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A constructive Indian country response to the evidence-based program mandate
R Dale Walker1, Douglas A Bigelow
1Oregon Health & Science University, Gaines Hall 155, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Journal of Psychoactive Drugs
|March 10, 2012
Summary
Government mandates for evidence-based programs threatened tribal sovereignty. Tribes developed a culturally appropriate logic model, leading to state acceptance of tribal best practices for funding.
Area of Science:
- Public Health Policy
- Indigenous Studies
- Program Evaluation
Background:
- Government mandates increasingly favor evidence-based "model" programs, assuming universal applicability.
- These mandates can infringe upon tribal sovereignty, cultural relevance, and consultation rights.
- Tribes face challenges in adapting external models to their unique contexts.
Purpose of the Study:
- To describe the impact of evidence-based program mandates on tribal communities.
- To present a tribal-centered approach to program evaluation and funding.
- To offer a model for integrating tribal knowledge with external funding requirements.
Main Methods:
- Analysis of tribal responses to mandates in Oregon.
- Development and implementation of a culturally appropriate logic model.
- Establishment of a tribal review panel for best practices.
Main Results:
- Tribal engagement evolved from rejection to proposing culturally relevant alternatives.
- A state-authorized tribal logic model was developed and accepted.
- The new process validates tribal ways of knowing and ensures local context in funded programs.
Conclusions:
- Tribal logic modeling offers a constructive response to evidence-based program mandates.
- This approach respects tribal sovereignty and cultural context while enabling quality improvement.
- The model can be adapted for tribes nationwide facing similar mandates.
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