These Centers of Excellence are key partners, both as sources of evidence-based practice and as disseminators of evidence-based practice.
The Center's reach is extended by consultants and partners located throughout the country. The Programs shown on the map below work with One Sky Center to develop resources.
Tribal Health Consortium: (Jim Berner, Director of
Community Health Services)
ANTHC is a non-profit health organization, owned and controlled by Alaska
Tribal governments and their regional health organizations, to provide
comprehensive statewide Native health services and training.
The Consortium addresses an extreme rural healthcare challenge with
village health aides who are chosen by their village. The aides receive
20 weeks of training and a preceptorship. The training program is available
in manual form and core competencies are measurable. They now have a
federal curriculum and certification and can get medical reimbursement
for health aides' services in Alaska.
The Consortium is also initiating a dental healthcare aid program and
putting together a program for behavioral health aides to serve in this
area. The Consortium is seeking a behavioral health aide module, based
on the dental template. They are considering the CSAT set of Addiction
Counseling Competencies (ACCs), though they need more mental health
representation before finalizing a framework for training and standard-setting
for village behavioral health aides.
OSC collaborates with ANTHC by offering technical assistance for program
development, consultation and workshop facilitation. The Behavioral
Health Aide program has the potential to reduce disparities in treatment
and prevention opportunities in isolated rural areas. We plan to take
the knowledge/practice resource to the next level with a dissemination
Brown Regional Treatment Center: (Mike Fisher, Director)
The Center is a state-of-the-art inpatient, dual diagnosis, culturally
appropriate treatment program whose catchment area is principally Kansas,
Oklahoma, and Texas. It is run by the Cherokee Nation, located on the
campus of Sequoyah High School at Tahlequah, Oklahoma, and has a 25-bed
capacity. It has served more than 1,000 clients and seen a change in
adolescent drug of choice from primarily alcohol in 1991 to marijuana
in the late 1990's and now to methamphetamine.
A comprehensive, self-contained program of education, counseling, recreation,
psychology and cultural enrichment is used to treat the client, with
a special emphasis on art therapy as a means of health promotion.
Jack Brown Center is accredited by the Commission on Accreditation of
Rehabilitation Facilities, (CARF). CARF is working to incorporate culturally
competent assessors in an effort to ensure that culture gets incorporated
and assessed appropriately. It is also a potential mechanism to document
appropriate standards and, thereby, get services recognized and reimbursed
Jack Brown Treatment Center and One Sky Center collaborate to provide
technical assistance and consultation to develop post-discharge follow
up and aftercare for adolescent clients and assess resource needs of
all Youth Residential Treatment Centers.
Indian Youth Leadership Project: (McClellan Hall, Director)
The central theory underlying this program is learning through experiencing
(as compared with instruction, stories, etc). The experiences are based
on advice from the Elders on how to operationalize traditional cultural
values and role behaviors. Community service, adoption of meaningful
roles, and leadership are learned through the experiences provided.
Over the past 20 years, the Leadership Program mission has been positive
youth development. The program is somewhat similar to Outward Bound
in that the setting is outdoors and challenging the client is part of
the technique. Project "Venture" has been replicated 26 times
with funding by the State of New Mexico, and evidence of efficacy has
been gathered. In addition to the replications, there are two adaptations
of the program: a program for girls and a program focused on healthy
relationships and choices.
Mr. Hall works to make the distinction between key principles of the
program that cannot be altered without jeopardizing effectiveness, and
minute details that can easily be adapted depending upon the needs and
culture of the local setting. A key principle of the adaptation is a
focus on where the client wants to be and what they can do to get there
(defocusing the negatives).
Their role with One Sky Center is to provide consultation, training
and technical assistance to other organizations that want to implement
Indian Involvement: (Daniel Dickerson, DO, Clinical
UAI, located in Los Angeles, works with urban populations and adopted
a Circles of Care model, a case management model of service delivery
that includes home visits. It is funded by many agencies to deliver
seven programs: public health, primary and specialty care, cultural
case management, health education, family wellness, child and family
counseling, healing from domestic violence and sexual assault, clubhouse,
workforce development, research, and system of care planning. They also
offer an after school program for youth 5 -18 and summer youth camps
for 150 kids per year. They use other sites for service delivery; transport
clients to corporation sites for cultural activities; cultural competency
training for agency staff; youth camps; internship for psychologists;
and culturally sensitive screening. They also offer cultural competency
training to subcontractors. Several of their activities (e.g., training
programs) are compiled in manuals.
Their role with One Sky Center is to provide technical assistance and
consultation to other urban programs.
Updated: Monday, 14 January 2008