Native American for Community Action, Inc. (NACA)
NACA an urban clinic in Flagstaff, AZ, and Coconino County home to approximately 39,800 Native Americans (2020 Census) proposes delivery services through four programs; Immunization services, Health Promotions/Disease Prevention, Alcohol/Substance Abuse, and Behavioral Health. NACA was founded in 1971 to serve the Medically Underserved Population of Native Americans. It developed many programs over the years to support this population. The most comprehensive are the Family Health, Behavioral Health and the Wellness Clinic.
Program highlights for the 2017-2022 grant year are:
Immunization Services are available to the adults, adolescents, and pediatrics in our communities to protect against vaccine preventable communicable disease(s) such as Covid 19, Varicella, Influenza and Pneumonia. NACA participates in the Vaccines for Children (VFC) program through the Arizona State Immunization Information System (ASIIS). Our trained Clinical RN, Certified Medical Assistants, and RPMS Coordinator are responsible for entering data into RPMS Immunization EHR model. Tracking data into RPMS qualifies NACA for the Discount Program from the Centers for Disease and Control. This is a valuable resource as many immunizations were not offered due to cost. The rate of immunization(s) continues to climb as NACA identifies gaps in patient care. NACA administered a record number of Influenza vaccines in 2021, almost double previous years.
HP/DP will continue providing physical activity and nutrition education to the Pathways afterschool and other youth programs in the Flagstaff community (providing structured activities bi-monthly). The Physical Activity Kit (PAK) is based on best and promising practice to increase physical activity. The PAK is used by the Indian Health Service (I.H.S.) facilities. Assessments of physical activity will be held every quarter to evaluate the effectiveness of the programs. Nutrition education will also be provided. Through both programs we will reach 90 children aged 6-l8. The outcome is to increase physical activity to 60 minutes or more a week.
Alcohol/Substance Abuse Prevention (ASAP) is addressed at NACA through the award winning, 20 year old, Pathways Youth Program. It is a prevention program that utilizes an after school and family support approach. Its goal is to reach youth before the age of experimentation. In the coming year, Pathways will add a formalized home visiting curriculum, the Family Check Up to provide structure to the family supports portion of the program. The program has also recently been operating out of a partnership with the Boys and Girls Club Flagstaff to share programming as needed as well as to rent space that is appropriate for after school programming.
Behavioral Health continues to grow and serve more patients. In 2019 BH had 8000 contacts, in 2020 there were 7272 contacts and in 2021 there were 10012 patients contacts among the whole department. We continue to increase staffing to meet the increase in contacts. Title V covers .40 FTE for one mental health counselor, however the BH department actually covers another 1.60 FTEs to meet the demand for services
We appreciate your time and hope that you will consider our application for $177,127.00 to provide 4 in 1 services for the next year 2023 and yrs. 2,3,4,5 2023-2027.