1. OSG Tiwahe Presentation
Presenters:
Cheri Goodwin, Director, Children & Family Services, Red Lake Nation
MERCEDES Garcia, National Tiwahe Coordinator, Office of Indian Services, Bureau of Indian Affairs, Department of Interior

2. Introduction to Tiwahe
Tiwahe means family in the Lakota language
This is a five-year initiative (FY 2015 – FY 2019)
Coordinated Service Delivery Approach – The National Tiwahe Coordinator (NTC) works closely with each participating pilot tribe to implement a plan and achieve Tiwahe goals through three phases:
Phase 1: Planning and Development
Phase 2: Service Delivery and Implementation
Phase 3: Reporting and Enhancement

3. Tiwahe Overarching Goal
To improve the health, safety, and well-being of families by implementation of a coordinated service delivery model among agencies and justice systems to:
increase access to family and social services,
create alternatives to incarceration via solution-focused sentencing options,
improve links to appropriate prevention, intervention and treatment opportunities,
improve case management services, and
improve the overall partnerships among local, tribal, county, state and federal providers to improve access to services for tribal children, youth and families.

4. Tiwahe Across The Board Increases
Tiwahe provided Across The Board increases to all tribes that operated a Social Services and Indian Child Welfare Act (ICWA) program in FY 2014
An 8% increase in Social Services was given to all Tribes in FY based on their TPA allocation in FY 2014.
A 21% increase in ICWA TPA was given to all Tribes in FY 2015 based on their TPA allocations in FY 2014.
Tiwahe pilot tribes received an additional increase for Tiwahe implementation from the Initiative.

5. Tiwahe Initiative Pilot Sites

6. Four Federal Goals
Support Families through Coordinated Service Delivery
Develop Tiwahe Plans at the Tribal Level
Coordinate Social Services, Justice Service, Tribal Courts, Youth & Family Programs
Integrate Culture in Services
Programs with cultural components
Support Self-Determination and Self-Governance
Data driven-decisions (data system)
Self-directing of funds
Model Program for leading Indian Country
Reporting successes and challenges
Sharing ideas

7. Tiwahe Implementation
Tiwahe fosters collaboration of services among tribal programs and with State and Federal partners.
Each of the Tribes participating in this initiative determined how they wanted to implement Tiwahe.
Tiwahe Tribes share the common goals and purpose of the initiative, but realize the methods, actions, and outcomes in their own way.
The Bureau of Indian Affairs (BIA) works with the Tiwahe Tribes to build the capacity to track and analyze data on the impact the funding has on the family unit and will take those lessons and apply them throughout Indian Country so that all tribes are benefited by the lessons of Tiwahe.
Foster collabs with non tribal partners to encourage leveraging of dollars

8. Tiwahe Framework
Self-Governance for tribes is what Tiwahe is to family.
The Tiwahe Framework helps tribes to measure the impact that the on-the-ground work of tribal programs have on a family or individual.
Data is gathered from the families directly (through surveys, assessments or self-reflection tools) to ensure they are the voice of whether a program or service is making a difference

9. US – NZ INDIGENOUS RELATIONSHIP
US - Tiwahe initiative
5 year
demonstration project
NZ - Whanau ora policy
12 yEAR
government policy

10. CURRENT POSITION Overview
Measures of Success
Guidelines for Success
Final Success Report
ISSUE
IMPACT
FY 2019 is the final year of funding for the Tiwahe Demonstration Project.
Tiwahe Pilot Tribes MUST provide Congress:
Final Report that includes
Measures of Success
Guidelines to Implement
Permanent loss of increased funding to support Indian Families ($$)
Risk Tiwahe Principles not being applied to meaningfully support and protect Indian Families

11. 1. DEVELOP Common Language
Tribal Priority Areas – The priority areas for change at a Population Level for all Alaska Natives & American Indians.
Tribal Outcomes – Tribal Level goals as defined individually by each (Tiwahe) Tribe. Tribal Goals are rolled up to an overall effort that demonstrates the value gained in each Tribal Priority Area.
Possible Indicators – Examples of indicators that a Tribe can use to measure their efforts toward Tribal Outcomes.
Common language for reporting purposes.
Better way to communicate how Indian Families Thrive.
Measures of Success
Guidelines for Success
Final Success Report

12. TIWAHE FRAMEWORK Measures of Success Guidelines for Success
Final Success Report
DEVELOP Common “Outcomes” language to improve communication of Tiwahe impact
AGREE on Tribal Priority Areas to show where funding is contributing to positive gains
CONNECT Tribe’s activities to end goals of Tribal Priority Areas
DOCUMENT Practice Guidelines for other Tribes to adopt
PUBLISH Collective Impact Report to Congress
Success per Tiwahe Family
Tiwahe

13. 2. AGREE on Tribal Priority Areas
Current State
Alaska Natives & American Indians are Self-Managing and Empowered Leaders
Alaska Natives & American Indians lead Healthy Lifestyles
Alaska Natives & American Indians Participate fully in Society
Alaska Natives & American Indians confidently Participate in their Culture
Alaska Natives & American Indians are Economically Secure and successfully involved in Wealth Creation
Alaska Natives & American Indians are Cohesive, Resilient, and Nurturing
Alaska Natives & American Indians are Responsible Stewards of their Living & Natural Environments
Tribal Priority Areas
Proposed State
Alaska Natives & American Indians are Self-Managing and Empowered Leaders
Assiniboine lead Healthy Lifestyles
Yaquis Participate fully in Society
Dakotas confidently Participate in their Culture
Utes are Economically Secure and successfully involved in Wealth Creation
Ojibwe are Cohesive, Resilient, and Nurturing
Yu'pik are Responsible Stewards of their Living & Natural Environments
Agree on Tribal Priority Areas to show where government funding is “improving the quality of life in Indian Country”
Priority Areas 1
Measures of Success
Guidelines for Success
Final Success Report 1
DOI 2018 – 2022 Strategic Plan URL:

14. 3. CONNECT Success Measures
Tribal Priority Area
Long-Term Outcomes
Middle Term Outcomes
Short-Term Outcomes
AI/AN Lead Healthy Lifestyles
Connecting Tribe’s success measures to overall Tribal Priority Areas
“Ojibwes have a quality of life that meet their health needs.”
“Ojibwes receive a physical and at least one preventative health screening yearly.”
“Ojibwes have insurance or Medicaid coverage.”
AI/AN Connected
AI/AN Progressing
AI/AN Thriving
Recognize how Tribe’s realize Success Measures
Individual Performance Metrics
Across The Board PerformanceMetrics
Measures of Success
Guidelines for Success
Final Success Report

15. 4. CONNECT Success Measures
Impact
CONNECT
OUTCOMES
AI/AN Lead Healthy Lifestyles
Connecting Tribe’s success measures to overall Tribal Priority Areas
OUTCOMES
Outcomes
Propose to ‘workshop’ this effort together in Jan.-March
Outputs
Across The Board PerformanceMetrics
Individual Performance Metrics
Measures of Success
Guidelines for Success
Final Success Report

16. 5. DOCUMENT Tiwahe Practice Guide
IDENTIFY KEY STAKEHOLDERS
Victims Assistance
Attendance Achievement
Out-Patient Service
HIGHLIGHT COMMON METRICS
# of Participants
# Satisfaction Surveys
# Reduced Recidivism
# Increased Attendance
ALIGN OUTCOMES
Healthy Families
Culture Connectedness
Education
MAP TO IMPACT
Tiwahe Domains
HOW TO IMPLEMENT TIWAHE PRACTICE
Measures of Success
Guidelines for Success
Final Success Report

17. Using the Tiwahe Framework in action
Red Lake Nation – Red Lake, MN
Cheri Goodwin, Director, Family & Children Services Director, Red Lake Nation

18. Using the Tiwahe Framework in action
We believe that families prosper when they:
Are engaged in their cultural and spiritual beliefs and traditions
Have positive relationships and connections
Are safe and secure
Receive supportive help and services
Are physically and emotionally healthy

19. Using the Tiwahe Framework in action
Domain I: Cultural: Relationships and Connections…
Youth relationships
Social avenues
Vulnerable adult advocacy
Mentoring, coaching, parenting in traditional ways

23. Using the Tiwahe Framework in action
Domain II: Safety/Security & Family Reunification
Community home security
Medical alert program
Expand capacity of home maintenance program

25. Using the Tiwahe Framework in action
Domain III: Moving Home: Supportive Services: Money Follows the Person
PCA services
Establish PCA agency
Transition MN Choice
AMHRS (adult rehabilitative mental health services & Children’s Mental Health)
Adult Day Center
Adult Foster Care licensing
Vulnerable Adult Targeted Case Management
Native Stand Youth Group

28. Using the Tiwahe Framework in action
Domain IV: Health, Wellness, End of Life Care
Nutrition, Grown Locally
Expand palliative care
Establish hospice program
Develop rehabilitation services
More fully utilize existing services

31. Using the Tiwahe Framework in action
Red Lake Nation Money Follows the Person – Tribal Initiative: Phase 2 will focus on “asking” through surveys and interviews (multi methods assessment approach). Red Lake Nation members their perspective concerning the service infrastructure… What is going well? What needs improvement? If tomorrow services were in place providing quality of life support for Elders and persons with vulnerabilities – what would this look like?
In addition, continued work will be done to…
Established Adult Foster Care Licensing.
Explore federal and state requirements to develop Adult Day Services.
Participate in PCA regulation – MN Department of Human Services approving licenses, Red Lake Nation requiring business license.
Work toward Red Lake Nation developing service infrastructure and in doing so “rebalance” Medical Assistance dollars
Extend services to urban settings.

35. Government-to-government relationship building

36. Money Follows the Person Tribal Initiative – Non-tribal partnerships