The From Legacy to Choice workshops are an exceptional promising practice for other Tribes to consider for their people. Moving through the issues of historical trauma, and grief improved communications between community members; increased understanding of community trauma; increased support systems; and empowered the community members to work together to deal with problems in order to prevent continued community trauma passing from generation to generation.
Evaluation of the program was conducted through pre- and post-surveys as well as interviews. Significant outcomes included:
Through the program evaluation, participants also conveyed a process in which they engage in self-help, through developing personal coping mechanisms to deal with feeling of fear, shame, and/or guilt, in order to help others (family, friends, community) and through helping others, find affirmation and accept that they themselves can reach out and accept help from others.
Although there were no dedicated staff assigned to this project, the ability of various community members/leaders to come together and make the project a reality was remarkable. Various members of the suicide Core Team provided staff, financing, and equipment to make this project a success.
Another important success was the positive feedback we received from the people who attended the workshops. Many attendees learned valuable skills to help them cope with the negative impacts of historical trauma.
The community feedback we received will guide future suicide prevention activities. For instance, members of the suicide core team are actively involved in starting natural healing systems within each of the communities. These natural healers are meant to address issues surrounding loss and historical trauma and how they relate to suicide. This approach will involve youth, young adults, and elders working collaboratively to address the complex challenges surrounding suicide prevention.
One primary obstacle to this project was the scarcity of resources (staff, financial and time). There were no assigned staff to oversee this project; therefore, members of the suicide core team dedicated themselves to the project's completion. This presented a serious challenge given that the team members were employed full time, but the project became a reality due to the commitment of key stakeholders.
Another obstacle encountered early in the project was that some members of the community did not understand the relevance and importance of historical trauma. As a result, there was some initial hesitation to proceed with some of these community workshops. In light of these obstacles, it is important for other communities to consider assigning staff to oversee the project.
Another consideration is the importance of providing background information to the community and key stakeholders before the project begins, especially highlighting the relevance of historical trauma to the needs of the local community.
National Indian Health Board