NATIVE ASPIRATIONS TT&TA #4 Phoenix, AZ Gary Neumann & Gloria Guillory

1. NATIVE ASPIRATIONS TT&TA #4 Phoenix, AZ Gary Neumann & Gloria Guillory

3. Suicide is the second leading cause of death for Indian youth The purpose of this contract is as follows: • to promote/enhance community led youth violence, bullying, and suicide prevention planning; • to build pro-social/help-seeking behaviors of Native youth and their families; and • to increase protective factors/decrease risk factors contributing to youth violence, bullying, and suicide. Why Native Aspirations was initiated by SAMHSA

4. Native Aspirations Team • The Native Aspirations project team includes staff and expert consultants in the following areas: • Behavioral Health; • Community Assessment and Facilitation; • Native Culture and Ceremony; • Project Management; • Evaluation and Research; and • Database Management. In addition, consultants specializing in AI/AN behavioral health issues of children, families, and communities will be engaged throughout the project.

5. Community Selection and Invitation The Native Aspirations (NA) Community Selection Process • Examined national data sets • Identified the IHS Areas at “highest risk” • Coordinated regional expert administrative stakeholders in IHS Areas who interviewed and selected communities “most in need” • Ranked the selected communities within Area • Extended an invitation to participate

6. 1. Ft. Peck Indian Reservation, MT 2. Wind River Reservation, WY 1. Northern Cheyenne, MT 8. Noorvik Native Community, AK 2. Crow Tribe, MT 8 5 9. Native Village of Alakanuk, AK 4 9 3. Turtle Mountain Chippewa Tribe, ND 3. Ft. Belknap Indian Reservation, MT Communities We Serve 5 3 3 1 4. Cheyenne River Reservation, SD 1 2 4 5. Native Village of Savoonga, AK 7 2 6 6 4. Huslia Tribe, AK 6. Pine Ridge Indian Reservation, SD 5. Angoon Community Association, AK 7. Crow Creek Reservation, SD 6. Rosebud Sioux Tribe, SD

7. How it operates Native Aspirations 2 (NA2) Activities and Events: • Letters of invitation sent; Introductory site visits conducted; Oversight panel identified • Community Readiness information gathered • Training and technical assistance provided for onsite GONA Events and Community Mobilization Planning (CMP) Event • Develop/enhance community plan • Develop/enhance inter-agency prevention budget • Technical assistance to implement CMP and evidence-, practice-, and cultural-based interventions (EBI/PBI/CBIs) provided • Participate in Project Evaluation (outcomes) Existing Nine Communities • Continued Technical Assistance • Continued EBI/PBI/CBIs

8. How it operates Native Aspirations (NA) Utilizes the Community Readiness Model Provides communities with a personalized assessment of readiness for the development of appropriate strategies that are more successful and cost effective. – Tri Ethnic Center for Prevention Research, Colorado State University NA promotes utilizing the following: Evidence-Based Interventions; Practice-Based Interventions; and Cultural-Based Interventions. Native Aspirations involves building community recognition and ownership. A grandmother attending the Wind River GONA with her granddaughter stated that her “grandson was the 9-year-old that committed suicide and you all saw his picture up on the screen all week long.” She brought her granddaughter to the GONA because she is on a suicide watch and was so thankful as her granddaughter and others shared a lot about her brother and cried together.“Now other people from here know about my granddaughter. We all can help her, because we all know about her now.”

9. GONA - Community Intervention“Where we’ve been!” Intergenerational trauma results in the following: • cultural disorientation; • social friction; • distrust; • collective guilt and shame, as well as damage in the fabric of cultural identity; and • system territorialism. In order for both individual and community healing to occur, awareness and understanding of (community-specific) historical trauma must be addressed.

10. The GONA provides this opportunity for community healing through an experiential community process that includes four phases: BelongingMastery Interdependence Generosity A grandmother’s commitment following the GONA – To become more involved with this (Native Aspirations) program, because I have children and had a troubled youth. I tried to commit suicide—now I see the error of my own ways. I commit to get involved and involve my children so they can learn from my mistakes.

11. Community Mobilization Planning (CMP)“Where we’re going!” • The CMP training/planning event is conducted after the GONA. • Participants include the community oversight panel and key community youth, adults, and elders.

12. 12 Key Components of Effective Planning 1. Enroll a multi-agency oversight panel 2. Review a resource and referral system 3. Utilize a youth screening instrument 4. Identify a Gatekeeper’s Training Plan 5. Create a Community Crisis Response Plan 6. Assemble a Clinical Coordination Team

13. 12 Key Components (continued) 7. Review evidence-, practice-, and cultural-based interventions 8. Create a Community Awareness Media Campaign 9. Establish/Enhance Cross-Agency Data Collection Systems 10. Review tribal codes and school policies 11. Expand vocational, career, and mentoring opportunities for youth 12. Support the “Voice of Youth” in prevention planning

14. Culturally tailored and community-specific approach • Grassroots focus • Community buy-in and ownership are essential Lessons We Have LearnedA grassroots approach promotes community ownership. An example of community buy-in occurred at one of the GONA events. One of the attending tribal council members had planned only to attend the first 2 days of the event, but returned on Days 3 and 4 stating, “I just turned my cell phone off, I had 15 calls already this morning, but this is important work and it’s good that I am here.”

15. Native Aspirations provides a community platform for an Oversight Panel, Community Mobilization Planning (CMP) Process, and CMP Plan, that enhance cross-collaboration with IHS, State, and National efforts, as well as the coordination of prevention efforts within community. Lessons We Have Learned A community platform is essential. MEGAN REICHERT, MISS WYOMING 2004, WORKED WITH THE CORONER’S OFFICE, THE TASK FORCE, AND INSPIRE AS PART OF HER STATEWIDE CAMPAIGN FOR PREVENTION.

16. MT/WY IHS AREA: The Fort Belknap Youth Advisory Council is developing a schedule of prevention activities. ALASKA VILLAGE: Alakanuk youth and elders organize weekly Yup’ik culture and language classes. What We Have LearnedCommunity planning needs youth involvement. ABERDEEN IHS AREA : Lakota Youth Movement organize an inter-tribal youth council “…we have given up on the adults, it is time to organize and provide for our own healthy activities in our communities.” – Lakota Youth Movement

17. Elders/Youth Group • Peer-to-Peer Helpers • Talking Circles • Capacity Building and Empowerment • Increased Volunteers (*All Communities) • Nine Community Plans • ERTeam and QPR Trainings • Clinical Coordination Team • Culture Nights • Baseball Field • Survivor Support Group • Identified Gatekeepers • Increased Knowledge • Skill Building • Coordination of Efforts Enhanced • Oversight Panels Established Changes in the Communities Suicide Prevention Coordinators in Communities OVERALL - Reduction of stigma and increased awareness regarding Youth Violence, Bullying, and Suicide Prevention.

18. Anticipated Outcomes 1) A community plan and budget 2) Coordinated efforts 3) Inclusion of youth voice 4) A cross-agency MOA

19. Future Research, Opportunities, and Support Further research is still needed to assess issues of sustainability Opportunities exist for continued and new collaboration (County, State, Inter-Tribal) The project has offered hope! “This needs to continue and it won’t cost anything for me.” One participant committed to opening her home, once a week, for any of the 120 GONA participants to come and participate in a traditional Talking Circle in order to continue the healing and collaboration that resulted from the trust and safety developed at the Wind River GONA.

20. Native Aspirations has presented drums to each of the participating communities during their onsite GONA Events. The drums are presented during the ‘Generosity’ phase.

21. , Native Aspirations(NA) Team Elizabeth Rose, Community Coordinator Savoonga – Alakanuk – Noorvik Huslia – Angoon Judy Flett, Community Coordinator Blackfeet Nation – Rocky Boy Ila McKay, Community Coordinator Pine Ridge – Cheyenne River – Rosebud – Turtle Mountain – Crow Creek Barbara Gongyin, Project Specialist Dr. Cindy Hansen, SAMHSA Project Officer Jo Ann Kauffman, KAI President Gloria Guillory, NA2 Project Manager; Admin Focus Gary Neumann, NA2 Project Manager; Community Focus Fort Peck – Wind River Paulette Running Wolf, Community Intervention Director Fort Belknap Fredricka Hunter, Community Coordinator

22. Thank You 1-866-806-4671

23. FINISHED FILES ARE THE RE- SULT OF YEARS OF SCIENTIF- IC STUDY COMBINED WITH THE EXPERIENCE OF MANY YEARS OF EXPERTS

24. FINISHED FILES ARE THE RE- SULT OF YEARS OF SCIENTIF- IC STUDY COMBINED WITH THE EXPERIENCE OF MANY YEARS OF EXPERTS

25. FINISHED FILES ARE THE RE- SULT OF YEARS OF SCIENTIF- IC STUDY COMBINED WITH THE EXPERIENCE OF MANY YEARS OF EXPERTS

26. FINISHED FILES ARE THERE- SULT OF YEARS OF SCIENTIF- IC STUDY COMBINED WITH THEEXPERIENCE OF MANY YEARS OFEXPERTS