1. Multnomah County Collaborative: The Native Future Generations Collaborative (FGC) TERRY ELLIS HEATHER HEATER CHARMAINE KINNEY SARAH TRAN

2. Oct 2011 Oct 2012 BACKGROUND Substance use during pregnancy among Native women. PROGRESS CityMatCH application accepted! “Do you realize the can of worms you’ve opened?” TIME

3. Oct 2011 Oct 2012 BACKGROUND Substance use during pregnancy among Native women. PROGRESS CityMatCH application accepted! “Do you realize the can of worms you’ve opened?” TIME

4. Oct 2011 Oct 2012 BACKGROUND Substance use during pregnancy among Native women. PROGRESS CityMatCH application accepted! “Do you realize the can of worms you’ve opened?” TIME

5. Oct 2011 Oct 2012 CHALLENGES PROGRESS Historical relationships between partner agencies. Lack trust Lack $$ Bureaucratic barriers Native partners having to “code switch” Siletz grant: rejected TIME

6. Oct 2011 Oct 2012 ASSETS PROGRESS Strong Native organizations Recognized the importance of language Safe space for honest conversations Native partners ability to “code switch” Passion for and commitment to project TIME

7. Oct 2011 Oct 2012 ACCOMPLISHMENTS PROGRESS Adopted trauma- informed perspective in decision-making process Created a community- based participatory planning process MHASD invested $$ MCHD invested $$ Partners committed FTE to project  Membership in FGC Renamed ourselves as Future Generations Collaborative Adopted relational worldview into our practice Invited to submit full proposal to $50k grant Hired 2 staff TIME

8. Oct 2011 Oct 2012 FUTURE DIRECTIONS PROGRESS  circle of influence  hidden voices in the community  funding Implement culturally-specific practice-based evidence (vs. evidence-based practice) 1.Listen to community stories about healthy pregnancies 2.“Meaning making” meetings 3.Plan community actions 4.Organize community commitments TIME

9. Oct 2011 Oct 2012 FUTURE DIRECTIONS PROGRESS r > 0.7 TIME

10. Contact TERRY ELLIS Native American Rehabilitation Association of the Northwest, INC. tellis@naranorthwest.org CHARMAINE KINNEY Multnomah County Mental Health and Addictions Services Division charmaine.kinney@multco.us HEATHER HEATER Multnomah County Health Department, Early Childhood Services heather.heater@multco.us SARAH TRAN Multnomah County Health Department, Community Epidemiology Services sarah.tran@multco.us