“…For American Indians and Alaska Natives, historical trauma manifests in high incidence of future trauma exposure (Beals et al, 2002; Manson et al, 2005; Robin et al, 1997), intergenerational trauma (Cromer et al, 2018) and is further compounded by experiences of ongoing racism and discrimination (Akinade et al, 2023; Herron & Venner, 2022; Solomon et al, 2022). Historical trauma is also related to a constellation of psychological, biological, physiological, and behavioral outcomes, named as the historical trauma response (Brave Heart, 1998), which contributes to inequities in mental and physical health (Gone et al, 2019, John-Henderson & Ginty, 2020; John-Henderson et al, 2020, 2022a, 2022b). Based on these relationships, health interventions rooted in culture have been suggested and utilized to address the health consequences of historical trauma (Gone & Calf Looking, 2011; Gone, 2013; Pomerville & Gone, 2019).…”