Native STAND Natives Helping Natives Michelle Singer (Navajo) The Center for Healthy Communities Oregon Health & Science University (OHSU) This presentation was supported by Cooperative Agreement number U48 DP 00005006 from the Centers for Disease Control and Prevention, Prevention Research Centers program. The findings and conclusions in this presentations are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Welcome! Michelle Singer (Navajo) Project Manager, Native STAND @ OHSU in Portland, Oregon More than 25 years of experience in community outreach to tribal communities; Has fostered partnerships and community relations with intergovernmental entities and tribal non-profit organizations; Worked on Capitol Hill as a policy advisor, and; Two tribal colleges and an off-reservation boarding school.
Core Team OHSU is coordinating with the NPAIHB Tom Becker Bill Lambert Stephanie Craig-Rushing Michelle Singer Ashley Thomas Tosha Zaback
Presentation Overview Indian Country Significance Native STAND 101 Evidence = It Works Capacity Build If A Good Fit Take Advantage: Opportunity & Resource
What does it STAND for? Native Students Together Against Negative Decisions
Rationale Challenges today s youth face: Substance Use Behavioral Health Relationships Communication STIs Early pregnancy Violence & Bullying Identity
Challenges: 1. Community readiness. Purpose 2. Move community leaders beyond recognition of the problem. 3. Actual commitment of resources to evidencebased interventions towards progressive solutions.
Introduction to Native STAND Healthy decision-making curriculum for enhancing and promoting positive Native youth development and well-being.
Background Native Work Group Culturally Fitted the STAND curriculum Reviewed by Native Youth & Professionals CDC/IHS National STD Program Validated in: 4 BIE schools 1 reservation community
Native STAND Available Online Free Download Offered By: National Coalition of STD Directors http://www.ncsddc.org/wha t-we-do/healthdisparities/native-standcurriculum 1. Facilitator s Manual 2. Peer Educator Manual 3. Resource Manual
Uses active learning Uses primary prevention techniques Core Elements Non-judgmental attitudes Information sharing Advocating specific behaviors Positive role modeling Promoting personal commitment Healthy, positive sexual expression in relationships
Curriculum Topics Team Building Acting Out Culture & Tradition Diversity & Respect Goals & Values Healthy Relationships Reproductive Health Downside of Hooking Up Pregnancy & Parenting Preventing Pregnancy Condoms STDs/HIV/AIDS Field Trip to a Local Clinic Taking Care of the Whole Person Drugs & Alcohol Negotiation & Refusal Skills Decision Making Being a Peer Educator The Stages of Change Effective Communication Putting It All Together
Culturally Tailored To Natives Culturally Relevant Stories/activities from various tribes Urban and Reservation Inter-Tribal Expanded Healthy Relationships Reproductive Health STIs/HIV/AIDS Prevention Early Pregnancy/Parenting Created flexible format 90 minute segments For use in boarding schools, after school programs, in-school, etc.
Native STAND Peer Educators Real/Reel NDNs On YouTube: 1. No Word for meth 2. Two Worlds on Native identity 3. Food for Thought on healthy eating 4. Is You Happy music video on healthy relationships 5. Alcohol Puzzle and Empty Halls on underage drinking http://www.youtube.com/watch?v=jdjibd Ymtd8
Evaluation Findings 1. Students demonstrated significant improvements in knowledge of: STD/HIV/AIDS Prevention Reproductive Health Healthy Relationships 2. Tribal youth reported providing 1-on-1 peer education and referrals. 3. Adult facilitators learned how to better communicate & teach about sensitive topics. 4. Program was well received; recognition in addressing critical gaps in sexual health education.
Percent Native STAND Improves Knowledge! 100 90 80 70 60 50 40 30 20 10 0 Healthy Relationships STD/HIV Prevention Reproductive Health Pre Post Pre- n=70 youth; Post- n = 34 youth
Natives Helping Natives https://www.youtube.com/watch?v=virktmhjgce&feature=youtu.be The use of media to demonstrate the education and communication of difficult topics. A VISUAL EXAMPLE Native Voices Trailer wernative
What Is On The Table? We Will Provide: 1-week of hands-on Training in PDX Capacity-building support [$5K for each year of 2 years] Ongoing Technical Assistance
Summer Training Opportunity June 21-27, 2015 We Will Provide: 1. 1 week expenses paid in Portland 2. Native STAND curriculum 3. IRB 101 4. Practice at THRIVE Conference 5. Evaluation Process 6. Leave with Action Plans & Implementation Support Funds
IRB Protect the rights & welfare of people Research in Indian Country - Methods Varies IHS IRB Review Respect - Beneficence - Justice Native STAND & PAIHS IRB Review Qualifier Alternative Options Available Workshop at Summer Training
Is This Outreach or Research? Its Both! This program is action oriented and empowers communities. We will measure & evaluate the adoption and impact in communities. It is community driven!
How To Apply Currently Accepting Applications On Line or PDF Download Identical in Content Due By February 15, 2015 Applicant should be prepared to provide: Contact Information (including tribal affiliation) and Educational Attainment; Professional and Employer Contact Information (including Supervisor); Briefly describe current job responsibilities & relevance to this program; Answer specific questions regarding established ways of accessing high-school aged youth & venue logistics.
Support Docs Required For a complete application 4 items needed : Copy of applicant s resume; Letter of Support from applicant s employer to attend the Native STAND one week training to ensure support for the implementation of Native STAND in applicant s community; Letter of Support from the community or organization with whom applicant plans to implement the Native STAND curriculum; A personal statement of applicant s ability to complete the weeklong training program AND a description of the organizational setting to implement & deliver Native STAND curriculum.
1. View Websites Center for Healthy Communities www.oregonprc.org Resources Native STAND http://www.ncsddc.org/whatwe-do/healthdisparities/native-standcurriculum 2. Contact Project Manager Michelle Singer singerm@ohsu.edu
Additional Resources Final Evaluation Report Northwest Portland Area Indian Health Board Project Red Talon http://www.npaihb.org/epicenter/project Methods and Findings Health Education Monograph Series Journal Article (2011) http://www.npaihb.org/images/epicenter_docs/prt/ 2012/Native%20STAND%20Eval%20School- Based%20RRI.pdf
Natives Helping Natives The Native STAND Project Commitment: Build the capacities of tribal communities to engage in research. Allow individual communities to better access and understand data that would benefit their communities toward eliminating health disparities.
Contact Info The Center for Healthy Communities Native STAND Project www.oregonprc.org Michelle Singer Project Manager singerm@ohsu.edu 503-418-2199