News publications and other organizations are encouraged to reuse Direct Relief-published content for free under a Creative Commons License (Attribution-Non-Commercial-No Derivatives 4.0 International), given the republisher complies with the requirements identified below.

When republishing:

  • Include a byline with the reporter’s name and Direct Relief in the following format: "Author Name, Direct Relief." If attribution in that format is not possible, include the following language at the top of the story: "This story was originally published by Direct Relief."
  • If publishing online, please link to the original URL of the story.
  • Maintain any tagline at the bottom of the story.
  • With Direct Relief's permission, news publications can make changes such as localizing the content for a particular area, using a different headline, or shortening story text. To confirm edits are acceptable, please check with Direct Relief by clicking this link.
  • If new content is added to the original story — for example, a comment from a local official — a note with language to the effect of the following must be included: "Additional reporting by [reporter and organization]."
  • If republished stories are shared on social media, Direct Relief appreciates being tagged in the posts:
    • Twitter (@DirectRelief)
    • Facebook (@DirectRelief)
    • Instagram (@DirectRelief)

Republishing Images:

Unless stated otherwise, images shot by Direct Relief may be republished for non-commercial purposes with proper attribution, given the republisher complies with the requirements identified below.

  • Maintain correct caption information.
  • Credit the photographer and Direct Relief in the caption. For example: "First and Last Name / Direct Relief."
  • Do not digitally alter images.

Direct Relief often contracts with freelance photographers who usually, but not always, allow their work to be published by Direct Relief’s media partners. Contact Direct Relief for permission to use images in which Direct Relief is not credited in the caption by clicking here.

Other Requirements:

  • Do not state or imply that donations to any third-party organization support Direct Relief's work.
  • Republishers may not sell Direct Relief's content.
  • Direct Relief's work is prohibited from populating web pages designed to improve rankings on search engines or solely to gain revenue from network-based advertisements.
  • Advance permission is required to translate Direct Relief's stories into a language different from the original language of publication. To inquire, contact us here.
  • If Direct Relief requests a change to or removal of republished Direct Relief content from a site or on-air, the republisher must comply.

For any additional questions about republishing Direct Relief content, please email the team here.

Supporting Culturally-Sensitive Care at Denver Indian Health and Family Services


Denver Indian Health and Family Services, Inc. (DIHFS), a Direct Relief health center partner located in downtown Denver, takes pride in their community and goes to great lengths to make sure their patients feel comfortable.

“Native Americans like to come to a place with other Native Americans and native communities,” said Chief Operating Officer, Adrianne Maddux, adding that it’s helpful for their patients to be in a place that is familiar, accessible, and employs staff that understand the challenges facing their community.

Maddux, who has been a part of the organization for the last 45 years, said the clinic focuses on hiring professionals that have an understanding and respect for the disparities and cultural impact the patients have been through. They regularly host conferences for the clinic staff to delve deeper into the understanding of the cultural context so they can better serve their patients.

One of the topics regularly highlighted is that of new patients coming from the reservations. Native Americans living on the reservations receive federal funding and free medical care. But when they leave, safety-net organizations like DIHFS fill the gaps by providing a new medical home for those who are suddenly not covered.

Along with its medical clinic – which helps infants, children, and adults – Denver Indian Health and Family Services also has a Dental Program, Diabetes Treatment and Education Program and a Behavioral Health Department. In total, DIHFS services more than 1,600 people every year, with over 7,000 visits and welcomes both Native and non-Native patients.

The Diabetes Program primarily services people with Type II diabetes by offering a 12-week class held 4-6 times per year, as well as an educational program that works with the patient and families for preventative and treatment options.

DIHFS partners with local hospitals such as St. Joseph for specific treatments such as obstetric care; however, the patients return to DIHFS for follow-up.

Maddux said the organization is delighted to offer Dental and Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) programs. CHIPRA is policy that provides funding to identify, enroll, and retain health coverage for uninsured children who are eligible for Medicaid or CHIP but are not enrolled.

“It’s pretty common to walk in without Medicaid and leave with it,” Maddux said.

To continue providing quality, affordable care, DIHFS is improving their clinic with more technology, better services, and a lower wait time. They will soon have health navigators working with the patients to lessen confusion about becoming eligible for insurance under the Affordable Care Act.

Direct Relief has partnered with DIHFS for more than a year, sending needed medications and supplies to help DIHFS care for people in need. Maddux said the shipments made a “big impact when DIHFS couldn’t pay for medicines. “We are just very thankful for [Direct Relief].”


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