131st APHA Annual Meeting
November 15 – 19th, 2003
APHA Submission #58499SPNS Initiative: |
Bonnie M. Duran, MPH, DrPH 1,
Lorenda Joe,
MPH 2, Kevin Foley, PhD 3, Melvin Harrison 4,
Julie Lucero, MPH 2, Jon Iralu 5,
Lynn Davidson-Stroh 5, Amy Peng 5,
Dee Tsosie 4, Priscilla Weaneka 3, Maynard Shurley
4, Larry Foster 6, Ray Daw 3,
Mae Gilene Begay 6,
Curt Yazza 6, Daryl Joe 4. (1)
Department of Family and Community Medicine, University of New Mexico School of
Medicine, 2400 Tucker NE, #147, Albuquerque, NM 87131. (2) Family and Community
Medicine, University of New Mexico School of Medicine, 2400 Tucker NE #145,
Albuquerque, NM 87131. (3) The Na'Nizhoozhi Center,
2205 East Boyd,
“Integrating HIV, Substance Abuse and Mental Health Services on the Navajo
Nation” is a project of the Four Corners American Indian Circle of Services
Collaborative (4CC): the Na’Nizhoozhi Center (NCI);
offices of the Navajo Nation Division of Health (a) Research and Evaluation (b)
Social Hygiene (c) Communicable Disease, (d) Behavioral Health; and the Navajo
Area Indian Health Service (NAIHS); the Navajo AIDS Network (NAN) and faculty,
staff and students from the MPH program at the University of New Mexico. The
project’s goals are to (1) enhance substance abuse and mental health services
for AI people with HIV/AIDS on or near the Navajo Nation; (2) screen persons at
risk for HIV/AIDS, and (3) to reduce new HIV infection in the community. The
methods to accomplish these goals are two fold. First, using Systems Theory
methods, mental health, substance abuse and medical services from multiple
sources will be integrated. Second, using Motivational Interviewing (MI)
techniques, treatment providers (physicians, pharmacists, case managers, mental
health staff, substance abuse counselors) will motivate clients to (a) enter
needed substance abuse and mental health services (b) improve treatment
adherence (c) reduce HIV/AIDS risk behaviors. Motivational Interviewing, a
culturally appropriate theory for use with AI clients, is: 1) Client centered,
2) Non-directive, 3) Respectful of the client's strengths and knowledge about
what is best for themselves, 4) Empathetic, 5) Not interested in labels such as
"addict" or "alcoholic", 6) Not interested in confrontation
as a style of interviewing, and 7) Mindful of client choice and preference. See
www.ou.edu/hiv/
APHA Submission #57379SPNS Initiative: Yukon-Kuskokwim Health Corporation |
Mark A. Anaruk, MEd, Yukon Kuskokwim Health Corporation,
Funded by the HRSA, SPNS grants, the purpose of this project is to design,
implement and evaluate a community-based service delivery model in western
Alaska that addresses 1)the challenges associated with
delivering services to Alaska Natives, 2) the cultural differences that exist
with the Alaska Native population in comparison to the dominant culture, and
3)issues that hinder the success of HIV testing methods among Alaska Natives in
southwestern Alaska. A thorough literature search on HIV testing methods for
rural Alaska Natives turns up little or no relevant information. The primary
purpose of this initiative is to reverse this void and document a culturally
appropriate HIV testing method that may be used in furthering HIV testing and
surveillance of Alaska Natives throughout rural
APHA Submission #58440SPNS Initiative: Native American Health Center/Friendship House |
Karen Elizabeth Saylors, PhD, Native American Health Center, 160 Capp Street, San Francisco, CA 94601
The main objective of the HRSA Special Projects of National Significance
(SPNS) initiative is the culturally competent coordination of HIV care for our
Native American clients. This care coordination includes HIV primary care, HIV
dental care, mental health care, cultural interventions, outreach case
findings, and substance abuse services, coordinated through holistic case
management. Client care ranges from being exclusively in-house, which requires
interdepartmental care coordination, to a combination of in-house and external
care, which requires intensive referral tracking and case management. The
Holistic Native Network is a collaboration of two major Native American
organizations in the
APHA Submission #56737SPNS Initiative: |
Jennifer R. Olson, MPH, South Puget Intertribal Planning Agency, 122 S. 3rd Street, Shelton, WA 98584 and Karina K. Uldall, MD, MPH, School of Medicine, University of Washington, 901 Boren Avenue, Suite 900, Seattle, WA 98104
The purpose of this presentation is to provide information on the South
Puget Intertribal Planning Agency HIV-outreach project, targeting members of
the Nisqually,
APHA Submission #57330SPNS Initiative: |
Tracy Speier, BA, Special Project of National Significance, Alaska Native Tribal Health Consortium, Office of Community Health, Division of HIV/AIDS, 4201 Ambassador Dr., Anchorage, AK 99508 and Gloria D. Eldridge, PhD, University of Alaska, Anchorage, Alaska Comprehensive and Specialized Evaluation Services, PO Box 241626, Anchorage, AK 99524-1626
In
APHA Submission #57960SPNS Initiative: Robeson Health Care Corporation |
Millard Lowry, MA(Dual), Native American Interfaith Ministries, Inc. (Healing Lodge), 450 Prospect Rd., PO Box 1695, Pembroke, NC 28372 and Rev. Jo Lentz, M DIV, Partners In Caring, Duke University Medical Center, 1806 Bryn Mawr Dr., Fayetteville, NC 28304
The Native American Interfaith Ministries, Inc (“The Healing Lodge”) is a
non-profit faith-based ecumenical organization that partnered with Robeson
Health Care Corporation to work with the Southeastern North Carolina American
Indian HIV/AIDS Initiative. Funded under the HRSA, SPNS initiative, the purpose
of this project is to develop and establish empowered culturally appropriate
services to American Indians residing in or adjacent to Robeson County who have
or are at high risk of having HIV/AIDS and co-morbidities. The American Indian
population is predominantly members of the Lumbee Tribe, state recognized but not federally and therefore does
not qualify for the health benefits provided through Indian Health Services.
The lack of federal recognition creates additional barriers to building
community capacity to service American Indians who are at high risk for
acquiring HIV/AIDS. This presentation will illustrate an intervention model
developed to 1) increase the capacity of the community to focus on HIV/AIDS
prevention and intervention; 2) increase the number of culturally appropriate
HIV/AIDS prevention services provided by the “Healing Lodge”; 3) improve the
ability of the faith community to provide culturally competent HIV prevention
and intervention services; 4) increase the amount of HIV testing in places
where American Indians may access services; 5) improve the infrastructure of
HIV/AIDS services in the community; and 6) decrease the time elapsed between a
positive test and the receipt of HIV/AIDS services. See www.ou.edu/hiv/
APHA Submission #62582SPNS Initiative: |
David D. Barney, MSW, MPH, PhD, School of Social Work, University of Oklahoma, 1005 S. Jenkins Avenue, #203, Rhyne Hall, Norman, OK 73019 and Betty E.S. Duran, MSW, MPH, School of Social Work, University of Oklahoma, 1005 S. Jenkins Avenue, #203, Rhyne Hall, Norman, OK 73019
The DHHD - Health Resources and Services Administration, Special Projects of
National Significance funded six HIV/AIDS demonstration projects to develop
unique models of care for American Indians and Alaska Natives. The presenter
will 1) identify the social, cultural and geographical issues that affect the
delivery of medical care and services to American Indian and Alaska Native, 2)
discuss the complexity in coordination of care for a population comprised of
multiple tribal groups, all of which have distinct languages and beliefs that
affect the individual's response to services, and 3) identify special issues
that will assist public health professions in better understanding the needs of
this population. See www.ou.edu/hiv/
APHA Submission #62856SPNS Initiative: |
David D. Barney, MSW, MPH, PhD, School of Social Work, University of Oklahoma, 1005 S. Jenkins Avenue, #203, Rhyne Hall, Norman, OK 73019 and Tracy Speier, BA, Special Project of National Significance, Alaska Native Tribal Health Consortium, Office of Community Health, Division of HIV/AIDS, 4201 Ambassador Dr., Anchorage, AK 99508
In