Complex Intersections: Reproductive Justice and Native American Women

This article presents an overview of reproductive justice as a theoretical and activist paradigm developed in response to reproductive oppression in the United States, and focuses on the reproductive justice needs of Native American women, as well as the responses developed by Native American women and their allies to these needs. I make explicit the links between reproductive justice, environmental justice and human rights for Native American communities, and articulate the ways in which reproductive healthcare for Native American women as it is provided by the Indian Health Service (IHS) acts as a fulcrum for these links. Ultimately, the failure of the IHS to meet the reproductive healthcare needs of Native American women reflects the failure of the federal government to meet its obligations to Tribal nations; further, these failures produce structures of reproductive oppression in Native communities which scholars and activists seek to redress utilizing the rubric of women’s reproductive health.     

Disaster mental health services: a personal perspective

1. Services that may be provided by psychiatric-mental health nurses following a disaster include education, intervention, problem solving, advocacy, and referral. 2. Nurses providing disaster mental health services must be flexible and creative. Strong observational skills and teamwork are also essential characteristics in disaster settings. 3. Psychiatric-mental health nurses who wish to receive training for disaster mental health volunteer opportunities should contact their local chapter of the American Red Cross.     

Impact of Disability and Other Physical Health Issues on Academic Outcomes Among American Indian and Alaskan Native College Students: An Exploratory Analysis

This study investigated whether self-identified disabilities among American Indian and Alaskan Native college students impact academic performance and persistence to graduation and explored the differences in health and academic grades between American Indian and Alaskan Native students and students of other racial and ethnic identities using the National College Health Assessment. Findings indicate that American Indian or Alaskan Native students have significantly lower grades than White and Asian students, and American Indian and Alaskan Native women report the highest incidence of health problems of any demographic group. Exploratory results point to future research to determine the full impact of disabilities and poor health on academic success.     

Integrating a professional apprenticeship model with psychiatric clinical simulation

In this article, we present a theory-based application of clinical simulation in psychiatric-mental health nursing education. As described by Benner, Sutphen, Leonard, and Day, a three-pronged apprenticeship that integrates intellectual, practical, and ethical aspects of the professional role is critical in the development of practical reasoning in nursing education and training. Clinical encounters are often fraught with ambiguity and uncertainty. Therefore, educating for a practice discipline requires experiential and situated learning. Using the three-pronged experiential model in simulated psychiatric-mental health nursing practice supports the development of critical nursing skills, ethics, and theoretical concepts. A clinical scenario is presented that demonstrates the application of this model of professional apprenticeship in psychiatric-mental health education. Applications of the concept presented may be used in training nurses new to the practice of psychiatric-mental health nursing.     

Out of harmony: health problems and young Native American men

Studies of the current health status of healthy young Native American men (American Indians and Alaska Natives) are rare compared with the attention researchers have given the many problems that plague the lives of these young men. Native American men are frequently not included in other studies focusing on men, and information on college-aged, healthy young Native American men is generally not readily available. Despite those drawbacks, this article brings together what is written or known about the health status of young Native American men. The emphasis, based on available information, is placed on some of the major health problems confronting this population.     

Out of Harmony: Health Problems and Young Native American Men

Abstract

Studies of the current health status of healthy young Native American men (American Indians and Alaska Natives) are rare compared with the attention researchers have given the many problems that plague the lives of these young men. Native American men are frequently not included in other studies focusing on men, and information on college-aged, healthy young Native American men is generally not readily available. Despite those drawbacks, this article brings together what is written or known about the health status of young Native American men. The emphasis, based on available information, is placed on some of the major health problems confronting this population.     

Rethinking the Scope of Environmental Injustice: Perceptions of Health Hazards in a Rural Native American Community Exposed to Carbon Black

Abstract We use in‐depth interviews, participant observation, and document analysis to examine perceptions of environmental health and justice among Native Americans in a rural Oklahoma community. Residents live near the Continental Carbon Company, which manufactures a rubber compound know as “carbon black.” Ponca tribal members believe their respiratory problems and other health concerns are directly related to the black dust emanating from the facility, but they have been unable to validate their health claims through institutional channels. We examine how Native American respondents interpret the environmental pollution as a threat not only to their health and well‐being but also to their sense of community. We address the perceived pattern of institutional denial and highlight the obstacles facing an impoverished Native American community attempting to validate their environmental health claims.     

Preceptorship: a shared journey between practice & education

Creative new approaches must be developed to attract new graduate and transitioning nurses to psychiatric-mental health nursing. In this article, we present a collaborative nurse preceptor program between a clinical practice agency and a university college of nursing faculty group. The preceptorship was designed to facilitate recruitment and retention of new graduate and transitioning nurses into a community-based, psychiatric-mental health agency. This process could be applied in any practice setting to address issues of recruitment and retention. Over the course of more than 2 years, the program has resulted in a 70% retention rate of new and transitioning nurses in the agency; of particular note is the 100% retention of new baccalaureate graduates. This program has positively affected the agency, the nurse preceptors, and the new graduate and transitioning nurse preceptees. We describe the collaborative development and implementation of the preceptor program designed to enhance recruitment and retention of new graduate nurses and nurses transitioning from other specialty areas into community-based psychiatric-mental health nursing practice.     

Of Enlightenment and Alaska Early Moderns

This article examines transformations of status-capital in the modern history of the Alaska Native Alutiiq. I redevelop Pierre Bourdieu's forms of capital and habitus to analyze how Alutiiq elites stay on course during massive changes in their social structure. By drawing attention to citizenship statuses of the nineteenth century Russian and American colonial periods, I explore how local structural inequalities emerge in Alaska, yet with leaders of the same Alaska Native kin groups moving into the new privileged positions as Russian Imperial citizen, then later as American citizen. The study identifies citizenship as a key technology of group identification in Alaska and, in particular, how civilizing processes associated with citizenship create marked objective differences among the Alutiiq. Alaska Native society's articulation with the Russian and, later, American cultural-political orders creates new kinds of local structural inequalities. By possessing the requisite cultural capital to comprehend structural shifts in politics and the economy, Alaska Native elites strategically fit into new legal and ideological regimes of belonging. What develops is an example of the durability of an Alaska Native ruling elite by means of the transformation of prestige.     

Urban and Indigenous: The Challenges of being a Native American in the City

The United States is home to more than 4 million Native Americans, the majority of whom live in urban areas. Urban Native Americans often experience significant social, health, and economic problems while having access to substantially fewer Native-specific resources than their reservation-based counterparts. They also face challenges with access to tribal services and political processes, as well as identity-sustaining cultural resources. This article describes the urban nature of many contemporary Native American communities. Examples from various urban Native American communities highlight the challenges faced by urban Native people, as well as creative initiatives developed to serve this population. This paper draws on and synthesizes the literature on contemporary urban Native communities, thus providing needed information for service providers and researchers working in these communities.     

Mental Health Care for American Indians in Prison

Abstract

Based on an earlier finding that as many Native Americans in upstate New York received mental health care in prison as outside of prison during a 10-month period, this study was designed to investigate if prisons had become an alternative treatment option for Native Americans with a mental illness in New York State. The study was not able to answer this question due to the limited number of cases and to outside constraints. However, it is possible from the results to provide a picture of mental health needs and attitudes among Native American inmates which is surprising and instructive for those who provide psychiatric care to American Indians, either within or outside of prison walls. A noteworthy finding was the importance placed by these inmates on the use of culturally appropriate ceremonies to assist in their rehabilitation. Low rates of serious mental illness among the American Indian sample highlight the need for further study in this area.     

Re-examining child welfare's response to ICWA: Collaborating with community-based agencies to reduce disparities for American Indian/Alaska Native children

Many state and county child protection systems (CPS) are attempting to reduce the documented disproportionality in out of home placement rates for American Indian/Alaska Native children. This article presents a case example of collaboration between Colorado CPS and an urban American Indian family services agency that was intended to impact this disproportionality. The Denver Indian Family Resource Center created and evaluated a family preservation model that includes both direct services to Native families and CPS-level systemic interventions designed to reduce out-of-home placement. Direct services addressed family stressors and caregiver substance abuse and mental health issues, and incorporated Native cultural values. Systemic interventions focused on collaborative partnerships and provided CPS with practical ways to comply with the Indian Child Welfare Act. Agency data showed an increase in the number of children remaining at home or with extended family. Statewide data showed a decrease in the disparity ratio for placement of Native children compared to White children.     

Health Concerns for Native American Youth: A Culturally Grounded Approach to Health Promotion

SUMMARY

This study examined the health behaviors of Native American youth in the Northeastern region of the United States. In particular, the study documented behaviors that put youth at risk for cancer such as dietary practices and recreational tobacco use. Data were also collected on the cultural identification of the youth. Some links were found between cultural identification and health behaviors. Culturally grounded preventive health interventions led to improved health behavior with Native youth at some sites but not others.     

Native American Food Security and Traditional Foods: A Review of the Literature

This piece explores the emergent themes and subthemes represented within the recent contemporary discourse on Native American food security. Analysis revealed traditional foods as the most common theme present within the sampled literature. We offer a review of this theme (and related subthemes such as food access and human and environmental health) to illuminate the primary concerns, opportunities, preferences, and barriers associated with Native American food security. Our assessments also provide a nuanced understanding of existing literature related to food security and sovereignty, as well as key dimensions of environmental and social equality.     

A culturally responsive practice model for urban Indian child welfare services

This article describes collaboration among a university, a state child welfare agency, and a Native American community organization to develop a culturally driven practice model for urban, Native American child welfare. The approach includes a strategy to build resources to serve Native American clients, a training program for child welfare and court personnel using a culturally responsive curriculum, and an advocacy program that monitors for Indian Child Welfare Act compliance and provides assistance to child welfare workers and the court. The discussion identifies challenges and opportunities in addressing the needs of urban Native American communities. The article concludes with principles for culturally responsive practice for urban Native American child welfare practice.     

On and Off the Reservation: A Discussion of the Social,Physical, and Mental Health Indicators of Suicide in the Native American Community

This article reviews explanations for the heightened rates of suicide among the US Native American population. Particular attention is afforded to the social, historical, physical, and mental health stressors that may contribute to such high rates. A great deal of scientific research has centered on determining and analyzing the many socio‐demographic indicators of suicide. Studies at the intersection of race/ethnicity and suicide have drawn attention to the fact that certain groups have higher suicide rates than others. At the pinnacle of groups most susceptible to suicide are Native Americans, followed closely by White non‐Hispanics, and then all other racial/ethnic groups ( Sederer 1994 ). As of 2008, Native Americans were more than twice as likely to commit suicide as Blacks, Hispanics, or Asian‐Americans. The analysis begins with an exploration of potential explanations behind the alarming rates of suicide within the Native American community, followed by critiques of the various theories.     

Utilizing spiritual ecograms with Native American families and children to promote cultural competence in family therapy

This study signifies an initial step at giving family therapists an important assessment tool as they seek to increase cultural competence with Native American families and children. To determine the relevancy and consistency of utilizing a spiritual ecogram assessment tool with Native Americans, 50 Native American participants, with extensive experience with this population, reviewed, rated, and gave feedback on its use. Although some limitations were noted, results showed that spiritual ecograms were moderately consistent with Native American culture and, if used properly, can help family therapists develop culturally appropriate interventions with Native American families and children.     

Entrance and Exit from the Military

Abstract

The literature that addresses the reasons for entering military service is limited and generally does not report on the experiences of ethnic minority populations. This article reports on findings from a qualitative research study that examined health utilization and health status for a sample of 86 American Indian and Alaska Native veterans. The study generated data that provide interesting insights about the reasons for entering military service and experiences post discharge for this population. The data indicate that cultural material plays a significant role in the decision to enter the military and in the reentry experience of the veterans who participated in this research study. The analysis supports the proposition that despite the diversity that characterizes the American Indian and Alaska Native experience, there are overarching values and belief systems that are held in common across tribal communities which influence the social construction of life and the interpretation of life events.     

Ojibwe lesbian visual AIDS: On the Red Road with Carole laFavor,Her Giveaway (1988), and Native LGBTQ2 film history

ABSTRACT

After a century of suppression across the Silent, Classic, and New Hollywood eras, Native Lesbian/Gay media began to proliferate in the post-AIDS 1980s and into the second millennium. Her Giveaway: A Spiritual Journey with AIDS (1988) is a key tribal health AIDS video that exemplified a new contemporary media combination of visual, erotic, and theological sovereignty. The video's central Red Road narrative by the lesbian, Ojibwe, and AIDS/HIV+ spokesperson Carole laFavor emphasizes Native American traditional healing methods involving the medicine wheel and a reclamation of Native lesbian/gay identity.     

Depression in school-aged children: assessment & early intervention

A careful assessment of all of these factors will help nurse therapists who are also primary care providers develop a more holistic approach to treatment and, thus, increase treatment effectiveness. The three-pronged assessment approach discussed above is cost effective, safe, and indicated as a frontline measure to assess the risk for depression in children and their parents (particularly mothers), which can begin the process of "true" early intervention. I say "true" early intervention because in my role as an early intervention specialist, my first meeting with families usually occurs after a crucial incident requiring hospitalization of the child or the parent, or school failure, or both. My programs of intervention are hardly "early," although treatment is started relatively early in the life of the child. In the past few years, I have noticed that psychiatric-mental health advanced practice nurses, including myself, are increasingly working in some capacity in primary health centers, such as school-based clinics, churches, collaborative practices, and community health centers. It would be wonderful if we used these settings to identify risk for depression in children and begin preventive treatment (starting with teaching good sleep hygiene, a treatment in itself) to truly make early intervention a reality.