American Indian Behavioral Health Assessment Instruments

Engaging into the importance of multicultural competence, awareness of such competency has become a significant necessity in the area of mental health, and various fields of psychology (Hayes, 2008). It is essential for a counselor to be multicultural competent in order to develop a therapeutic alliance with a client, while understanding their cultural identity. Therefore, culturally competent knowledge, attitudes, and skills of diverse culture, is necessary, in proper treatment and diagnosis. Nonetheless, the complexity of cultural diversity can contribute to challenges in assessment, diagnosis and or treatment. It is further understood; by understanding one’s social history, psychosocial history, presenting problems, along with other pertinent information regarding a cultural responsiveness in a diagnosis, and how it would be beneficial to individuals of various social, ethnic, and other minority groups in order to make a treatment plan based on the findings of a cultural assessment (Sue & Sue, 2013). Nonetheless, cultural influences, often neglected, are needed to incorporate the challenges cultural groups face when seeking treatment. Therefore, I have found it applicable to use “ADDRESSING,” framework in therapy as a resource for developing cultural and relevant assessments in addition to the onset symptoms presented in the client in the case study of Mrs. Hudson. The use of “ADDRESSING” acronym is designed to obtain age, developmental and physical disabilities

Native Americans have been neglected, abused, and tormented since the 1700’s when their land was abruptly invaded by Europeans. Europeans declared this “unknown” territory to be their property from then forward and did anything and everything to make sure this would happen. This included forced assimilation, where Natives were stripped of their cultural traditions and forced to assimilate to an english speaking, westernized culture (McLeigh, 2010). This included taking children from their families and sending them to boarding school to learn a new language, new cultural traditions, and new religious practices. Starting in 1860 and lasting until 1970, children were taken from their families at a young age and often lost touch with their family

It is well-known that the health issue of Aboriginal and Torres Strait Islander people has been constantly discussed and analysed up to the present. Indigenous Australian experience poorer health outcome compare to other population in Australian, and also they experienced significantly higher rates of mental illness within their communities, and the suicide rate approximately more than double higher than for the general population (Australian Institute of Health and Welfare,2009). The purpose of this essay is to discuss the factor that associated with higher rate of mental illness and suicide behavior regard to Aboriginal and Torres Strait Islander people, the concept of cultural, social and emotional well-being that triggers this phenomenon.

Application of the Transcultural Analysis to an American Indian culture is accomplished through known cultural beliefs and practices. However, it is important to note that while each culture may have defining characteristics, family and individual practices may vary. To be an effective provider implementation must be tailored to individual needs. Starting with cultural awareness and building a care plan fit for the individual is ideal in the healthcare setting.

The connection between characteristics of counseling and Native American characteristics in respect to culture, language and class is quite weak. However, there are certain elements that bear slight similarities. The first is with regard to the use of language. While counseling invokes the use of Standard English, Native Americans use nonstandard English alongside tribal dialects. English presence in either character list gives the communication process a chance to take off, which would not be the case if Native Americans only relied on tribal dialects. Bringing the idea of family does get close to that of Native Americans. While Native Americans emphasize on the extended family, counselors do look at the nuclear family. The context of the

In America, the number of federally identified tribes is 562 with every tribe having its own culture, belief system and practices. That is why there seem diverse type of behaviors among this population related to healthcare seeking and healthcare attitudes. Amongst the most common components that lead to this diversity in healthcare seeking behaviors is the role of culture which affects healthcare intervention, prevention, and care. So, it is very important to understand the diversity of culture in particular

With regards to this, healthcare workers also identified a number of emerging positive attitudes across Indian country. Tribes of Native American communities, for example, report that they are taking steps themselves to eliminate abuse. The feeling is growing that the best--perhaps only way--to overcome Indian alcohol and substance abuse

What was later known as the United States of America was home to six to ten million American Indians that were separated into hundreds of tribes. Each tribe had different values, cultural strains, and beliefs. Throughout the years there were government polices against the American Indians. According to the book Strangers to These Shores the author states that American Indians are poor in income, employment, and housing (Parrillo, 206).

In all psychological and biological assessment, the use of culturally attuned assessments is top priority. “We may define culturally informed psychological assessment as an approach to evaluation that is keenly perceptive of and responsive to issues of acculturation, values, identity, worldview, language, and other culture-related variables as they may impact the evaluation process or the interpretation of resulting data” (Cohen, Swerdlik, & Sturman, 2013). Through this process key individuals contribute to the understanding of the client including family, friends, and coworkers input and information. Through the use of translators and other cultural affiliates clinicians are able to demonstrate a clearer understanding, a culturally applicable assessment, and ensure that the client understands the ins and outs of the assessment process. One important aspect of the implementation of the “one size fits all approach” to culturally attuned treatment and care in our mental health facilities (Cohen, Swerdlik, & Sturman, 2013). Assessment and clinical evaluations should not be a cookie cutter experience. The amount of patients that are

Rather than interpret behaviors of the Native Americans counselors understand what greatly impacts American Indians in social issues. Native Americans are greatly impacted with Major Health Issues, Employment Issues, Economic Issues, and Family Dynamics.

Alcoholism is a prevalent social epidemic for Native Americans, especially among youth between the ages of 13 to 18 that reside on the reservations. Alcoholism and chronic substance abuse among Native America youth is increasing at a rapid rate in the past few years. Alcoholism is risk of substance abuse or dependence is consistently elevated in adolescents who had been victims of assault or who had witnessed violence (Kilpatrick, Acierno, Saunders, Resnick, Best, & Schnurr, 2000). Inherent risks associated with substance abuse range from minor poor judgement errors to life-threating events, for example dose overdose or acute drug hypersensitivity (Beauvais, 1992). Studies have not yet found a clear biological mechanism that would explain alcoholism and excessive drinking, but a number of them have suggested a possibility of some kind of predisposition to the condition (Clinard & Meier, 2015). This paper presents an analysis of family structure, alcoholism diagnosis criteria, and psychological effects associated with chronic alcohol abuse among Native American youth.

Opening a discussion about assimilation reveals a double standard that has been present between native and non-native Americans throughout our nation’s history. From the day they stepped off the boat, white settlers expected Native Americans to change and conform, while they themselves refused to do any changing at all. Before the European settlers arrived in America, the native peoples were the “American Mainstream.” White settlers came into their home, disrupted and destroyed their way of life, disrespected their culture and religion, and then asked them to adopt a European lifestyle. We established a nation in a place where

Healthcare is an ever changing entity with an ever changing population of clients. In current day 2016, the United Sates has become a melting pot of many different cultural backgrounds, which has led to changes within the system to accommodate the patient base. Unfortunately, not all changes have been able to effectively reach any and all persons from every background. We still see language and cultural barriers that have direct correlation to the inability to seek healthcare and or the ability to change cultural perspectives to ensure healthy lifestyles. Within this paper, the health of American Indian and Alaskan Native populations will be discussed along with the barriers to care and the

The reading material from my textbook aligns with the issues presented in the video on Mental Health of Native Americans. The video talks about reconnecting adults and youths back into their culture. One issue is that American Indians have a low success rate academically. American Indian children often distrust European American which makes it difficult for cross cultural counseling. According to Baruth & Manning (2012), American Indian adolescents will end up being counseled by European American counselors because there are few American Indian counselors. The video states that there is high use of substance abuse, suicide, and dropout rates for American Indians. The textbook list suicide, alcohol abuse and other substance abuse, and high school and college drop-out rates as being potential problems American Indian adolescents may experience

While gender and ethnicity may be the more apparent cultural features other things are important also, which include sexual orientation, spiritual or religious practices, political aspects, and general philosophy of life are all cultural elements that need to be incorporated into interventions and treatment options” (Cummins et al., 2012, p.237). In addition, it is important for the social worker to have cultural knowledge because it is necessary for selecting the appropriate intervention and treatment methods for that client. Furthermore, the appropriate multidimensional assessment provides the social worker with the internal culture of the client such as cognitive abilities or limitations, emotional health, and emotional responses and