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Volume 4, No. 10, October 2006
From Your Colleagues
Carolyn Aoymana, HQE
Interventions for Depression in Reproductive Age Women in Family Planning Programs
This policy brief explores family planning programs as a possible site for incorporating interventions around depression, including screening and treatment, in reproductive age women. The brief looks at the opportunities to reach women who otherwise may have little contact with the health care system, as well as the challenges of locating these services within family planning programs, and offers a list of potential interventions and recommendations for further action for FP programs, state and local public health agencies, and mental health providers. This was developed through the Women's and Children's Health Policy Center. The brief is available in PDF form on the WCHPC website: www.jhsph.edu/wchpc
Out of the Shadows: Exploring the Barriers to Mental Health, Prevention and Treatment
http://www.apha.org/news/press/2006/0706_savethedate.htm
James M. Galloway, Tucson
Do you need nutrition services at your site?
If your Service Unit, Hospital or Clinic is in need of nutrition services or diabetes education services by a Registered Dietitian/Certified Diabetes Educator, please consider an exciting and innovative approach to providing these services through Telehealth.
If you currently have (or plan to soon have) teleconferencing availability, the IHS Native American Cardiology Program would be interested in potentially working in partnership with you to assist in providing these services. If you are interested, please see the attached documents.
For further information or questions, you may also directly contact our program dietitian, Diane Phillips, RD, LD, CDE at diane.phillips@ihs.gov or by phone at (928) 214-3920.
I appreciate your consideration of this possibility.
Warm regards,
Jim
Sunnah Kim, American Academy of Pediatrics
Forty years in partnership: the American Academy of Pediatrics and Indian Health
Fifty years ago, American Indian and Alaska Native children faced an overwhelming burden of disease, especially infectious diseases such as pneumonia, meningitis, tuberculosis, hepatitis A and B, and gastrointestinal disease. Death rates of American Indian/Alaska Native infants between 1 month and 1 year were much higher than in the US population as a whole, largely because of these infectious diseases. The health care of American Indian/Alaska Native patients was transferred to the Department of Health, Education, and Welfare in 1955 and placed under the administration of an agency soon to be known as the Indian Health Service. The few early pediatricians in the Indian Health Service recognized the severity of the challenges facing American Indian/Alaska Native children and asked for help.
The American Academy of Pediatrics responded by creating the Committee on Indian Health in 1965. In 1986 the Committee on Native American Child Health replaced the Committee on Indian Health. Through the involved activity of these committees, the American Academy of Pediatrics participated in and influenced Indian Health Service policies and services and, combined with improved transportation, sanitation, and access to vaccines and direct services, led to vast improvements in the health of American Indian/Alaska Native children. In 1965, American Indian/Alaska Native postneonatal mortality was more than 3 times that of the general population of the United States. It is still more than twice as high as in other races but has decreased 89% since 1965. Infectious diseases, which caused almost one fourth of all American Indian/Alaska Native child deaths in 1965, now cause <1%. The Indian Health Service and tribal health programs, authorized by the Indian Self-Determination and Education Assistance Act of 1976 (Pub L. 93-638), continue to seek American Academy of Pediatrics review and assistance through the Committee on Native American Child Health to find and implement interventions for emerging child health problems related to pervasive poverty of many American Indian/Alaska Native communities. Acute infectious diseases that once were responsible for excess morbidity and mortality now are replaced by excess rates resulting from harmful behaviors, substance use, obesity, and injuries (unintentional and intentional). Through strong working partnerships such as that of the American Academy of Pediatrics and the Indian Health Service, progress hopefully will occur to address this "new morbidity." In this article we document the history of the Indian Health Service and the American Academy of Pediatrics committees that have worked with it and present certain statistics related to American Indian/Alaska Native child health that show the severity of the health-status disparities challenging American Indian/Alaska Native children and youth.
Brenneman G , Rhoades E , Chilton L . Forty years in partnership: the American Academy of Pediatrics and the Indian Health Service Pediatrics. 2006 Oct;118(4):e1257-63
Editorial comment: Elaine Locke, ACOG
In the same era that the pediatricians were responding to the needs of AI/AN children, the obstetricians were responding in parallel. The American College of Obstetricians and Gynecologists [ACOG] established a Committee on American Indian Affairs on April 17, 1970 for the purpose of studying and developing expertise in the area of maternal and gynecologic health problems among Native American women. The following is a brief description of what ACOG currently offers as well as links to documents on the history of ACOG involvement as well as the Fellows in Service Program.
ACOG’s Indian health activity began in 1970 and now includes programs that:
- Provide medical care when it is most needed to American Indian and Alaska Native women; obstetrician-gynecologists from the private sector fill short-term vacancies in Indian hospitals.
- Offer an annual 4-day course on Obstetric, Neonatal, and Gynecologic Care for Indian Health Service and Tribal nurses and physicians who are not trained in the specialty. An optional Neonatal Resuscitation Program offers certificates of completion and additional education credits.
- Produce a practical reference text for the use of nonspecialists in Indian Health Service and Tribal hospitals.
- Conduct site visits to Indian Health Service and Tribal hospitals; reports can support improvements in equipment, staffing, management and clinical care.
ACOG continues to support the Committee on American Indian Affairs as an expression of the College’s concern for the health and well-being of American Indian and Alaska Native women and their offspring. Please Contact: Yvonne Malloy or Elaine Locke 202:863-2580
Historical Background of ACOG AI/AN Involvement
http://www.ihs.gov/MedicalPrograms/MCH/F/documents/HistACOG101206.doc
History of the ACOG Fellows in Service Program
http://www.ihs.gov/MedicalPrograms/MCH/F/documents/ACOGFell101206.doc
Various ACOG Programs
http://www.ihs.gov/MedicalPrograms/MCH/F/documents/ACOG%20Prog101206.doc
Judy Thierry, HQE
Smoking Cessation for Pregnancy and Beyond
Interactive cases explore the broader psychosocial dimension of cessation counseling. The virtual classroom supplies strategies for implementing optimal and efficient office systems to support smoking cessation counseling and documentation. This program offers various learning tools, including: (1) Interactive case simulations and comprehensive discussions of the patient visits. (2) Mini-lectures on relevant topics from leading experts, including former Surgeon General Dr. C. Everett Koop and Dr. Neil Benowitz. And (3) Interviews with real patients who have quit
http://iml.dartmouth.edu/education/cme/Smoking/
Northern Plains Tobacco Prevention Project
Smoke Free Families Campaign
Intergenerational activity addressing AIAN families in the AATCHB catchment
http://www.aatchb.org/nptpp/index.htm
Latest AI/AN birth and fertility data from NCHS, 2004
Births 43,927 [43,052 in 2003 and 29,389 in 1980]
Birth rate 14.0 [20.7 in 1980]
Fertility rate 58.9 [83.6 in 1982]
Teen pregnancy rate 52.5 [high of 84.2 in 1983 ages 15 - 19]
Literature on feeding beliefs and attitudes in AIAN/indigenous populations requested
Tam Lutz is requesting questionnaires or literature on feeding beliefs and attitudes within Indian culture. If you know of anyone or have information please contact her directly.
Thanks so much. Judy
Tam Lutz, MPH, MHA - Project Director at the Northwest Portland Indian Health Board
Tribal Epidemiology Center 527 SW Hall Suite 300 Portland, Oregon 97201
(503) 416-3271 FAX: 503-228-8182 tlutz@npaihb.org
Release of IDEA 2004 Part B Regulations Links to forms and tool kits for IEPS FSPs
Individual with Disabilities Education Act 2004 reauthorization rolled out part C regs (early childhood) and has NOW published Part B – school age children.
-Tool Kit on Teaching and Assessing Students With Disabilities
Extensive web site definitely for the educator.
www.osepideasthatwork.org/toolkit/index.asp
-Raising the Achievement of Students with Disabilities: New Ideas for IDEA:
Chronologies of IDEA and No Child Left Behind…on the main page; many other
links.
www.ed.gov/admins/lead/speced/ideafactsheet.html
-Model Forms for IEPs, Procedural Safeguards Notices and Prior Written Notices on our Web site Available Forms
Myra Tucker, CDC – Reproductive Health
Analyzing and Mapping Health Inequities to Impact Policies for Eliminating Disparities
Eleventh Biennial CDC & ATSDR Symposium on Statistical Methods
April 17-18, 2007 Atlanta, GA.
Authors are encouraged to submit abstracts for contributed papers related to one of the following session topics:
- Racial and ethnic minorities
- Statistical and cost methodologies, including systematic reviews
- At risk populations with characteristics related to age, low income, sexual orientation, language barriers, disability and geographic locations
- Underrepresented or “invisible” populations: institutionalized populations, the homeless, immigrants, and others
- Disparities in occupational employment
- Environmental justice: cancer clusters, location of brownfields, hazardous facilities and socioeconomic class
- Access to and quality of care
- Emergency and program planning
- Health behavior and promotion
Abstracts will be considered for either oral or poster presentation and must be submitted no later than November 20, 2006. Authors of accepted presentation will be notified by January 5, 2007. For more information, please visit the Symposium website at
http://www.cdc.gov/od/ads/sag/index.htm or contact Mark Stevens at (770) 488-5673.
Abstract Of The Month ‹ Previous | Next › Hot Topics
OB/GYN
Dr. Neil Murphy is the Obstetrics and Gynecology Chief Clinical Consultant (OB/GYN C.C.C.). Dr. Murphy is very interested in establishing a dialogue and/or networking with anyone involved in women's health or maternal child health, especially as it applies to Native or indigenous peoples around the world. Please don't hesitate to contact him by e-mail or phone at 907-729-3154.
