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Rural Tribal Health Resources

Selected recent or important resources focusing on Rural Tribal Health.

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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FLH Office of Tribal Transportation Program Delivery Guide - 2018
Highlights a 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
Presents an Office of Inspector General's report 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 a 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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Field Oversight Hearing on “Overcrowded Housing and the Impacts on American Indian and Alaska Natives.”
Presents a field hearing of the Senate Committee on Indian Affairs in Savoonga, AK on the effect the lack of housing is having on the Native Village of Savoonga tribe. Features testimony from representatives of the Native Village of Savoonga, 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
Presents a study on the Indian Health Service's (IHS) progress in filling 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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A Portrait of American Indian and Alaska Native Children and Families
Describes the population 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 including 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), a 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
Details a report 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), 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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Drinking Water and Wastewater Infrastructure: Opportunities Exist to Enhance Federal Agency Needs Assessment and Coordination on Tribal Projects
Presents a report 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 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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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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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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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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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: 2018
Type: Document
Sponsoring organization: American Heart Association
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Tribal Nursing Home Best Practices: Emergency Preparedness
Describes emergency preparedness approaches of 5 tribal nursing homes in the states of 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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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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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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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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Pine Ridge Agriculture Economy (PRAE)
Describes the initiative on Pine Ridge Indian Reservation to enhance the economy of the reservation through job creation. Initiative was designed to help families achieve an acceptable standard of living while utilizing technology and effective value-added techniques, to incorporate sustainable and natural resource conservation, attract individuals to agriculture, and support self-sufficiency, while also creating a sustainable and healthy food supply for the community.
Date: 01/2017
Type: Document
Sponsoring organization: U.S. Department of Agriculture
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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 it's 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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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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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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Collaborating for Prosperity with American Indians and Alaska Natives: Programs for 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. Also includes program specific details and contact information for the RD office in each state.
Date: 11/2016
Type: Document
Sponsoring organization: USDA Rural Development
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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. in an infographic. Includes source slides.
Date: 11/2016
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Percent of Population that Identifies as American Indian or Alaska Native, 2015
Map showing by county the percent of population that identifies as American Indian or Alaska Native, with urban areas marked. Based on 2015 U.S. Census Bureau data.
Date: 11/2016
Type: Map/Mapping System
Sponsoring organization: USDA Economic Research Service
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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
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
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
Results of a GAO examination of the 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, and 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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Closing Gaps in Native American Health
Health issue brief describing 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 or 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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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
Analyzed 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)
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)
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)
Date: 2015
Type: Document
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Trends in Indian Health: 2014 Edition
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 concerning 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, 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, with 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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Tribal Health Profession Opportunity Grants (HPOG) Program Evaluation: Interim Report
Introduces the five Tribal Health Profession Opportunity Grants grantee programs and provides initial evaluation results related to program structure, program processes, and education and employment outcomes.
Author(s): Michael Meit, Carol Hafford, Katherine Meyer, et al.
Date: 03/2014
Type: Document
Sponsoring organization: Administration for Children and Families
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Ecology of Health Care: The Need to Address Low Utilization in American Indians/Alaska Natives
Outlines how the health of the American Indian/Alaska Native population and access to healthcare are lagging despite federal efforts to address the healthcare gap.
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 of American Indians and Alaska Natives (AIANs). 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 fourteen 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.
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 the current health coverage and care for American Indians and Alaska Natives and 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, Tanana Chiefs Conference, Athabascan Self-Sufficiency Assistance Project, and South Puget Intertribal Planning Agency.
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, and 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 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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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. Fourteen behavioral telehealth competencies were developed that require an understanding of the roles and responsibilities of a behavioral telehealth coordinator working at a distal site and of a therapist. Behavioral telehealth competency training was provided to 21 providers, six of those were from rural areas in Alaska and evaluated using video vignettes and self-reported competence surveys.
Author(s): Valerie Gifford, Britton Niles, Inna Rivkin, Catherine Koverola, Jodi Polaha
Citation: Rural and Remote Health, 12, 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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Demographic Profile of Indian Country
Provides a broad range of American Indian statistics and data including population characteristics, tribal economies, tribal lands, health status, public safety & security, veterans status, housing, living conditions, and education. Based on data from Census 2010 and other sources.
Date: 11/2012
Type: Document
Sponsoring organization: National Congress of American Indians
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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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The Last Frontier: Innovative Efforts to Reduce Colorectal Cancer Disparities Among the Remote Alaska Native Population
Measures changes in rate of colorectal cancer screening among the Alaska Native population in rural and remote Alaska between 2005 and 2010. Reports the impact of intervention programs, such as itinerant endoscopy screening clinics and outreach by patient navigators, on rates of screenings.
Author(s): Diana Redwood, Ellen Provost, David Perdue, Donald Haverkamp, David Espey
Citation: Gastrointestinal Endoscopy, 75(3), 474-480
Date: 03/2012
Type: Document
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Weight Status of American Indian and White Elementary School Students Living in the Same Rural Environment, Oklahoma, 2005-2009
Compares statistics on American Indian and white students at three schools in Anadarko, Oklahoma, with categories ranging from underweight to very obese. Includes breakdowns by year, weight status, race, sex, and age.
Author(s): Amanda E. Janitz, William E. Moore, Aietah L. Stephens, Kathryn E. Abbott, June E. Eichner
Citation: Preventing Chronic Disease, 9
Date: 03/2012
Type: Document
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Fall Incidents and Native American Elderly
Presents the results of Identifying Our Needs: A Survey of Elders that was conducted between 2008 and 2011, by tribal members for over 300 American Indian tribes, Alaskan villages, and Hawaiian homesteads throughout Indian Country.
Author(s): Jacqueline S. Gray, Saundra Schlafmann
Date: 03/2012
Type: Document
Sponsoring organization: National Resource Center on Native American Aging
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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 state.
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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Implications of Health Reform for American Indian and Alaska Native Populations
Outlines provisions in the Affordable Care Act that affect American Indian/Alaska Native (AI/AN) populations.
Author(s): Carolyn Ingram, Shannon M. McMahon, Veronica Guerra, Alice Weiss
Date: 02/2012
Type: Document
Sponsoring organization: Center for Health Care Strategies
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'Walk Softly and Listen Carefully': Building Research Relationships with Tribal Communities
Provides an overview of partnership research approaches for studying health issues that impact American Indians and Alaska Natives (AI/ANs). Discusses the importance of researchers learning about culture, tribal sovereignty, and AI/AN experiences. Includes examples of two effective research partnerships and reflections of a tribal community organizer and a Native researcher.
Date: 2012
Type: Document
Sponsoring organizations: Montana State University Center for Native Health Partnerships, National Congress of American Indians
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Indian Health Focus: Women
A report focused on American Indian and Alaska Native women living in the Indian Health Services service area (approximately 57 percent of the AI/AN people residing in the U.S.). Includes data and statistics broken down by age, gender, employment status, prenatal and maternal health, live births, and morbidity and mortality.
Author(s): Yvette Roubideaux, Richard M. Church, Kirk Greenway
Date: 2012
Type: Document
Sponsoring organization: Indian Health Service
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Regional Differences in Indian Health: 2012 Edition
A statistical report from Indian Health Services including population, natality and infant/maternal mortality, general mortality/multiple cause, and patient care based on data gathered from the 12 Area Offices. Includes a glossary and detailed charts and maps.
Author(s): Yvette Roubideaux, Francis Frazier, Kirk Greenway
Date: 2012
Type: Document
Sponsoring organization: Indian Health Service
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We Will Be Known Forever by the Tracks We Leave: Rising up to Meet the Reproductive Health Needs of American Indian/Alaska Native Youth
Provides statistics on the rates of sexually transmitted diseases, teen birth, physical/sexual abuse, and alcohol/drug abuse among American Indian/Alaska Native (AI/AN) populations. Highlights innovative efforts to address these issues.
Author(s): Lori de Ravello, Scott Tulloch, Melanie Taylor
Citation: American Indian Alaska Native Mental Health Research, 19(1), i-x
Date: 2012
Type: Document
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Developing, Enhancing, and Sustaining Tribal Transit Services: A Guidebook
Offers guidance about the steps for planning and implementing a tribal transit system to assist with a variety of needs including clients with special needs in employment, education, healthcare, and other human services.
Date: 2012
Type: Document
Sponsoring organization: Transportation Research Board
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Photovoice for Healthy Relationships: Community-Based Participatory HIV Prevention in a Rural American Indian Community
Provides an example of a culturally responsive, community-based project for addressing social determinants of health in rural American Indian communities.
Author(s): Susan F. Markus
Citation: American Indian and Alaska Native Mental Health Research Journal, 19(1), 102-123
Date: 2012
Type: Document
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Alaska Native and Rural Youth Views of Sexual Health: A Focus Group Project on Sexually Transmitted Diseases, HIV/AIDS, and Unplanned Pregnancy
Focus groups studied the knowledge, attitudes, and beliefs of rural Alaska youth, both Alaska Native and non-Alaska Native, regarding STDs, HIV/AIDS, and unplanned pregnancy.
Author(s): Jessica D. Leston, Cornelia M. Jessen, Brenna C. Simons
Citation: American Indian and Alaska Native Mental Health Research Journal, 19(1), 1-14
Date: 2012
Type: Document
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Responses to the Co‐Occurrence of Child Maltreatment and Domestic Violence in Indian Country: Repairing the Harm and Protecting Children and Mothers
An investigative report looking at the co-occurrence of domestic violence and child maltreatment in Indian country in order to identify promising practices and identify future recommendations focused on Native populations.
Author(s): Maureen White Eagle, Bonnie Clairmont, Lonna Hunter,
Date: 12/2011
Type: Document
Sponsoring organization: Tribal Law and Policy Institute
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Chronic Disease Risk Factors Among American Indian/Alaska Native Women of Reproductive Age
Discusses prevalence of chronic conditions and risk factors among a nationally representative sample of American Indian/Alaska Native women aged 18-44 years and makes comparisons with white women. Includes statistical breakdowns by weight status, physical activity level, cigarette use, and insurance coverage.
Author(s): Pamela Amparo, Sherry L. Farr, Patricia M. Dietz
Citation: Preventing Chronic Disease, 8(6)
Date: 11/2011
Type: Document
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Assessment of Awareness of Connectedness as a Culturally-Based Protective Factor for Alaska Native Youth
Describes development of the Awareness of Connectedness Scale, a quantitative scale tested with 284 Alaska Native youth to assess risk, resiliency, and change, based on cultural concepts of disorder, wellness, and healing.
Author(s): Nathaniel V. Mohatt, Carlotta C. Ting Fok, Rebekah Burket, David Henry, James Allen
Citation: Cultural Diversity and Ethnic Minority Psychology, 17(4), 444–455
Date: 10/2011
Type: Document
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Access to Mental Health Services at Indian Health Service and Tribal Facilities
Discusses the extent to which American Indians and Alaska Natives have access to mental health services at Indian Health Service and tribal facilities.
Date: 09/2011
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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American Indian/Alaska Native National Behavioral Health Strategic Plan 2011-2015
Provides a strategic plan for substance abuse, mental health, and social work counselors working for the Indian Health Service (IHS), and other tribal and urban Indian health programs, with a focus on integrating primary health with behavioral health services to improve health outcomes for the American Indian and Alaska Native (AI/AN) populations.
Date: 08/2011
Type: Document
Sponsoring organization: Indian Health Service
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Building Blocks for Cultural Integration in the Development and Establishment of Rural VA Telemental Health Clinics for Native Veterans
Offers an overview, plus suggestions and tips for setting up, operating, and maintaining telemental health (TMH) clinics for rural Native veterans.
Date: 08/2011
Type: Document
Sponsoring organization: Veterans Rural Health Resource Centers
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Disparities in Infectious Disease Hospitalizations for American Indian/Alaska Native People
Analyzes 1998-2006 hospital discharge data, comparing infectious disease rates for American Indian/Alaska Native people with the general U.S. population. Includes breakdowns by type of infection, sex, age group, Indian Health Service region, hospitalization rates per capita, and diagnosis.
Author(s): Robert C. Holman, Arianne M. Folkema, Rosalyn J. Singleton, et al.
Citation: Public Health Reports, 126(4)
Date: 07/2011
Type: Document
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Risks to Health Among American Indian/Alaska Native High School Students in the United States
Examines leading health risks among nationally representative sample of American Indian/Alaska Native high school students and compares rates to other racial/ethnic groups. Includes statistical breakdowns by frequency of cigarette and alcohol use, weight status, physical activity level, television and computer use, and healthy food intake.
Author(s): Sherry Everett Jones, Khadija Anderson, Richard Lowry, Holly Conner
Citation: Preventing Chronic Disease, 8(4)
Date: 07/2011
Type: Document
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Cancer-Related Disparities and Opportunities for Intervention in Northern Plains American Indian Communities
Discusses behavioral trends associated with cancer risk and cancer screening from 1997-2006 among American Indians (AI) in North Dakota, South Dakota, Nebraska, and Iowa. Examines disparities between that population and non-Hispanic whites in the Northern Plains and AIs in other regions. Includes breakdowns by sex, age, education, income level, employment status, rural-urban classification, lifestyle factors, and screening for specific types of cancer.
Author(s): Shinobu Watanabe-Galloway, Nicole Flom, Liyan Xu, et al.
Citation: Public Health Reports, 126(3)
Date: 05/2011
Type: Document
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Health Care Reform: Tracking Tribal, Federal, and State Implementation
Analyzes the impact of national healthcare reform on American Indian and Alaska Native (AI/AN) people in 20 states. Features statistics including uninsurance rates, participation in Medicaid, and eligibility for subsidies.
Author(s): Ed Fox
Date: 05/2011
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Adolescent Suicide Prevention Program Manual: A Public Health Model For Native American Communities
Describes a community-based suicide prevention program in a rural Native American community.
Author(s): Patricia Serna
Date: 04/2011
Type: Document
Sponsoring organization: Suicide Prevention Resource Center
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Successful Aging Through the Eyes of Alaska Native Elders. What it Means to be an Elder in Bristol Bay, AK
Examines rural Alaska Natives' views on aging, which prioritize physical health, community engagement, spirituality, and emotional well-being. Supports including elders' perspectives on successful aging in future rural health care service delivery research in Alaska.
Author(s): Jordan P. Lewis
Citation: Gerontologist, 51(4), 540-549
Date: 02/2011
Type: Document
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Heart Disease Mortality Among Alaska Native People, 1981-2007
Compares mortality rates of Alaska Native people with their U.S. white counterparts, based on data from Alaska death certificates. Includes breakdowns by type of heart disease, sex, age group, and 9-year time periods.
Author(s): Janet M. Johnston, Gretchen Ehrsam Day, Mark A. Veazie, Ellen Provost
Citation: Public Health Reports, 126(1)
Date: 01/2011
Type: Document
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Assessing Colorectal Cancer Screening Knowledge at Tribal Fairs
Analyzes data from questionnaires completed by 285 Navajo respondents aged 50 or older, concerning their knowledge of colorectal risk factors, prevention, and screening. Includes demographic breakdowns by age group, sex, educational level, language spoken at home, and health status.
Author(s): Priscilla R. Sanderson, Neil Weinstein, Nicolette Teufel-Shone, María Elena Martínez
Citation: Preventing Chronic Disease, 8(1)
Date: 01/2011
Type: Document
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2011 Clinical Staffing and Recruiting Survey: A Survey of Indian Health Program Facility Administrators Examining Their Clinical Staffing Needs and Recruiting Patterns
Discusses the findings of a survey of Indian health program facility administrators regarding their clinician needs, recruiting techniques and expenses, turnover rates, and the barriers and opportunities affecting recruitment.
Date: 2011
Type: Document
Sponsoring organization: Indian Health Service
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Addressing the Health Needs of Rural Native Veterans: Assessment and Recommendations
Provides an assessment of current challenges, barriers, and issues related to the healthcare needs of rural Native veterans and offers recommendations to improve healthcare for this population.
Author(s): Tim D. Noe, Carol E. Kaufman, Elizabeth A. Brooks, et al.
Citation: Journal of Rural Social Sciences, 26(3), 137-156
Date: 2011
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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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 medication assisted treatment (MAT), prevention, and supplemental opioid funding for IHS facilities.
Type: Website
Sponsoring organization: Indian Health Service
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Native Agriculture Resources
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 Native Institutions and Philanthropy - Reports
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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Opioid Dependence Management
Features information on the prevention and treatment of opioid dependence from the Indian Health Service. Discusses several factors specific to American Indians and Alaska Natives, such as Tribal Healing and Wellness Courts, among others.
Type: Document
Sponsoring organization: Indian Health Service
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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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Reclaiming What is Sacred: Addressing Harm to Indigenous Elders and Developing a Tribal Response to Abuse in Later Life
Presents strategies and information for preventing elder abuse in American Indian and Alaska Native communities. Discusses the prevalence of elder abuse, as well as cultural considerations for prevention policies and programs.
Additional links: Tools, Webinar Recording
Author(s): Lauren J. Litton, Victoria Ybanez
Type: Document
Sponsoring organization: National Clearinghouse on Abuse in Later Life
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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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Long-Term Services and Supports Program Examples
Highlights successful long-term care programs serving Native elders in their tribal communities. Program profiles feature list of services provided, program history, point of contact, and other details.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Long-Term Services and Supports Webinars
Webinar archive features each of the past LTSS webinars focusing on issues related to tribally operated long-term care facilities. Lists webinars with a brief summary and the date it was recorded.
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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Tribal Members Access Care and Address Health Problems
Highlights the Coharie Health Access, Improvement and Awareness Project, established by the Coharie Indian Tribe, and designed to increase access to healthcare and promote health literacy among tribal members. Details methods of healthcare delivery and services provided over the project's two-year period.
Type: Document
Sponsoring organization: Administration for Native Americans
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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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Pueblo of Pojoaque Energizes Local Food Economy
Describes a project begun in 2009 to improve Rio Grand Valley tribal members’ nutrition and expand the local food economy by developing a pueblo farm.
Type: Document
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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American Indian and Alaska Native Health: Health Information for People and Communities
Provides resources for consumers and health professionals, including preformatted searches to technical literature and information on major health conditions and traditional healing resources.
Type: Website
Sponsoring organizations: National Institutes of Health, U.S. Department of Health and Human Services, U.S. National Library of Medicine
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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 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 (AI/AN) 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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Pimatisiwin: A Journal of Aboriginal and Indigenous Community Health
A peer-reviewed publication focused on community-based, collaborative, participatory research with tribal communities. Provides access to all Pimatisiwin articles published from 2003-2011.
Additional links: Journal Articles
Type: Journal/Newsletter
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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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Arctic Health
Provides information and resources on multiple topics related to the Arctic environment and health of northern peoples.
Type: Website
Sponsoring organization: U.S. National Library of Medicine
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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
view details
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
view details
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
view details
Indian Health Service: Indian Health Disparities
Fact sheet providing statistics on American Indian and Alaska Native health disparities and mortality disparities.
Type: Document
Sponsoring organization: Indian Health Service
view details
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
view details
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
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American Indian and Alaska Native Health
Provides links to a variety of resources on issues related to American Indian and Alaska Native health. Includes information on healthcare access, specific health conditions, and environmental health.
Type: Website
Sponsoring organization: U.S. National Library of Medicine
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 Court Clearinghouse Domestic Violence Resources
Provides access to publications and resources addressing violence against Native American women. Includes summaries of laws related to domestic violence issues.
Type: Website
Sponsoring organization: Tribal Law and Policy Institute
view details
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
view details
Rural Voices
Quarterly newsletter focused on rural housing and related issues.
Type: Journal/Newsletter
Sponsoring organization: Housing Assistance Council
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 10/17/2018