Tag Archive for: Mental and Behavioral Health

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

 

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

 

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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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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.

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

Type of Resource: Toolkit

Prevalence of Adverse Childhood Experiences Among U.S. Adults — Behavioral Risk Factor Surveillance System, 2011–2020

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Authors: Elizabeth A. Swedo, MD1; Maria V. Aslam, PhD2; Linda L. Dahlberg, PhD1; Phyllis Holditch Niolon, PhD1; Angie S. Guinn, MPH; Thomas R. Simon, PhD; James A. Mercy, PhD

Publication Year: 2023

Last Updated: June 30, 2023

Journal: Morbidity and Mortality Weekly Report

Keywords: Awareness; Health Disparities; Injury and Trauma; Mental and Behavioral Health; Population Information; Psychology; Social Determinants of Health; Socio-Economic Disparities; Sexual Abuse; Substance Use; Youth; Adverse Childhood Experiences (ACEs)

 

Short Abstract: What is already known about this topic? Adverse childhood experiences (ACEs) are associated with numerous negative outcomes. Previous data from 25 states indicated that ACEs are common among U.S. adults.

 

Abstract: What is already known about this topic? Adverse childhood experiences (ACEs) are associated with numerous negative outcomes. Previous data from 25 states indicated that ACEs are common among U.S. adults. What is added by this report? Among U.S. adults from all 50 states and the District of Columbia surveyed during 2011–2020, approximately two thirds reported at least one ACE; one in six reported four or more ACEs. ACEs were highest among women, persons aged 25–34 years, non-Hispanic American Indian or Alaska Native adults, non-Hispanic multiracial adults, adults with less than a high school education, and adults who were unemployed or unable to work. Prevalence of individual and total number of ACEs varied across jurisdictions. What are the implications for public health practice? CDC’s Preventing Adverse Childhood Experiences: Leveraging the Best Available Evidence provides strategies for preventing and mitigating ACEs, particularly among disproportionately affected populations.

 

Source: Link to Original Article.

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Source: https://www.cdc.gov/mmwr/volumes/72/wr/pdfs/mm7226a2-H.pdf

Type of Resource: Peer-reviewed scientific article

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.

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

Type of Resource: Peer-reviewed scientific article

Prevalence of Mental Health Disorders and Treatment Utilization among Urban Lesbian, Gay, Bisexual, and Transgender American Indians and Alaska Natives

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Authors: Ethel Nicdao et al.

Publication Year: 2023

Last Updated:

Journal: American Indian and Alaska Native Mental Health Research

Keywords: Gender Identity; Mental and Behavioral Health; Sexuality; Treatment Utilization

 

Short Abstract: We examined prevalence of mental health treatment utilization among 447 lesbian, gay, bisexual, transgender, and Two-Spirit (LGBTT-S) American Indian/Alaska Native (AI/AN) adults and the association of mental health treatment utilization with socio-demographic factors, social support, and mental health diagnoses.

 

Abstract: We examined prevalence of mental health treatment utilization among 447 lesbian, gay, bisexual, transgender, and Two-Spirit (LGBTT-S) American Indian/Alaska Native (AI/AN) adults and the association of mental health treatment utilization with socio-demographic factors, social support, and mental health diagnoses. We derived data from the HONOR Project, a multi-site cross-sectional survey of Native LGBTT-S adults from seven U.S. metropolitan cities. Rates of lifetime mental health treatment utilization were higher for women (87%), those who were college educated (84%), and homeowners (92%). Cisgender women and transgender AI/AN adults had a higher prevalence than cisgender men of major depression, generalized anxiety, and panic disorder. Rates of subthreshold and threshold posttraumatic stress disorder were significantly higher for transgender adults. Lower positive social support and higher emotional social support were associated with greater odds of mental health treatment utilization. Mental health diagnoses and lifetime mental health treatment utilization was positively associated.

 

Source: Link to Original Article.

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Source: https://coloradosph.cuanschutz.edu/docs/librariesprovider205/journal_files/vol30/30_1_2023_35_nicdao.pdf

Type of Resource: Peer-reviewed scientific article

Pregnancy Mortality Surveillance System

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Authors: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion (CDC)

Publication Year: 2023

Last Updated: March 23, 2023

Journal:

Keywords: Awareness; Ethnicity; Health Disparities; Mental and Behavioral Health; Minority Groups; Misclassification of AI/AN; Population Information; Women's Health; Maternal Health; Pregnancy; Reproductive Health

 

Short Abstract: CDC conducts national pregnancy-related mortality surveillance to better understand the risk factors for and causes of pregnancy-related deaths in the United States.

 

Abstract: CDC conducts national pregnancy-related mortality surveillance to better understand the risk factors for and causes of pregnancy-related deaths in the United States. The Pregnancy Mortality Surveillance System (PMSS) defines a pregnancy-related death as a death while pregnant or within 1 year of the end of pregnancy from any cause related to or aggravated by the pregnancy. Medical epidemiologists review and analyze death records, linked birth records and fetal death records if applicable, and additional available data from all 50 states, New York City, and Washington, DC. PMSS is used to calculate the pregnancy-related mortality ratio, an estimate of the number of pregnancy-related deaths for every 100,000 live births. The birth data used to calculate pregnancy-related mortality ratios were obtained from the National Vital Statistics System (NVSS) via the Centers for Disease Control and Prevention, Wide-ranging Online Data for Epidemiologic Research (CDC WONDER).

 

Source: Link to Original Article.

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Source: https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance-system.htm

Type of Resource: Other