parenting from the heart

why u gel uh... eugene a_t_f_ and i'm really excitedto bring uh... along with other did birth in theoryof webinars its own internal travel beginning and i thinkthat i couldn't do u prepara enrico your written to be are which need updating thank you a leader mayor and i am popo impotence dougalso in god being well uh... where relief aid to have all the sometimeetc robert that today

and andrew the debate i think the i cant these read in part andpush a button at the pentagon amb when the reason that we're going to be a bitcall it you know you back it back to the very first time you were goingup a conversation out with you regarding nation on him and requirements i don't think there willbe in implementation plan commenting on work scheduling follow-up conversationwith

each if you do that we're getting on one andone of the and we have are good for both get scheduled and triedbut i don't think he should have read the email arm permanent warning about the cause uh... can get pretty that during but now you'llbe able to put that question indicate there are looking at your screen and the plate she look at work uh... chap anti-tank weapons item he didn't take any question in or goout to open it up for questioning

and different wage and you're showing theuh... i don't believe in um... amount they sharea room an operator will then operative thanks uh... in handling the plenary opening recorded atmonterey lebanon dot are and i'll be available on home on the website probaly so you'll be able to share that with other partners armed and refer to it later and it would beimportant weapon or uh... permission for u_n_ you get your acutely at your implementationplan

the outline of intriguing patient to the following um... input infant i can talk about a petitionto be reviewed for motivating program election and uh... that time how we're going to be able to give the reviewthat we're going to talk about and what did he treat you when it comes timeto lightyear among getting mom or my lord again how do you think that the medic reviewedby the boat the proper account recruitment movie orange peel arguably in a profit without the review whichis a chapter wine will be discussed an overview of the lessonslearned an implication are well off to be

providing and and chapter two in dunlap part of the are webinar will be provided by don bigelow again strategiesfor independent travel review and it's very practical strategies and wereally are i think you'd be looking to move today philip and he turned over to my shitty thank you carol but so i just wanted to get a that kind of contactfor the attributes of the car that interview

that was done by a mathematical theory searchedunder contract without new kitchen r_u_c_ yeah into helping to make event implementationabout will begin program implementation and regards evaluation activity where the carpet that they traveled in program and at european background impeachment and carpeting brekkie report newmaybe a mile previously implemented in trouble he didn't work out to be criterion for evidentdocument and darwin legislative language for that havelimited intervention stated that requirement

for their children sheltered integrated expectwill be complete that with the requirement that the birthing program they really don't have to meet the backgroundthe program that could put the jet did a great day practicable i don't believe in t_v_ therefore proposethat motivating model that is a calm aprox at part of their implementation and an accountingapproach it basically a model in which they are goingto happen in the document or a modified version of an evident the modeland you'll be getting more open information about that implementation etc

uh... and well and the approach of the modelthat you choose should be grounded integral tanning clerical work and have an articulatedperiod change inducted been developed by more than a fightwith or developed in competition with and national organization or institution ofhigher education and it might be developed it better not be evaluated to allow the brideand recollect you mentioned more detail itickets act and i'm gonna try to pursue believe god willgive a little bit more contact for turkey okay genetic review accompanying in armedthat to haven't done any weapon macro view is that there aren't a peerreview of any kind of program and regarding

to the judge undercutting and review if that'dbe evident german it's a little effectiveness and at the timefor whom they think etiquette the first report but or that they programmedin down very little information with found when they did that report onan mobility withamerican in alaska native those we had an additional culture study further develop intotrouble keaton nicotine either uh... reporting hearing about today from thatcall in will be focusing on that one of the matter fifty interdependent renewed serb both ofthe reports and you can go cued up move in one place to find more information about user

other information from both of these reportscan really be helpful to you as you make decisions about your competing program pitching in theway you want to evaluate it the trouble or liability will not be armyregarding event the culture retaliate company for eight million reinterpreting in strategy for building knowledge and learningabout who that in yet till than inlet so i hope is that the plot no help to bringthe travel report to life in a way that will be a really beautiful to look for your owndecision making in that what impart first going over the reportin back it will have to

providing updated reflections on how he in with an accident now three over today and talked all uh...and them high cut hair alright uh... so i'm gonna give you a briefoverview of how we conduct a debate the to end the result but i want to let you know other data protectortype that you can find more detailed explanation about the review on the home depot website so too would inform the field and also preparefor the potential for our evident bayt com

visiting initiative and fall two thousand okay are you contacted with mathematical politicrespects shikha dot the home visiting evidence of thefact of notre dame you know our home d uh... and review with carried out under theguidance of interest to test working group that included back from i'll carry the children hero that better expert debate control particularlythat division of pilot prevention and the

national tehran artefact and developmentaldisability the health report the conservative administration and the update secretary are planning evaluation so an addition to the reader that we conducted for this based program we also conducted a review of tribal homevisiting program and for the perfect at of the preview thesedefiance tribal early childhood home visiting program breakthrough ethically

and i wanted to check that our definitionclosely allied with how hurt i have to find opening for the state program for the twodefinitions are great and more first model must be implemented entitled community or included enter proportion of american indianalaska native family empathetic empl and i want to mention that included program model implemented and evaluatedoutside of the united there while there's tremendous variation between a defendant digipak genetic all with unitedbased on practical they can share similarity except traditionalculture

it darko trimethoprim connotation and helpedparity and for about three ten uh... we included program employment death in other parts ofthe world and i think that left in black from the model uh... can't actually provide that need onprobation to makati in alaska native d_d_t_ if they make decisions about competition model for their own community so the next part of the definition intactmodel target population mouth include pregnant women

our families with children from birth to agefive competent enough to you that the primary targetdelivery strategy and she prided malts are all family enrolledin the program albeit it had to be alan terry for pregnantwomen expectant father and parenting caregivers of children back to kindergarten entry model that provided services primarily andfenopy adding but that's what sample armpit were excluded because competition is not theprimary target delivery strategy

and finally com departing perfect had to betargeted to at least appliance out the eligible or alcock eligible to get that outcome include alconindi it got me which allied with the legislation so they are child health maternal health child development in school reading that family economic now efficiency

linkages that referral to other communityeverything hot but apparently bracketed production inchon archie net and reduction and juvenile delinquency familyviolence and crime all right now i'm going to very briefly describethe five steps that we followed to conduct their review instep one-week thoughts identify all potentiallyrelevant and next week creamed all of the identifiedstudies to determine whether they were appropriate for the three d_o_ in fact reached we rated the quality of thestudy

added that or yet that the evident by thefact that that for each model according to criteria established by the h_h_s_ and then in the final and that the gridview implementation attributionabout each of them out that we can identify to identify all of that potentially relevantstudy we conducted keyword searches and a wide range of research databases in addition to out the keyword that we'd usedfor the mail e out-competing review which are listed on the website

we added some additional transferred the tribalretail including try a tribal india native american kitchenette animation we also create accustomed google search engine search morethan fifty government research non-profit website a published report paper departing at the great literature analystat the website thirsty all available on the whole deal at site

and then finally and november two thousandten we take you to call for study for a researchon home visiting mild implemented in tribal communities are evaluated with american in alaska nativefamilies with children i think that that call out fixed relevantlecter and five additional growth for dissemination fell through uh... all of these differentthirteen strategy to be identified two hundred and thirteen and advocated study including five article at work submitted uh...through the call are back at baptist greener study for relevantto the review

we screamed out that he thought program modelfamily time visiting with not the potential program alamat for example competition might affect supplementaluh... might not have been provided to look at the family we all thought greed out that he that didnot ye intelligible study design expect the fight in the legislation thesewere randomized controlled trials and quiet experimental define i'll be retained application sudhi now thatwe could collect approbation about how the program alpharetta on that

we all eliminated studied and missed the targetpopulation did not include interpret diamonds are families with children pages burke eliminated unsteady because they did not examineany of the child and family how com from the eight eligible out unsightly earlier out beyond eliminated outside the programsthat were not names program model these were often generic comment for the interventionbecause they would be no way for tried to replicate them they weren't useful to thereview and then kindly we did not review uh... studypublished in a language other than being nice are published before

act nineteen seventy nine after we completed the tree we had take a certain on fourteen competitionmodel employment and tribal communities and i looked at their in alphabetical order i'm not going to go after each one of themnow because fish that can occur by more information about them yet but now i wanna very briefly ap review are study they think that uh... mentioned thatthe criteria we considered when reviewing

daddy the underlying tricare is identifying effectiveprogram model over the cheap favorable outcome her family affecting the mother of program motto is effective required for the study establish that a programcause theater outcome and that can be quite challenging becauseit means you need to rule out all the other reason for why the outcome might have occurred opelika program i know what outcome at thathe attempted at least what would've happened absent program services

if they i've never met the counterfactual though we are only reviewed studies with acomparison group or condition because the contract compacting condition is designed to representthat counterfactual what what happened up to the treaty group if they had not receivedprogram services and then the difference between the treatmentin the comparison alcon are the study the fact apa called and pat

allowing the legislation we included two typesof studied dying randomized controlled trial and pipe experimental design and randomized controlled trial family verifiedby chance treatment in comparison group the main advantage a bit this line is thatthe critters similar on average buffer characteristics that are known except that deputy or education level the cad and provoked which might unknown for exampleparent motivations the services for their

children intercut qualify experimental design three design for eligible for review matched comparison study inculcated time regression discontinuity act match compared to the bank also have treatmentand a comparison group if you find that prospect not random potentiallycompromising the quality of it fable k and regression discontinuity get time also eligible for the review

however eight defiant or not you engineerthat literature of the identified democrat also program model g_e_ repeat ninetyimpact abby within the home degrading at them we had find all eligible studies rating eitherhigh moderate halo trading abdicate studies ability to produce i'd buy it backnow a program out of the tracks our grading system helps to distinguish betweenbuddies in which we have more confidence at the observed finding burkhardt by the program

compared to those inmates if they're findingmy if you recall that the other actor differences between the programming certain conditions attacked the motivation attacked experimentthe ad i mentioned earlier ensure hydrating with the bank to random actcontrolled trial that were well employment admirer creating thanks randomized controlledtrials that have come problem and match contract buddy an established at the treatment and care group game on important characteristic at the beginning of the study

alone trading with the time to all other studiesthat did not meet the criteria for either the higher moderate rating and it mentioned earlier all of the studyin the cattle review received a low trading in the home these them i one empathize that the study rating didnot tell us anything about the finding and val or whether the program model of the factthat for example it's perfectly valid to have a high qualitystudy that show the program i'll have no effect a program monolith elaborated study may verywell be a factor

but we just don't have the evident make thatdetermination and i'm not trying to presentation overcamepatricia dot profile who will tell you about finding from our ideal of implantation anti-cancerlatin ppl r foul okay went back and then came back on the diplomaticreview identified unlimited body of the there tend to be very study travel on the biddingprogram about limited information was available thatprevent impact nearly all study included some informationabout forbidding model being evaluated or documented welfare learned about it mentation

eugene what knowledge we cut from the fifteenbody prefetch recap if these experiences and lock the players we got a definitive information about eachof the model we've been debating that additional repatriatedarmies model the hope that you may find that information youthful in determining whetherthe program could be a good fit for your community and people right left and right across ata time three topic the adaptation i think that we not alter thedevelopment of new model culturally relevant to american indians and alaskan native familiesand children implementation challenges faith

and their strict padegi overcoming them and there have been counted evaluated faithconducting study when in doubt that the latin let me get backto five p into that the program but we do not know whether or not the strategypresident p we extract information from nine colpal studyseven stand-alone implementation study and they think that what otherwise relevantbut did not have eligible divine included in that movie review the evidence i think that the study the identified fourteenmodel expand mentioned earlier

maintained a presentation i'm going to providewill be learned from it i'm going to begin by providing a brief overviewof the fourteen model additional details about into these modelsis included in the report no program targeted outcome of the three delhi i'll tell help developing and already had and pocketing parenting practices some appropriate for probably on improvingmaternal and child health outcome about the number of building

the baby family in child education programknown as baby fay if you could have been teaching point-blankright along but the bank to promote prematurity infantsand children and to increase parenting joan and knowledgeof child development other someone they really focused on improvingoutcome than expected to kill me the gamble that perry nato intervention program integrated earlier entry prenatal care improved healthoutcome among american indian women although maddening program i don't you tellthe truth of the primary noted there that

delivery any program upto included other types of therapy acute care group meeting after three felt that way and better be further they've been a model targetted participantsbased on the eve of their children well the bottle began offering benefits a family that day or an early infancy

impeded their family until children were betweentwo and five year though one program offering attitudes are eighty i program model pathetically trying to getpregnant women and one targeted women could be easily because they had targeted families would geta four-year-old children uh... program although were available to anyfamily meeting the tragedy in living in fifty-fifty graphic location well connected to the community either model targeting families with pacificrim think factor

gamble family spirit targeted adolescents and young women or nineteen-yeargoldberg younger at the time of compassion in another country that's been program theyexpanded that occupants twenty-two options well model typically target families and childrenliving in travel community i'm going to model enough we could have beentargeted population one-b_ priority implementing agency with there that they have been included indian reservation helping family there then a program that thatthey'd like to ban at their american indian

families and children but did not think thatthey couldn't i get couple community abandonment in delhi are we did include amadothat were evaluated outside they united eight every program model to evaluate it in canada one program allied child health and nutritionprogram implemented and papa program although template happen factionaland did not that minimum education requirement upon the data rather a populated area work from the community being scared

akshara interpersonal and communication atall antibacterial working with family targetedby the program although if you're going to get a lot of thatguideline for minimum education experience nearly all mandated at home visitor completerepair that and ongoing training hangout for many parents a lesson learned related to adapt to think that the model they'redeveloping new model better culturally competent background holly in banking hinging on amongcultural adaptation at one end of the bectero microgram at eighteen i believe the content of the candor programalthough

minor duckman critical component amputated to the program he wrote to reflecttarget population culture language you'd be back in contrast remember me off a bit and as acontinuum i guess mini mono in favor of developing ins and ends with the current population seven the build-up on the courtroom traditionsand knowledge of the community you couldn't buy program could fragment reviewthere in that particular adaptation

included both national home gardening model that way cabinet or american indian and laughternative country because and bone local program developed differentlyfor and often in partnership with the tribal populations that we target among program bill on the continuum we foundmany similarity in health program development plan for and implement that have been returned but emerged include included

involving tribal leader in program developmentand implementation growing culturally competent now and building on cultural strength and tradition irangate tribal leaders throughout the developmentprocess to provided by on dividing culturally appropriateand relevant program developing program content including family and training back

i do think that the instrumental role tribalelders played in their training promoting program or gamble one program designed to strengthen parentingpractices oracle admittedly relationships with the community targeted by the intervention each community the tribal council is involvedin all phases of the project from conceptualization and wrapping the grantproposal if the evaluation design

one travel quite difficult to other thankedme jadi biography development of the intervention program created often thought the rubble supportthe tribal communities and amp them to refund can lead to the program in one program the truck bomb and and promotion of the program continued throughout the project affected the patient and the dedication butceremony beginning

they attended added celebration predictableachievement at the end of the program unfairly deprives how can beat incumbent fromthe local tried culpability at the pre dentistry the program around and play and i thought that familywould be better able to connect with back from their tribe than with an outcry professional inquired staff members from the titan community i think it all up one of you program but zyuganovthe candidate to create an extended family support group another program soho day-to-day included

both tribal members and professional fromoutside the community unprogrammed employed stafford outside theout by their community program frantically important of courtroomproductivity training at that help them understand the history of the trial and cultural traditions and strength one study that looked like that from bothwithin travel community indicate

the navajo nation and arizona and in mexico and outside the community exploit their relationship between the racial ethnic match of the familyand provider and the family dot action with the program yeah environment without gambling you now have a happened after the racial ethnicbackground of the provider family did note however important that havingculturally competent home visitor

you could pique their native language a number of betty white building on the courtroomdragged and dropped them of the target population and incorporating traditional practices for example the indian moment prevention project developed a clinton faith on five eleven andunlimited with the traditional storytelling approach one of the article we've got help communityhelp them and what about the final logo for the program its mission in american indian art and tocreate the logo

about feedback from the tribal elders on varioustrap agree about the integrated traditional i'vebeen crafted and you get into the curriculum several programs at that time value in traditionaltraveling practices and the lead in the travel elder for example one program had american womanexcept for the period of them are caught them another program invited tribal elders theat program address everybody deprived of leptin learned aboutthe liberate homebuilding seventeen including the challenges they face betweenthe intended target population maintaining enrollment

and providing adequate levels of heaven that is reported program for generally ableto recruit from their target population but almost all program institution studies reported at between ten and then roughlyhalf protected him went through from the program early or electednot to enroll and thought that you thought that have effective method of an interventionoccurred on the program although it implemented with a high degree of fidelity to the originaldesign ensure that the model being evaluated actuallyimplemented act intended by the developer report of the nineteen th study concludedits review

provided information about program fidelity enter was depend for monitoring fidelity now learned that the program back in the worldcommunity traveling along they've been included the fact that uh... let the barriersthere that delivery furthermore i laugh at ordination along for the provider createdoptical the delivery that he's also reported that family dateda neat often made it difficult for permitting to deliver the content act intended overcome challenges

staff modified program model better alignthem if they need the predictable unmodified services program collecting feedback from pakistanand dan that netcore in keeping with the proper continue at qualityimprovement example staff indicated the delivering theprenatal intervention program adapted to the because it needs to be good eight an ongoing impact upon the data program payment determined at home but initiativecan medical claim interpreted smoke more finding equipment to be on

about threatening alcohol one-on-one makeup active advocatepredictably the end of frequently men schedule good cop upbeat modification bailout program that overcomeimplementation challenges impeded may have changed oil into the model lengthening modification program staff working in partnership involvedevelopment you'd like me to vent to show our programintegrity

development health programs ensure that thechange of acceptable you do not interfere with the court elementfor the model emphatically beautifully identified threehe challenges evaluated faith abedi talented and not unique to recruitingtravel community he made clear that consideration for teacherevaluations inability of any of the animation to dicaprioimproving even on the ability of the thirty eighth o'clockquality dot obtaining high response rate the discountacross study one reason study fateful only find three butbecause when printed and stopped at the program

scalping dropped out of the evaluation ofwell and did not want to participate in follow-up data collection comtel validate that manager without permission want that you know that the cultural differences writing employing interview the thought that albumin caregiver activate there that day behavior considered in conflict with culturalnorms study concluded that they read fondant probablymeant that battered by the interviewer rather than to reflect the genuine and action

that study deprive conflict between communitypatented analytics design element one betty devaluation that's about like an idiot point working group we keepriding on a peek at the time rather than a randomized controlled trial than the latter half the potential so great concern in the community one study attracted the issue iran and i think i think the pain for treatment

point active control condition in other words the comparison group we keep the highly valued not lost everything rather than usual care out of the group's may have increased madeby hand study author it's reported everything contact between the treatment andcontrol condition migration between tried a lot of developmentto plan for adopt implementing sustainable

living program along with regret local evaluation will provide opportunity to build the evidencethey on travel home visiting program we recommend that the actor including a pictureof the point a model of development and implementationof culturally relevant colluding model dwelling examines how well the model work american indian alaska native children and family people information about her remote shouldbe documented

informational increase if even though thethat model can be contained and that what he did over time note that you cannot reveal included informationabout romano hermit o_j_ that training requirement and non-profitmaterial a few study provides detailed informationabout all aspects of implications replicate model program need operation manualtraining manuals information about qualified trainer documentation of curriculum a program content

important back then arthur the delivery in addition i benefit added development identifycourt element of the program model leaning down with elements of the model that programs like implement with integrity which is about model developing should create fidelity indeed ocho relevant measured in implementation fidelity affectedthe greeley initiative implement that plan

expenditure including edges of the structuralcomponents of the model although such as proper frequently thirty delivery minimum that qualifications and training and the manner in which content to be deliveredincluding interactions between conduct and scene in addition won't be taking needed undi and the challenges of implementationand whether and how they can do that

typically information is needed about talented program state funding and pertainingmodel recruiting and retaining staff recruiting in enrolling family and delivering model contact well health program attempted to overcomethese challenges information to help inform future after implementthe not finally wimbledon pwd recap national colludingmodel nikon information is needed about the profitthat prevent you from making that occasion

including housing gate with the belgrade define intellectual pat adaptations anti-buchanan provided unwanted when additionalinformation is needed well information about prevent acceptable the blood donation from program participantsabout their preferences involved important to note inherent tensionbetween maintaining fidelity to quarrel into the program out yet making culturally relevant adaptation

information on how community than developerswork together to attract attention will contribute to the reader expenditureon the top agreement immediately we identified a few study designed to havethe capacity provide unbiased ethnic program impact you know utilization both according to thejury evaluation approach evaluator than stakeholders mediaeval heat work jointly to overcome the issue

defining evaluation that if you talk to bothgroups beat the credit to the intended to createlike ownership of the evaluation and the mac tonight the implement evaluationdata but the valuation and program namely that amanda might control child includedin your home the review were rated low but the high-level importation which we did not believe that the other studyfindings i'm not that i needed to pay particular attentionto the neat maintain eveything all indication infected said the dying in quebecdenton testified that it really achieved strong internal validity

added and the potential to that was called alitylap of the reasons fiditour dot com at that you mentioned earlier you can bind include well implemented randomi controlled trial dingell taped regression the continuity thatback but i think locate an aggressive the complicatedon another widely viewed in home building repairs in a deal i think that that and morefeasible implement we should be considered in the future again but looking to buy each day to keepthe treatment

even if not without many implemented and not be done in randomized controlled trial regarded to give their high quality measureswhen feasible including direct observation in fact the factthat administrative data any you thank you very much expected healthreport i_b_m_ bought them a value-added daily lampa report when collecting information on child outcome because blacktop invasion of his aren't youpromptly similarly repatriated main counter location

in the availability of culturally relevant edges which may be quiet and to develop when brilliantly measures that are not yetstandard finally begat every picture consider the humpty steady gradingcriteria and planning and implementing future study information about the criteria is includedon the whole beware wanted thank you for your time and now then in turn it over to carol herquestion and answer some fashion

came here on uh... manager and and schedule army but wehave time for a lady one question and then we have an immediate question oh are one talked again if anyone has a question at thistime please pass okay well movement figure questions for theend and army thank you need to olympian in anyharm you need to do in your book retired beyond

pictures if you did before they've been inbeijing anyway but if you don't you dare it and doingwell we anything buchannan it everybody it's an honor to be asked to speak with you outside the walker comply fell on the uh... or create report that you get your described and but talk a little bit about all of theinformation that's published in that report about program so much for your own

they've been previously studied in tribalcommunities now this weapon our businesses nudity so forgiveme if i can look at speculating that got hit by a excitatory website header uh... it's a national resorts for americanindian alaska native behavioral health program uh... doctor walker on the right there isthe director please doctor and she got a president thisyear of the association of american india positions doctor papp

so walker is in the blue and both those workers are cherokee uh... michel singer who's next to packagenavajo i have to executives eric secretary student co dot uk is on the left in red and that's me in the stretcher talking toyou know if you can see my gut wiggling amrdec change spreadshirt right now well and doctor walker here is sitting rightbeside me to make sure i don't tell any lies excite keith a

this report will tell you what i think it'suseful in this report first it affirms the value of community driven culture based planning and program that is a very important contribution comingout of this report second it provides program descriptions including some programmatic activities as well as outcomes of measures this descriptive material can be used

cut and paste i'll to help you design anddescribe your local programming for example the report mentions curriculum for parents based on six travel stories and legends and the reintroduction co storytelling and fisher and ball whom you see in the appendix usa it describes that stuff and you can cutand pasted another example gave elder prayers

toward you program families and you can imagine how influential is in getting those familiesrecruited broke cotton basis staff sensitivity to historical exploit patientand promise are described by crater and davis you'll alsofind that tendencies uh... theater their value in this report is that it gives you can specifically lessonsnow

you've already heard those lessons describingi'm going to talk about smoker let me get background music have a differentsounded field lessons are drawn from research creatures travel on this ticket programs so you can use what we call evidence informed local program design next slide please finding stuff for the first every home levine let me make it sound like religion

every home building program even if it's adaptedfrom model program heated editing and gotten powerfully shaped white local context and culture therefore every program is local innovation i want to emphasize that detailed programdescriptions program and books program research and evaluation

or vitally important for certain reasons first describing your program to funders regulatorsand other tribes second training your staff third monitoringand managing your program or designing your graduation plan sharing lessons learned with other tracks uh... load stations are much more likely to succeed

if they incorporate lessons learned for research i don't have to be randomized controlled research to provide you with useful lessons there are lessons to be learned from previoushome building programs that are studied in indian communities including immigrants uh... definetly

it can be done out here it is a graphic to illustrate howand why every program including replications modelprograms and indeed the original model program itself local innovations program in interventions for example parent training producer outcomes by acting through

what we researchers call intervening moderatingand mediating period see them in the blue box in the middle there the expiry of we call local context and culture researchers we call them interviewed moderatingcan't be getting very close where apparently street column m_p_s contract indeed they completely change be outcomes of intervention

intervention electricity parent training some of the obvious local contacts and culturalvariables include ridiculous what other pro problems clientele substance abuse expression fragile families different kinds of clients uh... respond differently to the intervention what are their services to clients is receiving for example subsidized housing or hot tubs

uh... whether the client gets richer or poorer director not older or younger whether staff highly-trained motivated or just average people or themselves dispiritedindicator physical setting for the program urban rural remote highly different with electricity or not child welfare

this is the social setting neighborhood little auction social capital or a neighborhood frank that it and very importantly the cultural settingwhether it's navajo apache whether it's traditional or modern or by cultural all of those

moderate and being variables also local conviction culture have a tremendous impact on how the program works if intervening variables are certain to besubstantially different in every locale controversy even the local context cultural setting uh...on programs is unique not cut all the electoral cultural city

although every community programs can and should learn from others significant differences plus also be taken into account klein in this graphic we illustrate how you can begin with eitherone adapting com model program to local context she died on the left there

war by humility a local program incorporating what has beenburden for research on the models and other programs this is what we call evidence supporting thepatient so you can start either way and what the uh... oprah report notes is that whichever way you start your likelywind up in the same place that program whether you approach the design of the programby choosing among program or adapted it uh... or starting with trade local planningprocess whichever approach you use

i want to emphasize the importance of yourwork community owning planning owning the planning process excite trees community driven planning it beneath the planning process whether you adapt among program or do whatwe call evidence-based local innovation anti-community driven

traveling alone planning process is very important wifey has attract interest effectively owning the planning process when it rivaled process the tribe satisfies tribal claims of sovereignty and government-to-government relationship

ideas under executive orders trees had legal precedents nobody could tell you what you have to do do you have to decide yourself the travel experiences the criteria took ahigher degree tribal self efficacy community competency

and more extensive control over community institutions and asset attractive optimize synergy among its community institutions toincidents of slash wants what intrigues drinks coffee break that tried to design homebuilding programsoptimal levels local contract if you start by choosing already programmedto adapt just remember you tried

are in the driver's seat and just a little footnote car dealershipcatch important health consequences tribal ownership can't control has been proven to reduce reduce the risks suicide younger tribal members for u researchers hope to hear her references

michael traveler encrypts leblanc uh... article title cultural continuity as a protective factorgoogle excitement x like where semantics anti-competitive even a connection with thepeople there we go

why researchers use ever at harvard researcher i gotta tell youresearch is very very useful this is a call to arms researchers evaluators your pre study illustrate behind researchon travel home deserted programs useful research evaluation one problem visiting programsprovides culturally appropriate knowledge can't be incorporated local program design

operation either track get to talk about that and could produce improvements get your ownprogram guilt-free study reports the fact that storytelling legends are effective content but the process

parental eighty at trial workpiece affect about research the study reports the principal that outcomedepends on the intensity upon visiting contact as one per week and duration that is three months to two years study supports that theory culture is prevention and treatment

physically currency performance is increase spot personal identity which has increased uh... cultural identity and currency performance yields school readiness which is one of the goals of the h_p_ program

research valuation ocular unique unity drivenprograms well-heeled more lessons to share old tribalcommunities the split them up and demonstrate power of culture based interventions demonstrate yet tribal programs earn some overdue long overdue understanding

and respect arm-in-arm tribal authority extracting here we go that m_f_n_ which have already been reviewedby the family again uh... can be classified ads content consistentdialect person content content the teens unique tribal communitiesincludes only visitors acting intercultural x

fulfilling cultural expectations for caregiving support encouragement consequently being accorded familial influencewhose family because compared with the uh... ambassadortactic external agency expertise eighty correct greater acceptance and likely effectivenessarguably by using travel approaches two trials were rather than approach is based on structuresand norms of western family

some tribes prohibit punitive child-rearingpractices and he's other means for eliciting complex use of traditional storytelling as a toolfor developing reading readiness synergistically incorporated culture based printed material supplement world cup it's likely to be broadly accepted and effective this would also further community schoolsof developing

it cultural identity in the new generation of tribal members four arts crafts music trudy and funny our traditional cultural and community access program content that can be used to strengthenparents morale commitment to parenting and capabilities

getting isolated parent to participate ina powerful candy uplifting and instructor built that into your program outfit community fell abrasion of life's milestonesis a cultural passion it can be used to reinforce caricatures of patient an effort again something you could be a great ideaprograms under your culture then there's a list

there are some system lessons in this report inundating communities it is important to get guidance and encouragementfrom elders and creating rules for elders it planning an oversight of operations it's important to community acceptance client erik compliance as well as to cultural appropriate lexus two and three

include unacceptably of replacing structural policy territorial conflict and inconsistency which teamwork and services coordination there are major coordination cooperation issues around in the child well worker and development that cam and should be result with a good spirit

indeed indian communities can not attractive terence if there are any basic needs yet this requires planning access to local services and resources five freedom or this term resources required completed reform onto the personality

through the process with parents to ensure successful referral but i'm going to drive down a bit kid to fifteenlessons for trial we're talking about the big purple circleon the left there this whole diagrammed here it is a trunk ofa larger logic diagram i have prepared to cover the entire community opening program which you may think jeanne in d_c_

uh... exchange anyway when i get to know that i don't have time to go through the wholediagram today this is just a piece of etc got more pieces it not if targeted on time the actress tracks therefore we cannot expect good parenting with a teacher and that their basic needsit the services resources in this component xcircle

supplement repetitive designed to assist personsstable to independently fulfil our duty oval demands at particular times lives tony need etheridge spirit the services epic prerequisite and being able to perform will disappear the children themselves offtopic circuses

so this becomes an important part of yourlocal blood on it it got to figure out how to beat the speeds very very quickly architecturally and derek burney here checks ideally these services would be readily acceptableto anybody abrogating the jury system and actually accessing the services and resources khadija aunty

for persons with disabilities challenges tobe insurmountable without assistance one of the functions homebuilding programexpansion parents to be services but not linking catching the need for service making referral insisted the car of navigation access

when i call completed referral but slightly sheer im going into a content management three and four again this is peace it's just a piece of alarger kada electric car cultural content in the eligible there can be used in a number of important ways culture affectionate torrential

morrell knowledge skilled ultimately performance including aspiration morale values principles stories an image that's based on that theory culture prevention and treatment you can put thattheory in your plan contribution

prevention treatment the home visiting program can facilitate culturalinput by getting parent and child to attend culturalevents for example there's an activity for you improving the tribal acculturation socializationintegration of paris search to make them better members of the tri which is also a trolley fastball in addition thirteen corporate

performance stuff cultural content quiet asset or the process solidity trip homebuilding program and use the culturalprocess storytelling really centric people's cultures and a cultural content of traditional stories to develop early reading skills

i'm i'm really just very excited about thatprinciple i think that's lot of power i have myself served in a program to help non tribal at risk it's become better readers i have much of a european portents of thecontent everett material one uses to concur child interest popular movies like cars animals like dinosaurs monstrous stories all of these things youcan work with kids i was working there

tribal legends and stories provide the samemotivating content if you're married you're going to have kidsschool ready also at home building program kentish camps cultural patient to trial reading as part of a larger tribal initiative that's what we call cultural renaissance

next and last whether you are at that uh... this is the future directed especially to the attention of theresearchers and evaluated in the crowd recapping model program or starting at the local innovation props planning process threats of technical assistance to your localplanning process no matter how unique

your local competition culture there is a great deal of value again building upon lesson of previously implemented or programs of course if you're working at the momentprogram the developer can be evaluable sourcebook technical assistancedesigned patient valuation and ultimately and sharing your experiencewith other like we're doing here today but if you are plot beginning with a eight local uh... innovationplanning process

you really really the to get her collection system perhaps directly from the strides were identified admissible pre report prior to try technical assistance is dot goodway to go in our experience might also get it uh... valuable assistance from the researchers

researchers and evaluators either some of them guys are let's call right now uh... who should be dot sources of technical assistance tribes that arent dante once got a fender wishes you every success you know thank you dot com died in time won't won'ttake any questions that people hang

kilowatts katrina at this time please star one geographic after two burkhart okay anonymity art education occassional up againif you'd like to ask a question at this time ironically we do have a couple of questions today half requested that from aria back kind of health and hi happening everyone by about albuquerquenew mexico

and i had a question i was looking on thatuh... cobe website it outcome and one thing that arnelle were carrying aboutour project that i didn't anywhere well uh... around attachments when i was wondering ifyou need it's any at such an outcome there look thatup out of credit criteria where one of the cope with the part of thetrial harper profiteering practically even pay anybody darkar at the plant hall al uh... i think about attachmentoutcomes if they're there there would be incompetent cal idle

i don't remember myself um... any attachment outcome at asked how many studies that irradiated itcould be a uh... uh... brett maverick cabinet i'm just gonna take a look while althoughi i i dont if i find any a well work it repeatedly that data uh... that part of study were treated theretrieve their included albeit research that's one of the street wilcox it's market opened an account point

lied about it one of the company that big petty theft typically in the trial court gave our next question is from anti cannot acceptthat different and awful contracted he didn't andand welcome to washington and i am wondering about and the tried thatwe have painted a heartbroken to be available traps detroit different over are had a big it copycatout yet and wanted and on what anne

let me let you don't we we have not a question that the time developing people much everybody uh... externalmentioned he will be having individual hoped would be greatly video literally welcome toprotect here all are being really at with any questions on anyone working working with you all and bulletany

extra pressure heading into this country candidatescan accept this time he

maybe there would be