1. NATIVES HELPING NATIVES Michelle Singer (Navajo) The Center for Healthy Communities Oregon Health & Science University (OHSU)

2. PRESENTATION OVERVIEW Native STAND 101 Native STAND 101 Resources Resources Indian Country Significance Indian Country Significance Opportunities Opportunities  Training – Application Opportunity  Upcoming Webinar for Interested Applicants Contact Info Contact Info

3. WHAT IS NATIVE STAND? Native Students Together Against Negative Decisions

4. RATIONALE & 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 actual commitment of resources to evidence-based interventions.

5. 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. Evaluated with findings.

6. NATIVE STAND 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

7. PAST EVALUATION FINDINGS 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.

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

9. CENTER FOR HEALTHY COMMUNITIES NATIVE STAND PROGRAM This activity is funded by the CDC Prevention Research Center and the IHS NW NARCH as part of the efforts to eliminate health disparities for Tribal youth.

10. PROGRAM PARTICIPANT BENEFITS  1-week of hands-on free training with curriculum materials.  2-year implementation funding ($5K each year) Signed MOA IRB Local Review Approval Attend & Complete Training Confidentiality Agreement Submitted Action Plan W-9 or Tax ID Form  Technical assistance  Data Collection & Evaluation

11. SUMMER TRAINING PROGRAM OPPORTUNITY JUNE 26 TO JULY 1, 2016 o 1 week in Portland o Native STAND curriculum o Practice at THRIVE o Human subjects protection o Technical Assistance o Leave with action plans for home communities

12. EVALUATION RE-AIM = REACH EFFECTIVENESS ADOPTION IMPLEMENTATION MAINTAINANCE

13. SIGNIFICANCE: COMMUNITY DRIVEN 50+ educators and AI/AN organizations trained 50+ educators and AI/AN organizations trained Train-the-Trainer opportunity. Train-the-Trainer opportunity. Snowball Effect: Add new youth & allies Snowball Effect: Add new youth & allies Pre- and post- data on key indicators: Pre- and post- data on key indicators:  (+/-) Changes in youth  Community Awareness & Engagement  Capacity Building  Leverage

14. NATIVES HELPING NATIVES “NATIVES HELPING NATIVES” The Native STAND Project Commitment: 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.

15. OPPORTUNITIES & RESOURCES Online Application Available at www.oregonprc.org Due – February 1, 2016 1.One hour Live Webinar for Interested Applicants – Nov. 19 2.View Center’s Website 3.Contact Project Manager for consult

16. NATIVE STAND CORE TEAM COLLABORATIVE PARTNERS OREGON PRC Bill Lambert Michelle Singer Tosha Zaback Ashley Thomas Tom Becker NPAIHB Stephanie Craig Rushing Jessica Leston *Adolescent Tribal Health *NW Tribal Epi Center

17. Contact Information The Center for Healthy Communities Native STAND Project www.oregonprc.org Michelle Singer (Navajo), Project Manager singerm@ohsu.edu 503-418-2199