Funded by the Centers for Disease Control and

Prevention

Good Heath and Wellness in Indian Country

Major ActivitiesPHASE IAnnually award $5,000 - $15,000 to 20 - 55 tribes and tribal health programs to conduct community health assessments based on local data.

PHASE IIAnnually award $20,000 - $30,000 to 20-50 tribes and tribal health programs to create and sustain policy, systems, and environmental health interventions (years 2-5).

Goals Increase chronic disease prevention Create sustained policy, system and environment (PSEs)

improvements Increase community and clinical linkages within California Increase team-based systems of care

CRIHB Research and Public Health staff provides: training, funding, and technical assistance to tribes and tribal organizations in California.

Advancing California Opportunities to Renew Native health Systems (ACORNS)

CRIHB Awarded “Good Health & Wellness in

Indian Country”Sept. 2014

Call for Proposals to tribes and tribal health programs to develop Community Health

AssessmentsReleased: December 1,

2014Amounts: $5,000-

$15,000

Award 20-50 Community Health Assessment

Awards02/01/2015

Community Health Assessments Completed and Community Action

Plans Developed08/31/15

Release Annual Call for Proposals to address needs identified in

Community Action PlansDue Every Fall

Amounts: $20,000-30,000

Award 15-20 tribal grantees to address

policy, systems, environmental changes focused on promoting

health

Complete comprehensive evaluation and share

best practices developed from grantees.

2019

Year 1

Years 2-4

Year 5Program Objectives:* Increase chronic disease prevention * Sustained policy, system and environment improvements* Increase community and clinical linkages within California* Increase team-based systems of care

Training &

Technical Assistanc

e

Training &

Technical Assistanc

e

Training &

Technical Assistanc

e

PHASE I AWARDEES WILL:

Produce a Community Action Plan (CAP) to address Policy, Systems and

Environment

Produce a Community Assessment

Gather information on community

Assemble a “Community Team” (Representative of the Community Sector, Health Care Sector, School Sector & Work

Site Sector)

PHASE II AWARDEES WILL:

Implement a Community Action Plan aimed to

address one or more of the following

Tobacco use &

exposure prevention

Physical activity & healthy eating

Chronic disease

prevention & related

risk factors

HOW CAN YOU USE MINIGRANT FUNDS?Support costs related to team meetingsSupport costs related to data collection Support costs related to staff time

dedicated to the identified interventionIntervention Supplies:

ex. Exercise equipment ex. Gardening supplies & equipment

POLICY, SYSTEMS AND ENVIRONMENT (PSE)

PolicyWritten statement of organizational position, decision or course of action. (such as ordinances, resolutions, mandates, guidelines, or rules)

SystemChanges in organizational procedures. (such as personnel, resource allocation, programs)

EnvironmentPhysical, observable changes in the built, economic, and/or social environment.

HEALTH PROMOTION VS. PSE STRATEGIES

University of Colorado, REACH, 2013

Health Promotion Program

PSE Strategies

Education on dental careAdd fluoride to water system

Smoking cessation education

No-smoking policies for public places

Healthy nutrition classesAdding calorie information to menus

PROGRAMS VS. PSE CHANGES

Setting Program/Event PSE Change

School Celebrate national nutrition month

Add fruits and vegetables to cafeteria lunch options

Community Host a community bike ride

Implement a Complete Streets policy to ensure community roads are safe for biking, walking, and driving

Worksite Hold a health fair for staff

Implement a healthy vending machine policy that offers healthy, affordable snacks

Radiology Facility

Hold a low-cost mammography event

Change operating hours to include night and weekend appointments

Hospital Hold free breastfeeding courses for new moms

Implement WHO 10 Steps to Successful Breastfeeding

Adapted from http://www.cookcountypublichealth.org/files/CPPW/PSE%20Change.pdf

EXAMPLE: INCREASE ACCESS TO HEALTHY FOODS

PolicyAmends codes and policies to define

farmersmarkets. System Create new permitting processes for farmers markets, food options at school.

Environment Community gardens, healthy concessions, healthy options on menu at local diners, improved food options at stores.

https://www.ihs.gov/healthyweight/documents/Tools4HealthyTribes.pdf

ACORNS EXTERNAL EVALUATION

Holistic approach to population health and wellness.PurposeTo assist Awardees with creating a framework for their process and outcome assessments, action plan, and project development.

Evaluation Tools CDC CHANGE Tool

(Community Health Assessment and Group Evaluation) Culturally Responsive Evaluation Indigenous Evaluation Framework Empowerment Evaluation

EVALUATION FRAMEWORK

Grounding

Telling the Story

PlanningCreating Knowledge

Interpretation or

Analysis

Sharing and Using Knowledge

“Tribal public health infrastructure is

strengthened when each tribe adopts local strategies

to meet its public health challenges. Interventions are tailored to the cultural beliefs

and practices of the population; ultimately leading to decreased

morbidity, decreased early mortality and improved quality of life.” – CDC

Questions? Comments?

Website http://www.crihbacorns.org/

CRIHB Contacts

Virginia Hedrick (Yurok/Karuk)Program Manager(916) 929-9761 ex 1518virginia.hedrick@crihb.org

Nanette YandellProgram Evaluator(916) 929-9761 ex 1515nanette.yandell@crihb.org