Chronic Disease Prevention and Health Promotion

Chronic Disease Prevention and Health Promotion

Power of Partnerships Kiley Hump, SD Department of Health Nichole Cottier, Great Plains Tribal Chairmen s Health Board Rae O Leary, Missouri Breaks Industries Research Inc.

Why Work Together? State, Regional and Local level Shared goals Leverage resources

OFFICE OF CHRONIC DISEASE PREVENTION AND HEALTH PROMOTION

Contacts Resources Success stories Model policies Toolkits Statewide initiatives

Great Plains Tribal Chairmen's Health Board (Regional Organization) Tobacco Tribal Toolkits Tobacco Cessation Education State Plans and Workgroups (across all program areas) Missouri Breaks Industries Research Inc. (Local-Cheyenne River Reservation) Tobacco Control Initiatives (Canli Coalition)

Great Plains Tribal Chairmen s Health Board Health Promotion Programs Nichole Cottier, Director SD Tribal Relations Day February 27, 2018

Community Health The Community Health Department s focus is health promotion/education and disease prevention. The department s goals are to reduce health disparities through partnerships, outreach, education, prevention and capacity-building. Health Promotion Programs: Great Plains Good Health and Wellness (GPGHW) GPGHW Tobacco Prevention Project Diabetes Prevention Project Community-Clinical Linkages Project Partnerships to Advance Tribal Health (PATH) Contracted by Great Plains Quality Innovation Network Great Plains Partnerships to Improve Community Health (GPPICH) Prevention Programs: Great Plains Colorectal Cancer Screening Initiative Program Great Plains Breast & Cervical Cancer Early Detection Program National Native Network Partnership IHS Cancer Support Great Plains Chronic Disease Self- Management Education Program

Great Plains Good Health and Wellness (GPGHW) Program CDC created A Comprehensive Approach to Good Health and Wellness in Indian Country as a more coordinated and holistic approach to chronic disease prevention and health promotion in tribal populations Reduce the prevalence of obesity and reduce the rates of death and disability due to diabetes, heart disease and stroke In 2014, GPTCHB was one of eleven tribal organizations to be awarded this five year cooperative agreement

North Dakota, South Dakota, Nebraska and Iowa

GPGHW Program Cont. Nutrition Physical Activity Tobacco Prevention Breast Feeding Health Literacy Community-Clinical Linkages Chronic Disease Self-Management

Regional Partnership Network Collaboration with other organizations, SDDOH, GPQIN, SDSU, NDSU, IHS, Sanford Research, USDA, etc.) Quarterly Regional Partnership Call Community Health Training and Resource Guide Annual Good Health & Community Wellness Symposium

Trainings GPGHW Program Specific (on-site) PSE 101 Community Action Planning Community Health Webinar Series Coalition Building Team-Based Systems of Care Introduction to Community-Clinical Linkages Community Events (on-site requests) Traditional Foods North Dakota Symposium Tobacco Control Policy in Tribal Communities Annual Good Health & Community Wellness Symposium

Technical Assistance Constant communication and outreach Cross sector coalition and partnership building Focused Intensity Accountability Duration Development of culturally appropriate and tribal specific educational materials "I didn't really know what to expect because this is my first grant I've ever worked, and, but, the flexibility and the... understanding I guess of Great Plains was just, it's phenomenal." "I think they're all awesome I just, I I love, I love the staff that works there, they're like so easy to talk to, and, it seems like, any time I have a question, they they always have an answer, they always have, you know, if they don't know then they'll find out for me. So I really like that they're pretty easy to work with. And, at first I didn't use them that much, I was kind of reluctant but then, once I started talking to them more, then they were telling me the things that they can help me with. The resources that I can use, so, I started to use them more and now I'm so happy that, they've helped me out so much.

Traditional Foods Media

Great Plains Good Health and Wellness (GPGHW) Tobacco Prevention Project In 2015, tobacco supplement awarded to our GPGHW Program to help reduce the rates of death and disability due to commercial tobacco use.

Tobacco Prevention Project Media

Diabetes Prevention Project 2016 supplemental funding from CDC s Good Health and Wellness in Indian Country Increase number of tribes offering CDC-recognized diabetes prevention program in Great Plains Region from 0 to 2 In partnership with CDC & GPTEC, provide funding, training, and technical assistance to two tribes to strengthen their existing diabetes programs by achieving full CDC recognition Increase knowledge and understanding of the process of establishing, scaling and sustaining the National DPP in Indian Country

Community-Clinical Linkages Project 2016 supplemental funding from CDC s Good Health and Wellness in Indian Country Provide funding and technical assistance to three tribes or tribal entities to design and implement a community engagement process Develop and implement strategies to improve or increase community-clinical linkages

Partnerships to Advance Tribal Health (PATH) Contracted by Great Plains Quality Innovation Network (GPQIN), Marie Zephier, MPH, serves as the PATH Community Engagement Advocate PATH will support IHS Hospitals to: Develop leaders through training & networking Build strong hospital systems through team based care and clinical Quality Improvement Strengthen patient, family and tribal engagement Promote best practices in hospitals Assist with hospital improvement plans Ensure clinical, operational, safety standards are met or exceeded

Lower Brule Community Wellness Coalition Increase the number of people with access to environments with healthy food and beverage options. Healthy Vending Machines Lower Brule Community and School Garden Boys and Girls Club Healthy Snacks Initiative Harvest of the Month (HOM) and Pick it, Try it, Like it! (PiTiLi) : Train the Trainer Lower Brule Community College: Cooking Class Lower Brule Food Pantry Healthy Food Initiative Improve access to and utilization of community based services for chronic disease prevention through awareness and clinical and community linkages. Worksite Wellness Workshops Lower Brule Women s Health Series Community Newsletter

Cheyenne River Tribal Advisory Coalition Improved access to healthy and traditional foods Funding for Ryia LeBeau, Missouri Breaks Industries Research Inc. Traditional foods vending at annual pow wow https://www.youtube.com/watch?v=u8fpcif9 br8 Increased access to chronic disease self management through traditional and holistic healing practices 11 Trainings/Events 463 individuals trained and/or educated

The Canli Coalition of CRST Timeline & Resource Guide for Tobacco Policy Change Contest using local artists to develop culturally relevant signage to help enforce existing smoke-free policy

The Signs Evolved Artwork was used for magnets, window decals, etc. Tribal Specific Signage Policy Development

Pilamayaye GREAT PLAINS TRIBAL CHAIRMEN S HEALTH BOARD (GPTCHB) 2611 Elderberry Blvd. Rapid City, SD 57703 Phone: 605.721.1922 Toll Free: 1.800.745.3466 Fax: 605.721.1932 Email: info@gptchb.org

Missouri Breaks Industries Research, Inc. Programs Health research with Tribal partners throughout the Dakotas Strong Heart Study since 1993 Disseminate research findings locally and nationally Promote research as a tool to create opportunities to choose a healthy life

Missouri Breaks Industries Research, Inc. Programs Cont. Durable Medical Equipment for Western SD Tribes since 2003 Public Health on the Cheyenne River Sioux Reservation Canli Coalition since 2009

Missouri Breaks Industries Research, Inc. Resources Webpage www.missouri-breaks.com Facebook www.facebook.com/missouribreaksindustriesre searchinc/ Twitter @MissouriBreaks1 Strong Heart Study (publications) http://strongheart.ouhsc.edu/ RED Talks https://www.youtube.com/channel/ucgsdsfox t5uvk43i67n9-vg

Missouri Breaks Industries Research, Inc. Canli Coalition Success In 2009 the Canli Coalition was formed Mission was to protect CRST from second-hand smoke. In 2015 CRST Tribal Council passed an ordinance to make the reservation smoke-free 3 rd in US 1 st in SD

Missouri Breaks Industries Research, Inc. Canli Coalition Success The 6 year journey to a comprehensive tribal smoke-free policy included: 72 coalition meetings (monthly) 50+ coalition members 6 years of continuous tobacco prevention messaging to the community 5 Kick Butts Day events 3 media efforts to recognize smoke-free businesses 3 legal reviews from tribal attorney 12 presentations to Tribal Health Committee 5 tobacco prevention parade floats 4 Great American Smokeout events

Missouri Breaks Industries Research, Inc. Canli Coalition Partners Partners Support SD Department of Health Tobacco Control Program Grant funding since 2011 Educational materials SD QuitLine Regional Tobacco Prevention Coordinator Great Plains Tribal Chairman s Health Board Tobacco Prevention Project Cheyenne River Sioux Tribe Area Schools American Non-Smokers Rights Foundation American Cancer Society CRST Community Mini grant funding Educational materials Tobacco Health Educator Environmental Health Sanitarian Cultural Preservation Officer Housing Department Chairman and Council Members Law Enforcement Tribal Health Educator WIC Teens Against Tobacco Use Educational opportunities Grant funding Policy support Youth, elders, businesses, city councils

The Canli Coalition