Course Form I. Summary of Proposed Changes Dept / Program Public & Community Health Prefix and Course # Sciences Course Title Native American Public Health Short Title (max. 26 characters incl. spaces) Summarize the change(s) proposed New Cours II. Endorsement/Approvals Complete the form and obtain signatures before submitting to Faculty Senate Office Please type / print name Signature Requestor: Annie Belcourt Phone/ email : 406-243-5454 Program Chair/Director: Craig Molgaard Other affected programs None Dean: PUBH 525 Date 3/20/12 Vernon Grund Are other departments/programs affected by this Please obtain signature(s) from the modification because of Chair/Director of any such department/ (a) required courses incl. prerequisites or corequisites, program (above) before submission (b) perceived overlap in content areas (c) cross-listing of coursework III: To Add a New Course Syllabus and assessment information is required (paste syllabus into section V or attach). Course should have internal coherence and clear focus. Common Course Numbering Review (Department Chair Must Initial): YES NO Does an equivalent course exist elsewhere in the MUS? Check all relevant disciplines if X course is interdisciplinary. (http://www.mus.edu/Qtools/CCN/ccn_default.asp) If YES: Do the proposed abbreviation, number, title and credits align with existing course(s)? Please indicate equivalent course/campus. If NO: Course may be unique, but is subject to common course review. Be sure to include learning outcomes on syllabus or paste below. The course number may be changed at the system level. See Syllabus Exact entry to appear in the next catalog (Specify course abbreviation, level, number, title, credits, repeatability (if applicable), frequency of offering, prerequisites, and a brief description.) G 525 Native American Public Health 3 cr. Offered autumn. This course is designed to provide general overview of Native American health issues in the United States and specifically within Montana. The history and structure of the Indian Health Service is given along with the development of Federal Indian health policy. Students will learn about major health concerns among Native American populations through a survey of historical and contemporary health issues as well as the historical and contemporary status of healthcare provisions. Justification: How does the course fit with the existing curriculum? Why is it needed? Health disparities in Montana are experienced most frequently by Native American populations living in the region. The Native American Public Health will provide a foundational overview of the contextual factors associated with health disparities, prevention, intervention, and epidemiology within Native American communities. The course will complement existing curriculum and provide educational opportunities that can enhance and advance public health knowledge concerning this underserved population. Research, ethics, service, and practical approaches to reducing health disparities will be examined within this course. Are there curricular adjustments to accommodate teaching this course? None Needed Complete for UG courses (UG courses should be assigned a 400 number). Describe graduate increment - see procedure 301.30 http://umt.edu/facultysenate/committees/grad_council/procedures/default.aspx Complete for Co-convented courses Companion course number, title, and description (include syllabus of companion course in section V) See procedure 301.20 http://umt.edu/facultysenate/committees/grad_council/procedures/default.aspx. New fees and changes to existing fees are only approved once each biennium by the Board of Regents. The coordination of fee submission is administered by Administration and Finance. Fees may be requested only for courses meeting specific conditions according to Policy 940.12.1 http://mus.edu/borpol/bor900/940-121.pdf . Please indicate whether this course will be considered for a fee. If YES, what is the proposed amount of the fee? Justification: IV. To Delete or Change an Existing Course – check X all that apply Deletion Title Course Number Change From: Level U, UG, G Co-convened To: Description Change Change in Credits From: To: Prerequisites 1. Current course information at it appears in catalog (http://www.umt.edu/catalog) YES NO X From: To: Repeatability Cross Listing (primary program initiates form) Is there a fee associated with the course? 2. Full and exact entry (as proposed) 3. If cross-listed course: secondary program & course number 4. If co-convened course: companion course number, title, and description (include syllabus of companion course in section V) See procedure 301.20 http://umt.edu/facultysenate/committees/grad_council/procedures/default.aspx. 5. Is this a course with MUS Common Course Numbering? http://www.mus.edu/Qtools/CCN/ccn_default.asp If yes, please explain below whether this change will eliminate the course’s common course status. YES NO 6. Graduate increment if level of course is changed to UG. Have you reviewed the graduate Reference procedure 301.30: increment guidelines? Please check (X) space provided. http://umt.edu/facultysenate/committees/ grad_council/procedures/default.aspx (syllabus required in section V) 7. Other programs affected by the change 8. Justification for proposed change V. Syllabus/Assessment Information (must include learning outcomes) Required for new courses and course change from U to UG. Paste syllabus in field below or attach and send digital copy with form. VI Department Summary (Required if several forms are submitted) In a separate document list course number, title, and proposed change for all proposals. VII Copies and Electronic Submission. After approval, submit original, one copy, summary of proposals and electronic file to the Faculty Senate Office, UH 221, camie.foos@mso.umt.edu. Revised 8-23-11 Native American Public Health Public Health 525 3 credits Annie Belcourt, Ph.D. Assistant Professor, Pharmacy Practice/Community and Public Health Sciences Departments Office: Skaggs 306 Phone: 243-5454 e-mail: Annie.Belcourt@umontana.edu or Annie.Belcourt@mso.umt.edu Office Hours: 10-11 Tuesdays/Wednesdays or by appointment Course Overview: This course is designed to provide general overview of Native American health issues in the United States and specifically within Montana. The goal is to increase awareness of the unique considerations that Native American populations experience in regard to the provision of healthcare, health disparities, and policy factors. An overview of the history and structure of the Indian Health Service will be given along with the development of Federal Indian health policy. Unlike other populations in the Nation, the Federal government established treaty negotiations with Native American Nations that established the basis of unique obligations to provide health, educational, law enforcement, and other services to tribal communities. Students will learn about major health concerns among Native American populations through a survey of historical and contemporary health issues as well as the historical and contemporary status of healthcare provision. Specific health topics will include disparities including diabetes, cardiovascular disease, mental health, urban versus rural population issues, environmental health, oral health, barriers to accessing care, and current research trends. Mental health, substance use disorders, trauma, and early developmental issues will also be discussed. Western and traditional medicine as well as innovative approaches to integrating holistic healthcare for communities will be examined. Health disparities between Native American and other ethnic groups will be explored with an emphasis on providing students with an appreciation of both risk and protective factors facing Native populations. Students will be expected to actively participate in the course material and to develop an integrated understanding of significant factors shaping the health of American Indian individuals and communities. Course Objectives: Upon completion of this course students should be able to: 1. Describe the history of Native American health and its relationship to the United States Indian Health policies. 2. Describe general health trends among Native Americans and identify major health concerns within this population. 3. Describe important considerations among Native Americans such as in-group cultural diversity, traditional ways of life/traditional medicine, and how these factors can influence health care. 4. Develop a more meaningful understanding of the risk and protective factors influencing the health status and health care provision to Native American individuals and communities 5. Students interested in health care professions will also become better equipped to understand the needs of culturally diverse individuals and communities through the acquisition of critical knowledge regarding Native cultural groups Text: American Indian Health (Rhodes and Rhodes) Grading Methods: A total of 500 points are available in this course and will be based on the following criteria: 1. Journal: Given the interactive nature of this course and the fact that we have multiple guest lecturers presenting your attendance is critical. You will be required to submit journal response issues each week. These responses will be designed to briefly address or respond to questions and topics given during each week’s topics class. Each entry response is worth 10 points. Attendance is required and necessary to complete journal entry. Journal entries will be collected each Thursday in either hardcopy or electronic entry via the Moodle website. 150 points for journal entries and 50 points for class participation: Students will be graded on the journal entry content as well as for class participation in discussion or Moodle. (200 possible points) 2. Essays: Two essays will be assigned during class, each worth 100 points. The essays are to be typewritten consisting of approximately two-three pages of double spaced text regarding an assigned topic. (200 possible points) 3. Health disparity educational project: Students will develop and create a community outreach project or educational presentation that could be used to help address or define a health issue affecting a specific Native American community or region. The goal of these projects would be to create a brief summary of a health disparity topic that would provide basic definitions of the health issue or concern and available resources. Students will be asked to provide a preliminary outline mid-semester and to make a brief PowerPoint presentation of the completed project to the class during the final weeks of class. (100 possible points) *Extra credit points will also be available if students elect to attend identified guest lecture presentations occurring on campus. Eligible lectures will be identified in class. Project Descriptions: Essay One A brief (3 page double-spaced, excluding references) essay summarizing a topic selected by the student concerning a Native American health-related issue or disparity-related topic. This paper will ideally be used as your starting point for the final educational project. This is not required, but it would help focus your efforts to choose a topic that could be used for both assignments. Originality of the proposed project will be considered in the grading (i.e. consult with peers in the course to avoid topic duplication). Essay will be graded according to the following criteria: 1. Grammar and spelling—25 points 2. Organization (Does the essay flow logically? Is information given in a structured and logical way? Are references properly used**?)—25 points 3. Description of health issue—30 points 4. Description of potential ways of addressing problem—20 points **A minimum of four written academic reference and one on-line reference must be used and cited in appropriate manner (APA, JAMA, or MLA) Essay Two A brief (3-page double-spaced, excluding references) creative essay/proposal addressing a prevention or intervention proposal concept aimed at addressing a health disparity within a tribal/Native American population. Essentially, you will be asked to briefly describe the health concern/issue and a project idea that would provide possible scientific or service innovations to address or prevent the identified health condition. Examples include: Descriptions of community-based participatory strategies to engage tribal communities in suicide prevention; Telemedicine in Indian Country to improve nutrition education; Policy innovations to improve Native Health funding; a school-based obesity prevention project; digital storytelling to improve health knowledge; and/or community-based project to improve environmental health conditions. Essay will be graded according to the following criteria: 1. 2. 3. 4. 5. Description of the health concern/problem-30 points Grammar and spelling—20 points Organization—10 points Originality and Creativity—20 points Descriptions of how Tribal or scientific communities can be supported in efforts to improve community health—20 points Educational Service Project (100 points) Detailed information regarding Educational Service Project will be given out. You will be asked to select a health concern/disparity you identified in either Essay 1 or 2 to develop community outreach educational project/presentation suitable for sharing with a tribal community. A 5-8 minute presentation (power point) will be presented during the last week of class (and finals time if necessary). A written outline will be due March 15 and students are encouraged to find original or innovative aspects or factors related to health disparities facing Native American communities (i.e. avoid duplication of topics). A final outline and any supplemental material (brochure, curriculum outline, or proposal) will be collected during your scheduled presentation. The information you develop should briefly summarize a health disparity facing Native Communities and provide clear, concise, and non-technical language appropriate for community settings. Grading will be based on whether the information you present is accurate and presented in a culturally appropriate manner suitable for general audience/tribal communities. Class Expectations: 1. Arrive on time and prepared for each class. 2. Participate in class discussions in a respectful manner 3. Late assignments will result in point deductions. The instructor must be contacted prior to missing class or handing in late assignments. Failure to contact instructor can result in significant grade reduction. 4. Please complete assigned readings in a timely manner. 5. CELL phones must be set to vibrate mode only. Please be respectful of all presentations and presenters. 6. Students with disabilities will receive reasonable modifications in this course. Your responsibility as a student is to request modifications from the instructor with sufficient advance notice, and to be prepared to provide verification of any documented disability, and requested modifications from Disability Services. Please speak with me after class or during my office hours to discuss the details. For more information, visit the Disability Services for Students website at http://life.umt.edu/dss. Academic Honesty: Plagiarism is the representing of another’s work as one’s own. Such academic misconduct is subject to academic penalty by instructor and The University of Montana. Students who plagiarize will fail the assignment and be referred to University disciplinary procedures. Student Conduct Code is available at www.umt.edu Course Outline (Dates and title subject to revision) TOPIC DATE January 24 January 26 Introduction to course and expectations Health of Native Populations and Indian Health Service January 31 Video: Unnatural Causes-Bad Sugar (Diabetes in Native Communities) February 2 Montana’s Indian Country an Overview: Health disparities and access to health care February 7 Social Determinants of Health among Native American populations: Socioeconomic, education, and access to care (Trauma, Poverty, and Health Disparities) February 9 Video: Unnatural Causes-Place Matters (Where you live can impact your health) February 14 February 16 February 21 February 23 February 28 March 1 ESSAY 1 DUE March 6 March 8 Mental Health Disparities: Traumatic events, Suicide, PTSD, Depression, Substance Use Disorders Research in Native Communities: Ethics, needs, and future directions Environmental Issues and American Indian Health -Tony Ward, Ph.D (Center for Environmental Health Sciences) Trauma and resiliency in Native communities: Historical and contemporary issues Cancer among Native Americans- Mark Pershouse, PhD (Biomedical Sciences) Sexual Health: Prevalence of issues, treatment, and Prevention Erica Woodahl, Ph.D. Pharmacogenomics and research career options in pharmaceutical science Ethnobotanical Medicine in American Indian populations Rustem Medora, Ph.D. March 13 Careers in Health addressing Health Disparities in Tribal communities Greg Holzman, M.D., Centers for Disease Control March 15 Education Project Outlines Due Neuropsychology and traumatic brain injury-Dr. Jera Stewart (Neuropsychologist and Research Director at the Montana-Wyoming Tribal Leaders Council) Invited March 20 Obesity and Chronic Disease Prevention March 22 Oral Health in Native Communities-Travis Fisher Director, MT/WY Tribal Dental Support Center March 27 Plant Medicine: Ethnobotanical healing Roslyn LaPier March 29 Essay 2 Due April 3 April 5 April 10 April 12 April 17 April 19 April 24 April 26 May 1 May 3 May 7-11 Finals Week Intervention and PreventionReview presentation requirements Spring Break (NO CLASS) Spring Break (NO CLASS) Margaret Moss, Ph.D., JD, RN, FAAN- Associate Professor and Director of Nursing Management, Policy, and Leadership, (Yale School of Nursing) American Indian Eldercare Tribal Health: Native American Physicians and healthcare careers Leanna Muzquiz, MD Confederated Salish and Kootenai Tribal Health Medical Director/Physician Traditional Medicine Integrative Healthcare In class review and preparation for final presentations Traditional Healer presentation (Nolan Yellow Kidney and Leon Rattler Invited) Educational Service Project Presentations Educational Service Project Presentations Educational Service Project Presentations Educational Service Project Presentations Educational Service Project Presentations *Topics and Dates are subject to change depending upon guest speaker availability and scheduling requirements