Systemic inequities, including a lack of culturally appropriate sexual health education, put American Indian and Alaska Native (AI/AN) adolescents at higher-than-average risk for adverse sexual and reproductive health outcomes. For example, in 2013, the birth rate among AI/AN adolescents aged 15 to 19 years was 31.1 per 1000 individuals, compared with 18.6 for White adolescents. AI/AN youths report earlier onset of sexual activity and greater numbers of sexual partners than do youths in general.
Place-based college scholarships, such as the Kalamazoo Promise, provide students who live in a particular place, and/or who attend a particular school district, with generous college scholarships. An important potential benefit from such “Promise programs” is their short-term effects on local economic development. Generous Promise scholarships provide an incentive for families to locate in a particular place, which may change migration patterns, and potentially boost local employment and housing prices.
Purpose: Our study assesses the relationships between self-reported adverse childhood experiences (ACEs) (including sexual, physical, or verbal abuse, along with household dysfunction including parental separation or divorce, domestic violence, mental illness, substance abuse, or incarcerated household member) and unemployment status in five US states in 2009. Methods: We examined these relationships using the 2009 Behavioral Risk Factor Surveillance System survey data from 17,469 respondents (aged 18–64 years) who resided in five states, completed the ACE
Background: American Indian and Alaska Native (AI/AN) youth face multiple health challenges compared to other racial/ethnic groups, which could potentially be ameliorated by the dissemination of evidence-based adolescent health promotion programs. Previous studies have indicated that limited trained personnel, cultural barriers, and geographic isolation may hinder the reach and implementation of evidence-based health promotion programs among AI/AN youth.
The centerpiece of the assessment of American Indian and Alaska Native (AIAN) housing conditions is the first ever national survey of American Indian and Alaska Native households in tribal areas. This survey sampled 1,340 AIAN households from 38 tribal areas and achieved a response rate of 60 percent. The survey offers information not available in existing census data sources, including estimates of electrical and heating problems, physical conditions problems, and the extent of "doubling up" among AIAN households in tribal areas.
This report presents key findings from the evaluation of the first round of the Tribal Health Profession Opportunity Grants (HPOG) Program. These findings show that all five of the Tribal HPOG grantees established programs that led to healthcare training completion and employment. The report includes findings on programs' structures, processes, outcomes, and insights related to these findings. The evaluation team worked to conduct a culturally responsive evaluation by receiving input from partners, advisors, and grantees throughout the evaluation. (author abstract)
This report details 14 tribes and tribal organizations’ implementation of service coordination efforts across Tribal TANF and child welfare services. It describes the tribes and tribal organizations, explores their journeys to strengthen tribal families, identifies project facilitators and challenges, and shares lessons learned.
This practice brief is part of a series being developed by the Tribal HPOG evaluation team, comprised of NORC at the University of Chicago, Red Star Innovations and the National Indian Health Board (NIHB). The briefs will be used to disseminate important lessons learned and findings from the Evaluation of the Tribal Health Profession Opportunity Grants (HPOG) program, which is sponsored by the Office of Planning, Research and Evaluation (OPRE) within the Administration for Children and Families (ACF).
Informal caregivers provide vital personal care and other supportive services to Medicaid beneficiaries who have physical dependencies, so promoting their well-being is an important policy objective. Caregiver well-being could be greatly affected by the amount, types, and quality of paid supportive services that beneficiaries receive in addition to informal help. This study compares the experiences of informal caregivers under two models of paid supportive services that were tested in the Arkansas Cash and Counseling demonstration.
This brief provides an overview of the Cook Inlet Tribal Council (CITC) Tribal HPOG program, key findings to date, and stories from students who have benefitted from the program. Findings focus on program structures, program processes, and program outcomes, and is based on qualitative data from interviews with administrative and program implementation staff, focus groups with the CITC students, and phone interviews with program completers and non-completers, as well as administrative data.