Culturally Tailored Native Stand Program for Health Education

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Engage with the Culturally Tailored Native Stand Program designed by the Center for Healthy Communities in collaboration with the Northwest Portland Area Indian Health Board. This program focuses on addressing health challenges faced by teens in Indian Country through evidence-based interventions and promoting positive behaviors through culturally relevant stories and activities. Explore the core elements of the program which include facilitator's manual, peer educator manual, and resource manual with a focus on healthy relationships, reproductive health, and prevention of STIs/HIV/AIDS.

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Center for Healthy Communities Oregon Health & Science University in collaboration with in collaboration with Northwest Portland Area Indian Health Board

OREGON PRC: CENTER FOR HEALTHY COMMUNITIES OREGON PRC: CENTER FOR HEALTHY COMMUNITIES

WORK WITH TRIBES & INDIAN COUNTRY WORK WITH TRIBES & INDIAN COUNTRY

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

FROM STAND TO NATIVE STAND FROM STAND TO NATIVE STAND B AC KGROUN D B AC KGROUN D 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.

NATIVE NATIVE STAND STAND PROGRAM PROGRAM T H E C U R R I C U L U M T H E C U R R I C U L U M C O R E E L E M E N T S C O R E E L E M E N T S 1. 1. Facilitator s Manual Facilitator s Manual 2. 2. Peer Educator Manual Peer Educator Manual 3. 3. Resource Manual Resource Manual Uses active learning Uses primary prevention techniques 29 ~ 90 min. sessions Non Non- -judgmental attitudes judgmental attitudes Information sharing Information sharing Advocating specific behaviors Advocating specific behaviors Positive role modeling Positive role modeling Promoting personal commitment Promoting personal commitment Culture and Tradition Honoring diversity / respecting traditions Healthy relationships Negotiation and refusal skills Decision making Being a peer educator Healthy, positive sexual expression in relationships

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

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

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

FINDING: NATIVE STAND IMPROVES KNOWLEDGE! FINDING: NATIVE STAND IMPROVES KNOWLEDGE! 100 90 80 70 60 Percent Percent 50 40 30 20 10 0 Healthy Relationships STD/HIV Prevention Reproductive Health Pre Post Pre- n=70 youth Post- n = 34 youth

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

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

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

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

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

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

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

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

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

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

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

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

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

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