Purpose: The US as a whole, and Indian Country, in particular, are seeing surges in the ‘syndemic’ of interrelated disease states of sexually transmitted infections, hepatitis C virus, HIV and substance use disorder. We can reduce the incidence and impact of the syndemic via policy and practice modifications that fit the context of each community and health facility. These options include expanded screening, amplifying the roles of nursing and pharmacy staff, informatics solutions on the electronic health record, and more. The program will offer a free 2-day in-person training (including a Clinical track, and a Community Health Professional track) to address the syndemic – with follow up virtual ECHO clinics to continue learning, knowledge sharing and support.

The Indigenous Syndemic Pathway for Clinicians track will provide an overview and present implementation options, and where requested, assist with implementation. The training is not only informational—technical and other support needed to put policy and practice into place is available and encouraged. CE will be provided. To view the draft agenda, click here.

The Indigenous Syndemic Pathway for Community Health Professionals (CHPs) track is designed to equip CHPs with the knowledge, confidence, and tools to respond to syndemic topics that can be hard to talk about with relatives. These sessions will cover individual diseases and broader topics. Many of these presentations will include group discussion and interaction. This track is focused to provide training for Community Health Representatives, Health Aides, Peer Navigators, Social Workers, and Case Managers. A draft agenda will be available soon.

Who should attend: Tribal leaders, decision-makers, administration, physicians, advanced practice providers, pharmacists, nurses, behavioral health specialists, nurses, chemical dependency counselors, peer support specialists, medical assistants, community health representatives, tribal community health providers or others interested in learning new skills to effectively address the syndemic.

Where: Little Creek Casino and Resort, 91 W. State Route 108, Shelton WA, 98584 and Virtually via Zoom

When: June 23-24, 2026

Please complete the registration information below. If you have any questions, requests or comments, please contact: echo@npaihb.org

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* 1. Please Enter Your Contact Information

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* 2. Is your organization affiliated with an IHS (Indian Health Service), Tribal, or Urban (I/T/U) organization. Select one:

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* 3. What is your role?

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* 4. Which track do you plan to participate in?

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