**EVALUATION SUMMARY**

**METHAMPHETAMINE MENACE IN SE MONTANA**

**NORTHERN CHEYENNE INDIAN RESERVATION**

**LAME DEER, MT**

**JULY 7, 2005**

**RESPONSE RATE**

62% (55 completed evaluations out of 89 participants signed in)

**Overall, did this day of training meet your expectations?**

YES 91% (50/55)

NO 0

NOT SURE 4% (2/55)

NO ANSWER 5% (3/55)

**ATTENDEES BY ORGANIZATION**

> IHS Lame Deer 65% (36/55)
>
> No. Cheyenne Tribe 22% (12/55)
>
> Other\* 7% (4/55)
>
> IHS Billings Area 4% (2/55)
>
> MT State/County 2% (1/55)
>
> *\*Includes: Nursing student (1), addiction treatment center (1),
> student (1), participant (1)*

**ATTENDEES BY PROFESSIONAL AFFILIATION**

Other\* 64% (35/55)

Nurse 6% (4/55)

Physician 5% (3/55)

Administrator 5% (3/55)

Public Health Nurse 4% (2/55)

Dentists 4% (2/55)

Nurse Practitioner 2% (1/55)

Health Educator 2% (1/55)

Social Worker 2% (1/55)

Addictions Counselor 2% (1/55)

> *\*Includes: business office (1), Community Health Representative (3),
> Contract Care (1), Dental Assistants (6), Dental Hygienists (2),
> Diabetes Nutrition Tech (1), Maintenance Worker (2), Medical
> Records/Clerical (5), Student (1), paraprofessional (1), participant
> (1), Patient Benefits (1),Patient Registration (1), Pharmacists (4),
> Pharmacy Technician (1), PR/SB (1)Social Worker (1), Tribal Health
> (1)*

**SESSION 1: Overview to Methamphetamine Exposure (Jim Gerhardt)**

A The objectives for this session were met. 3.6

B The speaker was knowledgeable about the subject matter. 3.7

C The speaker made the presentation engaging and interesting. 3.7

D I can apply the knowledge gained in this session to the work I do. 3.5

E I would recommend using this speaker again. 3.8

**Comments**

-   I really enjoyed his on-hands video footage

-   Great information

-   Eye-opener for health providers

-   It's all good!

-   I am more aware of meth users -- know who to contact

-   Very informative, thanks

-   Very knowledgeable in his area of work -- sounds like he goes the
    extra mile to perform his duties.

-   Excellent

-   Great speaker

-   Good videos

-   Excellent

-   Very informative

-   Excellent presentation

-   Excellent speaker. Thank you!

-   Great job! I am so glad you went first and got the crowd interested

**SESSION 2: Methamphetamine Issues on the Northern Cheyenne (Dan
Dunlap)**

A The objectives for this session were met. 3.5

B The speaker was knowledgeable about the subject matter. 3.7

C The speaker made the presentation engaging and interesting. 3.6

D I can apply the knowledge gained in this session to the work I do. 3.5

E I would recommend using this speaker again. 3.6

**Comments**:

-   We need to have access to a toll-free hotline to give anonymous tips

-   Did a great job! Strongly recommend

-   Thank you! Great job

-   Speaker was well-informed on subject matter

-   Speaks to meth labs more than general meth use

-   Good speaker

-   Well done!

-   Very informational, thanks

-   Post flyers in public areas in Lame Deer with phone number -- who to
    call

**SESSION 3: Dealing with Patients on Methamphetamine (Mazda Shirazi)**

A The objectives for this session were met. 3.6

B The speaker was knowledgeable about the subject matter. 3.7

C The speaker made the presentation engaging and interesting. 3.7

D I can apply the knowledge gained in this session to the work I do. 3.5

E I would recommend using this speaker again. 3.7

**Comments**:

-   Did a good job. More for PhDs

-   Needing outpatient/community setting for rural areas on better tools
    for CHRs, PHNs, and overall health care providers

-   Very interesting, thank you!

-   It was extremely helpful, very important information that confirms
    what I have seen at our facility. The speaker could do a whole day
    of training and give even more info.

-   Fantastic clinical presentation. "The best" for frontline ER staff.

-   Deals more with people involved in meth labs, not general use/abuse

-   Great speaker

-   Good job!

-   Very informational, thanks.

**SESSION 4: Occupational Exposure to Methamphetamine for Health Care
Staff (Jeff Burgess)**

A The objectives for this session were met. 3.6

B The speaker was knowledgeable about the subject matter. 3.7

C The speaker made the presentation engaging and interesting. 3.5

D I can apply the knowledge gained in this session to the work I do. 3.5

E I would recommend using this speaker again. 3.5

**Comments**:

-   Excellent job

-   Very pertinent information. All our staff would benefit from this
    information. Its created more of an awareness in me, opened my eyes
    to another aspect of meth

-   He is subject matter expert

-   For ER, not clinical, primary care

-   Good speaker

-   Excellent

-   Thanks

**SESSION 5: Case Study Minnesota: A Comprehensive Response to the
Problem of Methamphetamine (Deborah Durkin)**

A The objectives for this session were met. 3.6

B The speaker was knowledgeable about the subject matter. 3.6

C The speaker made the presentation engaging and interesting. 3.5

D I can apply the knowledge gained in this session to the work I do. 3.5

E I would recommend using this speaker again. 3.6

**Comments**:

-   I had a hard time keeping my attention

-   Very good presentation

-   She went too fast to really gain much

-   I love the great info!

-   Good ideas and information

-   Good speaker

-   Thanks

-   Presentation a little too long

-   Very good

**SESSION 6: Northern Cheyenne and Billing Area IHS Policies Related to
Methamphetamine Issues (Millie Stewart, Tom Schreiner)**

A The objectives for this session were met. 3.3

B The speaker was knowledgeable about the subject matter. 3.4

C The speaker made the presentation engaging and interesting. 3.3

D I can apply the knowledge gained in this session to the work I do. 3.3

E I would recommend using this speaker again. 3.4

**What was your favorite part of the training?**

-   Clinical application of care of meth patients

-   Part I

-   The interactive videos and on-hands exposure

-   Going over ways that our problem is being taken care of with meth
    issues

-   Pictures

-   All of the subjects that were presented today were eye openers for
    all

-   All good!

-   Presentations

-   Sessions 1 & 2

-   Learning about health concerns and symptoms

-   Everything!

-   Dealing with methamphetamine, signs and symptoms

-   Lunch

-   Understand meth usage

-   New information

-   Dr. Shirazi was not only informative, but also engaging with his
    humor

-   Personal experiences

-   The first speaker (Jim Gerhardt) was down to earth, very
    knowledgeable

-   Awareness that this drug is very dangerous and can be made by people

-   It was all good

-   All was very informative and interesting

-   Treatment of methamphetamine

-   Pictures. Loved the pictures from a ten year difference. Need this
    hand out to put up in the community and in our schools.

-   Jim Gerhardt presentation

-   How to make meth, people getting caught

-   Morning speakers

-   Dr. Shirazi's presentation

-   The first three speakers were very engaging

-   We were able to ask questions during presentations

-   All new to me. Very informative.

-   Jim Gerhardt and Jeff Burgess

-   Overview by Jim Gerhardt and Dr. Shirazi's ER presentation

-   Dr. Shirazi

-   Identification of patients who may be involved in using meth and the
    effects on the children who are living in the home

-   It was all good

-   Dr. Shirazi's presentation. It covered many of the emotional and
    psychotic behaviors I have observed at Thunder Child by meth
    addicts.

-   Dr. Shirazi's presentation

-   Jim Gerhardt's presentation

-   Well-planned, speakers impressive

-   Jim Gerhardt

-   Morning speakers

**What would have made it a better training?**

-   Better projection screen

-   More video

-   Having more people talk about situations they have been in or anyone
    they know and how they resolved their problems

-   All tribal programs from high-ranking council members and employees
    to police, EMS and prosecution

-   Was all good

-   It is a good training as is

-   More attendance from local police, EMT

-   Refreshments and ice breakers. Real people that have been on meth
    and how they have overcome meth

-   Police department and more social services people, maybe housing
    (HUD)

-   To have actual people tell of their experiences

-   How would a community stop meth abuse

-   Great training, wouldn't change a thing

-   Better visual pictures -- larger and clearer

-   To have local personnel share their side on their dealings with meth
    if any . . .

-   Maybe have some samples of what it looks like (real stuff, not
    pictures). Maybe have a former meth addict speak about their life
    story. How they got started and how and why they quit.

-   How to arrest, punish meth users and sellers, manufacturers

-   Give info on management of meth addiction for clinician (today
    focused on ER visit only)

-   I think it could have been more clinically relevant

-   Bigger place

-   Possibly presenters/presenting put in order to help better
    perspectify *(sic)* concepts legal, medical, treatment, i.e., could
    begin with basic *(unreadable)* perspectives to meth issues

-   More time given to Dr. Shirazi to cover his topics in-depth

-   Longer

-   More breaks, sessions too lengthy

**What topics would you like to see in future trainings?**

-   More community involvement

-   Updated community meetings and reports

-   Teen pregnancies

-   Former users and former cookers who have been affected by meth.
    Local personnel who overcame addiction.

-   Similar topics

-   Anymore information will be very useful

-   More people involved with meth lab training and their equipment so
    they'll know what to do

-   Anything about meth

-   Meth, alcohol, diabetes, suicide

-   How to spot a cranker

-   Help on helping patients in out patient setting

-   Speakers from local organizations who deal directly with this
    problem on rez.

-   More specific and comprehensive training to various multi
    disciplinary *(sic)*

-   Physical effects of meth addiction, Hep C

-   Updates

-   How to move forth with prevention in our community. Samples of
    policies and procedures from other clinics

-   How to help the children

**Any other comments?**

-   A great training of very professional people. Great Job!

-   Good training. It made me think and now I will go home and educate
    my children

-   Awesome!

-   Keep up good presentations

-   Did a good job. Very informative.

-   I learned a lot. Thanks.

-   What is the answer? Law enforcement. Education and what? Task force,
    coalition. Need more positive activities for youth.

-   Exceeded my expectations

-   Keep having these trainings

-   Exceeded expectations

-   It was great! Very informative, learned new things, validated some
    areas I have observed.

-   Excellent

-   Awareness is always great!

-   More pictures