1. Center for Healthy Communities Oregon Health & Science University in collaboration with Northwest Portland Area Indian Health Board Project Update & Program Opportunity

2. OREGON PRC: CENTER FOR HEALTHY COMMUNITIES

3. WORK WITH TRIBES & INDIAN COUNTRY

4. THE PROGRAM NATIVE STAND

5. THE PURPOSE  In Indian Country, tribal and community leaders are keenly aware of the challenges faced by their teens.  Our challenge, in terms of community readiness is:  to move community leaders beyond recognition of the problem.  to commitment of resources to evidence-based interventions.

6. FROM STAND TO NATIVE STAND BACKGROUND STAND created by Mike Smith, Mercer University SOM, was the developer of the STAND curriculum. Reps. of National Coalition of STD Directors/I.H.S./CDC developed a work group. Native Work Group adapted the original STAND. Reviewed by Native Youth & Professionals. Validated in 4 BIE schools & 1 reservation community.

7. NATIVE STAND PROGRAM THE CURRICULUM CORE ELEMENTS 1.Facilitator’s Manual 2.Peer Educator Manual 3.Resource Manual 29 ~ 90 min. sessions 29 ~ 90 min. sessions  Culture and Tradition  Honoring diversity / respecting traditions  Healthy relationships  Negotiation and refusal skills  Decision making  Being a peer educator Uses active learning Uses active learning Uses primary prevention techniques Uses primary prevention techniques  Non-judgmental attitudes  Information sharing  Advocating specific behaviors  Positive role modeling  Promoting personal commitment Healthy, positive sexual expression in relationships Healthy, positive sexual expression in relationships

8. CULTURALLY TAILORED PROGRAM & CURRICULUM  Culturally Relevant  Stories/activities from various tribes  Urban and Reservation  Inter-Tribal  Expanded  Healthy Relationships  Reproductive Health  STIs/HIV/AIDS Prevention  Early Pregnancy/Parenting  Created flexible format  90 minute segments  For use in boarding schools, after school programs, in-school, etc.

9. THE PROGRAM Training Hands-on Learning Implementation Action Plan Native STAND Activities Teens Become Peer Educators Teens Become Peer Educators

10. WHAT HAPPENED IN SELECT NATIVE SETTINGS? 1.Students demonstrated significant improvements in knowledge of:  STD/HIV/AIDS Prevention  Reproductive Health  Healthy Relationships 2.Tribal youth reported providing 1-on-1 peer education and referrals. 3.Adult facilitators learned how to better communicate & teach about sensitive topics. 4.Program was well received; recognition in addressing critical gaps in sexual health education.

11. FINDING: NATIVE STAND IMPROVES KNOWLEDGE! Pre- n=70 youth Post- n = 34 youth

12. D & I PROJECT STUDY

13. NATIVE STAND PROJECT CORE TEAM OREGON PRC Bill Lambert Michelle Singer Kavita Rajani Tom Becker Caitlin Donald Brittany Morgan NPAIHB Stephanie Craig Rushing Jessica Leston * Adolescent Tribal Health *NW Tribal Epi Center

14. OUTREACH & RESEARCH Program is action oriented and empowers communities. Project will measure & evaluate the adoption and impact in communities. It is community driven!

15. PROJECT SIGNIFICANCE: RAISING HEALTHY NATIVE YOUTH 50+ educators and AI/AN organizations trained. 50+ educators and AI/AN organizations trained. Train-the-Trainer opportunities. Train-the-Trainer opportunities. Snowball Effect: Add new youth & allies over time. Snowball Effect: Add new youth & allies over time. Pre- and post- questionnaire data on key indicators: Pre- and post- questionnaire data on key indicators:  (+/-) Changes in Youth  Community Awareness & Engagement  Capacity Building  Leverage of Resources  Culturally relevant health education

16. PROJECT COMMITMENT “Natives Helping Natives” Build the capacities of tribal communities to engage in research. Build the capacities of tribal communities to engage in research. Allow individual communities to better access and understand data that would benefit their communities toward eliminating health disparities. Allow individual communities to better access and understand data that would benefit their communities toward eliminating health disparities.

17. PROJECT PARTICIPANT BENEFITS  1-week of hands-on free training with curriculum materials.  2-year implementation funding ($5K each year)  Technical assistance with Core Team, Coaches, Peers.  Data on your youth, for your community, owned by your community!

18. PROJECT UPDATE --INDIAN COUNTRY & NATIVE STAND YEAR 1 & 2 COHORTS INTO ACTION! 30 Program Participants in 14 States, including Alaska!  Tribes and AI/AN organizations  Reservation/Rural Based & Urban/Metro Areas  Mostly No Existing Adolescent Health Program  Potential Implementation Host Sites Varies  Projected Student Group Size Baselines: (10-19) and (20+)  Diverse Educator Professional & Life Experiences 30 Program Participants in 14 States, including Alaska!  Tribes and AI/AN organizations  Reservation/Rural Based & Urban/Metro Areas  Mostly No Existing Adolescent Health Program  Potential Implementation Host Sites Varies  Projected Student Group Size Baselines: (10-19) and (20+)  Diverse Educator Professional & Life Experiences

19. JOIN THE MOVEMENT! YEAR 3 RECRUITMENT OPPORTUNITY!

20. LAST CHANCE!! NATIVE STAND 2017! The Center for Healthy Communities is partnering with the NPAIHB to recruit 25 Tribes and American Indian/Alaska Native organizations! a)If selected, 25 participants will receive the Native STAND Educator Training on the delivery of the Native STAND program; and, b)If selected, a part of the Native STAND Project as the Year 3 Cohort and the collective effort.

21. EDUCATOR SUMMER TRAINING OBJECTIVES 1.Provide an overview of the Native STAND Dissemination and Implementation Project, including it’s goals and objectives. 2.Prepare educators to teach an adolescent sexual health curriculum, with hands-on training using the Native STAND curriculum & program. 3.Prepare educators to recruit participants and implement the Native STAND curriculum in your community.

22. SUMMER TRAINING PROGRAM OPPORTUNITY JUNE 26 TO JUNE 30, 2017 o 1 week in Portland – travel and lodging paid for. o Native STAND curriculum materials provided. o Hands-on Practice at THRIVE with youth. o Human subjects protection training. o Technical Assistance, recruitment and teaching tips. o Evaluation, data collection and planning resources. o Graduate and depart with action plans for home communities.

23. WHO SHOULD APPLY? Tribes and AI/AN organizations that serve high school age Native youth (grades 9-12, ages 14-18 years) are encouraged to apply. Examples of previous participants include Tribes, urban Indian organizations, Indian education departments, school districts and prevention programs. This training program is appropriate for educators and prevention specialists in the area of health, human/social services, education and juvenile justice.

24. WHAT ARE THE REQUIREMENTS FOR EDUCATORS AND HOST SITE? Identify an individual to serve as the Educator and to receive the Certified Training. The identified individual must provide assurance that they are able to attend the summer training. Have access to a setting to deliver the Native STAND Program. Provide support letters from your Tribe and/or organization.

25. HOW DO I APPLY? It is recommended that interested individuals and organizations submit their application online. It is recommended that interested individuals and organizations submit their application online. However, paper applications will also be accepted. However, paper applications will also be accepted. APPLY ONLINE at www.oregonprc.org

26. QUESTIONS OR TO LEARN MORE? VIEW THE WEBSITE WWW.OREGONPRC.ORG 1.About Native STAND 2.Application for Educator Training Program & Project 3.Learn about the Certification as Native STAND Educator Training Program 4.Frequently Asked Questions (FAQs) 5.Resources I.Presentations II.Data Collection & Evaluation 101 III.Publications & Resource Articles IV.Evaluation Reports V.Native STAND Curriculum (3 Manuals)

27. IMPORTANT DATES IN 2016-17 NOW! Applications Available Nov. 17:Informational Recruitment Webinar March 1: Application Deadline April 1: Site Selection & Notifications June 26-June 30: Certified Educator Training in Portland LAST CALL FOR 25 FOR OUR FINAL YEAR! www.oregonprc.org

28. + Michelle Singer (Navajo), Project Manager singerm@ohsu.edu 503-418-2199