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Addressing the Addiction Crisis: Moving Upstream with Holistic Strategies Northwest ATTC presents: Presented by: Gary Ferguson, ND Naturopathic Doctor

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Page 1: Northwest ATTC presents · 2020-02-26 · aaa. Child Wellbeing From Harold Napoleon’s book, Yuuyaraq: The Way of the Human Being . ... Over 17,000 patients in San Diego, CA Adverse

Addressing the Addiction Crisis: Moving Upstream with Holistic Strategies

Northwest ATTC presents:

Presented by:

Gary Ferguson, ND

Naturopathic Doctor

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We value your feedback on our ability to provide culturally-informed and

inclusive services.

Please email us at [email protected] with any comments or

questions you have for us!

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Addressing the Addiction Crisis

Dr. Gary Ferguson, BS, ND

• Licensed Naturopathic Doctor and Healthy

Communities Consultant based in Anchorage, AK

• Facilitator, motivational speaker, health coach,

and technical consultant

• Past roles:

• Providing clinical services to his home region at

Eastern Aleutian Tribes

• Senior Director of Community Health Services,

Alaska Native Tribal Health Consortium

• CEO, Rural Alaska Community Action Program

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Presentation for NW ATTCFebruary 26, 2020

Dr. Gary Ferguson, BS, NDKAANGUX̂ Healthy Communities Consulting

www.drgaryferguson.com

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https://newrepublic.com/article/155080/didnt-stand-chance-opioids

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Substance Abuse Summit 2014

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"Are you here to help us or save us?" Father Harry Kiakokanok (told to Former Trooper Joe Masters in Perryville, Alaska)

“Learned Helplessness” Concept

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www.akresilience.org

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Memory of our early experiences

is stored in our brains and bodies

Photo by Oscar Avellaneda-Cruz

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Illustration by Melanie Lombard

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Historical Trauma

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https://thefilam.net/archives/24787

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Dr. Angela Michaud, DCPhoto used with permission

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Dr. Angela Michaud, DCPhoto used with permission

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Child Wellbeing

From Harold Napoleon’s book, Yuuyaraq: The Way of the Human Being

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Impact quote

Over 17,000 patients in

San Diego, CA

Adverse Childhood Experiences (ACEs)

Study

Photo by Ted Eytan, CC

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Adverse Childhood Experiences are Common

Source: Anda & Felitti, 1997

Substance abuse

ACE Study: Kaiser

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Adverse Childhood Experiences are Common

Source: Anda & Felitti, 1997

Substance abuse

ACE Study: Kaiser

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Adverse Childhood Experiences are Common

Source: Anda & Felitti, 1997

Substance abuse

ACE Study: Kaiser

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ACEs are Highly Interrelated:

Source: Anda & Felitti, 1997

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ACE Score and Health Problems

Source: Anda & Felitti, 1997

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ACES & Smoking

Source: Brown et all, 2010

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ACES & HIV Risks

Source: Felitti et al, 1998

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ACEs & Liver Disease

Source: Dong et al, 2003

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ACEs & Suicide Attempts

Source: Felitti et al, 1998

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ACEs & Severe Obesity (BMI 34+)

Source: Felitti et al, 1998

ACE Study: Kaiser

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ACEs & Diabetes

Source: Felitti et al, 1998

ACE Study: Kaiser

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Associated Medical Conditions

Chronic Neck and Back Pain

Osteoporosis

Coronary Artery Disease

Idiopathic Myocarditis

Irritable Bowel Syndrome

Vitiligo

Multiple Sclerosis

Rheumatoid Arthritis Systemic Lupus Erythematous

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Source: Felitti et al, 1998 Photo by Weining Zhong, CC

An ACE score of 4 or greater nearly doubled the risk for cancer.

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Photo by Laura Norton-Cruz

“Pregnancy is when children

get their first knowledge. If a

mother is able to eat well, be

active, and attend ceremonies

and dances in a peaceful

environment, the child

develops well. If there is

conflict or violence between

the mother and father…this

will harm the child.”

– Tribal doctor &

midwife, Rita Pitka

Blumenstein

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States Collecting ACEs Data 2009-2015

Source: State of Alaska Advisory Board on Alcoholism and Drug Abuse & Mental Health Board

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ACE Scores for Alaskan Adults Based on Ten Possible ACEs

Source: State of Alaska Advisory Board on Alcoholism and Drug Abuse & Mental Health Board

ACE Study: Alaska

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Percentage of Alaskan Adults Who Reported Ever Having Been Diagnosed with Arthritis by ACE Score

Source: State of Alaska Advisory Board on Alcoholism and Drug Abuse & Mental Health Board

ACE Study: Alaska

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Percentage of Alaskan Adults who Reported to Ever Having Been Diagnosed with Asthma by ACE Score

Source: State of Alaska Advisory Board on Alcoholism and Drug Abuse & Mental Health Board

ACE Study: Alaska

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Percentage of Alaskan Adults who Have Ever Been Diagnosed With Kidney Disease by ACE Score

Source: State of Alaska Advisory Board on Alcoholism and Drug Abuse & Mental Health Board

ACE Study: Alaska

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Percentage of Alaskan Adults who Report Limited Activity Due to Health Problems by ACE Score

Source: State of Alaska Advisory Board on Alcoholism and Drug Abuse & Mental Health Board

ACE Study: Alaska

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Percentage of Alaskan Adults Who Reported Ever Being Diagnosed with a Depressive Disorder by ACE Score

Source: State of Alaska Advisory Board on Alcoholism and Drug Abuse & Mental Health Board

ACE Study: Alaska

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Percentage of Alaskan Adults who Reported Using Medicaid by ACE Score

Source: State of Alaska Advisory Board on Alcoholism and Drug Abuse & Mental Health Board

ACE Study: Alaska

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Percentage of Alaskan Adults Who Reported Low Food Security by ACE Score

Source: State of Alaska Advisory Board on Alcoholism and Drug Abuse & Mental Health Board

ACE Study: Alaska

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Photo by Laura Norton-Cruz

The brain is plastic & the body wants to

heal

HOPE

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Photo by Andre Horton

Cultural Strength and Resilience

Photo by Ash Adams

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Photo by Matthew Kenwrick

Cultural Strength and Resilience

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Social support

Photo by Ash Adams

“When we heal

ourselves, we heal

our ancestors.”

Tribal doctor & midwife,

Rita Pitka Blumenstein

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->HEALING CENTERED

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“The opposite of addiction is not sobriety,” she says. “The opposite of addiction is genuine, meaningful interactions and authentic connections and experiences with ourselves, each other, and the world around us.”

~Jennifer Nicolaisen, Executive Director for SeekHealing Center, Asheville, NC

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https://www.eurekalert.org/pub_releases/2019-09/byu-fkw091619.php?fbclid=IwAR2Ku4oNIjeMLrLs00nWZK_tVEbrWnTTRqQtdHGWLfaH391uP_xRhZ5GvVg

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Having good friends and neighbors

Beliefs that provide comfort

Liking school

Teachers who care

Having a caregiver whom you feel safe with

Opportunities to have fun

Feeling comfortable with yourself

A predictable home routine like regular meals and bedtimes.

https://www.eurekalert.org/pub_releases/2019-09/byu-fkw091619.php?fbclid=IwAR2Ku4oNIjeMLrLs00nWZK_tVEbrWnTTRqQtdHGWLfaH391uP_xRhZ5GvVg

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Intergenerational ConnectednessPhoto credit: Susan Bernardi, UW collection

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Connectedness In Action

LaVerne M. Demientieff, LMSW, Ph.D.

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC80880/

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O’Brien, D.M., Thummel, K.E., Bulkow, L.R., Wang, Z., Corbin, B., Klejka, J., Hopkins, S.E., Boyer, B.B., Hennessy, T.W. and Singleton, R. (2016) ‘Declines in traditional marine food intake and vitamin D levels from the 1960s to present in young Alaska Native women’, Public Health Nutrition, , pp. 1–8. doi: 10.1017/S1368980016001853.

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https://www.nhpr.org/post/research-wilderness-therapy-teens-more-effective-less-expensive-traditional-treatments?fbclid=IwAR2KEIsxSCFduNu6EksjWOBtnfG4xPXVlGcne6F5B0KoRkFhaDlZDAlQF34#stream/0

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Psycho-Emotional-Spiritual Support

Meditation or mindfulness

Prayer or other spiritual practice

Breathing techniques

Energy Psychology Practices: EFT

Ceremony/Cultural Practices

Movement/Daily Physical Activity

Sleep/Sleep hygiene

Nutrition/IV Therapy

Detoxification

Acupuncture (NADA Protocol)

Supplement Protocol

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Pipe Wrench vs. Torque Wrench

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https://www.naadac.org/acupuncture-addiction-treatment-webinar

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http://www.acudetox.com

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www.acudetox.com

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Expiration: stretch receptors

in pulmonary tissue stimulates

vagus nerve (parasympathetic)

Prolonged expiratory phase:

further enhancement of

parasympathetic inhibitory

tone

Examples: yogic breathing,

chanting, singing,

diaphragmatic breathing.

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http://squaxinisland.org/northwest-indian-treatment-center/

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Herbal Tea Dispensary

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Traditional Foods Garden

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Mountain Huckleberry

Evergreen Huckleberry

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https://ndnr.com/autoimmuneallergy-medicine/opiate-addiction/

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https://ndnr.com/autoimmuneallergy-medicine/opiate-addiction/Dr. Jillian Stansbury

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Source: Capacitar International, Dr. Linda ChamberlainPhoto by Laura Norton-Cruz

Page 121: Northwest ATTC presents · 2020-02-26 · aaa. Child Wellbeing From Harold Napoleon’s book, Yuuyaraq: The Way of the Human Being . ... Over 17,000 patients in San Diego, CA Adverse

Source: Capacitar International, Dr. Linda ChamberlainPhoto by Laura Norton-Cruz

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https://www.youtube.com/watch?v=NwMZQj1zciA

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Solution: Belly Breathing

https://www.youtube.com/watch?v=_mZbzDOpylA

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Solution: a peace place/safe place in every classroom

Photo by Debbie McDonald

Trainer!2018Trainer!2018Trainer!2018

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Photo by Laura Norton-Cruz

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Photo by Laura Norton-Cruz

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Our goal=>

CureWell-being

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https://www.history.com/news/asteroid-trio-gives-earth-a-close-shave

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https://imgbin.com/png/q2uwT42t/whack-a-mole-png

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https://underthebluedoor.org/2014/08/18/the-rwandan-prescription-for-depression-sun-drum-dance-community-we-had-a-lot-of-trouble-with-western-mental-health-workers-who-came-here-immediately-after-the-genocide-and-we-had-to-ask-some/

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“We had a lot of trouble with western mental health workers who came here immediately after the genocide and we had to ask some of them to leave. They came and their practice did not involve being outside in the sun where you begin to feel better, there was no music or drumming to get your blood flowing again, there was no sense that everyone had taken the day off so that the entire community could come together to try to lift you up and bring you back to joy, there was no acknowledgement of the depression as something invasive and external that could actually be cast out again. Instead they would take people one at a time into these dingy little rooms and have them sit around for an hour or so and talk about bad things that had happened to them. We had to ask them to leave.” ~A Rwandan talking

to a western writer, Andrew Solomon, about his experience with western mental health and depression.”

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https://funnyjunk.com/channel/trump/Mindwarp/eoRoLrb/28

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Small changes make a HUGE difference

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The doctor of the future will give no medicine,But will interest his patient in the care of the human frame,In diet, and in the causeAnd preventionOf disease.THOMAS EDISON

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Dr. Gary Ferguson, ND

Healthy Communities Consultant

[email protected]

www.drgaryferguson.com

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