Mental Health Services for American Indians and Alaska Natives: Need, Use, and Barriers to Effective Care
This special review summarizes and illustrates the state of our knowledge regarding the mental health needs of American Indians and Alaska Natives. These needs are considerable and pervasive. The discussion begins by reflecting on the limits of psychiatric nomenclature and conceptual frameworks for...
Published in: | The Canadian Journal of Psychiatry |
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Online Access: | http://dx.doi.org/10.1177/070674370004500703 https://journals.sagepub.com/doi/pdf/10.1177/070674370004500703 |
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crsagepubl:10.1177/070674370004500703 2024-09-30T14:35:07+00:00 Mental Health Services for American Indians and Alaska Natives: Need, Use, and Barriers to Effective Care Manson, Spero M 2000 http://dx.doi.org/10.1177/070674370004500703 https://journals.sagepub.com/doi/pdf/10.1177/070674370004500703 en eng SAGE Publications https://journals.sagepub.com/page/policies/text-and-data-mining-license The Canadian Journal of Psychiatry volume 45, issue 7, page 617-626 ISSN 0706-7437 1497-0015 journal-article 2000 crsagepubl https://doi.org/10.1177/070674370004500703 2024-09-10T04:21:48Z This special review summarizes and illustrates the state of our knowledge regarding the mental health needs of American Indians and Alaska Natives. These needs are considerable and pervasive. The discussion begins by reflecting on the limits of psychiatric nomenclature and conceptual frameworks for revealing Native constructions of mental health and mental illness. The experience and manifestation of psychopathology can be both different and the same across cultures, hinging upon the extent to which such basic assumptions as the relationship of mind to body—and spirit in the case of Native people—or the primacy of the individual or social collective are shared. Having set the stage, this paper moves to recent empirical evidence regarding the mental health needs of American Indians and Alaska Natives: we review that evidence and consider it within the broader context of available services. The report closes with a brief overview of the most pressing issues and forces for change afoot in Indian country in the US. Most have to do with the structure and financing of care as tribes and other Native community-based organizations seek to balance self-determination and resource management to arrive at effective, fiscally responsible, culturally informed prevention, treatment, and aftercare options for their members. These changes may herald similar trends among First Nations people to the immediate north. Article in Journal/Newspaper First Nations Alaska SAGE Publications Indian The Canadian Journal of Psychiatry 45 7 617 626 |
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SAGE Publications |
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English |
description |
This special review summarizes and illustrates the state of our knowledge regarding the mental health needs of American Indians and Alaska Natives. These needs are considerable and pervasive. The discussion begins by reflecting on the limits of psychiatric nomenclature and conceptual frameworks for revealing Native constructions of mental health and mental illness. The experience and manifestation of psychopathology can be both different and the same across cultures, hinging upon the extent to which such basic assumptions as the relationship of mind to body—and spirit in the case of Native people—or the primacy of the individual or social collective are shared. Having set the stage, this paper moves to recent empirical evidence regarding the mental health needs of American Indians and Alaska Natives: we review that evidence and consider it within the broader context of available services. The report closes with a brief overview of the most pressing issues and forces for change afoot in Indian country in the US. Most have to do with the structure and financing of care as tribes and other Native community-based organizations seek to balance self-determination and resource management to arrive at effective, fiscally responsible, culturally informed prevention, treatment, and aftercare options for their members. These changes may herald similar trends among First Nations people to the immediate north. |
format |
Article in Journal/Newspaper |
author |
Manson, Spero M |
spellingShingle |
Manson, Spero M Mental Health Services for American Indians and Alaska Natives: Need, Use, and Barriers to Effective Care |
author_facet |
Manson, Spero M |
author_sort |
Manson, Spero M |
title |
Mental Health Services for American Indians and Alaska Natives: Need, Use, and Barriers to Effective Care |
title_short |
Mental Health Services for American Indians and Alaska Natives: Need, Use, and Barriers to Effective Care |
title_full |
Mental Health Services for American Indians and Alaska Natives: Need, Use, and Barriers to Effective Care |
title_fullStr |
Mental Health Services for American Indians and Alaska Natives: Need, Use, and Barriers to Effective Care |
title_full_unstemmed |
Mental Health Services for American Indians and Alaska Natives: Need, Use, and Barriers to Effective Care |
title_sort |
mental health services for american indians and alaska natives: need, use, and barriers to effective care |
publisher |
SAGE Publications |
publishDate |
2000 |
url |
http://dx.doi.org/10.1177/070674370004500703 https://journals.sagepub.com/doi/pdf/10.1177/070674370004500703 |
geographic |
Indian |
geographic_facet |
Indian |
genre |
First Nations Alaska |
genre_facet |
First Nations Alaska |
op_source |
The Canadian Journal of Psychiatry volume 45, issue 7, page 617-626 ISSN 0706-7437 1497-0015 |
op_rights |
https://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/070674370004500703 |
container_title |
The Canadian Journal of Psychiatry |
container_volume |
45 |
container_issue |
7 |
container_start_page |
617 |
op_container_end_page |
626 |
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1811638491506802688 |