Success Stories

Success Stories

NWTEC Success Story: 2020 Trans and Gender-Affirming Care Strategic Vision and Action Plan

Success Stories, TEC News
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Over the past year, the Paths (Re)Membered Project has worked on a variety of projects to support the health of Two Spirit and LGBTQ+ (2SLGBTQ+) people. (We use Two Spirit and LGBTQ+ or 2SLGBTQ+ throughout this briefing to refer to individuals who identify as gender-diverse (not cisgender) or have a minority sexual orientation.) Paths (Re)Membered activities have included founding a Trans & Gender-Affirming Care ECHO, publishing monthly podcasts and blog posts, hosting regular community events and trainings for staff and partners, working with northwest tribes to build capacity for affirming environments in clinics and community spaces, and completing a 2SLGBTQ+ Pride and Connectedness Online Survey.

In January of 2020, NPAIHB Delegates approved the resolution “Support for Quality Care and Improved Health Outcomes for Two Spirit and LGBTQ+ People.” In response, the NPAIHB Paths (Re)Membered Program founded the Native Advocacy Workgroup for Trans Health and worked with them to collectively create a Strategic Vision and Action Plan focused on Trans & Gender-Affirming Care in Indian Health Service, Tribal and Urban Clinics (I/T/U).

In its role creating the Strategic Vision and Action Plan, NPAIHB listened and consulted with stakeholders including 2SLGBTQ+ community members, healthcare providers, policymakers, and community and program leaders. This strategic plan supports the I/T/U clinics as they begin to provide gender-affirming care to their patients by emphasizing the following four goals:

  1. Develop and pass protective policies at the federal, tribal, and local levels;
  2. Ensure affirming clinical environments for gender-diverse patients;
  3. Ensure best practice care for Indigenous gender-diverse patients; and
  4. Improve I/T/U health systems support for initiatives focused on the wellness of gender-diverse community members.

Trans-and-Gender-Affirming-Care-2020-Strategic-Vision-and-Action-Plan-cover View/Download Strategic Vision and Action Plan (PDF 738 KB)


 

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For more information about the Strategic Vision and Action Plan or to learn more about the NPAIHB Paths (Re)Membered Program, please contact Morgan at mthomas@npaihb.org or 850-748-3458.

 

The dissemination of this strategic plan will guide I/T/U clinics, ensuring they have the strategies and support they need to fully implement these guidelines and to offer 2SLGBTQ+ clients a welcoming space and the care they need to be healthy. It will further guide policy and tribal leaders as they work to ensure programs and policies developed in Indian Country are affirming for 2SLGBTQ+ clients and community members.


By:
Jessica Leston (Tsimshian), she/her/hers, Clinical Programs Manager
Itai Jeffries (Yèsah/Occaneechi), they/them/ya’ll, co-Manager Paths (Re)Membered
Morgan Thomas, they/them, co-Manager Paths (Re)Membered

 

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ITCA TEC Success Story: After Action Review Toolkit & Guided Workshop

Success Stories, TEC News
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The Inter Tribal Council of Arizona, Inc., Tribal Epidemiology Center (ITCA TEC) conducted the first Corona Virus 2019 (COVID-19) Tribal Public Health After Action Review Workshop with Tribal sub-awardees. This event was held in partnership with Blue Stone Strategy Group, LLC, which was made possible through funding from the Centers for Disease Control and Prevention. The development of After Action Review, helps Tribes assess performance, document lessons learned, and identify areas for improvement in a non-judgmental way, during and after a public health emergency.

Former Chairman of the Yavapai-Apache Nation, and co-founder of Blue Stone Strategy Group, Jamie Fullmer, and his team guided the Tribal staff through developing a framework for a culturally-competent After Action Review Plan. Participants were provided with a hard copy of the designed toolkit, outlining the After Action Review Planning Process. Several exercises were facilitated during the workshop that provided opportunities for the Tribal staff to begin developing their respective After Action Review Plans, and share those plans with their colleagues. Each sub-awardee examined their Tribes’ response effort to COVID-19 pandemic, and identified specific areas for improvement, as well as implementation strategies.

The workshop concluded with participants reflecting on their experience during the workshop review process. As a result of the After Action Review Workshop, COVID-19 Response Tribal sub-awardees are now more prepared to manage the Tribes’ future emergencies, including those related to COVID-19.

 

“Often times we don’t think about an After Action Review, however, it may be the most important. The training was great and the toolkit was helpful and easy to understand and follow.”
 
– Tribal staff participant

 

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AASTEC Success Story: Tribal Injury Prevention Program

Success Stories
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2020 Virtual Tribal Motor Vehicle Safety Summit

For the month of October, you can take part in different learning and networking opportunities from the comfort and safety of your own home/office. We hope you can advance your knowledge to gain a better understanding of motor vehicle safety skills and prevention through interactive sessions with leading experts.

 

The Injury Prevention world may seem small, but we want everyone to gain new insight and learn from our colleagues!

 

Looking to connect with colleagues? We have designated networking opportunities and social activities into our interactive conference platform. Make lasting connections like never before!

2020 Virtual Tribal Motor Vehicle Safety Summit

For more information contact:
Jerrod Moore
Tribal Injury Prevention Program Coordinator

jmoore@aaihb.org
(505) 764-0036

2020 Virtual Tribal Motor Vehicle Safety Summit


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CTEC Success Story: Tribal Adverse Childhood Experiences (TACEs) Project

Success Stories
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Nearly two-thirds of the general population report experiencing at least one Adverse Childhood Experience (ACE), such as loss of a parent, abuse, or domestic violence. Members of marginalized populations, including low-income and ethnic minority youth, are at an even greater risk of experiencing ACEs. Higher rates of ACEs have been linked to an increase in poorer health outcomes during adulthood; including heart attack, cancer, depression and an increase in smoking, illicit drug use, and risky behaviors. Through the Building Public Health Infrastructure Initiative grant awarded by the Centers for Disease Control and Prevention, CTEC is conducting a two-year Tribal Adverse Childhood Experiences (TACEs) project with three California Tribal Health Programs (THPs).
 
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The project goal is to increase awareness in ACEs and Trauma Informed Care (TIC) in California Tribal communities and clinics. To accomplish this goal, the TACEs project is comprised of three components:

  1. Community surveys – CTEC has adapted and pilot-tested a culturally sensitive survey based on the CDC version of the original ACEs tool. Our Tribal ACEs survey includes questions on demographics, resilience, community, and culture.
  2. Clinic staff surveys – CTEC will collaborate with the three IHPs to determine providers’ extent of trauma-informed beliefs utilizing the Attitudes Related to Trauma-Informed Care (ARTIC) Scale. These attitudes can have an enormous impact on patient’s experiences. ACEs and trauma shape health across the life span and the need for trauma-informed service systems is urgent.
  3. Prevention/intervention strategy implementation – CTEC will analyze the results of the Tribal ACEs survey and the ARTIC Scale survey and work with the THPs to identify targeted community prevention activities, interventions and/or trainings they feel will resonate in their communities and clinics.

After project completion, CTEC will assist IHPs prepare individual and collective reports summarizing the results of the Tribal ACEs survey tool, implemented interventions/trainings, and the ARTIC Scale survey. As CTEC’s aim is to increase awareness on ACEs and TIC, more information on the collective findings will be disseminated September 2021.

 

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ITCA TEC Success Story: Oral Health Surveillance

Success Stories
Oral Health Surveillance among American Indians and Alaska Natives in Arizona, Nevada, and Utah

The Inter Tribal Council of Arizona, Inc. Tribal Epidemiology Center (ITCA TEC) is pleased to present the Oral Health Surveillance among American Indians and Alaska Natives in Arizona, Nevada, and Utah.

 

This report was prepared in response to Tribal leadership and Tribal health directors prioritizing oral health as a top concern in the Indian Health Service Phoenix and Tucson Service Areas.

 

The purpose of the report is to provide needed information for the Tribes we serve.

View/Download Report (PDF 1.3 MB)

If you have questions, please contact Dr. Jamie Ritchey, ITCA TEC Director:
Email – Jamie.Ritchey@itcaonline.com
Phone – (602) 258-4822.

Oral Health Surveillance among American Indians and Alaska Natives in Arizona, Nevada, and Utah


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