title: Balancing Tribal Sovereignty and the Role of Interjurisdictional Partnerships in Oklahoma.
abstract: BACKGROUND
  Oklahoma has a history of strong partnerships with their tribal health leaders and tribal communities. In 2012, the Oklahoma State Department of Health (OSDH) established the Office of the Tribal Liaison, as Oklahoma has 39 tribal nations in the state, of which 38 are federally recognized. The Office of the Tribal Liaison is responsible for promoting relationships with Oklahoma Tribal Nations and implementing the OSDH Tribal Consultation policy.
  
  
  METHODS
  The strength of the partnership between the OSDH and the Tribal Nations enabled a new collaboration during an event hosted by a tribal casino event center that brought tattoo artists to provide tattoos to patrons over 3 days. Licensure issues that crossed the jurisdiction boundaries of the OSDH emerged before the event, which required the OSDH, Indian Health Service, and the Tribal Nation to work together to protect the public's health. The 3 jurisdictions drew upon their previously established partnership, OSDH's tribal consultation policy, and their open and trusting relationship to come together quickly to protect the public's health.
  
  
  CONCLUSIONS
  This event and interjurisdictional partnership highlighted the importance of adopting the "Spectrum of Processes for Collaboration and Consensus-Building" model as outlined by Orenstein et al to help guide and support state, tribal, and federal collaborations. This case example highlights the opportunities for collaboration between different regulatory public health and tribal bodies to improve the communities' health.
authors.affiliation: Mishra Consulting, Alexandria, Virginia (Ms Mishra); Association of State and Territorial Health Officials, Arlington, Virginia (Ms Valdes Lupi); Oklahoma State Department of Health, Oklahoma City (Ms Carter); and Oklahoma City Area Office of the Indian Health Service, Oklahoma City (Mr Meeks).
authors.forename: Meenoo
authors.initials: M
authors.lastname: Mishra
authors.forename: Monica Valdes
authors.initials: MV
authors.lastname: Lupi
authors.forename: Sara Sally
authors.initials: SS
authors.lastname: Carter
authors.forename: Kevin
authors.initials: K
authors.lastname: Meeks
mesh_terms: D003299:Cooperative Behavior; D006801:Humans; D009825:Oklahoma; D011635:Public Health Administration / Q000379:methods* / Q000639:trends; D014481:United States; D016549:United States Indian Health Service / Q000458:organization & administration* / Q000592:standards / Q000639:trends