HEALTH RESEARCH OF SOUTH DAKOTA UNIVERSITY SYSTEM IN PARTNERSHIP WITH AATCHB

1. HEALTH RESEARCH OF SOUTH DAKOTA UNIVERSITY SYSTEM IN PARTNERSHIP WITH AATCHB Presented by: Daniel O. Farrington, D.V.M., Ph.D. M. Benjamin Perryman, Ph.D. Vice President of Research Dean of Research South Dakota Board of Regents University of South Dakota School of Medicine Director, South Dakota Health Research Foundation Mary Rogers, Ph.D. Rob Schurrer, Ph.D. Assistant Professor of Sociology Professor and Director Black Hills State UniversityWellness Management Program Black Hills State University

2. Tribal Participatory Research Approach Black Hills State University • Highest proportion of American Indian Students in the region (>3 percent) • Five percent of faculty are American Indian • Center for American Indian Studies provides support and assistance to Indian students on campus • Research program based on Tribal Participatory Research Model; six grants awarded since 2003. • Collaborative research with AATCHB and with Montana-Wyoming Tribal Leaders Council.

3. Research on Health Disparities of TribesIn South Dakota: An Academic-Tribal Partnership University of South Dakota School of Medicine/Center for Disabilities Sinte Gleska University University of North Dakota School of Medicine Columbia University South Dakota Health Research Foundation Black Hills State University Aberdeen Area Tribal Chairmen’s Health Board Montana-Wyoming Tribal Leaders Council

4. NIH Center for Excellence for Health Disparities Research:A Partnership of USDSM-BHSU-AATCHB-Sinte Gleska • Five year grant awarded by NIH/National Center for Minority Health and Health Disparities • Grant application was developed collaboratively by academic and Tribal organization partners • Center Steering Committee includes representatives from each of the partner organizations • Long-run objective: Develop academic-Tribal partnership and seek additional grant funding to address health issues that are priorities for Tribes in South Dakota

5. NIH Center for Excellence for Health Disparities Research:A Partnership of USDSM-BHSU-AATCHB-Sinte Gleska Four major components involve AATCHB and Sinte Gleska College • Research Study on Infant and Child Development, involving AATCHB Healthy Start • Intervention Program to Prevent and Reduce Childhood Obesity, involving AATCHB and one South Dakota Tribe each year for five years • USDSM and Sinte Gleska partnership to increase the number of American Indian researchers • AATCHB has lead role in developing Center Newsletters and Issue Briefs on health disparities issues and programs for dissemination to Tribal leaders, Tribal health and diabetes programs, Indian Health Service, and researchers

6. Community Outreach and Information Dissemination Core:BHSU-AATCHB Partnership The Community Outreach and Information Dissemination Core (COID) will focus on two major activities. • Providing technical assistance, training and support to Tribal health and physical activity programs to conduct Community Child Health Needs Assessments and to develop Tribally-tailored programs to prevent and reduce childhood obesity. • Conducting extensive health information dissemination to researchers, Tribal health departments, Tribal diabetes programs, and Tribal communities, through quarterly newsletter, quarterly meetings with Tribal leadership and Tribal health directors, and presentations at Tribal health conferences.

7. Community Outreach and Information Dissemination Core:Preliminary Studies The approach that will guide the COID is a collaborative approach that has been developed by BHSU and MT-WY-TLC over the past three years. Two previous studies: • During initial BHSU-TLC Project Export grant, the COID and TLC staff met several times to identify priority topics. Consensus of Tribal health directors was that strategies to help Tribal diabetes program staff to educate and assist Tribal members with diabetes to better manage their conditions would be valuable. • A second priority topic identified by Tribal health directors was cardiovascular health of Tribal members. Curriculum was designed to be usable with limited resources and equipment of the Tribal fitness center.

8. Community Outreach and Information Dissemination Core:Current Study Specific Projects: One Tribe from South Dakota and one Tribe in Montana or Wyoming. • Standardized Community Child Health Needs Assessment Protocol with be designed and implemented with each of the tribes during initial months of project. • Community Outreach and Information Dissemination project will be designed and implemented with each Tribe focused on increasing awareness of the relationship between obesity in children and serious health conditions and encouraging behavioral change to reduce or prevent the number of children who are overweight or obese. Additional Tribes will be added each year for total of 10 Tribes over next five years.

9. BHSU-AATCHB COLLABORATION ONFETAL ALCOHOL SYNDROME PREVENTION AND TRAINING • BHSU and AATCHB awarded two-year grant from Centers for Disease Control and Prevention in 2004 – “earmark” through Senator Johnson • Objectives: • Provide education and training to K-12 educators, juvenile justice system staff, foster care and child welfare workers on effective strategies for working with children was FAS to improve outcomes • Develop and test educational programs for middle-school age children to increase understanding of the causes and consequences of FAS as a prevention strategy • During 2004-2005, BHSU and AATCHB developed and conducted two workshops in Rapid City for K-12 educators and juvenile justice system staff on FAS diagnosis, developmental problems in children with FAS, and effective strategies to improve outcomes of children with FAS • AATCHB staff adapted prevention curriculum for middle-school age children and worked with Little Wound School to test the curriculum with fifth grade and sixth grade children.

10. BHSU-AATCHB COLLABORATION ONFETAL ALCOHOL SYNDROME PREVENTION AND TRAINING • In 2005-2006, BHSU and AATCHB will conduct additional workshops on FAS and effective strategies for working with children with FAS: • On November 4th, a one-day Workshop for Juvenile Justice System Staff will be held in Rapid City at the Quality Inn on LaCrosse Street. The Workshop is free and Tribal justice system staff are invited and encouraged to attend. • Three two-day Workshops will be held in the Spring 2006, for K-12 educators, foster care and child welfare workers, and justice system staff. These workshops will also be free to attendees; one in Rapid City, two others will be held on or near Reservations in South Dakota to facilitate attendance by Tribal educators, justice system staff, and others who are interested in learning about FAS • For more information on the FAS program, contact: • Mary Rogers – 605-642-6615 • Carole Anne Heart – 605-721-1922