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Dale Walker, MD Patricia Silk Walker, PhD Douglas Bigelow, PhD

The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services. Developing our Careers, Enhancing our Leadership Skills: Minority Issues. Dale Walker, MD Patricia Silk Walker, PhD Douglas Bigelow, PhD

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Dale Walker, MD Patricia Silk Walker, PhD Douglas Bigelow, PhD

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  1. The American Indian/Alaska Native National Resource Center for Substance Abuse and Mental Health Services Developing our Careers, Enhancing our Leadership Skills: Minority Issues Dale Walker, MD Patricia Silk Walker, PhD Douglas Bigelow, PhD Bentson McFarland, MD, PhD, Laura Loudon, MS Michelle Singer Oregon Health and Science University American Psychiatric Association Annual Meeting Washington, DC May 4, 2008

  2. Goals For Today

  3. What Its All About!

  4. Introduce Self • Cherokee • Physician • Psychiatrist • Teacher • Family Man

  5. Native Communities Advisory Council / Steering Committee One Sky Center

  6. One Sky Center Partners Tribal Colleges and Universities Cook Inlet Tribal Council Alaska Native Tribal Health Consortium Prairielands ATTC Red Road Northwest Portland Area Indian Health Board One Sky Center Harvard Native Health Program United American Indian Involvement Jack Brown Adolescent Treatment Center National Indian Youth Leadership Project Tri-Ethnic Center for Prevention Research Na'nizhoozhi Center

  7. The Career Startup • Get the geography and history down • Finding the right spot • Getting the right questions • Meeting the right people • Building bridges • Optimism always

  8. Native Health Problems Alcoholism 6X Tuberculosis 6X Diabetes 3.5 X Accidents 3X Depression 3x Suicide 2.5x Violence?

  9. AmericanIndians • Have same disorders as general population • Greater prevalence • Greater severity • Much less access to Tx • Cultural relevance more challenging • Social context disintegrated

  10. What I do: Professor (1) • Center Director for CAIHER • National Mentor Program • Recruitment and Retention • Cultural Competence • Indian OHSU Summit • One Sky Center Director • Tribal/ Urban Technical Assistance, Consultation • Develop Evidence Based Treatment/ Traditional • Suicide • Methamphetamine Initiative

  11. What I do: Professor (2) • Community • Clinician • Patient Care /Community Care • Research • Disparity • Treatment Outcome effectiveness • Multigenerational • Bridging/Making Connections, Partnerships

  12. What I do: Nationally • APA • Minority Deputy Representative to Speaker • Committee of American Indian Psychiatrists • Washington State, Oregon State • Components • Strategic Plan • Task Force on Minority Affairs • Council on Advocacy and Public Policy • IHS, BIA, NCAI, NIHB

  13. Challenges • My Identities • Political • Social • Economic • Complexity of Issues • Your Friends, your Allies, Other

  14. Rewards • You will always be the student • Meeting so many Tribes • There are some Dedicated People out there • The mentorship opportunities

  15. Definitions: Indigenous Knowledge • Is local knowledge unique to a given culture or society; it has its own theory, philosophy, scientific and logical validity, which is used as a basis for decision-making for all of life’s needs.

  16. Definitions: Traditional Medicine • The sum total of health knowledge, skills and practices based upon theories, beliefs and experiences indigenous to different cultures…used in the maintenance of health. WHO 2002

  17. Definitions: Evidence-based Practices • Interventions that show consistent scientific evidence of improving a person’s outcome of treatment and/or prevention in controlled settings. SAMHSA 2003

  18. Definitions: Best Practices • Examples and cases that illustrate the use of community knowledge and science in developing cost effective and sustainable survival strategies to overcome a chronic illness. WHO 2002

  19. Circle of Care Traditional Healers Child & Adolescent Programs Primary Care Best Practices A&D Programs Boarding Schools Colleges & Universities Prevention Programs Emergency Rooms

  20. Contact us at 503-494-3703 E-mail Dale Walker, MD onesky@ohsu.edu Or visit our website: www.oneskycenter.org

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