Qualitative data from16 offenders were analyzed to understand the process of reintegration from their perspective. The offenders identified six factors that they felt influenced their ability to reintegrate and desist from crime: (1) substance abuse; (2) employment; (3) family support; (4) types of friends; (5) personal motivation to change; and (6) age. A large majority indicated that drug abuse was a major contributor to their criminal activities. Most said supports from family, friends, and treatment services were important for successful reintegration. Those who were successful tended to have both a personal desire to change and a support system that helped them reintegrate and desist from drug use and crime. Support had more impact among those who desired to change and those who received support were more likely to perceive that change is possible.

American Indian/Alaska Native communities are at higher risk of poor outcomes from Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). The Northwest Portland Area Indian Health Board’s program Indian Country Extensions for Community Healthcare Outcomes (ECHO) initiated telehealth sessions for health professionals. All resources were centralized at www.IndianCountryECHO.org. In its first six weeks, the program had 4,579 attendees. Participants submitted 563 questions to specialists. There were 22,683 webpage views, more than three times the pre-COVID-19 baseline. Evaluation found 94 percent of clinicians reported knowledge increase and 93 percent reported greater social support, demonstrating that a teleECHO network serving Indian country is an important part of emergency response.