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Northwest Portland Area Indian Health Board

April 23, 2014

CEDAR BOUGH

OREGON’S LANDMARK MENTAL HEALTH PROGRAM FOR NATIVE AMERICAN YOUTH

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Presentation Overview

• Youth Villages and Cedar Bough mission

• How Cedar Bough came to be

• Who We Serve

• Program Components

• Enrollment Process

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Youth Villages Mission

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Youth Villages helps children and families live successfully

Healing through culture and tradition

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How Cedar Bough Came To Be

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• Growing number of mental and behavioral health challenges

within tribal communities

• State of Oregon recognized the disconnect between tribal communities and available mental health services for seriously troubled youth

• Youth Villages (then ChristieCare) partnered with tribes and other community members to create Cedar Bough

Who We Serve

• Youth ages 11-17 with serious emotional and behavioral disorders

• Program is designed for tribal youth and other youth who can benefit from a cultural focus

• Tribes Represented: Oregon’s Nine Tribes, Muckleshoot, Navajo, Alaska Native Tribes, Shoshone and more than 15 other tribes

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Who We Serve

• Suicidal ideation or attempts

• Chronic post-traumatic stress disorder

• Anxiety and depression

• History of suicidal threats and/or attempts

• Substance use/abuse

• Developmental disorders (including fetal alcohol syndrome)

• Aggressive and destructive behavior

Common referral issues

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Among American Indians/Alaskan Natives ages 15 to 34, suicide is the second leading cause of death.

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The Program Components

• Cultural and traditional best practices: sweat lodge, talking circles, elder visits, drumming, beading, community gatherings, cultural arts & crafts, seasonal gatherings

• Cultural outings: powwows, NAYA Family Center events, tribal community events

• Mental Health Assessment and treatment including• Trauma-focused Cognitive Behavior Therapy• Collaborative Problem Solving• Equine-assisted psychotherapy

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The Program Components

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• Educational supports: assessment, individual educations plans, balanced school year incorporating Native American history, literature, and tradition (Clackamas Educational Service District)

• Alcohol and Drug Assessment, Education, & Treatment offered through Native American Rehabilitation Association of the Northwest, INC.

• Culturally guided by Native American Advisory Council spearheaded by Dr. John Spence

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Enrollment Process

Steps to Enroll:• Is the youth dangerous to himself/herself or others due to mental health symptoms • Are they unable to safely conduct themselves in the community?• Does he/she need 24-hour supervision? If so, proceed to evaluation. • Psychiatric assessment by mental health specialist is the

next step. • If unsure, contact our Placement Manager: 503-675-2246

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Funding Options

The Cedar Bough Program has been funded through:

• Medicaid/Oregon Health Plan• Contract with Idaho Department of Health and Welfare • Single Case Agreements with Tribes and other entities • Indian Health Service

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Call our Placement Manager who can help identify options - 503-675-2246

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Thank You!

Adam BecentiCultural Coordinator/Tribal Liaison adam.becenti@youthvillages.org

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