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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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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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"What makes life good?" Developing a culturally grounded quality of life measure for Alaska Native college students.

https://arctichealth.org/en/permalink/ahliterature107700
Source
Pages 428-434 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):428-434
Publication Type
Article
Date
2013
makes life good? studies investigating perceptions of well-being by indi- genous people. For example, for Yup'ik AN people (in southwest Alaska), discussions of health and wellness emphasized the significance of traditional values and connections to commllllity and nature to healing and sustaining
  1 document  
Author
Dinghy Kristine B Sharma
Ellen D S Lopez
Deborah Mekiana
Alaina Ctibor
Charlene Church
Author Affiliation
Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, AK 99775, USA. dbsharma@alaska.edu
Source
Pages 428-434 in N. Murphy and A. Parkinson, eds. Circumpolar Health 2012: Circumpolar Health Comes Full Circle. Proceedings of the 15th International Congress on Circumpolar Health, Fairbanks, Alaska, USA, August 5-10, 2012. International Journal of Circumpolar Health 2013;72 (Suppl 1):428-434
Date
2013
Language
English
Geographic Location
U.S.
Publication Type
Article
Digital File Format
Text - PDF
Physical Holding
University of Alaska Anchorage
Keywords
Adolescent
Adult
Alaska - epidemiology
Culture
Female
Focus Groups
Humans
Indians, North American - psychology - statistics & numerical data
Male
Quality of Life - psychology
Questionnaires
Students - psychology - statistics & numerical data
Universities - statistics & numerical data
Young Adult
Abstract
Alaska Native (AN) college students experience higher attrition rates than their non-Native peers. Understanding the factors that contribute to quality of life ("what makes life good") for AN students will help inform supportive programs that are congruent with their culture and college life experiences.
Co-develop a conceptual model and a measure of quality of life (QOL) that reflects the experiences of AN college students.
Six focus groups were conducted with 26 AN college students. Within a community-academic partnership, interactive data collection activities, co-analysis workgroup sessions and an interactive findings forum ensured a participant-driven research process.
Students identified and operationally defined eight QOL domains (values, culture and traditions, spirituality, relationships, basic needs, health, learning and leisure). The metaphor of a tree visually illustrates how the domains values, culture and traditions and spirituality form the roots to the other domains that appear to branch out as students navigate the dual worldviews of Native and Western ways of living.
The eight QOL domains and their items identified during focus groups were integrated into a visual model and an objective QOL measure. The hope is to provide a useful tool for developing and evaluating university-based programs and services aimed toward promoting a positive QOL and academic success for AN students.
Notes
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PubMed ID
23984302 View in PubMed
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