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About

The Native Collective Research Effort to Enhance Wellness (N CREW) Program - Addressing Overdose, Substance Use, Mental Health, and Pain (OT2) began in 2024 as part of the National Institutes of Health (NIH) Helping to End Addiction Long-term (HEAL) Initiative in response to a Tribal Consultation Report issued by NIH on research needed to address the opioid crisis, including managing chronic pain and addiction. 

N CREW seeks to address needs identified in the report by providing $268 million funded through that National Institute on Drug Abuse (NIDA) in two phases over 7-8 years through a competitive application process among (a) Tribal/Native-Serving Organizations (T/NSOs) who desire to build community-led research within their own organizations and (b) a Native Research Resource Network (NRRN) to support T/NSOs in their efforts. In Phase 1 (3 years, beginning August 2024), 14 T/NSOs were awarded N CREW funding, and 4 additional applicants were awarded N CREW funding to coordinate the NRRN. Among T/NSO recipients was the Utah Navajo Health System (UNHS)/University of Utah (UU)—the only recipient to represent on-reservation communities of the Navajo Nation.

N CREW Logo

Training

    Navajo Wellness Model

    The Navajo Wellness Model is a culturally grounded framework emphasizing holistic well-being, kinship, and traditional knowledge. This was hosted in January 2024 by UNHS in Montezuma Creek, led by Traditional Counselors, offering clinicians and University of Utah stakeholders deeper insight into cultural principles and their application to health and wellness. 

    Navajo Wellness Model

    Community-Based Participatory Research (CBPR)

    The University of New Mexico hosted a co-learning institute on Community-Based Participatory Research (CBPR), focusing on Indigenous and critical methodologies to advance health equity. The event brought together University of Utah and UNHS faculty, community members, and N CREW advisory board members, highlighting its strong sense of group cohesion and interdisciplinary approach.

    CBPR

    Research Ethics Training for Health in Indigenous Communities (rETHICS)

    rETHICS is a training program that provides researchers and community members with practical tools to conduct ethical, culturally responsive, and community-engaged research.

    Grant Writing Workshop

    UNHS and UU staff attended an all-day training on NIH-format grant-writing. This grant training workshop was led by Dr. John Robertson, PhD, and offered an in-depth look at NIH proposals, specifically R01s.

    Websites

      N CREW

      Native Collective Research Effort to Enhance Wellness (N CREW) Program: Addressing Overdose, Substance Use, Mental Health, and Pain is a national program funded by the National Institutes of Health (NIH) Helping to End Addiction Long-term (HEAL) Initiative. N CREW supports Tribal/Native Serving Organizations to conduct locally prioritized research to address overdose, substance use, and pain, including related factors such as mental health and wellness, to enable culturally grounded, strengths-based, effective, and sustainable intervention strategies.

      Native Land Digital

      Native Land Digital is an interactive, community-informed map and resource platform that helps users locate and learn about Indigenous territories and treaty information (e.g. Timpanogos Territory according to the Spanish Fork Treaty of 1865).

      CIRCLE Resource Library

      The Center for Innovative Research, Capacity Building, and Leadership Development to End Substance Use Harms (CIRCLE) Resource Library is a unique repository supported by the Center for Indigenous Health at Johns Hopkins University that provides a collection of materials to advance substance use research and foster community-centered knowledge-sharing. The library includes interviewing guides, recruitment materials, example resolutions, and CBPR resources, each selected to support meaningful action in Tribal research. These resources are designed to benefit researchers, policymakers, Indigenous communities, and the general public.

      Research Advisory Board

        Perhaps the most significant achievement in Year 1 was the creation of the UNHS Research Advisory Board. This 16-member board (of which 13 are Navajo, 4 are patients, and 4 are community partners) has become the backbone of UNHS’s burgeoning community-led research program and has contributed in important ways. During the first year, the Board met eight times, each for 90 minutes in a hybrid-type in-person/virtual meeting format. During these meetings, three topics prevailed:

        1. Board governance
        2. Development of a program logo
        3. Development of an SUD community needs assessment protocol

        Research Advisory Board - N CREW

        Logo Development

        Shortly after the Board was organized, Board members expressed a need to create a name and visual identity for the N CREW project at UNHS. Deliberations over an 8-month period ensued, essential elements of a title and logo were discussed, a Navajo graphic designer was consulted, and ultimately a final design among several alternatives was agreed upon. The title is written in both Navajo and English to reflect the inclusive nature of the program to all in the community, including those of older and younger generations, and those with more or less familiarity with one language versus another.

        N CREW Logos

        The name—“A Beautiful Way of Learning and Understanding”—connotes a harmonized blend of culture. UNHS Research Advisory Board, 2025. 10 scholarship working together to promote health and wellness. The colors in the logo include yellow, blue, white, and black—the four most important Navajo colors, with each symbolizing the great cycle of life. The crops and river represent life and fertility, symbolic of the emphasis and impact the community expects the N CREW program to have. They also convey cultural familiarity to emphasize the community-led nature of the project (in contrast to research that has historically originated from outside sources). The eagle feathers represent purification and healing, as well as balance and harmony—all attributes that the N CREW program aspires to promote. The rainbow likewise is a symbol of wholeness and balance, as well as a shield against harmful influences.

        Board Meeting History

        • 10/30/2024
        • 12/18/2024
        • 2/5/2025
        • 3/5/2025
        • 4/9/2025
        • 5/7/2025
        • 6/11/2025
        • 7/9/2025
        • 9/17/2025
        • 2/25/2026