Expanding the Circle: Decreasing American Indian Mental Health Disparities through Culturally Competent Teaching about American Indian Mental Health

Mays, Vickie M.; Gallardo, Miguel; Shorter-Gooden, Kumea; Robinson-Zañartu, Carol; Smith, Monique; McClure, Faith H.; Puri, Siddarth; Methot, Laurel; Ahhaitty, Glenda

doi:10.17953/aicr.33.3.b27481242q461u25

Cited by 6 publications

(18 citation statements)

References 25 publications

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“…A large proportion of these post-surveys focused only on quantitative data (n=24; 39%) (32,35,39,47,49,66,70,72,76,84,86,89,102,103,107,108,111,114,115,123,134,137,144,153), while others also included open-ended qualitative questions (n=12; 20%) (49,51,57,58,62,81,91,93,95,104,108,146). Participant interviews were also common following an intervention, mentioned in nearly a fifth of relevant articles (n=11; 18%) 4, 12,51,60,63,78,82,91,92,109,134). Oral or written learner feedback (n=6; 10%) (70,76,…”

Section: Evaluations Of Indigenous Cultural Safety Training Intervent...mentioning

confidence: 99%

“…While a third paper described delayed learner reflections collected at 1-2 weeks following the intervention (n=1; 2%) (92). Finally, of the papers that described a cultural safety training intervention, only approximately half of these papers presented the limitations of the methods chosen for the intervention evaluations (n=33; 54%) (34,39,46,47,49,51,54,57,65,66,72,74,77,80,81,84,91,93,95,98,99,106,107,110,111,115,117,123,133,134,144,148,156). The review team chose to exclude or refocus some of the data themes that were introduced in the protocol paper and proposed as part of this review study.…”

Section: Evaluations Of Indigenous Cultural Safety Training Intervent...mentioning

confidence: 99%

“…Nearly half of the studies targeted students of these disciplines (48%) (26,28, 29, 32, 34, 39, 42-44, 46, 49, 52, 57, 59, 64-68, 70, 71, 73-78, 81, 83-87, 89, 91, 92, 95, 98, 99, 101-104, 106-109, 112-114, 118, 121, 123, 124, 135, 137, 139, 140, 142, 144, 150, 152, 153, 160), while a slightly smaller proportion targeted professionals and/or academics (46%)(30, 31, 35-38, 40, 41, 45, 47, 50, 51, 53-56, 58, 60-63, 69, 72, 79, 80, 82, 88, 94, 96, 97, 100, 105, 110, 111, 115-117, 120, 122, 126-133, 136, 138, 141, 143, 145-149, 154- 159). Only one in twenty articles targeted both professionals/academics and students (6%)(33,48,90,93,119,125,134,151). In terms of the content within the articles selected for this review, just over half of the articles (51%) either articulated or cited a cultural safety (or similar) concept (e.g.…”

mentioning

confidence: 99%

“…*A study undertaken in both Canada and the United States was counted twice. ± ¥ α ^ (15%) (26,28,29,34,51,54,57,73,88,124,129,131,138,139,141,142,147,149,150,157), First Nations in Canada (13%) and American Indians in the United States (12%)(30,41,48,63,65,79,92,93,97,120,134,146,153,155,156,158,159). Other Indigenous groups included Métis in Canada (9%)(31,32,44,50,52,62,63,109,112,114,135,154), Inuit (8%)(31,…”

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confidence: 99%

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Indigenous Cultural Safety Training for Applied Health, Social Work and Education Professionals: A PRISMA Scoping Review

MacLean

Qiang

Henderson

et al. 2022

Preprint

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Background: Anti-Indigenous racism is a widespread social problem in health, social work, and education systems in English-speaking Colonized countries such as Canada, with profound negative impacts to the health and education of Indigenous peoples. In 2015, Canada's Truth and Reconciliation Commission recognized the legacy and impact of Colonization and recommended training programs for these professions on cultural competency and curricula, and on the colonial history of Canada. Yet there is little evidence on best practices for such training, highlighting the need to synthesize existing findings on how these training programs are developed, implemented, and evaluated. Methods: This scoping review explored the academic literature on Indigenous cultural safety and competence training in the health, social work, and education fields. Medline, EMBASE, CINAHL, ERIC and ASSIA were searched for articles published between 1996-2020 in Canada, United States, Australia, and New Zealand. The Joanna Briggs Institute's three-step search strategy was used as was the PRISMA extension for Scoping Reviews. Data was charted and synthesized in three stages. Results: 134 were included in this review. Data was extracted on four themes: 1) Article Characteristic; 2) Cultural Safety Concepts, Critiques and Rationale; 3) Characteristics of Cultural Safety Training; and 4) Evaluation Details of Cultural Safety Training. Findings suggest that research on cultural safety training programs in health, social work and education has grown significantly. Nursing and medicine professions have received a significant proportion of cultural training programs, compared with general/allied health, social work, and education. Across fields, professionals and students were targeted equally by training programs. Only half of evaluations of cultural safety and related intervention identified methodological limitations. Implications: Considering, comparing, and contrasting literature on cultural safety and related concepts and how they are applied in practice would advance this scholarly work, as would more robust evaluations of cultural safety and similar training interventions to understand their impact at the individual level. Finally, commitment to meaningfully engage Indigenous communities to develop, implement and evaluate such programs is urgently needed.

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Section: Evaluations Of Indigenous Cultural Safety Training Intervent...mentioning

confidence: 99%

Section: Evaluations Of Indigenous Cultural Safety Training Intervent...mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Indigenous Cultural Safety Training for Applied Health, Social Work and Education Professionals: A PRISMA Scoping Review

MacLean

Qiang

Henderson

et al. 2022

Preprint

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“…For instance, in traditional Asian cultures, emotion moderation is a virtue, and repetitively discussing emotional experiences in detail is viewed as inappropriate (Chu, Huynh, & Areán, 2012). Conversely, some cultures, such as certain American Indian tribes, value narrative storytelling and may respond well to the cohesive narrative that PE helps people develop (Mays et al, 2009). To foster alliance in working with a minority client, a therapist, particularly one of a dominant majority culture, should highlight the collaborative nature of the therapeutic relationship.…”

Section: Culturementioning

confidence: 99%

Exposure therapy for late-life trauma.

Cook

Dinnen

2015

Treatment of Late-Life Depression, Anxiety, Trauma, and Substance Abuse.

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Despite considerable evidence from randomized clinical trials of the efficacy of exposure therapy for posttraumatic stress disorder (PTSD), frontline psychotherapists rarely use this treatment (e.g., Becker, Zayfert & Anderson, 2004;Rosen et al., 2004). This chapter describes the application of prolonged exposure (PE), an evidence-based cognitive behavior therapy (CBT) for older adult trauma survivors with PTSD. It also presents the theoretical background for exposure therapy, as well as cultural, disability, and cognitive impairment factors to consider with older adults. Before presenting this information, though, we summarize the changes to the PTSD diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5; American Psychiatric Association, 2013).The Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR; American Psychiatric Association, 2000) provides the following diagnostic criteria for PTSD: Criterion A

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Issues Related to Water Affecting Indigenous Peoples of North America

Moore-Nall

2021

Practical Applications of Medical Geology

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Expanding the Circle: Decreasing American Indian Mental Health Disparities through Culturally Competent Teaching about American Indian Mental Health

Cited by 6 publications

References 25 publications

Indigenous Cultural Safety Training for Applied Health, Social Work and Education Professionals: A PRISMA Scoping Review

Indigenous Cultural Safety Training for Applied Health, Social Work and Education Professionals: A PRISMA Scoping Review

Exposure therapy for late-life trauma.

Issues Related to Water Affecting Indigenous Peoples of North America

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