TIP 61: Behavioral Health Services for American Indians and Alaska Natives

SAMHSA’s new Treatment Improvement Protocol (TIP), TIP 61, provides practical guidance on Native American history, historical trauma, and critical cultural perspectives for behavioral health work with American Indian and Alaska Native clients. It discusses the demographics, social challenges, and behavioral health concerns of Native Americans and highlights the importance of providers’ cultural awareness, cultural competence, and culture-specific knowledge. Specific topic areas include workforce development strategies, program and professional development considerations, and culturally responsive policies and procedures.

Alcohol/Drug Services Health Equity Mental Health

Preconception Health

This resource from the CDC defines and discusses the importance of preconception health. It features a link to 10 important steps and considerations for women planning to become pregnant. Another link for women not planning a pregnancy discusses 10 healthy habits of benefit should she become pregnant in the future, or even if she decides not to have children. A third link provides similar guidance for men with 10 recommendations for healthy living.

Partner Involvement Reproductive Life Planning/Family Planning

STDs and Pregnancy – The Facts

This colorful and easy-to-read patient brochure can be downloaded or ordered for free from the CDC. It discusses the effects of STDs on pregnancy and the importance of being tested for STDs before and/or during pregnancy. It reviews the preventive measures women can take to avoid contracting an STD before or during pregnancy and emphasizes the importance of being treated during pregnancy if required.

Prenatal Care and Education STDs including HIV

Screening for Syphilis Infection in Pregnancy

The incidence of syphilis in American women doubled between 2012 and 2016, and the incidence of congenital syphilis rose concomitantly. Congenital syphilis can lead to stillbirth, neonatal death, and lasting effects such as bone deformities and neurologic impairment in the newborn. Because of this, the USPSTF has reiterated its guidance that all pregnant women be tested for syphilis at their first prenatal visit. They also point out that many organizations recommend repeat testing of high-risk women in the third trimester and at delivery.

Prenatal Care and Education STDs including HIV

HIV and Pregnancy

This patient handout in the form of questions and answers is designed to inform pregnant women and women planning a pregnancy about the risks of HIV infection during pregnancy. It covers the basics of HIV infection, its potential risks to pregnant women and their babies, and how these risks can be minimized with early diagnosis, certain preventive measures, and HIV treatment.

Prenatal Care and Education STDs including HIV

Rural Behavioral Health: Telehealth Challenges and Opportunities

This brief looks at common acceptability, availability, and accessibility barriers to mental and substance use disorder (behavioral health) treatment and services in rural communities and presents ways telehealth can help surmount some of these barriers. The term telehealth refers to using internet and communications technologies, such as videoconferencing, chat, and text messaging, to provide health information and treatments in real time.

Alcohol/Drug Services Case Management/Care Coordination Depression

Alcohol Screening and Brief Intervention: A guide for public health practitioners

Screening and brief intervention (SBI) is a structured set of questions designed to identify individuals at risk for alcohol use problems, followed by a brief discussion between an individual and a service provider, with referral to specialized treatment as needed. This manual is designed to provide public health professionals, such as health educators and community health workers, with the information, skills, and tools needed to conduct SBI so that they can help at-risk drinkers reduce their alcohol use to a safe amount or stop drinking. The manual offers background information and practical steps for conducting SBI in a variety of public health settings, including trauma centers, emergency departments, other clinical settings, home visits, and public events.

Alcohol/Drug Services Case Management/Care Coordination Risk Assessment

Preventing Intimate Partner Violence Across the Lifespan: A Technical Package of Programs, Policies and Practices

This technical package represents a select group of evidence-based strategies and approaches to help programs, communities and states sharpen their focus on prevention activities with the greatest potential to prevent intimate partner violence (IPV) and its consequences across the lifespan. These strategies include teaching safe and healthy relationship skills; engaging influential adults and peers; disrupting the developmental pathways toward IPV; creating protective environments; strengthening economic supports for families; and supporting survivors to increase safety and lessen harms. Commitment, cooperation, and leadership from numerous sectors, including public health, education, justice, health care, social services, business and labor, and government can bring about the successful implementation of this package.

Intimate Partner Violence Life Course Model Parenting Education Partner Involvement

The Good Road of Life

This culture-based program uses sources of strength such as spirituality, humor, and healing to assist Native men and their family members address the impact of colonization, trauma, racism and other challenges that threaten the well-being of children and families. The curriculum for Native men is designed to assist Native men reclaim their roles as brave warriors, fathers, and husbands who provide for and protect their families and communities. The curriculum for Native families is designed to assist Native men, women, and their children to address unresolved conflicts in relationships, improve communication skills, and keep Native families together.

Alcohol/Drug Services Depression Intimate Partner Violence Partner Involvement

Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition)

This update of the National Institute on Drug Abuse’s Principles of Drug Addiction Treatment is intended to address addiction to a wide variety of drugs, including nicotine, alcohol, and illicit and prescription drugs. It is designed to serve as a resource for healthcare providers, family members, and other stakeholders trying to address the myriad problems faced by patients in need of treatment for drug abuse or addiction. It provides an overview of principles of effective treatment and evidence-based approaches to treatment, including behavioral therapies, pharmacotherapies and comprehensive approached. It discusses the unique needs of different groups including women, pregnant women and adolescents.

Alcohol/Drug Services Case Management/Care Coordination Tobacco Cessation

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