1. BUTTE COUNTY Home of Mechoopda, Concow, Estom Yumeka and Tyme Maidu People

4. Catalyst for Interaction Between Tribes and County In 1996 two teenage boys from one of the rancherias committed suicide

5. SHARON DONNELSON 1948 - 2007

6. TRIBAL/COMMUNITY INTERVENTION TASK FORCE Representatives from four tribes Law Enforcement and fire protection County Public Health County Behavioral Health Feather River Tribal Health Clinic District Schools

7. invading enemy territory Children’s Services Coordinating Council Juvenile Justice Coordinating Council Child Abuse Prevention Council Court mandated ICWA Task Force Presentations at Behavioral Health Grand Rounds Cultural competency training for Children’s Services, School Districts and others

8. Connecting Circles of Care Planning grant from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) Three years of focus groups with Native community members

9. PRESENTATION TO BUTTE COUNTY BEHAVIORAL HEALTH ADMINISTRATORS Data collected from focus groups and GONA County data on percentages of Native youth in juvenile justice system and foster care

10. GATHERING OF NATIVE AMERICANS - GONA A RETREAT OF NATIVE COMMUNITY MEMBERS AND REPRESENTATIVES FROM BEHAVIORAL HEALTH AND CHILDREN’S SERVICES

11. ELDERS ATTENDING GONA

12. Allies Not Adversaries

13. the first connection Early and Periodic Screening, Diagnostic and Treatment Provider Contract (EPSDT)

14. CONNECTING CIRCLES OF CARE

16. WRAP AROUND SERVICES PARTNERS INCLUDE: Feather River Tribal Health, Inc. Butte County Behavioral Health Butte County Children’s Services Butte County Juvenile Probation Butte County District Attorney Youth for Change Northern Valley Catholic Social Services

17. outcomes

18. Higher satisfaction rates Fewer out of home placements Improved scores on behavioral measurements Reduced stigma

20. IT’S COOL

21. Native Organizations: Start attending meetings regularly Agencies: Send out notifications of meetings

22. Native Organizations: Develop cultural competency trainings Agencies: Ask Native organizations to make presentations

23. Native Organizations: Collect data on your own area Agencies: Help tribes collect data

24. Native Organizations: Hold a GONA Agencies: Give staff time to go to the GONA

25. Native Organizations: Identify and reinforce your allies Agencies: Be willing to perceive things in new ways

26. Native Organizations: Ask for an EPSDT contract Agencies: Think how this could improve your own service delivery