Division of Behavioral Health Services

1. Division of Behavioral Health Services Cultural Awareness Presentation: Tribal Nations In Arizona

2. Main Objective To inform ADHS/BHS Staff of tribal nations in Arizona and their unique customs and traditions.

3. Cultural Competency Policy • Policy Co 1.2 – to improve access to quality behavioral health services to diverse populations by promoting, developing, and maintaining a culturally and linguistically competent behavioral health system for all individuals.

4. How is this policy being implemented? • 2004 Cultural Competency Plan • Goal: To create a culturally competent behavioral health system of care that embraces and supports individual differences to achieve the best possible outcomes for individuals receiving services. • Cultural Competency Steering Committee • RBHAs, providers, and key BHS staff • Subcommittees – Data, Training, & Translation/Interpretation

5. Native American Access to Behavioral Health Services • Title XXI/XIX Eligibility • U.S. Citizen • Arizona resident • Financial Requirements • BHS Enrollment • Regional Behavioral Health Authority (RBHA) • Tribal RBHA

6. Tribal & Regional Behavioral Health Authorities • (6) Geographic Service Areas administered by (5) RBHAs • (4) tribes are contracted with the State to provide Title XIX/XXI and State only services

7. Tribal Nations In Arizona

8. Ak-Chin Indian Community Cocopah Colorado River Indian Tribes Ft. McDowell Yavapai Nation Ft. Mohave Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Quechan Tribe Salt River Pima Maricopa Indian Community San Carlos Apache Tribe San Juan Southen Paiute Tohono O’odham Nation Tonto Apache Tribe White Mountain Apache Tribe Yavapai Apache Nation Yavapai Prescott Indian Tribe Arizona’s 21 Tribal Nations

9. The Navajo Nation

10. Map of the Navajo Nation

17. The-Holy-Earth-Surface-People • This is the literal translation of the word Nihookáá Diyin Dine’é, which is the name given to the Navajo by their creators. • Known more commonly as the Navajo or Diné meaning “the People” • It is believed that they emerged from other worlds

18. Navajo Origin Stories – The Four Worlds • The Fourth World - White • The Third World - Yellow • The Second World - Blue • The First World - Black

19. Navajo Language Language Origin: Na-Dene Language Family Group, Athapaskan Language Branch, Apachean Language Group Common Greeting: Yá'át'ééh

20. Navajo Philosophy - Hózhô • English Translation: Beauty, Joy, Happiness, Blessed, Balance, Harmony • The Beauty Way – the belief that one should go through life in spiritual/mental harmony with one’s environment

21. Navajo Clan System • Matrilineal society – clans are passed through the mother • A clan identifies an individual to unknown kinsmen and pays homage to ancestors • Clans established to prevent incest • 9 major clan groups • There are approximately 78 clans still in existence

22. Navajo Government • Powers drawn from the Indian Treaty of 1868 with the U.S. Government and various case law • Three branch government: executive, legislative, and judicial • Governed by a 6 Volume, 24 Title Code • Capitol city is in Window Rock, Arizona, and was established by B.I.A. in 1920

24. Executive Branch • 10 major divisions including health, education, social services, etc… • Headed by the President of the Navajo Nation • President popularly elected every four years • Office of the President established in 1990

25. Legislative Branch • Governing body of the Navajo Nation • 88 member popularly elected council • 12 Standing Committees • 110 local government subdivisions called Chapters • Headed by the Speaker of the Council • Speaker elected every two years • Established in 1923 by B.I.A.

26. Judicial Branch • Two level court system with trial courts and the Navajo Nation Supreme Court • 7 district courts • 7 family courts • Peace Maker Court - court-annexed traditional mediation

27. Behavioral Health Services • Navajo Nation Division of Health • Department of Behavioral Health Outpatient Treatment Centers • Located in the seven major centers on the Reservation (Chinle, Crownpoint, Dilcon, Fort Defiance, Kayenta, Shiprock, and Tuba City). • Offer substance abuse treatment services • Contract with ADHS to provider case management services to Title XIX/XXI members in Arizona

28. Navajo Factoids • Per US Census 2000, there are 298,197 people claiming Navajo ethnicity • 255,543 are enrolled members of the tribe • The median age is 22.5 years old • 56 % of Navajo live below poverty

29. Navajo Cultural Etiquette • One should not sleep passed sun rise. • The doorway of a hooghan should always face the east. • If entering a hooghan, always proceed in a clockwise direction. • When eating, never stab your food with a knife.

30. Seal of the Navajo Nation

31. Flag of the Navajo Nation

32. Navajo Hooghan (Hogan)

33. For additional information, please see these websites: • www.navajo.org • www.hs.state.az.us • www.ahcccs.state.az.us