266023 How historical trauma informs a community-based collaboration to prevent alcohol-exposed pregnancies in an urban AI/AN community: Practice-based evidence for developing culturally-driven processes

Tuesday, October 30, 2012

Heather Heater, MPH , Community Health Services, Early Childhood Services, Multnomah County Health Department, Portland, OR
Terry Ellis, LCSW , Child and Family Services, Native American Rehabilitation Association of the Northwest, INC., Portland, OR
Public health research and interventions within AI/AN communities have often been implemented and results interpreted without reference to the effect of historical trauma and cultural genocide on these communities. This lack of awareness, along with a lack of integration of culturally-specific needs, has caused a loss of effective communication and trust among many AI/AN communities. Today, many interventions, community-planning processes and research practices continue to disregard or ignore AI/AN cultural needs.

We discuss the development of a community-based collaborative between AI/AN community members, community-based organizations and a local health department to prevent substance-exposed pregnancies in AI/AN women in Mutlnomah County, Oregon. The “story” of how historical trauma informed the development of this Collaborative is an important example of practice-based evidence for creating culturally-driven processes for community-based planning.

We will describe the rich and sometimes challenging process of bridging and building cultural paradigms in a public health intervention that requires close examination and acknowledgement of the present-day relationship with historical trauma. These processes are complicated when we recognize that the systems and agencies now seeking partnership with AI/AN communities often played a role in cultural genocide of Native people. Successful strategies for overcoming these difficult challenges will also be discussed.

Learning Areas:
Advocacy for health and health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
1. Define historical trauma in the AI/AN community as it relates to public health research and practice. 2. Describe the challenges and successful strategies used to build trust within a community-based collaborative. 3. Demonstrate how a local health department can utilize culturally-driven processes to mobilize community partnerships to address health disparities in the AI/AN community.

Keywords: Native and Indigenous Populations, Community-Based Partnership

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: N/A

Qualified on the content I am responsible for because: I am the clinical manager of Child and Family Services at Native American Rehabilitation Association of the Northwest, INC. I am an expert in developing culturally-specific programs for AI/AN community. As a trainer and lecturer, I specializes in how intergenerational grief and trauma within AI/AN community informs utilization and planning of public and mental health programs and research. I am a founding member of the CityMatCH-sponsored Practice Collaborative and a member of our travel team.
Any relevant financial relationships? No

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.