Honoring Children, Honoring the Future: SchoolCommunity Based Prevention of American Indian Youth Su

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Honoring Children, Honoring the Future
School/Community Based Prevention of American
Indian Youth Suicide.

• Indian Country Child Trauma Center
• University of Oklahoma Health Sciences Center
• Center on Child Abuse and Neglect
• PO Box 26901 CHO 3B 3406
• Oklahoma City, OK 73190
• [phone]
• [phone] fax
• www.icctc.org

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Presenters

• Teresa LaFromboise, PhDStanford University
• Dolores Subia BigFoot, PhD
• Indian Country Child Trauma Center

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Indian Country Child Trauma Center

• Mission
• To improve and adapt evidence-based treatments
  for Native children and adolescents in Indian
  Country who have experienced traumatic events

• National Child Traumatic Stress Network
• Mission
• To raise the standard of care and improve access
  to services for traumatized children, their
  families and communities throughout the United
  States.

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Barriers to Implementation

• Belief that nothing can be done to change
  environment
• Stigma, feeling disgrace or shamefulness
• Engaging in abusive or addictive behaviors
• Resistance to change
• Limited cooperation from key programs (turf
  issues)
• Duplication of services miscommunication or
  confusion planning

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Considerations for Implementation of EBP

• Community Readiness
• Current Therapeutic Activities
• Current Therapeutic Strategies
• Availability of Practice Based Evidence
• Endorsement by elders

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Community Mobilization Strategies

• Within the Indian community
• Obtain support from community leaders
• Introduce community members to new programs
  and identify providers
• Train in the community, provide follow up and
  consultation
• Identify other programs or services in same topic
• Include younger population and utilize the tribal
  elders
• Promote the cultural strengths

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Process of EBT Adaptation for Indian Country

• Identification of core concepts of EBT
• Identification of experts or developers on
  adaptation process
• Discussion with experts/developers on adaptation
  process
• Ongoing and open dialogue on modifications

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Process of EBT Adaptation for Indian Country

• Identification of Native traditional teachings
  and concepts
• Identification of traditional parenting/nurturing/
  therapeutic practices
• Identification of ways of teaching and learning
• Identification of Native cultural worldviews to
  explain behavior

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Utilization of Native Ways as the foundation for
teachings

• Use of concepts that are more meaningful
• Circle
• Respect
• Honoring
• Use of language
• Native words that families recognize as powerful
  or respectful

• Wisdom
• Harmony

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Core Treatment Components
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Honoring ChildrenHonoring the Future