Risk andProtective Factors Project found the prevalence of DSM-IV disorders was 35.7% for women to nearly 50% for men (Beals et al., 2005). The most common disorder for women was post-traumatic stress disorder and for men, alcohol abuse and dependence. Significant levels of comorbidity were found among those with depressive and/or anxiety and substance use disorders (Beals et al., 2005).To fully understand the behavioral health disparities experienced by AI/AN, it is critical to examine the context in which they occur. High prevalence of behavioral disorders in AI/AN communities is believed to be linked to a number of historical and environmental factors, such as historical trauma and contemporary discrimination, as well as current-day unemployment, academic failure, high-risk occupations,