Two Eskimo Villages Assess Mental Health Strengths and Needs

Minton, Barbara; Soule, S.

doi:10.5820/aian.0402.1990.7

Cited by 6 publications

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“…In an analysis of 550 medical charts of urban AI/AN, Buchwald et al (2000) found 10% prevalence of probable or definite physical abuse. This was similar to rates of physical abuse found in several smaller studies of AI/AN elders: 11% of Alaska Natives (Minton and Soule 1990), 16% of Navajos (Brown 1989), and 19% of Northern Cheyennes (Cheyenne 1993 in Buchwald et al 2000). In a cross-cultural study of the occurrence of elder abuse among seven cultural groups, Hudson et al (1998) found that 4% of AI/AN surveyed reported abuse occurring after age 65.…”

Section: Reviewsupporting

confidence: 86%

“…Estimates of elder abuse prevalence are widely variable in the few studies that have explored this issue. Drawing on diverse studies of AI/AN populations, Buchwald et al (2000) found prevalence estimates of abuse ranging from 2% to 46% among AI/AN populations (Minton and Soule 1990; John 1995 in Buchwald et al 2000) (Table 3). In an analysis of 550 medical charts of urban AI/AN, Buchwald et al (2000) found 10% prevalence of probable or definite physical abuse.…”

Section: Reviewmentioning

confidence: 99%

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Family and partner interpersonal violence among American Indians/Alaska Natives

et al. 2014

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Family and partner interpersonal violence are common among American Indian/Alaska Native (AI/AN) populations. AI/AN women have the second highest prevalence of violence against women among all racial/ethnic groups in the United States, and child abuse prevalence rates in AI/AN populations are among the highest. Elder abuse in AI/AN is also an important concern, although data on this are sparse. This review describes the epidemiology of child abuse, violence against women, and elder abuse among AI/AN, including prevalence and associated risk factors. The authors discuss potential reasons for the high burden of interpersonal violence among AI/AN, including common risk factors. Important limitations in existing literature are also highlighted, along with recommendations for future research on this topic.Electronic supplementary materialThe online version of this article (doi:10.1186/2197-1714-1-7) contains supplementary material, which is available to authorized users.

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Section: Reviewsupporting

confidence: 86%

Section: Reviewmentioning

confidence: 99%

Family and partner interpersonal violence among American Indians/Alaska Natives

et al. 2014

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“…In this regard, 11% of older Eskimos reported having been victimized and consequently feeling sad. 2 Similarly, in 2 small studies, 19% and 16% of Northern Cheyenne 9 and Navajo elders, 1 respectively, reported physical mistreatment. Although denial of food, lack of medicine, and being hit were each reported by more than 2% of a large random sample of Navajos, 40% overall acknowledged suffering some form of abuse or neglect.…”

Section: Discussionmentioning

confidence: 97%

“…Rates of abuse reported among AI/ANs have ranged from more than 2% to 46%, with probable variation across tribes by socioeconomic factors. 1–3 Typically, these surveys have used convenience samples and not examined abuse in urban or health care settings. Additionally, among providers serving AI/ANs, lack of recognition may be combined with the mistaken assumption that, because of the respect Native cultures accord older adults, their mistreatment is unlikely.…”

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confidence: 99%

Physical abuse of urban native Americans

et al. 2000

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To ascertain the extent of, and risk factors for, physical abuse among older urban American Indian/Alaska Natives (AI/ANs), we conducted a chart review of 550 urban AI/AN primary care patients Ն 50 years old seen during 1 year. Mistreatment was documented in 10%. A logistic regression found younger age ( P Ͻ .001), female gender ( P Ͻ .001), current depression ( P Ͻ .001), and dependence on others for food ( P Ͻ .05) to be significant correlates of physical abuse. In only 31% of instances of definite abuse were the authorities notified. We conclude that providers should be alert to the possibility of physical mistreatment among older urban AI/ANs. Improvements in detection and management are sorely needed. KEY WORDS Elder abuse is recognized as a national problem, yet little is known about victimization of American Indian or Alaska Native (AI/AN) elders. Rates of abuse reported among AI/ANs have ranged from more than 2% to 46%, with probable variation across tribes by socioeconomic factors. [1][2][3] Typically, these surveys have used convenience samples and not examined abuse in urban or health care settings. Additionally, among providers serving AI/ANs, lack of recognition may be combined with the mistaken assumption that, because of the respect Native cultures accord older adults, their mistreatment is unlikely. Thus, it is not surprising that official reports of abuse of AI/AN elders are rare. 4 Because our experience indicated otherwise, we reviewed the medical records of 550 older AI/ANs to examine the frequency of, and risk factors for, physical mistreatment. METHODSElders were defined as persons Ն 50 years old because in AI/AN culture, "elder" status is not solely a function of chronological age and may be conferred earlier than in the majority culture. Furthermore, impairments associated with aging in AI/ANs may occur 20 years earlier than in the general population. 5 Since elders constitute a much smaller percentage of the AI/AN population compared with other minorities, 6 lower age eligibility criteria also exist for some federally and state funded programs.This study was conducted at the Seattle Indian Health Board, which provides health care to the King County Native population. Overall, approximately 50% of their clients are unemployed; 80% have incomes below the "poverty line"; and 58% have no health insurance. The Seattle Indian Health Board's computerized information system was used to identify all AI/ANs Ն 50 years old seen between June 1994 and June 1995; this process yielded 550 names.The charts of all 550 patients were reviewed by a professional abstractor who was trained and supervised in the chart review procedures by a general internist (DB). The steps in this training included multiple sessions in which the study forms were developed, pilot tested on actual medical records, discussed with the general internist, and then modified. Subsequently, charts were reviewed specifically for discrepancies in categorization and completeness between the general internist and the abstractor. Because ...

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“…This assumption, that mental health service utility and aspects of mental health are affected by ethnic and/or cultural variation, is widely accepted (Kleinman, 1988). The manifestations of mental illness (al‐Issa, 1990; Flaskerud and Hu, 1992; Cohen, Berment & Magai, 1997; Thakker and Ward, 1998), the subjective need for psychiatric assistance (Minton and Soule, 1990), professional bias related to stereotypical attitudes about ethnicity (Dolan, Polly, Allen & Norton, 1991; Keane, 1991; Worthington, 1992; Minnis, McMillian, Gillies & Smith, 2001), and the utilization pattern of mental health services (Grupta, 1991; Dalrymple, O'Dhoerthy & Nietchei, 1995; Gallo, Ford & Anthony, 1995; Manyard, Ehreth, Cox, Peterson & McGann, 1997; Smaje and LeGrand, 1997) have been found to vary by ethnicity or ethnically related factors. Ethnic matching, language matching, and the location of the clinic have appeared to influence both the utilization of mental health services and client satisfaction in minorities (Flaskerud, 1986; Sue, Fujino, Hu, Takeuchi & Zane, 1991; Rosenheck, Fontana & Cottrol, 1995; Stuart, Minas, Klimidis & O’Connel, 1996).…”

Section: Introductionmentioning

confidence: 99%

Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway

Møllersen¹,

Sexton²,

Holte

2005

Scandinavian J Psychology

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Several studies indicate that mental health and mental health service vary with ethnicity. Ethnically linked social differences affect these results. We examined the multiethnic population in northern Norway where social inequalities between the Sami and the non-Sami population are not prominent. Clients (N=347) and therapists (N=32) in outpatient treatments reported demographics, ethnicity and the therapeutic alliance. Clients also reported pretreatment psychosocial status, service utilization and the type of help requested. Therapist recorded clinical and diagnostic assessments and treatment plans. The Sami and non-Sami client groups were similar in demographics and pretreatment psychosocial characteristics. However, the therapists prescribed more sessions and more socially focused interventions when clients were Sami. Verbal therapy was more often used by the non-Sami therapists. Alliance ratings were positively correlated only between Sami therapists and their clients, and Sami therapists rated the largest initial clinical improvement. Clinics located in the high Sami density areas offered their clients more therapy sessions, than in clinics in the high non-Sami density areas. Ethnic similarity between client and therapist were associated with more frequent use of medication and less frequent use of verbal therapy.

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Two Eskimo Villages Assess Mental Health Strengths and Needs

Cited by 6 publications

References 0 publications

Family and partner interpersonal violence among American Indians/Alaska Natives

Family and partner interpersonal violence among American Indians/Alaska Natives

Physical abuse of urban native Americans

Ethnic variations in the initial phase of mental health treatment: A study of Sami and non‐Sami clients and therapists in northern Norway

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