Performance Improvement 1999. Crosscutting

02/01/1999

TITLE: Profile of the State of Indian Children and Youth: Final Report

ABSTRACT: This study was conducted in support of a proposed Federal initiative to promote the quality of life (QOL) of American Indian and Alaska Native (AI/AN) youth. The goal of the study was to collect and organize existing information and to develop a set of recommendations to assist in the development of coordinated Federal policy. The study was conducted primarily by means of bibliographic and archival research of information maintained by Federal agencies, libraries, and other institutions. Review of the materials collected in this study resulted in four conclusions: (1) the need exists for an AI/AN youth initiative, (2) previous and ongoing Federal initiatives have proven successful in the past, (3) major changes are needed in the Bureau of Indian Affairs (BIA) and the Indian Health Service (IHS), and (4) better information systems are needed. In light of the study conclusions, three recommendations were proposed: (1) A coordinated, systematic initiative to improve the QOL of AI/AN youth should be developed. Issues such as alcohol and substance abuse prevention and treatment, accident prevention, employment and economic development, education, crime and justice, and housing should be addressed. (2) The planning and execution of the initiative should actively involve the Federal agencies as well as the tribes and Alaska Native villages. (3) The Federal government, in consultation with the tribes and Native villages, should develop and implement a plan to collect, maintain, and make accessible information on AI/AN youth. Included in this information system should be baseline data and appropriate indices that can be used to assess the outcomes associated with the proposed initiative.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 7134

PERFORMER ORGANIZATION: Johns Hopkins University, School of Hygiene and Public Health Baltimore, MD
 

TITLE: Speaking with One Voice IHS, Tribes, Urban

ABSTRACT: The focus of the roundtable, and of this project, was the reauthorization of the Indian Health Care Improvement Act (IHCIA), Public Law 94-437. This Act funds health care services provided to and for American Indians and Alaska Natives (AI/AN) in the United States at the local, area and national levels. The Indian Health Care Improvement Act represents one of the most critically important pieces of legislation affecting Indian health today. Originally enacted in 1976, the IHCIA provides comprehensive statutory authority for a variety of health programs. While there have been substantial improvements in health status, American Indians and Alaska Natives still lag far behind all other races in the U.S., and with shrinking Federal appropriations for the Indian Health Service (IHS), the job of maintaining and improving health status is becoming far more difficult. The results of this discussion will assist the IHS and local tribal and urban health officials define the many issues involved in the pending reauthorization, changes in the health care environment affecting Indian Health today, and an analysis of the opportunities presented through the passage of comprehensive health care legislation. Roundtable participants identified health care issues in two major areas: (1) patient bill of rights for Indian people; and (2) changing health care environment.

AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research

FEDERAL CONTACT: Frank Marion

PHONE NUMBER: 301-443-4700

PIC ID: 7133

PERFORMER ORGANIZATION: Indian Health Service, Rockville MD