ASSESSMENT OF WORK WITH NATIVE AMERICAN POPULATIONS

Transcription

1 ASSESSMENT OF WORK WITH NATIVE AMERICAN POPULATIONS Summary of Results, May 2015 Introduction Each Spring, California s Clean Air Project (CCAP) conducts an annual satisfaction survey to CTCP-funded agencies and counties or organizations with whom CCAP had contact with in the past year. This year, an additional section on work with Native American populations in the area of tribal casinos, tribal nations or tribal health was included in the survey. The section sought feedback on the level of working relationship between agencies and tribal nations. Agencies were also requested to provide input on the type of trainings they would like to see CCAP facilitate in the next grant cycle. A total of 25 completed surveys were received, representing an overall response rate of 61%. Key Findings Work with Tribal Nations, Casinos or Indian Health Clinics 1. Across all 25 respondents, 19 agencies indicated they had either a direct working relationship or collaborated with a partner program to work with a tribal nation, casino or Indian health clinic. Some examples of these working relationships include providing educational materials to tribes and casinos, like information on tobacco and e-cigarettes, and cessation knowledge. Other agencies expressed that they partner with CCAP or their local lead agency as well in their work with Native Indian populations. 2. Projects who do not work with Tribal Nations expressed that it was mostly due to the direction of the agency, lack of interest by tribal nations or casinos to work on secondhand smoke issues, or limited access to resources. Future Support 3. When asked to prioritize the types of support projects would need in the next year, the need for trainings related to smoke-free tribal casinos and working with tribal entities, smoke-free policies on tribal lands and local/ regional trainings were indicated by respondents as higher needs. 4. Other trainings brought up by respondents included increased collaborations and partnerships, education to tribal members about the impact of secondhand smoke, and additional economic studies and results from casino patron surveys. 5. Close to half (11 respondents or 46%) also expressed interest in collaborating with CCAP on producing or localizing educational materials for their community on tribal nations and the dangers of secondhand smoke. Feedback on CCAP s Tribal Casino Weekly Digest 6. When asked if respondents found the weekly digest useful, 7 of the 25 respondents (28%) expressed that they always opened the , along with 36% (or 9 respondents) who sometimes opened the and viewed the digest. Respondents were positive in their comment of the weekly digest, mostly finding the information relevant to their work, and enjoyed learning more about tribal news in a synthesized format. Page 1 of 6

2 7. Some suggestions for improving the weekly digest included developing a synopsis of the articles, providing a commentary on some of the articles and pulling out themes and highlights. Data Tables Table 1. Summary of participation rates Project Type N* Number of respondents Local Lead Agencies % Competitive Grantees % Non-funded agencies % Total % Percent of respondents SECTION I: Needs Assessment of Project s Work with Tribal Nations 1. We would like to network and learn from all projects and programs currently working with or intending to work with tribal nations. Please indicate your working relationship with tribal nations: Current working relationship Future intent Working directly with a tribal nation in our county Collaborating with a partner agency or program (e.g. Nutrition or Alcohol program) that is working with a tribal nation Working directly with a tribal casino in our county Collaborating with a partner agency or program (e.g. Nutrition or Alcohol program) that is working with a tribal casino Working directly with a Indian health clinic in our county Collaborating with a partner agency or program (e.g. Nutrition or Alcohol program) that is working with a Indian health clinic No current or future working relationship 2. If you indicated that you currently work or intend to work with a tribal nation/ casino or Indian health clinic, please indicate which tribal nation/ casino or Indian health clinic. Project Alpine County Tobacco Control Program Yolo County Tobacco Prevention Program Sonoma County Tobacco Prevention Program PIRE Tribal nation/ casino or Indian health clinic Washoe Tribe - Woodfords Community Cache Creek Casino Sonoma County Indian Health Project Graton Rancheria I am currently working at Indian Health Council on an Underage Drinking Grant Page 2 of 6

3 Project Inyo County Tobacco Prevention Healthy Environments Against Tobacco Tuolumne County Tobacco Education & Prevention Program Sustainable Health Advances in Rural Environments-SHARE Yuba County Tobacco Education Program Kings County Tobacco Control Program WIN - Wellness Iniatives Now Tobacco Prevention Settlement Program, Santa Barbara ALA Project IMPACT Mendocino County Tobacco Control Program Shasta County Tobacco Education Program Tobacco Reduction of Amador County Americans for Nonsmokers' Rights Butte County Public Health Department Tehama Health Services Agency- Public Health Tribal nation/ casino or Indian health clinic Bishop Paiute Tribe Paiute Palace Casino in Bishop clinic: Toiyabe Indian Health Project Community Health Department partner agency: Toiyabe Indian Health Project Preventive Medicine Department Rincon, Indian Health Clinic. providing info on tobacco and e-cigarettes Mi-Wuk Health Clinic to increase tobacco cessation knowledge, Mi-Wuk tribal social services is on our coalition. Jackson Rancheria in Amador County and the Amador County Local Lead Agency-Department of Health Enterprise Rancheria, Feather River Health Clinics Tachi Indian, Kings Partnership for Prevention United Auburn Indian Community (UAIC) that operates Thunder Valley Casino. "Partnering" with CNIGA and CCAP. Chumash Reservation (namely with regards to their sales of tobacco products) and also trying to Partner with them re: HSHC efforts. Santa Ynez Health Clinic We are working with Table Mountain Rancheria Work with Consolidated Tribal Health Project (CTHP); also partnering with Alcohol and Other Drugs and Snap-Ed; provide educational materials to tribes We have directly worked with Redding Rancheria in the past and currently collaborate with CCAP in their efforts to pursue a smoke-free casino. Our agency continues to work with the Redding Rancheria Health Clinic as well. We also work with the Wintu tribe as a community partner. Casino is seeking smoking cessation options for their employee wellness program. The wellness program HR rep seeks input sporadically. The emergency preparedness programs are also seeking to work with tribal entity. Partnering with CCAP for assistance to tribal casinos. We are working on assembling an education fair through a partnership made up of Butte County Tobacco Coalition members and the Inter-Tribal Task Force s Education Committee whose members represent Mooretown, Berry Creek and Enterprise Rancherias, Mechoopda Indian Tribe, and Four Winds of Indian Education. The fair will be arranged for youth who are facing the decision to pursue higher education in the near future, and their parents, as an educational forum to learn about the benefits of higher education from presenters and exhibitors. Northern Valley Indian Health Clinic Greeville Rancheria Health Clinic, Rolling Hills Clinic 3. If you indicated that you do not currently work or intend to work with a tribal nation/ casino or Indian health clinic, please share your reasons. We chose to decline the Tobacco Grant for the next three years so the new agency could make their choices. Direction of agency Page 3 of 6

4 The 2013 Communities of Excellence in Tobacco Control countywide needs assessment results indicated that 2 other objectives were considered a higher priority. We have a global and ongoing goal to work more with tribal entities/nations in the County. In tobacco control we currently no longer have specific interventions with Tribal Nations. No interest on their part to work on secondhand smoke issues. I have broached the subject on several occasions in recent conversations. It is not one of our scope of work activities. Perhaps, in the future, we may consider working on this objective. Did not show a high interest by community in the CX process. The concept of working with casinos to create smoke-free protections for workers was not approved by our department leadership a few years ago because department leaders at the time feared the collaboration efforts could create an adversarial relationship between the county and casino operators. That disapproval was relayed to coalition members. Subsequently, coalition members have been reluctant to encourage our program to develop smoke-free casino goals when they participated in plan development. We have limited access and resources. I would like to partner with other agencies at some point to help incorporate more tobacco education into the tribal setting, particularly for children and those interested in quitting tobacco. However, I am not sure which agencies that would be yet. 4. CCAP would like to know how best to support your agency in activities to promote secondhand smoke policies with tribal nations. Please check the types of training(s) that your agency would like to see CCAP provide. Type of training (mark all that apply) Number of respondents (%) Local coalition or regional trainings 12 (52%) Trainings related to smoke-free policies in general on tribal 12 (52%) lands, such as housing and hotels Trainings related to smoke-free tribal casinos and how to 13 (57%) work with tribal entities Casino/ housing observational surveys to determine 11 (48%) percentage of smokers Side Pak air monitoring 9 (39%) Other: Enforcement issues Collaborations, partnerships Entre to CNIGA Trainings aimed at educating tribal citizens about the impact tobacco is making on their health. Additional economic studies and casino patron surveys 5. Are you interested in collaborating with CCAP on producing or localizing educational materials for your community on tribal nations and the dangers of secondhand smoke? Response Number of respondents (%) Yes 11 (46%) No 13 (54%) Page 4 of 6

5 Contact Information and details: Erin Dobyns, Project Director, Alpine County Tobacco Control, (530) x 242 : I am just making inroads with the native population, and am pursuing a representative from the local tribal community council to join our Health & Wellness Coalition. I will know more about my needs for collaboration in the next couple of months. Jennifer Roberts Irene Linayao-Putman, County of San Diego Irene.Linayao-Putman@sdcounty.ca.gov (619) : Additions to our webpage; retail environment. Christle Chung (530) cchung@co.yuba.ca.us: Producing educational materials on the dangers of second and third hand smoke in casinos specifically (harms workers and patrons, ventilation systems and designated smoking areas not adequate, etc) Theresa Boschert tboschert@phi.org Dawn M. Dunn dawn.dunn@sbcphd.org (805) : Not sure, but would love to make some inroads and progress here. I think PhotoVoice and surveys with patrons and employees would be very useful in assessing the problem and the need. Also offering tailored cessation services for staff would be useful. Sponsoring smoke-free days would be a plus too but I think that should be considered on a statewide basis...as a campaign. James Jo, DrPH (951) jjo@rivcocha.org Rebecca Root, Rebecca.root@colusadhhs.org: I would like something that details the harms of secondhand smoke in casinos, especially for employees. The contact for tobacco cessation in our agency is Manuel Meza , mmeza@co.shasta.ca.us. As far as tobacco health education my contact information is: Jessica Duckett , jduckett@co.shasta.ca.us Char Day ANR char.day@no-smoke.org 6. CCAP s out a weekly digest of the latest updates in tribal casinos titled California Tribal Casino News. When you receive the , do you: Response Number of respondents (%) Always open the and view the 7 (28%) Sometimes open the and view the 9 (36%) Seldom or rarely open the and view the 1 (4%) Never open the and view the 1 (4%) I do not recall receiving the 7 (28%) Contact information from participants who would like to receive the weekly digest: Jessica Duckett, jduckett@co.shasta.ca.us Diana, devensen@amadorgov.org Raul Raygoza 7. Do you have any suggestions for improving the weekly digest? A quick summary inside the . You guys are amazing. Keep up the good work Perhaps separate sections into regions (Northern CA tribes news, Southern CA, etc...) Otherwise, thanks for the information! Page 5 of 6

6 Glad to get it First, thank you and I know that's quite a bit of work. Perhaps if the digest were limited to the top 3 articles about issues most likely to be a factor in tobacco control and tribal nations or gaming. I have no suggestions as I do not receive the weekly . But I think that perhaps highlighting information on a particular tribe would be interesting. It is a terrific resource. I always learn helpful news from the digest. Please keep them coming. I am not sure that I receive it. Please add my agency to the list (Santa Barbara). Also, make sure that it is posted on Partners. Consider publishing it monthly. It is very informative . Thank you. Not at this moment. Page 6 of 6