TABLE 3.

Key actors and their roles in developing PSE change¹

Key actors	Role
1) Community members	Providing input on health issues and feedback on PSE changes
2) Health staff	Identifying PSE solutions and leveraging grants to promote PSE change
3) Grant writing departments	Promoting multisectoral collaboration
4) Tribal Council	Approving PSE changes
5) Contextual factors: Historical trauma, “tribal politics”, perspectives of policy	Impacting the use of tribal policy

¹PSE, policy, systems, and environmental.