245455 Lessons learned from working with an AODA Tribal consortium to build epidemiological capacity to collect and evaluate data in Indian Country

Tuesday, November 1, 2011

Nicole Butt, MS, Ed , BEAR Consulting, LLC, Pewaukee, WI
Jacob Melson, MS , Great Lakes Inter-Tribal Epidemiology Center, Great Lakes Inter-Tribal Council, Lac du Flambeau, WI
Background: To address disparities in underage drinking and binge drinking among American Indian youth, GLITC was awarded a five year SAMHSA grant to work with 10 of the 11 Tribes in Wisconsin, resulting in the formation of an AODA Tribal consortium for the first time in Wisconsin. Experience working with grants and meeting grant requirements to collect data and analyze data was minimal or non-existent for Tribal sub-grantees and there was a complete void of local community data. As the governing body, GLITC was responsible for building capacity among the sub-grantees.

Methods: In order to build a knowledge base, and build sub-grantees epidemiological capacity, GLITC conducted individual site visits and centralized trainings. Trainings were conducted both by outside entities and GLITC staff.

Results: Respecting Tribal sovereignty was central to how this grant was implemented; however varying interpretations of what sovereignty meant in terms of the grant and initially having unclear policies and procedures to govern the consortium, sometimes created tension within the group since each Tribe was able to implement the grant their own way. There was a perception among the consortium that some Tribes were not working as hard as others and not being held to the same standard.

Conclusions: It is important to recognize Tribal sovereignty when working with an AODA Tribal consortium. It is also important for the governing body to do pre-planning and develop clear policies and procedures for Tribal sub-grantee implementation and to maintain consistency throughout the life of the grant.

Learning Areas:
Administration, management, leadership

Learning Objectives:
1.Attendees will be able to define sovereignty. 2.Attendees will be able to identify obstacles to developing epidemiology and/or data skills. 3.Attendees will be able to identify methods employed with the consortium that worked in developing epidemiology and/or data skills.

Keywords: American Indians, Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the behavioral health epidemiologist who has worked with this AODA Tribal consortium.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
SAMHSA SPF SIG grant A portion of my salary comes from a SAMHSA grant.. and Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.