Christine W Duclos, Mary Phillips, Pamela L LeMaster
{"title":"Outcomes and accomplishments of the circles of care planning efforts.","authors":"Christine W Duclos, Mary Phillips, Pamela L LeMaster","doi":"10.5820/aian.1102.2004.121","DOIUrl":"https://doi.org/10.5820/aian.1102.2004.121","url":null,"abstract":"<p><p>This paper presents outcomes and accomplishments of the first round of participating individuals, communities, and grantees of the Circles of Care program (CoC). While accomplishing all CoC program goals, the initiative supported grantees in developing individual service delivery system models and positioned each grantee advantageously for securing funds for future implementation. The process and products as described can now assist others in improving their own systems of care for Indian children, adolescents, and their families.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"11 2","pages":"121-38"},"PeriodicalIF":1.3,"publicationDate":"2004-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24646539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brenda Freeman, Ethleen Iron Cloud-Two Dogs, Douglas K Novins, Pamela L LeMaster
{"title":"Contextual issues for strategic planning and evaluation of systems of care for American Indian and Alaska Native communities: an introduction to Circles of Care.","authors":"Brenda Freeman, Ethleen Iron Cloud-Two Dogs, Douglas K Novins, Pamela L LeMaster","doi":"10.5820/aian.1102.2004.1","DOIUrl":"https://doi.org/10.5820/aian.1102.2004.1","url":null,"abstract":"<p><p>This introduction to the evaluation component of the Circles of Care initiative includes background on the nature of the initiative, Center for Mental Health Services support for developing systems of care for youth with emotional disturbances, and an overview of the systems of care approach. The prevalence, unique challenges, and the historical, political, and cultural context of health care delivery for American Indian and Alaska Native peoples are also discussed.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"11 2","pages":"1-29"},"PeriodicalIF":1.3,"publicationDate":"2004-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24646003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The evaluation life cycle: a retrospective assessment of stages and phases of the circles of care initiative.","authors":"Gary Bess, James Allen, Pamela B Deters","doi":"10.5820/aian.1102.2004.30","DOIUrl":"https://doi.org/10.5820/aian.1102.2004.30","url":null,"abstract":"<p><p>A life cycle metaphor characterizes the evolving relationship between the evaluator and program staff. This framework suggests that common developmental dynamics occur in roughly the same order across groups and settings. There are stage-specific dynamics that begin with Pre-History, which characterize the relationship between the grantees and evaluator. The stages are: (a) Pre-History, (b) Process, (c) Development, (d) Action, (e) Findings-Compilation, and (f) Transition. The common dynamics, expectations, and activities for each stage are discussed.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"11 2","pages":"30-41"},"PeriodicalIF":1.3,"publicationDate":"2004-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24646532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing a plan for measuring outcomes in model systems of care for American Indian and Alaska Native children and youth.","authors":"Douglas K Novins, Michele King, Linda Son Stone","doi":"10.5820/aian.1102.2004.88","DOIUrl":"https://doi.org/10.5820/aian.1102.2004.88","url":null,"abstract":"<p><p>The Circles of Care initiative emphasized the importance of developing an outcomes measurement plan that was consonant with the model system of care as well as community values and priorities. This analysis suggests that the Circles of Care grantees achieved this key programmatic objective, but that a major constraint was the tendency of funders, including the Substance Abuse and Mental Health Services Administration (the funder of Circles of Care), to mandate their own outcomes measurement plans. Funders are encouraged to balance their needs for commonality of measures across programs for their own evaluation purposes with the needs of service providers to utilize measures that meet their unique programmatic and community contexts.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"11 2","pages":"88-98"},"PeriodicalIF":1.3,"publicationDate":"2004-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24646536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Process evaluation: how it works.","authors":"Gary Bess, Michele King, Pamela L LeMaster","doi":"10.5820/aian.1102.2004.109","DOIUrl":"https://doi.org/10.5820/aian.1102.2004.109","url":null,"abstract":"<p><p>Process evaluation helps us to understand the planning process. This predominantly qualitative approach explains how and why decisions are made and activities undertaken. The focus includes feelings and perceptions of program staff. The evaluator's ability to interpret and longitudinally summarize the experience of program staff and community members is critical. Techniques discussed include participant observation, content analysis, situational analysis, in-house surveys, and interviews. By combining sources and methods, a fuller picture of the process is revealed.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"11 2","pages":"109-20"},"PeriodicalIF":1.3,"publicationDate":"2004-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24646538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mindy Herman-Stahl, Donna L Spencer, Jessica E Duncan
{"title":"The implications of cultural orientation for substance use among American Indians.","authors":"Mindy Herman-Stahl, Donna L Spencer, Jessica E Duncan","doi":"10.5820/aian.1101.2003.46","DOIUrl":"https://doi.org/10.5820/aian.1101.2003.46","url":null,"abstract":"<p><p>American Indians were interviewed about their participation in traditional culture and their substance use behaviors. Analyses indicated that cultural orientation differed by age and employment status. Bicultural or less Indian oriented individuals were more likely to misuse alcohol than their more Indian oriented counterparts. The implications of cultural orientation for substance use behaviors are discussed. The need for more precise conceptualization and measurement of acculturation is recommended.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"11 1","pages":"46-66"},"PeriodicalIF":1.3,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22560858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Qualitative study of the use of traditional healing by asthmatic Navajo families.","authors":"David Van Sickle, Frank Morgan, Anne L Wright","doi":"10.5820/aian.1101.2003.1","DOIUrl":"https://doi.org/10.5820/aian.1101.2003.1","url":null,"abstract":"<p><p>Despite increasing prevalence of asthma among American Indians and/or Alaska Natives, little is known about their use of traditional healing in its management. A convenience sample of 24 Navajo families with asthmatic members (n=35) was interviewed between June 1997 and September 1998. While 46% of families had previously used traditional healing, only 29% sought traditional healing for asthma. Use of traditional healing was unrelated to use of biomedical therapies, hospitalizations, or emergency services. Practical factors and questions about the nature and origins of asthma were the primary considerations determining use of traditional medicine. Little conflict between traditional healing and biomedical treatment was reported. The use of traditional healing for asthma is influenced by beliefs about the disease and factors specific to the individual, including their local social, economic, and cultural context.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"11 1","pages":"1-18"},"PeriodicalIF":1.3,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22560856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aspects of community healing: experiences of the Sault Sainte Marie tribe of Chippewa Indians.","authors":"Beverly A McBride","doi":"10.5820/aian.1101.2003.67","DOIUrl":"https://doi.org/10.5820/aian.1101.2003.67","url":null,"abstract":"<p><p>Modern American Indian tribal communities are working toward addressing serious social concerns like poverty and destruction of social structure. These are the legacy of historical oppression, boarding schools, systematic loss of culture and disappearing original territorial lands. The Sault tribe and other tribes in general, deal with behavioral patterns resulting from loss of identity, spirituality and culture, serious alcohol abuse, and domestic violence. They also experience vocational stresses, identity loss, cultural isolation, and other distress patterns evident in the dysfunctional behavior of community and/or tribal members. The prospect of community healing, from internalized oppression and \"ethnostress\" and reaching a stronger spiritual, cultural-base is a long-term, multi-faceted, human liberation that touches on key American Indian issues.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"11 1","pages":"67-83"},"PeriodicalIF":1.3,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22560859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychological effects of technological/human-caused environmental disasters: examination of the Navajo and uranium.","authors":"Carol A Markstrom, Perry H Charley","doi":"10.5820/aian.1101.2003.19","DOIUrl":"https://doi.org/10.5820/aian.1101.2003.19","url":null,"abstract":"<p><p>Disasters can be defined as catastrophic events that challenge the normal range of human coping ability. The technological/human-caused disaster, a classification of interest in this article, is attributable to human error or misjudgment. Lower socioeconomic status and race intersect in the heightened risk for technological/human-caused disasters among people of color. The experience of the Navajo with the uranium industry is argued to specifically be this type of a disaster with associated long-standing psychological impacts. The history of the Navajo with uranium mining and milling is reviewed with a discussion of the arduous efforts for compensation. The psychological impacts of this long-standing disaster among the Navajo are organized around major themes of: (a) human losses and bereavement, (b) environmental losses and contamination, (c) feelings of betrayal by government and mining and milling companies, (d) fears about current and future effects, (e) prolonged duration of psychological effects, (f) anxiety and depression, and (g) complicating factors of poverty and racism. The paper concludes with suggestions for culturally-appropriate education and intervention.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"11 1","pages":"19-45"},"PeriodicalIF":1.3,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22560857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-destructive behaviors in American Indian and Alaska Native high school youth.","authors":"Michael L Frank, David Lester","doi":"10.5820/aian.1003.2002.24","DOIUrl":"https://doi.org/10.5820/aian.1003.2002.24","url":null,"abstract":"<p><p>Analysis of responses of 10,251 high school students surveyed in the 1997 National School-Based Youth Risk Survey indicated that American Indian and Alaska Native youths engaged more often in risky behaviors than White or Black youths. The pattern of involvement in risky behavior was different for youths from the three ethnic groups.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"10 3","pages":"24-32"},"PeriodicalIF":1.3,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22063503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}