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Incorporating traditional healing into an urban American Indian health organization: a case study of community member perspectives.

https://arctichealth.org/en/permalink/ahliterature123131
Source
J Couns Psychol. 2012 Oct;59(4):542-54
Publication Type
Article
Date
Oct-2012
Author
William E Hartmann
Joseph P Gone
Author Affiliation
Department of Psychology, University of Michigan, Ann Arbor, MI 48109-1043, USA. williaha@umich.edu
Source
J Couns Psychol. 2012 Oct;59(4):542-54
Date
Oct-2012
Language
English
Publication Type
Article
Keywords
Adult
Attitude to Health
Community-Based Participatory Research
Female
Focus Groups
Health Services, Indigenous
Humans
Indians, North American - psychology
Male
Medicine, Traditional
Mental Disorders - ethnology - rehabilitation
Middle Aged
Midwestern United States
Needs Assessment
Organizational Case Studies
Substance-Related Disorders - ethnology - rehabilitation
Urban Health Services
Abstract
Facing severe mental health disparities rooted in a complex history of cultural oppression, members of many urban American Indian (AI) communities are reaching out for indigenous traditional healing to augment their use of standard Western mental health services. Because detailed descriptions of approaches for making traditional healing available for urban AI communities do not exist in the literature, this community-based project convened 4 focus groups consisting of 26 members of a midwestern urban AI community to better understand traditional healing practices of interest and how they might be integrated into the mental health and substance abuse treatment services in an Urban Indian Health Organization (UIHO). Qualitative content analysis of focus group transcripts revealed that ceremonial participation, traditional education, culture keepers, and community cohesion were thought to be key components of a successful traditional healing program. Potential incorporation of these components into an urban environment, however, yielded 4 marked tensions: traditional healing protocols versus the realities of impoverished urban living, multitribal representation in traditional healing services versus relational consistency with the culture keepers who would provide them, enthusiasm for traditional healing versus uncertainty about who is trustworthy, and the integrity of traditional healing versus the appeal of alternative medicine. Although these tensions would likely arise in most urban AI clinical contexts, the way in which each is resolved will likely depend on tailored community needs, conditions, and mental health objectives.
Notes
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PubMed ID
22731113 View in PubMed
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Indigenous traditional knowledge and substance abuse treatment outcomes: the problem of efficacy evaluation.

https://arctichealth.org/en/permalink/ahliterature121177
Source
Am J Drug Alcohol Abuse. 2012 Sep;38(5):493-7
Publication Type
Article
Date
Sep-2012
Author
Joseph P Gone
Author Affiliation
Department of Psychology, University of Michigan , Ann Arbor, MI 48109-1043, USA. jgone@umich.edu
Source
Am J Drug Alcohol Abuse. 2012 Sep;38(5):493-7
Date
Sep-2012
Language
English
Publication Type
Article
Keywords
Alaska
Ceremonial Behavior
Health Knowledge, Attitudes, Practice - ethnology
Humans
Indians, North American
Medicine, Traditional - methods
Substance-Related Disorders - rehabilitation
Treatment Outcome
United States
Abstract
In the field of substance abuse treatment, American Indian and Alaska Native (AI/AN) communities have routinely incorporated ceremonial practices as one important component in the promotion of recovery and healing. The beneficial effects of such practices are frequently described as plainly apparent by community-based advocates, providers, and professionals alike. In the present era of evidence-based substance abuse intervention, however, indigenous integration of such practices raises questions pertaining to the systematic evaluation of treatment efficacy.
The focus of this article is outcome evaluation. Although intervention outcome researchers recognize the randomized controlled trial as the "gold standard" against which claims of treatment efficacy are measured, AI/AN efficacy assertions grounded in indigenous traditional knowledge (ITK) reflect different concerns that have emerged in non-Western historical contexts. The interface between scientific and indigenous "ways of knowing" is explored here relative to efficacy claims about substance abuse treatment.
Distinguishing features of both scientific knowing and ITK are summarized and compared.
ITK has been described as personal and experiential, reflecting the primacy of autonomous individual knowing. In contrast, intervention scientists are skeptical of personal inference as a basis for efficacy evaluation. The evident divergence between these epistemic paradigms can result in potentially contradictory claims.
Proper appraisal of the status and relevance of ITK for determining treatment efficacy requires further exploration of these marginalized approaches to knowledge.
Intervention scientists who work in AI/AN communities should remain open to the legitimacy and role of ITKs in investigations of substance abuse treatment.
PubMed ID
22931084 View in PubMed
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Rehabilitation challenges for Aboriginal clients recovering from brain injury: a qualitative study engaging health care practitioners.

https://arctichealth.org/en/permalink/ahliterature152713
Source
Brain Inj. 2009 Mar;23(3):250-61
Publication Type
Article
Date
Mar-2009
Author
Michelle L Keightley
Ruwan Ratnayake
Bruce Minore
Mae Katt
Anita Cameron
Randy White
Alice Bellavance
Claudine Longboat-White
Angela Colantonio
Author Affiliation
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada. michelle.keightley@utoronto.ca
Source
Brain Inj. 2009 Mar;23(3):250-61
Date
Mar-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Attitude of Health Personnel - ethnology
Brain Injuries - epidemiology - ethnology - rehabilitation
Continuity of Patient Care
Cultural Diversity
Female
Health Services, Indigenous - standards
Humans
Male
Middle Aged
Patient compliance
Qualitative Research
Young Adult
Abstract
To explore the experiences of health care practitioners working with Aboriginal clients recovering from acquired brain injury (ABI).
Participatory research design using qualitative methods.
Fourteen in-depth, semi-structured interviews were conducted. The Framework Method of analysis was used to uncover emerging themes.
Five main categories emerged: practitioners' experience with brain injury, practitioners' experience with Aboriginal clients, specialized needs of Aboriginal clients recovering from brain injury, culturally sensitive care and traditional healing methods. These categories were then further divided into emergent themes and sub-themes where applicable, with particular emphasis on the specialized needs of Aboriginal clients.
Each emergent theme highlighted key challenges experienced by Aboriginal peoples recovering from ABI. A key challenge was that protocols for rehabilitation and discharge planning are often lacking for clients living on reserves or in remote communities. Other challenges included lack of social support; difficulty of travel and socio-cultural factors associated with post-acute care; and concurrent disorders.
Results suggest that developing reasonable protocols for discharge planning of Aboriginal clients living on reserves and/or remote communities should be considered a priority.
PubMed ID
19205962 View in PubMed
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From health care to home community: an Aboriginal community-based ABI transition strategy.

https://arctichealth.org/en/permalink/ahliterature138013
Source
Brain Inj. 2011;25(2):142-52
Publication Type
Article
Date
2011
Author
Michelle Keightley
Victoria Kendall
Shu-Hyun Jang
Cindy Parker
Sabrina Agnihotri
Angela Colantonio
Bruce Minore
Mae Katt
Anita Cameron
Randy White
Claudine Longboat-White
Alice Bellavance
Author Affiliation
Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada. michelle.keightley@utoronto.ca
Source
Brain Inj. 2011;25(2):142-52
Date
2011
Language
English
Publication Type
Article
Keywords
Attitude of Health Personnel
Brain Injuries - ethnology - rehabilitation
Community Health Services - standards
Continuity of Patient Care - standards
Female
Focus Groups
Health Services Accessibility
Health Services, Indigenous - standards
Humans
Longitudinal Studies
Male
Ontario
Patient Discharge
Prospective Studies
Qualitative Research
Self Report
Abstract
To explore the barriers and enablers surrounding the transition from health care to home community settings for Aboriginal clients recovering from acquired brain injuries (ABI) in northwestern Ontario.
Participatory research design using qualitative methods.
Focus groups conducted with clients with ABI, their caregivers and hospital and community health-care workers. The Framework Method of analysis was used to uncover emerging themes.
Six main categories emerged: ABI diagnosis accuracy, acute service delivery and hospital care, transition from hospital to homecare services, transition from hospital to community services, participant suggestions to improve service delivery and transition, and views on traditional healing methods during recovery.
A lack of awareness, education and resources were acknowledged as key challenges to successful transitioning by clients and healthcare providers. Geographical isolation of the communities was highlighted as a barrier to accessibility of services and programmes, but the community was also regarded as an important source of social support. The development of educational and screening tools and needs assessments of remote communities were identified to be strategies that may improve transitions.
Findings demonstrate that the structure of rehabilitation and discharge processes for Aboriginal clients living on reserves or in remote communities are of great concern and warrants further research.
PubMed ID
21219087 View in PubMed
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American Indian culture as substance abuse treatment: pursuing evidence for a local intervention.

https://arctichealth.org/en/permalink/ahliterature126323
Source
J Psychoactive Drugs. 2011 Oct-Dec;43(4):291-6
Publication Type
Article
Author
Joseph P Gone
Patrick E Calf Looking
Author Affiliation
Department of Psychology, University of Michigan, 2239 East Hall, 530 Church Street, Ann Arbor, MI 48109-1043, USA. jgone@umich.edu
Source
J Psychoactive Drugs. 2011 Oct-Dec;43(4):291-6
Language
English
Publication Type
Article
Keywords
Culture
Evidence-Based Practice
Humans
Indians, North American - psychology
Residential Treatment
Substance-Related Disorders - psychology - therapy
Abstract
Contemporary tribal commitments to traditional cultural reclamation and revitalization find continued expression by recent generational cohorts of American Indians who, when it comes to matters of recovery, healing, and wellness in the context of substance abuse, routinely assert that "our culture is our treatment." And yet, empirical investigations of this culture-as-treatment hypothesis--namely, that a (post)colonial return to indigenous cultural orientations and practices is sufficient for effecting abstinence and recovery from substance use disorders for many American Indians--have yet to appear in the scientific literature. Preliminary activities of a research partnership dedicated to the empirical exploration of this hypothesis for reducing Native American substance use disorders are summarized. Specifically, collaboration between a university-based research psychologist and a reservation-based substance abuse treatment program staff has thus far resulted in a detailed blueprint for a radically alternative, culturally-grounded intervention developed for reservation residents. This proposed alternative intervention--a seasonal cultural immersion camp designed to approximate the day-to-day experiences of prereservation ancestors--was designed for eventual implementation and evaluation with adult clients referred for residential treatment on the Blackfeet Indian reservation. It is anticipated that the proposed intervention will eventually afford empirical evaluation of the culture-as-treatment hypothesis.
PubMed ID
22400459 View in PubMed
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