Center for Native American Tele Heath and Tele

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Center for Native American Tele. Heath and Tele. Education Jay H. Shore, MD, MPH

Center for Native American Tele. Heath and Tele. Education Jay H. Shore, MD, MPH University of Colorado Health Sciences Center Division of American Indian and Alaska Native Programs

Division of American Indian and Alaska Native Programs

Division of American Indian and Alaska Native Programs

MISSION CNATT organizes and focuses technological resources for Native American health from an array

MISSION CNATT organizes and focuses technological resources for Native American health from an array of telecommunication services at UCHSC that offer education, clinical care, and training. t CNATT also monitors impact assessment of these telecommunications services. t

Components t Indian Telehealth Network – consult/liaison services – distant learning programs – linkage

Components t Indian Telehealth Network – consult/liaison services – distant learning programs – linkage and communication with communities t Web-based Services for the Division – information dissemination – archive retrieval

DAIANP Partnerships in Tele. Health and Tele. Education Seattle Indian Health Board Wind River

DAIANP Partnerships in Tele. Health and Tele. Education Seattle Indian Health Board Wind River Mental Health Clinic Rosebud Veterans’ Center Sinte Gleska University, Mission Pine. Ridge Community School Children’s Hospital University of Colorado Health Sciences Center Chinle Vet Center Chinle, AZ Providence Health Care Anchorage, AK Veterans Administration Medical Center

Indian Tele. Health Network t 7 partner sites throughout the Western United States t

Indian Tele. Health Network t 7 partner sites throughout the Western United States t Linked with ISDN lines of at least 1/4 T (384 K) t Pic. Tel 2000 Video Conferencing Unit – Real-time live interactive teleconferencing

Post-traumatic Stress Disorder Tele. Health Service t Rosebud Sioux, Veteran’s Center t CNATT t

Post-traumatic Stress Disorder Tele. Health Service t Rosebud Sioux, Veteran’s Center t CNATT t Denver Veterans Administration Medical Center t VA Readjustment Counseling Services

PTSD Tele. Health Service t One weekly, 1 -hour psychoeductional course (ongoing) – 6

PTSD Tele. Health Service t One weekly, 1 -hour psychoeductional course (ongoing) – 6 classes per course – offered quarterly – wives, partners and family of veterans

PTSD Tele. Health Service t Two weekly, 2 -hour medication management clinics weekly for

PTSD Tele. Health Service t Two weekly, 2 -hour medication management clinics weekly for Rosebud Sioux military veterans suffering from PTSD (Summer 2001) t Two weekly, 2 -hour acute crisis clinics weekly for Rosebud Sioux military veterans and family members (Summer 2001)

PTSD Tele. Health Service t One Weekly, 1 -hour continuing medical education course on

PTSD Tele. Health Service t One Weekly, 1 -hour continuing medical education course on PTSD monthly for Indian Health Service, tribal, and Readjustment Counseling Service providers (Summer 2001)

Child/Adolescent Behavioral Tele. Health Service t K-12 boarding school on Pine Ridge Indian Reservation

Child/Adolescent Behavioral Tele. Health Service t K-12 boarding school on Pine Ridge Indian Reservation t Oglala Community School t Indian Health Service t Bureau of Indian Affairs

Child/Adolescent Behavioral Tele. Health Service t Continuing education for local staff on child/adolescent mental

Child/Adolescent Behavioral Tele. Health Service t Continuing education for local staff on child/adolescent mental health issues by child psychiatrist from UCHSC (ongoing) t Two weekly, 2 -hour clinics staffed by child/adolescent psychiatrists and psychologists

Geriatric/Geropsychiatric Tele. Health Service t Mary Conrad Long-Term Care Center, Anchorage, Alaska – Owned

Geriatric/Geropsychiatric Tele. Health Service t Mary Conrad Long-Term Care Center, Anchorage, Alaska – Owned by Cook Inlet Native Regional Corporation (90 beds) t UCHSC, Center on Aging t Providence Health Care of Alaska

Geriatric/Geropsychiatric Tele. Health Service t Two weekly, 2 -hour geriatric/geropsychiatric clinics – Staffed by

Geriatric/Geropsychiatric Tele. Health Service t Two weekly, 2 -hour geriatric/geropsychiatric clinics – Staffed by Geriatric fellows from the Center on Aging and by DAIANP faculty (begins Summer 2001)

World Wide Web Services of DAIANP t Established in 1996 to offer information dissemination

World Wide Web Services of DAIANP t Established in 1996 to offer information dissemination and archive retrieval t Currently 5 total sites t www. uchsc. edu/ai

Exit Survey of Web Site t Exit survey of site use October, 1999 through

Exit Survey of Web Site t Exit survey of site use October, 1999 through September, 2000 – 71% of inquires by individuals, programs or organizations that are either Native American or serve this population – Every state represented, 19 countries – 65% originated from rural areas.

Exit Survey of Web Site t Reasons for visiting the Division’s WWW sites –

Exit Survey of Web Site t Reasons for visiting the Division’s WWW sites – 81% educational and training materials – 76% examples of relevant programs – 71% cultural issues in health care – 68% info on policy and planning – 63% health status and related problems – 59% past and current research

The Nighthorse Campbell Native Health Building t 50, 000 square foot facility at the

The Nighthorse Campbell Native Health Building t 50, 000 square foot facility at the new UCHSC Fitzsimons Campus, to be completed Summer 2002. – DAIANP – Tele. Health/Tele. Education Programs of UCHSC – Public Psychiatry

Conclusions The CNATT programs are directly relevant to the culturally informed diagnosis, epidemiology, treatment,

Conclusions The CNATT programs are directly relevant to the culturally informed diagnosis, epidemiology, treatment, and prevention of physical, alcohol, drug, and mental health problems that commonly occur among American Indians and Alaska Natives. t The CNATT programs offer an important model for utilizing telehealth to improve services for under-served populations. t

Acknowledgements t Staff affiliated with UCHSC working with CNATT – Spero M. Manson, Ph.

Acknowledgements t Staff affiliated with UCHSC working with CNATT – Spero M. Manson, Ph. D, Head, DAIANP – Doug K. Novins, MD, Director, Circles of Care – Candace Fleming, Ph. D, DAIANP – Martin Reite, MD, DVAMC t Special thanks to the Community Partners and Community Field Staff working in partnership with CNATT and the DAIANP

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