Ann Johnson, Katherine Pratte, et al.
Citation: Diabetes Care, 41(7), 1462-1470
Date: 07/2018
Type: Document
Sponsoring organization: American Diabetes Association
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Recommended CSTE Indicators for Suicide among American Indians and Alaska Natives
Discusses recommended indicators for measuring rates of suicide, and associated risk factors, among American Indian and Alaska Native populations. Presents suggestions for different national data sources, as well as state, local, and regional sources.
Date: 07/2018
Type: Document
Sponsoring organization: Council of State and Territorial Epidemiologists
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Spotlight Stories: Thunder Valley CDC
Highlights Thunder Valley Community Development Corporation (TVCDC), an organization working to improve health, culture, and the environment on the Pine Ridge Reservation in South Dakota. Discusses efforts to address housing shortages, wellness promotion, and community development.
Author(s): Andrea Waner
Date: 07/2018
Type: Document
Sponsoring organization: Community Commons
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Substance Use and Mental Health Issues among U.S.-Born American Indians or Alaska Natives Residing on and off Tribal Lands
Compares rates of behavioral health issues of American Indians and Alaska Natives who live on reservations with those who live off reservations. Measures rates of mental illness, mental illness service use, substance use, and substance use treatment.
Author(s): Eunice Park-Lee, Rachel N. Lipari, Jonaki Bose, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Engaging Native American Caregivers in Youth-Focused Diabetes Prevention and Management
Results of a study to assess feasibility and acceptability of enrolling adult caregivers in the Together on Diabetes program, using data collected in 4 Native American reservations in the southwestern United States, from 2012-2015. Features statistics on 256 youth and 226 caregivers, including age, sex, and diabetes status.
Author(s): Rachel Chambers, Summer Rosenstock, Melissa Walls, et al.
Citation: Preventing Chronic Disease, 15
Date: 06/2018
Type: Document
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High Risk: Agencies Need to Continue Efforts to Address Management Weaknesses of Federal Programs Serving Indian Tribes
Reports on the management of federal programs that serve American Indian populations across the U.S. Highlights the operations of the Office of the Assistant Secretary-Indian Affairs (Indian Affairs), the Bureau of Indian Education (BIE), the Bureau of Indian Affairs (BIA), and the Indian Health Service (IHS), and details the challenges facing each office, and the progress they have made in overcoming those challenges.
Additional links: Full Report
Date: 06/2018
Type: Document
Sponsoring organization: Government Accountability Office
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The Validation of a School-Based, Culturally Grounded Drug Prevention Curriculum for Rural Hawaiian Youth
Details a study of a school-based drug prevention curriculum designed to be relevant to rural Native Hawaiian youth. Bases findings on faculty interviews. Breaks down the data by participants' gender, age, and position within the school.
Author(s): Scott K. Okamoto, Susana Helm, Lindsey K. Ostrowski, Lucille Flood
Citation: Health Promotion Practice, 19(3), 369-376
Date: 05/2018
Type: Document
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Drinking Water and Wastewater Infrastructure: Opportunities Exist to Enhance Federal Agency Needs Assessment and Coordination on Tribal Projects
Reports on the state of drinking water and wastewater infrastructure on tribal lands. Features recommendations for the Indian Health Service and the USDA to address these needs.
Additional links: Full Report
Date: 05/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Substance Use Among American Indian Youths on Reservations Compared With a National Sample of US Adolescents
Results of a study exploring substance use rates in 570 students in 8th, 10th, and 12th grades in 31 schools during the 2016-2017 school year. Features statistics comparing reservation-based American Indian youth with U.S. students in general, with breakdowns by type of substance use and previous 30-day prevalence of alcohol and drug use.
Author(s): Randall C. Swaim, Linda R. Stanley
Citation: JAMA Network Open 1(1)
Date: 05/2018
Type: Document
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Using Storytelling to Address Oral Health Knowledge in American Indian and Alaska Native Communities
Results of a study conducted in 3 northern California tribal locations to evaluate an intervention using storytelling to promote prevention of early childhood tooth decay. Participants were 53 women who were pregnant or who had children ages 6 or younger.
Author(s): Brenda Heaton, Christina Gebel, Andrew Crawford, et al.
Citation: Preventing Chronic Disease, 15
Date: 05/2018
Type: Document
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Reporting of Indian Health Service Coverage in the American Community Survey
Evaluates the extent to which American Indians and Alaska Natives (AIANs) misreport Indian Health Services (IHS) coverage in the American Community Services (ACS), as well as characteristics associated with false negative and false positive misreporting. Includes data on urban/rural residence. Findings based on a comparison of the IHS portion of the 2014 ACS health insurance question to whether or not individuals are in the 2014 IHS Patient Registration data.
Author(s): Renuka Bhaskar, Rachel M. Shattuck, James Noon
Date: 05/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Indian Health Service (IHS) FY2019 Budget Request and Funding History: A Fact Sheet
Details the requested budget for the Indian Health Service (IHS) for fiscal year 2019. Presents the IHS funding history going back to 2014.
Date: 05/2018
Type: Document
Sponsoring organization: Congressional Research Service
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RISING SUN Toolkit
Toolkit presents information and resources on suicide prevention for Arctic Indigenous communities, as well as clinicians, policymakers, and researchers. Breaks down information by audience.
Date: 04/2018
Type: Document
Sponsoring organizations: Mental Health Innovation Network, National Institute of Mental Health
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Expanding Home-Based Primary Care to American Indian Reservations and Other Rural Communities: An Observational Study
Presents a study on the efficacy of home-based primary care (HBPC) for American Indians and other rural veterans. Breaks down data by demographic factors, such as age, gender, and living situation among others.
Author(s): B. Josea Kramer, Beth Creekmur, Michael N. Mitchell, Debra Saliba
Citation: Journal of the American Geriatrics Society, 66(4), 818-824
Date: 04/2018
Type: Document
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Indian Health Disparities
Fact sheet providing statistics on American Indian and Alaska Native health disparities and mortality disparities.
Date: 04/2018
Type: Document
Sponsoring organization: Indian Health Service
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How Does Household Income Affect Child Personality Traits and Behaviors?
Reports on a study using longitudinal data to determine the effects of family income on a child's emotional and behavioral health, and personality characteristics, and the mechanisms supporting these effects. The study included American Indian families who received financial support from the Eastern Band of Cherokee Indians tribal government, and compared changes at the household level prior to and after receiving these funds, as well as comparisons with families who did not receive this funding. Comparisons of economic status were noted between rural Native Americans and rural African Americans.
Author(s): Randall Akee, William Copeland, E. Jane Costello, Emilia Simeonova
Citation: American Economic Review,108(3), 775-827
Date: 03/2018
Type: Document
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Tribal Nursing Home Directory
Directory lists all the tribally operated nursing homes across the country. Lists the tribal affiliation, number of beds, and contact information for each facility.
Date: 03/2018
Type: Directory
Sponsoring organization: Centers for Medicare and Medicaid Services
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Tribal Nursing Home Best Practices: Cultural Sensitivity
Details several models for culturally competent tribal nursing homes and the measures the facilities implemented to provide appropriate care for American Indian and Alaska Native elders. Discusses some initiatives implemented, such as hiring a cultural liaison to coordinate traditional activities and providing person-centered care.
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Education, Income, and Employment and Prevalence of Chronic Disease Among American Indian/Alaska Native Elders
Results of a study measuring the effects of income, employment status, and education level on the rates of chronic disease among 14,632 American Indian or Alaska Native elders from 2011-2014. Features demographics with breakdowns by 10 chronic diseases.
Author(s): Collette Adamsen, Shawnda Schroeder, Steven LeMire, Paula Carter
Citation: Preventing Chronic Disease, 15
Date: 03/2018
Type: Document
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The Opioid Epidemic: Definitions, Data, Solutions
Fact sheet presents data on opioids and overdose deaths among American Indians/Alaska Native populations. Details several policy based solutions for Native American communities.
Date: 03/2018
Type: Document
Sponsoring organization: National Congress of American Indians Policy Research Center
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Oversight Hearing on Opioids in Indian Country: Beyond the Crisis to Healing the Community
Presents the U.S. Senate Committee on Indian Affairs hearing on the opioid crisis in Indian Country. Features testimony from representatives of the U.S. Department of Justice, the Substance Abuse and Mental Health Administration, the Indian Health Service, the Port Gamble S'Klallam Tribe, and the National Indian Health Board.
Date: 03/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Suicides Among American Indian/Alaska Natives — National Violent Death Reporting System, 18 States, 2003-2014
Compares differences in suicide characteristics and circumstances between American Indian/Alaska Natives (AI/AN) and whites. Includes data on age, sex, nonmetropolitan residence, mechanism and location of suicide, interpersonal circumstances, life stressors, mental health, and substance use.
Author(s): Rachel A. Leavitt, Allison Ertl, Kameron Sheats, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(8), 237-242
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Implementing a Home Visiting Model in Tribal Communities: Takeaways from the HomVEE Tribal Review
Presents findings on the implementation and effectiveness of a home visiting program in tribal communities. Draws findings from the Home Visiting Evidence of Effectiveness (HomVEE) project's review of research on home visiting in tribal communities. Features sample strategies from reviewed studies.
Date: 02/2018
Type: Document
Sponsoring organizations: Mathematica Policy Research, The Office of Planning, Research, and Evaluation
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Intraregional Tribal Transportation Strategy
Report highlights a strategy for connecting rural tribal lands with access to transit in the San Diego region of California. Details the project's collaboration with local transit agencies and tribal governments.
Date: 01/2018
Type: Document
Sponsoring organizations: San Diego Association of Governments, Southern California Tribal Chairman's Association
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Disproportionately Higher Unintentional Injury Mortality Among Alaska Native People, 2006–2015
Examines the unintentional injury (UI) mortality rates by injury category for Alaska Natives (AN). Compares AN rates with U.S. White (USW) and Alaska White (AKW) UI mortality rates, and analyzes the rate differences by age groups, sexes, and rural, urban, and remote areas in Alaska.
Author(s): Gretchen Day, Peter Holck, Hillary Strayer, Kathryn Koller, Timothy Thomas
Citation: International Journal of Circumpolar Health, 77(1)
Date: 01/2018
Type: Document
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Community Engaged Cumulative Risk Assessment of Exposure to Inorganic Well Water Contaminants, Crow Reservation, Montana
Describes a community-based risk assessment to determine the health risks from consuming contaminated well water on the Crow Reservation in Montana. Includes discussion on how Crow families cope with poor quality well water and community well stewardship and water testing.
Author(s): Margaret J. Eggers, John T. Doyle, Myra J. Lefthand, et al.
Citation: International Journal of Environmental Research and Public Health, 15(1), 76
Date: 01/2018
Type: Document
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Availability and Cost of Healthy Foods in a Large American Indian Community in the North-Central United States
Results of a study conducted in January and February of 2016, assessing availability and price of 68 food items at stores within a 90-mile radius of a large rural reservation. Includes statistics with breakdowns by availability and price of food, by store type.
Author(s): Amanda M. Fretts, Corrine Huber, Lyle G. Best, Marcia O'Leary, Laurel LeBeau, et al.
Citation: Preventing Chronic Disease, 15
Date: 01/2018
Type: Document
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Addressing Hepatitis C within a Southwest Tribal Community
Presents a study on a tribal-based hepatitis C (HCV) intervention to identify and treat HCV in a rural tribal community. Highlights data by age and gender of HCV patients from 2009-2014.
Author(s): Francine C. Gachupin, Rene Harbaugh, Alex Amarillas, et al.
Citation: Ethnicity and Disease, 28(4), 549–554
Date: 2018
Type: Document
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Indian Health Service Vision Care 2018 Edition
Report details the Indian Health Services Vision Care services. Features clinical, diagnostic, and population data. Highlights the prevalence of eye diseases and the frequency of surgical procedures provided and medications prescribed.
Date: 2018
Type: Document
Sponsoring organization: Indian Health Service
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Reclaiming Indigenous Food Relationships: Improving Health with Culture
Presents a guide to a culturally competent framework for addressing American Indian and Alaska Native healthy food production. Discusses the ways Native communities can promote healthy practices by using the traditional medicine wheel as a model.
Date: 2018
Type: Document
Sponsoring organization: American Indian Cancer Foundation
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Examining Protective and Buffering Associations Between Sociocultural Factors and Adverse Childhood Experiences among American Indian Adults with Type 2 Diabetes: A Quantitative, Community-based Participatory Research Approach
Presents a study on the possible correlations between adverse childhood experiences (ACEs) and the prevalence of type 2 diabetes in American Indians and Alaska Natives. Breaks down data by age, gender, and social support, among other factors.
Author(s): Teresa N Brockie, Jessica H L Elm, Melissa L Walls
Citation: BMJ Open, 8(9)
Date: 2018
Type: Document
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Improving Native American Elder Access to and Use of Health Care Through Effective Health System Navigation
Examines the help-seeking behavior and healthcare experiences of American Indian elders (AIEs) in New Mexico for the purpose of developing and evaluating an intervention designed to improve the knowledge of, access to, and use of insurance, and other available health services by AIEs to reduce healthcare disparities.
Author(s): Cathleen E. Willging, David H. Sommerfeld, Elise Trott Jaramillo, Erik Lujan, Roxane Spruce Bly, et al.
Citation: BMC Health Services Research, 18(464)
Date: 2018
Type: Document
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Suicide Surveillance Strategies for American Indian and Alaska Native Communities
Features a report on suicide data collection strategies for American Indian and Alaska Native communities. Presents case studies from different tribal communities and supporting resources for each strategy discussed.
Date: 2018
Type: Document
Sponsoring organization: Suicide Prevention Resource Center
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Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities
Report explores implementation strategies for patient-centered medical homes (PCMH) via Indian Health Service (IHS) clinics in tribal communities. Details obstacles to implementation and steps to overcoming them, such as staff retraining, team-based care, and using health information technology, among others.
Author(s): Justin W. Timbie, Ammarah Mahmud, Christine Buttorff, Erika Meza
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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Tribal Nursing Home Best Practices: Emergency Preparedness
Describes emergency preparedness approaches of 5 tribal nursing homes in Arizona, Washington, New Mexico, and Wyoming.
Date: 12/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Tribal Elder Protection Team Toolkit
Highlights a 5 section toolkit that outlines the development of a tribal elder protection team. Details the roles of team members, guides to the development of tribal elder abuse codes, and provides cultural sensitivity resources, among other things.
Date: 12/2017
Type: Document
Sponsoring organization: National Indigenous Elder Justice Initiative
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Suicide Clusters Within American Indian and Alaska Native Communities: A Review of the Literature and Recommendations
Analyzes suicide clusters within American Indian and Alaska Native (AI/AN) populations to develop recommendations to prevent and address suicide clusters within AI/AN communities. Discusses risk, developmental, and protective factors influencing likelihood that individuals will consider, attempt, or complete suicide.
Date: 12/2017
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Prevalence and Disparities in Tobacco Product Use Among American Indians/Alaska Natives — United States, 2010-2015
Examines the use of five types of tobacco - cigarettes, cigars, roll-your-own tobacco, pipes, and smokeless tobacco - among American Indian/Alaska Natives (AI/ANs) compared to non-AI/ANs, with data by sex, age, education level, poverty level, and other factors.
Author(s): Satomi Odani, Brian S. Armour, Corinne M. Graffunder, Bridgette E. Garrett, Israel T. Agaku
Citation: MMWR (Morbidity and Mortality Weekly Report), 66(50), 1374-1378
Date: 12/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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United States Indigenous Populations and Dementia: Is There a Case for Culture-based Psychosocial Interventions?
Presents a study on culturally-specific dementia care interventions for American Indian, Alaska Native, and Native Hawaiian elders.
Author(s): Colette V Browne, Lana Sue Ka'opua, Lori L Jervis, et al.
Citation: The Gerontologist, 57(6), 1011–1019
Date: 11/2017
Type: Document
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Discrimination in America: Experiences and Views of Native Americans
Examines Native Americans' personal experiences of discrimination across several areas of daily life, based on a national survey conducted between January and April, 2017. Areas of discussion include interactions with police, applying to jobs or being promoted at work, applying to or attending college, and going to a doctor or seeking healthcare. Also examines perceived differences in institutional discrimination between Native Americans living in predominantly Native areas versus those living in non-majority Native areas.
Date: 11/2017
Type: Document
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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Digging In: Supporting a Healthy, Sustainable Food Future in Santee Sioux Nation
Presents a report on a food sovereignty program as a solution to limited food access of the Santee Sioux Nation in Nebraska. Discusses the barriers to healthy food access on the reservation and proposed solutions to increasing access.
Author(s): Becky Keim
Date: 11/2017
Type: Document
Sponsoring organization: Center for Rural Affairs
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Informing the Tribal Health Profession Opportunity Grants (HPOG) 2.0 Evaluation Design: A Brief Review of the Literature
Summarizes results of a literature review on approaches to conducting research and evaluation in American Indian and Alaska Native (AI/AN) communities. Also examines strategies for recruitment and retention in tribal post-secondary education, AI/AN career pathways, and tribal college workforce development programs. Describes how the literature review informed the Tribal Tribal Health Profession Opportunity Grants (HPOG) 2.0 evaluation design.
Author(s): Michael Meit, Carol Hafford, Catharine Fromknecht, et al.
Date: 11/2017
Type: Document
Sponsoring organization: Administration for Children and Families
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Indian Health Focus: Injuries 2017 Edition
Highlights a report on the mortality rates for American Indians and Alaska Natives. Details causes of death and compares rates to other races and to the U.S. as a whole.
Date: 10/2017
Type: Document
Sponsoring organization: Indian Health Service
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Interviews from the Field: Swinomish Indian Tribal Community
Interview discusses the Swinomish Community Health Assessment and Code Development project. Presents the project's objectives and the goals of the Swinomish Community Health Department.
Date: 10/2017
Type: Document
Sponsoring organization: Administration for Native Americans
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Community Living for American Indian, Alaskan Native, and Native Hawaiian Elders
Presents an issue brief detailing commonalities in American Indian, Alaska Native, and Native Hawaiian communities with respect to Native Elders. Discusses historical trauma, the resulting treaties, health disparities, and traditional practices of Native Elders. Looks at how Native Elders interact with the healthcare system and the programs and services designed to support them within their communities.
Author(s): Jane Tilly, Kristen Hudgins
Date: 10/2017
Type: Document
Sponsoring organization: Administration for Community Living
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Indian Health Service Programs – A Retention Analysis: Final Report
Examines retention of Indian Health Service Scholarship and Loan Repayment Program participants after their service, whether it varies by provider type, facility characteristics, and more. Compares retention for IHS programs to National Health Service Corps (NHSC) program retention.
Date: 09/2017
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, LewinGroup
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Barriers and Facilitators to Implementation of VA Home-based Primary Care on American Indian Reservations: A Qualitative Multi-case Study
Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
Type: Document
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Addressing American Indian Health Disparities: Q&A with Dr. Don Warne
An interview with Dr. Donald Warne, MD, MPH, focused on health disparities among American Indians, what can be done to address those disparities, and his transition from medicine to public health policy.
Author(s): Beth Blevins
Citation: Rural Monitor
Date: 09/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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LTSS Research: Dementia Assessment Tools in Indian Country
Details a bibliography of resources for assessing the cognition of American Indian and Alaska Native elders with dementia. Discusses some of the cultural considerations when evaluating AI/NA elders' cognitive abilities.
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Assessing the Research on Home Visiting Program Models Implemented in Tribal Communities Part 1: Evidence of Effectiveness
Reports on the Home Visiting Evidence and Effectiveness (HomVEE) project's tribal review, which assess the effectiveness of home visiting models in tribal communities. Analyzes different studies of home visiting models designed to accommodate American Indian and Alaska Native cultural practices and family structures.
Author(s): Andrea Mraz Esposito, Rebecca Coughlin, Steven Malick, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Administration for Children and Families
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Tribal Nursing Homes: Communicating with Your Governing Board
Presents methods for tribal nursing home administrators to effectively communicate with their governing boards. Features examples from several tribes of the southern and western U.S., as well as several resources and toolkits that further explore effective modes of communication for long-term care facility governance.
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Promising Practices to Build Healthy Active Native Communities
Highlights promising practices to improve the health and wellness in American Indian and Alaska Native communities. Discusses programs designed to incorporate Native cultural beliefs into healthy eating practices and fitness regimens that support physical well-being.
Date: 07/2017
Type: Document
Sponsoring organization: Association of American Indian Physicians
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Coverage Trends for American Indian and Alaska Native Children and Families
Analyzes data from the U.S. Census Bureau to show trends in health insurance coverage rates among American Indian and Alaska Native (AI/AN) children and families between 2008 and 2015. Examines the expanded role of Medicaid and the Children's Health Insurance Program (CHIP) in driving down the AI/AN uninsured rates, particularly in states with the largest AI/AN populations.
Author(s): Joan Alker, Karina Wagnerman, Andy Schneider
Date: 07/2017
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Responding to the Opioid Crisis: An Update for Tribal Leaders
Details the impact of the opioid crisis on American Indians and Alaska Natives. Discusses options for tribal leaders to respond within their communities.
Date: 06/2017
Type: Document
Sponsoring organization: National Congress of American Indians Policy Research Center
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Tribal Implications of the Revised Common Rule & NIH sIRB Policy
Highlights revisions in two federal policies regarding oversight of research conducted within tribal communities. Includes updates to the Common Rule governing research with human subjects and the National Institutes of Health (NIH) single Institute Review Board (sIRB) policy.
Date: 06/2017
Type: Document
Sponsoring organization: National Congress of American Indians Policy Research Center
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Legislative Hearing to Receive Testimony on the Following Bills: S. 1250, S. 1275
Presents the U.S. Senate Committee on Indian Affairs' legislative hearing to receive testimony on proposed legislation with the stated goals to improve recruitment and retention of professionals, restore accountability, and improve health services throughout the Indian Health Service (IHS). Testimony discusses some of the challenges facing individual IHS facilities, as well as healthcare in Indian Country as a whole, and suggests various models to help address these challenges.
Date: 06/2017
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Racial Discrimination Associated with Higher Diastolic Blood Pressure in a Sample of American Indian Adults
Reports on a study to evaluate the relationship between interpersonal racial discrimination and higher clinically measured blood pressure among a sample of American Indians from two reservations in the Northern Plains.
Author(s): Zaneta M. Thayer, Irene V. Blair, Dedra S. Buchwald, Spero M. Manson
Citation: American Journal of Physical Anthropology, 163(1), 122–128
Date: 05/2017
Type: Document
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Aroostook Band of Micmacs Monitor Atmospheric Mercury
Details a project developed by the Aroostook Band of Micmacs to monitor atmospheric mercury in an attempt to protect a crucial food source traditionally utilized by the tribe. Discusses the tribe's partnership with the Environmental Protection Agency (EPA) and the National Atmospheric Deposition Program (NADP).
Date: 05/2017
Type: Document
Sponsoring organization: Administration for Native Americans
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Tonkawa Tribe Develops Water Resource Plan
Presents the Tonkawa Tribe of Indians of Oklahoma's water resource plan and tribal water regulatory system. Details the tribe's collaboration with U.S. Corp of Engineers and reference to treaties regarding water rights to develop a set of water quality codes and 2 strategic water and pollution management plans.
Date: 05/2017
Type: Document
Sponsoring organization: Administration for Native Americans
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Disrespect of Our Elders: Elder Abuse in Indian Country
Recorded webinar discussing the different types of abuse inflicted on Native American elders. Identifies examples of physical, mental, sexual, and spiritual abuse, among others. Presents several resources for tribes to use in combating the problem and to aid healthcare providers in screening for abuse.
Additional links: Brief, Presentation Slides
Author(s): Jacque Gray
Date: 05/2017
Type: Presentation Slides
Sponsoring organization: National Indigenous Elder Justice Initiative
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Understanding American Indian and Alaska Native Early Childhood Needs: The Potential of Existing Data
Details a report on the healthcare and developmental needs of American Indian and Alaska Native (AI/AN) children from prenatal to 5 years of age. Draws conclusions pertaining to information from the American Community Survey and the Head Start Program Information Reports and points to gaps and limitations in the current data regarding AI/AN children and their families.
Author(s): Lizabeth Malone, Emily Knas, Sara Bernstein, Lindsay Read Feinberg
Date: 05/2017
Type: Document
Sponsoring organization: Mathematica Policy Research
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My Tribal Area
Data tool details demographic and economic statistics of all tribal areas throughout the nation. Includes data on population, jobs, housing, and education. Draws from 2011-2015 American Community Survey data.
Date: 05/2017
Type: Database
Sponsoring organization: U.S. Census Bureau
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The Oral Health of American Indian and Alaska Native Children Aged 6-9 Years: Results of the 2016-2017 IHS Oral Health Survey
Provides an overview of the oral health status of American Indian and Alaska Native children in kindergarten through third grad using data from the 2016-2017 Indian Health Service (IHS) oral health surveillance survey.
Author(s): Kathy R. Phipps, Timothy L. Ricks
Date: 04/2017
Type: Document
Sponsoring organization: Indian Health Service
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Designing a Health System That Works for the Tribe
Outlines the challenges facing the Rosebud Sioux Tribe as they work to restore services and improve quality in their Indian Health Service (IHS) hospital. Despite challenges leading to the closure of their emergency department and surgical and obstetrics wards, members of the Rosebud Sioux Tribe are exploring the option of hospital self-governance and believe a high quality healthcare system is within reach.
Author(s): Jessica Bylander
Citation: Health Affairs, 36(4), 592-595
Date: 04/2017
Type: Document
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Important Factors To Consider When Developing Rural Healthcare Systems: Suggestions From A Moloka'i Native
Highlights a number of factors to consider when developing healthcare systems for rural indigenous communities in Hawaii. Discusses community factors, workforce education, and material factors important to providing healthcare to the Moloka'i people.
Author(s): Luke Kikukawa
Citation: Hawaii Journal of Medicine and Public Health, 76(3), 47-48
Date: 03/2017
Type: Document
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The Effects of Perceived Racial/Ethnic Discrimination on Substance Use Among Youths Living in the Cherokee Nation
Examines the frequency and intensity of perceived racial discrimination and the longitudinal relationship to substance abuse from a sample of American Indian, American Indian and White, and White adolescents living in small rural communities of northeast Oklahoma within the Cherokee Nation Tribal Jurisdictional Service Area (CNTJSA).
Author(s): Brady A. Garrett, Bethany J. Livingston, Melvin D. Livingston, Kelli A. Komroc
Citation: Journal of Child & Adolescent Substance Abuse, 26(3), 242–249
Date: 03/2017
Type: Document
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Native Children's Policy Agenda
Presents a report detailing policy recommendations for the health and well-being of Native American youth. Discusses the challenges facing Native children, such as lack of access to healthcare and healthy food, environmental hazards, and affordable housing, among others. Makes corresponding recommendations for tribal governments and federal policymakers.
Date: 03/2017
Type: Document
Sponsoring organizations: First Kids 1st Initiative, National Congress of American Indians, National Indian Child Welfare Association, National Indian Education Association, National Indian Health Board
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Sleep Quality in an Adult American Indian Community Sample
Highlights a study on the sleep quality of American Indians and Alaska Natives and the factors contributing negatively to sleep. Analyzes data by age, academic attainment, and substance use among other factors.
Author(s): Cindy L. Ehlers, Derek N. Wills, Philip Lau, David A. Gilder
Citation: Journal of Clinical Sleep Medicine, 13(3), 385-391
Date: 03/2017
Type: Document
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Food Insecurity and Chronic Diseases Among American Indians in Rural Oklahoma: The THRIVE Study
Details a study on food security and cardiovascular disease in American Indians in Oklahoma. Bases conclusions on survey data from 513 AI adults from 2 tribal nations completed between April and May of 2015. Breaks down data by age, gender, and education, as well as rates of diabetes, obesity, and hypertension.
Author(s): Valarie Blue Bird Jernigan, Marianna S. Wetherill, Jordan Hearod
Citation: American Journal of Public Health, 107(3), 441-446
Date: 03/2017
Type: Document
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Tribal Nursing Homes: Best Practices for Patients with Dementia and Alzheimer's Disease
Details a report on tribal nursing homes' best practices for treatment of Dementia and Alzheimer's disease. Discusses cultural considerations and risk factors in caring for Native American elders. Includes related organizations, resources, and webinars.
Date: 03/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Roundtable Discussion on "Building Native America Together: Infrastructure Innovation and Improvements for the New Administration and Indian Country."
Provides a webinar recording of the U.S. Senate Committee on Indian Affairs, the U.S. Senate Committee on Environment and Public Works (EPW), the House Committee on Natural Resources, and participating panelists, discussing infrastructure needs in Indian country. Focuses on healthcare, education, economic development, broadband, and other infrastructure needs.
Date: 03/2017
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Emerging Strategies to Ensure Access to Health Care Services: Indian Health Services Strategy
Outlines federal policy solutions and facility-level strategies to improve care coordination between Indian Health Service (IHS) facilities and other healthcare providers.
Date: 03/2017
Type: Document
Sponsoring organization: American Hospital Association
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What's Killing Our Children? Child and Infant Mortality among American Indians and Alaska Natives
Examines social, behavioral, and environmental factors to determine the root causes behind significant disparities in infant and childhood mortality among American Indian and Alaska Native (AI/AN) populations. Addresses domestic violence, nutrition, tobacco and alcohol use, environmental degradation, unintentional injuries, and more. Provides policy recommendations to tribal and public health agencies.
Author(s): Teshia G. Arambula Solomon, Felina M. Cordova, Francisco Garcia
Date: 03/2017
Type: Document
Sponsoring organization: National Academy of Medicine
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OPREVENT2: Design of a Multi-institutional Intervention for Obesity Control and Prevention for American Indian Adults
Presents a study of a multi-level, multi-component (MLMC) intervention designed to control and prevent obesity in American Indian communities. Analyzes data based on intervention type. process evaluation measure, and impact/outcome measure.
Author(s): Joel Gittelsohn, Brittany Jock, Leslie Redmond, et al.
Citation: BMC Public Health, 17, 105
Date: 01/2017
Type: Document
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Housing Needs of American Indians and Alaska Natives in Tribal Areas: A Report From the Assessment of American Indian, Alaska Native, and Native Hawaiian Housing Needs
Provides an overview of housing conditions and needs among American Indian and Alaska Native (AI/AN) households in tribal areas. Includes AI/AN demographic, social, and economic characteristics. Also discusses housing produced by tribes using HUD housing funds available through the Native American Housing Assistance and Self-Determination Act (NAHASDA) of 1996.
Author(s): Nancy Pindus, G. Thomas Kingsley, Jennifer Biess, et al.
Date: 01/2017
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
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Communities in Action: Pathways to Health Equity
Identifies elements of effective solutions to advance health equity at the local or community level. Featured examples include the Delta Health Center, a rural Federally Qualified Health Center that uses a community-oriented primary care model to address population health. A brief overview of rural health disparities which includes a discussion on Appalachian health is found on pages 2-19 and 2-20. Appendix A provides a historical and legal context for understanding Native American health disparities.
Additional links: Read Online
Author(s): Committee on Community Based Solutions to Promote Health Equity in the United States
Date: 01/2017
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Native Americans with Diabetes: Better Diabetes Care Can Decrease Kidney Disease
Provides an overview of diabetes and related kidney disease among American Indians and Alaska Natives. Describes an Indian Health Service (IHS) approach using population health and team-based approaches to diabetes and kidney care.
Additional links: Fact Sheet, Podcast
Date: 01/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Indian Health Service: Actions Needed to Improve Oversight of Quality of Care
Reports results from a performance audit conducted by the Government Accountability Office (GAO) from March 2016 through January 2017, examining IHS's oversight of quality of care in its federally operated facilities. Draws conclusions based on a review of policies related to quality of care, interviews with IHS officials at the headquarters and area offices, and examination of documents from governance meetings. Makes recommendations to the Secretary of the Department of Health and Human Services (HHS) on actions that can be taken to help ensure quality care is provided in federally operated IHS facilities. Appendices include the responding comments from HHS and provide additional information about leadership turnover at IHS offices and facilities.
Additional links: Full Report
Date: 01/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Mental Health Disparities: American Indians and Alaska Natives
Details the mental health disparities that exist among American Indian and Alaska Native populations. Discusses barriers to care, service utilization, and cultural beliefs.
Date: 2017
Type: Document
Sponsoring organization: American Psychiatric Association
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Housing for Holistic Rez Living
Discusses the Sisseton Wahpeton Housing Authority's role in providing housing and community development on the Sisseton Wahpeton Oyate reservation in South Dakota. Highlights partnerships with the SWO Construction Management Department and the Indian Health Service to address different needs in the community.
Author(s): James "JC" Crawford
Citation: Rural Voices, 21(3), 34-37
Date: 2017
Type: Document
Sponsoring organization: Housing Assistance Council
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Choctaw Nation of Oklahoma: SMART Program
Describes the Set Morals and Resist Temptations (SMART) program, promoting evidence-based teen pregnancy prevention education for youth ages 11-19 in 4 high-need rural Southeast Oklahoma counties.
Date: 2017
Type: Document
Sponsoring organizations: Office of Adolescent Health, Office of the Assistant Secretary for Health
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National Title VI Program Survey: Serving Tribal Elders Across the United States
Details services and supports that Title VI programs offer tribal elders, as well as current opportunities and challenges faced by these programs. Features statistics on health disparities and demographics.
Date: 2017
Type: Document
Sponsoring organization: National Association of Area Agencies on Aging
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LTSS Research: LTSS for Native Veterans - Annotated Literature Review
Presents an annotated literature review of long-term services and supports research for Native American and Alaska Native veterans. Features information on nursing homes, assisted living, and home healthcare, among other topics.
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Tribal Nursing Home Best Practices: Traditional Foods
Presents a guide for tribal nursing homes to develop a traditional food menu for elderly American Indians and Alaska Natives. Discusses the health benefits of traditional foods and the methods for involving elders and the community in the planning and implementing of traditional food menus. Features organizations, case studies, and webinars, among other resources.
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Bullying Prevention in Indian Country
Features information and resources for bullying prevention among American Indian and Alaska Native youth. Presents evidence-based model programs and information about SAMHSA's Tribal Training and Technical Assistance Center.
Date: 12/2016
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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The National Tribal Behavioral Health Agenda
Highlights behavioral health options for American Indian and Alaska Native tribal leaders and federal partners. Discusses behavioral health issues and interventions in tribal communities and explores policy recommendations.
Date: 12/2016
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Suicide Prevention in Indian Country
A fact sheet describing suicide prevention in Indian Country, and how the 2012 National Strategy for Suicide Prevention can align with tribal communities.
Date: 12/2016
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Supporting the Development of Young Children in American Indian and Alaska Native Communities Who Are Affected by Alcohol and Substance Exposure
Policy statement providing recommendations that promote the early development of American Indian and Alaska Native (AI/AN) children who have been exposed to alcohol and substance abuse during pregnancy or early childhood. Discusses best practices and reviews promising strategies that tribal early childhood programs can use to support children's development and wellness. Also points out health disparities that exist between tribes and the general U.S. population, and uses case studies to show where success has been achieved in reducing the destructive effects of substance abuse.
Date: 12/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care
Explores concerns about inadequate healthcare quality provided in Indian Health Service (IHS) hospitals. Makes recommendations for implementing several oversight measures and identifies problem areas that will need to be addressed in order to improve healthcare quality in IHS hospitals. See companion report: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care. Focuses on challenges related to quality reporting, Area Office vacancies, and health information technology.
Date: 10/2016
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care
Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Behavioral Health Among American Indian and Alaska Natives: An Overview
Describes Indian Health Service (IHS) and Substance Abuse and Mental Health Services Administration (SAMHSA) programs designed to address behavioral health problems in the American Indian and Alaska Native (AI/AN) population. Provides background information about risk factors, prevalence, and limited access to care.
Date: 09/2016
Type: Document
Sponsoring organization: Congressional Research Service
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American Indian Health Equity/Disparities
Describes the distinction between health equity and health disparities with a focus on American Indian health. Includes examples of factors contributing to the causes of health inequity for the American Indian and Alaska Native populations.
Date: 07/2016
Type: Document
Sponsoring organization: Center for American Indian Resilience
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Disaggregating American Indian & Alaska Native Data: A Review of Literature
Discusses methods of disaggregating national data related to American Indian and Alaska Natives to better understand the disparities in health outcomes in tribal communities. Details different types of disaggregation, such as by age, geography, gender, and cultural and environmental similarities, among others. Features an annotated bibliography in the appendix.
Author(s): Malia Villegas, Amber Ebarb, Sarah Pytalski, Yvette Roubideaux
Date: 07/2016
Type: Document
Sponsoring organization: National Congress of American Indians Policy Research Center
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Advancing Health Equity for Native American Youth: Workshop Summary
Report of a roundtable workshop held in New Mexico that brought together leaders from a wide range of fields, including those in Native American healthcare, to address the need for greater visibility for the health disparities faced by tribal and indigenous populations, how to develop programs to address those disparities, and how to encourage support for Native American leaders to advance those programs. This workshop specifically focused on Native American youth, addressing such topics as suicide, the importance of grandparents in the lives and care of children, and the cultural resiliency of Native Americans to overcome trauma and disparities.
Additional links: Read Online
Author(s): Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities
Date: 07/2016
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Surveillance Success Stories: The Fort Peck Indian Reservation
Describes a partnership between the National Native Children's Trauma Center (NNCTC) and the Fort Peck Indian Reservation that examines and compares data from healthcare providers and emergency services within the reservation and in surrounding Roosevelt County. The objective was to establish a baseline of understanding of suicidal behavior on the reservation in order to effectively apply their suicide prevention resources, and monitor individual cases to determine if their methods were successful.
Author(s): Richard A. van den Pol
Date: 06/2016
Type: Document
Sponsoring organization: Suicide Prevention Resource Center
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Health Literacy in Dentistry and Navajo Nation Community Health Representatives
A commentary about the work of community health representatives (CHRs) toward the improvement of health on the Navajo reservation, including oral health programs. Includes a general overview of CHRs and population health for American Indian/Alaska Native communities and the need for more education for CHRs.
Author(s): Steven P. Geiermann, Mae-Gilene Begay, Lindsey Robinson, and Sharon Clough
Date: 06/2016
Type: Document
Sponsoring organization: National Academy of Medicine
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Purchased/Referred Care
Explains the Purchased/Referred Care (PRC) program, formerly the Contract Health Services program, which is a program that guides usage of healthcare services outside of Indian Health Service or tribal healthcare facilities when needed.
Date: 06/2016
Type: Document
Sponsoring organization: Indian Health Service
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Emerging LTSS Issues in Indian Country: Alzheimer's and Dementia
Presents a report on Alzheimer's disease in Native American communities. Looks at available data and makes recommendations for potential future research. Highlights Wisconsin's Tribal Dementia Care Program as a model for culturally competent memory care.
Date: 05/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Demographic, Clinical, and Service Utilization Factors Associated with Suicide-Related Visits among Alaska Native and American Indian Adults
Details a study on the demographic, clinical, and service utilization factors of Alaska Native and American Indian participants in 2 state-wide studies on suicide in Alaska. Breaks down participant characteristics by gender, age group, and whether they live in a rural or urban area, among other factors.
Author(s): Denise A. Dillard, Jaedon P. Avey, Renee F. Robinson, et al.
Citation: Suicide and Life-Threatening Behavior, 47(1), 27-37
Date: 04/2016
Type: Document
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Early Care, Early Education, and Home Visiting in American Indian and Alaska Native Communities: Design Options for Assessing Early Childhood Needs
Highlights a report presenting a framework for future studies of the unmet needs in early childhood care, education, and home visiting in American Indian and Alaska Native communities. Identifies study designs using existing data on the national level and designs requiring new data collection at the community level.
Author(s): Lizabeth Malone, Emily Knas, Michael Cavanaugh, Jerry West
Date: 04/2016
Type: Document
Sponsoring organization: Mathematica Policy Research
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Indian Health Service: Actions Needed to Improve Oversight of Patient Wait Times
Reviews Indian Health Services (IHS) oversight policies and finds healthcare access measurement issues within IHS due to poor performance tracking in place. Highlights inadequate services at some facilities that have resulted in long wait times and lower quality of care provided.
Additional links: Full Report
Date: 04/2016
Type: Document
Sponsoring organization: Government Accountability Office
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Tribal Internet Access: Increased Federal Coordination and Performance Measurement Needed
Interviews officials from 21 tribal entities and 6 service providers to understand perspectives on high-speed internet access and barriers within remote tribal communities. Highlights the importance of high-speed internet for rural health care facilities to support telemedicine.
Additional links: Full Report
Date: 04/2016
Type: Document
Sponsoring organization: Government Accountability Office
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Access to Care and Diabetes Management among Older American Indians with Type 2 Diabetes
Highlights a study on the role of healthcare access in diabetes management among American Indians over 50 with type 2 diabetes. Breaks down data by socio-demographic information, travel time to source of care, and availability of transportation.
Author(s): Emily J. Nicklett, Adam Omidpanah, Ron Whitener, Barbara V. Howard, Spero M. Manson
Citation: Journal of Aging and Health, 29(2), 206-221
Date: 03/2016
Type: Document
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Tribal Health Profession Opportunity Grants (HPOG) Program Evaluation: Final Report
Presents findings from an evaluation of the five Tribal Health Profession Opportunity Grant (HPOG) programs funded in the first round of HPOG. Includes information on these health career programs' structure, processes, and training and employment outcomes.
Author(s): Michael Meit, Carol Hafford, Catharine Fromknecht, et al.
Date: 03/2016
Type: Document
Sponsoring organization: Administration for Children and Families
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Indian Affairs: Key Actions Needed to Ensure Safety and Health at Indian School Facilities
Examines health and safety at Bureau of Indian Education (BIE) schools. Provides recommendations for conducting required annual inspections at BIE schools and developing plans for building schools' capacity for addressing health and safety concerns.
Additional links: Full Report
Date: 03/2016
Type: Document
Sponsoring organization: Government Accountability Office
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Sobriety and Alcohol Use Among Rural Alaska Native Elders
Reports findings from descriptive and correlational data gathered during a needs assessment regarding alcohol use among Inupiat and Yup'ik Eskimo elders residing in remote, rural villages in the Northwest region of Alaska.
Author(s): Monica C. Skewes, Jordan P. Lewis
Citation: International Journal of Circumpolar Health, 75(1), 30476
Date: 02/2016
Type: Document
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American Indian and Alaska Native Health
Identifies and discusses the adverse health issues affecting the health status of American Indian and Alaska Native populations. Offers policy recommendations to address these issues.
Additional links: Supplemental Document
Author(s): Linda Bane Frizzell, Kathleen Spencer
Date: 02/2016
Type: Document
Sponsoring organization: National Rural Health Association
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Using Electronic Health Records to Examine Disease Risk in Small Populations: Obesity Among American Indian Children, Wisconsin, 2007-2012
Examines use of the Public Health Information Exchange (PHINEX) to describe obesity among Wisconsin American Indian children seeking care off-reservation. Also discusses usefulness of electronic health records as an alternative to other data collection methods when studying disease risk in a small population.
Author(s): Emily J. Tomayko, Bethany A. Weinert, Liz Godfrey, Alexandra K. Adams, Lawrence P. Hanrahan
Citation: Preventing Chronic Disease, 13
Date: 02/2016
Type: Document
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A Brief Evaluation of a Project to Engage American Indian Young People as Agents of Change in Health Promotion Through Radio Programming, Arizona, 2009-2013
Results of a study in which 37 American Indian people aged 10-21 were recruited and trained in broadcasting and creative writing techniques, to enable them to produce and air 3 radio dramas which promoted physical activity and healthy food choices.
Author(s): Tara M. Chico-Jarillo, Athena Crozier, Nicolette I. Teufel-Shone, Theresa Hutchens, Miranda George
Date: 02/2016
Type: Document
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Intergenerational Trauma: Understanding Natives' Inherited Pain
Discusses the concept of intergenerational (historical) trauma and its influence on the behavior and health conditions of American Indian and Alaska Native (AI/AN) populations. Identifies the connection between excessive amounts of stress and the development of health issues such as addiction, depression, intimate partner violence, suicide, and diabetes. Includes personal stories to demonstrate the intensity of stress experienced by AI/AN children and families through generations.
Author(s): Mary Annette Pember
Date: 2016
Type: Document
Sponsoring organization: Indian Country Today Media Network
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Closing Gaps in Native American Health
Describes health disparities between Wisconsin Native Americans and their white peers, with discussion of how new Medicaid policies could result in increased access to health services, improved care coordination for tribal health patients, and additional support for Indian Health Service providers. Features statistics including infant mortality rates, age-adjusted mortality rate, diabetes and cancer age-adjusted mortality rates, suicide rates, and average age of death.
Date: 2016
Type: Document
Sponsoring organization: Wisconsin Council on Children and Families
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The Oglala Sioux Tribe CHOICES Program: Modifying an Existing Alcohol-Exposed Pregnancy Intervention for Use in an American Indian Community
Describes how an existing alcohol-exposed pregnancy prevention program, Project CHOICES, for non-pregnant women was modified and integrated within an American Indian community to prevent Fetal Alcohol Spectrum Disorders (FASD). Provides the steps necessary to develop a similar program at another tribal or rural site.
Author(s): Jessica D. Hanson, Susan Pourier
Citation: International Journal of Environmental Research and Public Health, 13(1), 1
Date: 12/2015
Type: Document
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Grandfathered Tribal (GFT) Federally Qualified Health Center (FQHC) Training: Overview of Requirements and Policies
Provides a summary of the requirements and policies, effective January 1, 2016, for Indian Health Services (IHS), and tribal facilities and organizations when a change in status may allow the healthcare facility to become certified as a Grandfathered Tribal FQHC.
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Measuring the Food Access Gap in Native American Tribal Areas
Compares food access for the nation as a whole with access in tribal areas to Supplemental Nutrition Assistance Program (SNAP) authorized supermarkets and Food Distribution Program on Indian Reservations (FDPIR) sites.
Author(s): Michelle Saksena
Citation: Amber Waves
Date: 12/2015
Type: Document
Sponsoring organization: USDA Economic Research Service
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The Realities of Child Poverty: Insights from a National Advisory Committee Meeting
Reports on discussion at a September 2015 meeting of the National Advisory Committee on Rural Health and Human Services focused on the needs of rural children and families living in poverty. Included a special focus on tribal needs, as the meeting was held at the White Earth Indian Reservation in rural Minnesota.
Author(s): Brandon Baumbach, Kate Menzies
Citation: Rural Monitor
Date: 10/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Contributing Factors to American Indian/ Alaskan Native Elders' Quality of Life
Analyzes reported rates of hearing loss and oral health of American Indians and Alaska Natives over time.
Author(s): Laine Lyons, Melissa Wheeler, Jacqueline S. Gray, et al.
Date: 08/2015
Type: Document
Sponsoring organization: National Indigenous Elder Justice Initiative
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Prevention Paradigm for Native Americans
Video describing a new model of suicide prevention for Native Americans that focuses on the strengths and resilience of the people. Discusses how Native people should be involved in the development of suicide prevention programs in order to embolden the community, and create programs that are more effective at reducing suicide. Presented by Doreen Bird, program specialist at the Department of Psychiatry and Behavioral Sciences, University of New Mexico Health Sciences Center.
Date: 08/2015
Type: Video/Multimedia
Sponsoring organization: Suicide Prevention Resource Center
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Prostate Cancer Screening Among American Indians and Alaska Natives: The Health and Retirement Survey, 1996-2008
Examines self-reported screening rates among American Indian/Alaska Native men ages 50-75 at 5 points over a 12-year period, and compares these rates to those of African American men and white men in the same age group. Includes statistics with breakdowns by race/ethnicity and number of screenings during the duration of the study.
Author(s): R. Turner Goins, Marc B. Schure, Carolyn Noonan, Dedra Buchwald
Citation: Preventing Chronic Disease, 12
Date: 08/2015
Type: Document
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Higher Education and Workforce Development in Tribal Communities and the Role of Tribal HPOG
Discusses barriers to education and employment for American Indians and Alaska Natives (AI/ANs). Provides data on AI/AN representation in healthcare professions and describes health career educational opportunities and programs. Describes training and employment outcomes of the Tribal Health Profession Opportunity Grants (HPOG) program.
Author(s): Michael Meit, Katherine Meyer, Tess Gilbert, et al.
Date: 07/2015
Type: Document
Sponsoring organization: Administration for Children and Families
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Statement by Sunny Goggles, Director of the White Buffalo Recovery Center in Wyoming, Committee on Indian Affairs, U.S. Senate
Testimony from the Director of the White Buffalo Recovery Center in Wyoming presented at a July 29th, 2015 Committee on Indian Affairs hearing concerning true costs of alcohol and drug abuse in native communities. Focuses on the rate of unnatural deaths on reservations due to substance abuse and the costs associated with the loss of human life.
Author(s): Sunny Goggles
Date: 07/2015
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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LTSS Research: Annotated Literature Review: Elder Abuse in Indian Country
Presents an annotated bibliography of resources pertaining to elder abuse in American Indian communities.
Date: 05/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Advancing Suicide Prevention Research with Rural American Indian and Alaska Native Populations
Summarizes the conclusions from a meeting of a multidisciplinary group of American Indian and Alaska Native (AI/AN) suicide research experts to discuss the persistent issues related to suicide disproportionately affecting Indigenous communities. Identifies challenges hindering improvement in Indigenous suicide research and provides recommendations to support and strengthen Indigenous suicide research.
Author(s): Lisa Wexler, Michael Chandler, Joseph P. Gone, et al.
Citation: American Journal of Public Health, 105(5), 891-899
Date: 05/2015
Type: Document
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American Indian and Alaska Native Veterans: 2013 American Community Survey
Compares American Indian and Alaska Native veterans with veterans of all other races in healthcare usage, public or private health insurance coverage, disability status, and service-connected disability status. Notes that statistics from this survey are estimates and differ from Veterans Administration figures, due to differences in definitions and limitations of survey data.
Date: 05/2015
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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A Longitudinal Study of Structural Risk Factors for Obesity and Diabetes Among American Indian Young Adults, 1994-2008
Investigates possible links between high rates of obesity and type 2 diabetes among American Indian young adults and other risk factors such as poverty, frequent changes of residence, and stress.
Author(s): Tennille L. Marley, Molly W. Metzger
Citation: Preventing Chronic Disease, 12
Date: 05/2015
Type: Document
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Improving Access to Noninstitutional Long-Term Care for American Indian Veterans
Describes program models to expand Native American veterans' access to home-based primary care (HBPC), which provides non-institutional long-term care to homebound veterans. Overviews emerging models of HBPC and co-management developed by Veterans Affairs Medical Centers in collaboration with tribes and Indian Health Service facilities. Also includes several models that expanded HBPC access for non-native as well as Native American rural veterans.
Author(s): Betty J. Kramer, Beth Creekmur, Sarah Cote, Debra Saliba
Citation: Journal of the American Geriatrics Society, 63(4), 789-796
Date: 04/2015
Type: Document
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The Oral Health of American Indian and Alaska Native Children Aged 1-5 Years: Results of the 2014 IHS Oral Health Survey
Reports on tooth decay among American Indian and Alaska Native (AI/AN) preschool children. Includes a comparison to tooth decay among other racial/ethnic groups. Also provides information on untreated decay and use of dental sealants.
Author(s): Kathy R. Phipps, Timothy L. Ricks
Date: 04/2015
Type: Document
Sponsoring organization: Indian Health Service
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Native American Housing: Obstacles and Opportunities
Recording of a March 24, 2015 panel discussion addressing the challenges involved in supplying and maintaining tribal housing.
Date: 03/2015
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Housing and Urban Development
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Testimony of the National Indian Health Board Oversight Hearing on Indian Country Priorities for the 114th Congress
Includes the testimony from the National Indian Health Board presented at a January 28th, 2015 Senate Committee on Indian Affairs hearing concerning the top Indian health priorities for the 114th Congress.
Date: 01/2015
Type: Document
Sponsoring organization: National Indian Health Board
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Indian Health Service: A Quick Look
Briefly explains the mission, goals, and foundation of the Indian Health Service and its relationship with American Indian Tribes and Alaska Native corporations.
Date: 01/2015
Type: Document
Sponsoring organization: Indian Health Service
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The Historic and Ongoing Issue of Health Disparities Among Native Elders
Details the ongoing and historical causes of health disparities of American Indian, Alaska Native, and Native Hawaiian elders. Presents recommendations to reduce health disparities among Native elders.
Author(s): Kathryn L. Braun, Cynthia LaCounte
Citation: Generations, 38, 60-69
Date: 2015
Type: Document
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Overview of Tribal Epidemiology Centers
Presents a fact sheet listing the Tribal Epidemiology Centers (TECs) throughout the country and a map of the regions they cover. Discusses the services provided at each center with links to each center's web page.
Date: 2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Alternative Dental Workforce Models
A fact sheet describing alternative dental workforce models and their importance in improving access to oral healthcare in underserved and rural communities with a focus on their roles in the Indian Health Service (IHS). Includes data on dental access and oral disease in Indian Country.
Date: 2015
Type: Document
Sponsoring organization: Indian Health Service
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The Social Determinants of Health of Type 2 Diabetes and Obesity: A Research Framework
Examines the social determinants of health related to childhood obesity and type 2 diabetes from a Native perspective, considering historical trauma, self-determination, and cultural factors. Looks at currently available information, identifies gaps, and provides a research framework to help build a better understanding of the causes of child obesity among Native Americans.
Date: 2015
Type: Document
Sponsoring organization: Notah Begay III Foundation
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Systematic Review of Interventions Focusing on Indigenous Adolescent Mental Health and Substance Use
Analyzes mental health and substance use interventions for American Indian and Alaska Native (AI/AN) adolescent populations to identify key intervention factors in reducing mental health disparities.
Author(s): Mapuana C. K. Antonio, Jane J. Chung-Do
Citation: American Indian and Alaska Native Mental Health Research, 22(3), 36-56
Date: 2015
Type: Document
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Predicting Attitudes Toward Seeking Professional Psychological Help among Alaska Natives
Gauges attitudes of Alaska Natives toward psychological help by examining current and previous experience, social and self stigma, and cultural identity. Identifies variables in mental health help-seeking attitudes to better inform methods for increasing service use among Alaska Natives.
Author(s): Brittany Freitas-Murrell, Joshua K. Swift
Citation: American Indian and Alaska Native Mental Health Research, 22(3), 21-35
Date: 2015
Type: Document
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Post-traumatic Stress Disorder and HIV Risk Behaviors among Rural American Indian/Alaska Native Women
Seeks to inform HIV intervention and prevention activities by examining how post-traumatic stress disorder, binge drinking, and HIV sexual risk behavior relate to one another among Native American women.
Author(s): Cynthia R. Pearson, Debra Kaysen, Annie Belcourt, et al.
Citation: American Indian and Alaska Native Mental Health Research, 22(3), 1-20
Date: 2015
Type: Document
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Trends in Indian Health: 2014 Edition
Provides an overview of Indian Health Service (IHS) programs and American Indian and Alaska Native (AI/AN) health status. Includes charts depicting the IHS organizational structure and data on tribal and IHS healthcare facilities. Provides AI/AN demographic and socioeconomic data. Includes birth and death rates, with information by cause of death. Also provides data on patient care delivery.
Date: 2015
Type: Document
Sponsoring organization: Indian Health Service
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Cancer Disparities Among Alaska Native People, 1970-2011
Examines cancer incidence and mortality data for Alaska Native (AN) people in different categories and varying year ranges from 1970 through 2011, and compares cancer rates for AN people and U.S. whites. Shows that cancer mortality rates among AN people exceeded rates among whites for all cancers combined, for cancers of the lung, stomach, pancreas, kidney, and cervix, and for colorectal cancer.
Author(s): Janet J. Kelly, Anne P. Lanier, Teresa Schade, Jennifer Brantley, B. Michael Starkey
Citation: Preventing Chronic Disease, 11
Date: 12/2014
Type: Document
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The Role of Medicare and the Indian Health Service for American Indians and Alaska Natives: Health, Access and Coverage
Examines the health, healthcare access, income, and education disparities that exist within the Native American and Alaskan Native population, as well as the roles of Medicare and the Indian Health Service (IHS) in addressing these disparities.
Author(s): Cristina Boccuti, Christina Swoope, Samantha Artiga
Date: 12/2014
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Measuring Access to Healthful, Affordable Food in American Indian and Alaska Native Tribal Areas
Compares the distances to food markets that provide healthful and affordable foods in tribal areas with that of the general U.S. population, and the effect of distance and limited food availability on the health of tribal populations.
Additional links: Report Summary
Author(s): Phillip Kaufman, Chris Dicken, Ryan Williams
Date: 12/2014
Type: Document
Sponsoring organization: USDA Economic Research Service
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Attorney General's Advisory Committee on American Indian/Alaska Native Children Exposed to Violence: Ending Violence So Children Can Thrive
Reports on the current epidemic of American Indian and Alaskan Native children's exposure to violence, and offers policy recommendations to the Attorney General on ways to address the issues.
Date: 11/2014
Type: Document
Sponsoring organization: U.S. Department of Justice
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Women of Color Health Data Book, Fourth edition
Explores factors affecting the health of women of color, and health assessments including behavior and lifestyles, preventative healthcare services, health insurance coverage and services, and morbidity and mortality. Features statistics with breakdowns including causes of death, various risk factors, and health screening rates.
Citation: NIH Publication No. 14-4247
Date: 10/2014
Type: Document
Sponsoring organization: National Institutes of Health
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Building the Evaluation Capacity of Local Programs Serving American Indian/Alaska Native Populations: Lessons Learned
Describes technical assistance provided to help tribal communities develop their evaluation capacity so they could show that the substance abuse prevention programs they were undertaking were effective. Includes discussion of facilitators and challenges related to building evaluation capacity.
Date: 10/2014
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Feasibility of a Community Intervention for the Prevention of Suicide and Alcohol Abuse with Yup'ik Alaska Native Youth: The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa Studies
Evaluates the viability of a community intervention model to prevent suicide and alcohol abuse within the youth population of two remote Alaska Native communities. Compares the implementation strategies and the available resources within the two settings, and discusses the differences in outcomes.
Author(s): Gerald V. Mohatt, Carlotta Ching Ting Fok, David Henry, People Awakening Team, James Allen
Citation: American Journal of Community Psychology, 54(1-2), 153-169
Date: 09/2014
Type: Document
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Using Community Advisory Boards to Reduce Environmental Barriers to Health in American Indian Communities, Wisconsin, 2007-2012
Describes a project in which community advisory boards (CABs) were established by residents of the Menominee, Lac du Flambeau, and Bad River rural tribal communities and university partners, for the purpose of eliminating barriers to healthy nutrition and physical activity and fostering improvement in overall community health.
Author(s): Alexandra K. Adams, Jamie R. Scott, Ron Prince, Amy Williamson
Citation: Preventing Chronic Disease, 11
Date: 09/2014
Type: Document
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Using a Participatory Research Approach in a School-Based Physical Activity Intervention to Prevent Diabetes in the Hualapai Indian Community, Arizona, 2002-2006
Results of a quantitative study in which 71 Native American youth in grades 3-8 participated in twice-weekly physical activity classes designed to reduce diabetes risk factors. Researchers compared participants' blood glucose levels and Body Mass Indexes at the beginning of the study with the same measures taken at the conclusion.
Author(s): Nicolette I. Teufel-Shone, Michelle Gamber, Helen Watahomigie, et al.
Citation: Preventing Chronic Disease, 11
Date: 09/2014
Type: Document
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Osteoporosis and Falls Among Native American Elders
Poster presenting statistics on the rates of Native American Elders with osteoporosis and its relationship to falls and injuries.
Author(s): Laine Lyons, Jacqueline S. Gray, Paula M. Carter, Patty Stensland
Date: 08/2014
Type: Document
Sponsoring organization: National Indigenous Elder Justice Initiative
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Native Elderly Falls and Depression as Related to Elder Abuse Services
Poster presentation illustrating the relationship between depression and fall rates of Native American elders. Identifies their correlation as an indicator of potential abuse. Includes information related to participants' use and intention to use the Elder Abuse Prevention Programs.
Author(s): Daisy Riley, Paula Carter, Harmony Lindgren, Jacqueline Gray
Date: 08/2014
Type: Document
Sponsoring organization: National Indigenous Elder Justice Initiative
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Oral Health in Native American Elderly
Fact sheet providing information on needed dental work and overall oral health indicators in elderly Native American, Alaska Native, and Native Hawaiian tribal member populations.
Author(s): Shyleen Hall, Patty Stensland, Paula Morin-Carter
Date: 08/2014
Type: Document
Sponsoring organization: National Resource Center on Native American Aging
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Dynamics of Race: Joining, Leaving, and Staying in the American Indian/Alaska Native Race Category between 2000 and 2010
Examines survey response changes for racial reporting among American Indian and Alaska Natives, based on data from the 2000 and 2010 censuses and the 2006-2010 American Community Survey. Looks at characteristics of those who consistently identified as AI/AN, those who joined that category, and those who left it.
Author(s): Carolyn A. Liebler, Renuka Bhaskar, Sonya Rastogi
Date: 08/2014
Type: Document
Sponsoring organization: U.S. Census Bureau
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Understanding Geographic Relationships: American Indian Areas
Explains the relationships that exist between different types of American Indian Areas that are used by the U.S. Census Bureau. Includes a chart showing the relationships among these legal and statistical boundaries and how they relate to the standard geographic units of states and census blocks.
Author(s): Katy Rossiter
Date: 08/2014
Type: Document
Sponsoring organization: U.S. Census Bureau
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Indian Health Care 101
Overview of the essential elements that make up the healthcare delivery system for American Indians and Alaska Natives. Addresses topics such as intergovernmental relations, Indian Health Service (IHS), areas of need, and funding.
Date: 07/2014
Type: Document
Sponsoring organization: National Indian Health Board
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Understanding the Burden of Tuberculosis Among American Indians/Alaska Natives in the U.S.: A Validation Study
Evaluation of the completeness and accuracy of TB case reporting from Indian Health Service (IHS) facilities to state health departments. Provides statistical breakdowns including age group, sex, IHS region, presence of other diseases, symptoms, and types of treatments.
Author(s): Laura Jean Podewils, Emily Alexy, Stephani Jean Driver, et al.
Citation: Public Health Reports, 129(4)
Date: 07/2014
Type: Document
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American Indian Health Policy: Historical Trends and Contemporary Issues
Discusses the past, present, and future development of American Indian and Alaska Native (AI/AN) health policy. Identifies federal policy and legislation affecting Indian Health Service (IHS) funding and other federal funding that supports the healthcare received by AI/AN populations.
Author(s): Donald Warne, Linda Bane Frizzell
Citation: American Journal of Public Health, 104(Suppl 3), 263–267
Date: 06/2014
Type: Document
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The Public Health Foundation of Health Services for American Indians & Alaska Natives
Documents the transformation and assimilation of community and public health programs providing federal healthcare services for American Indians/Alaska Natives from the 1800s to present time.
Author(s): Everett R. Rhoades, Dorothy A. Rhoades
Citation: American Journal of Public Health, 104(Suppl 3), S278-S285
Date: 06/2014
Type: Document
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Suicide Among Young Alaska Native Men: Community Risk Factors and Alcohol Control
Results of a study examining the variation in suicide rates among rural Alaskan Native men.
Author(s): Matthew Berman
Citation: American Journal of Public Health, 104(Suppl 3), S329-S335
Date: 06/2014
Type: Document
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Colorectal Cancer Screening Among American Indians in a Pacific Northwest Tribe: Cowlitz Tribal BRFSS Project, 2009-2010
Describes the demographics, health status, prevalence of risk factors, and use of screening techniques in a non-reservation-based American Indian tribe. Includes breakdowns by age group, sex, marital status, employment status, education level, annual household income, insurance status, and various risk factors.
Author(s): Annika G. Maly, Tessa L. Steel, Rongwei Fu, David A. Lieberman, Thomas M. Becker
Citation: Public Health Reports, 129(3)
Date: 05/2014
Type: Document
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Pediatric Emergency Care Capabilities of Indian Health Service Emergency Medical Service Agencies Serving American Indians/Alaska Natives in Rural and Frontier Areas
Analyzes the Indian Health Service's (IHS) emergency medical services (EMS) agencies services for children. Discusses the importance of EMS services for healthcare access and challenges IHS EMS agencies face.
Author(s): Andrea L. Genovesi, Betty Hastings, Elizabeth A. Edgerton, Lenora Olson
Citation: Rural and Remote Health, 14(2), 2688
Date: 05/2014
Type: Document
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Shared and Unshared Barriers to Cancer Symptom Management Among Urban and Rural American Indians
Reports on a 5-year study measuring cancer symptom management in both rural and urban American Indian (AI) populations in the southwestern U.S. Separates findings into shared barriers, such as transportation and lack of support services, and unshared barriers, such as cultural beliefs about treatment and language differences, between rural and urban groups.
Author(s): Tracy Line Itty, Felicia Schanche Hodge, Fernando Martinez
Citation: Journal of Rural Health, 30(2), 206-213
Date: 04/2014
Type: Document
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Reducing Rural Suicide
Describes the efforts of psychologists searching for innovative ways to reach out to people in isolated communities. Includes a specific focus on Native American and veteran populations to address stigma, access to care, and create a preventive environment.
Author(s): Rebecca A. Clay
Citation: APA Monitor on Psychology, 45(4), 36
Date: 04/2014
Type: Document
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The Oral Health of 6-9 Year Old American Indian and Alaska Native Children
Provides an overview of the oral health status of children in kindergarten through third grade identified as American Indian/Alaska Native using data from the 2011-2013 Indian Health Service (IHS) oral health surveillance survey.
Author(s): Kathy R. Phipps, Timothy L. Ricks, Patrick Blahut
Date: 03/2014
Type: Document
Sponsoring organization: Indian Health Service
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Rates of Substance Use of American Indian Students in 8th, 10th, and 12th Grades Living on or Near Reservations: Update, 2009-2012
Analyzes data from a large sample of American Indian students, showing lifetime, annual, and last-month use by grade. Includes breakdowns by type of drug and comparisons with substance abuse rates in a nationally representative group of secondary school students.
Author(s): Linda R. Stanley, Susan D. Harness, Randall C. Swaim, Fred Beauvais
Citation: Public Health Reports, 129(2)
Date: 03/2014
Type: Document
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Native American Housing: Additional Actions Needed to Better Support Tribal Efforts
Discusses housing challenges faced by tribal entities. Provides recommendations to address tribal housing challenges and to better support tribal efforts.
Additional links: Full Report
Date: 03/2014
Type: Document
Sponsoring organization: Government Accountability Office
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Strategies for Behavioral Health Organizations to Promote New Health Insurance Opportunities: In American Indian and Alaska Native Communities
Provides examples of successful outreach and enrollment strategies for organizations to use when introducing health insurance options to American Indian and Alaska Native communities.
Date: 03/2014
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Ecology of Health Care: The Need to Address Low Utilization in American Indians/Alaska Natives
Compares the self-reported health of the American Indian/Alaska Native population and their use of healthcare services to the rest of the U.S. population. Discusses potential reasons for disparities.
Author(s): Elise A.G. Duwe, Stephen Petterson, Claire Gibbons, Andrew Bazemore
Citation: American Family Physician, 89(3), 217-218
Date: 02/2014
Type: Document
Sponsoring organization: Robert Graham Center
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Continuity and Change: Demographic, Socioeconomic and Housing Conditions of American Indians and Alaska Natives
Provides a snapshot of the housing needs and conditions for American Indian and Alaska Native populations. Includes statistics on population growth, housing conditions, social and economic conditions.
Author(s): Kathryn L. S. Pettit, G. Thomas Kingsley, Jennifer Biess, et al.
Date: 01/2014
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
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Indian Health Care: Impact of the Affordable Care Act (ACA)
Summarizes key changes made in the re-authorization of the Indian Health Care Improvement Act (IHCIA), including the Affordable Care Act (ACA) provisions related to American Indians and Alaska Natives enrolled in and receiving services from Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).
Date: 01/2014
Type: Document
Sponsoring organization: Congressional Research Service
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Food Sovereignty Assessment Tool, 2nd Edition
Features guidance for tribes to assess their tribal food sovereignty. Discusses the development of local food sources to support the health, nutrition, and economy of tribal communities. Requires creation of a free login to download reports.
Date: 2014
Type: Document
Sponsoring organization: First Nations Development Institute
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3 Cycle Comparison of Native American Elder Abuse Indicators
Poster presenting a comparison of three consecutive data collection periods from 2007-2014 that show possible indicators of Native American elder abuse.
Author(s): Sloan Henry, Jacqueline S. Gray, Paula M. Carter
Date: 2014
Type: Document
Sponsoring organization: National Indigenous Elder Justice Initiative
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The State of Health Equity Research: Closing Knowledge Gaps to Address Inequities
Reports results of an analysis of health disparities research funded between 2007 and 2011. Finds that certain populations which experience disparities, including rural populations and Native Americans, are underrepresented in the research. Reports on the health conditions most studied and geographic distribution of studies. Describes a trend to more research on solutions rather than just description of health disparities.
Author(s): AAMC Health Equity Research and Policy Staff
Date: 2014
Type: Document
Sponsoring organization: AcademyHealth
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Risk, Reward, and the Double-Edged Sword: Perspectives on Pharmacogenetic Research and Clinical Testing Among Alaska Native People
Examines the relationship between native populations in rural Alaska and the use of ethnically specific research regarding prescription drug effectiveness. Provides responses from Alaskan Natives concerning the use of data collected and recommendations for the role of tribal leadership in the advancement of pharmacogenetics.
Author(s): Jennifer L. Shaw, Renee Robinson, Helene Starks, Wylie Burke, Denise A. Dillard
Citation: American Journal of Public Health, 103(12), 2220-2225
Date: 12/2013
Type: Document
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Indian Health Service: Opportunities May Exist to Improve the Contract Health Services Program
Examines the challenges involved with timely payments from the Indian Health Service's (IHS) Contract Health Services Program for the care of American Indians and Alaska Natives. Covers IHS's performance measures and other factors that impact the length of time between the provision of healthcare services and IHS Contract Health Services Program reimbursements to providers.
Additional links: Full Report
Date: 12/2013
Type: Document
Sponsoring organization: Government Accountability Office
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A Roadmap to Making Native America Safer
A report to the President and Congress detailing the challenges of jurisdiction, law enforcement, and prosecution for tribal governments. Includes a discussion of the need for intergovernmental cooperation, alternative detention options, and juvenile justice preventions.
Date: 11/2013
Type: Document
Sponsoring organization: Indian Law and Order Commission
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Coordination of Tribal TANF and Child Welfare Services: Early Implementation
Describes the activities of 14 tribes and tribal organizations that received demonstration grants from the Office of Family Assistance (OFA) for Coordination of Tribal TANF and Child Welfare Services to Tribal Families at Risk of Child Abuse or Neglect. Addresses models for coordinating service delivery, services and activities implemented by grantees, grantee progress, and key findings.
Author(s): Pirkko Ahonen, Kim Keating, Julie Morales, et al.
Date: 11/2013
Type: Document
Sponsoring organization: Administration for Children and Families
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Health Coverage and Care for American Indians and Alaska Natives
Issue brief describing health insurance coverage and healthcare services in 2013 for American Indians and Alaska Natives. Covers potential implications of the Affordable Care Act (ACA) coverage expansions.
Additional links: Appendices, Executive Summary
Author(s): Samantha Artiga, Rachel Arguello, Philethea Duckett
Date: 10/2013
Type: Document
Sponsoring organization: Kaiser Family Foundation
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A Roadmap for Collaborative and Effective Evaluation in Tribal Communities
A resource to build evaluation knowledge and skills of tribes, evaluation partners, and other stakeholders to conduct more useful and meaningful evaluations. Focused on evaluation of child welfare programs, but applicable to evaluation of other types of programs.
Date: 09/2013
Type: Document
Sponsoring organization: Administration for Children and Families
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A Descriptive Study of Tribal Temporary Assistance for Needy Families (TANF) Programs
Provides an in-depth, systematic description of program implementation, operations, outputs, and outcomes of four Tribal TANF programs: the Navajo Nation Program for Self Reliance, Oneida Tribe of Wisconsin's Tribal TANF program, the Tanana Chief Conference's Athabascan Self-Sufficiency Assistance Project, and South Puget Intertribal Planning Agency's Tribes Assisting Native Families program.
Author(s): Heather Hahn, Olivia Healy, Chris Narducci, Walter Hillabrant
Date: 09/2013
Type: Document
Sponsoring organization: Administration for Children and Families
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Housing on Native American Lands
Describes social, economic, and housing characteristics prevalent on Native American lands. Includes information on housing quality.
Date: 09/2013
Type: Document
Sponsoring organization: Housing Assistance Council
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Health Literacy, Health Communication Challenges, and Cancer Screening among Rural Native Hawaiian and Filipino Women
Details a study based on 6 focus groups with Native Hawaiian and Filipino women in rural Hawaii. Breaks down participants' data by cancer screening history, family and personal history with cancer, self-reported health literacy, and demographic information, such as race, age, educational attainment, and marital status, among others. Also discusses cultural competency and language barriers.
Author(s): Tetine Sentell, May Rose Dela Cruz, Hyun Hee Heo, Katheryn Braun
Citation: Journal of Cancer Education, 28(2), 325-334
Date: 06/2013
Type: Document
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Cooperative Strategies to Develop Effective Stroke and Heart Attack Awareness Messages in Rural American Indian Communities, 2009-2010
Describes implementation of culturally specific public awareness media campaigns designed by the Montana Cardiovascular Health Program and two tribal health departments to improve early recognition of heart attack and stroke warning signs.
Author(s): Carrie S. Oser, Dorothy Gohdes, Crystelle C. Fogle, et al.
Citation: Preventing Chronic Disease, 10
Date: 05/2013
Type: Document
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Elder Abuse in American Indian and Alaska Native Communities
Analyzes utilization rates of elder abuse prevention programs and tribal programs among American Indian and Alaskan Native communities as an indicator for those at risk of abuse.
Author(s): Jacob Davis
Date: 05/2013
Type: Document
Sponsoring organization: National Resource Center on Native American Aging
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Sequestration: The Impact on the Most At-Risk Population - Native Youth
Describes agencies and programs providing services to Native American youth regarding health programs and services, education, housing, juvenile justice, child welfare, and social services. Covers the effects of sequestration on those services and shares impact stories from the perspective of Native American youth.
Date: 05/2013
Type: Document
Sponsoring organization: Aspen Institute
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A Vision for Wellness and Health Equity for American Indian and Alaska Native Boys and Men
Discusses the health and wellness disparities among American Indian and Native Alaska boys and men.
Date: 05/2013
Type: Document
Sponsoring organization: Men's Health Network
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The Decrease in the Unintentional Injury Mortality Disparity Between American Indians/Alaska Natives and Non–American Indians/Alaska Natives in New Mexico, 1980 to 2009
Studies the change in accidental death rates of Native American and Alaska Native populations compared to non-native populations in New Mexico from 1980-2009. Includes statistics broken down by cause of injury, ethnicity, gender, age, and date.
Author(s): Glenda Hubbard, Pallavi Pokhrel, Larry Nielsen, Michael Landen
Citation: American Journal of Public Health, 103(4), 747-754
Date: 04/2013
Type: Document
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Health Ownership in American Indigenous Communities
Examines the efficacy of the Indian Health Service (IHS) and the relative few tribal healthcare systems respectively in their sociopolitical contexts, to determine their utility among the financial constraints of IHS.
Author(s): Matthew Nelson
Citation: Rural and Remote Health, 13(2), 2302
Date: 04/2013
Type: Document
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Gaps in Survey Data on Cancer in American Indian and Alaska Native Populations: Examination of US Population Surveys, 1960-2010
Lists major federal surveys on cancer in American Indians and Alaska Natives (AI/AN). Documents the sample size and data collection methods, and identifies gaps in the types of cancer-related information collected. Subtopics range from prevention to survivorship.
Author(s): Shinobu Watanabe-Galloway, Tinka Duran, Jim P. Stimpson, Corey Smith
Citation: Preventing Chronic Disease, 10
Date: 03/2013
Type: Document
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Trends and Correlates of Child Passenger Restraint Use in 6 Northwest Tribes: The Native Children Always Ride Safe (Native CARS) Project
Examines the use of proper child restraints in vehicles and the additional risk factors present with improper restraint in American Indian tribes in Oregon, Washington, and Idaho, including statistics that compare results from 2003 and 2009. Focuses on a community-based program among tribes to increase child safety.
Author(s): Jodi A. Lapidus, Nicole Holdaway Smith, Tam Lutz, Beth E. Ebel
Citation: American Journal of Public Health, 103(2), 355-361
Date: 02/2013
Type: Document
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Effect of a Paraprofessional Home-Visiting Intervention on American Indian Teen Mothers' and Infants' Behavioral Risks: A Randomized Controlled Trial
Examines the impact of a paraprofessional-delivered, home-visiting pregnancy and early childhood intervention on teen mothers' parenting outcomes and children's emotional and behavioral functioning within four southwestern tribal communities.
Author(s): A Barlow, B Mullany, N Neault, et al.
Citation: American Journal of Psychiatry, 170(1), 83-93
Date: 01/2013
Type: Document
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Best Practices in American Indian & Alaska Native Public Health
Provides an overview of tribal epidemiology centers (TECs), focusing on their impact on the availability and quality of public health surveillance data for American Indians and Alaskan Natives. Discusses challenges with collecting data for this population and strategies TECs are using to address these issues. Offers examples of best practices from tribal epidemiology centers on various health topics, including cancer, mental health, tobacco use, and more.
Date: 2013
Type: Document
Sponsoring organization: Tribal Epidemiology Centers
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2010 Census Tribal Tract Reference Maps
Lists federal American Indian reservation maps showing tribal census tracts and tribal block groups.Maps show the boundaries and names of American Indian reservations and off-reservation trust lands, Alaska Native areas, Hawaiian home lands, states, counties, county subdivisions and places.
Date: 2013
Type: Map/Mapping System
Sponsoring organization: U.S. Census Bureau
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Rural Natives' Perceptions of Strengths and Challenges in Their Communities
Explores how Native Americans and Alaskan Natives view the state of their socioeconomic and environmental communities now and for the future. Analyzes data from two sources: the Community and Environment in Rural America (CERA) surveys and focus groups with Native leaders in one rural state.
Author(s): Jessica D. Ulrich-Schad
Date: 2013
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Continuing Education Training Focused on the Development of Behavioral Telehealth Competencies in Behavioral Healthcare Providers
Examines the impact of a Behavioral Telehealth Ethical Competencies Training Program on 16 behavioral health providers' developing a behavioral telehealth competency education training program. Explores the 14 behavioral telehealth competencies using video vignettes and self-reported competence surveys to determine the effectiveness of the training program.
Author(s): Valerie Gifford, Britton Niles, Inna Rivkin, Catherine Koverola, Jodi Polaha
Citation: Rural and Remote Health, 12(4), 2108
Date: 12/2012
Type: Document
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Culture as a Social Determinant of Health: Examples from Native Communities
Describes the role that culture plays in health for Native Americans. Discusses the importance of cultural competence for healthcare providers, and includes recommendations for healthcare providers and policymakers.
Author(s): James Knibb-Lamouche
Date: 11/2012
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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A Profile of Tribal Health Departments
Explores services offered by tribal health departments and compares those services to local health departments of a similar size.
Additional links: Policy Brief
Author(s): Alana Knudson, Aleena Hernandez, Jessica Kronstadt, et al.
Date: 06/2012
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Characteristics of Telemental Health Service Use by American Indian Veterans
Details a study on the use of telemedicine to treat post-traumatic stress disorder among American Indian and Alaska Native veterans. Discusses the use of video conferencing to provide access to care for rural Native veterans seeking mental health services.
Author(s): Dr. Jay H. Shore, Dr. Elizabeth Brooks, Dr. Heather Anderson, et al.
Citation: Psychiatric Services, 63(2), 179-181
Date: 02/2012
Type: Document
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Role of Telehealth/Videoconferencing in Managing Cancer Pain in Rural American Indian Communities
Determines the feasibility and effect of using videoconferencing to deliver cancer-related pain management education and case consultation to healthcare providers in rural American Indian and Alaskan Native communities. Analyzed data from 52 providers at 11 sites participating in educational sessions and 93 provides at 16 sites participating in case conferences at tribal clinics in Alaska and Washington.
Author(s): Emily Haozous, Ardith Z. Doorenbos, George Demiris, et al.
Citation: Psycho-Oncology, 21(2), 219-223
Date: 02/2012
Type: Document
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American Indian and Alaska Native Population for Nonmetropolitan Counties
Printable map that shows the percent of the U.S. population by county who are American Indian or Alaska Native. Source: U.S. Census Bureau, 2010 Decennial Census, Summary File 1.
Date: 2010
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Best and Promising Practices for the Implementation of Zero Suicide in Indian Country
Outlines methods for creating suicide-safe practices for healthcare systems in American Indian communities. Breaks down the framework by steps in the intervention and highlights best and promising practices for each.
Type: Document
Sponsoring organization: Zero Suicide in Health and Behavioral Health Care
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Indian Health Service - Fact Sheets
Lists fact sheets pertaining to the health and well-being of American Indian and Alaska Native individuals and tribal communities. Fact sheets outline various issues affecting the health of Native communities, as well as providing general information about IHS.
Type: Website
Sponsoring organization: Indian Health Service
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Tribal Health
Outlines the work done by the Centers for Disease Control and Prevention (CDC) in supporting health and chronic disease prevention for American Indians and Alaska Natives.
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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A Guide to Requesting Health Data Reports within a Federally Recognized Tribe
Presents guidance on accessing health data within federally recognized tribes of American Indians and Alaska Natives. Provides a brief summary of Tribal Epidemiology Centers.
Type: Document
Sponsoring organization: U.S. Environmental Protection Agency
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Naloxone Training Toolkit
Toolkit lays out training for Indian Health Services providers and first responders on supplying and administering naloxone to patients experiencing an opioid overdose. Highlights training program materials, forms, and videos to support professionals in American Indian and Alaska Native communities.
Type: Website
Sponsoring organization: Indian Health Service
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Recommendations to the Indian Health Service on American Indian/Alaska Native Pregnant Women and Women of Childbearing Age with Opioid Use Disorder
Report details recommendations from the American College of Obstetricians and Gynecologists to the Indian Health Service on best practices for treating pregnant American Indian and Alaska Native women with opioid use disorder (OUD). Discusses screening for OUD, medication-assisted treatment (MAT), and care integration, among other factors.
Type: Document
Sponsoring organization: The American College of Obstetricians and Gynecologists
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The Tribal Resource Tool: A Searchable Directory of All Services Available for AI/AN Survivors of Crime and Abuse in Indian Country
Features an interactive map highlighting the services for American Indian and Alaska Native survivors of crime and abuse in North America. Provides contact information and web address of service providers.
Type: Directory
Sponsoring organization: National Center for Victims of Crime
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Tribal Nursing Home Best Practices: Trauma and Person-Centered Care
Highlights a report on trauma and person-centered care practices of three tribal nursing homes in Nebraska, Alaska, and South Dakota. Discusses best practices for caring for patients dealing with the repercussions of elder and child abuse, sexual assault, and historical trauma, among other traumatic experiences.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Tribal Nursing Homes: Review of Resources: Caring for Adults with Disabilities
Features a report on long-term care facilities operated by tribal nations and American Indian and Alaska Native organizations and focuses on caring for Native American adults with disabilities. Presents interviews done with the leadership of long-term care facilities in three different tribal communities.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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LTSS Videos
Features videos discussing successful strategies and program examples for long-term services and support in American Indian and Alaska Native communities. Presents interviews from tribal health experts, elders, and caregivers, among others.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Community Health Aide Program Expansion
Details the Indian Health Service's (IHS) Community Health Aide Program (CHAP) expansion. Discusses the dental, behavioral, and community health integration program's expansion to rural American Indian communities in the lower 48 states.
Type: Website
Sponsoring organization: Indian Health Service
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Pain and Opioid Use Disorder
Discusses the use of prescription opioids and outlines proper pain management for Indian Health Services (IHS) patients and providers. Features resources for providers and American Indian and Alaska Native communities in the areas of crisis response, medication assisted treatment (MAT), prevention, maternal/child health, pain management, supplemental opioid funding for IHS facilities, and more.
Type: Website
Sponsoring organization: Indian Health Service
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Nourishing Native Foods & Health
Features several guides, assessments, and other resources on tribal food sovereignty. Explores the planning, development, and assessment of local food sources in tribal communities. Requires creation of a free login to download reports.
Type: Website
Sponsoring organization: First Nations Development Institute
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Strengthening Tribal & Community Institutions
Highlights several reports on grant seeking and philanthropy for American Indian and Alaska Native organizations. Features funding guidance and resources to support Native American institutions. Requires creation of a free login to download reports.
Type: Website
Sponsoring organization: First Nations Development Institute
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Pain Management
Details the Indian Health Service guidelines on pain management. Features information on chronic pain, patient assessment, opioids, and other factors pertaining to the treatment of pain.
Type: Document
Sponsoring organization: Indian Health Service
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Long-Term Services and Supports Technical Assistance Center
Presents information, resources, and guidance for American Indian and Alaska Native communities to plan, develop, and implement programs to care for their elderly and disabled members. Provides webinars, program examples, and planning guides for tribal leaders and community members.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Native Agriculture Research and Reports
Presents several reports on tribal food sovereignty. Discusses the development of local food sources to support the health, nutrition, and economy of tribal communities. Features national assessments and case studies of individual tribes. Requires creation of a free login to download reports.
Type: Document
Sponsoring organization: First Nations Development Institute
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Long-Term Services and Supports Newsletter
Presents archived newsletters for the LTSS TA Center. Features news, funding, events, and online resources for those involved with or interested in long-term care for Native elders.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Alaska Native Collaborative Hub for Research on Resilience (ANCHRR)
Presents an NIH funded program to support efforts to reduce suicide among Alaska Native (AN) youth. Assists in the development of tribal capacity to conduct research and promote well-being.
Type: Website
Sponsoring organization: National Institutes of Health
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NIEJI Online Interactive Education
Presents a training module for educating tribal leaders, healthcare providers, and community members to address Native elder abuse. Includes information on prevention, intervention, and support for Native elders.
Type: Video/Multimedia
Sponsoring organization: National Indigenous Elder Justice Initiative
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AI/AN Community Crisis Response Guidelines
Details suicide prevention guidelines for American Indian and Alaska Native communities. Presents separate guidelines for the tribal-level, IHS Area-level, IHS Headquarters-level, and for a local response team, including protocols and an appendix.
Type: Document
Sponsoring organization: Indian Health Service
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IHS Dental Portal
Presents essential resources and data pertaining to oral health in the Indian Health Service.
Type: Website
Sponsoring organization: Indian Health Service
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ANA Success Stories
Presents success stories of American Indian community programs that have received funding from the Administration for Native Americans. Details the tribe or community, type of program, and the needs met by the program.
Type: Website
Sponsoring organization: Administration for Native Americans
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Healthy Native Youth
Website presents culturally-appropriate sexual health curricula that reflect the values and learning styles of American Indian and Alaska Native youth. Allows educators to review various curricula and provides a form for curricula submission.
Type: Website
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National Tribal Water Center
Information and tools for tribal communities that manage water and wastewater systems. Offers a water resource library, toolkit, and other resources for water utility staff and local leaders.
Type: Website
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StrongHearts Native Helpline
Free and confidential hotline offering assistance and resources to Native Americans affected by domestic violence and dating violence.
1.844.7NATIVE (1.844.762.8483)
Type: Hotline
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CRCAIH: All Training and Resources
A collection of training materials and other supporting resources to increase tribal communities' capacity for research and increase the amount of quality, innovative research in American Indian health. Includes tools focused on research methodology, research regulation, culture, community engagement, and more.
Type: Website
Sponsoring organization: Collaborative Research Center for American Indian Health
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HIV Among American Indians and Alaska Natives
Highlights the estimated numbers of HIV and AIDS diagnoses among American Indians and Alaska Natives, with data provided by transmission category and gender.
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Health Reporter
Quarterly newsletter of the National Indian Health Board (NIHB) providing updates on current NIHB programs and information on other important tribal health issues.
Type: Journal/Newsletter
Sponsoring organization: National Indian Health Board
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Public Health Digest
National Indian Health Board (NIHB) newsletter that shares the latest developments in tribal public health, as well as project updates, upcoming events, and informative articles on relevant tribal public health topics.
Type: Journal/Newsletter
Sponsoring organization: National Indian Health Board
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Washington Report
Newsletter produced by the National Indian Health Board (NIHB) focusing on congressional events, passed and pending legislation, policy analysis, and other noteworthy topics affecting Indian healthcare at the federal level.
Type: Journal/Newsletter
Sponsoring organization: National Indian Health Board
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NIHB Affordable Care Act Toolkit for Native Youth
Provides a variety of resources, including downloadable materials, designed to educate Native youth about the opportunities and concepts included in the Affordable Care Act (ACA). Offers information and assistance in the areas of the ACA, Medicaid, health insurance enrollment, tribal outreach and education, and Native specific benefits.
Type: Website
Sponsoring organization: National Indian Health Board
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The Indian Health Delivery System
Explains the origins of the Indian Health Service (IHS), how services are funded, and details the major legal and legislative events that shaped the current relationship between the tribal, state, and federal governments.
Type: Document
Sponsoring organization: National Indian Health Board
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Diabetes Prevention Program Toolkit
Provides instructions for designing and implementing a diabetes prevention program in Native communities. Shares best practices and lessons learned from 38 test programs that were conducted under the Special Diabetes Program for Indians (SDPI) Diabetes Prevention (DP) grant program. Provides guidance in the areas of developing support, activity planning, recruiting and coaching of participants, staffing, and more.
Type: Website
Sponsoring organization: Indian Health Service
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Healthy Heart Toolkit
Shares a variety of resources designed to help Native communities implement a cardiovascular disease risk reduction program. Based on the strategies used by the Special Diabetes Program for Indians (SDPI) Healthy Heart (HH) grantees, the toolkit can be adapted to best suit community needs and provides guidance in the areas of partnership development, participant recruitment, staffing, messaging, and more.
Type: Website
Sponsoring organization: Indian Health Service
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Health Equity Change Makers: Elk's Story
A video describing the Northern Arapaho Horse Culture class, a suicide and substance abuse prevention program that uses Native American culture and horsemanship to encourage youth to work through challenges and build resiliency. The program is part of the Northern Arapaho Suicide Prevention Program on the Wind River Reservation in Wyoming funded by the Indian Health Service. Length: 2:25
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Health and Human Services Office of Minority Health
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HealthCare.gov: Health Coverage for American Indians & Alaska Natives
Provides one-stop information for consumers on health insurance coverage, how to get covered, and requirements related to health insurance specific to American Indian/Alaska Native populations.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicaid and American Indians and Alaska Natives
Provides an overview of the relationship between Medicaid coverage and American Indian and Alaska Native (AI/AN) populations. Analyzes the impacts of Medicaid expansion and insurance coverage for AI/AN populations. Appendix shows state-specific changes in health insurance coverage for AI/AN populations between 2013 and 2015.
Type: Document
Sponsoring organization: Kaiser Family Foundation
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IHS Suicide Prevention Program
Provides information and resources to support suicide prevention programs in American Indian and Alaska Native (AI/AN) communities. Also provides the resources to help AI/AN communities and individuals recover from the grief caused by suicide.
Type: Website
Sponsoring organization: Indian Health Service
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Services for Native Americans (OAA Title VI)
Lists the resources available under the U.S. Department of Health & Human Services' Administration on Aging (AoA) for Native Americans including services for nutrition, caregivers, elders, as well as grant opportunities.
Type: Website
Sponsoring organization: Administration for Community Living
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SAMHSA's Tribal Training and Technical Assistance Center
Provides culturally relevant and evidence-based training and technical assistance on mental health and substance use disorders, and suicide prevention to federally recognized tribes, other American Indian/Alaska Native communities, SAMHSA tribal grantees and other organizations that serve Indian Country.
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Tribalhealthcare.org
Provides training tools for community representatives and consumer-oriented education materials to assist American Indians and Alaska Natives in understanding their rights and opportunities under the Affordable Care Act (ACA) and Indian Health Care Improvement Act (IHCIA). Produced by the National Indian Health Outreach and Education Initiative.
Type: Website
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FastStats: Health of American Indian or Alaska Native Population
Contains health-related statistics for the American Indian or Alaska Native population. Statistics include: population, live births, health status, health risk factors, access to health care, mortality rates, and more.
Type: Website
Sponsoring organization: National Center for Health Statistics
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Keep it Sacred: National Native Network
Provides a forum for tribes and tribal organizations to obtain and disseminate evidence-based and culturally appropriate information in order to identify and eliminate health disparities related to commercial tobacco abuse.
Type: Website
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PubMed Search: Tribal Health in Rural Areas
Searches PubMed's collection of journal article citations on the topic of tribal health in rural areas.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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American Indian and Alaska Native Mental Health Research
A professionally refereed scientific journal. Contains empirical research, program evaluations, case studies, unpublished dissertations, and other articles in the behavioral, social, and health sciences which relate to the mental health status of American Indians and Alaska Natives.
Type: Journal/Newsletter
Sponsoring organization: Centers for American Indian and Alaska Native Health
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American Indian/Alaska Native Profile
Presents statistics and data on American Indians and Alaska Natives throughout the United States. Includes demographics, education, economics, insurance coverage, and health. Includes data on specific health conditions.
Type: Website
Sponsoring organization: U.S. Department of Health and Human Services Office of Minority Health
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American Indian/Alaska Native Suicide Prevention
Provides resources and information for professionals and other individuals working with American Indian and Alaska Native populations to support suicide prevention and promote mental health. Includes information on a culturally relevant approach to suicide prevention.
Type: Website
Sponsoring organization: Suicide Prevention Resource Center
view details
Native Aging Fact Sheets
A list of fact sheets regarding Native American aging.
Type: Website
Sponsoring organization: University of North Dakota Center for Rural Health
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IHS Health Promotion/Disease Prevention Success Stories
A collection of best practices, promising practices, local case studies, resources, and policies concerning healthcare for Native American communities.
Type: Website
Sponsoring organization: Indian Health Service
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Native American Elderly Service Locator
Directory of all tribal elderly services available in the United States. Search by state and service type.
Type: Directory
Sponsoring organization: National Resource Center on Native American Aging
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CMS American Indian/Alaska Native Center
Provides information about American Indian/Alaska Native health as related to Medicare and Medicaid services.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Office of Family Assistance: Tribal Programs
Provides an overview of tribal programs addressing welfare, jobs, and child welfare. Includes information on Tribal Temporary Assistance to Needy Families (TANF), including reports, policy and guidance, and more.
Type: Website
Sponsoring organization: Administration for Children and Families
view details
U.S. Census Bureau Intergovernmental Affairs: Tribal Affairs
Highlights the Census Bureau's relationship with tribal governments and provides important American Indian and Alaska Native (AI/AN) and tribal resources. Includes access to AI/AN data tables and data tools.
Type: Database
Sponsoring organization: U.S. Census Bureau
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Tribal Domestic Violence Courts and Tribal Domestic Violence Dockets
Provides information on tribal domestic courts and domestic violence dockets. Enables access to publications and resources addressing tribal domestic violence, and includes summaries of laws related to domestic violence issues.
Type: Website
Sponsoring organization: Tribal Law and Policy Institute
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IHS Fact Sheets
Offers information on specific healthcare topics concerning American Indians and Alaska Natives. Covers health disparities, IHS programs, health services, and more.
Type: Website
Sponsoring organization: Indian Health Service
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Native America Calling
A live call-in program that links public radio stations and listeners together, and covers issues specific to Native communities, including health topics.
Type: Website
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Native Health Database
Includes citations and abstracts of health-related articles, reports, surveys, and other resource documents pertaining to the health and healthcare of American Indians, Alaska Natives, and Canadian First Nations.
Type: Database
Sponsoring organization: University of New Mexico Health Sciences Library and Informatics Center
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Native Aging Visions
Newsletter with articles that address Native aging, health, and related issues. Also includes updates on the work of the National Resource Center on Native American Aging.
Type: Journal/Newsletter
Sponsoring organization: National Resource Center on Native American Aging
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 11/21/2019