Performance Improvement 1999. Indian Health Service



TITLE: Evaluation of Village-Based Women's Preventive Health Services by Community Health Aides/Practitioners

ABSTRACT: The National Cancer Institute, and the Centers for Disease Control supported two pilot projects to train and support community health aide/practitioner (CHA/Ps) in providing prevention screening for cervical and breast cancer, STDs, and tobacco reduction to inhabitants of remote Alaskan villages. The screening services were provided in southwest rural Alaska, an area about the size of the state of South Dakota located about 400 miles from Anchorage composed of 50 remote Eskimo and Indian villages with a total population of over 20,000. The purpose of the evaluation was to determine whether the pilot projects succeeded in increasing the health screening levels and access to care of Native women. The evaluation found that training and support of CHA/Ps resulted in an increased screening and identification of health conditions. As a result of the findings, the Yukon Kuskokwim Health Corporation, the largest health corporation in rural Alaska, will expand village-based preventive health services through training more health aides/practitioners in the region with additional community health education.

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


PHONE NUMBER: 301-443-4245

PIC ID: 6406

PERFORMER ORGANIZATION: Alaska Native Health Services, Anchorage AK


TITLE: Evaluation of the Indian Health Service Adolescent Regional Treatment Centers

ABSTRACT: The Indian Health Service evaluated nine Regional Treatment Centers (RTCs) that provide alcoholism and substance abuse rehabilitation treatment to American Indian/Alaska Native youth. This retrospective study involved site visits to the RTCs, staff interviews, client chart reviews, and collection of client follow-up data. The RTC clients, treatment processes, outcomes were compared with similar treatment centers in urban and suburban areas. The treatment outcome findings showed that 52 percent of the IHS-RTC clients completed treatment compared to 60 percent in the comparison sites. The post-discharge sobriety follow-up findings on the IHS-RTC clients indicated that less than 25 percent had relapsed to alcohol and drug use levels prior to treatment. The analysis identified the important client characteristics and treatment components associated with successful completion of treatment and post-discharge sobriety. The conclusions of the evaluation were that: (1) RTCs are only one important component of care for adolescents with alcohol and other substance abuse problems and a continuum of care needs to be fostered that includes improved screening and case finding for children by health care providers and post-discharge client care; (2) greater resources and management practices are needed to improve RTC effectiveness and efficiency; and (3) the more effective RTCs utilize client satisfaction, post-discharge, and peer-evaluation data to conduct self-evaluation.

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


PHONE NUMBER: 301-443-4245

PIC ID: 6744

PERFORMER ORGANIZATION: Indian Health Service, Alcohol and Substance Abuse Program Branch, Albuquerque, NM