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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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All contents ©2014 by Youth Villages, Inc. with all rights reserved
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
All contents ©2014 by Youth Villages, Inc. with all rights reserved
• 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
All contents ©2014 by Youth Villages, Inc. with all rights reserved
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The Program Components
All contents ©2014 by Youth Villages, Inc. with all rights reserved
• 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
All contents ©2014 by Youth Villages, Inc. with all rights reserved
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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
All contents ©2014 by Youth Villages, Inc. with all rights reserved
Call our Placement Manager who can help identify options - 503-675-2246
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Thank You!
Adam BecentiCultural Coordinator/Tribal Liaison [email protected]
All contents ©2014 by Youth Villages, Inc. with all rights reserved
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