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Item Covid-19 response and recovery by tribes and urban Indian organizations in Montana(Montana State University - Bozeman, College of Education, Health & Human Development, 2024) Sorrell, Anna Whiting; Chairperson, Graduate Committee: Alexandra K. Adams; This is a manuscript style paper that includes co-authored chapters.Research shows American Indians and Alaska Natives' resilience when they are connected to cultural lifeways, beliefs, and in relationship with families, their communities, and Tribes. It aids in traumatic times. This was true during the COVID-19 pandemic. Yet, it still disproportionally affected AIANs in the number of cases, hospitalizations, stays in intensive care units, deaths, and at younger ages than non-Hispanic Whites. This unequal impact of COVID-19 may be explained using the Center for Disease Control and Prevention's social determinants of health, but also raises doubt on the accuracy and thoroughness of data collected for AIANs. Additionally, when Tribes and urban Indian organizations responded to meet the needs of their members and communities, there were positive outcomes. This dissertation shows lessons learned in the response and recovery led by Tribes and Urban Indian Organizations, while successful, may have been improved if their actions were guided by a Tribal or UIO specific, comprehensive emergency preparedness plan. The literature review is a comprehensive examination of available reports, newspaper stories, and journal articles. It found there are gaps in available data that is tribal or UIO specific that has confidence of accuracy and cultural appropriateness as determined by Indigenous researchers. The co-authored manuscript focuses on the social, mental, physical, and spiritual impact COVID-19 had on one Native American and one Hispanic community. While the findings of the study revealed the challenges of COVID-19 pandemic on each of these qualities, there were positive realization about resilience and adaptability. The third dissertation product builds on the findings of the first two products and interviews from two Tribes and one UIO to create an Indigenous strategic planning process for Tribes and UIOs to use when they develop their own emergency preparedness plan to guide their response to the next emergency, crisis, or pandemic. These plans must be written by the Tribe or UIO and incorporate tribal lifeways, beliefs, and values, and shared with key stakeholders. Collectively, the three dissertation products affirm Indigenous leadership is fully capable of directing Tribes and UIOs recovery from the COVID-19 pandemic and set plans to prepare for the next emergent event.