After completing her PhD in Psychology, Anne Kidd decided to accept the job as Director of Social Services at Pine Ridge Hospital. Oglala Lakota County, South Dakota is the poorest county in the United States and life expectancy of Pine Ridge residents is the shortest for any population in the Western Hemisphere except Haiti. Anne had previously taught trauma psychology at FC college in Pakistan. But she recognized that the needs of the Oglala Sioux people were so great and the resources very limited, a problem exacerbated by the fact Pine Ridge is so rural and tensions between the tribe and whites complicate factors. Rather than return to Pakistan she decided to accept a position with the underserved populations of the US. Anne and her colleagues are working on ways to more deeply engage their patients through encouraging use of traditional/cultural practices (such as the blessing of the pregnancy, the Welcoming the Baby, smudging for those who are ill, etc). IOU Foundation and partners, Central University of Nicaragua and Universidad Azteca commend the work of our graduates like Anne who make a difference and contribute to social change.