American Indian Health Project

This threat to the native family is detrimental to the children who lack the emotional attachment, therefore creating immature adults who are deprived of a sense of direction or values. Apart from emotional dislocation, the rate of physical and sexual abuse among aboriginal Canadians is also high. There have been various stories of addiction that have been stemmed from abuse and neglect among Natives. Researchers claim that the loss of attachment of young people may lead to increase in addictive tendencies. First Nations people are believed to be largest substance-abusing groups in Canada, where there is formal discussion regarding addiction there are references to the high addiction rates in Aboriginal communities. The major difference between the addiction problem for Native Canadian and others is the element of social isolation and systemic discrimination. This has created a divide among Native communities and a decrease in the spirituality that was originally a central source of power in Aboriginal communities. Addiction has been a symptom to many other issues in First Nations communities, most of which come back to segregation and alienation. Today many first nation communities are fighting for basic needs such as clean water, this is evidence of the discrimination and injustices against first nations people that remain an issue. The first step to addressing these concerns is by ending the cycle of abuse

Though warfare and attacks on entire villages took a definite toll on the populations of Native Americans, disease was by far the biggest killer. We’ve all heard the stories of smallpox infected blankets being given to the Native Americans, and other such atrocities, but I was simply dumbfounded at the actual numbers of dead due to Old World diseases being introduced to the New World, North America. While it has been somewhat difficult for scholars to determine the exact count of Indians who died from disease, they have fairly accurate estimates.

Native Americans have dealt with many problems after European colonization, and one of the prevalent issues is alcoholism. With the history of alcohol being an invasive and with modern times leading to more cases of alcoholism, it is hard to say when the Native Americans will see the day when their communities are free of this trouble.

The continuous trauma that they endured has negatively affected the mental health and physical health of the population. Native Americans are at higher risk for depression, physical/sexual abuse, domestic violence, substance abuse, and mental health issues (McLeigh, 2010). Native American youth are three times more likely to commit suicide than the average population. Native Americans in general are twice as likely to be diagnosed with depression and five times more likely to have alcoholism. Colonization not damaged natives mentally, but also brought harm to their physical health as Europeans brought diseases (measles, chicken pox, smallpox, etc) to America (McLeigh, 2010). In order for this population to be served to treat their many medical and mental health issues brought on by years of trauma, policies must be implemented to help Native Americans specifically. However, the reality is that natives mental health needs are often ignored (Gone, 2004). There have been policies that have attempted to meet the needs, but much more is needed. In the most recent action towards improving mental health services for natives, the Affordable Care Act of 2010 permanently gave authorization to the Indian Health Care Improvement Act (Ross, Garfield, Brown, & Raghavan, 2015). This policy will be discussed and analyzed to examine further needs for services in this

Nichea Spillane argues that “Alcohol use among American Indians is perhaps the largest health concern in many American Indian communities” (8). Even with free medical clinics, known as Indian Health Services, many Native Americans who live in cities or have left their tribal lands find it difficult to receive the medical care that is needed. This could explain why, “Uninsured American Indians or Alaska Native Adults were more likely than uninsured adults in the general population to have binged on alcohol in the past month” (SAMHSA 6). Study after study show the disturbing effects of alcohol on the American Indians’ health. From minor health problems to alcohol-attributable deaths, to mental health and suicides, there is no way to document all the damage caused by excessive drinking. It is documented that “…excessive alcohol consumption is a leading cause of preventable death and years of lost life in this population. During 2001-2005, AmericanIndian/ AlaskaNatives were more than twice as likely to die from alcohol-related causes, compared with the U.S. general population (Naimi et al. 940).

Though American Indians are enjoying an independent public health system with above $3 billion funds provided by Congress annually for delivering healthcare services to them, still figure and facts on health status of American Indians reveal that they are facing many difficulties and have to suffer from diverse type of illness and disease at a misappropriate level. Since long it was identified by medical communities that there are wide spread diseases diabetes, alcoholism, tuberculosis, suicide, unintentional injuries, and other health conditions among American Indian and they are dying of these diseases at shocking rates (American Heart Association [AHA], 2010). Through this essay I want to discuss the healthcare status of American Indians in the perspective of their culture as how it impacted and lead to develop mistrust between amongst the medical community and American Indians.

The Native American culture is the original culture of the United States. Members of Native American tribes live throughout the country. “There are an estimated 4.9 million persons, in 565 federally recognized tribes who are classified as American Indian or Alaska Native (AI/AI), alone or in combination with one or more other designated racial classifications. This demographic group compromises 1.6% of the U.S. population” (Horowitz, 2012). Wisconsin is home to the Ho-Chunk (Winnebago), Ojibwa (Chippewa), and the Potawatomi tribes (“American”, 2014). It is important for nurses within this state, as well as any other state, to understand the Native American belief system in order to provide a quality healthcare experience. Nurses are the primary point of contact in the healthcare setting. Client advocacy is one of the nurse’s major roles. Therefore, the nurse should have the highest level of diversity understanding for the cultures within the local region.

Substance abuse is a topic most prefer not to discuss; it destroys lives, relationships and families all over the world. Native Americans seem to have suffered immensely by it. Since the coming of the Englishmen and the introduction of new knowledge and tools Native people have been trying to hold on to their own culture and their own way of life. Unfortunately with them came new items for consumption, alcohol was one of the main ingredients to the internal downfall of Native populations. Native American populations suffer greatly due to the ongoing epidemic of substance abuse and dependence; some things are being done about the problems people are having but in the end will it be enough to heal a nation? To open this paper I will look at

Alcoholism is the leading health and social problem of American Indians than any other race. Native Americans who end up leaving the reservation to pursue education or employment opportunities express a high degree of discomfort and anxiety as a result of “feeling caught in two worlds.” By leaving the reservation they are abandoning their traditions, however temporarily, and suffering a sense of personal loss and insecurity. In entering a new world, this sense of loss and insecurity is heightened and becomes exacerbated, particularly if they do not experience success or acceptance in the new environment (Major, A.K. A 2003). However, if success and acceptance in the new world occurs, these individuals will still suffer the pangs of abandonment since they can never fully return to the reservation. In some cases, forced assimilation has extinguished the culture from many Indians as their grandparents and parents were forced to abandon the old ways in order to become more American. Thomas Jefferson, as well as many others believed that Native Americans can be just as ‘White’ Americans. In an attempt to increase local employment opportunities, many tribes have turned to gambling casinos and the collateral business which support these ventures. Illegal activities would certainly increase among Indians because of the simple fact that they need to survive by any means necessary. This can all

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

The Tribal Health System is a voluntary affiliation of 39 tribes and tribal organizations providing health services to American Indians/Alaska Native (AI/AN) in Alaska. It is a complex system that is an agreement that sets terms and conditions of the government-to-government relationship between Alaska Native tribes and/or tribal organizations, and the United States government through the Indian Health Service (Health Care in Alaska, 2014). Alaska Native Health System are spread out all over Alaska. Medicaid is second largest source of coverage for AI/AN people, and, is the largest public health insurance program for Indian people (Lowe & Grantz, 2012). Alaska Native Tribal Health Consortium (ANTHC) responsible for essential statewide services,

a) Briefly explain one example of how the environment shaped the social or cultural aspect of a North American Indian group.

To improve health services in the Indigenous communities, strong links needs to be built between the staff and the Indigenous Elders as this could help with the Indigenous community accessing the health services (Hayman et al. 2009). Having mutual respect, building trust and understanding is the key factor for making services accessible to the Indigenous people (ctgc-rs27 pdf document), and the community Elders are a vital conduit for respect, building trust, and acceptance (Scrimgeour & Scrimgeour 2008). When health services build solid relationship with the local Elders and regularly consulting with them and being genuine, this will then help with developing culturally secure services (ctgc-rs27 pdf document). It would be different though

The Indian Health Service (IHS) is a healthcare program within the Department of Health and Human Services. (Agency Overview n.d.) It provides federal health services to eligible American Indians and Alaska Natives at IHS facilities. (Agency Overview n.d.) Services that IHS provide include medical, dental and vision, ancillary services, such as laboratory and pharmacy, specialty care which include services provided by the physician or specialist. (Agency Overview n.d.) The factors that affect the type of health care depend on the community needs, level of funds and whether treatment is medically necessary (Marx n.d.) American Indians and Alaska Natives can receive direct care at hospitals, health centers and they may be federally or