In this episode of A Look at Urban Indian Health in Tulsa with Carmelita Skeeter, host Meredith Raimondi, Vice President of Policy and Communications at the National Council of Urban Indian Health, sits down with Carmelita Skeeter (Citizen Potawatomi Nation), Chief Executive Officer of the Indian Health Care Resource Center of Tulsa. Carmelita shares her remarkable journey as a trailblazing leader in urban Native healthcare, from launching a grassroots clinic in 1976 to building a comprehensive, community-driven health center serving over 14,000 Native patients in Tulsa. Together, they discuss the systemic barriers Native people have faced in accessing care, the power of community-led advocacy, and how Carmelita's decades of leadership have helped shape national policy and promote health equity for urban Indian communities.

To learn more about the Indian Health Care Resource Center of Tulsa, visit www.ihcrc.org.

In this episode, hosts Alyssa Smith-Longee, MPH, BSN, RN, CPN (Assiniboine/Sioux – Fort Peck), Public Health Program Manager at the National Council of Urban Indian Health (NCUIH), and Dr. Kimberly Fowler, PhD, Vice President of the Technical Assistance and Research Center at NCUIH, discuss the ongoing efforts to address COVID-19 in Urban Indian communities. Drawing on survey data, polling responses, and listening sessions with Urban Indian Organizations (UIOs), they highlight the challenges, strategies, and best practices identified by providers on the front lines. Their conversation explores key lessons learned, the importance of meaningful dialogue, and how UIOs are managing the evolving COVID-19 landscape to support the health of Native communities across the country.

Alyssa and Dr. Fowler reflect on the five-year impact of COVID-19 and ongoing efforts to support Urban Indian Organizations (UIOs). Alyssa shares her infection prevention work at NCUIH, including a Photovoice project capturing frontline experiences. Dr. Fowler highlights the “Be a Good Relative” campaign, which promoted vaccination through cultural messaging and inclusive visuals.

Alyssa provides an update on current efforts at NCUIH, highlighting their focus on sustainability and identifying what’s needed to better understand and support UIO providers. They released a survey for providers to share their thoughts on various topics around COVID-19. They shared those results during the national conference and got live feedback from the attendees. Based on this feedback, they have now been releasing new materials that support providers.

Alyssa discusses some of the key findings from the survey, including that most of the facilities are still offering COVID-19 vaccines and boosters, but 80% of providers reported still seeing vaccine hesitancy. When they followed up with why, providers reported that their patients feel a general sense of mistrust in the healthcare industry. Alyssa and Dr. Fowler also discuss obstacles in receiving timely diagnosis and treatment for COVID-19, citing delayed patient presentation, limited access to testing, low awareness of available treatments, and inadequate transportation. To address those issues, UIO providers suggested offering take-home testing kits that include educational material for the patients, flyers, social media toolkits, and fact sheets.

Dr. Fowler wraps up the conversation by summarizing how UIOs have found innovative ways to deliver preventive care to their patients. Alyssa finishes by talking about vaccine burnout and connecting the community, and says that remembering that “why” highlights the strength of the urban Indian communities. Dr. Fowler shares access to various resources on the links below. 

Learn more:

To access any materials or resources mentioned in this episode, visit NCUIH.org/vaccine.

To stay up to date on current COVID-19 information, visit the “Health Care Providers” tab on the CDC’s COVID-19 Site Index.

For COVID-19 treatment guidance for healthcare providers, visit the CDC’s COVID-19 Treatment Clinical Care for Outpatients.

This episode, Traditional Food Program Successes at Urban Indian Organizations, provides a deep dive into traditional food programming at Urban Indian Organizations (UIOs), expanding on themes from the previous episode. Drawing from NCUIH’s 2024 report and interviews with various health care providers and leaders, hosts Nahla Holland (Eastern Pequot Tribal Nation), research associate at NCUIH, and Alex Sampson (Lumbee), federal relations associate at NCUIH, examine how UIOs are incorporating traditional foods into services such as nutritional counseling, community gardens, and educational opportunities.  

Nutritional counseling varies widely across UIOs, with some offering large group sessions that include cooking demonstrations and Native chef partnerships; others provide more personalized or small group support tailored to specific health conditions. These programs promote better physical health and foster cultural reconnection, social support, and emotional well-being—key elements of holistic Indigenous health care. 

The conversation continues with a look at community gardens, which serve as a valuable extension of health care by providing fresh, culturally significant produce while promoting physical activity, mental wellness, and community engagement. Gardens offer UIOs flexibility in tailoring traditional recipes to what’s seasonally available and help reduce feelings of isolation. The episode also highlights emerging food and produce prescription programs, where patients receive access to fresh foods through prescriptions from health care providers.  

Holland and Sampson highlight the importance of making traditional foods both accessible and culturally relevant within UIOs. While nutritious produce is often available through external food assistance or prescription programs, they stressed that these offerings may not align with Native communities’ cultural food practices or be easy to incorporate into daily meals. UIOs emphasized that direct and consistent access to traditional foods is crucial in addressing both food insecurity and chronic diseases. Programs like the Special Diabetes Program for Indians (SDPI) were praised for offering culturally informed, community-based approaches to diabetes care. These programs shift the focus from restrictive Western diets to encouraging the inclusion of traditional, nourishing foods, which leads to better health outcomes such as lower blood pressure, reduced A1C levels, and weight management. 

Beyond clinical outcomes, the podcast explores how traditional food programming nurtures cultural, emotional, and social well-being. UIOs are creating engaging events like cooking classes, “Chopped”-style competitions, traditional food bingo, and storytelling meals, which foster a deeper connection to cultural identity and community. Some UIOs even provide tangible resources like juicers, gym memberships, and educational materials to support healthy behaviors. The underlying theme across all these efforts is education—not just on disease management but also on traditions, preparation methods, and the nutritional value of ancestral foods. Learn more at https://ncuih.org/research/third-party-billing/#traditionalfood.  

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), director of communications and events, and introduced by River Carroll, MLS (Cheyenne and Arapaho), policy and communications associate at NCUIH.  

In this episode, hosts Nahla Holland (Eastern Pequot Tribal Nation), research associate at NCUIH, and Alex Sampson (Lumbee), federal relations associate at NCUIH, discuss traditional foods for American Indian and Alaskan Native (AI/AN) people, including the way food is considered, the policies supporting access to traditional foods, and foods integral to Indigenous people.

Nahla kicks off the conversation by sharing traditional foods important to the Eastern Pequot Tribe and explains that traditional foods vary from tribe to tribe, as well as the physical properties and benefits of Indigenous food. Food is also a cultural and spiritual connection to the land and facilitates social connection.

The highest rates of food insecurity in the last decade are among AI/AN people because of a lack of access and a possible disconnect from social programs. The relief from historical government distribution programs included food that wasn’t Indigenous to Tribal lands. These included processed flour and canned goods. Traditional foods have nutrients which protect against diabetes, cardiovascular disease, obesity, and mental health diseases. Indigenous food also reconnects one with the culture through hunting, fishing, gathering, and farming. Gathering food is a social event that connects people with community.

Next, the conversation shifts to Urban Indian Organizations (UIOs) and traditional food programs. UIOs are integrating traditional foods into health care through four specific programs: nutritional counseling, the Special Diabetes Program for Indians (SDPI), community gardens, and food prescriptions.

Federal agencies have taken steps to address food insecurity for AI/AN people. There is a USDA indigenous food sovereignty initiative that uplifts and supports traditional food. It is available for free on the USDA website, and it also includes child nutrition programs. IHS has also launched the pilot program, but more funding is needed to continue these programs. These programs will continue to increase healthy change in Indigenous people, connecting AI/AN people to their culture, ancestry, and people. Visit https://ncuih.org/traditional/#2024 for NCUIH’s 2024 report, “Thematic Analysis of Traditional Food Programs at Urban Indian Organizations and Research on Traditional Healing (Summer 2024).”

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), director of communications and events, and introduced by River Carroll (Cheyenne and Arapaho), policy and communications associate at NCUIH.

In this episode, host Jessica Gilbertson, director of communications and events at the National Council of Urban Indian Health (NCUIH), interviews NCUIH CEO Francys Crevier about the need for sustainable funding for behavioral health programming in Indian Country and NCUIH’s new “Investing in Wellness” toolkit. The conversation covers the state of behavioral health care in American Indian and Alaska Native (AI/AN) communities and prospective future funding ideas. AI/AN communities experience higher rates of alcohol abuse, substance abuse, and suicide, yet continue to lack adequate funding.

Behavioral health services are funded through a combination of public and private insurance and grants tend to be restricted and short-term. In addition, Traditional Healing programs are often not recognized or adequately funded. NCUIH’s “Investing in Wellness” toolkit was built by voices across Native communities. The toolkit includes a comprehensive overview of the current landscape, funding options, actionable strategies including optimizing Medicaid reimbursement, and a comprehensive resource guide. Visit NCUIH.org/InvestingInWellness to access the toolkit.

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), director of communications and events, and introduced by River Carroll (Cheyenne and Arapaho), policy and communications associate at NCUIH. 

This episode looks at why youth engagement is essential. Guest speakers with extensive experience in mental health advocacy and youth engagement join Liz Best, manager of technical assistance at NCUIH. Colby Coughlin is a project director for the Tribal Opioid Response Project and Thrive, a suicide prevention initiative at the Northwest Portland Area Indian Health Board. Shane Lopez-Johnson is the Thrive 988 project director at the Northwest Portland Area Indian Health Board, where he and his team work to inform and educate Northwest Tribes about the 988 Suicide and Crisis Hotline and improve intertribal communications. Adan Vazquez is a member of the Eastern Band of Cherokee Indians, a Detroit-based youth suicide prevention advocate, and an inaugural member of NCUIH’s Youth Council.  

The discussion begins with why youth engagement is critical in mental health programming. Young people must have a voice in shaping protective and risk factors related to mental health. Because youth influence their peers, their involvement in curriculum development and program planning ensures that the strategies they learn resonate with their communities. Without youth buy-in, mental health initiatives may lack effectiveness. When youth feel empowered to ask for help, they become more likely to use available services, reducing stigma and improving long-term mental health outcomes.  

The conversation shifts to strategies for engaging Native youth in mental health programs. Colby discusses how the Northwest Portland Area Indian Health Board serves 43 federally recognized Tribes across Washington, Oregon, and Idaho. Mental health consistently ranks as a top priority among Tribal communities, reinforcing the need for targeted programming. One major initiative is the We Are Native project, which is dedicated to Native youth by Native youth. This program started as a text messaging service where users receive motivational messages, contest opportunities, and mental health resources. It has since expanded into a widely recognized social media platform with international reach. The Thrive Youth Conference empowers youth by transforming personal struggles into creative expression. Another key initiative is the Native Youth Conference, held annually at Portland State University. This event brings together Native youth for workshops on mental health, leadership, and community building. The conference provides an opportunity to empower young people, giving them tools to advocate for themselves and their communities. 

The discussion ends with the importance of integrating cultural teachings into mental health and prevention programs. Healing involves active participation through movement, traditional practices, or creative expression. This approach aligns with the philosophy that medicine is not just pharmaceuticals but also cultural practices like sage and sweetgrass ceremonies. By engaging in traditional activities, youth build resilience and develop a stronger sense of identity. Adan introduces his work with the Sacred Bundle Project, an initiative housed within the American Indian Health and Family Services organization. This project is unique as it is the only Urban Indian Organization serving Michigan, where a significant Native population resides. 

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), director of communications and events, and introduced by River Carroll (Cheyenne and Arapaho), policy and communications associate at NCUIH. 

Tune in to the NCUIH Native HealthCast for a conversation on the importance of marketing for Urban Indian Organizations (UIOs). Jessica Gilbertson, Director of Communications and Events, and Carmen Toft, Associate Director of Communications and Events, discuss the importance of promoting UIOs in a competitive health care landscape to ensure communities and patients are aware of the valuable services they offer. Discover how effective marketing tactics can lead to improved health outcomes and learn effective strategies to advance urban Indigenous health care. Listen as our hosts outline the basics, list best practices, and share opportunities for cost-effective and easy wins.

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), Director of Communications and Events, and introduced by River Carroll (Cheyenne and Arapaho), Policy and Communications Associate at NCUIH.

This episode of the NCUIH Native Healthcast delves into the crucial topic of civic engagement and social determinants of health (SDOH). The discussion between hosts Meredith Raimondi, Vice President of Policy & Communications, and Jeremy Grabiner, Interim Congressional Relations Director, highlights how non-medical factors can significantly influence health outcomes in urban Indigenous communities. From access to housing, clean water, and nutritious food to the impact of voting on physical and mental health, this episode explores the intricate relationship between social conditions and well-being.

Political decisions can significantly influence SDOHs. Research shows that increased voter engagement correlates with better health outcomes. Addressing these disparities through civic participation can break the cycle of biased health policies perpetuating existing health disparities. Efforts by voting rights organizations are crucial in raising awareness and advocating for equitable voting access. Initiatives like integrating voter registration services into health facilities, led by the Biden administration, aim to make voting more accessible. By designating Urban Indian Organizations as National Voter Registration Act sites, individuals accessing health care services can register to vote easily.

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), Director of Communications and Events, and introduced by River Carroll (Cheyenne and Arapaho), Policy and Communications Associate at NCUIH.

In this episode of the NCUIH Native Healthcast, Alexandra Payan, JD, federal relations manager, and Nahla Holland (Eastern Pequot Tribal Nation), research associate, explore how traditional healing practices can intertwine with Western health care systems, spotlighting the tangible positive impact of traditional healing on health outcomes at Urban Indian Organizations (UIOs). Throughout the discussion, Alexandra and Nahla discuss the different types of traditional healing services utilized at UIOs, underscoring their pivotal role in cultural preservation and community well-being. They conclude by candidly addressing the pressing issue of funding constraints faced by UIOs in sustaining these invaluable services.

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), Director of Communications and Events at NCUIH. 

Tune in to the episode of the NCUIH Native Healthcast, where we delve into topics that impact urban Indigenous communities. In this episode, NCUIH hosts River Carroll (Cheyenne and Arapaho), Policy and Communications Associate, Tiffani Stark, MHA, Public Health Manager, and Myca Grant Hunthrop, MPH, Public Health Project Coordinator, discuss the public health campaign, “Be a Good Relative” which focuses on vaccine equity and initiatives within urban American Indian and Alaska Native populations. Join the conversation as they share what made the campaign successful in encouraging vaccination against COVID-19 and how NCUIH later expanded the campaign to include flu and RSV vaccines.

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), Director of Communications and Events, and introduced by River Carroll (Cheyenne and Arapaho), Policy and Communications Associate at NCUIH. 

Join Meredith Raimondi, Vice President of Policy & Communications, and Chandos Culleen, JD, Senior Director of Federal Relations, Public Policy, in this episode as they delve into the crucial topic of stable funding for the Indian Health Service (IHS) and the need for advance appropriations. Learn why stable funding for IHS, including for Urban Indian Organizations, is vital to delivering essential health care and social services to American Indian and Alaska Native people.

The episode draws attention to the pressing issue of the chronically underfunded IHS, with an estimated requirement of over $50 billion to meet the health care needs of Native communities. Advocacy for full funding for the IHS becomes paramount, with the ultimate goal of achieving mandatory appropriations for a reliable and consistent funding stream. Advance appropriations take center stage, identified as a critical step in the journey to achieve full, stable funding for the Indian Health Service. By securing funding for IHS in advance, this strategic approach aims to eliminate uncertainties and streamline the budgeting process for more efficient health care delivery.

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), Director of Communications and Events, and introduced by River Carroll (Cheyenne and Arapaho), Policy and Communications Associate at NCUIH.

Search key timestamps:

[00:02:06] Learn about what Urban Indian Organizations (UIOs) are and how they work within the Indian Health System (IHS).

[00:04:39] Understand the landscape of the health care services for American Indian and Alaska Native people, understanding the role of UIOs in providing essential support to urban Native populations.

[00:10:00] Learn the funding challenges that hinder health care accessibility as Meredith and Chandos shed light on the obstacles faced by urban Native communities.

[00:13:33] Decode the concept of advance appropriations for IHS and its impact on delivering vital services.

[00:18:43] Join the conversation on advocacy efforts, exploring the strategies and initiatives aimed at securing increased funding for IHS.

[00:22:56] Delve into the Indian Healthcare Improvement Act, understanding its role in shaping the future landscape of health care for urban Native populations.

Join hosts Rori Collins, JD, Esq. (Nenana Native Village (Tanana Athabascan)), Public Policy Counsel at the National Council of Urban Indian Health (NCUIH) and Chandos Culleen, JD, Senior Director of Federal Relations at NCUIH in an engaging discussion on the Indian Child Welfare Act (ICWA) and its intersection with urban Native communities. ICWA is a federal procedural law that establishes minimum federal standards for the removal and placement of Native children in state child welfare proceedings. ICWA applies to all Native children, no matter where they reside, and ensures that Native children are kept in their communities and culture when it is safe and appropriate. This episode will discuss the history of ICWA, why ICWA is still important today, how ICWA applies to urban Native youth, and recent litigation surrounding ICWA. Listen now to gain a deeper understanding of ICWA's crucial role in safeguarding Native children and preserving Native communities.

The NCUIH Native Healthcast is produced by Jessica Gilbertson, MPA (Turtle Mountain Band of Chippewa), Director of Communications and Events, and introduced by River Carroll (Cheyenne and Arapaho), Policy and Communications Associate at NCUIH. 

Timestamps:

[00:02:13] Shedding light on the haunting reality of forced removal.

[00:04:33] Unveiling the historical context that led to ICWA.

[00:08:38] Understanding ICWA's role in child placement.

[00:12:37] Analyzing a recent Supreme Court case impacting ICWA.

[00:18:38] Recognizing ICWA's significance in urban Native communities.

[00:21:08] Exploring the symbiotic relationship between urban Native communities and ICWA.

[00:25:19] Acknowledging the crucial role of Urban Indian Organizations (UIOs.

[00:29:31] Examining the intersection of equal protection and an ICWA case.

[00:34:06] Understanding ICWA's role in protecting federal Indian law.

In this episode of the NCUIH Native Healthcast, we will highlight the voices of frontline healthcare workers who are employed by UIOs. This episode intends to create a space for UIO staff members to share their experiences related to implementing IPC practices, share policies which have proven successful in protecting patients and frontline staff, and share what challenges exist in providing high-quality health services in the unique setting which serves urban Indigenous communities. Indigenous Storytelling strategies will be used to convey experiences and takeaways within the conversation.

Welcome to the National Council of Urban Indian Health’s podcast on infection prevention and control education topics for our frontline warriors, our healthcare team members, serving American Indians and Urban Indian Health Organizations.  In this episode we will be highlighting young, Native voices in health. Our goal in this podcast is to have a conversation to seek and highlight the voices of our young, Indigenous individuals who are in their early part of their career and attending higher education in health-related fields. 

NCUIH Native Healthcast presents “Where We’ve Been & Where We’re Going” hosted by Vickie Oldman, with special guests Dr. Donald Warne and Zoë Harris. 

In this exciting episode, Dr. Warne, a citizen of the Oglala Lakota Tribe, describes the historical contexts that affect Indigenous public health programming and shares his vision for a robust and inclusive health system that can meet the unique needs of indigenous communities. In the later portion of this episode, Zoë Harris, a citizen of the Mashpee Wampanoag Tribe, discusses how Urban Indian Organizations can utilize infection prevention and control resources from Project Firstline to serve and protect our Indigenous relatives. 

In this episode, we discuss methods on informing and educating healthcare workers on germ spread using the Body and the Healthcare Environment Reservoirs. Our first guest is Shay Drummond (MPH RN CIC), who works as an Infection Preventionist with the CDC Division of Healthcare Quality Promotion and is a subject matter expert on this topic. Our second guest is Evelina Y. Maho (MAdm., Diné), who is the Public Health Program Manager at NCUIH. Listen to the episode to hear more about infection prevention and control, including suggestions on how staff at UIOs can put what they have learned into action.

Today's episode features subject matter experts Karen Kwok (MSN, FNP-BC, MPH) and Marie Zephier, MPH as they lead the discussion on infection prevention control tips for healthcare staff.  

Karen holds a Dual Master’s degree in Nursing and Public Health and is a nationally certified Family Nurse Practitioner. She has over 20 years of experience working in health equity, including coordinating care for UIO patients in San Francisco. She has provided direct patient care and service delivery operations workflow in infection prevention and control.

Marie is a member of the Oglala Lakota Nation and was born and raised on the Pine Ridge Indian Reservation in South Dakota. Marie serves as a consultant with the National Council of Urban Indian Health (NCUIH). As an ECHO support trainer, facilitator, and coordinator, Marie assists in the team’s presentation adaptation by NCUIH staff. She provides training and technical assistance to UIO healthcare and frontline staff on infection prevention and control.

Welcome to Episode 2 of the NCUIH Native Healthcast!

This is the National Council of Urban Indian Health's (NCUIH) podcast platform which is promoting infection prevention and control education topics for our frontline warriors and healthcare team members through collaboration with the Centers for Disease Control and Prevention via Project FIRSTLINE.

Our guests for this episode include Kyle Mitchell and Dr. Abigail Carlson. Kyle is Diné  (Navajo) and is Storyteller and facilitator working with the technical assistance division at NCUIH in Washington, DC. Kyle is a decorated army veteran and a purple heart recipient, as well as the bronze star with valor. Dr. Carlson is one of the infection control advisors and subject matter experts for Project FIRSTLINE and works within the  CDC's division of healthcare quality promotion. She advises the team on the development of the project first-line curriculum, supporting resources and training modalities, serves as a primary subject matter expert for Project FIRSTLINES training opportunities, and helps provide strategic directions for the future of the collaborative.
 
Our host is Vickie Oldman, Diné.

* Project FIRSTLINE  is a national training and educational collaborative led by the U S Centers for Disease Control and Prevention (CDC) to provide infection control training and education to frontline healthcare workers and public health personnel. The contents of this podcast do not necessarily represent the opinions or policies of CDC or the United States Department of Health and Human Services (H.H.S). and should not be considered as an endorsement by the federal government. 

Welcome to the National Council of Urban Indian Health's (NCUIH) first podcast!

Our first episode focuses on Infection Prevention and Control education topics for our frontline warriors and healthcare team members serving American Indians/Alaska Natives in Urban Indian Health Organizations. 

Our host is Vickie Oldman​, a Podcast Developer and an enrolled member of the Navajo tribe, and her clans are Black Streak of the Forest People, Mud People, One Who Walks Around People, and Folding Arm People.​ Our special guests are NCUIH CEO Francys Crevier (Aloquin) and Bakersfield American Indian Health Project Inc's CEO  Angel Galvez (Tarasco and Purepecha).