Indian Health Service The Federal Health Program for American Indians and Alaska Natives
June 2012 Blogs
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Posted on Jun 13, 2012
Addressing the Problem of Sexual Assault in Indian Country - An IHS/DOJ Update
The New York Times recently published an article on the problem of sexual assault of Native American women . The article raises awareness about the higher rates of sexual assault on Native American women and the challenges of getting treatment for victims, as well as the barriers to prosecuting and convicting those who perpetrate these crimes.We at the Department of Justice (DOJ) and the Indian Health Service (IHS) share the common goals of building safe and healthy American Indian and Alaska Native communities and reducing the unacceptably high rates of violence against women.
The DOJ, working with the IHS as well as the Bureau of Indian Affairs and other agencies, has responded to the call for equal justice in Indian Country with substantial action. At the start of this Administration, Attorney General Eric Holder established a Department-wide initiative on tribal public safety, and issued a clear directive to every U.S. Attorney serving Indian Country: Meet with the Tribes in your district and develop operational plans to improve public safety. Plans are now in place and guiding our efforts to reduce crime through aggressive law enforcement, as well as focused prevention and intervention efforts. One of the most important improvements involving public safety is a substantial increase in federal-tribal cooperation. Our attorneys meet regularly with tribal prosecutors to discuss cases and share intelligence. In fact, some of these tribal prosecutors are now working in U.S. Attorney's offices to help ensure that cases do not fall between the jurisdictional cracks.
Last year, IHS put into place its first comprehensive sexual assault treatment policy, and has consulted with Tribes on its implementation.The IHS Domestic Violence Prevention Initiative, now in its second year, is providing new resources, staff, training, outreach, and supplies/equipment for IHS and tribal facilities. IHS is also establishing Sexual Assault Response Teams and training Sexual Assault Examiners to properly treat victims of sexual assault. The DOJ and IHS are collaborating on training for evidence collection and working with the Department of Interior on implementation of the Tribal Law and Order Act.
The IHS and DOJ are working with other federal agencies, in partnership with Tribes, to prevent and address sexual assault in Indian communities. The Administration has also expressed its strong support for the Violence Against Women Act reauthorization that protects all victims and includes key tribal provisions to strengthen the ability of Tribes to prosecute perpetrators of domestic violence and reach victims before it’s too late.
Making Indian Country safer and healthier place for everyone is a shared responsibility. Action is being taken to address the problem of sexual assaults and our efforts are yielding results for women and girls in tribal communities.
For more information, visit the IHS programs to address sexual assault and violence against women, and DOJ efforts to strengthen public safety in Indian country .
Posted on Jun 1, 2012
Improving the Contract Health Services Program: Update
I recently sent an update to tribal leaders on our ongoing consultation on how to improve the Contract Health Services program. The letter includes IHS progress on the first set of recommendations from the CHS workgroup as well as their new set of recommendations. The CHS workgroup has done an outstanding job of developing practice recommendations that can be translated into specific, concrete actions that are helping us improve how we use funding to pay for referrals and care outside of our facilities. Here is a copy of the letter [PDF - 82KB] and its attachment. [PDF - 46KB]