differences among American Indian cultures and apply this knowledge in their work, (2) create outreach independent living services for American Indians with severe or significant disabilities on and off Indian lands, and (3) identify strategies related to the independent living needs of American Indians with severe or significant disabilities. Assessments, such as Action Planning, was completed by participants; at the end of the workshop, participants developed outreach strategies for American Indians with disabilities based on their Action Plans. There were 28 participants, including consumers, who attended the workshop.

Results
The results of the pre-training questionnaire indicated that the perception of workshop participants included: urban American Indians have more access to services, whereas American Indians residing on tribal lands were closer to traditional living, were less disassociated from tribal culture, and participated often in family roles. The workshop participants identified service delivery barriers, such as: a lack of knowledge and difference in

Native cultures, culturally inappropriate service plans, cross cultural language barriers, a lack of consumer awareness of available services on tribal lands, a shortage of service providers on tribal lands, and a lack of reliable transportation on tribal lands. Participants developed Action Plans by identifying expected outcomes, predicting steps for completing objectives, and anticipating resources for positive outcomes. During the post-training evaluation period, feedback from the participants' Action Plans (n=16) were incorporated with one-month (n=12), three-month (n=10), and six-month (n=7) evaluation questionnaires. The top two proposed outcomes from the Action Plans were networking (7) and program expansion and outreach (4). Several activities for implementation of the Action Plans consisted of gathering information (13), outreach activities (8), and working with tribal organizations (6). Barriers encountered were finding consumers (4), lack of transportation and lack of resources available (3), and finding contacts (3). Four participants stated that persistence was a main solution for overcoming these barriers. The participants identified resources to accomplish their Action Steps as: