1. Health & Human Services Branch 2016 Presented by Caroline Cruz Health & Human Service General Manager Health and Human Services Branch

2. Health & Human Services Branch 2016 MISSION: Support the Culture and well-being of the people of the Confederated Tribes of Warm Springs

3. 2016 GOALS AND OBJECTIVES: Goal #1: Parents are supportive and provide structure and guidance for their children. Objective: Implement the Family Preservation as a behavioral health program. Objective: Continue to offer parenting classes and training, provide culturally appropriate activities/Tribal best practices and other supports.

4. Goal #2: Our people are valued, bonded to the community and have job advancement opportunities. Objective: Create training positions in each department for Tribal Member job advancement. Objective: Continue to support and fund Native Aspirations-Soaring for the Future youth and college student employment program.

5. Goal #3: Community members returning from treatment are supported with transitional services. Objective: Develop a plan for outpatient treatment and transitional support. Objective: Assess feasibility of a halfway house.

6. Goal #4: Families utilize resources for maximum benefit to youth and children. Objective: Assess feasibility of building a new Community Center. Objective: Support the Tribal Youth Center and wrap- around services.

7. Goal #5: Increase access to all health related programs to optimize the physical, cultural, mental, and spiritual health of our community members. Objective: Implement a Tribal Physical Therapy program. Objective: Implement a comprehensive Diabetes awareness, prevention and treatment program for Tribal Youth. Objective: Continue to support the Native Aspiration Coalition who provides all year round prevention family activities for the community.

9. JOINT HEALTH COMMISSION Update Program Descriptions Annual Health Report Plan for next year

10. The Five Steps of SAMHSA’s Strategic Planning Framework (SPF) Sustainability & Cultural Competence Profile population needs, resources, and readiness to address needs and gaps Monitor, evaluate, sustain, and improve or replace those that fail Implement evidence- based prevention programs and activities Develop a Comprehensive Strategic Plan Mobilize and/or build capacity to address needs Assessment Capacity Planning Implementation Evaluation

11. Mental Health Promotion INSTITUTE OF MEDICINE

12. Community Individual Family School Availability of drugs Availability of firearms Community Laws and Norms Media Portrayal of Violence Transition and mobility Low neighborhood attachment Extreme economic deprivation Family history of the problem behavior Family management problems Family conflict Favorable parental attitudes and involvement in the problem behavior Academic failure beginning in late elementary school Lack of commitment to school Early and persistent antisocial behavior Rebelliousness Friends who engage in the problem behavior Gangs Favorable attitudes towards the problem behavior Early initiation of the problem behavior Constitutional factors Summary of Risk Factors  Caroline M. Cruz 2005

13. Circle of Prevention: A Comprehensive Approach Information Dissemination Prevention Education Community-Based Processes and Activities Environmental or Social Policy Problem Identification and Referral Circle of Prevention Oregon Prevention Cookbook, Draft 3, 1997 Print-Caroline M. Cruz Alternatives

15. Health & Human Services Branch General Manager (23) Total 227 HUMAN SERVICES (111) Community Counseling (26) Addiction Treatment Psychiatric Services Mental Health Prevention Services Community Wellness Center (8) Tribal Social Services (11) Commodity Food Social Services, SS Navigator Vocational Rehab Child Protective Services (18) Family Preservation (4) 2016 Fiscal/Adm. Assistant HEALTH & BEHAVIORAL SERVICES (93) Staff Developer Data Coordinator Community Planner CHRC Center (8) Cultural Advisor Media Center (9) Native Aspiration Soaring for the Future Work Program (1) 110 during summer Culture and Heritage (14) OSU Extension (5)  Community Health Services (39) Maternal Child Health Nutrition Nursing and Social Work Community Health Rep Women Infant Children Program (WIC) Community Health Ed. Team Senior Wellness SDPI Wellness Centralized Billing Center (6) ECE DEPARTMENT (72) Day Care Head Start Food Services Early Intervention  Services For Total Branch

16. Questions? Create A Good Day