The Northern Arapaho Tribe seeks the FY2023 Tribal Behavioral Health Short Title: Native
Connections (Standing Funding Announcement) for Hinono’eino’ Heetoxnenii3i’ Cee’kohei3i’-
Arapaho Families Rising, The Healing Village within the Traditional Practices to Wellness
Office of the Wind River Family and Community Healthcare System (WRFCHCS), Northern
Arapaho Tribe proposes to enhance Traditional Practices to Wellness Office intergenerational
family wellness focused group work. Hinono’eino’ Heetoxnenii3i’ Cee’kohei3i’ and The
Healing Village will strengthen tribal youth members Arapaho (Hinono’ei) identity and
resilience against suicide and substance misuse in an integrated public health model approach to
improve behavioral health disparities and lay the foundations for a coordinated network of health
professionals, tribal programs, and community partners such as law enforcement, hospitals, and
court systems serving tribal youth. Through a community needs assessment and community
readiness assessment and leadership support, a tribal strategic action plan for universal
prevention, selective and targeted prevention, and indicated prevention strategies and postvention
protocols. The Traditional Practices to Wellness Office within WRFCHCS will coordinate all
service providers around culture and language and strong connection to tribal elders,
Beesneeniteeno (old people) to increase cultural humility, healing and braid traditional practices
to wellness with evidence based practices. The Wind River Family and Community Health Care
System is the Public Health Authority of the Northern Arapaho Tribe and the provider of direct
health care services through an Indian Self-Determination and Education Act contract with the
Indian Health Care Services. The Traditional Practices to Wellness Office at WRFCHCS will
partner with all the WRFCHCS service providers and with the other tribal programs of the
Northern Arapaho Tribe including the Northern Arapaho Language and Cultural Commission,
whose members will also serve on the Advisory Council.
The behavioral health disparities faced by the Northern Arapaho Tribe are significant, higher that
national figures and highest in the State of Wyoming. The Wind River Indian Reservation
(WRIR), home to the Northern Arapaho Tribe, has the lowest average of death in all of Indian
Country at age 53. Those who abuse drugs and alcohol die even younger with an average age of
death of 32 despite the WRIR having the lowest consumption of alcohol in the state of
Wyoming. Adverse Childhood Experiences (ACE) scores rank at the top end of the scale due to
this mortality and the trauma of early death within families and the reason those deaths occur.
Trauma is a major cause of addiction and substance misuse as is the poverty found at Wind River
where the health disparities of diabetes, heart disease, stroke and cancer strike down those who
do not die due to the injuries that are a major cause of death (homicide, suicide, and substance
involved motor vehicle crashes.)
Research has shown that Tribal practices that build resiliency and connections American Indians
to community, family, and culture, can over time, reduce risk factors for suicide and substance
misuse. However, many youth for whom alcohol/drugs has become their culture are unfamiliar
with who they really are. Many others have lost family over time who did not or could not
convey the strength and healing that our culture, language and traditions contain. This Tribal
Practices approach provides for shared knowledge between western providers of health care and
traditional and ceremonial Elders. Through consultation, peer group, family heritage and
language learning activities, they will connect cultural teachings to health, resilience, strengthen
cultural connectedness, wellbeing, and enable intergenerational learning that supports wellbeing
and resilience. $250,000 per year is being requested for a five-year program total of $1,250,000.