Transcript of "The Good Medicine Series: A Response to Trauma in Native Communities Due to COVID-19"
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Hello, everybody, and thank you for joining us for our sixth and final webinar of the 2020-2021 Health Equity Webinar Series. I’m Sue Higgins, representing the three NIH-funded health research centers here at Montana State University in Bozeman. These are the Center for American Indian and Rural Health Equity, Montana INBRE, and the American Indian/Alaska Native Clinical and Translational Research Program. Before we begin, I'd like to acknowledge with great respect the Indigenous stewards on whose traditional territories MSU now stands and whose historical relationship with the land continues to this day. MSU is located in the common hunting ground and major crossroads of Plains and Plateau Native nations including Shoshone, Nez Perce, Dakota, Salish, Crow, and Blackfeet. Hopefully you're seeing the smiling faces of our speakers; LeeAnn Bruised Head and Dr. Cynthia Chapman, as well as members of the Montana IDeA Community Engagement Core at Montana State University. The members of this core are Dr. Ann Bertagnolli, the Core director; Dr. Alex Adams; Emily Salois; Dr. Emily Tomayko; and me. This team is always here to help with community engagement questions from researchers, so please feel free to connect with us anytime. A few quick housekeeping notes before I turn things over to Emily Salois. Dr. Adams will help field your questions during Q&A later on in this hour, so please enter them at the Q&A function on your screen. And we're also recording this webinar, and tomorrow we'll send a link out to all registrants so you can review this again or share with your colleagues, and we'll also post the link to this webinar on our websites. So thanks so much for joining us today, and with that I’m honored to ask uh community research associate Emily Salois to introduce our speaker. Take it away. Thank you, Sue. I’m pleased to introduce to you LeeAnn Bruised Head. LeeAnn is a member of the Crow Tribe and descendant of the Kainai band in Alberta, Canada. She's a mother of two daughters: Snowy, who's a graduate student at the University of Washington, and Brandi, who is in grade 11 at the Billings Senior High School. LeeAnn has a master’s in public health she's an officer with the united states public health service commission corps she's serving as a public health advisor with billings area Indian Health Service I have deep respect for my friend LeeAnn she's a champion for wellness especially for American Indian tribes in Montana. LeeAnn’s a critical thinker and she has a unique ability to develop or translate wellness models to fit the American Indian worldview and values I've had the privilege of spending hours over excuse me please over a good cup of coffee daydreaming or brainstorming about wellness for native people for this I thank you LeeAnn thank you Emily good um afternoon I guess it's after 12. and welcome everyone and um I’m really glad you're interested in our topic today um I’m here with Dr. Chapman and she's our clinical psychologist at the crow service unit and as Emily stated I’m a public health advisor located at the billings area office but due to the pandemic I've been detailed out to the crow service unit and with um that experience being here and visiting with Dr. Chapman uh kind of like me and Emily we were daydreaming and brainstorming and um trying to figure out a way um to help the people in the aftermath um of COVID and the deaths that we've experienced I myself have lost at least 15 of my family members to covet in the past year we've had up to over 61 tribal members die from COVID this past year and that's just from COVID that doesn't include my family members who have died from diabetes uh cancer and car wrecks and so it's uh so we've actually had over a hundred tribal members pass away this past year and um and that um interference in our grief process is uh a big deal you can see that with all the other tribes and in our in the general community as well um knowing that our covet patients died by themselves um without family members surrounding them that like we usually do you know when a crow dies usually we have maybe 50 to 100 people in the room around in the hallways and going through that process together and uh we weren't able to do that during this past year um people have and we've had to live with knowing that our loved one died by themselves and that's really heartbreaking and and part of our grieving and so I want to go ahead and introduce Dr. Chapman and have her do some introduction as to how we got started on this path this path of healing and she's our clinical psychologist as I stated before at the crow service unit so I'll go ahead and move it over to her okay well good afternoon I I wanted to say too it's been a real privilege working with LeeAnn and also our other partner and that is robin gladu from the billings area office who's a behavioral health specialist we were able to partner with each other in a I think a creative uh working relationship that keeps on growing and out of that I wanted to talk a little bit about how this did get started I prior to my coming to crow I was at another reservation um at that time there was a suicide contagion which lasted about a year and a half at least that was how long I was involved in it and then coming here and understanding that I needed to do more I was I was the primary person at the hospital um I've seen people one-on-one and and I know that community needed more than just coming in to see me we needed to be out in the community and providing education and ways to handle things not just coming in to see me I was in a sense a bottleneck so I shared that with LeeAnn and it was out of that that we began to look at other ways that we could um handle what was going on here to to deal with the grief and the loss and so um we started um what we LeeAnn call the good medicine series so I'll let you uh share more about that I’m back and um so with that um we have community partners as well and uh little bighorn college has been very instrumental in partnering with us in providing us um a place to provide our our presentations our our learning sessions in their facility um and having coveted and being you know social distance and everything they've been so gracious and helpful and providing us with a beautiful um place to um reach out to our community and have a gathering with our people um in a safe way and we also have a partnership with mountain mountain pacific quality health um caitlin Conway she's also been very instrumental on our team in helping us identify trainers and um and I'll come back to that it's been quite a blessing and so the whole purpose um is to focus on community healing with the good medicine approach we wanted to have a positive um uh name for our what we're doing and so um in the crow way um good medicine you know is good and and I thought that's the umbrella that we'll work under and so we created that and um and good medicine addresses depression grief anxiety and anger and we see the violence in our community coming from that anger we wanted to address that with our tribal community and the crow community has lost like I mentioned over 61 tribal members to COVID and good medicine is meant to provide community leaders and community members with the tools knowledge and skills to address emotional distress at the community level to prevent a crisis a good medicine healing series we're going to be offering that series three times this summer or the spring the summer and the fall and the series encompasses five um five learning sessions and the first one is crim the community resiliency model and um caitlin Conway is our trainer for that and um and that is the state oh and at each session at each of the five sessions at the end we go over the five stages of grief and we have a handout that Dr. uh Chapman has developed and um then the second session is uh mental health first aid and with that um there's two parts to it there's mental health first aid for adults and mental health first aid for people working with youth and we've realized that we also probably need to address another section but I'll come back to that and the third one is zero suicide and um then the fourth one is understanding and healing uh from trauma and that's more like historical trauma and intergenerational trauma and just having our community understand uh where some of our um triggers come from and then the the the um number five is language of healing that session is at first sorry I’m in the hospital um but kind of a talking circle but realized we didn't want to go that route we really want to make it a conversation and help the participants who've been attending all four to utilize the skills and knowledge they've gained into a conversation into their language of healing and and help their their friends and family and as we develop this we just kind of uh created this as as we're going and looking at and like even zero suicide we weren't quite we that wasn't originally in our initial plan but we had a suicide about a month ago of a young man and realized that we needed to address that issue so we pulled it right in and our first so we've done the first two the crim and mental health first aid and we did zero suicide and we we had a good group attend but right afterwards people heard about it and I had a lot of requests from the community and um we now are doing two more trainings back to back next week and both of those trainings are full and so I can from that we can see that the community the community interest and the need for more information on preventing suicide with our youth so I thought that was really good and I wasn't going to say oh wait till the next series later this summer I figured if they're wanting it now I I’m going to see what I can do and I reached out to the um to the trainer her name is madeleine baum from the department of health and human services at the state level and she's the grant coordinator there and she said yes I will we'll do it I'll get another trainer and we'll be we'll go ahead and do back-to-back and she just worked with us and the blessing in this um project here is there's been no cost I have no budget and uh and we didn't even think about it um and so with with the crim Caitlyn Conway and and mountain pacific they have funding so we she did you know we didn't have to pay for her and actually hers was virtual so there was no cost involved and mental health first aid and that's also coming from the state and there's no cost for those trainers to come here and zero suicide is also from the state and there was no cost um to bring those trainers here also and then for um the historical trauma piece that we're doing that in-house we have some wonderful presenters here some of you may have heard um deborah russell and her her presentation on historical trauma and she's actually one of the providers here at the service unit and her and um jeff yellow owl and he's from blackfeet and he's also a provider here at the service unit and together they're going to do that piece and they're going to make it pro culture tribal history specific and then the the fifth piece the language of healing again that'll be in-house our providers will um between all of us we're going to do that training for our community and so the only cost that we've incurred is um food providing lunch for our participants and coffee and I I live in buildings and I drive to crow every day and so I’m able to stop in at starbucks and bring them a box of coffee you know instead of a box of wine we do a box of coffee and that's been a real a real hit people come to the training just for coffee no I’m just kidding they come for the information but so those were our only costs at this time and that was out of our own pockets the trainers myself the team here we pull our money together and go grab some lunch from harden and bring it over and that's been uh averaging out about 75 to 80 per session um with water and you know some drinks and things like that and so we've been really fortunate that we've had um a couple entities uh step up and say well we'll help you with that and uh alex alex adams has in her organization um will be helping us out with that and and I mentioned earlier about community partners one of our another partner we have is um alma mccormick with um messengers for health and so with her we'll be able to um provide you know the lunches and the snacks for our participants and so once we're done with all five of our our sessions we'll start over again um this summer and just saturate our community with skills and tools to help them through their the grief process a lot of our folks get stuck in the grief process not knowing or understanding that there is a path out or through I should say a path through grief and sometimes we get stuck in there if we don't quite know what the next step is and how to work towards that next step and so that's a huge part of the work that we're doing and um when they get stuck there that's where we see a lot of the deep depression the anxiety and possibly thinking about suicide and those are the things that we want to decrease uh decrease the crisis out there so so they don't have to come into our facility or end up at two north or the emergency room or things like that that that we were able to help them do some self-awareness of self-care and self-regulation so that they can manage their emotions and and not get out of control and I believe that that's the key to healing our community and healing each other you know helping each other in the community to go through that process I myself have gone through that horrible experience of loss and being lost in that process and understanding how important it is even if you're a professional person and know when you're in the midst of grief and a great loss you kind of lose your mind and kind of forget all the things you've learned and you um you need some help you need some support someone to remind you what those steps are and that's what we'd like to provide for our community and right now you're all looking at a beautiful picture I hope everyone can see that and that's the black canyon and that's in the heart of croak country near fort smith and the wyoming border the Montana and wyoming border and that's a place of healing many of our crow chiefs um have different sites around the black canyon where they fasted and they prayed for the people in the last um um you know couple hundred years as we've um transitioned from free reservation or free um free roaming um planes indians to being confined to reservation to a very small land base um that that transition has been hard on our native people across the united states and in particular crow as I’m a member of the crow I can speak um in that I guess the difficulty in that and how that contributes to our current state and our difficulty in dealing with um depression and anxiety and death the grief grieving and so that's why it's really important to me um to have this team and and to build this program up and um I I want to go ahead and give some time to Dr. Chapman as she's going to go over a few more items here yeah I wanted to say too that I guess part of how I look at my job here because I am the supervisor is half of our work is seeing people one-on-one and the other half is working in the community because we want to develop tools in the community seeds and seeds of hope and and I know at this time we've had a lot of very positive response about what it is that we've started here um as LeeAnn was saying depression and suicide has been a fairly common theme especially with the code people were more depressed felt very isolated trapped the opportunity to come in to see us was limited most of our work here was virtual so we were on the phone uh with individuals um so it was out of that um isolation and understanding what we were experiencing what they were experiencing and also my experience of having been working in a situation where there was a lot of suicide so we put together grief and loss kind of a psycho-educational brochure if you will and dealing with mourners rights and I'll just go through a few of them um for example that we we have the right to experience our own unique grief in the way in which we personally experience that sometimes that's taken away from us or other people minimize or try to say you'll get over it or everything's going to be all right um we try to address those kind of issues to help people move through uh the grieving process and it is a process and there's phases and stages if you will and it's not sequential we can experience some of the all at the same time sometimes like a tsunami taking over us we have the right to talk about our grief sometimes that's shut down by others we have a right to feel our emotions and it can be a multitude of emotions um we have a right to try to tolerate our emotional limits um and sometimes we have outbursts like grief outbursts like out of nowhere we suddenly feel it all over again we can feel fine and not find the next minute we have a right to use our rituals uh our spirituality we have a right to embrace our way of of understanding death and also looking into the meaning or searching for the meaning of death and what it means in our lives and on in treasuring our memories of the loved one we don't have to depart from them necessarily but it's embracing who they are in our lives and then finally giving ourselves a permission to grieve and to heal to go on with life another thing we've put together sort of addressed is what those stages of grief feel like and look like outlining that like denial anger bargaining fear depression acceptance meaning of death and having a future and who that person means to us or it may be more than one person oftentimes there are multiple deaths and particularly here on the reservation part of the trauma has been one death after another and these were the supports often the primary supports of some individuals so understanding that that was out in the community and and and people in the community needing psychoeducation you know how do we deal with this what makes sense how can I do it that if we can provide tools to them in the community and within the community and that's sustainable then they don't necessarily have to come in and see behavioral health we can't do that of course and we will do that but we want them to develop the strength within the community themselves so um I think that's all I can think of right now so I'll hand it back to me and another key that I really wanted to share with all of you was our partnerships I mentioned a couple of them but the one most important was our partnership with um the crow tribe um and the group that we were able to connect with was the crow nation recovery program and they're the substance abuse program and so they know what's going on in the community they know they know um the heartbeat I guess of what's going on and they've been really helpful very helpful and kind of pulling us sometimes out of um the four walls of a facility and I’m sorry the four walls and be more um real when when everything goes away and things are change money runs out and maybe people move on to other jobs or other projects what's going to be left here in crowe are the crow people and our culture and so they remind us of that and when you look at this picture I want to go back to that and experiencing well-being experiencing peace experiencing happiness happens outside of the clinic an old elder [Music] this man told me that um LeeAnn he said um clinics and hospitals treat disease um health happens at home and in the community and then he walked away you know he gave me that bit of information knowing that I work in the health field and I thought you know it took me a minute to process what he was saying but it's so true um that we need to get out into our our community and and have experiences of well-being rather than just talking about it and and so with our partnership with the uh tribal program we've um designed and scheduled some activities for clients and community people to actually experience um some of these sites that are our healing sites for crow people and we want to take them there and and really have that sense um and when we I just want to refer back to the crim community resiliency model really talks about um engaging with the body your own senses and our body is like a computer it downloads all this information whether it's a trauma or if it's a good positive experience your body is just a computer downloading all kinds of information like the time of day the smell the sights what you're feeling the people around you all these different things are downloading and those are the things that I'd like to start downloading into people are these good healthy healing experiences so they can pull upon those that they'll their trigger would be for something healthy and something good instead of always being a negative trigger and so that's one of um you know the approaches that we're taking and so um we also have another plan that came to us how much time do I have I can keep going on and on do I have a couple more minutes do yeah it's only uh it's only 12 30 so you can keep going at least another 10 15 that's up to you okay very good um so I'd like you to imagine this I’m gonna go ahead and share our experience we had a wellness fair last week which was really good it turned out really well our partners at crow nation uh sponsored that and uh we're sitting there with our little table and our little shade right me and Dr. Chapman and we have our little um handouts there and and then this big old bus looking mobile unit comes in and it parks and then the door opens and there's all this noise and pretty soon this uh shape starts rolling out of the vehicle and then on top of the um on top of the mobile unit is this big old um satellite it starts to come up and some antennas come out and and we're just sitting there I’m just like amazed and impressed and and it was the va mobile unit and I was sitting there and I thought man we need one of those and uh and this I just sat there and just started imagining uh Emily you can uh relate with me I was daydreaming right there thinking oh my gosh you know we could have like a picture like this uh around that vehicle you know some healing things around that vehicle and we could take it to our rural communities like wyola and lodge grass and saint x and pryor and any community events that happen heck maybe if they have a sundance way up here somewhere in one of these peaks we could take it up there too and go to the people and um provide services and care and activity from this mobile unit and it just so happened one of our leadership come by from ihs and I said hey um we'd like one of those we could do all these things and he said all right go ahead put in for it we got some money and uh so that's a possibility that we'd like to explore and um we already have information on it and we want to get out into the community we want to reach the people and take the services out there and because we don't have public transportation in Montana you know let alone the crow reservation and we have a high poverty rate and our people don't all have vehicles and if somebody in in the family or the neighborhood has a vehicle it's not always reliable and it doesn't go on their schedule so if they have an appointment here maybe there's no ride into crow and so I'd like us to go out there and provide it so at least they can walk over and and get some service and get some assistance and um so that's a possibility so pray for us you know send some good positive vibes towards us that we can get this mobile unit and make it a reality so we can reach the people who can't reach us and may I add too it's taking the stigma away from behavioral health because that that is a barrier um and so I think destigmatizing behavioral health going into the community um making it uh acceptable and doable and making sense of it I think is is one of our priorities the other thing is our administration has been behind us which is tremendous we don't always have that in certain situations but here our administration has been very positive about what we are doing because it is rather unique to do both the individual the one-on-one uh behavioral health sort of the typical way in which the traditional way in which mental health is handled and we do have that and we have more providers here too by the way but we want to be in the community to sew those seeds of hope and so sow those seeds so that we have tools in the community and support in the community attachments in the community we've talked also about bringing in speakers that can talk to uh you know in an educational kind of way around the importance of attachment and also what happens when we have negative uh adverse childhood experiences and what that does to us and addressing those kind of things so we have even more things that we have in the pot here for the future other kinds of trainings and so forth but right now we're doing this I think five isn't we have basically five modalities that we're presenting three times a year so and we really have the support of and within our group here too our skills are different um we have people who are really good at presenting like LeeAnn jeffrey and debra and so I’m sort of the person who's helping to organize those things and recognizing who has those skills and who can use them and how we can use them within the community are there any questions um I think that's most of our information that we wanted to share and um we'd rather have a conversation with everyone so go ahead and ask questions so I’m in charge of the questions this is alex and uh thank you so much uh uh LeeAnn and Dr. Chapman for that really beautiful presentation and for the amazing gorgeous work that you are doing to really help your community I um I have many questions and um what I’m understanding and I think people might like some clarity on if you can help us is it sounds like um most of these of these trainings which you're in process with for the spring have been in person and just a general idea of how many people are showing up at those and how long do they last would be really helpful as kind of a first question just to give people sure due to our room limitations we've allowed up to 15 people um in in those sessions uh to be socially distant and wearing masks and being as safe as possible so about 15 per session okay excellent and they last all day like six hours we start at 8 30 and go till sometimes 5 o'clock because of questions and participation we could probably finish about four o'clock but um the people have been really um engaged and have a lot of conversation that takes us till five o'clock that's beautiful and so the the kind of can you give us an idea of the kinds of folks that are showing up um and how you feel they're going to be taking because it sounds like that that last number five is where they really start to we've learned all these beautiful things we understand a lot about you know anxiety depression drama his all that and now we want to sort of bring it into the community so can you just kind of take us through how you see that happening and who may be doing that work out in the community okay yes we have a variety of participants we have people from the recovery program we have people from northern cheyenne from their recovery program and their community who have come over and we have a county commissioner from bighorn county who also came and attended and we have people from the daycare and from the schools from the college services social services and just community members who have participated in our session so far and so with that we um we've encouraged them to come to all five sessions um not all some of them have been able to but again whatever they miss they can do it again in the summer and the idea is for them to have some idea some language um some skills and we actually practice with um you know with the zero suicide they have a practice and there's conversation going on and role playing and so the main purpose of the last session on uh the language um speaking he's the healing language um is uh we want them to have a game plan um you want them to have a game plan and how are you how are they each going to share the information that they've received and that's where we'll be working on that that piece and doing some role playing again and situations that they might encounter and being very careful and mindful that they're not therapy and they're not counseling but they're having a conversation and then at what point would they refer them um for for more um for counseling if if that's needed but I think with that conversation it'll be a lot easier um for them to um support someone to come in to get you know counseling more professional help as needed um because um Dr. Chapman alluded a little bit to that as uh to the stigma of coming into um into mental health you know am I crazy are people gonna think I’m crazy or you know how are we going to change that and some of our um we've been brainstorming a little bit in providing some um sessions maybe called life coaching um life promotion services or you know just uh resiliency uh therapy I don't know just you know just kind of coming up with some different more positive um language with this department with the behavioral health department and um so yeah does that answer your question yes it does that's beautiful so Emily salloway has a question and I’m going to let her ask those thank you thank you now I have a question and a and I guess a question and a comment um one of the things that I want to say and I I mentioned this in my um introduction that most of the models that you referred to LeeAnn or our um western models of healing but and and this is for native people so you're able to take that model and to develop or translate it into a model that fits the world view of native people and not only that is that the way of of um not just the content but the way that you presented is also from a tribal perspective where people are participating maybe they're laughing they're crying and over and above that you should hire me for um and to advertise you're hired but there's no salary remember there's no salary but you're hired no the other the other part about that is um I think it's building community and support for service providers because the people you mentioned that have taken this these five sessions are service providers who may be experiencing secondary trauma so they so it looks like they're able to provide support and and community for them as well so I just applaud your efforts and I’m just so happy you're doing this and hoping that other communities can incorporate it into their tribes as well um I want to put a plug in here really quick and then I'll be quiet um when you look at thinking of secondary trauma there is a community advisory board on blackfeet working with with Dr. knight and Dr. ellis from the center for American Indian and rural health equities at msu who developed a wonderful manual for vicarious or secondary trauma and it's called helping our tribes and helping ourselves and it's it's been printed um it's a good manual book thinking about about those people who do the work and that they need they need help too so I’m really glad that you have this model that's that's helping helping folks thanks Emily thank you thank you for that it is it is true because uh there is an impact and it can be um worrisome uh it can weigh heavily on an individual and being able to address that and and we need to be able to be uh released from that as well and having partnerships and understanding and trusting relationships I think that's the other thing too is that we have a partnership here I think that is very trusting and um we're able to open up and and share some of those things with each other and and understanding it having some understanding that it is like that and and I know in our meetings with some of the individuals that has been brought up like how they feel how they're reacting knowing what's going on with other individuals um uh people who for example uh are ill or are terminally ill and you know that it's the end of their days and how they handle that and sometimes there is a sense of feeling responsible I should have done something or you know why didn't I do this or that or why did I do this or that and those are the kind of things that we can help people work through and some of that I think is the psycho education um to understand that we do have those relationships and those dynamics and we can get through that so we're not carrying it thank you another um comment I wanted to make was our trainers have been very gracious in um allowing the participants to process and filter kind of filter the information and translate it into a cultural practice or an approach and that I think that's why the trainings take a little bit longer because where they allow the participants to process and and have that happen so they know like how to apply it in in real life in in the community here um so I've been really really um so grateful to the um trainers um who've allowed that um process to happen in being patient with with the people and then you and then they are they are western models and so then that's where um I alluded to a little bit and looking at this uh picture again I'll bring you back to that is our activities that we're planning are going to be experiential we're going to be going out into these um where the where the crow where they knew how to heal that's where we want to take the people is where where do you heal and how do you heal and thinking about how our ancestors did it and giving them some hope and and and like I said when everything is gone ev what's going to be left here is the people and the culture and that those are the things I'd like to activate so when we promote this program with other tribes I really there's a piece in the in the front of it that where they need to really come up with um and there was a piece we forgot to mention was we did some interviews with elders um some crow elders to tell us about the grief process and if they recall anything that uh has been lost maybe um from colonization you know what did we do before and then what do we still have that we do and just different processes on healing and the um and those mechanisms so so we've done a little bit of that also and that would be something I would encourage each tribe to do is to do those interviews and and really make it um tribal specific in a lot of the in all of this in all the training that that they might want to do so thank you that's really helpful to know that you kind of set that as an intention at the beginning to talk to elders and move through that I had another question which was um and because we are going to get assets when we post this um it sounds like that the that the right to the right to grieve in that that brochure that you created is a really important document in terms of people feeling feeling heard and honored in being able to work through grief in all of those stages and not have that I’m feeling crazy kind of peace um is is that something that you would feel comfortable sharing with other tribal communities if they wanted a copy of that no no actually it wasn't something I developed it was something that I was given permission to use from transitions uh in life I think it's called transition care life something like that and um it was developed by uh woolfelt uh Dr. alan woolfeld so it's probably even publicly available okay but Dr. Chapman put it together with all the um um references on there so we're more than happy we're we're more than happy to share it with everybody yeah so we can send it to you if you'd like to post yes we could post it in with the link to this we could post that as well so people have access to that because it seems to me that that's a very very helpful tool for what from what you've said and um it is it's a wonderful tool that Dr. Chapman put together yeah part of our idea was to put together a brochure sort of a little booklet where people were reading about uh grief and understanding it understanding it also from their own spiritual standpoint and then having them uh write things down to to journal to to respond uh in various kinds of ways like looking at uh how do how did that person affect my life what was precious about that relationship what was difficult about it and so we were trying to expand in a way what we might be doing in a therapeutic session talking about it that you could uh read things and learn from it um and get through the grief with some tools and a way of processing it so that was kind of the bigger idea I’m still working on that yeah and I think that sounds wonderful another question is um what about kids we heard something about um people working with youth and obviously some of the people who are attending are you engaged or with workers but what is your feeling about um how these kinds of trainings might help the youth in the community because you know often as parents or providers when we get caught up in our own grief it's hard to it's hard to also manage our children's grief um so just kind of wondering if you could comment on how you're thinking about that you know that's that's a really good question and as we went through this process realized that we didn't have anything real real solid for youth and so and then I've had people come in and request so we're actually I've already reached out to um donnie wetzel at opi and um in different resources and I really we really need to put something together for our children and so that's also right up there with the mobile unit that's going to happen uh working on something for our children and that and helping them through that process because all of this is geared towards adults right so we've had some information uh in our literature about helping parents understand that children aren't just getting over it or that they're going through something and it may manifest very differently than than how it does as an adult but that children do feel the loss and and that needs to be understood and allowing them to grieve and helping them to grieve not ignoring it so and we also know that especially in adolescence when there's been losses and in particular multiple losses and losses of those who were their primary caretaker like grandmothers or grandfathers or mothers and fathers who have passed on in one way or another that they that they continue to often experience that loss they become depressed sometimes suicidal a lot of the suicidality that we experience here is usually in the teenage years and young adult years so we know we do need to address that in a deeper kind of way and I think when parents understand attachment and support and understanding and not shutting down the grieving process helping them to work through it is and a follow-up to that question I know that um when I've worked with um the menominee nation they've done a lot of work on aces training as well as trauma-informed care training with all of the different components of the reservation as we talked about it that um a long time ago now it feels like us that LeeAnn and Emily and I were at and that's been super helpful for the community I wasn't sure how you felt that some of those kinds of trainings have already been done or might be incorporated in the future I think we'll be incorporating that into the future here in the crow community yeah definitely okay great um well that is all the questions that I have I want to just see if anybody on the panel has any other questions or are there any last questions from the audience Emily salloway you got any last words no I just I just want to say how how incredibly thankful I am um yeah and applaud you ladies for for all the good work you're doing um I hope this can be replicated on other reservations as well yeah well the word is out and we've had some um positive requests surprisingly that we didn't know that other people had heard about what we were doing here so we're tremendously pleased thank you ladies now thank you so much for coming for us to us today and hopefully this webinar will be uh the recording will be useful and and you can use it to share with other people as well um sue I’m going to turn it back over to you oh wait there's another q a here there's one quick question there do you want to guess yeah okay this is more of a comment from deborah scott excellent program it is impressive that have you presented this to other tribes and are they interested in replicating yes that's the um kind of the intention in my role coming from the area office um so we started here at crow and and hope to um that other tribes will and actually we um arapahoe from wyoming contacted us um yesterday and they want to bring a team to crowe so that we can visit with them and create a plan for them you know with them and so um and then blackfeet also um chairman davis also requested um the same support for for his um tribe too so so they're reaching out and um we're kind of not quite ready but we gotta hurry up and you know kind of finalize some of our documents and but you know we're going through our first series we haven't even completed our first series and and people are wanting us to share and so as we go through it we're ironing out some things as we move forward and so hopefully by the time we can you know really roll it out for others we'll have um kind of ironed out some of the some of the issues that might come up yeah but definitely we we want to share yeah it's still in the development stage if you will or developing so but such a huge need so it's it's great that people are already thinking about how to incorporate this in their communities all right sue I think are we there or we have another question so much I think we're um oh wait no Angela has said I work at Blackfeet Community College; we would love to help bring your work to Blackfeet country. Thank you; so there you go. Yes, one of our social workers is from Blackfeet, and he's a very good presenter, so yeah, we can do that too. Well, thank you so much to both of you for your time and this great information. For all of us we wish you all a great day. Take care, all, and thank you so much.