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They can present positive as well as negative situations in the stories told in a non-threatening manner and environment
Listeners are comfortable, indirect, interpret with own experiences, emphasize the individual, promote identifying and reconnecting with ancient tribal traditions
Do not look at the same person all the time during the telling of a story; instead, direct the story to all listeners
Memorize/know the story well so it can be told without the need for written aids.
Listening to stories can help us emotionally and psychologically. Listeners are transported to a place where they can forget about their every day trials and tribulations, at least for a little while.
Why should we encourage storytelling?
Who would make a good storytellers?
Someone who is good at connecting with people, someone who enjoys story telling, someone who take advantage of teachable moments, who are passionate about storytelling etc.
What did Kay Olan mean when she said, “Storytelling is a living tradition.”
Tobacco for prayer to make offerings to our sacred directions and invoke these spirits to help take our prayers up to the Creator
How else did he say Plains Indians use tobacco?
Plains Indians: insect bite to draw venom out, honor and welcome guests, communicate with the creator or spirit world, bind agreements between people and or tribes
What did he say about the use and impact of commercial tobacco for prayer?
You get back 10 times what you ask for and when commercial tobacco is used instead of traditional it can manifest as emphysema or cancer
What are the 2 types of stickball? How do they differ?
Social – men play against women, mean use two ball sticks and women use their hands,
Man to Man Stickball (East-West Game) - for men only and is played by opposing clans or opposing Stomp Dance groups. . One team represents the Rising Sun or the East, and the other represents the Setting Sun or West. The number of players can total as much as 30 on each side. The ball field resembles a football field in size with two goal posts, only sticks
how can program planners facilitate empowerment?
have a seed and compost give away
–Teach community members how to cook healthy with “commods” and supplemental Nutrition Assistance Program (SNAP) foods:
•Provide recipes, cooking and shopping tips
•Practitioners –Learn about traditional foods and preparation
•Our community meal–Identify traditional food resources within the community
•Nutrition Programs–Incorporate traditional foods into the wellness program
•Host traditional meals, invite a tribal elder to pray when you eat–Facilitate access to traditional foods
Traditional Foods In Native America:
Use culturally competent nutrition education models and curriculum's
–Educate on the health benefits of traditional and modern foods
–Support the return to traditional foods
–Educate on ways to modify survival food recipes to be more healthy
How can you have your frybread and eat it too?
–it should not be part of one’s daily diet.
–Save it for special occasions, such as family and community events.
–to limit portion size,
•the size of a piece of fry bread should be reduced
•the number of pieces consumed in a sitting should be reduced
–fry bread recipes can be modified to add some nutritional value. . .
Partner with organizations willing to donate equipment
Work with other tribal programs to create safe walking trails and wellness centers
¨Give tribal employees time to use fitness resources and participate in pow wows and ceremonies
¤The Cheyenne and Arapaho tribes of OK and the OCAITHB offer cultural leave, and fitness/wellness leave for their AI/AN employees
¤ _Have your program/clinic host, sponsor or co-sponsor: traditional social dances pow wowsTraditional games, activities and tournaments Memorial runs, rides walks, etc. Community gardens (food and medicinal)
¤Support participation in traditional healing practices and ceremonies: Educate how to manage health issues while participating Learn about the use of traditional medicines Host lunch and learn sessions with knowledgeable elders on traditional
¤Family or group PA activities
¤Take a elder/tribal leader for a walk
¤Community events- Step to Stomp, Spring/Fall into Wellness, Turtle camp
more support comes when more people are able to participate and like how it connects to their culture
Be Tobacco Free
Goal - 1,000,000 steps with 200 people!
•Each person who registered was issued a pedometer and logged their steps throughout the event.
•Steps via Stickball, Stomp Dance and visiting.
–Tie in of cultural aspects to overall health.
Seminole Nation of OK Diabetes Program, Exercise specialist
micromanagement of grant funds, US politics assessment to show it is working compete with other programs because we keep cutting the budget
What were the 4 recommendations James gave with regards to his experience working with the Seminole Nation?
· Step out & away from the professional environment.
· Adapt to your target population.
· Bring a carry-on bag of academic vocabulary.
· Understand when to use/show humor.
OKC Indian Clinic, Prevention Coordinator for behavioral health
Way to prevent domestic violence, how to treat each other, be calm and centered when chaos is happening
Are these strengths and resources being leveraged?
Are there existing programs designed to cultivate cultural buffers Preserve and support strengths related to health and wellness
Are they integrating tribal programs to improve all facets of wellness? economic opportunity Education Enculturation Physical and mental health
Does the community reflect healthy interpersonal skills? Effective communication, problem-solving and decision-
¡individual and community symptoms of disempowerment
¢Can drive social and health disparities
¡Obtaining Quality health care
¢the Indian Health Service (IHS)
¡Challenges to obtaining tribal-level health data or health profiles to determine
¡Blaming and lateral prejudice, victim mentality (individual and group), Living in or creating “drama”, Fear of making decisions or lack of participation in decision making, New ideas dismissed or not taken seriously, Distrust and cynicism of outsiders, Apathy, Learning and growth opportunities not being actively pursued, Gossip- destroys interconnectedness, self-and community esteem. Results in, Thoughts or feelings not freely expressed for fear of repercussion,Feeling unappreciated or disrespected Distrust and cynicism of community members
Confidentiality is important to tribes and tribal members when it comes to data collection. Tribal level data is more difficult to keep confidential and statistical power can be difficult to achieve. IHS data only reflects IHS user population If a tribe creates their own method of health data collection and opts out of IHS health data aggregation, it will impact regional data made available nationally by the IHS
There are few national data sets that look at morbidity, only mortality Existing data usually do not address the urban Indian population
¢Contract health settlements
¢Quality and Access to services
what are the solutions to data collection challenges?
Present results back to the tribal community, tribal council or their representatives through community meetings, local tribal media and reports written specifically for the tribe and their representatives
Allows tribe to use data to guide program development and health policy require researchers to report back to the tribes so that a new atmosphere of trust can be generated between tribes and outside researchers Create funding opportunities tailored specifically to tribal-level health research
what is tribal community capacity building?
Building and facilitating a tribal community’s potential to respond to its health issues
To focus on health issues specific to that community
_to build trust and create effective 2-way communication with and between: 1.tribal members 2.tribal members and program personnel
3.tribal members health care providers
This is key to enhancing the success of any community or program so it must be done FIRST
To demonstrate respect for, and abide by, tribal policies and sovereignty
Capacity Building Models
A social action process that facilitates individual, organizational and community participation
They have equity in the use and availability of their resources
They have the capacity to solve their problems identifying their own solutions
_They participate in community activities
¡This leads to improved neighborhoods, a stronger sense of community, and personal and political efficacy
They support and encourage proactive behaviors for healthy and social change
¡Focus on the strengths of tribal communities
¢Culturally-based healing and health maintenance practices A commitment to veterans, elders and the next generation Collaborate with community representatives at every step of program development:
¢Draw on the experiences of community members to insure the intervention is relevant and acceptable to community membersAct as facilitators, not as enforcers, of the program Promote community ownership and control of the program
The experience and wisdom they have gained throughout their lifetime, along with their historical knowledge of the community, are considered invaluable in decision-making. allowing elders to speak and eat first allowing time for opinions and thoughts to be expressed by not interrupting or giving a time limit In group settings, ask the elder’s permission to speak publicly, first defer to an elder to offer an answer to questions asked and do not openly argue or disagree with an elder
What is the mission and goal of the IHS?
The mission of the IHS, in partnership with American Indian and Alaska Native people, is to raise their physical, mental, social and spiritual health to the highest level.The goal of the IHS is to ensure that comprehensive, culturally acceptable personal and public health services are available and accessible to all American Indian and Alaska Native people
The foundation of the IHS is to uphold the obligation to promote healthy Indian people, communities, and cultures and to honor and protect the inherent ___________ of Tribes.
Preventive measures involving _ activities are combined with _________________ into a single national health system.
What are the successes and challenges the IHS has experienced?
: Indian life expectancy has increased by about 10 years since 1973; and mortality rates have decreased for maternal deaths, tuberculosis, gastrointestinal disease, infant deaths, unintentional injuries and accidents, pneumonia and influenza, homicide, alcoholism, and suicide
what are the key considerations one should take when planning yours, or any, program?
Enhance or facilitate the tribe’s strengths and resources? Support the healing needs specific to that community? Promoting enculturation Ceremonial and traditional healing and wellness practices Supporting socio-cultural norms
Appreciative Inquiry begins with valuing; building on the best of the past and present to develop a vision and plan for the future Appreciative Inquiry involves identifying and enhancing the core factors that give life and resilience to communities and make people’s lives meaningful.
¢Its theory lies in social constructivism and the interdisciplinary arena of image theory—specifically looking at the relationship between positive guiding images of the future and positive action
a systematic discovery of what gives “life” to a community when it is at its most effective and healthy in economic, ecological, and human terms.assumes that every community, and its members, has rich, untapped positive reserves achievements, innovations, strengths, alternatives, assets, emergent possibilities, hopes, visions, opportunities, contextualized wisdom, knowledge, and meaningful stories of things like courage, leadership, and action
strengthening a community’s capacity to capture, anticipate, and heighten their positive potential through the creation of “unconditional positive questions.”Community members are asked to recall times they felt most alive, most vital, most energized and then are questioned about the conditions and content of those incidents
: explore the experiences of the community at its most vital and alive; and what made those experiences possible? Connect with their most important values and strength
: together envision a future in which those experiences and the values/strengths of the community form its basis
using appreciative systems and structures, co-create goals based on the best vision of the future
using appreciative systems and structures, define strategies on how the vision can be realized. This facilitates an ever-expanding positive feedback loop of appreciative learning
Who will be responsible and for what? -How will support be recruited? -How will the plan evolve? -How will goal achievement be defined?
¢To improve the quality of life of the community by
involving them in the research process
Assisting them is using their knowledge to search for relevant solutions to their relevant problems
¢Recognizes the benefits of a partnership between those with the scientific and technical knowledge and community members with equally valuable personal and cultural knowledge.
¢A research/program planning framework specifically focused on tribal communities. This method acknowledges the impact of historical trauma experienced by AIAN communities by encouraging social change and tribal empowerment through its 4 mechanisms: Tribal oversight
Use of a facilitator
Training and employing tribal community members
Use of culturally specific assessment and intervention methods
Insures accountability from the researchers
Insures relevancy of the research
Increases the possibility of positive outcomes for the participants and the community.
Target Community- Cheyenne and Arapaho Tribes of Oklahoma Health Issue addressed- Type 2 Diabetes
the Cheyenne-Arapaho Tribes of OK offer a Diabetes Wellness Program (DWP) that provides treatment and prevention services to AI/AN adults and children who have or are at risk for type 2 diabetes
Target Population Program participants utilizing the fitness centers at Concho, OK and Watonga, OK were targeted for this activity Funding source- DWP is funded through a special government grant provided by the IHS called the Special Diabetes Prevention Initiative (SDPI)
To provide AI/AN participants with an opportunity to enhance individual wellness
3 Main Goals of Yoga for EveryBody!
Choose yoga asanas that are related to AI/AN culture and teach them from an AI/AN philosophical perspective Teach the aspects of yoga practice that relate to self-healing Promote individual-empowerment through physical endurance and relaxation, and mental clarity, balance, and resiliency
Reported benefits- “what changes did you experience as a result of participating in Yoga for EveryBody!?”
Improved flexibility- 50%
Better ability to relax and reduce stress- 85%
Improved perception of yoga and its benefits- 100%
Why We Need CHW’s Theme:
be familiar with the bullet points explaining why we need CHW’s
· _The adoption of managed care _Concurrent shift of care out of hospitals and into ambulatory care clinics and homes, with emphasis on prevention and primary care _Growing numbers of uninsured _Increasing elderly population and the aging of the baby-boomers _Fundamental shifts in ethnic and racial demographics of the U.S., and the growing number of states that house many different ethnic groups who speak many different languages. This forms a gap that
Multiple Role Theme:
be familiar with the names of the different roles CHW’s perform
CHWs may plan and lead presentations to teach people about health and disease and how to meet their specific health needs, and/or they may do one-on-one teaching with individuals. They try to improve the general health in communities by informing people about important topics such as nutrition, weight control and exercise, smoking and drinking cessation, birth control, and safety and stress management.
CHWs help to make things happen. They can transport patients to clinic appointments, collect blood samples and throat cultures and deliver them to labs, help patients to make their way through bureaucratic red tape, fill out forms, etc., and link community members to resources.
Problem Theme-Lack of Focus And Standards:
be familiar with the challenges that represent problems for the CHW program
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