1. ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADA NEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING Native American/Alaska Native Behavioral Health: Some Innovations in the West Mimi McFaul, Psy.D. Director, WICHE Mental Health Program

2. ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADA NEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING Innovation, Creativity, Culture  Programs born out of a need for connection back to the culture  Traditional Western approaches alone were not effective  Examples of creativity dotted across tribal lands and surrounding communities  Here are just 3 examples…

3. ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADA NEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING Behavioral Health Aides in Village Alaska  Addresses severe workforce shortage issue  Modeled after Community Health Worker model  Sometimes people are chosen by an Elder  Counselor, health educator, & advocate to help address community behavioral health needs  Professional Pathway: Certificate program articulates to other degrees in mental health and substance abuse within Alaska University System

4. ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADA NEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING South Dakota - Lakota  Lakota formulation of DSM diagnosis & tribal mental health training curriculum  Wakanyeja Pawicayapi (Children First)  Lakota culturally appropriate mental health resource for children/youth and families on the Pine Ridge Indian Reservation

5. ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADA NEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING New Mexico - Navajo  Na’Nizhoozhi Center (NCI) “A Bridge of Recovery”  Largest residential center for Native American Detox and Substance Abuse treatment  Blended Western and Navajo treatment approaches  Community collaboration

6. ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADA NEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING Mental Health First Aid (MHFA)  CPR for Mental Health/Substance Abuse  12 hour course  Increase knowledge, decrease stigma, increase likelihood of intervening  For lay people, anyone!  Modify scenarios with culturally relevant examples with local NA populations

7. ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADA NEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING Native American Behavioral Health Practice-Based Evidence  Pockets of innovation exist  Sharing what works – sifting out critical elements  Identifying if replication is possible  Connecting academic research centers to programs  Centers for American Indian and Alaska Native Health (U of CO)  Center for Alaska Native Health Research (U of AK)  Place to share promising programs and outcomes research

8. ALASKA ARIZONA CALIFORNIA COLORADO HAWAII IDAHO MONTANA NEVADA NEW MEXICO NORTH DAKOTA OREGON SOUTH DAKOTA UTAH WASHINGTON WYOMING Questions? Contact Information: Mimi McFaul, Psy.D. Director, WICHE Mental Health Program mmcfaul@wiche.edu 303-541-0288