1. EMPOWERING AND EDUCATING THE URBAN AMERICAN INDIAN POPULATION OF DIABETES National Indian Health Outreach and Education David Harmon December 2014

2. AGENDA Grant Overview Harmony Expressed in All Languages (H.E.A.L.)  Goals and Objective  Statement of Need  Partnerships  Timetable  Budget Tribal Council Resolution Conclusion

3. GRANT OVERVIEW Cooperative Agreement Program  Indian Health Services (IHS)  National Indian Health Outreach and Education (NIHOE) Background  Carry out Health Program Objectives in the American Indian and Alaska Native (AI/AN) Communities  Improving Indian Health Care for all Federally Recognized Tribal Members Residing amongst the Urban American Indian Population

4. GRANT OVERVIEW(Cont) Purpose  Further IHS’s Mission and Goals to Outreach and Educate the Urban American Indian Communities the affects of Diabetes  Sole Outcome is to Aware and to Hopefully Prevent Diabetes amongst all Urban American Indian Communities; specifically in the Northern Arizona Region Project Period  One Year (October 1, 2014-September 30, 2015) Funds Available  $300,000

5. H.E.A.L. (Mission Statement) Mission Statement “Our mission is to educate, outreach and empower the urban Indian population the effects of diabetes, through development, communication and sincerity to create a healthy community based on Indigenous and family values.”

6. H.E.A.L. (Goals & Objective) Our goal is to promote the awareness of diabetes and how it is truly effecting the urban American Indian population in the Flagstaff community Flagstaff is home to many Northern Arizona Tribal Members. Few resources and little education on Diabetes in the Flagstaff Community Our program’s primary objective is to Educate all Tribal Members residing in the Flagstaff community the effects of Diabetes Door to Door Outreach Quarterly Educational Forums Community Involvement

7. H.E.A.L. (Statement of Need) Statement of Need: H.E.A.L. respectfully requests $300,000 to educate and outreach to the urban American Indian population, in Flagstaff, Arizona, about diabetes. Currently, the American Indian populations in Arizona have among the highest recorded prevalence of diabetes in the world. Within Arizona, 8.1% of the total adult population has been diagnosed with diabetes. The city of Flagstaff, which is located in Northern Arizona, has a total population of 65,870 people. Out of the total population, 12% consists of the urban American Indian population.

8. H.E.A.L.(Partnerships) Partnerships: H.E.A.L. will be in a partnership with the urban American Indian Health Centers known as Native Americans for Community Action (NACA) and Sacred Peaks Health Center to better outreach and educate this targeted population. IHS Grant Funding H.E.A.L. Founded Partnerships (NACA & Sacred Peaks) Outreach and Education Urban American Indian Awareness

9. H.E.A.L.(Timetable) TIMETABLE (October 1, 2014-September 30, 2015) Activity OctNovDecJanFebMarAprMayJunJulyAugSep Grant Received from IHS X Hire/Train Employees XX Establish Memorandum of Agreements w/NACA and Sacred Peaks X Receive/Distribute Informational Brochures to NACA and Sacred Peaks XX XX Designate Facilities to hold Public Forums X Outreach throughout the Community XXXXXXXXXX Public Forums X X X X After Action Report Resulting from Community Input and Surveys X X X X Finalization Report (NACA & H.E.A.L.) X Final Report to IHS X

10. H.E.A.L. (Budget) Total Requested: $300,000  Indirect Cost $180,000  Direct Cost $120,000  Employee Salaries (95,880) Project Director (35,800) Project Researcher (30,040) Project Statistician (30,040)  Office Supplies (2,000)  Travel (4,000)  Other (18,120)

11. TRIBAL COUNCIL RESOLUTION AS IT IS KNOWN, the Hopi Tribal Council is a federally recognized Tribal governing body for the Tribal members of the Hopi and Tewa Nations, and AS IT IS KNOWN, that the urban Indian population in Flagstaff continues to grow with community members of the Hopi and Tewa nations, and WHEREAS, H.E.A.L. is an outreach grant program funded in partnership with the National Indian Health Outreach and Education (NIHOE) program and Indian Health Services (IHS), and WHEREAS, the Hopi Tribal Council recognizes the negative effects of diabetes amongst its community members; specifically amongst the urban Indian population, and

12. TRIBAL COUNCIL RESOLUTION (Cont) WHEREAS, the Hopi Tribal Council sees the opportunity for H.E.A.L. to collaborate with the local urban Indian Health Centers (Native Americans for Community Action and Sacred Peaks Health Center) in order to be successful with this outreach program, and WHEREAS, H.E.A.L. will provide quarterly progress reports to the NIHOE and IHS offices or when appropriate, and NOW THEREFORE, be it known and resolved that the Hopi Tribal Council is aware of H.E.A.L., its mission and its funding source, and MAY IT ALSO BE KNOWN, that H.E.A.L. will target the urban Indian population in Flagstaff, Arizona in accordance with the respective guidelines deemed appropriate by IHS and City of Flagstaff with respect to our traditional teachings, and

13. TRIBAL COUNCIL RESOLUTION (Cont) FUTHER MORE, if the Hopi Tribal Council wishes to allocate any funds in support H.E.A.L.’s outreach program, the members of H.E.A.L. will be very grateful of the council’s generosity. Certification We, as the staff members of H.E.A.L., NACA and Sacred Peaks certify that this resolution passed and approved by the Hopi Tribal Council on this 2nd day of November, 2014 by a vote of 12 yes, 0 no, 0 abstain.

14. CONCLUSION Thank you ! Healing Expressed in All Languages would like to extend our appreciation to the Hopi Council, NACA, Sacred Peaks, and the Community Members of the Urban American Indian Population. Questions: Project Director, David Harmon ddh74@nau.edu

15. REFERENCES Source: Site; (http://www.cdc.gov/nchs/data/hus/hus11.pdf) Source: Site; (http://www.cdc.gov/diabetes/pubs/pdf/diabetesreportcard.pdf) Source: Site; (http://www.sophe.org/Sophe/PDF/Arizona_2012.pdf) Source: City of Flagstaff Website, 2013: Site; (http://www.flagstaff.az.gov/index.aspx?NID=1095) Source: Health, United States, 2011: With Special Feature on Socioeconomic Status and Health (http://www.cdc.gov/nchs/data/hus/hus11.pdf)