Table 2.

Themes and sub-themes derived from analysis of 12 focus groups held in Shiprock, NM, Upper Fruitland, NM and Aneth, UT in May and June 2016.

Risk of Disruption	Projected Change	Future	Distrust
Culture Community Family Identity River	Culture	Vision for acceptable change	Historical trauma Diné organizations and government Non-Diné organizations and government Research process
Environment	Farming	Solution for acceptable change
Exposure to contaminants	Mental Health	Reporting back
Finances and income	Ranching
Mental health	Recreational practices
Physical health	Spiritual harmony
Sovereignty	No Change
Spiritual harmony
No Risk