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Behavioral Health Training

Risk and Resiliency

Small arrow Adolescent Primary Care: WORD 39K Recent adolescent literature and the last several Society for Adolescent Medicine Meetings have increasingly presented papers and workshops on identifying resiliency factors. We have been overwhelmed with the difficulties in changing the risk behaviors. It is all so negative. Reinforcing positive behaviors is more effective and rewarding than trying to change negative behaviors.

Small arrow Adolescent Risk Behavior Screening: WORD 39K High risk behaviors of teenagers are responsible for the leading causes of mortality and morbidity during the adolescent years. They often are the starting points for adult morbidity and mortality. YRBSS data from the Navajo area and BIA schools compared to the US was an indicator that the AI/AN youth are participating in similar and sometimes greater reported risk taking behavior. If we want to prevent the short and long term morbidity and mortality, we have to identify the risk behaviors and have the resources and/or skills to intervene with best practices or evidence based treatment.

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FAS/D National Steering Group

Small arrow A Practical Native American Guide: WORD 47K This manual is intended to provide an overview of FAS and FASD and act as attendant guidelines for professionals working with children, adolescents, and adults with Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorder.

IHS Resources Requirements Methodology

The Indian Health Service (IHS) Resources Requirements Methodology (RRM) is a system designed to project the staffing needs for a specific facility or primary service area. It is available in a computer spread sheet program to assist with the preparation of staffing estimates. To use the RRM, essential workload information is gathered and entered into the worksheets where it serves as the driving variables for each discipline. The goal of RRM is to help insure that IHS provides appropriate, reasonable and consistent staffing information to Congress and Tribes. The main purpose of the RRM model is to project staffing that will be used in the development of Program Justification Documents (PJD), Project Summary Documents (PSD) or tribal requests for technical assistance in the submittal of HUD BLOCK Grant Proposals. Experts in the various disciplines compared staffing ratios with industrial standards in developing the formulas for the program, as well as benchmark information from existing IHS facilities.

The current approved version of the RRM is RRM2003. The RRM is reviewed annually and updates are made as they are needed. The USER Manual for RRM2003 will be useful for those people that are not familiar with the RRM program or want to know where to get the information needed to run the program. A Reference Manual explaining the staffing formulas for each discipline has been written so that interested parties can see how staffing projections are determined.

The staffing formulas have been updated a number of times since the RRM was developed. To help people understand the changes over time, a Comparison Matrix that shows the changes since 1986 was developed. The RRM versions demonstrated in the table are 6G, RRM2000, RRM2002 and RRM2003.

Since RRM2003 was developed, an Emergency Medical Services (EMS) module was developed and approved. The EMS Module is presently an appendix to RRM2003 and will be included in the body of the next version of RRM. A description of the EMS Module and a commentary of the module are available for those people who want to know how the module was developed and details on the driving variable.

Planning and Evaluation from the Office of Program Support for the Office of Public Health

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Primary Care Provider Training


The Behavioral Health 2005 Primary Care Provider Three-day Training on Chemical Dependency August 9-12, 2005 from 8:00 AM to 5:00 PM. The training will be in Phoenix, AZ and the August training will be in Tacoma, WA.

Small arrow Proposed Agenda WORD 35K

For more information contact Michele Muir by fax (301) 443-7623 or by email at: CALL (301) 443-2038 OR Email US Now!




University of Washington School of Medicine

Training Session Date: September 14, 15 and 16, 2005

Co-sponsored by the UW Fetal Alcohol & Drug Unit, the UW FAS Diagnostic and Prevention Network, and the Indian Health Service

Eligibility: Seven service providers working with Native Americans will be selected by the IHS Headquarters in Rockville, MD. The training session is open to service providers who work with Native Americans (physicians, psychiatrists, psychologists, social workers, advocates, case managers, nurses, parent activists, teachers, chemical dependency counselors, lawyers, judges).

Costs for travel to and from Seattle, airport transfers, and some meals are the responsibility of the participants or their organizations.

Costs for registration, lodging for 4 nights and most meals will be paid by the UW Fetal Alcohol & Drug Unit through a contract with IHS. Transportation will be provided to and from the designated training hotel to the different training sites each day.

Curriculum: This small-group training session involves interacting closely with the other trainees, as well as the training faculty. Participants should plan to attend all 3 full days of the training session, including hosted meals, and stay 4 nights at the designated training hotel in order to facilitate group collaboration.

  1. Day 1 at the Fetal Alcohol and Drug Unit: Understanding FASD and preventing and overcoming secondary disabilities in people with FASD across the lifespan.
  2. Day 2 at the Parent-Child Assistant Program: Preventing FASD with the Birth to 3 Advocacy Model for working with very high-risk mothers and their families.
  3. Day 3 at the FAS Clinic: Demonstration of a multidisciplinary FAS Diagnostic Clinic and relevance for community interventions, parent advocacy, and prevention.

Training Faculty: Ann Streissguth, PhD, Therese Grant, PhD, Kieran O’Malley, MB, Nancy Whitney, MS, Susan Astley, PhD, and others from the Fetal Alcohol & Drug Unit and the FAS Diagnostic and Prevention Network.

Application: Send a letter of application (one page or less) providing a description of your past experience related to FASD and your plans for the utilization of this training in Native American communities. Deadline for applications is August 31, 2005.

Please fax to Dr. Echohawk at (301) 443-7623 or e-mail:

Marlene Echohawk, PhD, Project Officer
Health Science Administrator
Behavioral Health Program
IHS-BH Program, Suite 605
12300 Twinbrook Metro Plaza
Rockville, MD 20852
(301) 443-2589 (phone)

National Institute on Drug Abuse announces it’s second Health Disparities Conference: Bridging Science & Culture To Improve Drug Abuse Research in Minority Communities

  • October 24-26, 2005
  • Hyatt Regency
  • Atlanta, Georgia

This conference will address a wide range of health issues related to drug use and addiction in racial/ethnic minority and other health disparity populations.  Conference participants will have the opportunity to attend:

  • Morning plenary sessions on genetic research, health disparities within rural communities, HIV/AIDS and the criminal justice system, and community based models/approaches to address drug use in racial/ethnic minority populations.
  • Afternoon sessions on prevention, treatment, research careers, pharmacology, HIV/AIDS, criminal justice and many other topics relevant to addiction in health disparity populations.
  • Poster Session
  • Grants Development Workshop

At the end of the conference participants will be able to describe recent drug abuse research findings including epidemiology, neuroscience, and HIV/AIDS in health disparity populations.  Participants will also be able to discuss prevention, treatment and services programs that show promise in minority and other health disparity populations.

Travel awards are available.  Visit: for application instructions.

To register and for more information, visit:

The NIH/FAES is accredited by the Accreditation of Council for Continuing Medical Education to provide continuing medical education for physicians.

Small arrow Blending mental Health Care and Primary Health Care: PPT 44K The provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community is often desired by the patient.

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Surgeon General APA Initiative

Small arrow Domestic Violence: PPT 1MB A Health Care Epidemic by Rachel E. Locker MD, Warm Springs Health and Wellness Center. Alarming statistics reported by the American Medical Association estimates that over 4 million women are victims of severe assaults by boyfriends and husbands each year.

Telepsychiatry and Suggested Reading

Government Performance Results Act (GPRA) and Performance Assessment Rating Tool (PART)

Small arrow What is GPRA? PPT 92K This presentation explores the significance of GPRA and how the measures were selected.

IHS Performance Plans and Results

For more information, visit the Division of Behavioral Health web site

Email icon Questions or comments, contact the Behavioral Health web site administrator


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This file last modified: Tuesday July 22, 2008  9:43 AM