Indian Country ECHO – HIV Clinical Resources
Up-to-date list of clinical resources for preventing and treating HIV/AIDS.

Indian Health Service HIV Primary Care Guidelines
Recent advances in the treatment of HIV make this infection a primary care condition treatable at any IHS facility. This document helps set down standards of care for people living with HIV/AIDS (PLWHA) at Indian Health Service facilities.

Indian Health Service – HIV Clinical Resources
Useful HIV clinical resources provided by the Indian Health Service.

Clinical Guidelines
Federally approved medical practice guidelines for HIV/AIDS developed by panels of experts in HIV care.

IDEA NW
For data on HIV, STDs, and HCV in the Pacific Northwest; IDEA NW works to ensure vital health information gets to policymakers and leadership who need it most.

Assessing New Diagnoses of HIV Among American Indian/Alaska Natives Served by the Indian Health Service, 2005-2014
Article about HIV diagnoses among American Indian/Alaska Natives; identifies current rates and trends to support data-driven policy implementation and resource allocation.

Indian Country ECHO – Harm Reduction Clinical Resources
People who inject drugs are at increased risk for HIV infection. Harm reduction is a useful tool for helping patients’ decrease risk. View up-to-date harm reduction resources for clinicians and clinical administrators.

Posters

Native. Tested. Proud.
Adult | Teen

Native. LGBT. Proud.
We R Proud | Two Spirit | LGBTQ | Gay 1 | Gay 2 | Family Acceptance

Newspaper Ad

Native. LGBT. Proud.
We R HIV/STD Tested.

Fliers

Native. Tested. Proud.
Adult | Teen

Websites

WeRNative.org Sexual health resources for Native youth

HealthyNativeYouth.org Resources for parents and caring adults

Handouts

Accept Yourself. Protect Yourself.
Fact sheet designed to reduce stigma and promote HIV testing among Two Spirit and LGBTQ+ people; from NPAIHB’s Native. LGBT. Proud. Campaign.

Supporting Your LGBTQ2S Child
Fact sheet for parents about effectively supporting your LGBTQ2S child; from NPAIHB’s Native. LGBT. Proud. Campaign.

Protect Yourself and Those You Love
Fact sheet for Two Spirit and LGBTQ+ people about HIV, protecting yourself, and talking to partners about safer sex; from NPAIHB’s Native. LGBT. Proud. Campaign.

Testing Protects You and Those You Love
Fact sheet for Two Spirit and LGBTQ+ people about HIV, protecting yourself, and getting tested for HIV; from NPAIHB’s Native. LGBT. Proud. Campaign.

Native. Tested. Proud. Swag Bag Card
Business card handout on HIV testing perfect for swag bags and health fairs; from NPAIHB’s Native. Tested. Proud. Campaign.

Native. LGBT. Proud. Promotional Card
Half-page handout on HIV testing perfect for clinic waiting tables and health fairs; from NPAIHB’s Native. LGBT. Proud. Campaign.

PSAs

Native. Tested. Proud.
Adult PSA | Teen PSA

Native. LGBTQ. Proud.
Youth PSA | Family Acceptance PSA

Web Banner Ad

Native. Tested. Proud.
Web Ad

Window Cling

Native. Tested. Proud.
Native Tested Proud (7.5 x 3.75) | NDN Tested (7.5 x 3.75)

Text Message Campaigns

HIV Text Message Campaign Card – Youth
To be posted in clinical and educational settings to encourage AI/AN youth to text ‘SEX’ to 97779 to receive information about healthy relationships and preventing and treating STIs, including HIV/AIDS.

HIV Text Message Campaign Card – Parents/Caregivers
To be posted in clinic and other settings to encourage AI/AN adults to text ‘EMPOWER’ to 97779 to receive information on supporting positive youth relationships and healthy sexual behaviors.

Short Films

Native VOICES
A 23-minute, evidence-based video designed to prevent HIV and other STIs; for American Indian teens and young adults 15–24 years old; full curriculum can be found at healthynativeyouth.org.

Ask Auntie – About HIV
Ask Auntie is free Q and A service for Native youth offered by WeRNative.org. Check out these videos where Auntie Amanda answers young people’s questions about HIV. To ask Auntie Amanda a question of your own click here.

Ask Auntie – About HIV and What Happens When a Condom Breaks
Check out this video where Auntie Amanda responds to the question: “I had sex with someone who is HIV+ and the condom broke. How can I make sure I don’t get sick?” To ask Auntie Amanda a question of your own click here.

Ask Auntie – About What an HIV Test is Like
Check out this video where Auntie Amanda responds to the question: “What’s an HIV test like?” To ask Auntie Amanda a question of your own click here.

Know Your Status
Short video encouraging tribal community members to get tested for HIV; from WeRNative.org.

Educational Campaigns

Native. Tested. Proud. Campaign
Encourages HIV testing for everyone 13-64 years old.

Native. LGBT. Proud. Campaign
Designed to reduce stigma and promote HIV testing among Two Spirit and LGBTQ + community members.

Tribal HIV/STD Advocacy Kit & Policy Guide
Advocacy kit designed to help tribal health advocates and decision-makers address sexual health challenges in their communities through programmatic and policy changes.

Evidence-Based Interventions to Prevent HIV and STDs in Indian Country
Report by the Northwest Portland Area Indian Health Board and partners detailing evidence-based interventions and tribal best practices for reducing rates of HIV for AI/AN people.

Guide to Developing and Managing Syringe Access Programs
Comprehensive manual for starting and managing syringe access programs; guidance offered in several areas including: Planning and Design, Operational Issues, Organizational Issues, External Issues and Population-Specific Considerations.

Compassion, Action, and Healing: Working with Injection Drug Users in Native Communities
Important information relevant to people who inject drugs and those who work with this population.

Getting Off Right: A Safety Manual for Injection Drug Users
Easy-to-read survival guide for people who inject drugs (PWID); a compilation of medical facts, injection techniques, and strategies to keep PWID healthier and safer.

North American Syringe Exchange Network
Organization that offers useful information about starting and supplying syringe exchange programs.

Indian Country ECHO
Free service for I/T/U clinicians and programs to enhance care delivery for patients with complex conditions, including HIV/AIDS; offers a variety of online clinics, trainings, technical assistance, and capacity building.

National HIV Curriculum
The National HIV Curriculum is an AIDS Education and Training Center Program and led by the University of Washington.

University of Washington STD Prevention Training Center
State-of-the-art educational opportunities for providers, including experiential learning, with an emphasis on STD treatment and prevention.

HIV/AIDS Online Training Modules
Online modules to teach providers and community members about HIV/AIDS in American Indian/Alaska Natives.

PrEP Navigator Training
Series of 4 short online courses for community health representatives, patient navigators, health educators, and others about the benefits of pre-exposure prophylaxis; designed for staff working with American Indian and Alaska Native people interested in receiving information about PrEP screening and eligibility, initial and follow-up visits, and understanding special situations and stigma.

HIV Care and Sexual Health Assessment for American Indian and Alaska Native Patients
An e-learning course that focuses on educating healthcare professionals on providing culturally attuned HIV and sexual health care to AI/AN patients.

Indian Country ECHO – Technical Assistance and Capacity Building
Free service designed to optimize I/T/U clinical policies, enhance care delivery for patients, and build community capacity to prevent and treat complex medical conditions, including HIV.

HIV Warmline
Free expert advice on preventing and treating HIV, from initiating treatment to managing advanced disease.

Tribal HIV/STD Advocacy Kit & Policy Guide
Advocacy kit designed to help tribal health advocates and decision-makers address sexual health challenges in their communities through programmatic and policy changes.

Indian Country ECHO – HIV Community Resources
Up-to-date list of resources for AI/AN community members on preventing and treating HIV/AIDS.

Positively Native Facilitation Guide
A resource for leading discussions on HIV/AIDS and stigma in American Indian/Alaska Native communities; should be used along with the Positively Native video.

Posters

Native. Tested. Proud.
Adult | Teen

Native. LGBT. Proud.
We R Proud | Two Spirit | LGBTQ | Gay 1 | Gay 2 | Family Acceptance

Newspaper Ad

Native. LGBT. Proud.
We R HIV/STD Tested.

Fliers

Native. Tested. Proud.
Adult | Teen

Websites

WeRNative.org Sexual health resources for Native youth

HealthyNativeYouth.org Resources for parents and caring adults

Handouts

Accept Yourself. Protect Yourself.
Fact sheet designed to reduce stigma and promote HIV testing among Two Spirit and LGBTQ+ people; from NPAIHB’s Native. LGBT. Proud. Campaign.

Supporting Your LGBTQ2S Child
Fact sheet for parents about effectively supporting your LGBTQ2S child; from NPAIHB’s Native. LGBT. Proud. Campaign.

Protect Yourself and Those You Love
Fact sheet for Two Spirit and LGBTQ+ people about HIV, protecting yourself, and talking to partners about safer sex; from NPAIHB’s Native. LGBT. Proud. Campaign.

Testing Protects You and Those You Love
Fact sheet for Two Spirit and LGBTQ+ people about HIV, protecting yourself, and getting tested for HIV; from NPAIHB’s Native. LGBT. Proud. Campaign.

Native. Tested. Proud. Swag Bag Card
Business card handout on HIV testing perfect for swag bags and health fairs; from NPAIHB’s Native. Tested. Proud. Campaign.

Native. LGBT. Proud. Promotional Card
Half-page handout on HIV testing perfect for clinic waiting tables and health fairs; from NPAIHB’s Native. LGBT. Proud. Campaign.

PSAs

Native. Tested. Proud.
Adult PSA | Teen PSA

Native. LGBTQ. Proud.
Youth PSA | Family Acceptance PSA

Web Banner Ad

Native. Tested. Proud.
Web Ad

Window Cling

Native. Tested. Proud.
Native Tested Proud (7.5 x 3.75) | NDN Tested (7.5 x 3.75)

Text Message Campaigns

HIV Text Message Campaign Card – Youth
To be posted in clinical and educational settings to encourage AI/AN youth to text ‘SEX’ to 97779 to receive information about healthy relationships and preventing and treating STIs, including HIV/AIDS.

HIV Text Message Campaign Card – Parents/Caregivers
To be posted in clinical and other settings to encourage AI/AN adults to text ‘EMPOWER’ to 97779 to receive information on supporting positive youth relationships and healthy sexual behaviors.

Short Films

Native VOICES
A 23-minute, evidence-based video designed to prevent HIV and other STIs; for American Indian teens and young adults 15–24 years old; full curriculum can be found at healthynativeyouth.org.

Ask Auntie – About HIV
Ask Auntie is free Q and A service for Native youth offered by WeRNative.org. Check out these videos where Auntie Amanda answers young people’s questions about HIV. To ask Auntie Amanda a question of your own click here.

Ask Auntie – About HIV and What Happens When a Condom Breaks
Check out this video where Auntie Amanda responds to the question: “I had sex with someone who is HIV+ and the condom broke. How can I make sure I don’t get sick?” To ask Auntie Amanda a question of your own click here.

Ask Auntie – About What an HIV Test is Like
Check out this video where Auntie Amanda responds to the question: “What’s an HIV test like?” To ask Auntie Amanda a question of your own click here.

Know Your Status
Short video encouraging tribal community members to get tested for HIV; from WeRNative.org.

Educational Campaigns

Native. Tested. Proud. Campaign
Encourages HIV testing for everyone 13-64 years old.

Native. LGBT. Proud. Campaign
Designed to reduce stigma and promote HIV testing among Two Spirit and LGBTQ + community members.

IDEA NW
For data on HIV, STDs, and HCV in the Pacific Northwest; IDEA NW works to ensure vital health information gets to policymakers and leadership who need it most.

HIV and American Indians and Alaska Natives
Basic data on HIV among AI/AN people and subpopulations from the Centers for Disease Control and Prevention.

Taking Care of Each Other: Indigenous Perspectives on Harm Reduction
Recorded webinar by the First Nations Health Authority that includes information on decolonizing addiction and Indigenous harm reduction.

Indigenous Harm Reduction Video Series
Video series about Indigenous harm reduction to help start discussions in Indigenous communities about harm reduction, substance use, and stigma.

Indian Country ECHO – Harm Reduction Community Resources
People who inject drugs are at increased risk for HIV infection. Harm reduction is a useful tool for helping people decrease their risk. View up-to-date harm reduction resources for AI/AN community members.

Healthy Native Youth
A one-stop-shop for educators and health advocates who want to expand learning opportunities for AI/AN youth. The site contains curricula, quizzes, handouts and training tools needed to access and deliver effective, age-appropriate sexual health programs.

Guide to Developing and Managing Syringe Access Programs
Comprehensive manual for starting and managing syringe access programs; guidance offered in several areas including: Planning and Design, Operational Issues, Organizational Issues, External Issues and Population-Specific Considerations.

Compassion, Action, and Healing: Working with Injection Drug Users in Native Communities
Important information relevant to people who inject drugs and those who work with this population.

Getting Off Right: A Safety Manual for Injection Drug Users
Easy-to-read survival guide for people who inject drugs (PWID); a compilation of medical facts, injection techniques, and strategies to keep PWID healthier and safer.

North American Syringe Exchange Network
Organization that offers useful information about starting and supplying syringe exchange programs.

Indian Country ECHO
Free service for I/T/U clinicians and programs to enhance care delivery for patients with complex conditions, including HIV/AIDS and harm reduction; offers a variety of online clinics, trainings, technical assistance, and capacity building.

National HIV Curriculum
The National HIV Curriculum is an AIDS Education and Training Center Program and led by the University of Washington.

HIV/AIDS Online Training Modules
Online modules to teach providers and community members about HIV/AIDS in American Indian/Alaska Natives.

PrEP Navigator Training
Series of 4 short online courses for community health representatives, patient navigators, health educators, and others about the benefits of pre-exposure prophylaxis; designed for staff working with American Indian and Alaska Native people interested in receiving information about PrEP screening and eligibility, initial and follow-up visits, and understanding special situations and stigma.

Indian Country ECHO – Technical Assistance and Capacity Building
Free service designed to optimize I/T/U clinical policies, enhance care delivery for patients, and build community capacity to prevent and treat complex medical conditions, including HIV.

HIV Warmline
Free expert advice on preventing and treating HIV, from initiating treatment to managing advanced disease.

• Patricia Yao, PhD, Rongwei Fu, PhD, Stephanie Craig Rushing, PhD, MPH, David Stephens, RN, Joan S. Ash, PhD, MBA, Karen B. Eden, PhD. Texting 4 Sexual Health: Improving Attitudes, Intention, and Behavior Among American Indian and Alaska Native Youth Health Promotion Practice DOI: 10.1177/1524839918761872
• Craig Rushing, S., & Gardner, W. (2016). Native VOICES: Adapting a video-based sexual health intervention for American Indian teens and young adults using the ADAPT-ITT model. American Indian and Alaska Native Mental Health Research, 23(1), 24-46. See: https://coloradosph.cuanschutz.edu/docs/librariesprovider205/journal_files/vol23/23_1_2016_24_craig_rushing.pdf?sfvrsn=81d1e0b9_2
• Markham, C. M., S. Craig Rushing, et al. “Factors Associated With Early Sexual Experience Among American Indian and Alaska Native Youth.” Journal of Adolescent Health 57(3): 334-341. DOI: 1016/j.jadohealth.2015.06.003
• Rushing, S. C., Gaston, A., Kaufman, C., Markham, C., Jessen, C., Gorman, G., Torres… (2015). Using Technology to Promote Health and Wellbeing among American Indian and Alaska Native Teens and Young Adults. Indigenous People and Mobile Technologies. Routledge Press.
• Gemelas J, Locker R, Rudd S, Prevost C, Reilley B, Leston J. (2015) Impact of Screening Recommendations for the Identification of Chronic Hepatitis C Virus Infection Among Persons Born During 1945-1965: A Primary Care Case Study.
• Reilley B, Leston J, Tulloch S, Neel L, Galope M, Taylor M. (2015) Implementation of National HIV Screening Recommendations in the Indian Health Service. Journal of the International Association of Providers of AIDS Care. February 2015.
• Desiderio, G., Garrido, M., Martínez García, G., and Eisler, A. (2014). Lessons Learned in Providing Health Care Services for Native Youth. Baltimore: Healthy Teen Network. Download Report
• Rushing, S. C., Canniff, B., Gardner, W., Hoopes, M., Warren-Mears, V., & Left Hand Bull, J. (2014). Primary Prevention with American Indians and Alaska Natives. In Gullotta, T. P. & Bloom, M. (Eds.), Encyclopedia of Primary Prevention and Health Promotion. (2nd ed.). Heidelberg: Springer. pp 480-489.DOI: 1007/978-1-4614-5999-6_330
• Reilley B, Leston J, Redd JT, Geiger R. (2014) Lack of Access to Treatment as a Barrier to HCV Screening: A Facility-Based Assessment in the Indian Health Service. Journal of Public Health Management and Practice. July 2014.
• Leston, J, Reilley B. (2014) Screening for HIV, Chlamydia, and Hepatitis C: Improvement and Lessons Learned from 2010 to Present. IHS Primary Care Provider. April 2014.
• Onders R, Spillane J, Reilley B, Leston J. (2014) Use of Electronic Clinical Reminders to Increase Preventative Screenings in a Primary Care Setting: Blueprint from a Successful Process in Kodiak, AK. Journal of Primary Care and Community Health. January 2014.
• Rudd S, Gemelas J, Reilley B, Leston J, Tulloch S. (2013) Integrating Clinical Decision Support to Increase HIV and Chlamydia Screening. Preventative Medicine. December 2013.
• Craig Rushing, S., & Stephens, D. (2012). Tribal recommendations for designing culturally appropriate technology-based sexual health interventions targeting Native youth in the Pacific Northwest. American Indian and Alaska Native Mental Health Research, 19(1), 76-101. Available at: https://coloradosph.cuanschutz.edu/docs/librariesprovider205/journal_files/vol19/19_1_2012_76_craig-rushing.pdf?sfvrsn=eef6e1b9_2.
• Craig Rushing, S., Stephens D., Leston, J., and Gardner, W. (Spring/Summer 2011). Surfing and Texting for Health: Media Use and Health Promotion Targeting NW Native Youth. NW Public Health Journal. Vol. 28. No. 1: p 16-17. Download the Article
• Smith M and Craig Rushing SN. (2011). Native STAND (Students Together Against Negative Decisions): Evaluating a School-Based Sexual Rush Reduction Intervention in Indian Boarding Schools. Health Education Monograph Series. Vol. 28, No 2: 67-74. Download the Article
• Craig Rushing, SN and Stephens, D. (2011). Use of Media Technologies by Native American Teens and Young Adults in the Pacific Northwest: Exploring their Utility for Designing Culturally-Appropriate Technology-Based Health Interventions. Journal of Primary Prevention. DOI: 10.1007/s10935-011-0242-z. Download the Article
• Stopping the Silence: Program Opens Lines of Communication to Cut STI Rate Among Native Americans. Tim Weldon. The Council of State Governments, Vol. 51, No. 3. March 2008. Download the Article
• Project Red Talon: Health care professionals, communities benefit from coalition’s HIV/STI training. Babette Herrmann. Indian Country Today. December 19, 2007. Download the Article
• Within the Hidden Epidemic: Sexually Transmitted Diseases and HIV/AIDS among American Indians and Alaska Natives. Kaufman CE, Shelby L, Mosure DJ, Marrazzo J, Wong D, de Ravello L, Craig Rushing S, Warren-Mears V, Neel L, Jumping Eagle S, Tulloch S, Romero F, Patrick S, Cheek J. Sexually Transmitted Diseases (May 2007). Download Report
• HIV-related risk behaviors, perceptions of risk, HIV testing, and exposure to prevention methods among urban American Indians and Alaska Natives. Lapidus J, Bertolli J, McGowan K, Sullivan P. (2006). AIDS Education and Prevention 18(6), 546-559. Download Report
• Sexually transmitted diseases among American Indians and Alaska Natives in Washington State, 1995-2000. Puuka E, Jackson S, Stehr-Green P. (n.d.) Northwest Tribal Epidemiology Center, Northwest Portland American Indian Health Board. Download Report

Tribal HIV/STD Advocacy Kit & Policy Guide
Advocacy kit designed to help tribal health advocates and decision-makers address sexual health challenges in their communities through programmatic and policy changes.

Indian Country ECHO – HIV Clinical Resources
Up-to-date list of clinical resources for preventing and treating HIV/AIDS.

PrEP Navigator Training
Series of 4 short online courses for community health representatives, patient navigators, health educators, and others about the benefits of pre-exposure prophylaxis; designed for staff working with American Indian and Alaska Native people interested in receiving information about PrEP screening and eligibility, initial and follow-up visits, and understanding special situations and stigma.

IDEA NW
For data on HIV, STDs, and HCV in the Pacific Northwest; IDEA NW works to ensure vital health information gets to policymakers and leadership who need it most.

HIV and American Indians and Alaska Natives
Basic data on HIV among AI/AN people and subpopulations from the Centers for Disease Control and Prevention.

Assessing New Diagnoses of HIV Among American Indian/Alaska Natives Served by the Indian Health Service, 2005-2014
Article about HIV diagnoses among American Indian/Alaska Natives; identifies current rates and trends to support data-driven policy implementation and resource allocation.

Taking Care of Each Other: Indigenous Perspectives on Harm Reduction
Recorded webinar by the First Nations Health Authority that includes information on decolonizing addiction and Indigenous harm reduction.

Indigenous Harm Reduction Video Series
Video series about Indigenous harm reduction to help start discussions in Indigenous communities about harm reduction, substance use, and stigma.

Indian Country ECHO – Harm Reduction Community Resources
People who inject drugs are at increased risk for HIV infection. Harm reduction is a useful tool for helping people decrease their risk. View up-to-date harm reduction resources for AI/AN community members.

Indian Country ECHO – Technical Assistance and Capacity Building
Free service designed to optimize I/T/U clinical policies, enhance care delivery for patients, and build community capacity to prevent and treat complex medical conditions, including HIV/AIDS.

Indian Country ECHO
Free service for I/T/U clinicians and programs to enhance care delivery for patients with complex conditions, including Hepatitis C; offers a variety of online clinics, trainings, technical assistance, and capacity building.

National HIV Curriculum
The National HIV Curriculum is an AIDS Education and Training Center Program and led by the University of Washington.

University of Washington STD Prevention Training Center
State-of-the-art educational opportunities for providers, including experiential learning, with an emphasis on STD treatment and prevention.

HIV/AIDS Online Training Modules
Online modules to teach providers and community members about HIV/AIDS in American Indian/Alaska Natives.

HIV Care and Sexual Health Assessment for American Indian and Alaska Native Patients
An e-learning course that focuses on educating healthcare professionals on providing culturally attuned HIV and sexual health care to AI/AN patients.

PrEP Navigator Training
Series of 4 short online courses for community health representatives, patient navigators, health educators, and others about the benefits of pre-exposure prophylaxis; designed for staff working with American Indian and Alaska Native people interested in receiving information about PrEP screening and eligibility, initial and follow-up visits, and understanding special situations and stigma.

Guide to Developing and Managing Syringe Access Programs
Comprehensive manual for starting and managing syringe access programs; guidance offered in several areas including: Planning and Design, Operational Issues, Organizational Issues, External Issues and Population-Specific Considerations.

Compassion, Action, and Healing: Working with Injection Drug Users in Native Communities
Important information relevant to people who inject drugs and those who work with this population.

Getting Off Right: A Safety Manual for Injection Drug Users
Easy-to-read survival guide for people who inject drugs (PWID); a compilation of medical facts, injection techniques, and strategies to keep PWID healthier and safer.

North American Syringe Exchange Network
Organization that offers useful information about starting and supplying syringe exchange programs.

The Syringe Access Fund
A national grantmaking collaborative that supports service providers and policy projects that reduce use of shared syringes and ensure their safe disposal.

Evidence-based Interventions to Prevent HIV and STDs in Indian Country
Report by the Northwest Portland Area Indian Health Board and partners detailing evidence-based interventions and tribal best practices for reducing rates of HIV for AI/AN people.

Tribal HIV/STD Advocacy Kit & Policy Guide
Advocacy kit designed to help tribal health advocates and decision-makers address sexual health challenges in their communities through programmatic and policy changes.

Indian Country ECHO
Free service for I/T/U clinicians and programs to enhance care delivery for patients with complex conditions, including HIV/AIDS; offers a variety of online clinics, trainings, technical assistance, and capacity building.

Positively Native Facilitation Guide
A resource for leading discussions on HIV/AIDS and stigma in American Indian/Alaska Native communities; should be used along with the Positively Native video.