Jennie R Joe, Robert S Young, Jill Moses, Ursula Knoki-Wilson, Johnson Dennison
{"title":"At the Bedside: Traditional Navajo practitioners in a patient-centered health care model.","authors":"Jennie R Joe, Robert S Young, Jill Moses, Ursula Knoki-Wilson, Johnson Dennison","doi":"10.5820/aian.2302.2016.28","DOIUrl":"https://doi.org/10.5820/aian.2302.2016.28","url":null,"abstract":"<p><p>The growing national racial and ethnic diversity has created a greater need for health care delivery systems and health care providers to be more responsive to unique patient needs, that goes beyond meeting the immediate health problems to include attention to other critical component of patient care that take into account cultural competency such as health literacy, health beliefs and behaviors, cultural practices, etc. </p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"23 2","pages":"28-49"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34345864","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}
Carol E Kaufman, L Jeanne Kaufman, Carly Shangreau, Nancy Dailey, Byron Blair, Jay Shore
{"title":"American Indian veterans and VA services in three tribes.","authors":"Carol E Kaufman, L Jeanne Kaufman, Carly Shangreau, Nancy Dailey, Byron Blair, Jay Shore","doi":"10.5820/aian.2302.2016.64","DOIUrl":"https://doi.org/10.5820/aian.2302.2016.64","url":null,"abstract":"<p><p>The purpose of this project was to describe experiences of reservation-based American Indian (AI) veterans with the Department of Veterans Affairs (VA), and to identify opportunities for improving care and services. Focus group discussions and individual interviews were conducted with AI veterans, family members, and community members in three diverse tribes. Results showed that many veterans in tribal communities experienced challenges receiving services and benefits from the VA, including lack of culturally competent care, transportation problems, and difficulties navigating the system. Family members, often main caregivers for AI veterans, lacked necessary resources, including sources for information, support services, and financial means to procure adequate care. A number of strengths also were identified, including local leadership and a strong community commitment to improve care for veterans. </p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"23 2","pages":"64-83"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34345866","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":"Community belonging and sedentary behavior among First Nations adults in Canada: The moderating role of income.","authors":"Scott Anderson, C. Currie, J. Copeland, G. Metz","doi":"10.5820/aian.2305.2016.1","DOIUrl":"https://doi.org/10.5820/aian.2305.2016.1","url":null,"abstract":"This study examined how income and community belonging may interact to influence leisure sedentary behavior among Indigenous adults. Data were obtained from 1,304 First Nations adults who completed the Canadian Community Health Survey in 2012. Among average-income earners, a strong sense of belonging to local community was associated with less sedentary behavior, a finding also documented in the general population. Among low-income earners, a strong sense of belonging to local community was associated with more sedentary behavior, a finding that is novel in the literature. These associations remained significant after adjustment for sociodemographic covariates and mental and physical health, suggesting other factors are influencing this correlation.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"41 1","pages":"1-14"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84513582","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}
Elizabeth Rink, Elizabeth Ann R Bird, Kris Fourstar, Adriann Ricker, Winona Runs-Above/Meyers, Rachel Hallum-Montes
{"title":"Partnering with American Indian communities in strength-based collaborative health research: Guiding principles from the Fort Peck Ceremony of ResearchProject.","authors":"Elizabeth Rink, Elizabeth Ann R Bird, Kris Fourstar, Adriann Ricker, Winona Runs-Above/Meyers, Rachel Hallum-Montes","doi":"10.5820/aian.2303.2016.187","DOIUrl":"https://doi.org/10.5820/aian.2303.2016.187","url":null,"abstract":"<p><strong>Background: </strong>The Ceremony of Research Project was implemented to strengthen tribal communities' ability to harmonize Western research processes with Indigenous ways of knowing.</p><p><strong>Methods: </strong>Focus groups were conducted with tribal members to understand Indigenous processes, beliefs, and practices necessary to promote positive research experiences with tribal communities.</p><p><strong>Results: </strong>Findings address time; relationship building and maintenance; inclusion of diverse tribal members in the research design, as well as American Indian epistemology; respect for tribal values, beliefs, and customs throughout the research process; and the reciprocity of research.</p><p><strong>Conclusions: </strong>Our study has important implications for how researchers can take a strengthbased approach to conducting research with tribal communities.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"23 3","pages":"187-205"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34640409","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}
Jennie R Joe, Robert S Young, Jill Moses, Ursula Knoki-Wilson, Johnson Dennison
{"title":"A collaborative case study: The Office of Native Medicine.","authors":"Jennie R Joe, Robert S Young, Jill Moses, Ursula Knoki-Wilson, Johnson Dennison","doi":"10.5820/aian.2302.2016.50","DOIUrl":"https://doi.org/10.5820/aian.2302.2016.50","url":null,"abstract":"<p><p>National concerns about reducing the persistent health disparities found among varying racial and ethnic populations have led to initiatives to improve health care delivery systems. Many of these initiatives also promote the cultural competence of health care providers as a way to meet unique patient needs that go beyond immediate health problems, and to account for other critical components of patient care, such as health literacy, health beliefs and behaviors, and cultural practices. This case study describes a patient-centered care model developed by the Chinle Comprehensive Health Care Facility on the Navajo Reservation in Arizona, a model that has added a cadre of traditional tribal practitioners as part of its hospital and other clinical service resources. </p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"23 2","pages":"50-63"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34345865","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":"Indigenous youth-developed self-assessment: The Personal Balance Tool.","authors":"Rachelle Barraza, Jami Bartgis","doi":"10.5820/aian.2303.2016.1","DOIUrl":"https://doi.org/10.5820/aian.2303.2016.1","url":null,"abstract":"<p><p>The Fresno American Indian Health Project (FAIHP) Youth Council developed and pilot tested a strength-based, holistic, and youth-friendly self-assessment tool grounded in the Medicine Wheel, a framework and theoretical orientation for teaching wellness in many tribal communities. This paper summarizes the development of the Youth Personal Balance Tool and the methods used for tool revisions through two separate pilot studies and ongoing process evaluations across 3 years. Using a community-based participatory evaluation model, FAIHP leveraged community resources to implement an annual youth Gathering of Native Americans to support youth in healing from historical and intergenerational trauma and restoring communities to balance by making them a part of the solution. This tool is one of many outcomes of their work. The Youth Council is offering the tool as a gift (in line with the cultural value of generosity) to other Indigenous communities that are searching for culturally competent self-assessment tools for youth. The authors believe this tool has the potential to progress the field in strength-based, holistic, youth-friendly assessment as a culturally competent method for Indigenous evaluation and research. </p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"23 3","pages":"1-23"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34705385","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}
Mary F Cwik, Lauren Tingey, Angelita Lee, Rosemarie Suttle, Kristin Lake, John T Walkup, Allison Barlow
{"title":"Development and piloting of a brief intervention for suicidal American Indian adolescents.","authors":"Mary F Cwik, Lauren Tingey, Angelita Lee, Rosemarie Suttle, Kristin Lake, John T Walkup, Allison Barlow","doi":"10.5820/aian.2301.2016.105","DOIUrl":"https://doi.org/10.5820/aian.2301.2016.105","url":null,"abstract":"<p><p>American Indian (AI) adolescents have the highest suicide death and attempt rates of any U.S. group, yet few interventions have been developed or evaluated for this population. This paper presents the first adaptation of a brief evidence-based intervention for AI adolescents from one reservation who made a suicide attempt. We describe our community-driven approach to intervention development and a small pilot study (n = 13). Preliminary findings indicate reductions in adolescents' negative thinking, depression, and suicidal ideation, and an increase in psychological service utilization. Key innovations include delivery by AI paraprofessionals and potential to strengthen the continuum of care between emergency department and outpatient settings.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"23 1","pages":"105-124"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35044092","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":"An urban American Indian health clinic's response to a community needs assessment.","authors":"Mary Kate Dennis, Sandra L. Momper","doi":"10.5820/aian.2305.2016.15","DOIUrl":"https://doi.org/10.5820/aian.2305.2016.15","url":null,"abstract":"Utilizing community-based methods, we assessed the behavioral and physical health needs of a Detroit metropolitan Indian health clinic. The project goal was to identify health service needs for urban American Indians/Alaska Natives and develop the infrastructure for culturally competent and integrative behavioral and physical health care. We conducted 38 semi-structured interviews and 12 focus groups with service providers and community members. Interview and focus group data indicated a need for 1) more culturally competent services and providers, 2) more specialized health services, and 3) more transportation options. We then report on the Indian health clinic's and community's accomplishments in response to the needs assessment.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"127 1","pages":"15-33"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77783187","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}
Maria Yellow Horse Brave Heart, Josephine Chase, Jennifer Elkins, Jennifer Martin, Jennifer Nanez, Jennifer Mootz
{"title":"Women finding the way: American Indian women leading intervention research in Native communities.","authors":"Maria Yellow Horse Brave Heart, Josephine Chase, Jennifer Elkins, Jennifer Martin, Jennifer Nanez, Jennifer Mootz","doi":"10.5820/aian.2303.2016.24","DOIUrl":"https://doi.org/10.5820/aian.2303.2016.24","url":null,"abstract":"<p><p>Although there is literature concentrating on cross-cultural approaches to academic and community partnerships with Native communities, few address the process and experiences of American Indian women leading federally funded and culturally grounded behavioral health intervention research in Native communities. This paper summarizes relevant literature on community-engaged research with Native communities, examines traditional roles and modern challenges for American Indian women, describes the culturally grounded collaborative process for the authors' behavioral health intervention development with Native communities, and considers emergent themes from our own research experiences navigating competing demands from mainstream and Native communities. It concludes with recommendations for supporting and enhancing resilience. </p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"23 3","pages":"24-47"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5737007/pdf/nihms924347.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34705386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ego strengths, racial/ethnic identity, and well-being among North American Indian/First Nations adolescents.","authors":"Barbara Gfellner","doi":"10.5820/aian.2303.2016.87","DOIUrl":"https://doi.org/10.5820/aian.2303.2016.87","url":null,"abstract":"<p><p>This study investigated associations between ego strengths (psychosocial development), racial/ethnic identity using Multi-Ethnic Identity Measure-Revised (exploration, commitment) and Multidimensional Measure of Racial Identity (centrality, private regard, public regard) dimensions, and personal adjustment/well-being among 178 North American Indian/First Nations adolescents who resided and attended school on reserves. As predicted, ego strengths related directly with centrality, private regard, and the adjustment measures; the moderation of ego strengths for exploration, commitment, and private regard reflected adverse functioning for those with less than advanced ego strengths. As well, ego strengths mediated associations between centrality and private regard with several measures of personal well-being. Practical and theoretical implications are considered. </p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"23 3","pages":"87-116"},"PeriodicalIF":1.3,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34640405","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}