Resource Library
| Title | Category | Type | Description | hf:tax:resource-category | hf:tax:resource-type | |
|---|---|---|---|---|---|---|
![]() | Practical ways to implement 2022 Practice Guidelines…. | Clinical Practice, Opioid Overdose Prevention | Resource Guide | The 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain provides recommendations for clinicians providing pain care, including opioid … | clinical-practice opioid-overdose-prevention | resource-guide |
| Reducing opioid overdose deaths in Minnesota: Insights from one tribal nation | Gathering Grounds | American Indians and Alaska Natives in the United States continue to persist and thrive, but the opioid crisis and opioid … | gathering-grounds | |||
![]() | 2022 Risk Communication Toolkit | Injury Prevention, Violence Prevention | Toolkit | Seven Directions, in partnership with the Inter-Tribal Council of Arizona (ITCA) and the Great Lakes Inter-Tribal Epidemiology Center (GLITEC), created … | injury-prevention violence-prevention | toolkit |
| Gathering Grounds COVID-19 Community Meeting II Resources | Gathering Grounds | Resource Guide | The following are resources that were shared during the Gathering Grounds: How is your Tribal or Urban Indian community responding to … | gathering-grounds | resource-guide | |
| Gathering Grounds COVID-19 Community Meeting I Resources | Gathering Grounds | Resource Guide | The following resources were shared during the Gathering Grounds Indigenous Community of Practice meeting on March 26, 2020 by meeting … | gathering-grounds | resource-guide | |
| Gathering Grounds COVID-19 Community Meeting III Resources | Gathering Grounds | Resource Guide | The following are resources that were shared during the Gathering Grounds: How is your Tribal or Urban Indian community responding to … | gathering-grounds | resource-guide | |
| COVID-19 Emergency Response Resources for Tribes in New Mexico and the Navajo Nation by Roanhorse Consulting | Gathering Grounds | Resource Guide | Roanhorse Consulting is developing a document with COVID-19 Emergency Response Resources for Tribes in New Mexico and the Navajo Nation. … | gathering-grounds | resource-guide | |
| Gathering Grounds Community Meeting IV: A Look at Lummi Nation’s Response to COVID-19 | Gathering Grounds | Brief | On April 16, during our Gathering Grounds Community Meeting, we heard from Cristina J. Toledo-Cornell, MD-MPH, Public Health Director of the … | gathering-grounds | brief | |
| Questions, Considerations, and Tips for Indigenizing Communications by Native Governance Center | Gathering Grounds | Brief | Native Governance Center has developed this list of questions to help guide your communications efforts. To watch the presentation, “Indigenized … | gathering-grounds | brief | |
| Ruptured Knowledge Ecologies in Indian Country by Marisa Duarte | Gathering Grounds | Book Chapter | Dr. Duarte recently published “Ruptured Knowledge Ecologies in Indian Country” in the book, Data Justice and COVID-19: Global Perspectives. This … | gathering-grounds | book-chapter | |
| Quantifying opioid use disorder Cascade of Care outcomes in an American Indian tribal nation in Minnesota | Article | American Indian communities in Minnesota have been disproportionately impacted by the opioid use disorder (OUD) epidemic, which tribal communities have … | article | |||
![]() | Entrenched, Unrelenting, Unsettled: Cultural Essentialism in International Development Research on Domestic Violence in Nepal | Violence Prevention | Article | Domestic violence (DV) is a serious issue that supports systems of oppression. Research and development work often describe DV in … | violence-prevention | article |
![]() | Exploring theoretical mechanisms of community-engaged research: a multilevel cross-sectional national study of structural and relational practices in community-academic partnerships | Conceptual Framework | Article | This National Instittues of Health funded research examined survey data from 453 people, including scientists and community partners in 165 … | conceptual-framework | article |
![]() | All systems are interrelated: Multilevel interventions with indigenous communities | Health Systems | Article | Colonial history and ongoing racism have harmed Indigenous peoples for generations, causing health problems that continue today. Despite this, Indigenous … | health-systems | article |
![]() | Predictors of STD Screening From the Indigenist Stress-Coping Model Among Native Adults With Binge Substance Use | Clinical Care, Substance Misuse | Article | This research study examined the EMPWR (Educate, Motivate, Protect, Wellness and Respect) intervention data exploring how stressors and protective factors … | clinical-care substance-misuse | article |
| The inclusion of tribes and American Indian and Alaska Native People in State comprehensive cancer control plans | Cancer Care & Prevention | Article | This study study, funded by by Cancer Prevention and Control Research Network cooperative agreements (U48 DP006413, U48 DP006389, U48 DP006400) … | cancer-care-prevention | article | |
| Understanding determinants of lung cancer preventive care in at-risk urban American Indians and Alaska Natives: A mixed-methods study | Cancer Care & Prevention, Qualitative Research | Article | This research study, funded by the American Lung Association, American Thoracic Society and CHEST Foundation (MT) and by the NCI/NIH … | cancer-care-prevention qualitative-research | article | |
| Beyond attachment theory: Indigenous perspectives on the child–caregiver bond from a northwest tribal community | Qualitative Research, Youth | Article | The purpose of this Robert Wood Johnson Foundation funded pilot study was to explore Indigenous perspectives on parenting from a … | qualitative-research youth | article | |
| Conceptualizing Indigenous strengths-based health and wellness research using group concept mapping | Conceptual Framework | Article | The purpose of this research study was to define an Indigenous strengths-based approach to health and well-being research. | conceptual-framework | article | |
![]() | Prevalence of Mental Health Disorders and Treatment Utilization among Urban Lesbian, Gay, Bisexual, and Transgender American Indians and Alaska Natives | Clinical Practice | Article | This research study, funded by the NIMH (5R01-MH065871), examined prevalence of mental health treatment utilization among 447 lesbian, gay, bisexual, … | clinical-practice | article |
| Substance-Specific Risk Factors among Young Adults: Potential Prevention Targets across Cannabis-Permissive Environments | Substance Misuse, Youth | Article | This research study, funded by the National Institute on Drug Abuse of the National Institutes of Health under grant numbers … | substance-misuse youth | article | |
| Indigenous Research Ethics Requirements: An Examination of Six Tribal Institutional Review Board Applications and Processes in the United States | Research Ethics | Article | This study, funded by Nicole S. Kuhn’s research with the Ronald E. McNair Fellowship was provided by the Graduate Opportunities … | research-ethics | article | |
| Developing Indigenous-Centered Healing, Health, and Wellness Frameworks to Strengthen Indigenous Health Systems, Decolonize Public Health, and Achieve Health Equity | Health Systems | Article | This project was funded by the Centers for Disease Control and Prevention (CDC) of the US Department of Health and … | health-systems | article | |
| The intersection of social and Indigenous determinants of health for health system strengthening: a scoping review | Health Systems | Article | This project was funded by the Centers for Disease Control and Prevention (CDC) of the US Department of Health and … | health-systems | article | |
| A pilot study of virtual Harm Reduction Talking Circles for American Indian and Alaska Native adults with alcohol use disorder | Clinical Practice, Qualitative Research, Substance Misuse | Article | This research study, funded by NIAAA (P60AA026112, Project-002-835), tested an 8-week, single-arm pilot were to initially document feasibility, acceptability, and … | clinical-practice qualitative-research substance-misuse | article | |
| Developing an Indigenous systems alignment framework: A call for direct funding | Health Systems | Article | This research study was funded by the Georgia Health Policy Institute at Georgia State University, through by the Robert Wood … | health-systems | article | |
| Making older adult fall prevention a routine part of healthcare in tribal clinical settings | Clinical Practice, Injury Prevention | Article | A research study funded by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human … | clinical-practice injury-prevention | article | |
| Risk and Protective Factors Associated with Moderate and Acute Suicidal Ideation among a National Sample of Tribal College and University Students 2015-2016 | Suicide Prevention, Tribal Colleges and Universities | Article | A research study funded by NIMHD (5P60MD006909) examining the risk and protective factors associated with suicide risk among tribal college … | suicide-prevention tribal-colleges-and-universities | article | |
| Engage for Equity: A Long-Term Study of Community-Based Participatory Research and Community-Engaged Research Practices and Outcomes | Community Based Participatory Research | Article | A research study funded by NINR (1 R01 NR015241-01A1) testing the impact of a community based participatory research training among … | community-based-participatory-research | article | |
| Engage for Equity: Development of Community-Based Participatory Research Tools | Community Based Participatory Research | Article | A research study funded by NINR (1 R01 NR015241-01A1) testing the fit and use of community based participatory research tools … | community-based-participatory-research | article | |
| Perceived descriptive norms for alcohol use among tribal college students: Relation to self-reported alcohol use, consequences, and risk for alcohol use disorder | Substance Misuse, Tribal Colleges and Universities | Article | A research study funded by NIMHD (5P60MD006909) and NIAAA (5R01AA022068) that tested relationships between perceived descriptive alcohol use norms and … | substance-misuse tribal-colleges-and-universities | article | |
| Prevalence of Moderate and Acute Suicidal Ideation among a National Sample of Tribal College and University Students 2014–2015 | Suicide Prevention, Tribal Colleges and Universities | Article | A research study funded by NIMHD (5P60MD006909) examining the relationship between suicide risk and hazardous drinking, depression, and anxiety among … | suicide-prevention tribal-colleges-and-universities | article | |
| Strengthening Tribal Governance to Improve Health | Health Systems | Website | A research study funded by Grant R01AA028236 from the National Institutes of Health to analyze tribal alcohol policy environments and … | health-systems | website | |
![]() | Public Health Accreditation Guidebook and Roadmap | Health Systems | Toolkit | Cultivating A Culture Of High Performance And Quality: Lessons Learned from the Three Sisters – Corn, Squash & Beans | health-systems | toolkit |
![]() | Health Systems | Health Systems | Resource Guide | This Tribal Health Governance Transformation Resource is a practical guide to enhance tribal governance and public health law, build strategic … | health-systems | resource-guide |
![]() | Making the Case for an Indigenous PHI | Health Systems | Report | The Case for Tribal Public Health Institutes, Tribal Public Health Feasibility Institute, Redstar Innovations | health-systems | report |
![]() | Public Health Accreditation Board Standards & Measures | Public Health Accreditation | Resource Guide | Official standards, measures, required documentation, and guidance blueprint for PHAB national public health department accreditation | public-health-accreditation | resource-guide |
![]() | Guide to Tribal Health Department Strategic Planning | Public Health Accreditation | Resource Guide | Redstar Innovations and National Association of County & City Health Officials (NACCHO) | public-health-accreditation | resource-guide |
![]() | Guide to Tribal Health Department Self-Assessment for Public Health Accreditation | Public Health Accreditation | Resource Guide | Redstar Innovations and National Association of County & City Health Officials (NACCHO) | public-health-accreditation | resource-guide |
| Self-Assessment Workbook for Tribal Health Departments | Public Health Accreditation | Workbook | Gray Horse Strategies | public-health-accreditation | workbook | |
![]() | (Re)Imagining Tribal Health Systems Webinar | Health Systems | Webinar | This was the first of three webinars in the Becoming Ka Ma Ma: A Journey of Health System Transformation series. … | health-systems | webinar |
![]() | An Integrated Public Health Performance Management Model Webinar | Health Systems | Webinar | This presentation was the second of three webinars in the Becoming Ka Ma Ma: A Journey of Health System Transformation … | health-systems | webinar |
![]() | Becoming Butterfly: Practice Brief | Health Systems | Brief | The Becoming Butterfly framework is promising practice for sustainable tribal health system transformation through performance management practices. It draws on … | health-systems | brief |
![]() | NAACHO Data Storytelling Guide | Indigenous Evaluation, Qualitative Research | Toolkit | This guide is intended for use by local public health departments and their partners in all functions of public health … | indigenous-evaluation qualitative-research | toolkit |
![]() | Indigenous Evaluation Recommended Readings | Indigenous Evaluation | Reference List | Dr. LaFrance has offered an additional reading list to supplement the Indigenous Evaluation Training. | indigenous-evaluation | reference-list |
![]() | Through a Cultural Lens – Reflections on Validity and Theory in Evaluation by Karen E. Kirkhart | Indigenous Evaluation | Book Chapter | This resource was recommended by Dr. Joan LaFrance to supplement the Indigenous Evaluation Training Series. | indigenous-evaluation | book-chapter |
![]() | Introduction to the Four Foundations of Indigenous Evaluation – Discussion Summary | Indigenous Evaluation | Book Chapter | This document summarizes the discussion section of the presentation, “Introduction to the Four Foundations of Indigenous Evaluation.” | indigenous-evaluation | book-chapter |
![]() | Cultural Views of Validity – A Conversation | Indigenous Evaluation | Book Chapter | This chapter was recommended by Dr. Joan LaFrance to supplement the Indigenous Evaluation Training Series. | indigenous-evaluation | book-chapter |
![]() | The Centrality of Practice to Evaluation | Indigenous Evaluation | Article | This article was recommended by Dr. Joan LaFrance to supplement the Indigenous Evaluation Training Series. | indigenous-evaluation | article |
![]() | Indigenous Evaluation Toolkit Supplement: An Actionable Guide for Driving Under the Influence (DUI) Prevention Programs | Indigenous Evaluation, Injury Prevention, Substance Misuse | Toolkit | Intended to be used in tandem with the Indigenous Evaluation Toolkit, this guide provides examples from Indigenous communities addressing DUI … | indigenous-evaluation injury-prevention substance-misuse | toolkit |
![]() | Spirituality Matters: The Role of Religion in Development Project Evaluation in the Tibetan Communities in China | Indigenous Evaluation | Article | This article was recommended by Dr. Joan LaFrance to supplement the Indigenous Evaluation Training Series. | indigenous-evaluation | article |
![]() | Introduction to the Four Foundations of Indigenous Evaluation – Q&A Summary | Indigenous Evaluation | Q&A | This document summarizes a Q&A held during the Indigenous Evaluation Training Series | indigenous-evaluation | qa |
![]() | Indigenous Evaluation Toolkit Supplement: An Actionable Guide for Tribal and Urban Indian Adverse Childhood Experiences (ACEs) Prevention Programs (2024) | Indigenous Evaluation | Toolkit | Intended to be used in tandem with the Indigenous Evaluation Toolkit, this guide provides examples from Indigenous communities addressing Adverse … | indigenous-evaluation | toolkit |
![]() | Indigenous Evaluation Toolkit Supplement: An Actionable Guide for Tribal and Urban Indian Suicide Prevention Programs (2024) | Indigenous Evaluation, Suicide Prevention | Toolkit | Intended to be used in tandem with the Indigenous Evaluation Toolkit, this guide provides examples from Indigenous communities addressing suicide … | indigenous-evaluation suicide-prevention | toolkit |
| Seven Directions’ Indigenous Evaluation Toolkit Training | Indigenous Evaluation | Training | While Indigenous evaluation approaches have been documented for use in educational settings, for violence prevention, for youth well-being, and for … | indigenous-evaluation | training | |
![]() | Tribal Opioid Overdose Prevention Toolkit for Diverse Groups | Opioid Overdose Prevention | Resource Guide | The purpose of this toolkit is to add to the compendium of tribal and urban Indian opioid overdose prevention summaries … | opioid-overdose-prevention | resource-guide |
![]() | An Environmental Scan of Tribal Opioid Overdose Prevention Responses: Community-Based Strategies and Public Health Data Infrastructure 2021 | COVID-19, Health Systems, Opioid Overdose Prevention | Resource Guide | This brief updates the Environmental Scan (2019) and the Models of Tribal Promising Practices brief (2020) with COVID-19-induced and telehealth-specific … | covid-19 health-systems opioid-overdose-prevention | resource-guide |
![]() | Executive Summary: An Environmental Scan of Tribal Opioid Overdose Prevention Responses | Opioid Overdose Prevention | Executive Summary | This is an executive summary of the 2019 Environmental Scan. | opioid-overdose-prevention | executive-summary |
![]() | An Environmental Scan of Tribal Opioid Overdose Prevention Responses: Community-based Strategies and Public Health Data Structure (2019) | Health Systems, Opioid Overdose Prevention | Resource Guide | This document is written for community members, tribal and organizational leaders, and healthcare professionals at the forefront of the opioid … | health-systems opioid-overdose-prevention | resource-guide |
![]() | Models of Tribal Promising Practices Tribal Opioid Overdose Prevention Care Coordination and Data Systems | Health Systems, Opioid Overdose Prevention | Resource Guide | This brief features four models of tribal promising practices that address Opioid Use Disorder (OUD) and opioid overdose prevention. This … | health-systems opioid-overdose-prevention | resource-guide |
![]() | Characterizing risk and protective factors for Alzheimer’s disease and related dementias in American Samoa | Clinical Practice | Article | This study was supported by the Native Alzheimer’s Disease Resource Center for Minority Aging Research (NAD-RCMAR) which is funded by … | clinical-practice | article |
![]() | Between International Policy and Local Practice: Nepali Service Providers’ Constructions of Domestic Violence in Context | Violence Prevention | Article | This study used critical discourse analysis method to looke at how domestic violence (DV) is described by service providers in … | violence-prevention | article |
About Our Practice
The Seven Sacred Directions
Seven Directions was born from a desire to create greater connectivity across the many tribes, communities and organizations that have the health and wellness of American Indian and Alaska Native people at the heart of what they do. We are guided by the “seven directions” of practice: Integration & Holistic Wellness, Culture & Identity, Families & Communities, Respect for Sovereignty, Service, Indigenous Knowledge, and Tribal Governance.
The Seven Sacred Directions serve as an indigenous framework for presenting the strategic directions for the public health agenda.
























