American Indian Behavioral Health Assessment Instruments

4140 WordsApr 18, 201617 Pages
American Indian Behavioral Health Assessment Instruments Dee Manatowa University of New England Abstract Mental and behavioral health agencies who service American Indians should employ a culturally relevant approach. Cultural-specificity is essential for understanding beliefs, values, and first language colloquial speech. Cultural-specific assessment information can enhance our understanding of the client’s symptoms and the need for other appropriate evaluation techniques. Client assessment practice within Indian Health Services (IHS) supports multi-culturalism, cultural competence, and sets the precedence for Tribal agencies to follow. Most Tribal Health agencies do follow IHS guidelines. However, most of those…show more content…
A mixed-method approach of content analysis was employed to achieve both quantitative and qualitative results. The sample was given an 8 open-ended question survey, including qualitative questions with some quantitative elements. The data was analyzed through interpretation and clarification of survey answers and a content analysis of assessment instruments revealed in the survey answers. The findings illuminated the lack of Federal prioritization of cultural-specificity, the need for emic-cultural-specific assessments, assessment gaps, the need for staff cultural competence training, and the need for further research. Introduction Background American Indian and Alaskan Native (AI/ANs) people in the United States, either identified as Native alone or of mixed race, numbered at 5.2 million people (Norris, Vines, & Hoeffel, 2012, para. 1). To date, there are 566 federally recognized tribes plus numerous Tribes who are not federally recognized with a majority population base of low socio-economic status. With the birth of America came the genocide, domination, culturecide, ecocide, separation, termination, racism, stereotyping, marginalization, and forced assimilation for the original Native Indian people of the United States, which resulted in historical and intergenerational trauma. The cultures and lifeworld views of American Indians and the White race (predominate American race), are
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