Seven Directions Publications

Mapping Indigenous Elders for an Equitable COVID-19 Response

The aim of our research is to provide an interactive mapping tool of the distribution and density of AIAN elders across the U.S. in order to inform equitable resource distribution. By informing distribution and the optimization of resources, this mapping tool will enable communities to foster greater resilience and strengthen prevention efforts by distributing resources, like effective COVID-19 vaccinations, where it is most needed and appropriate.


This mapping tool is helpful for public health authorities. It may further be used to advocate for state or federal distribution of resources, vaccine site location and support in public health education and outreach efforts - aiding in the larger effort to save lives, limit community trauma and the loss of cultural knowledge. Though this tool has been developed for use within the U.S. context it may be adapted for use internationally with indigenous groups, as data allows. The interactive map was created in a geographic information system (ArcGIS) using American Community Survey (ACS) data at the smallest geographical extent possible, and COVID-19 data at the state level using the CDC Coronavirus dashboard.

View the StoMapping Indigenous Elders for an Equitable COVID-19 Responserymap: https://arcg.is/1eW4OC

Opioid Technical Advisory Group Members 2020-2021

The Tribal Opioid Technical Advisory Group (OTAG) provides guidance and advice on implementing the Tribal Opioid Overdose Prevention project, and is composed of tribal program managers, tribal epidemiology center personnel, academic researchers and other experts in the field. Brief biographies of the 2020-2021 OTAG members can be accessed here.

Opioid Technical Advisory Group Members 2020-2021

Tribal Health Governance Transformation: A Resource to Strengthen Sovereignty through Public Health Authority.

This Tribal Health Governance Transformation Resource is a practical guide to enhance tribal governance and public health law, build strategic partnerships, and improve community health. This resource draws upon Indigenous models of nation building and healing to promote cultural and political sovereignty, and redefine and strengthen governance for health.

Tribal Health Governance Transformation Resource

Learn more about the didgʷálič Wellness Center

This treatment model fact sheet offers an overview of the didgʷálič Wellness Center.

didgʷálič Wellness Center Fact Sheet

Models of Tribal Promising Practices Tribal Opioid Overdose Prevention Care Coordination and Data Systems

This brief features four models of tribal promising practices that address Opioid Use Disorder (OUD) and opioid overdose prevention. This brief serves as a resource and dissemination tool for the four models to reach other tribal and urban Indian communities of practice exploring approaches to incorporate into their programs.

Models of Tribal Promising Practices Tribal Opioid Overdose Prevention Care Coordination and Data Systems

Gathering Grounds 2020 End of Year Report

In this report we highlight our 2020 Gathering Grounds activities.

Gathering Grounds End of Year Report

Tribal Promising Practices for OUD Prevention and Treatment - A Day in the Life Story 2 and Reflection Tool

This document provides an opportunity to think about the 4 approaches in a practice scenario.

A Day in a Life Story 2

Becoming Butterfly: Practice Brief

The Becoming Butterfly framework is promising practice for sustainable tribal health system transformation through performance management practices.  It draws on Indigenous models of healing and proposes a community-centered, public health approach to transform Indigenous health systems. This document highlights key components of this approach.

Becoming Butterfly: Practice Brief

Peer Support Approach 1-pager

This 1-pager offers an overview of the peer support approach and the practices within the three domains related to this approach.

Peer Support Approach 1-pager

Pascua Yaqui Tribe's Peer Support Model 1-pager

This resource provides a visual of the application of the peer support approach within the Pascua Yaqui Tribe.

Pascua Yaqui Tribe's Peer Support Model 1-pager

Multi-Pronged Approach 1-pager

This 1-pager offers a look at the domains and practices that can be applied within the Multi-pronged Approach.

Multi-Pronged Approach 1-pager

Lummi Nation’s Healing Spirit Clinic Model 1-pager

This resource offers a visual of the components within the Lummi Nation's application of the Multi-pronged Approach.

Lummi Nation’s Healing Spirit Clinic Model 1-pager

Integrated Approach 1-pager

This document offers an overview of the domains and practices within the Integrated Approach.

Integrated Approach 1-pager

Swinomish Tribe’s didgwálič Wellness Center Model 1-pager

This document provides a visual of the components within Swinomish Tribe's application of the Integrated Approach.

Swinomish Tribe’s didgwálič Wellness Center Model 1-pager

Harm Reduction Approach 1-pager

This document provides an overview of the domains and practices within the Harm Reduction Approach.

Harm Reduction Approach 1-pager

White Earth Nation’s Health Model 1-pager

This document offers a visual of how the White Earth Nation applies the Harm Reduction Approach.

White Earth Nation’s Health Model 1-pager

Tribal Promising Practices for OUD Prevention & Treatment - A Day in the Life Story 1 and Reflection Tool

This story and tools are part of the Tribal Promising Practices for OUD Prevention & Treatment Brief. They provide an opportunity to apply the practices to a scenario.

A Day in the Life: Story 1

Care Coordination Domains and Tribally-Grounded Promising Practices 1-pager

This document provides an overview of the "3x10s." The three domains and the ten promising practices for OUD prevention and treatment.

Care Coordination Domains and Tribally-Grounded Promising Practices 1-pager

Care Coordination Framework 1-pager

This 1-pager provides an overview of the Care Coordination Framework as it applies to OUD prevention and treatment in tribal communities.

Care Coordination Framework 1-pager

How to Apply to the Indigenous Systems: Revitalizing Inherent Alignment Grant

Opportunity to Better Align Health Care, Public Health and Social Services to Achieve Shared Goals.

This call for proposals will award two (2) Tribal Health, Public Health or Social Services Departments (Tribal Departments) with grants up to $20,000 to support to implement cross-sector alignment projects to better coordinate services across health care, public health and social services.    

Deadline for submissions: November 13,2020 at 5:00 pm Pacific time.

Download Instructions

Executive Summary: An Environmental Scan of Tribal Opioid Overdose Prevention Responses

Executive Summary (2019)

An Environmental Scan of Tribal Opioid Overdose Prevention Responses: Community-based Strategies and Public Health Data Structure

Environmental Scan Report (2019)

Making the Case for an Indigenous PHI

The Case for Tribal Public Health Institutes, Tribal Public Health Feasibility Institute

(PDF) A Unified Approach to Indian Health

(Re)Imagining Tribal Health Systems Webinar

This was the first of three webinars in the Becoming Ka Ma Ma: A Journey of Health System Transformation series. This webinar described the Becoming Ka Ma Ma approach, based on the Gathering of Native Americans (GONA), for systems change or transformation.

(Re)Imagining Tribal Health Systems Presentation

An Integrated Public Health Performance Management Model Webinar

This presentation was the second of three webinars in the Becoming Ka Ma Ma: A Journey of Health System Transformation series. The goal of this webinar was to share an Indigenous model and tool for performance management. A model that may be used by tribal nations in their health systems integration and alignment efforts.

An Integrated Public Health Performance Management Model Presentation

Indigenous Evaluation Recommended Readings

Dr. LaFrance has offered additional readings to supplement the Indigenous Evaluation Training.

Recommended Readings

Introduction to the Four Foundations of Indigenous Evaluation - Q&A Summary

This document summarizes the Q&A session that happened after the presentation, "Introduction to the Four Foundations of Indigenous Evaluation."

Q&A Summary

Introduction to the Four Foundations of Indigenous Evaluation - Discussion Summary

This document summarizes the discussion section of the presentation, "Introduction to the Four Foundations of Indigenous Evaluation."

Discussion Summary

Through a Cultural Lens - Reflections on Validity and Theory in Evaluation by Karen E. Kirkhart

This resource was recommended by Dr. Joan LaFrance to supplement the Indigenous Evaluation Training Series.

(PDF) Through a Cultural Lens - Reflections on Validity and Theory in Evaluation

Cultural Views of Validity - A Conversation

This chapter was recommended by Dr. Joan LaFrance to supplement the Indigenous Evaluation Training Series.

(PDF) Cultural Views of Validity

The Centrality of Practice to Evaluation

This article was recommended by Dr. Joan LaFrance to supplement the Indigenous Evaluation Training Series.

(PDF) The Centrality of Practice to Evaluation

Spirituality Matters: The Role of Religion in Development Project Evaluation in the Tibetan Communities in China

This article was recommended by Dr. Joan LaFrance to supplement the Indigenous Evaluation Training Series.

Reference

Luo, L. P., Liu, Y., & Liu, Y. (2018). Spirituality matters: The role of religion in development project evaluation in the Tibetan communities in China. In F. Cram, K. A. Tibbetts, & J. LaFrance (Eds.), Indigenous Evaluation. New Directions for Evaluation, 159, 97–105.

(PDF) Spirituality matters: The role of religion in development project evaluation in the Tibetan communities in China

Public Health Accreditation Board Standards & Measures

Official standards, measures, required documentation, and guidance blueprint for PHAB national public health department accreditation

(PDF) PHAB Standards & Measures

Guide to Tribal Health Department Strategic Planning

(PDF) Developing a Tribal Health Department

Guide to Tribal Health Department Self-Assessment for Public Health Accreditation

(PDF) Guide to Tribal Health Department Self-Assessment for Public Health Accreditation

Self-Assessment Workbook for Tribal Health Departments

(PDF) Self-Assessment Workbook for Tribal Health Departments

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