CDR Fine has advanced Cowlitz tribal food sovereignty through the establishment of the Tribe’s Garden Program, which includes produce distribution to over 500 individuals annually, in addition to multiple traditional foods and gardening programs that promote wellness throughout the community. These programs reach hundreds of people nationwide through in-person and virtual outreach efforts.

The Garden, which CDR Fine established in 2019, now has three full-time staff, a high tunnel, a greenhouse, three large in-ground no-till gardening spaces, eight raised beds, a medicine wheel garden, and a quarter-mile-long native plant nature walk. Annually, hundreds of doorstep garden kits containing seeds, soil, starts, and educational materials are also distributed to community members to enhance home gardening efforts. She facilitated a partnership with the Tribe’s Fish Distribution Program to ensure tribal members and clients with food insecurity are connected to as many fresh, traditional, and local foods as possible.

In addition, she integrated referrals to the food distribution program into the electronic health record to enhance referrals and encourage routine screening for food insecurity in the clinical setting. In 2021, she facilitated the completion of the tribe's first Food Sovereignty Assessment, including a survey of 525 tribal members and clients. The report was disseminated to leadership and used to strengthen food sovereignty and public health efforts. CDR Fine’s strengthening of tribal food sovereignty has made a markedly advanced health equity for the American Indian/Alaska Native population in Southwest Washington and beyond.