Transcript Good Health and Wellness in Indian Country

Advancing California Opportunities to Renew Native health Systems (ACORNS)
Goals
 Increase chronic disease prevention
 Create sustained policy, system and environment (PSEs) improvements
 Increase community and clinical linkages within California
 Increase team-based systems of care
CRIHB Research and Public Health staff provides: training, funding, and technical
assistance to tribes and tribal organizations in California.
Funded by the Centers for
Disease Control and
Prevention
Good Heath and Wellness
in Indian Country
Major Activities
PHASE I
Annually award $5,000 - $15,000 to 20 - 55 tribes and tribal health programs to conduct community health
assessments based on local data.
PHASE II
Annually award $20,000 - $30,000 to 20-50 tribes and tribal health programs to create and sustain policy, systems,
and environmental health interventions (years 2-5).
Year 1
Call for Proposals to tribes
and tribal health programs to
develop Community Health
Assessments
Released: December 1, 2014
Amounts: $5,000-$15,000
CRIHB Awarded “Good
Health & Wellness in Indian
Country”
Sept. 2014
Training
& Technical
Assistance
Award 20-50 Community
Health Assessment Awards
02/01/2015
Training
& Technical
Assistance
Years 2-4
Award 15-20 tribal grantees
to address policy, systems,
environmental changes
focused on promoting health
Year 5
Training
& Technical
Assistance
Release Annual Call for
Proposals to address needs
identified in Community
Action Plans
Due Every Fall
Amounts: $20,000-30,000
Community Health
Assessments Completed and
Community Action Plans
Developed
08/31/15
Program Objectives:
* Increase chronic disease prevention
Complete comprehensive
evaluation and share best
practices developed from
grantees.
2019
* Sustained policy, system and environment improvements
* Increase community and clinical linkages within California
* Increase team-based systems of care
PHASE I
AWARDEES WILL:
Assemble a “Community Team”
(Representative of the Community Sector, Health
Care Sector, School Sector & Work Site Sector)
Gather information on community
Produce a Community Assessment
Produce a Community Action Plan (CAP) to
address Policy, Systems and Environment
PHASE II
AWARDEES WILL:
Implement a Community Action
Plan aimed to address one or
more of the following
Tobacco use
& exposure
prevention
Physical
activity &
healthy eating
Chronic
disease
prevention &
related risk
factors
HOW CAN YOU USE MINIGRANT FUNDS?




Support costs related to team meetings
Support costs related to data collection
Support costs related to staff time dedicated to
the identified intervention
Intervention Supplies:
ex. Exercise equipment
 ex. Gardening supplies & equipment

POLICY, SYSTEMS AND ENVIRONMENT (PSE)
Policy
Written statement of organizational position, decision or
course of action. (such as ordinances, resolutions, mandates,
guidelines, or rules)
System
Changes in organizational procedures. (such as personnel,
resource allocation, programs)
Environment
Physical, observable changes in the built, economic,
and/or social environment.
HEALTH PROMOTION VS. PSE STRATEGIES
Health Promotion Program
PSE Strategies
Education on dental care
Add fluoride to water system
Smoking cessation education
Healthy nutrition classes
University of Colorado, REACH, 2013
No-smoking policies for public
places
Adding calorie information to
menus
PROGRAMS VS. PSE CHANGES
Setting
Program/Event
PSE Change
School
Celebrate national nutrition
month
Add fruits and vegetables to cafeteria
lunch options
Community
Host a community bike ride
Implement a Complete Streets policy
to ensure community roads are safe
for biking, walking, and driving
Worksite
Hold a health fair for staff
Implement a healthy vending
machine policy that offers healthy,
affordable snacks
Radiology Facility
Hold a low-cost
mammography event
Change operating hours to include
night and weekend appointments
Hospital
Hold free breastfeeding
courses for new moms
Implement WHO 10 Steps to
Successful Breastfeeding
Adapted from http://www.cookcountypublichealth.org/files/CPPW/PSE%20Change.pdf
EXAMPLE: INCREASE ACCESS TO HEALTHY FOODS
Policy
Amends codes and policies to define farmers
markets.
System
Create new permitting processes for farmers
markets, food options at school.
Environment
Community gardens, healthy concessions,
healthy options on menu at local diners,
improved food options at stores.
https://www.ihs.gov/healthyweight/documents/Tools4H
ealthyTribes.pdf
ACORNS EXTERNAL EVALUATION
Holistic approach to population health and wellness.
Purpose
To assist Awardees with creating a framework for their
process and outcome assessments, action plan, and
project development.
Evaluation Tools
CDC CHANGE Tool
(Community Health Assessment and Group Evaluation)
 Culturally Responsive Evaluation
 Indigenous Evaluation Framework
 Empowerment Evaluation

EVALUATION FRAMEWORK
Sharing and
Using
Knowledge
Interpretation
or Analysis
Creating
Knowledge
Grounding
Telling the
Story
Planning
“Tribal public health infrastructure
is strengthened when each tribe
adopts local strategies to meet its
public health challenges.
Interventions are tailored to the
cultural beliefs and practices of
the population; ultimately leading
to decreased morbidity, decreased
early mortality and improved
quality of life.” – CDC
Questions? Comments?
Website
http://www.crihbacorns.org/
CRIHB Contacts
Virginia Hedrick (Yurok/Karuk)
Program Manager
(916) 929-9761 ex 1518
[email protected]
Nanette Yandell
Program Evaluator
(916) 929-9761 ex 1515
[email protected]