1/9/2014 NATIVE AMERICAN CULTURALLY INTEGRATED BEHAVIORAL HEALTH PROGRAM OBJECTIVES GRASS ROOTS INITIATIVE NEEDS ASSESSMENT 2008

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1 NATIVE AMERICAN CULTURALLY INTEGRATED BEHAVIORAL HEALTH PROGRAM New Mexico Children Youth and Family Department/Juvenile Justice System & First Nations Community HealthSource OBJECTIVES To gain understanding of the integrated Native American Behavioral Health program at Children Youth and Families Department(CYFD)/Juvenile Justice Service(JJS) facilities; Youth Diagnostic and Development Center (YDDC), Camino Nuevo Youth Center (CNYC) and Albuquerque Boys Center (ABC) Increase awareness and competence of Native American cultural life-ways and health practices into a jail based treatment program. To build an ongoing collaborative support network with other service providers. GRASS ROOTS INITIATIVE NEEDS ASSESSMENT 2008 University of New Mexico, Center for Native American Health Study; Dr. Tassy Parker, et al. 1

2 PROGRAM DEVELOPMENT PROCESS Initiation of the New Mexico Children s code Previous contractors including the American Indian Development Associates (AIDA) that provided culturally appropriate services. Previous services included cultural mentoring, talking circles, sweat lodges, drum circles, arts/crafts and special activities/presentations July 2012, a contractual agreement was made with First Nations Community HealthSource to provide current services WHAT DEFINES A NATIVE AMERICAN CLIENT? CIB? Tribes represented Navajo/Dine Mescalero Apache Jicarilla Apache Lakota Sioux Rosebud Sioux Comanche Cherokee Laguna Pueblo Jemez Pueblo Isleta Pueblo Acoma Pueblo Zuni Pueblo San Felipe Pueblo Taos Pueblo Yaqui Hopi Lumbee Aztec Mayan Cultural Knowledge Spectrum WHAT DEFINES A CLIENT years old Males and Females 1-2 year commitment; or until age of 21 Spectrum of charges CYFD involvement Domestic Violence within the home Drug and Alcohol Addiction/Dependence parents Incarcerated household member Gang Affiliation Drug and Alcohol Addiction/Dependence PTSD 2

3 THEORETICAL ORIENTATIONS Evidence Based Practice -Accelerated Experiential Dynamic Psychotherapy (AEDP) - Trauma informed therapy -Dialectical Behavioral Therapy (DBT) Community Reinforcement Approach (CRA) Motivational Interviewing (MI) NATIVE AMERICAN CULTURALLY INTEGRATED BEHAVIORAL HEALTH PROGRAM Clinical-Mental Health Counseling Substance Abuse/Dependence Counseling Cultural Curative Processes Systems of Care Network CLINICAL Individual Counseling- Dual Diagnosis, Trauma informed, AEDP, DBT Family and Relationship Counseling Seeking Safety Group Model: PTSD & Substance Abuse Domestic Violence Treatment, Awareness and Prevention: Love is Not Abuse Group 3

4 SUBSTANCE ABUSE/DEPENDENCE COUNSELING Community Reinforcement Approach (CRA) Psycho-educational Groups/Relapse Prevention Aftercare referrals CULTURAL CURATIVE PROCESSES Navajo/Dine approach to wellness Anishinaabe approach to wellness Sweat Lodge Ceremony Cultural Excursions Drumming/Singing/Dancing Cultural Ceremonial Group SYSTEMS OF CARE Mentorship w/ Southwestern Indian Polytechnic Institute (SIPI) Students Transition to First Nations Community HealthSource for after care services Coordination for wrap around services in and around Indian country (Multi-disciplinary Team Meetings) Native American Professional Parent Resources(NAPPR): Tribal Home Visiting Program Native Health Initiative (NHI): Positive Hip Hop/Mural Art Project NM Native American Training Institute(NMNATI) 4

5 INTEGRATION Cultural Values Reinforcement Approach (CVRA)- Using cultural values as an approach to treatment. Integrating traditional life-way teachings/health systems into individual and group therapy Incorporating traditional gardening into individual therapy and eventually into group therapy Utilizing reflective therapeutic process with sweat lodge ceremonies/ceremonial Time Mentorship- building cultural knowledge and identity (strength based) OBSTACLES Conflict between Security and Treatment (Punitive vs therapeutic) Serving 4 facilities Multiple hats Documentation/paperwork SUCCESSES Effective collaboration and support from Behavioral Health Directors and inhouse therapists Use of traditional Sweat Lodge Use of Corn Meal Bundles and other ceremonial items No longer identified as an extra curricular program After care coordination/multi disciplinary team 5

6 NEXT STEPS Collaboration with University of New Mexico/Center for Native American Health: Evaluation/Data analysis, telehealth network for clients/patients and Native American student work study Coalition:Healing the Barbed Wire-focus on Building the mentor base for tribally specific connections for youth. Traditional gardening Building drum group exposure Building on a mentor base and connections to tribal specific mentors Sunday talks Transitional Living Environment DISCUSSION Questions or comments? First Nations Community HealthSource Kelly Gilbreth, LPCC kelly.gilbreth@state.nm.us Chad Pfeiffer, LMHC chad.pfeiffer@state.nm.us Lorenzo R. Jim, LADAC lorenzo.jim@fnch.org 6