Racial and Ethnic Differences in Encounters Related to Suicidal Behavior Among Children and Adolescents With Medicaid Coverage During the COVID-19 Pandemic

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Authors: Mir M. Ali, PhD1; Kristina D. West, MS, LLM1; Joel Dubenitz, PhD1; Pamela End of Horn, DSW2; David Paschane, PhD2; Sarah A. Lieff, PhD, MPH3

Publication Year: 2023

Last Updated: June 26, 2023

Keywords: Covid-19; Mental and Behavioral Health; Suicide and Suicide Prevention

 

Short Abstract: The COVID-19 pandemic prompted a surge in mental health needs among adolescents and young adults,1 including an increase in suspected suicide attempts. 2 Before the pandemic, suicide was a major public health concern among youth. 3 The pandemic has also called attention to, and in some cases exacerbated, existing inequities in health care delivery, 4 but little is known about racial and ethnic differences in health care encounters related to suicidal behavior among children and adolescents during the pandemic.

 

Abstract: The COVID-19 pandemic prompted a surge in mental health needs among adolescents and young adults,1 including an increase in suspected suicide attempts. 2 Before the pandemic, suicide was a major public health concern among youth. 3 The pandemic has also called attention to, and in some cases exacerbated, existing inequities in health care delivery, 4 but little is known about racial and ethnic differences in health care encounters related to suicidal behavior among children and adolescents during the pandemic. This is particularly true for American Indian or Alaska Native youth. American Indian and Alaska Native persons experienced higher suicide-related mortality compared to the general US population prior to the pandemic.5 We examined racial and ethnic differences in encounters related to suicidal behaviors among a national sample of children and adolescents covered under Medicaid or Children’s Health Insurance Program (CHIP) during the first year of the pandemic.

 

Source: Link to Original Article.

Source: https://jamanetwork.com/journals/jamapediatrics/article-abstract/2806204

Type of Resource: Peer-reviewed scientific article

 

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Understanding and Healing Historical Trauma: The Perspectives of Native American Elders

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Authors: Lisa Grayshield, Jeremy J. Rutherford, Sibella B. Salazar, et al.

Publication Year: 2015

Journal: Journal of Mental Health Counseling

Keywords: Injury and Trauma; Mental and Behavioral Health; healing; wellness; elders

 

Short Abstract: In this phenomenological study 11 Native American elders addressed three research questions: (a) the effect of historical trauma on self, family, and community; (h) how historical trauma currently affects Native people and their communities; and (c) what they would recommend that counselors and therapists do in addressing issues of historical trauma for Native and tribal people.

 

Abstract: In this phenomenological study 11 Native American elders addressed three research questions: (a) the effect of historical trauma on self, family, and community; (h) how historical trauma currently affects Native people and their communities; and (c) what they would recommend that counselors and therapists do in addressing issues of historical trauma for Native and tribal people. All participants spoke of historical trauma in terms of loss of tribal language and culture. They seemed to speak directly to Native people themselves as having the answers to healing and wellness for their own people; however, recommendations for nontribal people who work with Native people and communities were discussed.

 

Source: Link to Original Article.

Source: https://ncuih.org/wp-content/uploads/Understanding-and-Healing-2015-one-pager-formated.pdf

Type of Resource: Peer-reviewed scientific article

 

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Crystallizing the Role of Traditional Healing in an Urban Native American Health Center

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Authors: Jacquelene F. Moghaddam, Sandra L. Momper, Timothy W. Fong

Publication Year: 2015

Journal: Community Mental Health Journal

Keywords: Cultural Sensitivity and Appropriateness; Data Collection

 

Short Abstract: A needs assessment surveying American Indians and Alaska Natives (AIs/ANs) at an AI/AN health center in the Midwestern United States was conducted, with an emphasis on traditional Native healing. Data from this study included qualitative material from interviews of community members (N = 27; age 12–82) and service providers (N = 11; age 26–70).

 

Abstract: A needs assessment surveying American Indians and Alaska Natives (AIs/ANs) at an AI/AN health center in the Midwestern United States was conducted, with an emphasis on traditional Native healing. Data from this study included qualitative material from interviews of community members (N = 27; age 12–82) and service providers (N = 11; age 26–70). Respondents emphasized the path to wellness includes physical, spiritual and mental health and that traditional healing can restore various imbalances. Furthermore, traditional healing was considered a complement to Western medicine. Third, traditional medicine as a tool in healthcare settings was conceptualized on a continuum.

 

Source: Link to Original Article.

Source: https://ncuih.org/wp-content/uploads/Crystalizing-the-Role-One-Pager.pdf

Type of Resource: Peer-reviewed scientific article

 

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Benefits of Native Traditional Healing

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Authors: Alicia Evan

Publication Year: 2023

Keywords: Cultural Sensitivity and Appropriateness; Diabetes; Ethnicity; Hypertension; Injury and Trauma; Mental and Behavioral Health; Nutrition; Social Determinants of Health; Substance Use; Suicide and Suicide Prevention; Traditional Healing

 

Short Abstract: This infographic details five common traditional healing interventions offered at Urban Indian Organizations.

 

Abstract: This infographic details five common traditional healing interventions offered at Urban Indian Organizations. The information described is pulled from NCUIH’s report on “Recent Trends in Third-Party Billing at Urban Indian Organizations: Thematic Analysis of Traditional Healing Programs at Urban Indian Organizations and Meta-Analysis of Health Outcomes.” To learn more, view the whole report here. Disclaimer: The mentioned report associated with this infographic was commissioned by the Centers for Medicare & Medicaid Services (CMS) through a contract with NORC at the University of Chicago. This project supports evidence-based Medicaid reimbursement policymaking through rigorous research on the implementation and efficacy of traditional healing at Urban Indian Organizations. The views, opinions, and data analysis published in this report are those of the National Council of Urban Indian Health and do not reflect the policies or positions of the federal government.

 

Source: Link to Original Article.

Source: https://ncuih.org/wp-content/uploads/NCUIH-Traditional-Healing-Benefits-09.21.23-1.pdf

Type of Resource: Best Practices Newsletter

 

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‘Women are supposed to be the leaders’: intersections of gender, race, and colonisation in HIV prevention with Indigenous young people

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Authors: Vanessa Oliver et al.

Publication Year: 2015

Journal: Culture, Health & Sexuality

Keywords: Cultural Sensitivity and Appropriateness; Gender Identity; Health Disparities; HIV/AIDS; Race; Sexuality; Women's Health; Youth; Erasure; Colonialism

 

Short Abstract: Focusing on gender, race and colonialism, this paper foregrounds the voices of Indigenous young people, their histories of oppression, their legacies of resistance and the continuing strengths rooted in Indigenous peoples, their cultures and their communities.

 

Abstract: Focusing on gender, race and colonialism, this paper foregrounds the voices of Indigenous young people, their histories of oppression, their legacies of resistance and the continuing strengths rooted in Indigenous peoples, their cultures and their communities. Exploring the relationship between gender and colonialism, the paper speaks to the lived realities of young people from Indigenous communities across Canada. Over 85 young people participated in six different Indigenous community workshops to create artistic pieces that explored the connections between HIV, individual risk and structural inequalities. In the course of the research, Indigenous young people, and young Indigenous women in particular, talked about how gender intersects with race and colonisation to create experiences that are, at times, especially difficult for them. In this paper, young people discuss the ways in which colonialism has demeaned women’s roles and degraded women’s sexuality, and how continuing cultural erasure and assimilationist policies impact on their lives and on their bodies.

 

Source: Link to Original Article.

Source: https://ncuih.org/wp-content/uploads/Women-are-Supposed-to-be-the-leaders-One-Pager.pdf

Type of Resource: Peer-reviewed scientific article

 

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Effectiveness of traditional healers in treating mental disorders: a systematic review

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Authors: Gareth Nortje, Bibilola Oladeji, Oye Gureje, Soraya Seedat

Publication Year: 2016

Journal: Lancet Psychiatry

Keywords: Mental and Behavioral Health

 

Short Abstract: Traditional healers form a major part of the mental health workforce worldwide. Despite this, little systematic examination has been done of their effectiveness in treating mental illness or alleviating psychological distress.

 

Abstract: Traditional healers form a major part of the mental health workforce worldwide. Despite this, little systematic examination has been done of their effectiveness in treating mental illness or alleviating psychological distress. In this review, we aim to fill this gap, with a focus on quantitative outcomes. We searched four databases and reference lists for papers that explicitly measured the effectiveness of traditional healers on mental illness and psychological distress. Eligible papers were assessed for quality, and outcomes and other details were extracted with the use of a standardised template. 32 eligible papers from 20 countries were included. The published literature on this topic is heterogeneous and studies are generally of poor quality, although some findings emerge more consistently. Some evidence suggests that traditional healers can provide an effective psychosocial intervention. Their interventions might help to relieve distress and improve mild symptoms in common mental disorders such as depression and anxiety. However, little evidence exists to suggest that they change the course of severe mental illnesses such as bipolar and psychotic disorders. Nevertheless, qualitative changes that are captured poorly by conventional rating scales might be as important as the quantitative changes reviewed here. We conclude by outlining the challenges involved in assessing the effectiveness of traditional healers.

 

Source: Link to Original Article.

Source: https://ncuih.org/wp-content/uploads/One-Pager-Effectiveness-of-Traditional-Healers.pdf

Type of Resource: Peer-reviewed scientific article

 

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Indigenizing Academics Through Leadership, Awareness, and Healing: The Impact of Native American Health Seminar Series for Health Professionals, Students, and Community

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Authors: Patricia A. Carney, Cynthia Taylor, Rosa Frutos, Dove Spector, Erik Brodt

Publication Year: 2019

Journal: Journal of Community Health

Keywords: Cultural Sensitivity and Appropriateness; Health Disparities; Career Choice; Healing, Indigenous Health Education; Tribal Health Workforce

 

Short Abstract: Health disparities have long affected American Indian and Alaska Native (AI/AN) populations. Transformations are needed in academia to help understand Indigenous 'ways of knowing.'

 

Abstract: Health disparities have long affected American Indian and Alaska Native (AI/AN) populations. Transformations are needed in academia to help understand Indigenous 'ways of knowing.' Lifting the voices of AI/ANs in telling their stories could improve the education of students, faculty and the lay public. We collaborated to develop, implement and evaluate a Native American Health Seminar Series taught by AI/AN leaders on addressing health disparities among AI/AN people. A quasi-experimental mixed methods design included a 15-item survey to assess the impact of the Seminar Series on knowledge of AI/AN health issues and its influence, among students, on health career choices. During the 2018 academic year, three seminars were held and 243 participants attended. In total, 182 surveys (74.9%) were completed by faculty members, students and members of the lay public. Students (all categories combined) represented the highest participant group (48.4%), followed by the lay public at 30% and faculty at 21.6%. The highest scores on knowledge of Native health issues prior to seminar attendance were reported by those representing the lay public with a mean of 3.96 compared to 3.67 for faculty and 3.43 among students (p = 0.01), which was highly represented by Indigenous people. Increases in knowledge occurred in all participant groups. Among students, 65.6% initially indicated that they were not planning on pursuing a career in Native health. Among these, 56.9% indicated they were somewhat to extremely likely to pursue a career in Native health as a result of having attended the seminar.

 

Source: Link to Original Article.

Source: https://pubmed.ncbi.nlm.nih.gov/31104200/

Type of Resource: Peer-reviewed scientific article

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Understanding Disabilities in American Indian & Alaska Native Communities Toolkit Guide

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Authors: National Indian Council on Aging, Inc. and National Council on Disability

Publication Year: 2023

Last Updated:

Journal:

Keywords: Aging; Awareness; Cultural Sensitivity and Appropriateness; Diabetes; Health Care Access; Health Disparities; Medicare; Medicaid; Mental and Behavioral Health; Population Information; Substance Use; Visual Impairment; Disability; Historical Trauma

 

Short Abstract: This resource is divided into dedicated sections for healthy living, education, independent living, vocational rehabilitation and employment resources, assistive technology, housing and facilities, and transportation.

 

Abstract: This resource is divided into dedicated sections for healthy living, education, independent living, vocational rehabilitation and employment resources, assistive technology, housing and facilities, and transportation. Additional information provides overviews on federal disabilities laws, initiatives, agencies, and organizations that support work with Native individuals with disabilities and communities.

 

Source: Link to Original Article.

Funding:

Code:

Source: https://www.nicoa.org/wp-content/uploads/2023/03/NCD_Understanding_Disabilities_in_American_Indian_508.pdf

Type of Resource: Toolkit

“Sharing Hope and Healing”: A Culturally Tailored Social Media Campaign to Promote Living Kidney Donation and Transplantation Among Native Americans

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Authors: Rebecca K. Britt, Brian C. Britt, Jenn Anderson, Nancy Fahrenwald, Shana Harming

Publication Year: 2021

Last Updated: November 2021

Journal: Health Promotion Practice

Keywords: Cultural Sensitivity and Appropriateness; Living Kidney Donation and Transplantation; Community-Based Participatory Research (CBPR); Social Media Campaign

 

Short Abstract: In this article, the authors discuss a community-based participatory research (CBPR)-driven and culturally tailored social media campaign to promote living kidney donation and transplantation (LKDT) serving Native American communities, who are disproportionately burdened by kidney failure. The effort represents a collaboration among researchers, tribal leaders and community members, medical centers, and other stakeholders to facilitate health promotion related to LKDT among the broader Native American community. Campaign objectives were collaboratively established by the researchers and stakeholders, and the campaign approach and materials were likewise developed in consultation with the community.

 

Abstract: In this article, the authors discuss a community-based participatory research (CBPR)-driven and culturally tailored social media campaign to promote living kidney donation and transplantation (LKDT) serving Native American communities, who are disproportionately burdened by kidney failure. The effort represents a collaboration among researchers, tribal leaders and community members, medical centers, and other stakeholders to facilitate health promotion related to LKDT among the broader Native American community. Campaign objectives were collaboratively established by the researchers and stakeholders, and the campaign approach and materials were likewise developed in consultation with the community. The results indicated that the use of success stories about LKDT within campaign materials was a statistically significant predictors of heightened campaign engagement (p = .003, β = .223). Recommendations are offered for partnering with tribal communities and other stakeholders, as well as for building tailored health promotion strategies.

 

Source: Link to Original Article.

Source: https://pubmed.ncbi.nlm.nih.gov/33267677/

Type of Resource: Peer-reviewed scientific article

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A Cultural-Based approach to address substance use among urban Native American young adults

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Authors: Melessa Kelley et al.

Publication Year: 2023

Last Updated: April 07, 2023

Journal: Journal of Community Psychology

Keywords: Cultural Sensitivity and Appropriateness; Substance Use; Cultural-Based Interventions; Young Adults; Talking Circles

 

Short Abstract: Native American young adults residing in urban communities are particularly vulnerable to substance use. After leaving high school, the pressures and stress of continuing education, finding employment, and the responsibilities related to family and tribal community obligations predispose these young adults to substance use.

 

Abstract: Native American young adults residing in urban communities are particularly vulnerable to substance use. After leaving high school, the pressures and stress of continuing education, finding employment, and the responsibilities related to family and tribal community obligations predispose these young adults to substance use. This study used a pre/post test design to evaluate a cultural-based Talking Circle intervention for the prevention of substance use among urban Native American young adults, ages 18–24. Three measures were used that included the Native-Reliance Questionnaire, the Indigenous-Global Assessment of Individual Needs (I-GAIN) Substance Use Scale, and the Patient Health Questionnaire (PHQ-9) measure for severity of depression. Findings revealed that participants demonstrated a higher sense of Native-Reliance, decrease in substance use, and a decrease in the PHQ-9 depressions scores from baseline to 6-month postintervention. These findings validate the importance of cultural-based interventions for the prevention of substance use among urban Native American young adults.

 

Source: Link to Original Article.

Source: https://onlinelibrary.wiley.com/doi/10.1002/jcop.23044

Type of Resource: Peer-reviewed scientific article

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