NCAI Meth Task Force Meeting Wilbur Woodis Special

NCAI Meth Task Force Meeting Wilbur Woodis Special Assistant on Native American Affairs Office of Minority Health US Department of Health and Human Services

Office of Minority Health • Mission - to improve the health and racial and ethnic minority populations through the development of policies and programs that address disparities and gaps • Serves as the focal point in the HHS for leadership, policy development and coordination, service demonstrations, coalition and partnership building and related efforts to address the health needs of racial and ethnic minorities 2

Office of Minority Health • Four Divisions – Office of the Director • Policy Leadership – Division of Program Operations • Grants, Cooperative Agreements and Contracts – Division of Information and Education • Outreach and Education – Division of Policy and Data • Evaluation, Data Development, Research Outcomes/Information 3

Indian Country Methamphetamine Initiative (ICMI) • Improve information on Methamphetamine in Indian Country • Identify and disseminate evidenced-based “best practices” • Methamphetamine Tribal Roundtable Sessions • Include public safety with public health • A comprehensive approach 4

ICMI Federal Partners • Office of Minority Health - Lorenzo Olivas, Region VIII Minority Health Consultant • Substance Abuse & Mental Health Services Administration - Val Jordan, SAMHSA Consultant • Office of National Drug Control Policy • Department of Justice 5

ICMI Organization Partners • • • Association of American Indian Physicians National Congress of American Indians Northwest Portland Area Indian Health Board United Southern and Eastern Tribes One Sky Center, Oregon Health Sciences University • Kauffman and Associates, Inc. – Lisa Neel, ICMI Tribal Coordinator 6

ICMI Tribal Partners • • • Northern Arapaho Winnebago Nation Navajo Nation Choctaw Nation Apsaalooka Nation, Crow Agency Yakama Nation Chippewa-Cree Tribes, Rocky Boy San Carlos Apache Tribe Salt River 7

Indian Country Methamphetamine Initiative (ICMI) Specific Actions: • Develop a national information and outreach campaign • Develop a culturally specific methamphetamine abuse education kit • Document and evaluating promising practices in education on methamphetamine use • Create methamphetamine awareness multidisciplinary education teams 8

ICMI Activities • Tribal Task Force • Meth Awareness Multi-Discipline Training Teams • Tribal Epi-Center Data Coordination • Education Kit • Public Service Announcements 9

Culturally Relevant Treatment 10

Matrix Model • Is a manualized, 16 -week, non-residential, psychosocial approach used for the treatment of drug dependence. • Designed to integrate several interventions into a comprehensive approach. Elements include: – Individual counseling – Cognitive behavioral therapy – Motivational interviewing – Family education groups – Urine testing – Participation in 12 -step programs 11

Matrix Model for AI/AN Access to Recovery from Meth Stay Healthy Access to Health Access to Support Rehabilitation Relapse Prevention 3— 9 Months 9 -24 Months Get Started Stay Clean Alliance Engagement 2 nd Week— 12 Week Access to Help Outpatient or Inpatient Get Medical care & Exercise 1 st Week Sleep, Eat & Drink Water Get Clean Access to Hope Billings Area Behavioral Health 12

Helen Waukazoo, Director Orlando Nakai, Assistant Director The Friendship House Association of American Indians, Inc. 56 Julian Ave San Francisco, CA 94103 (415)-865 -0964 helenw@friendshiphousesf. org orlandon@friendshiphousesf. org 13

Treatment Manual for Native Americans • • Matrix Institute, L. A. Friendship House, San Francisco Native American Meth Treatment Adapted from Matrix Model for Treatment of Stimulant Abuse • Currently in development • Funded by CSAT, SAMHSA 14

Resources 15

Methamphetamine Resources • www. methresources. gov 16

METHAMPHETAMINE ON THE NAVAJO NATION ‘G’ (film) This powerful one-hour documentary examines the effect of crystal Methamphetamine use on the Navajo Nation and exposes the viewer to the shattered lives of those affected by the highly addictive drug. Throughout the film, candid interviewers of Navajo Meth addicts as well as individuals in recovery reveal insight into the emotions, sacrifices and life altering impact of the drug. TCRHCC Health Promotion Program 167 North Main St. P. O. Box 600 Tuba City, Arizona 86045 (928) 283 -1300/2404 Price Each DVD-$30. 00 Price Each VHS-$25. 00 Produced & Sponsored By: Tuba City Regional Health Care Corporation Health Promotion Program 17

You. Tube - G Methamphetamine on the Navajo Nation. Hello, you either. . . 7 min www. youtube. com/watch? v=Ht. ZJ 0 Qad. VIs You. Tube - G Methamphetamine on the Navajo Nation - Part 007. Hello, you. . . 9 min www. youtube. com/watch? v=06 KGTqs 2 G 4 k 18

Working Together to Combat Meth in Indian Country THE IHS PRIMARY CARE PROVIDER A journal for health professionals working with American Indians and Alaska Natives December 2006 Volume 31 Number 12 Taking Control of Methamphetamine in Our Communities: An Opportunity of Necessity THE IHS PRIMARY CARE PROVIDER A journal for health professionals working with American Indians and Alaska Natives January 2007 Volume 32 Number 1 Treatment for Methamphetamine Abuse and Dependence: The Matrix Model THE IHS PRIMARY CARE PROVIDER A journal for health professionals working with American Indians and Alaska Natives April 2007 Volume 32 Number 4 19

Aberdeen Area Indian Health Service • For more information on the training and DVD contact: • Bobbi Bruce • Mental Health Program • Aberdeen Area Indian Health Service • 605 -226 -7342 (Phone). • Bobbi. Bruce@ihs. gov 20

SAMHSA RESOURCES Treatment Improvement Protocols (TIP) – Best Practice Guidelines for Treatment of Substance Abuse – Researched, Drafted, and Reviewed by Substance Use Disorder Professionals 21

Companion Publications for TIP 33 • KAP Keys & Quick Guide – Developed to accompany the TIP Series – Based entirely on TIP – Designed to meet the needs of busy clinicians for concise, easily accessed “how- to” information 22

SAMHSA RESOURCES • SAMHSA’s Addiction Technology Transfer Centers (ATTC) • Pacific Southwest ATTC – http: //www. psattc. org/ev ents/cates/I/presentation s/index. html • Methamphetamine 101 – Etiology and Physiology of an Epidemic 23

ATTC’s Introduction to Evidence-Based Treatments for Methamphetamine • CD-ROM Learning Tools • DVD Training Module • Produced by: Applied Behavioral Health Policy at the University of Arizona for the Pacific Southwest ATTC • web www. psattc. org 24

Center for Substance Abuse Prevention “Meth: What’s Cooking in Your Neighborhood? ” • Available as booklet, video tape, and Power. Point presentation. • Useful information on what methamphetamine is, what it does, why it seems appealing, and is dangerous. • Includes many additional resources and where to get them. Meth: What’s Cooking in Your Neighborhood? U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Prevention www. samhsa. gov Video and booklet are available at NCADI, 1 -800 -729 -6686, and the Power. Point version from SAMHSA at www. samhsa. gov 25

Methamphetamine Publications – Project web site: www. methamphetamine. org – Journal of Psychoactive Drugs • Special Issue- April-June 2000 – Journal of Addiction, June 2004 • A Multi-Site Comparison of Psychosocial Approaches for the Treatment of Methamphetamine Dependence 26

SAMHSA/CSAT Information • www. samhsa. gov • SHIN 1 -800 -729 -6686 for publication ordering or information on funding opportunities – 800 -487 -4889 – TDD line • 1 -800 -662 -HELP – SAMHSA’s National Helpline (average # of tx calls per mo. - 24, 000) 27

State Profiles & Partners 28

Other Resources 1 2006 DEA State Fact Sheets. http: //www. dea. gov/pubs/state_factsheets. html 2 Prevalence Estimates for 2002 -2004. NSDUH. SAMHSA http: //www. oas. samhsa. gov/states. Index. htm#2 k 4 3 Prevalence Estimates for 2002 -2005. NSDUH. SAMHSA http: //www. oas. samhsa. gov/2 k 6/state. Meth. htm 4 YRBSS. CDC. http: //apps. nccd. cdc. gov/yrbss 5 Federal Sentencing Stats. U. S. Sentencing Commission. http: //www. ussc. gov/JUDPACK/JP 2005. htm 6 Maps of Methamphetamine Lab Incidents. DEA. http: //www. dea. gov/concern/map_lab_seizures. html 7 TEDS. Drug and Alcohol Services Information System. SAMHSA. http: //wwwdasis. samhsa. gov/webt/newmapv 1. html 8 Methamphetamine Precursor Laws. National Association of Chain Drug Stores. http: //www. nacds. org/wmspage. cfm? parm 1=3814 29

Thank You ! Wilbur Woodis (240) 453 -6152 Wilbur. woodis@hhs. gov 30