Title VI Required Needs Assessment Collette Adamsen Research

Title VI Required Needs Assessment Collette Adamsen, Research Assistant Professor Director, NRCNAA Turtle Mountain Band of Chippewa Indians Cole Ward, MA Project Coordinator, NRCNAA Sisseton-Wahpeton Oyate Albuquerque Cluster Training May 21, 2019 nrcnaa. org

National Resource Center on Native American Aging (NRCNAA) • Nearly 25 years serving tribes, Alaska villages, and Hawaiian homesteads. • Located at the University of North Dakota, School of Medicine & Health Sciences, Center for Rural Health. • Funded by the Administration for Community Living (ACL). • Two sister centers in Alaska and Hawaii. nrcnaa. org

Mission: identify and increase awareness of evolving Native elder health and social issues. Vision: is to empower Native people to develop community based solutions while honoring and helping to maintain cultural values. nrcnaa. org

What is a needs assessment? �Local interests or issues defined. �Needs are assessed and documented. �Planning based on statistical results from your own tribal community. �Tells the unique story of your elders. nrcnaa. org

Identifying our Needs: A Survey of Elders • Needs assessed and documented • 3 year cycles • Provides insight on the gap between what is and what is desired. • Provides information on health and social need trends. • Shows an accurate picture of the Native elder population. Image retrieved from: http: //www. wayne. k 12. ms. us/News/12003#sthash. e 7 Mr. Jw. UP. dpbs nrcnaa. org

NRCNAA Research Method Process Data Results Tribe Owns Data Tribal Resolution Administer the Surveys Trained Staff or Volunteer Elder Count Send Surveys Guides nrcnaa. org

Needs Assessment Participation Cycle VI 18, 134 Elders 267 tribes Cycle V 17, 049 Elders 262 tribes Cycle IV 18, 089 Elders 234 tribes Cycle I 9, 403 Elders 190 tribes Cycle II 10, 743 Elders 342 tribes Cycle III 15, 565 Elders 268 tribes Total N = 89, 436 surveys nrcnaa. org

Cycle VI Summary • • • Data collected in the time span of April 1, 2014 to March 31, 2017 18, 134 AI/AN elders 164 sites 267 tribes Representation from: • 11 out of 12 Indian Health Service (IHS) Regions • 9 out of 10 Department of Health and Human Services (DHHS) regions • 28 out of 50 states *Cycle VII began April 1, 2017 and will end March 31, 2020 nrcnaa. org

Getting Started Data Collection • Items needed • Surveys • Interviewer’s Guide • Pens/pencils • Other items • Clipboard • Manila envelope Interview • Develop a relationship • Explain the survey to the elder • Ask the elder if they consent to be interviewed • Read the verbal consent nrcnaa. org

Verbal Consent When an elder agrees to be interviewed this is verbal consent. Before beginning each interview, read the following paragraphs to the elder. “Thank you for agreeing to be interviewed regarding the health and social needs of Native American elders. We, as a Nation, place great value on our elders and we hope these interviews will help us to better understand the needs of the elders in our community. All of your responses will be kept confidential. Your name will not be entered on any part of this survey. You do not have to answer any question that makes you uncomfortable. You may stop the interview at any time for any reason. The confidentiality of enrolled members and Tribal data is of the utmost importance; therefore, the data for this survey will be collected anonymously by community members with the data stored at the National Resource Center on Native American Aging located at the University of North Dakota School of Medicine and Health Sciences, within a locked file cabinet and destroyed after a period of ten years. We encourage you to contact your local healthcare providers if you experience any concerns about potential health problems. A list of health providers in your area is available upon request from (INSERT TRIBAL AGENCY). The (INSERT TRIBAL AGENCY) is coordinating the needs assessment for our area with technical assistance from the National Resource Center on Native American Aging. If you have any questions regarding the project, please contact (INSERT TRIBAL AGENCY) for more information at (INSERT CONTACT INFORMATION). ” nrcnaa. org

Needs Assessment Data • General health status of Native elders • Indicators of chronic health • Activities of Daily Living • Screenings • Indicators of visual, hearing, and dental • Memory and Disability • Health Care Access • Tobacco and alcohol use patterns • Diet, nutrition, and exercise • Social support pattern and housing • Social Functioning • Use and acceptance of services • Demographics nrcnaa. org

Identifying Our Needs: A Survey of Elders VII nrcnaa. org

Comparison Sheet Tribe Name (N= ) Comparison Data to Aggregate Tribal Data and National Data Aggregate Tribal Data National (55 and Data (55 Question Response(s) over) and over) General Health Status 1. Would you say Excellent 2. 3% 6. 0% 13. 8% your health in Very Good 9. 9% 19. 9% 29. 2% general is Good 29. 2% 39. 7% 32% excellent, very Fair 35. 1% 26. 8% 16. 8% good, fair, or Poor 23. 5% 7. 6% 7. 8% poor? nrcnaa. org

New Mexico Tribal Elders nrcnaa. org

Age Groups N = 1412 Participants nrcnaa. org

Employment Status nrcnaa. org

General Health Status nrcnaa. org

Health Conditions nrcnaa. org

Falls in the past 12 months nrcnaa. org

Activities of Daily Living nrcnaa. org

Percent Screened in Past Year nrcnaa. org

Disabilities nrcnaa. org

Type of Healthcare Coverage nrcnaa. org

Health Care Provider nrcnaa. org

Barriers to Medical Care nrcnaa. org

Tobacco Usage nrcnaa. org

Exercise performed in the past month nrcnaa. org

Socializing in Past 30 Days nrcnaa. org

Mental Health Most of the Time in the Past Month, Elders Felt: nrcnaa. org

General Facts nrcnaa. org

Cycle VII Survey Questions nrcnaa. org

Write in Response Questions (2, 4, 35, 37, 40, 41, 46, 50, 62, 67, and 68) nrcnaa. org

Please Mark All That Apply nrcnaa. org

Smoke Tobacco Question Revision nrcnaa. org

Social Functioning Questions Revision nrcnaa. org

Employment Question nrcnaa. org

County/Borough Question nrcnaa. org

May Require Definitions nrcnaa. org

Guide for Interpretation of Survey Questions nrcnaa. org

Guide for Interpretation Cont. nrcnaa. org

Guide for Interpretation Cont. nrcnaa. org

Definition of Services nrcnaa. org

Definition of Services Cont. nrcnaa. org

Definition of Services Cont. nrcnaa. org

Definition of Services Cont. nrcnaa. org

The NRCNAA Team Collette Adamsen, Ph. D. Research Assistant Professor Director Cole Ward, M. A. Project Coordinator Courtney Souvannasacd Outreach Coordinator Temp Michelle Meyer, B. S. Senior Project Coordinator Native Aging in Place Project Robin Besse, Ph. D. Research Analyst ND Health Workforce Development Team nrcnaa. org

Contact Information For more information contact: National Resource Center on Native American Aging Center for Rural Health School of Medicine and Health Sciences Grand Forks, ND 58202 -9037 Tel: 800 -896 -7628 Fax: (701) 777 -6779 http: //www. nrcnaa. org

Questions? nrcnaa. org