Legislature(2013 - 2014)BARNES 124

02/13/2014 08:00 AM House COMMUNITY & REGIONAL AFFAIRS


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08:11:27 AM Start
08:12:08 AM Presentation: Community Suicide Prevention
10:04:59 AM Adjourn
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
+ - Presentation: "Community Suicide Prevention" TELECONFERENCED
- Qungasvik Projects 2014 Update:
"Protecting Our Culture, Our Communities, Our
Families & Our Lives"
                    ALASKA STATE LEGISLATURE                                                                                  
    HOUSE COMMUNITY AND REGIONAL AFFAIRS STANDING COMMITTEE                                                                   
                       February 13, 2014                                                                                        
                           8:11 a.m.                                                                                            
                                                                                                                                
MEMBERS PRESENT                                                                                                               
                                                                                                                                
Representative Gabrielle LeDoux, Co-Chair                                                                                       
Representative Benjamin Nageak, Co-Chair                                                                                        
Representative Neal Foster                                                                                                      
Representative Bob Herron                                                                                                       
Representative Harriet Drummond                                                                                                 
                                                                                                                                
MEMBERS ABSENT                                                                                                                
                                                                                                                                
Representative Kurt Olson                                                                                                       
Representative Lora Reinbold                                                                                                    
                                                                                                                                
COMMITTEE CALENDAR                                                                                                            
                                                                                                                                
PRESENTATION: COMMUNITY SUICIDE PREVENTION                                                                                      
                                                                                                                                
     - HEARD                                                                                                                    
                                                                                                                                
PREVIOUS COMMITTEE ACTION                                                                                                     
                                                                                                                                
No previous action to record                                                                                                    
                                                                                                                                
WITNESS REGISTER                                                                                                              
                                                                                                                                
BILL CHARLES, Qungasvik Co-Investigator                                                                                         
Center for Alaska Native Health Research                                                                                        
University of Alaska Fairbanks                                                                                                  
Emmonak, Alaska                                                                                                                 
POSITION STATEMENT:  Provided a presentation of the Qungasvik                                                                 
Project.                                                                                                                        
                                                                                                                                
STACY RASMUS, PhD, Research Assistant Professor                                                                                 
Center for Alaska Native Health Research                                                                                        
Institute of Arctic Biology                                                                                                     
University of Alaska Fairbanks                                                                                                  
Fairbanks, Alaska                                                                                                               
POSITION STATEMENT:  Provided a presentation of the Qungasvik                                                                 
Project.                                                                                                                        
                                                                                                                                
JOSIE EDMUND, Prevention Coordinator                                                                                            
People Awakening Project                                                                                                        
Alakanuk, Alaska                                                                                                                
POSITION  STATEMENT:    Provided   information  on  the  Qungasvik                                                            
project in Alakanuk.                                                                                                            
                                                                                                                                
DESIREE JOE, Youth Participant                                                                                                  
People Awakening Project                                                                                                        
Alakanuk, Alaska                                                                                                                
POSITION  STATEMENT:   Related how  the  Qungasvik project  helped                                                            
her mother and family.                                                                                                          
                                                                                                                                
ROY BELL, Hooper Bay Qungasvik Prevention Coordinator                                                                           
Hooper Bay, Alaska                                                                                                              
POSITION STATEMENT:  Discussed the Hooper Bay Qungasvik project.                                                              
                                                                                                                                
JOSEPH BELL, Mayor                                                                                                              
Hooper Bay                                                                                                                      
Hooper Bay, Alaska                                                                                                              
POSITION STATEMENT:  During the presentation, provided comments.                                                              
                                                                                                                                
TOW MANN, Youth                                                                                                                 
Hooper Bay, Alaska                                                                                                              
POSITION  STATEMENT:     During  the  presentation,   related  his                                                            
perspective  as a youth  participant in  the Qungasvik  Project in                                                              
Hooper Bay.                                                                                                                     
                                                                                                                                
BEN NUKUSUK, Healthy Families Coordinator                                                                                       
Association of Village Council Presidents (AVCP)                                                                                
Hooper Bay, Alaska                                                                                                              
POSITION   STATEMENT:      During   the   presentation,   provided                                                            
information  as a Healthy  Families Coordinator  and resident  who                                                              
has personally been impacted by suicide.                                                                                        
                                                                                                                                
WILMA BELL-JOE, Member                                                                                                          
Building   Initiatives   in   Rural   Community   Health   (BIRCH)                                                              
AmeriCorps Program                                                                                                              
Rural Alaska Community Action Program RurAL CAP                                                                                 
Hooper Bay, Alaska                                                                                                              
POSITION  STATEMENT:    During  the  presentation,  discussed  the                                                            
BIRCH program and her experience with suicide.                                                                                  
                                                                                                                                
                                                                                                                                
ACTION NARRATIVE                                                                                                              
                                                                                                                                
8:11:27 AM                                                                                                                    
                                                                                                                                
CO-CHAIR BENJAMIN  NAGEAK called the House Community  and Regional                                                            
Affairs  Standing   Committee  meeting  to  order   at  8:11  a.m.                                                              
Representatives  LeDoux and  Nageak were  present at  the call  to                                                              
order.   Representatives Drummond,  Foster, and Herron  arrived as                                                              
the meeting was in progress.                                                                                                    
                                                                                                                                
^Presentation: Community Suicide Prevention                                                                                     
           Presentation: Community Suicide Prevention                                                                       
                                                                                                                              
8:12:08 AM                                                                                                                    
                                                                                                                                
CO-CHAIR NAGEAK  announced that the  only order of  business would                                                              
be  a presentation  of Community  Suicide  Prevention:   Qungasvik                                                              
Projects.   He  acknowledged  that it's  difficult  to talk  about                                                              
suicide,  but expressed  the need  to discuss  suicide and  relate                                                              
one's  experiences  with suicide  as  suicide doesn't  know  one's                                                              
station  in  life.    He  then  related  that  his  son  committed                                                              
suicide, which  he thinks about  daily and reinforces the  need to                                                              
discuss suicide.                                                                                                                
                                                                                                                                
8:16:01 AM                                                                                                                    
                                                                                                                                
BILL  CHARLES,   Qungasvik  Co-Investigator,  Center   for  Alaska                                                              
Native Health Research,  University of Alaska Fairbanks,  began by                                                              
introducing  Joseph  Bell, elder  and  mayor of  Hooper  Bay.   He                                                              
explained  that the  presentation  will relate  how an  indigenous                                                              
structure  is   being  built  to   combat  disparities   [such  as                                                              
suicide].                                                                                                                       
                                                                                                                                
8:17:45 AM                                                                                                                    
                                                                                                                                
STACY  RASMUS,  PhD,  Research  Assistant  Professor,  Center  for                                                              
Alaska  Native  Health  Research,  Institute  of  Arctic  Biology,                                                              
University of Alaska  Fairbanks, said that the  presentation today                                                              
will  focus on  what is  working in  the communities  in terms  of                                                              
strengths and  survival strategies  to combat  some of  the issues                                                              
youth face.   She then directed  attention to a  document entitled                                                              
"Qungasvik  Projects:   2013  Legislative  Update"  for which  the                                                              
youth  [from Hooper  Bay]  designed  the cover.    She said  there                                                              
would  be  discussion regarding  how  researchers  are  partnering                                                              
with  communities  to help  provide  evidence that  Alaska  Native                                                              
cultural  and traditional  practices  are  effective  in terms  of                                                              
helping  to prevent  suicide,  increase  reasons  for living,  and                                                              
create   healthy  young   people.     The  aforementioned   allows                                                              
communities to  build programming and services  around traditional                                                              
modalities.   Dr. Rasmus then informed  the committee that  she is                                                              
a  Lummi tribal  member from  Washington  State who  has lived  in                                                              
Alaska for  over 15 years.  She  noted that she continues  to work                                                              
with her  tribes in the Pacific  Northwest while working  with the                                                              
tribes in  the Yukon Kuskokwim Delta  region on issues  related to                                                              
youth  and the creation  of healthy  youth and  communities.   The                                                              
aforementioned,   she   opined,   is  very   important   to   her,                                                              
particularly   since  it   saved   her  life,   people,   culture,                                                              
traditions, and can continue to do so.                                                                                          
                                                                                                                                
8:22:10 AM                                                                                                                    
                                                                                                                                
CO-CHAIR LEDOUX asked if Dr. Rasmus grew up on a reservation.                                                                   
                                                                                                                                
DR. RASMUS  answered that although  she grew up on  a reservation,                                                              
her father  was non  Native so she  experienced going  between the                                                              
city and  the reservation, which  she characterized as  a struggle                                                              
as well as a benefit.                                                                                                           
                                                                                                                                
MR. CHARLES explained  that Dr. Rasmus lived in  the Alaska Native                                                              
communities when  she was doing her  work and he considered  her a                                                              
resident of the communities.                                                                                                    
                                                                                                                                
8:23:33 AM                                                                                                                    
                                                                                                                                
DR. RASMUS emphasized  that although there is a  tendency to focus                                                              
on what's  not working  for and  the problems  of Native  peoples,                                                              
she wanted to  discuss the strength and healing  that is happening                                                              
in  Alaska.   She  said  she  would discuss  the  social  movement                                                              
toward the strengths,  healing, and identification  of what's good                                                              
about being  Native as well as  why it's necessary to  protect and                                                              
support  traditional ways.   Dr.  Rasmus told  the committee  that                                                              
this movement  began in  Alakanuk, residents  of which  will share                                                              
their  story today.   With the  support of  committee members  and                                                              
the  state,   the  effort   has  grown   to  include   four  other                                                              
communities.   Today, residents  of Hooper  Bay are in  attendance                                                              
and will also  share transformational experiences and  the data to                                                              
support  that  youth are  changing  because  of  the work  in  the                                                              
community.   Both  Alakanuk and  Hooper Bay  are known  throughout                                                              
the state  as communities  that have  been devastated  by suicide.                                                              
However,  today  the community  residents  will share  stories  of                                                              
hope and healing.   There will also  be a review of  the Qungasvik                                                              
model,  which  is  a Yup'ik  process  that  is  a  community-level                                                              
prevention  effort.   Dr.  Rasmus  then  directed attention  to  a                                                              
slide illustrating  the disparities  in alcohol abuse  and suicide                                                              
rates  for Alaska  Natives,  including  young Alaska  Natives,  in                                                              
particular  young  Alaska  Native  men.   She  then  informed  the                                                              
committee that  young Alaska Native  women, age 15-24,  experience                                                              
an  exponentially  higher rate  of  attempted suicides  and  being                                                              
hospitalizations at the Alaska Psychiatric Institute.                                                                           
                                                                                                                                
8:27:49 AM                                                                                                                    
                                                                                                                                
CO-CHAIR   LEDOUX   asked   if   the  suicide   rate   itself   is                                                              
exponentially higher  or just the attempts.  She  then inquired as                                                              
to whether Dr.  Rasmus reads anything into the  difference between                                                              
the attempts versus the actual outcomes.                                                                                        
                                                                                                                                
DR. RASMUS  presented a slide  that illustrates the  prevalence of                                                              
completed suicides  per gender and  race.  The slide  relates that                                                              
young  Alaska Native  males have  a higher rate  of completion  of                                                              
suicide.  However,  data from Alaska's Bureau of  Vital Statistics                                                              
relates  that the  rate of  Alaska  Native females  who have  been                                                              
hospitalized  from lethal  attempts is  the highest.   In  further                                                              
response  to   Co-Chair  LeDoux,   Dr.  Rasmus  opined   that  the                                                              
aforementioned  information  means   that  the  issue  of  suicide                                                              
crosscuts gender,  race, and  age.   She clarified, however,  that                                                              
this doesn't  mean  that only Alaska  Native  males are the  focus                                                              
but  rather  that  the  issues   impact  youth  of  both  genders.                                                              
Suicide is a  complex issue, she emphasized, as  it's difficult to                                                              
separate  out other factors,  such as  substance abuse,  thoughts,                                                              
actions, and self-harm behavior.                                                                                                
                                                                                                                                
8:29:39 AM                                                                                                                    
                                                                                                                                
CO-CHAIR  LEDOUX  asked,  with   respect  to  women,  whether  the                                                              
suicide  attempts  are a  cry  for  help  as opposed  to  actually                                                              
wanting to complete the suicide.                                                                                                
                                                                                                                                
DR. RASMUS emphasized that it's all a cry for help.                                                                             
                                                                                                                                
MR.  CHARLES  added  that  [attempted  suicides  illustrate  that]                                                              
something is missing.                                                                                                           
                                                                                                                                
DR. RASMUS  pointed out  that substance  abuse is  also a  cry for                                                              
help as  it's another  form of self-harm.   Substance  abuse, like                                                              
suicide, is a symptom.                                                                                                          
                                                                                                                                
8:30:32 AM                                                                                                                    
                                                                                                                                
DR. RASMUS,  continuing her  presentation, informed  the committee                                                              
that in  1988 a Pulitzer prize  winning series entitled  "A People                                                              
in  Peril" featured  the  community  of Alakanuk.    Historically,                                                              
Alakanuk has  suffered from epidemic  levels of suicide  and short                                                              
periods of  time during  which clusters  of [suicide]  occurred to                                                              
the  degree  that  entire  generations  were  lost.    The  series                                                              
created a lot of  attention on the state and the  thought that the                                                              
rate at  the time  would result  in [Alaska  Natives] being  gone.                                                              
The aforementioned  led to  a summit of  Alaska Native  leaders in                                                              
1992  during which  they acknowledged  the  suffering from  issues                                                              
but also  stressed there  are strong  people in their  communities                                                              
who have  the knowledge  and teachings  to bring  back the  strong                                                              
and healthy  ways.   The [Alaska  Native leaders] emphasized  that                                                              
they are  not a vanishing  and dying people  as they  have passion                                                              
for life and  so much for which  to live.  Therefore,  the leaders                                                              
said they  wanted to learn  more about how  to use and  follow the                                                              
[tenets]  of those  Alaska Natives  who are  living healthy  lives                                                              
and don't commit  suicide.  The aforementioned call  to action was                                                              
supported by the  Alaska Federation of Natives (AFN).   Dr. Rasmus                                                              
stressed that  the majority of  young Alaska Natives  don't commit                                                              
suicide  but  rather   lead  healthy  lives  and   become  amazing                                                              
leaders,  and thus  the  question  became how  to  do  that.   The                                                              
aforementioned  resulted in  the People  Awakening Project,  which                                                              
is how  she was  first connected  with the  Yup'ik communities  of                                                              
Alakanuk   and  Emmonak.     The  project   sought  to   interview                                                              
individuals to  identify sources  and strategies of  strength that                                                              
could  be highlighted  and supported  through prevention  efforts.                                                              
The People Awakening  Project described a model  of protection and                                                              
recovery.   The model  of protection  has now  come to  inform the                                                              
culturally based  prevention work in  Alakanuk.  In  the Qungasvik                                                              
the  protective  factors  are  identified  and there  is  a  model                                                              
regarding  how  to  teach  them  and  the  process  by  which  the                                                              
strengths and  protections are built  into young people  such that                                                              
there  is  an  increase  in  the  reasons  to  live.    Through  a                                                              
community initiated effort, the Qungasvik was developed.                                                                        
                                                                                                                                
8:35:49 AM                                                                                                                    
                                                                                                                                
DR.  RASMUS  related that  in  2002  she  was a  village  clinical                                                              
supervisor for  the Yukon-Kuskokwim Health Corporation  (YKHC) and                                                              
in  that capacity  helped  serve  Alakanuk.   She  noted that  she                                                              
thought  she knew  [the situation]  since she  had grown  up on  a                                                              
reservation,  but she encountered  something  she had never  seen;                                                              
Alakanuk had lost 11 young people in an 18-month period.                                                                        
                                                                                                                                
8:36:15 AM                                                                                                                    
                                                                                                                                
CO-CHAIR  LEDOUX asked  if there  is  a statistically  significant                                                              
difference  in  the  suicide  rate  among  those  who  live  on  a                                                              
reservation and others.                                                                                                         
                                                                                                                                
DR.  RASMUS related  that while  living on  the Lummi  reservation                                                              
she didn't  see suicides but rather  saw a lot of  drug overdoses.                                                              
However,  she  acknowledged  that   there  are  reservations  with                                                              
[severe  suicide  problems].   She  reiterated the  complexity  of                                                              
suicide, and pointed  out that there are villages  in Alaska where                                                              
there isn't the clustering of suicides.                                                                                         
                                                                                                                                
8:38:06 AM                                                                                                                    
                                                                                                                                
DR.   RASMUS,  returning   to  her   presentation,  informed   the                                                              
committee  that in  the early  2000s another  cluster of  suicides                                                              
was occurring in  Alakanuk.  However, at this point  the people in                                                              
the community  came together.   In fact, the tribal  administrator                                                              
asked her  what is going  on with the  youth in Alakanuk  to which                                                              
she suggested  the community seek  answers from its members.   Dr.                                                              
Rasmus said she  then returned to UAF to work on  the question and                                                              
help  support the  community in  its  own process.   Alakanuk  was                                                              
ready, evidenced  by the  steps it was  already taking  to address                                                              
suicide by the  time the university arrived with  funding from the                                                              
National Institutes  of Health to help them grow  their effort and                                                              
create the Qungasvik.   Dr. Rasmus highlighted  the key difference                                                              
with the community of Alakanuk was that it asked for help.                                                                      
                                                                                                                                
8:39:58 AM                                                                                                                    
                                                                                                                                
JOSIE EDMUND,  Prevention Coordinator,  People Awakening  Project,                                                              
presented a slide  with Alakanuk elders who met  regarding why the                                                              
community was going  through such a difficult time.   Although the                                                              
meetings began  with just a few  elders, the numbers grew  as they                                                              
continued  to  meet.    The  name  of  the  Qungasvik  project  in                                                              
Alakanuk  is  Elluam Tungiinun  Egelruciq  Ikayuulluta  Agauytmek,                                                              
which means "Movement  towards wellness together with  the help of                                                              
God."  She  then shared a slide  with a photograph of  a community                                                              
meeting during which  there were discussions about  the issues and                                                              
possible  solutions.    She  next   shared  a  photograph  of  the                                                              
Qungasvik activities  in which the men  sit in a circle,  which is                                                              
what the  ancestors  did to teach  life skills.   This  particular                                                              
activity  was  related to  gender  roles  and  life skills.    The                                                              
meeting began  with both genders  and then they split  into groups                                                              
by gender.                                                                                                                      
                                                                                                                                
8:42:03 AM                                                                                                                    
                                                                                                                                
DESIREE  JOE,   Youth  Participant,   People  Awakening   Project,                                                              
related that when  the Elluam Tungiinun project began  she was one                                                              
of  the many  young people  who  joined the  group.   She  further                                                              
related  that  at  that  time she  had  a  difficult  family  life                                                              
because her  mother contemplated suicide  and talked to  her about                                                              
it.  She explained  that she was a child who  didn't listen to her                                                              
parents or  grandparents, but the  program helped her to  learn to                                                              
respect  them.   She said  the program  helped  her a  lot as  she                                                              
related what  the elders  would say to  her mother;  she continued                                                              
to  talk  with and  listen  to  her  mother.   Although,  as  time                                                              
passed, her mother  began to say everything would  be alright, Ms.                                                              
Joe would  still wake  scared that  her mother  wouldn't be  there                                                              
when  she woke,  which was  so difficult.   Ms.  Joe concluded  by                                                              
relating how  thankful she  is for the  program, which  she opined                                                              
helps everyone  including  those who don't  attend because  others                                                              
can  relate the  information.   The program,  Ms. Joe  emphasized,                                                              
certainly helper her mother and family.                                                                                         
                                                                                                                                
8:46:31 AM                                                                                                                    
                                                                                                                                
MS. EDMUND  said [the  community] was always  afraid as  it didn't                                                              
know what would  come about or who would be next.   When community                                                              
members  met  as a  group,  bonds  were forged  between  everyone,                                                              
including the elders  and the youth.  The bonds  and relationships                                                              
made  it easier  to share  what  people were  going through,  have                                                              
support,  and learn  how  to be  self-sufficient  by learning  the                                                              
cultural  ways.    Furthermore,  this  all  provided  people  with                                                              
confidence  and a  sense of  their Alaska  Native identity,  which                                                              
[is evidenced  in their  physical presence as  well].   Ms. Edmund                                                              
then shared a  photograph of a qasgiq during  which the importance                                                              
of the  ayaruq, the walking stick was  taught.  The  walking stick                                                              
discussion includes  how it  can save lives  in terms of  the life                                                              
paths  chosen.  In  a photograph  showing a  girl's Kuspuk  making                                                              
class, Ms.  Edmund highlighted a  young woman who lost  her mother                                                              
but continued  to  make her  Kuspuk by  hand.  She  then shared  a                                                              
photograph  in which  Hooper Bay  was in attendance  to learn  the                                                              
process used  during Alakanuk qasgiq  meetings so that  Hooper Bay                                                              
can make it its own.                                                                                                            
                                                                                                                                
8:50:21 AM                                                                                                                    
                                                                                                                                
DR.  RASMUS informed  the committee  that  Alakanuk's program  has                                                              
been in place since  2006.  Through research at  UAF outcomes have                                                              
been  tracked. The  communities  have tracked  their own  outcomes                                                              
and come  together to  discuss the changes  they have  observed in                                                              
the communities.   Dr.  Rasmus reminded  the committee  that three                                                              
years  ago  she and  Mr.  Charles  came  before the  committee  to                                                              
discuss those outcomes  and celebrate that it had  been four years                                                              
since  Alakanuk cast  the spirit  of suicide  from the  community.                                                              
However,  the  process  is  ongoing and  the  community  needs  to                                                              
remain  vigilant and  continue the  work in order  to include  new                                                              
generations of  young people and elders.   Some of the  elders who                                                              
participated  at  the beginning  can  no longer  participate,  but                                                              
their teachings were  preserved through this program.   Dr. Rasmus                                                              
noted  that  Ms.  Edmund  was an  amazing  instructor  and  parent                                                              
leader  who  has  now become  the  training  coordinator  for  the                                                              
Alakanuk project.                                                                                                               
                                                                                                                                
8:52:59 AM                                                                                                                    
                                                                                                                                
DR. RASMUS then  turned to the community of Hooper  Bay, which she                                                              
and  Mr. Charles  first  visited in  2012 with  lots  of hope  and                                                              
expectations.   The meeting was  very much like the  first meeting                                                              
in Alakanuk;  during the  first meeting  in Hooper Bay  attendants                                                              
related  the community  was ready  to  address the  issue and  had                                                              
already  identified  resources  and  strengths,  but  just  needed                                                              
support.                                                                                                                        
                                                                                                                                
8:54:49 AM                                                                                                                    
                                                                                                                                
CO-CHAIR  LEDOUX   inquired  as  to  the  economic   situation  in                                                              
Alakanuk and Hooper Bay.                                                                                                        
                                                                                                                                
8:55:04 AM                                                                                                                    
                                                                                                                                
ROY BELL, Hooper  Bay Qungasvik Prevention  Coordinator, specified                                                              
that  the  employment   opportunities  in  Hooper   Bay  are  very                                                              
limited.  In fact,  the only jobs available are  through the city,                                                              
tribe, schools, or the local clinic.                                                                                            
                                                                                                                                
CO-CHAIR  LEDOUX  asked  if  the lack  of  job  opportunities  has                                                              
anything to do with the depression that leads to suicides.                                                                      
                                                                                                                                
MR. BELL answered yes and no.                                                                                                   
                                                                                                                                
REPRESENTATIVE  FOSTER informed  the  committee  that Hooper  Bay,                                                              
Alakanuk,  Emmonak, and all  the communities  in the  Wade-Hampton                                                              
census area  are considered the  most economically  challenged, in                                                              
terms of  income levels,  in the state.   Suicide, he  emphasized,                                                              
is  such a  complex  issue and  certainly  [the  lack of  economic                                                              
opportunities] is part of it.                                                                                                   
                                                                                                                                
8:56:44 AM                                                                                                                    
                                                                                                                                
MR.  BELL  related  that  the  project  name  for  Hooper  Bay  is                                                              
"Civuliamta  Picirayarait,"  which  means  "Our ancestral  way  of                                                              
life."   Although Naparyarmiut,  the Yup'ik  name for  Hooper Bay,                                                              
means "trees,"  there are  no trees  in Hooper  Bay.   However, he                                                              
recalled   learning   from  the   stories   of  his   father   and                                                              
grandparents  that [those in  Hooper Bay]  are warriors  who, like                                                              
trees, stand  tall, strong, and  together.  The  aforementioned is                                                              
the message  being passed on  to the youth  in the area.   He then                                                              
shared a  photograph of elders,  Yup'ik teachers, and  a teacher's                                                              
aide who  met with the  principal to relate  that they want  to be                                                              
part of the  education of the  Hooper Bay youth.   Therefore, they                                                              
began  working  with  the  Yup'ik  teachers.      He  also  shared                                                              
photographs  of  meetings,  meetings   much  like  those  held  in                                                              
Alakanuk,  with the  elders and  youth regarding  gender roles  in                                                              
the community.   While  sharing photographs  of jigging  hooks the                                                              
youth  made and  the  youth ice  fishing  with  the jigging  hooks                                                              
afterwards,  Mr. Bell  explained that  not only  are the youth  in                                                              
Hooper  Bay  being  taught  life skills,  they  are  being  taught                                                              
subsistence hunting  and gathering as  well as ice, gun,  and boat                                                              
safety  and  survival  skills  including   landmarks.    The  next                                                              
photograph  he shared  was  of the  local  youth  group, which  is                                                              
named the  Native survivors.  He  noted that the youth  group, for                                                              
the first time,  was involved in the annual Louie  Bunyan Memorial                                                              
Festival.  Mr. Bell  shared a photograph of the  winter games held                                                              
in Hooper  Bay.   He pointed  out that  like Alakanuk,  Hooper Bay                                                              
explains the  many uses  of the  ayaruq, walking stick,  including                                                              
how it can save  your life.  The last photograph  he shared was of                                                              
the entrance  to the Youth and  Elder Center in Hooper  Bay, which                                                              
uses photos  to relate the  history of the  area.  In  response to                                                              
Co-Chair LeDoux,  he stated that  the population of Hooper  Bay is                                                              
1,244.                                                                                                                          
                                                                                                                                
9:04:16 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE HERRON  inquired as to when Hooper  Bay realized it                                                              
was ready [for help].                                                                                                           
                                                                                                                                
MR. BELL  related youth have been  learning to gather  beach grass                                                              
as Hooper  Bay it's known  for its baskets,  greens and  eggs from                                                              
the Tundra, clams,  and fishing.  In response  to Co-Chair Nageak,                                                              
Mr. Bell  said Hooper Bay has  been using [the  Qungasvik program]                                                              
for three to four years.                                                                                                        
                                                                                                                                
DR.  RASMUS related  that  during the  initial  meetings with  the                                                              
Hooper  Bay tribal  administrator  and  other leaders,  they  said                                                              
they  were  ready  because  they had  enough  [of  the  suicides].                                                              
Furthermore,  it was  the first  time  when all  of the  community                                                              
entities were came together.                                                                                                    
                                                                                                                                
MR.  CHARLES  added that  the  leaders  of  Hooper Bay  had  heard                                                              
stories of  various programs,  but didn't  pay too much  attention                                                              
to them because  they saw programs  come and go with  the funding.                                                              
However, during  that [initial]  meeting with the  administration,                                                              
the discussion  of the  Qungasvik seemed to  resonate with  one of                                                              
the  vice chiefs  who  said a  meeting of  the  leaders should  be                                                              
called.                                                                                                                         
                                                                                                                                
9:07:25 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE  HERRON recalled  the  large fire  that started  by                                                              
the  school  [in  Hooper  Bay]   and  asked  if  that  caused  the                                                              
community to  come together to discuss  the situation and  have an                                                              
awareness that  the community had  enough.  Representative  Herron                                                              
recalled that when  the fire occurred he was  working for Alaska's                                                              
congressional  delegation  and when  visiting  Hooper  Bay it  was                                                              
striking to  him that at that time  Hooper Bay, one of  the larger                                                              
communities  in the area,  was forced  to contemplate  its future.                                                              
He commented  that  it's remarkable  that Hooper  Bay has  come so                                                              
far.                                                                                                                            
                                                                                                                                
9:09:08 AM                                                                                                                    
                                                                                                                                
CO-CHAIR LEDOUX  inquired as to  what Representative  Herron meant                                                              
by his statement that Hooper Bay was forced to come together.                                                                   
                                                                                                                                
REPRESENTATIVE  HERRON  explained  that  the fire  in  Hooper  Bay                                                              
could've  been catastrophic  due  to the  nearby fuel  tanks.   He                                                              
said  he was  questioning  whether the  near  catastrophe was  the                                                              
reason Hooper Bay decided to change.                                                                                            
                                                                                                                                
9:10:28 AM                                                                                                                    
                                                                                                                                
MR.  BELL,  continuing  the  presentation,   reiterated  that  the                                                              
residents  of Hooper  Bay  are warriors  and  one  of the  hunting                                                              
tools is the  yo-yo.  He then  shared a photograph of  youth being                                                              
taught how  to make yo-yos and how  they are used for  playing and                                                              
hunting.   Hooper  Bay  has a  lot  of history  and  the youth  in                                                              
Hooper Bay  are being taught  that history.   In fact,  youth have                                                              
been boated to  various historic sites, including the  site of the                                                              
famous footprints of the ancestors of Hooper Bay.                                                                               
                                                                                                                                
9:12:53 AM                                                                                                                    
                                                                                                                                
JOSEPH BELL, Mayor,  Hooper Bay, began by noting  that being mayor                                                              
has been  a learning experience,  one he  said he took  on because                                                              
community  members encouraged  him to  do so  and since no  others                                                              
stepped  forward.   He then  related gratefulness  for Dr.  Rasmus                                                              
and Mr.  Charles and  what they  have brought  to Hooper  Bay, the                                                              
oldest subsistence  village with a  population of 250.   He shared                                                              
a photograph of the location of the footprints of his ancestors.                                                                
                                                                                                                                
MR.  BELL informed  the  committee that  stories  of Hooper  Bay's                                                              
history are  told in  the center  as well as  the location  in the                                                              
story.  He then  shared a photograph of youth digging  for clay to                                                              
make clay pots.                                                                                                                 
                                                                                                                                
MAYOR  BELL, referring  to a  photograph,  recalled learning  from                                                              
his elders how  to make sod houses  and fire bath sod  houses.  He                                                              
also discussed  using the  clay to make  items that  the ancestors                                                              
used to make from it.                                                                                                           
                                                                                                                                
9:21:15 AM                                                                                                                    
                                                                                                                                
MR.  BELL informed  the committee  that every  year the  community                                                              
received  new teachers  who  don't understand  the  Yup'ik way  of                                                              
life.   Therefore, a  community potluck for  the teachers  is held                                                              
in  order  to welcome  the  teachers  and  to  show them  who  the                                                              
residents of Hooper Bay are and how they live.                                                                                  
                                                                                                                                
9:21:48 AM                                                                                                                    
                                                                                                                                
CO-CHAIR LEDOUX asked if the teachers ever stay in Hooper Bay.                                                                  
                                                                                                                                
MR. BELL  answered  that there are  teachers  who stay year  after                                                              
year while others don't stay.                                                                                                   
                                                                                                                                
9:22:24 AM                                                                                                                    
                                                                                                                                
MAYOR BELL  then shared  a photograph of  youth making  black fish                                                              
traps, taluyat.   He emphasized his desire for youth  to learn how                                                              
to make  actual/real tools,  not toys,  and use  them.   The youth                                                              
used  the  black   fish  traps  to  catch  black   fish  and  then                                                              
distributed them to the elders in the community.                                                                                
                                                                                                                                
9:24:45 AM                                                                                                                    
                                                                                                                                
MR.  BELL then  shared photographs  of the  youth making  Kuspuks,                                                              
dipnetting, and learning  how to drum and dance.   The interest in                                                              
these activities  from the youth  has been increasing,  he pointed                                                              
out  as he  shared  a photograph  of  the Hooper  Bay  Traditional                                                              
Youth Dancers.                                                                                                                  
                                                                                                                                
9:25:38 AM                                                                                                                    
                                                                                                                                
TOW MANN,  Youth, related that originally  he was one of  only two                                                              
youth involved  with the drumming,  but once the word  spread more                                                              
youth,  drummers and  dancers,  became involved.    As more  youth                                                              
participated daily, the faces of the youth "lifted," he said.                                                                   
                                                                                                                                
9:26:31 AM                                                                                                                    
                                                                                                                                
CO-CHAIR NAGEAK  remarked that  [Alaska Native] youth  [throughout                                                              
the state] are  becoming more interested and involved  with making                                                              
and  playing drums  and dancing.    He expressed  his pleasure  in                                                              
this return  to the basics of  [the Alaska Native culture]  by the                                                              
youth as it's a way in which to heal and pass on traditions.                                                                    
                                                                                                                                
9:27:41 AM                                                                                                                    
                                                                                                                                
MR. BELL  highlighted that youth  are not only taught  about tools                                                              
for  subsistence hunting  but  also about  healthy  relationships,                                                              
taking  care  of  oneself,  and   goals  and  dreams.    Mr.  Bell                                                              
explained  that he  relates  to the  youth  the steps  he took  to                                                              
attend  college  in  Los  Angeles   and  the  experiences  he  had                                                              
accomplishing his goals.                                                                                                        
                                                                                                                                
9:28:11 AM                                                                                                                    
                                                                                                                                
DR.  RASMUS  reminded  the committee  that  Hooper  Bay's  program                                                              
began  in 2012  and the  community  has come  together  as it  has                                                              
continued  to work  on  the program.    She highlighted  that  the                                                              
committee  packet should  include the data  illustrating  that the                                                              
community  and  its  youth  are   already  changing  and  need  to                                                              
continue  to build  on  that.   She  then  pointed  out the  large                                                              
number  of people  from  Hooper Bay  present  to illustrate  their                                                              
commitment to the program.                                                                                                      
                                                                                                                                
9:30:22 AM                                                                                                                    
                                                                                                                                
BEN  NUKUSUK,   Healthy  Families   Coordinator,  Association   of                                                              
Village Council  Presidents  (AVCP), related  that for many  years                                                              
suicide was  something to which  the community became  accustomed.                                                              
However, the community  came together to work with  Dr. Rasmus and                                                              
Mr. Charles, both  of which he characterized as a  blessing.  Last                                                              
year,  folks worked  hard  in their  individual  jobs  as well  as                                                              
together as a coalition.   He noted that his specialty  is talking                                                              
with 9th-12th  grade students,  which is the  age group  that most                                                              
often commits  suicide.   The community is  taking a  strong stand                                                              
and doing what it  can to stem the [suicide trends].   Mr. Nukusuk                                                              
opined  that [the  program]  has made  the  biggest difference  as                                                              
evidenced by  no suicides in Hooper  Bay in 2013.  He  related the                                                              
story of  his 14-year-old nephew's  suicide and the impact  it had                                                              
on  his   mother.    Mr.   Nukusuk  emphasized  that   suicide  is                                                              
preventable.   He said  he relates  to the  9th-12th graders  that                                                              
there  is no  problem  on  this planet  that  is cause  to  commit                                                              
suicide.   Furthermore,  there are  people  who care  and help  is                                                              
available.                                                                                                                      
                                                                                                                                
9:37:07 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FOSTER  mentioned that he was in  Hooper Bay during                                                              
the  suicide  of  Mr.  Nukusuk's  nephew  in  2010,  which  really                                                              
brought the issue of suicide to the forefront for him.                                                                          
                                                                                                                                
9:37:50 AM                                                                                                                    
                                                                                                                                
CO-CHAIR NAGEAK remarked  that the sad days are  the anniversaries                                                              
of those evil events  as no one wants to go through  it again.  He                                                              
mentioned  that the  anniversary of  his son's  suicide is  in the                                                              
near future.   Co-Chair Nageak emphasized that there  are many who                                                              
have been  touched  by suicide and  people need  to start  talking                                                              
about it.   People, youth in  particular, need to  understand that                                                              
it's  okay to  feel  bad, but  one  must get  better  and talk  to                                                              
others.   Furthermore,  he urged  people  to talk  with those  who                                                              
seem to have  the weight of  the world on their  shoulders because                                                              
it may  save that person.   He thanked everyone,  particularly the                                                              
youth, for the  hard work, the discussions about  suicide, and the                                                              
resulting  healing.   He  concluded by  emphasizing  that life  is                                                              
precious.                                                                                                                       
                                                                                                                                
9:40:43 AM                                                                                                                    
                                                                                                                                
WILMA BELL-JOE,  Member, Building  Initiatives in Rural  Community                                                              
Health (BIRCH)  AmeriCorps Program, Rural Alaska  Community Action                                                              
Program  RurAL CAP,  told  the committee  that  the BIRCH  program                                                              
discusses  suicide prevention,  drug and  alcohol prevention,  and                                                              
living healthy  lifestyles.   She related  that three  years prior                                                              
to her  involvement with  the program,  she lost her  stepdaughter                                                              
to suicide.   A few  months after she  lost her stepdaughter,  she                                                              
said  she  realized  that  her  oldest  son  was  struggling  with                                                              
suicidal  thoughts.   Moreover, she  related that  growing up  she                                                              
lost eight  friends to  suicide, was  a victim  of the  2006 fire,                                                              
and was involved  in a troubled and domestic  violent relationship                                                              
for  18 years.   The  aforementioned and  being told  by an  elder                                                              
that  she needed  to address  her  own family's  issues, made  her                                                              
realize she  had to stop [working  as a community health  aide] in                                                              
order to address  the problems in her own family.   Last year, she                                                              
was  hired  with  the  BIRCH  program   for  which  she  shared  a                                                              
photograph of  its participants  and introduced the  youth leaders                                                              
who were  present.  Ms.  Bell-Joe said  she realized that  some of                                                              
the   youth  didn't   understand   the  information   from   other                                                              
organizations  that talked to  them about  suicide, which  led her                                                              
to  learn to  speak in  the language  of  the youth  so that  they                                                              
could  understand depression  and  stress.   Ms. Bell-Joe  related                                                              
that through  the program her son  is changing and  realizing that                                                              
she, too, has  changed to be a  better person.  All  the youth are                                                              
told that  they are the  future and shouldn't  give up.   She then                                                              
expressed her  gratitude for  Dr. Rasmus  and Mr. Charles  because                                                              
without their  help, the community  would likely not have  been as                                                              
successful  addressing   the  issues.    Ms.  Bell-Joe   said  she                                                              
encourages  the youth  to  respect their  parents,  do better  for                                                              
themselves,  finish school, and  attend college.   She  noted that                                                              
at this  point the  members of  the youth  group are helping  each                                                              
other and  see things  as a  collective.   She expressed  pride in                                                              
the youth,  their unity,  work with  learning their Alaska  Native                                                              
language, and  pride in being an  Alaska Native.  The  youth group                                                              
decided  to  call themselves  the  Native  Survivors as  they  are                                                              
going  to study  and learn  how to survive  and take  the best  of                                                              
both worlds [Alaska Native and non-Native].                                                                                     
                                                                                                                                
9:52:21 AM                                                                                                                    
                                                                                                                                
MR.  CHARLES thanked  the committee  and expressed  hope that  the                                                              
presentation  will illustrate  a  curriculum  for [Alaska  Native]                                                              
communities.   He related  his belief  that education  is  how one                                                              
survives in  the environment, but  too often the education  of the                                                              
Western  culture  isn't  utilized  to the  fullest  extent  Native                                                              
Alaskans  could.    He pondered  how  much  of  Western  education                                                              
Alaska  Native  youth  could  capture  if  they  were  taught  the                                                              
protective factors  early in life.   He opined that  Alaska Native                                                              
ancestors had  early childhood  education down  to a science.   He                                                              
emphasized that he  is proud to work as a  researcher representing                                                              
his community just  as his ancestors who did things  over and over                                                              
until   perfection  was   reached.     Mr.   Charles  noted   that                                                              
Representative  Foster was  instrumental  in  the [Qasgiq  Model],                                                              
the only indigenous  model with scientific proof that  it works in                                                              
Alaska.      He  reminded the  committee  that  the  qasgiq  is  a                                                              
communal  place that  has  existed  for years,  a  men's house,  a                                                              
place of cleansing,  and a gathering place.  The  [Qungasvik] is a                                                              
guide  with  modules  illustrating   the  process  to  perform  an                                                              
activity, an  activity in which  the elders teach  with compassion                                                              
and love.   Even the  teaching of the  ayaruq, the  walking stick,                                                              
is a  symbol of  life, love, and  relates that  one is  not alone.                                                              
Furthermore,  the qasgiq  provides  a place  to  come together  to                                                              
begin healing.                                                                                                                  
                                                                                                                                
9:56:57 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE   DRUMMOND  related   her   appreciation  for   the                                                              
graphics in the presentation.                                                                                                   
                                                                                                                                
9:57:34 AM                                                                                                                    
                                                                                                                                
DR. RASMUS  thanked everyone, particularly  Representative Foster,                                                              
because the  support provided in  2010 resulted in the  ability to                                                              
hire  another  person   in  Hooper  Bay,  which   she  opined  was                                                              
extremely  critical to  the success  in  Hooper Bay.   Dr.  Rasmus                                                              
stressed  that  there is  empirical  scientific  data  as well  as                                                              
community  observations  that the  process  is working  in  Hooper                                                              
Bay.  She  noted that people  become scared to talk  about suicide                                                              
when  it's not  happening.   She  further  noted  that during  her                                                              
visit  last  summer Hooper  Bay  felt  different as  something  is                                                              
happening  there  and it's  something  that should  continue,  she                                                              
opined.                                                                                                                         
                                                                                                                                
9:58:37 AM                                                                                                                    
                                                                                                                                
REPRESENTATIVE FOSTER  noted his  appreciation and thanks  for the                                                              
efforts of  everyone to address  the issue and testimony  in which                                                              
folks  shared  their stories.    He  then  pointed out  that  this                                                              
committee  meeting is  being  transmitted via  the  Internet.   He                                                              
recalled being in  Hooper Bay when Mr. Nukusuk's  nephew committed                                                              
suicide and  in St.  Michaels when  there was  a suicide  as well.                                                              
He echoed earlier  remarks that suicide is complex  such that lack                                                              
of jobs,  loss of culture,  alcohol, domestic violence  and sexual                                                              
assault, lack  of hope for the  future, and depression  are things                                                              
that  become compounded  by other  things that  aren't so  direct,                                                              
such  as  health  issues  and  food   insecurity.    Some  of  the                                                              
solutions,  including  understanding   goals  and  dreams,  having                                                              
respect  for elders,  and supporting  traditional and  subsistence                                                              
practices, have  been discussed.   The bottom line, he  opined, is                                                              
that it's  rooted in the culture  of the local community  and this                                                              
program  brings the  issue  to the  community  level and  embraces                                                              
Alaska Native heritage.                                                                                                         
                                                                                                                                
10:03:25 AM                                                                                                                   
                                                                                                                                
REPRESENTATIVE  DRUMMOND  related  her appreciation  for  everyone                                                              
who traveled to  be here today.  She then charged  the researchers                                                              
with letting  the legislature  as a  whole know  how to  help them                                                              
with every  aspect of village life  as the legislature  is charged                                                              
with  providing education  to every  child  in Alaska.   She  also                                                              
noted her appreciation that youth are being encouraged to                                                                       
continue their education and return to their communities.                                                                       
                                                                                                                                
10:04:59 AM                                                                                                                   
                                                                                                                                
ADJOURNMENT                                                                                                                   
                                                                                                                                
There being no further business before the committee, the House                                                                 
Community and Regional Affairs Standing Committee meeting was                                                                   
adjourned at 10:04 a.m.                                                                                                         

Document Name Date/Time Subjects
Qungasvik-Legislative Update 2014.pdf HCRA 2/13/2014 8:00:00 AM
Presentation on Suicide Prevention