Tag Archive for: Culturally Informed Care

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

 

One Pager:

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

 

One Pager:

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

 

One Pager:

‘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

 

One Pager:

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

One Pager:

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

One Pager:

Primary Psychiatric Diagnoses, Commercialized Tobacco Use, and Homelessness: Comparisons Between Urban American Indian/Alaska Native and Non-American Indian/Alaska Native Adult Clinical Samples

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Authors: Daniel Dickerson et al.

Publication Year: 2023

Last Updated:

Journal: American Indian and Alaska Native Mental Health Research

Keywords: Cultural Sensitivity and Appropriateness; Mental and Behavioral Health; Tobacco Use (non-traditional); Homelessness

 

Short Abstract: Although over 70% of American Indians and Alaska Natives (AI/ANs) reside in urban areas, our knowledge of urban AI/AN adults receiving mental health treatment is limited.

 

Abstract: Although over 70% of American Indians and Alaska Natives (AI/ANs) reside in urban areas, our knowledge of urban AI/AN adults receiving mental health treatment is limited. This study compares primary psychiatric diagnoses, commercialized tobacco use, and homelessness between AI/AN and non-AI/AN adults receiving services in an urban public mental health agency serving primarily AI/AN people in southern California. Depressive disorders were the most common psychiatric diagnoses for both groups. However, AI/AN adult clients demonstrated significantly less anxiety disorders and significantly more homelessness. Schizophrenia spectrum and other psychotic disorders, bipolar and related disorders, and commercialized tobacco use were higher among AI/AN adults compared to non-AI/AN adults. Results from this study offer data needed to further understand important public health issues that exist among AI/AN adults receiving mental health services in urban areas. We provide suggestions to enhance integrated and culturally appropriate treatment approaches and homelessness initiatives for this under-resourced, yet resilient population.

 

Source: Link to Original Article.

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Source: https://coloradosph.cuanschutz.edu/docs/librariesprovider205/journal_files/vol30/30_1_2023_14_dickerson.pdf

Type of Resource: Peer-reviewed scientific article

Perspectives of Indigenous University Students in Canada on Mindfulness-Based Interventions and their Adaptation to Reduce Depression and Anxiety Symptoms

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Authors: Shadi Beshai, Sharon M. Desjarlais & Brenda Green

Publication Year: 2023

Last Updated: February 21, 2023

Journal: Mindfulness

Keywords: Cultural Sensitivity and Appropriateness; Health Disparities; Mental and Behavioral Health; Psychology Suicide and Suicide Prevention; Youth; Anxiety; Depression; Mindfulness

 

Short Abstract: Objectives Indigenous university students experience high rates of anxiety and depression due primarily to the pernicious and persistent effects of colonialism, racism, and discrimination. Mindfulness-based interventions (MBIs) hold promise, but likely require adaptation to make them culturally relevant for Indigenous peoples. We sought to gather Indigenous students’ perspectives on the consistency and adaptability of MBIs for Indigenous students experiencing symptoms of depression and anxiety.

 

Abstract: Objectives Indigenous university students experience high rates of anxiety and depression due primarily to the pernicious and persistent effects of colonialism, racism, and discrimination. Mindfulness-based interventions (MBIs) hold promise, but likely require adaptation to make them culturally relevant for Indigenous peoples. We sought to gather Indigenous students’ perspectives on the consistency and adaptability of MBIs for Indigenous students experiencing symptoms of depression and anxiety. Method This three-part longitudinal investigation employed a qualitative design mixed with Indigenous research methods to elicit feedback from students (n = 14; Mage = 28.92) on the acceptability of MBIs and ways to tailor MBIs to make them more consistent with Indigenous cultures and student lifestyles. We subsequently used this feedback to develop an outline for an adapted MBI that was then re-evaluated by the same participants for its cultural relevance and safety. Results Indigenous students emphasized the need for the adapted MBI to incorporate (a) traditional Indigenous practices; (b) Indigenous facilitators; (c) holistic conceptualizations of mental health that include spirituality; and (d) practices and methods that could improve flexibility and accessibility of the adapted intervention. Based on this feedback, we presented students with an outline of an adapted MBI tentatively titled Miyowâyâwin Mindful Wellbeing Program, which received favorable evaluations by students for cultural consistency and safety. Conclusions We confirmed the perceived acceptability and consistency of mindfulness and mindfulness programs with Indigenous cultures. The need for a flexible MBI that centers Indigenous elements and Indigenous facilitators was highlighted by Indigenous participants. This study paves the way for latter steps of the development and subsequent evaluation of the Miyowâyâwin Mindful Wellbeing Program.

 

Source: Link to Original Article.

Funding:

Code:

Source: https://link.springer.com/article/10.1007/s12671-023-02087-7

Type of Resource: Peer-reviewed scientific article

Determinants of Lung Cancer Screening in a Minnesota Urban Indigenous Community: A Community-Based, Participatory, Action-Oriented Study

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Authors: Madison D. Anderson, Wyatt J. Pickner, Abbie Begnaud

Publication Year: 2023

Last Updated:

Journal: Cancer Prevention Research

Keywords: Cancer; Cultural Sensitivity and Appropriateness; Health Disparities

 

Short Abstract: Although lung cancer screening (LCS) with annual low-dose chest CT has been shown to reduce lung cancer deaths, it remains underutilized. Northern Plains American Indian and Alaska Native (AI/AN) communities experience extreme lung cancer disparities, and little is known about the acceptance and adoption of LCS in these groups.

 

Abstract: Although lung cancer screening (LCS) with annual low-dose chest CT has been shown to reduce lung cancer deaths, it remains underutilized. Northern Plains American Indian and Alaska Native (AI/AN) communities experience extreme lung cancer disparities, and little is known about the acceptance and adoption of LCS in these groups. We conducted interviews with healthcare professionals and focus groups with patients in an urban Minnesota community clinic serving AI/AN. Data collection took place during winter 2019–2020. Indigenous researchers collected and analyzed the data for emergent themes using simultaneous collaborative consensus with a LCS researcher. Participants reported some similar barriers to LCS as previous studies reported but also shared some new insights into traditional ways of knowing and recommendations for effectively implementing this evidence-based preventive care service. Lung screening is largely acceptable to patients and healthcare personnel in an AI/AN–serving community clinic. We identified barriers as previously reported in other populations but also identified some unique barriers and motivators. For example, the concept of the seven generations may provide motivation to maintain one's health for future generations while providing additional support during screening for persons traumatized by the Western medicine health system may facilitate increased screening uptake. Prevention Relevance: Secondary prevention of lung cancer through screening is potentially lifesaving considering that overall survival of lung cancer is 20% at 5 years but curable if detected at an early stage. This work provides insight into culturally tailored approaches to implementing the service in individuals at high risk of the disease.

 

Source: Link to Original Article.

Funding:

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Source: https://aacrjournals.org/cancerpreventionresearch/article/16/4/239/718841/Determinants-of-Lung-Cancer-Screening-in-a

Type of Resource: Peer-reviewed scientific article