ࡱ>  tvklmnopqrs3 3bjbjCC "F!!F_lT T T T T T T h rrr8h 2^FH(dfl8[[[[[[[$4a Tc[=T @ [T T ] ^T T [ [6 LHT T O: `exOh rh9KHO ^02^K\ddOh h T T T T Understanding the Health, Justice, and Well Being Dynamics of the Indigenous People of North America Within Context of History and Culture: Selected Readings Notes: This document is not intended to be an exhaustive listing of resources; rather a manageable sampling which can provide a foundation for further learning and discovery. Other valuable resources are identified in the references and bibliographies contained in many of the listed resources. Furthermore, this listing contains abstracts and notes, which cumulatively provide an overview of the issues impacting on the health and well being of the indigenous people of North America and the healing movement in Indian Country, particularly within the Haudenosaunee territories and their neighbors in New York State. This resource is targeted primarily for the following: Policy makers, administrators, professionals, paraprofessionals, and grassroots mobilizers working in addiction, mental health, health care, child welfare, law enforcement, and criminal justice who are interested in improving their ability to work with North American Indians in a beneficial and meaningful manner; Tribal and urban community leaders interested in improving their understanding of the healing, wellness, and justice needs of their community and on how to mobilize community members, expand resources, and build collaborative relationships; Indigenous people interested in understanding their healing journey (and/or that of a significant other) and/or improving their understanding of the healing, wellness, and justice needs of their community. The following topics were considered in the search for readings: Health, Well-being, and Quality of Life in Indian Country: Morbidity, Co-morbidity, Access to Care, Poverty, and Other Markers Cultural Competency & Proficiency in Working With Indigenous People in Health Care, Addictions, Behavioral Health, Child Welfare, and Criminal Justice Systems: Beyond Knowledge & Skill Clinical Considerations in Working With North American Indians Impact of Historical Trauma and Delayed Grief on the Health and Well-being of Individuals, Families, Communities, and Nations Addiction and Substance Abuse, Criminal Justice, Law Enforcement, and Child Welfare in Indian Country: the Benefits of Healing to Wellness Courts in Tribal Communities Legacy of Wisdom: Spiritual & Natural Laws through the Eyes of Indigenous Peoples Ancestral Teachings: Adding Meaning and Context to Healing & Wellness Traditional Concepts of Wellness and Healing Traditional Concepts of Justice The Role of the Federal (and State/Provincial) Government in Ensuring the Health & Well-being of the Indigenous People of North America The Role of Tribal leaders in Ensuring the Health & Well-being of Their Community Members: Nation Building Integration of Traditional Indigenous Healing Concepts, Resources, and Supports into Health, Behavioral Health, Criminal Justice, Child Welfare, and Social Service Systems Holistic Healing and Natural Support Systems in Indian Country: Nation Building This resource listing is an on-going project. Updates in terms of keywords, organization of material, and content are made routinely. Website access with hotlinks can be found at:  HYPERLINK "http://www.nacasa.org" www.nacasa.org. Feedback, recommendations, and comments are warmly welcomed at  HYPERLINK "mailto:info@nacasa.org" info@nacasa.org. The Native American Council on Alcoholism & Substance Abuse, Inc. (NACASA) is a non-profit organization that grew from a grassroots movement to promote healing from addictions of the Haudenosaunee people (aka Iroquois Confederacy, Six Nations) territories (New York State, Ontario and Quebec, Canada). NACASA is grateful to the Northeast Addiction Technology Transfer Center (NeATTC,  HYPERLINK "http://www.neattc.org" www.neattc.org) and the New York State Office of Alcoholism & Substance Abuse Services (NYS-OASAS,  HYPERLINK "http://www.oasas.state.ny.us" www.oasas.state.ny.us) for their support in the initial stages of this project. Domains & Keywords: DomainKeywords & Key ConceptsAbusePhysical, Sexual, Intimate Partner, Elder, Bullying, Domestic Violence, Best Practice, ModelsAccess to CareHealth care disparities, Behavioral Health Care Disparities, Indian Health Services, state systems, data, Best Practice, ModelsAddictionPrevention, Treatment, Prevalence, Assessment & Screening, Brain Disease, Relapse, Data & Statistics, ATOD Info, Gambling, Models, Best Practice, Risk and Protective FactorsCapacity BuildingOrganizational, Workforce Development, Program Development, Community Development, Nation Building, Best Practice, ModelsChange & TransformationStages of Change, Motivational Enhancement Therapy, Recovery Management, SpiritualityChild & FamilyImpact of addiction on significant others, Children of alcoholics/addicts, developmental stages, family dynamics, family healing, healthy family, kinship care, midwifery, healthy marriage, family therapy (see clinical practice), preventing early pregnancy, Models, Best PracticeCircles of CareSystems of care, wrap around services, chronic care model, holistic services, comprehensive services, community-based services, mentoring, natural supports, intensive case management, home-based services, continuum of care, networking services, Models, Best PracticeClinical PracticeCognitive Behavioral Therapy (CBT), Moral Reconation Therapy (MRT), Motivational Enhancement Therapy (MET), Motivational Interviewing (MI), Eye Movement Desensitization & Reprocessing (EMDR), Post Traumatic Stress Disorder (PTSD), Trauma, Dialectical Behavioral Therapy (DBT), Functional Family Therapy (FFT), Best Practice, ModelsCultural ProficiencyCultural Competency, Linguistics, Racism, Discrimination, Marginalization, Oppression, Best Practice, ModelsCultureCultural Teachings, People of Color, Indigenous Knowledge, Ethnicity, Cultural Activities, Culture & Identity, Colonization, OppressionCo-occurring Disorders (COD)Prevalence, Assessment & Screening, Models, Best PracticeFetal Alcohol Spectrum Disorder (FASD)Prevention, Treatment, Case Management, Caregiver Support, FASD and Criminal Justice, Models, Best PracticeFundingFund Development, Writing Grants, Sustainability, ResourcesHIV/AIDSPrevention, Treatment, Case Management, HIV/AIDS and addiction, Best Practice, ModelsHuman DevelopmentDevelopmental Stages, Holistic Development, Brain DevelopmentIntergenerational TraumaHistorical Trauma, intergenerational grief, trauma and shame, unresolved grief, lateral oppression, internalized racism, Models, Best PracticeJusticeCriminal Justice, Drug Courts, Tribal Healing to Wellness Courts (HTWC), Juvenile Delinquency, Child Welfare, Indian Child Welfare, Restorative Justice, Peacemakers, Gangs, Risk and Protective Factors, Models, Best Practice, Disparities, SafetyMental HealthMental health topics independent of co-occurring Nation BuildingCommunity healing, community development, community mobilization, program development, ModelsTraditional Indigenous Healing PracticesIndigenous medicine, traditional practices, Indigenous concepts of wellness and healing, Medicine Wheel, Spirituality, ModelsUnique GroupsElders, Youth, Two Spirited, Women with Children Domain/KeysPublication/Author/Abstract/LinkPDPG Cultural proficiency, Clinical Practice, Intergenerational Trauma  Teaching Empathy: Ethnicity, Race and Power at the Cross-Cultural Treatment Interface Author(s): Elaine B. Pinderhughes Release Date:1984 No. Pages: 8 Type: Journal Article Source: The American Journal of Social Psychiatry IV, I, 164-179, 1984 Abstract: When patient and clinician meet in the cross-cultural treatment encounter, each brings aspects of his/her respective cultural identities that are multidimensional. This article describes an experiential group process that enables clinicians to develop sensitivity to cultural identity and to the dynamics of power and powerlessness, which profoundly affect the treatment interface. In this process, participants examine personal experiences, perceptions and feelings based on ethnicity, race and power. They explore ethnic background and values, early awareness of cultural difference and significant experiences related to race and color identity. The final stage integrates this understanding in its examination of power not only as a factor in ethnic and racial dynamics but also in individual and family functioning. As a result of this experience, participants (1) acquire greater appreciation for and increased comfort in their interaction with culturally different others and (2) increase their ability to control stereotyping and vulnerability to using their power in the clinical encounter as compensation for powerlessness they experience elsewhere in their lives (author). See also: Empowerment for our Clients and Ourselves Author(s): Elaine B. Pinderhughes Release Date:1983 Pages: 8 Type: Journal Article Source: Social Casework, 64, 331-338, 1983 >>>>> Cultural proficiency, Clinical Practice, Intergenerational Trauma Understanding Race, Ethnicity, and Power: The Key to Efficacy on Clinical Practice Author(s): Elaine B. Pinderhughes Release Date:1989 No. Pages: Type: Hardcover Source: New York: Free Press ISBN: 0029253411 Abstract: Practitioners in the social services and mental health professions work with people from a variety of ethnic, racial, social, and economic backgrounds; however, they often do not understand or feel comfortable with those whose cultural backgrounds are different from their own. Many have attempted to address this problem through an examination of the ethnic diversity of clients and an analysis of the behaviors and values of various groups. Pinderhughes moves far beyond this limited approach to reveal the pervasive influence of race, ethnicity, and power on the practitioner's own identity and in interactions with others -- peers, subordinates, and superiors, as well as clients. Experiences related to cultural difference can cause individuals to develop negative, ambivalent, or confused perceptions, attitudes, and beliefs about themselves and others. In a cross-cultural treatment encounter, these internalizations can compromise the ability of the practitioner to provide effective assistance and support. Note: The writings of Pinderhughes significantly influenced the early work of NACASA and continues to be the one source of material recommended to understand relational dynamics, not only between people of different cultures, but among people of the same culture, within their families, communities, organizations. Prior to the writing of this book, the concepts of power and powerlessness at the cross-cultural intersect were presented in an article, Power and Powerlessness at the cross-cultural intersect. >>>>> Cultural proficiency, Clinical Practice, Intergenerational Trauma  The Power to Care: Clinical Practice Effectiveness with Overwhelmed Clients Author(s): Elaine Pinderhughes, June Gary Hopps, Richard Shankar Release Date:October 1997 No. Pages: Type: Hardcover Textbook Source: ISBN: >>>>> Addiction (Risk & Protective Factors), Child & Family, Unique Group (Youth) The NSDUH Report: Risk & Protective Factors for Substance Use Among American Indian or Alaskan Native Youths Author(s): Task Group Release Date:September 24, 2004 No. Pages: Type: Report on data from the National Survey on Drug Use and Health Source: U.S. Department of Health & Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) Office of Applied Science Report can be downloaded from SAMHSA Office of Applied Studies:  HYPERLINK "http://www.oas.samhsa.gov/2k4/AmIndianYouthRF/AmIndianYouthRF.cfm" http://www.oas.samhsa.gov/2k4/AmIndianYouthRF/AmIndianYouthRF.cfm Highlights: SAMHSA's National Survey on Drug Use and Health combined data from 2002 and 2003 to examine three categories of risk factors for substance use (individual/peers, family, and school). These risk factors were compared between American Indian or Alaska Native youth and other racial and ethnic groups. The estimates are based on 46,310 respondents aged 12 to 17, representing a national population of 25 million youth. Nationally, there are an estimated 183,000 American Indian or Alaska Native youths aged 12 to 17. American Indian or Alaska Native youths were more likely than other youths to perceive moderate to no risk associated with substance use, to perceive their parents as not strongly disapproving of their substance use, and to believe that all or most of the students in their school get drunk at least once a week. American Indian or Alaska Native youths were less likely than other youths to participate in youth activities or regularly attend religious services. According to American Indian or Alaska Native youths, their parents were about as likely as those of other youths to talk to their child about dangers of substance use, to let the youth know they had done a good job, to tell their youth that they were proud of something they had done, to make their youth do chores around the house or to limit the amount of time watching TV. However, parents of American Indian or Alaska Native youths were less likely to provide help with school homework or to limit the time out with friends on school nights. >>>>>  " Addiction (data) Race & Ethnicity Reports: Native Americans Author(s): Varies Release Date:Varies No. Pages: Varies Type: Reports on data from the annual National Survey on Drug Use and Health (formerly known as the Household Survey), Centers for Disease Control, and other sources. Reports can be downloaded from SAMHSA Office of Applied Studies:  HYPERLINK "http://www.oas.samhsa.gov/race.htm#Indians" http://www.oas.samhsa.gov/race.htm#Indians >>>>> " Cultural Proficiency, Clinical Practice, Mental Health Cultural Competence Standards in Managed Care Mental Health Services: Four Underserved/Underrepresented Racial/Ethnic Groups Author(s): Task Group Release Date:2001 No. Pages: Type: Report Source: U.S. Department of Health & Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) Community Mental Health Services (CMHS) SAMHSA Mental Health Information Center  HYPERLINK "http://www.mentalhealth.org/publications/allpubs/SMA00-3457/preface.asp" http://www.mentalhealth.org/publications/allpubs/SMA00-3457/preface.asp Preface We know that cultural values and traditions offer special strengths that should help guide health care messages and treatments. The Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) believe that mental health services often are more effective when they are provided within the most relevant and meaningful cultural, gender-sensitive, and age-appropriate context for the people being served. For each racial/ethnic population, programs need to be built from the local community level, not structured from afar. Moreover, the services to be provided cannot be based on a "one-size-fits-all" approach. Information must be relevant to the specific group intended to be reached. The changing face of health care - particularly the rise of managed care as a cost-conscious delivery system - has had a significant impact on how behavioral health care is provided in general, and how it is provided to racial and ethnic populations, in particular. Not only are specialty mental health professionals and primary care practitioners often not providing culturally sensitive - much less culturally competent - care, but also the managed care environment as a whole often is insufficiently aware of how culture and race can be critical elements in treatment and recovery. In response to the dearth of broad-based, culturally competent care within the behavioral managed care sector, CMHS sought to develop and disseminate cultural competence standards for managed care mental health services to improve the availability of high-quality services for "four underserved/underrepresented racial/ethnic groups" - notably, African Americans, Hispanics, Native Americans/Alaska Natives, and Asian/Pacific Islander Americans. To that end, it convened four national panels representing each of the four core racial/ethnic groups, and each comprised of mental health professionals, families, and consumers. >Table of Contents  HYPERLINK "http://www.mentalhealth.org/publications/allpubs/SMA00-3457/preface.asp" Preface  HYPERLINK "http://www.mentalhealth.org/publications/allpubs/SMA00-3457/intro.asp" Introduction  HYPERLINK "http://www.mentalhealth.org/publications/allpubs/SMA00-3457/ch1.asp" Guiding Principles  HYPERLINK "http://www.mentalhealth.org/publications/allpubs/SMA00-3457/ch2.asp" Overall System Standards and Implementation Guidelines Cultural Competence Planning Governance Benefit Design Prevention, Education, and Outreach Quality Monitoring and Improvement Decision Support and Management Information Systems Human Resource Development  HYPERLINK "http://www.mentalhealth.org/publications/allpubs/SMA00-3457/ch3.asp" Clinical Standards and Implementation Guidelines Access and Service Authorization Triage and Assessment Care Planning Plan of Treatment Treatment Services Discharge Planning Case Management Communication Styles & Cross-cultural Linguistic & Communication Support Self Help  HYPERLINK "http://www.mentalhealth.org/publications/allpubs/SMA00-3457/ch4.asp" Provider Competencies Knowledge, Understanding, Skills, and Attitudes Appendix A:  HYPERLINK "http://www.mentalhealth.org/publications/allpubs/SMA00-3457/glossary.asp" Glossary Appendix B:  HYPERLINK "http://www.mentalhealth.org/publications/allpubs/SMA00-3457/panel.asp" Panel Members >>>>> " Cultural proficiency, Clinical Practice, Access to Care (Discrimination, racism), Mental Health, Intergenerational Trauma (historical trauma) Mental Health: A Report of the Surgeon General Author(s): Task Group Release Date:1999 No. Pages: Type: Report Source: U.S. Department of Health & Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) Office of Surgeon General SAMHSA Mental Health Information Center Full Report:  HYPERLINK "http://www.mentalhealth.org/cmhs/surgeongeneral/surgeongeneralrpt.asp" http://www.mentalhealth.org/cmhs/surgeongeneral/surgeongeneralrpt.asp This, the first Surgeon General's Report on Mental Health, asserts that mental illness is a critical public health problem that must be addressed by the Nation. The Surgeon General urges people to seek help if they or their family members have symptoms of mental health problems.  Mental Health: Culture, Race, Ethnicity Supplement SAMHSA Mental Health Information Center, Surgeon Generals Report Full Supplement Report:  HYPERLINK "http://www.mentalhealth.org/cre/default.asp" http://www.mentalhealth.org/cre/default.asp A revealing summary on the impact of culture (and historical trauma) on mental health. Prevalence, access to care, cultural proficiency, and treatment issues are reviewed. See Chapter 4 on Mental Health Care for American Indians and Alaska Natives. The table of contents is listed below (hot links) for both the Supplement, as well as for Chapter 4. An excerpt from Chapter 4 on Historical Context is also included below. >Table of Contents  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/message.asp" Message from Tommy G. Thompson  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/foreword.asp" Foreword  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/preface.asp" Preface  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/acknowledgments.asp" Acknowledgments  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch1.asp" Chapter 1: Introduction  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch2.asp" Chapter 2: Culture Counts: The Influence of Culture and Society on Mental Health  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch3.asp" Chapter 3: Mental Health Care for African Americans  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4.asp" Chapter 4: Mental Health Care for American Indians and Alaska Natives  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch5.asp" Chapter 5: Mental Health Care for Asian Americans and Pacific Islanders   HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch6.asp" Chapter 6: Mental Health Care for Hispanic Americans   HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch7.asp" Chapter 7: A Vision for the Future >Appendix A:  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/appendix_a.asp" Inclusion of Minorities in Controlled Clinical Trials Used to Develop Professional Treatment Guidelines for Major Mental Disorders >Appendix B:  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/appendix_b.asp" Resource Directory >Chapter 4: Mental Health Care for American Indians and Alaska Natives  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4_intro.asp" Introduction  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4_historical.asp" Historical Context (See below for excerpt)  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4_current.asp" Current Status  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4_need_mental_health.asp" The Need for Mental Health Care  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4_availability.asp" Availability, Accessibility, and Utilization of Mental Health Services  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4_appropriateness.asp" Appropriateness and Outcomes of Mental Health Services  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4_prevention.asp" Mental Illness Prevention and Mental Health Promotion  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4_conclusions.asp" Conclusions  HYPERLINK "http://www.mentalhealth.samhsa.gov/cre/ch4_references.asp" References >Chapter 4: Historical Context (Excerpt) As members of federally recognized sovereign nations that exist within another country, American Indians are unique among minority groups in the United States. Ever since the European discovery and colonization of North America, the history of American Indians has been tied intimately to the influence of European settlers and to the policies of the U.S. Government. Early European contact in the 17th century exposed Native people to infectious diseases from which their natural immunity could not protect them, and the population of American Indians plummeted. In 1820, as European settlers pushed westward, Congress passed the Indian Removal Act to force Native Americans west of the Mississippi River. Brutal marches of Native people, sometimes in the dead of winter, ensued. Later, as colonists moved farther westward to the Great Plains and beyond, the U.S. Government sent many tribes to live on reservations of marginal land where they had little chance of prospering. Treaties between the tribes and the U.S. Government were signed, then broken, and struggles for territory followed. The Plains Indian Wars raged until the end of the 19th century, punctuated by whole-sale slaughter of American Indian men, women, and children. As the settlers migrated toward the Pacific Ocean, the U.S. Congress passed legislation that effectively made Native Americans wards of the state. Even as American Indians were being killed or forced onto reservations, some Americans protested the destruction of entire Indian nations (tribes and tribal confederacies). In 1887, after the bloodiest of the Indian Wars ended, Congress passed the Dawes Severalty Act, which allotted portions of reservation land to Indian families and individuals. The government then sold the leftover reservation land at bargain prices. This Act, which intended to integrate American Indians into the rest of U.S. society, had disastrous consequences. In addition to losing surplus tribal lands, many Natives lost their allotted lands as well and had little left for survival. By the early 1900s, the population of American Indians reached its lowest point, an incredible 5 percent of the original population estimated at first European contact (Thornton, 1987). The Federal Indian Boarding School Movement began in earnest in 1875. By 1899, there were 26 off-reservation schools scattered across 15 states. The emphasis within the Indian educational system later shifted to reservation schools and public schools, but boarding schools continued to have a major impact into the next century because they were perceived as civilizing influences on American Indians. During the 1930s and 1940s, nearly half of all Indian people who received formal education attended such schools.  Fact Sheet: Native Americans SAMHSA Mental Health Information Center, Surgeon Generals Report Fact Sheet:  HYPERLINK "http://www.mentalhealth.org/cre/fact4.asp" http://www.mentalhealth.org/cre/fact4.asp  SAMHSA Mental Health Information Center Home Page:  HYPERLINK "http://www.mentalhealth.org/" http://www.mentalhealth.org/  >>>>> " " "  Cultural proficiency, Culture, Access to Care (Discrimination, Racism), Intergenerational Trauma, Circle of Care Broken Promises: Evaluating the Native American Health Care System Author(s): Task Group Release Date:September 2004 No. Pages: 155 Type: Report Source: U.S. Commission on Civil Rights  HYPERLINK "http://www.usccr.gov" www.usccr.gov Full Report:  HYPERLINK "http://www.usccr.gov/pubs/nahealth/nabroken.pdf" http://www.usccr.gov/pubs/nahealth/nabroken.pdf A follow-up report to A Quiet Crisis.  A Quiet Crisis: Federal Funding and Unmet Need in Indian Country Author(s): Task Group Release Date:July 2003 No. Pages: 139 Type: Report Source: U.S. Commission on Civil Rights  HYPERLINK "http://www.usccr.gov" www.usccr.gov Full Report:  HYPERLINK "http://www.usccr.gov/pubs/na0703/na0731.pdf" http://www.usccr.gov/pubs/na0703/na0731.pdf The U.S. Commission on Civil Rights is an independent, bipartisan agency established by Congress in 1957 to study, collect, and disseminate information relating to discrimination; to appraise federal laws and policies with respect to discrimination, the administration of justice, and the denial of equal protection of the laws because of race, color, religion, sex, age, disability, or national origin; to report such findings, with recommendations, to the President and Congress; and to issue public service announcements to discourage discrimination or denial of equal protection of the laws. In 2003, A Quiet Crisis reported on the lack of federal funding addressing the grossly unmet health, social, educational, housing, law enforcement, and quality of life needs in Indian Country. In 2004, a follow-up report, Broken Promises evaluated the American Indian health care system. Excerpt from Broken Promises (page 6): "In the end, as a result of our examination of the Native American health care system and the nature of the historical relationship between tribes and the federal government, it is possible to reduce this report to a single compelling observation. That observation is that persistent discrimination and neglect continue to deprive Native Americans of a health system sufficient to provide health care equivalent to that provided to the vast majority of Americans." The report examines: health disparities in Indian Country; social and cultural barriers that limit access to care and contribute to the disparities; financial barriers; and proposed legislation changes. In the chapter on legislative changes, the report finds that reauthorizing the Indian Health Care Improvement Act would provide the "most promise for improving the lives of Native Americans" (p. 121) and recommends the passage of the reauthorization as "a priority item on the legislative agenda." (p. 134) Both reports examine the disturbingly high mortality and comorbidity rates for American Indians, along with their significantly lower health status and disproportionate rates of disease, exacerbated by the existence of cultural, social and structural barriers that continue to limit Native American access to health care. The Commission explored the causes for disparities in the health status and outcomes for American Indians and makes several sweeping recommendations, including educating and training health care providers on cultural differences that influence the effectiveness of disease prevention and treatment programs, recruiting more health care providers to reduce patient wait times and ensure that services are available when needed, increasing the retention rates for IHS health care providers to improve the continuity of health care and strengthen the doctor-patient relationship, improving program monitoring and evaluation, modernizing data collection, increasing appropriated funding levels, increasing enrollment in public insurance programs, and increasing collections from third party insurers. The recommendations also call for expedited passage of pending legislation intended to improve Native American access to health care. The report concludes that the United States lengthy history of failing to keep its promises to Native Americans includes the failure of Congress to provide the resources necessary to create and maintain an effective health care system for Native Americans. The report also reveals that the Native American health care system created by the federal government has used only limited and incremental responses to the health care challenges faced by Native Americans. Specifically, the Commission has found that, although IHS has, in many cases, identified solutions to the health problems so common in Indian Country, Congress has failed to provide the resources necessary to implement those solutions. The Commission believes that the current Native American health care system requires the rapid implementation of the remedial measures identified in this report. This report compels the federal government to acknowledge the dire health care situation facing Native Americans. A long history of treaties and broken promises urges the federal government to recognize that the concept of fulfilling treaty promises through proper funding and effective administration is a moral imperative. The federal government must take immediate action to improve the health status of Native Americans. >>>>> " " Access to Care, Indian Child Welfare Indian Health Services: Health Care Services Are Not Always Available to American Indians Author(s): Report to the Committee on Indian Affairs, U.S. Senate Release Date:August 2005 No. Pages: 46 Type: Report Source: U.S. Government Accountability Office (GAO) Full Report:  HYPERLINK "http://www.nicwa.org/policy/research/2005/GAOreport.pdf" http://www.nicwa.org/policy/research/2005/GAOreport.pdf The Senate Committee on Indian Affairs asked GAO to look at Indian health care and the factors that influence availability of health care services. IHS officials in all 12 regions were interviewed and site visits at 13 IHS facilities were conducted. >>>>> " Access to Care (data, discrimination, racism), Circles of Care, Justice, Child & Family A Closer Look At Issues Affecting Indian Country: Part 1: Health Care Author(s): Democratic Policy Committee, U.S. Senate Release Date:September 2004 No. Pages: Type: Report Source: U.S. Senate, Democratic Policy Committee Full Report:  HYPERLINK "http://democrats.senate.gov/dpc/dpc-new.cfm?doc_name=sr-108-2-257" http://democrats.senate.gov/dpc/dpc-new.cfm?doc_name=sr-108-2-257 Excerpt: First in a Series of Five Special Reports There is a serious health care crisis in Indian Country, affecting over four million Native Americans. According to a study conducted by the Indian Health Service (IHS), in 2003, Native Americans had a diabetes rate which is 249 percent higher than average, a tuberculosis rate 533 percent higher than average, and an alcoholism rate 627 percent higher than average. Native Americans born today suffer a disproportionate occurrence of disease and have a life expectancy six years below the U.S. average. For example, the life expectancy for men on the Pine Ridge and Rosebud reservations in South Dakota is lower than all but one other country in the Western Hemisphere (Haiti has the lowest life expectancy for men). Approximately 60 percent of Native Americans rely on the IHS to provide for their health care needs, yet funding for IHS has not kept pace with medical inflation and population growth. As a result, IHS services are underfunded, and patients are routinely denied care. For many critical services, patients are subjected to a literal "life or limb" test; their care is denied unless their life is threatened or they risk immediate loss of a limb. Care is denied or delayed until their condition worsens and treatment is costlier or, all too often, comes too late to be effective. Federal per capita funding for Indian health is only $1,914, about half the allotment of federal per capita funding for health care for federal prisoners. The chart below illustrates the disparity between per capita IHS spending and federal health expenditures for other groups. Full listing of reports on American Indians:  HYPERLINK "http://democrats.senate.gov/dpc/dpc-new.cfm?doc_name=sr-108-2-257" A Closer Look at Issues Affecting Indian Country Part 1: Health Care  HYPERLINK "http://democrats.senate.gov/dpc/dpc-new.cfm?doc_name=sr-108-2-258" A Closer Look at Issues Affecting Indian Country Part 2: Education, Welfare Reform and Children  HYPERLINK "http://democrats.senate.gov/dpc/dpc-new.cfm?doc_name=sr-108-2-259" A Closer Look at Issues Affecting Indian Country Part 3: Economic Opportunity, Housing, and Infrastructure  HYPERLINK "http://democrats.senate.gov/dpc/dpc-new.cfm?doc_name=sr-108-2-260" A Closer Look at Issues Affecting Indian Country Part 4: Homeland Security, Law Enforcement and Justice  HYPERLINK "http://democrats.senate.gov/dpc/dpc-new.cfm?doc_name=sr-108-2-261" A Closer Look at Issues Affecting Indian Country Part 5: Trust Reform, Natural Resources and Land >>>>> " Intergenerational Trauma, Traditional Indigenous Healing Practices From Legacy to Choice: Healing the Effects of Generational Trauma in Individuals, Families and Communities Author(s): Jane Middelton-Moz Date: No. Pages: n/a Type: Presentation & Healing Gathering Source: Middelton-Moz Institute Website:  HYPERLINK "http://www.ippi.org/AboutIPPMiddeltonMoz.html" http://www.ippi.org/AboutIPPMiddeltonMoz.html Comment: Jane Middelton-Moz has been teaching on and facilitating healing gatherings in the Haudenosaunee territories since the 1980s. Her writings are critical to understanding the healing from intergenerational trauma. Her ability to facilitate circles for community healing is extraordinary. From website: Jane Middelton-Moz is known for her work on the effects of multi generational grief and trauma on individuals, families and communities, ethnic and cultural awareness, anger, cultural self-hate, differential diagnosis, and bullying in relationships, schools and the workplace. She is the author of Children of Trauma: Rediscovering Your Discarded Self, Shame and Guilt: Masters of Disguise, The Will to Survive: Affirming the Positive Power of Human Spirit, Boiling Point: Dealing With the Anger in Our Lives, Boiling Point: The Workbook, and Welcoming our Children to a New Millennium; and co-author of After the Tears: Reclaiming the Personal Losses of Childhood, Bullies: From the Playground to the Boardroom-Strategies for Survival and Good and Mad: Transform Anger Using Mind, Body, Soul and Humor. >>>>> FASD, Access to Care, Circles of Care Fetal Alcohol Spectrum Disorders in Indian Country: Final Report Executive Summary Author(s): A Report from the Substance Abuse and Mental Health Services Administration, Fetal Alcohol Spectrum Disorders Center for Excellence Date:March 2004 No. Pages: 6 Type: Report Source: Substance Abuse and Mental Health Services Administration (SAMHSA), Fetal Alcohol Spectrum Disorders Center for Excellence Full Report:  HYPERLINK "http://www.fascenter.samhsa.gov/documents/FASDNASiteVisitExSum0404.pdf" http://www.fascenter.samhsa.gov/documents/FASDNASiteVisitExSum0404.pdf Excerpt: Nearly 40,000 babies are born each year with FASD, accounting for about 1 percent of all live births. Statistics on the incidence of FASD among American Indians/Alaska Natives are limited. The rate is estimated to be three times that among non-Natives. Historically, IHS provided services, training, and education for FASD, which was a line item in the budget for tribal alcohol treatment and prevention programs. Most tribes had a designated FASD coordinator who directed and managed awareness and prevention programs in their community. Since self-governance compacting, IHS no longer provides specific funds or services for FASD. FASD was dropped as a line item of IHS funding to the tribes involved in compacting. Today, most FASD programs in Indian Country have been terminated. Most tribes provide limited services for FASD or none at all. Services for children are provided primarily through State early intervention programs or Federal programs, such as Head Start. Services for affected adults do not exist unless the adult is severely disabled. The Head Start program has recently become a source of major concern in Indian Country. Proposed changes to Head Start will place the program under the auspices of States and tribes. With budget cuts, compacting, and other actions in response to the Self-Determination Act, FASD does not often come to the attention of the tribes that would be responsible for Head Start. Currently, Head Start programs in Native American communities are the primary programs that identify children with FASD and other special needs. If the Head Start programs become the responsibility of the States and tribes, most likely fewer children with FASD will be identified. This change will be a considerable setback for the tribes. >>>>>  Holistic Risk-Based Environmental Decision Making: A Native Perspective Author(s): Mary Arquette,1 Maxine Cole,1 Katsi Cook,2 Brenda LaFrance,1 Margaret Peters,1 James Ransom,3 Elvera Sargent,1 Vivian Smoke,1 and Arlene Stairs4 1Akwesasne Task Force on the Environment, Hogansburg, New York, USA; 2Iewirokwas Program, Ithaca, New York, USA; 3Haudenosaunee Task Force on the Environment, Rooseveltown, New York, USA; 4Queens University, Kingston, Ontario, Canada Date:2002 No. Pages: Type: Article Source: Environmental Health Perspective 110 (supplement 2):259-264 Full Article:  HYPERLINK "http://www.ehponline.org/members/2002/suppl-2/259-264arquette/EHP110s2p259PDF.PDF" http://www.ehponline.org/members/2002/suppl-2/259-264arquette/EHP110s2p259PDF.PDF Abstract: Native American Nations have become increasingly concerned about the impacts of toxic substances. Although risk assessment and risk management processes have been used by government agencies to help estimate and manage risks associated with exposure to toxicants, these tools have many inadequacies and as a result have not served Native people well. In addition, resources have not always been adequate to address the concerns of Native Nations, and involvement of Native decision makers on a government-to-government basis in discussions regarding risk has only recently become common. Finally, because the definitions of health used by Native people are strikingly different from that of risk assessors, there is also a need to expand current definitions and incorporate traditional knowledge into decision making. Examples are discussed from the First Environment Restoration Initiative, a project that is working to address toxicant issues facing the Mohawk territory of Akwesasne. This project is developing a community-defined model in which health is protected at the same time that traditional cultural practices, which have long been the key to individual and community health, are maintained and restored. Key words: aboriginal, Akwesasne, American Indian, Mohawk, Native, restoration, risk, Superfund.  HYPERLINK "http://www.ehponline.org/members/2002/suppl-2/259-264arquette/arquette-full.html" \l "intro" Introduction  HYPERLINK "http://www.ehponline.org/members/2002/suppl-2/259-264arquette/arquette-full.html" \l "back" Background  HYPERLINK "http://www.ehponline.org/members/2002/suppl-2/259-264arquette/arquette-full.html" \l "need" The Need For Change  HYPERLINK "http://www.ehponline.org/members/2002/suppl-2/259-264arquette/arquette-full.html" \l "soci" Sociocultural Implications of Exposure to Contaminants  HYPERLINK "http://www.ehponline.org/members/2002/suppl-2/259-264arquette/arquette-full.html" \l "holi" Holistic Risk-Based Decision Making: A New Paradigm  HYPERLINK "http://www.ehponline.org/members/2002/suppl-2/259-264arquette/arquette-full.html" \l "conc" Conclusion >>>>> Cultural Proficiency, Access to Care, Intergenerational Trauma, Culture Culture, Colonization, and Policy Making Issues in Native American Health Author(s): Brooke Olson, Ph.D., Assistant Professor of Anthropology, Co-Coordinator, Native American Studies Program, Ithaca College Date:November 2002 No. Pages: 13 Type: Paper Presentation: Symposium on the Politics of Race, Culture, and Health, November 13-14, 2002, Ithaca College Source: Ithaca College Full Presentation:  HYPERLINK "http://www.ithaca.edu/healthpolicy/race/docs/brooke.doc" http://www.ithaca.edu/healthpolicy/race/docs/brooke.doc Excerpt (from Introduction): The scope of health problems in Native American is overwhelming as we enter the new millennium. Native Americans are often listed as the sickest minority population in America, with some of the highest rates of diabetes, cancer, substance abuse, suicide, pulmonary disease, and cardiovascular problems (Trafzer & Weiner 2001). To address these health issues, many policies and interventions have been developed at the national and local level, through agencies such as the Bureau of Indian Affairs and the Indian Health Service. While some of these initiatives have been moderately successful, the rates of diabetes, cancer, and alcoholism in indigenous populations continue to increase throughout North America. Furthermore, focusing on diseases in an individualized health care approach is inadequate for Native Americans whose health and well being is inexorably interwoven with their cultural survival. For this reason, the term cultural wellness is employed as a concept to index the connection between personal health and cultural continuity in indigenous populations. To improve health care, education, and prevention, a larger cultural and historical contextual framework is needed which pays heed to the impact of colonization and its effects on Native peoples. Such a holistic framework evaluates the long-term impact of introduced diseases and the cultural trauma caused by the removal of Indians to reservations (Jaimes 1992), the boarding school era (Johansen 2000), and the forced sterilizations of Native women (Carpio 1995; Torpy 1998). Racism and discrimination in mainstream medical systems and American culture continue to impact Native health, but are rarely addressed in wellness programs and health policies. The struggles of Native people to have treaty rights honored for land, hunting, and fishing also have repercussions for health and cultural wellness. It follows that health care policies for Native Americans should also include reparations policies, as Canada has done by setting up a $350 million healing fund for the survivors of the boarding school era (Macqueen 2000). This fund is meant to deal with the emotional, physical, and cultural trauma that came from the sexual and emotional abuse within those institutional contexts purporting to educate Native Americans. In addition to thinking more broadly about health care policies as reparations policies, attention also needs to be given to health programs developed and overseen by Indian people. A review of Native Wellness programs across the country reveals that the most successful intervention and education efforts are those developed and implemented by Native people in local communities (Heath et al. 1987; Macaulay 1997; Olson 2001; Olson 1999). However, lack of economic and political power hinders the efforts of Native Americans to address health and wellness issues and develop programs. Based on a review of these broad issues, there are two major areas which need to be considered in order to make substantive improvements in Native American health care and cultural wellness: 1) national policy making organizations need to develop better understandings of the cultural and historical causes of Native American health problems and address these causes in policy making and implementation of programs; and 2) grassroots and collaborative initiatives for Native wellness promotion need to be encouraged, especially projects that emanate from Native Americans and incorporate local cultural issues and sensitivities. The Backdrop of Native American Health Problems: The Establishment of Cultural Risk Through Colonialism and Neo-Colonialism The perspectives of anthropology are useful when considering the total context of Native health issues. Anthropologists typically include in their analyses the frames of history, culture, political economy, and experience, among other viewpoints. When examining Native American individual and cultural sickness, there must be an assessment of the effects of colonization, which entailed massive land loss, genocide, epidemics, racism, and ecocide, or the degradation of Native lands (Grinde & Johansen 1995). While these processes have their roots in the first contact between Europeans and indigenous people, they were intensified in the 1800s with the political, economic, and cultural appropriation of Native life, land, and culture as embodied through Manifest Destiny. Ethnocentric assumptions and stereotypes of Native people were used by non-Natives throughout the nineteenth century to remove Indians from their cultural landscapes, confine them on reservations, eviscerate their language and culture through the boarding schools, and, in some instances, simply massacre them to remove them from the steam-roller of white progress. In the twentieth century, the Indian Boarding Schools continued, Native lands and cultural practices were still being eroded through state and federal policies, and thousands of Native American women were sterilized without their consent in a eugenics attempt by Indian health care clinics and agencies (Carpio 1995; Jaimes & Halsey 1992; Torpy 1998). Government policies in the twentieth century profoundly compromised the cultural wellness of Native Americans through undermining sovereignty, testing nuclear weapons on the lands of nations such as the Goshutes and Shoshone (LaDuke1999), and relocating Native people for projects such as the Kinzua Dam, which flooded the arable basin of the Allegany Seneca reservation in southern New York in the mid-1960s (Bilharz 1998). All of these processes have had a myriad of effects on the health status of Native Americans through emotional, physical, and cultural trauma. Neo-colonialism and ethnocentrism continue today through degradation of Indian lands, political struggles, economic discrimination, and institutionalized racism in education and medicine. This brief assessment should leave little doubt as to why Native Americans are among the sickest and most stressed populations in the U.S. As Klyde (1994: 701) summarizes, Why are Native Americans so sick? Suppression of cultural traditions, language, and spirituality, combined with a depressed socioeconomic situation has created an apathy so deeply embedded in the psyche of Native Americans that many attempt to escape reality through alcohol, drugs, or suicide. >>>>> " Access to Care, Indian Child Welfare Native American Kids 2003: Indian Children s Well-Being Indicators Data Book for 14 States Author(s): Angela A. Willeto, PhD, Charlotte Goodluck, Dept. of Sociology and Social Work, College of Social and Behavioral Sciences, Northern Arizona University Release Date:December 2003 No. Pages: 94 Type: Report Source: National Indian Child Welfare Association (NICWA) HYPERLINK "http://www.nicwa.org" www.nicwa.org Full Report:  HYPERLINK "http://www.nicwa.org/policy/research/2005/WellBeing.pdf" http://www.nicwa.org/policy/research/2005/WellBeing.pdf The 4th in a series of publications on well-being indicators for Native American children and youth. This report presents a literature review of well-being indicators (10) for Indian children, utilizes the 2003 KIDS COUNT Data Book: State Profiles of Child Well-Being (Annie E. Casey Foundation, 2003) as the model, and seeks to reduce the gap. It includes rates and percentages nationally and for 14 selected states. Indicators: low birthrate, infant mortality, child deaths, teen births, children in poverty, teen deaths (by accident, homicide, and suicide), teens who are high school dropouts, teens who are not attending school and not working, children living with families where no parent has full-time, year-round employment, and families with children headed by a single parent. The 14 states include: Alaska, Arizona, California, Michigan, Minnesota, Montana, New Mexico, North Carolina, North Dakota, Oklahoma, South Dakota, Texas, Washington, and Wisconsin. >>>>> " Cultural Proficiency, Circles of Care, Nation Building, Clinical Practice Towards a Culturally Competent System of Care: Volume I Author(s): Terry L. Cross, Barbara J. Bazron, Karl W. Dennis, Mareasa R. Isaacs Release Date:1989 No. Pages: 75 Type: Monograph Source: National Technical Assistance Center for Children's Mental Health, Georgetown University, Child Development Center, 3307 M Street NW, Washington, DC 20007 Purchase Price: $8.00 Phone: (202) 687-5000 Fax: (202) 687-1954 Email:  HYPERLINK "mailto:gucdc@georgetown.edu" gucdc@georgetown.edu URL:  HYPERLINK "http://gucdc.georgetown.edu/cassp.html" http://gucdc.georgetown.edu/cassp.html Summary: This monograph is designed to provide a philosophical framework and practical ideas for improving service delivery to minority group children who are seriously emotionally handicapped. It briefly reviews the problems these children face in the system and the relevant literature. The basic model of cultural competence is discussed, and paths to achieving cultural competence are outlined. Major issues in provision of mental health services to minority children are then explored, including issues pertaining to policy, training, resources, practice, and research. Basics of shifting an organization toward cultural competence at policy, administration, practitioner and consumer levels are reviewed, including cultural self-assessment, adaptation to diversity, and institutionalization of cultural knowledge. More specific service adaptations are then discussed, including intake and client identification, case management, and out-of-home care. >>>>> Child & Family (data, research) Case Studies in Tribal Data Collection & Use Author(s): Terry Cross, MSW, Kathleen Fox, PhD, Jody Becker-Green, MSW, and Jaime Smith, BA all of the National Indian Child Welfare Association and Angela A. A. Willeto, PhD, Northern Arizona University Release Date:February 2004 No. Pages: 86 Type: Report (Prepared for Annie E. Casey Foundation) Source: National Indian Child Welfare Association (NICWA) HYPERLINK "http://www.nicwa.org" www.nicwa.org Full Report:  HYPERLINK "http://www.nicwa.org/policy/research/2005/tribaldatacollection.pdf" http://www.nicwa.org/policy/research/2005/tribaldatacollection.pdf Excerpt from NICWA website: This report explores a significant emerging issue in American Indian/Alaska Native communities, namely, how tribal communities collect and make use of data and how the collection and use of data has affected the well-being of their children and youth. Although previous research has documented the tremendous needs of American Indian/ Alaska Native communities, it is essential to continue searching for specific factors that contribute to the various needs and lack of resources. This report aims to inform the national dialog on how the lack of current and reliable data on American Indian/Alaska Native children and youth continues to threaten their well-being. It is a first step in understanding and describing tribal data collection and use and analyzing and documenting the impact that inadequate data has on each community and American Indian/Alaska Native cultures as a whole. >>>>> " Cultural proficiency, Culture, Access to Care (racism, discrimination), Nation Building (Community Healing), Intergenerational Trauma, Traditional Indigenous Healing Practices Mapping the Healing Journey: The Final Report of a First Nation Research Project on Healing in Canadian Aboriginal Communities Author(s): Four Directions International Four Worlds Institute for Human and Community Development 347 Fairmont Boulevard Lethbridge, Alberta T1K 7J8 403-320-7144 4worlds@uleth.ca  HYPERLINK "http://home.uleth.ca/~4worlds" http://home.uleth.ca/~4worlds The Four Worlds Centre for Development Learning Box 395, Cochrane, Alberta T4C 1A6 403-932-0882  HYPERLINK "mailto:fourworlds@telusplanet.net" fourworlds@telusplanet.net Research and Writing: Phil Lane, Jr. Michael Bopp Judie Bopp Julian Norris Release Date: APC 21 CA (2002) No. Pages: 103 Type: Report Source: Aboriginal Peoples Collection Aboriginal Corrections Policy Unit Solicitor General Canada 340 Laurier Avenue West Ottawa, Ontario K1A 0P8 For single copies, write to address above: Cat. No.: JS42-105/2002E ISBN No.: 0-662-32088-3 This report is also available on the Internet at  HYPERLINK "http://www.sgc.gc.ca" www.sgc.gc.ca Full Report Available at: PDF version:  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/pdf/apc2002_e.pdf" http://www.psepc-sppcc.gc.ca/publications/abor_corrections/pdf/apc2002_e.pdf  HYPERLINK "http://ww2.psepc-sppcc.gc.ca/publications/abor_corrections/pdf/apc2002_e.pdf" http://ww2.psepc-sppcc.gc.ca/publications/abor_corrections/pdf/apc2002_e.pdf Html version:  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp  HYPERLINK "http://ww2.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" http://ww2.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp Excerpt: Community healing has been found to go through four distinct stages or cycles. This report discusses these stages and includes a discussion about what drives each stage, what actions are being taken, what are the indicators of success, what are the restraining forces, and what is being learned. While the report discusses four distinct stages, it recognizes that community healing is neither linear nor simple and that any map is only an approximate model of complex real-life events. It becomes clear when considering these various sources of trauma, that the eventual impact of trauma originating from outside Aboriginal communities was to generate a wide range of dysfunctional and hurtful behaviors (such as physical and sexual abuse) which then began to be recycled, generation after generation inside communities. What this has meant is that as many as three to five generations removed from externally induced trauma, the great great grandchildren of those who were originally traumatized by past historical events are now being traumatized by patterns that continue to be cycled in the families and communities of today. The result of all of this trauma is a wide range of personal and social dysfunction that translates into symptoms such as these: Individuals - who cant maintain intimate relationships, cant trust or be trusted, cant work in teams with others, cant persevere when difficulties arise, cant function as parents, cant hold a job and cant leave behind harmful habits such as alcohol and drug abuse or family violence. (Of course we now know that all these cants can actually be reversed through healing and learning processes.) Families - When individuals who are stuck (as described above ) enter family life, the family becomes a generator of trauma and dysfunction, as patterns of addictions and abuse are passed on. Basic human needs for safety, security, love and protection are not met and the family system is no longer able to provide the foundation for healthy community life, as it once did in traditional society. We note that many Aboriginal communities are considering returning to the clan system and to clan-based government, but this could only be viable if Aboriginal families again developed high levels of trust, intimacy, cooperative behavior, effective communication and adhered to a system of life- promoting, life-enhancing values, beliefs and moral standards. (Again, we now know that families can learn, can heal and can overcome a long history of intergenerational trauma and dysfunction through hard work and a lot of love and support from others.) Communities - Aboriginal communities that have been traumatized display a fairly predictable pattern of collective dysfunction in the form of rampant backbiting and gossip, perpetual social and political conflict and in- fighting, a tendency to pull down the good work of anyone who arises to serve the community, political corruption, lack of accountability and transparency in governance, widespread suspicion and mistrust between people, chronic inability to unite and work together to solve critical human problems, competition and turf wars between programs, a general sense of alienation and disengagement from community affairs by most people (whats the use?), a climate of fear and intimidation surrounding those who hold power and a general lack of progress and success in community initiatives and enterprises (which often seem to self-destruct). (We now know that those patterns too, like their counterparts at the individual and family levels, can be transformed through persistent and effective processes of community healing and development.) Since the early 1980s, an ever-increasing number of Aboriginal communities have been struggling with the challenge of healing. In most cases, the earliest initiatives focused on addressing the pernicious pattern of alcoholism that was destroying so many lives. But as more and more communities began to have some success with efforts to stop the drinking, it gradually became clear that alcohol and drug abuse was only the tip of a very large and complex iceberg, the bulk of which remained hidden beneath the surface of community life. Aboriginal healing programs sprang up across the country addressing such issues as addictions, sexual abuse, parenting, family violence, depression, suicide, anger and rage and eventually the residential school syndrome. With these many and varied programs, there also emerged a wide variety of approaches. Strategies to promote healing, that range from residential treatment programs (based on a variety of treatment models), one-on-one therapeutic counseling programs, personal growth workshops, retreats and traditional practices such as sweat lodges, healing ceremonies, fasting, prayers and the application of traditional teachings. As this study goes to press, there are more than a thousand Aboriginal Healing programs ongoing on reserves and in cities and towns across Canada and many more initiatives that consciously incorporate a healing component within other types of programs. >Table of Contents  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Organization" Organization of This Report  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "1" Part One: Introduction and Background  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "1.1" So What?  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "1.2" The Aboriginal Healing Movement  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "1.3" Background to this Study  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "1.4" The Research Process  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "2" Part Two: Summary of Literature Review Findings  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "2.1" What is Healing?  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "2.2" What has been tried? What works?  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "2.3" Summary and Conclusions  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "3" Part Three: Community Profiles  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "3.1" Eskasoni Healing Movement  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "3.2" Esketemc Healing Journey  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "3.3" The Hollow Water Community Holistic Circle Process  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "3.4" The Biidaaban Community Healing Model  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "3.5" The Squamish Nation Community Healing Approach  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "3.6" Waywayseecappo First Nation Tackles Community Healing  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "4" Part Four: Voices from the Communities  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "4.1" What is Healing?  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "4.2" What are some of the issues for which healing is needed?  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "4.3" What is the healing journey for an individual?  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "4.4" What are other dimensions of the healing journey?  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "4.5" What has worked for you in promoting healing  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "5" Part Five: Lessons about Healing and the Healing Journey  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "5.1" What is Healing?  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "5.2" The Community Healing Journey  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "5.3" The Individual Healing Journey  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "5.4" Elements of the Healing Journey  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "6" Part Six: Lessons about Supporting the Healing Process  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "6.1" The Role of Leadership  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "6.2" Creating Organizations and Building Community Capacity  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "6.3" Collaboration and Participation  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "7" Part Seven: Lessons about Obstacles  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "7.1" Internal Community Obstacles  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "7.2" External Structural Obstacles  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "7.3" Funding Challenges  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "7.4" The Youth Crisis  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "8" Part Eight: Lessons about Healing as Rebuilding the Nations  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "8.1" Linking Healing and Economic Development  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "8.2" The Need to Transform Structures and Systems  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "8.3" The Role of Spirituality and Culture  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "9" Part Nine: The Individual Healing Journey  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Stage1" Stage 1: The Journey Begins  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Stage2" Stage 2: Partial Recovery  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Stage3" Stage 3: The Long Trail  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Stage4" Stage 4: Transformation and Renewal  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "10" Part Ten: Four Seasons of Community Healing  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Stage11" Stage 1: Winter The Journey Begins  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Stage22" Stage 2: Spring Gathering Momentum  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Stage33" Stage 3: Summer Hitting the Wall  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Stage44" Stage 4: Fall From Healing to Transformation  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "11" Part Eleven: Recommendations for Communities  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom1" Recommendation 1 Shift Toward Building Volunteer Capacity  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom2" Recommendation 2 From Crisis Response to Building New Patterns of Life  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom3" Recommendation 3 Comprehensive Community Healing and Development Plan  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom4" Recommendation 4 Community Wellness Report Cards  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom5" Recommendation 5 Measuring Progress and Reporting to "Stakeholders"  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom6" Recommendation 6 Position Healing Within Other Programmatic Frameworks  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom7" Recommendation 7 Develop Special Programs to Address Children and Youth  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom8" Recommendation 8 Establishing Legal Non-Profit Community Organizations  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom9" Recommendation 9 Establish a Formal Structure and Process for Interagency  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom10" Recommendation 10 Managing Outside Help  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "12" Part Twelve: Recommendations to the Supporters and Funders  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom11" Recommendation 11 Support Mobile Technical Assistance Teams  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom12" Recommendation 12 Cultivate Catalytic Leaders of Community Healing  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom13" Recommendation 13 Networking and Sharing Innovations that Work  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom14" Recommendation 14 Provide Core Funding to Proven Programs  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom15" Recommendation 15 Invest in Building the Capacity of Groups of Elders  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom16" Recommendation 16 A New Kind of Front-Line Professional  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom17" Recommendation 17 Develop Tools and Processes to Measure Outcomes  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom18" Recommendation 18 "Support" Requires Building Personal Relationships  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Recom19" Recommendation 19 Invest in Key Individuals  HYPERLINK "http://www.psepc-sppcc.gc.ca/publications/abor_corrections/APC2002_e.asp" \l "Bibliography" Bibliography >>>> " Cultural Proficiency, Access to Care (racism, discrimination), Nation Building, Traditional Indigenous Healing Practices A Report of the Royal Commission on Aboriginal Peoples Author(s): Royal Commission on Aboriginal Peoples Release Date: October 1996 No. Pages: ~4,000 Type: Report Source: Royal Commission on Aboriginal Peoples Canada Communication Group Publishing Ottawa, Ontario K1A 0S9 Hardcopy of Report: including commentaries and special reports, published research studies, round table reports, and other publications released during the Commission's mandate is available in Canada through local booksellers or by mail from the source indicated above. A CD-ROM containing the report, transcripts of the Commission's hearings and round tables, overviews of the four rounds of hearings, research studies, the round table reports, and the Commission's special reports and commentaries, together with an educators' resource guide is available in libraries across the country through the government's depository services program and for purchase from the source indicated above. Full Report - Html version:  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgmm_e.html" http://www.ainc-inac.gc.ca/ch/rcap/sg/sgmm_e.html PDF version: not available Abstract: Aboriginal people explained to the Commission that their various nations have distinct cultures, with unique knowledge and understandings of the world around them. Across the globe, there is a growing awareness that cultural diversity is of critical importance for the survival of humanity. An appreciation of the uncertainty of the future carries with it an appreciation of the value of unique cultural insights. The preservation of distinct cultures is important to Canada, therefore, not only in the interests of the various cultural groups, but as a matter of enlightened Canadian self-interest. Justice demands, moreover, that the terms of the original agreements under which some Aboriginal peoples agreed to become part of Canada be upheld. Equality and security require the majority population of Canada to accommodate the distinct cultures of all its historical nations. Canada's image of itself and its image in the eyes of others will be enhanced by changes that properly acknowledge the indigenous North American foundations upon which this country has been built. Aboriginal people generally do not see themselves, their cultures, or their values reflected in Canada's public institutions. They are now considering the nature and scope of their own public institutions to provide the security for their individual and collective identities that Canada has failed to furnish. The legitimate claims of Aboriginal peoples challenge Canada's sense of justice and its capacity to accommodate both multinational citizenship and universal respect for human rights. More effective Aboriginal participation in Canadian institutions should be supplemented by legitimate Aboriginal institutions, thus combining self-rule and shared rule. The Commission's proposals are not concerned with multicultural policy but with a vision of a just multinational federation that recognizes its historical foundations and values its historical nations as an integral part of the Canadian identity and the Canadian political fabric. Historically, the door has not been open for the just participation of Aboriginal peoples and their representatives in Canada. The Commission heard about misunderstandings concerning the treaties and about federal policies that ignored solemn commitments made in these treaties once the newcomers were settled and assumed control. Federal legislation, we find, has unilaterally defined 'Indians' without regard to the terms of the treaties and without regard to cultural and national differences among Aboriginal peoples. The participation of Aboriginal people as individuals, generally on the margins of society, has not met the standards of justice that Commissioners believe Canadians would wish to uphold. History also shows how ancient societies in this part of North America were dispossessed of their homelands and made wards of a state that sought to obliterate their cultural and political institutions. History shows too attempts to explain away this dispossession by legally ignoring Aboriginal peoples, in effect declaring the land terra nullius empty of people who mattered. This is not a history of which most Canadians are aware. It is not a history of democratic participation, nor is it a history that reflects well on Canada or its sense of justice. It is essential to recognize and respect the common humanity of all people to recognize and respect Aboriginal people as people who do matter and whose history matters, not only to them but to all Canadians. This Commission concludes that a fundamental prerequisite of government policy making in relation to Aboriginal peoples is the participation of Aboriginal peoples themselves. Without their participation there can be no legitimacy and no justice. Strong arguments are made, and will continue to be made, by Aboriginal peoples to challenge the legitimacy of Canada's exercise of power over them. Aboriginal people are rapidly gaining greater political consciousness and asserting their rights not only to better living conditions but to greater autonomy. Opening the door to Aboriginal peoples' participation is also a means of promoting social harmony. The unilateral exercise of federal authority to make and implement policy can no longer be expected to attract enduring legitimacy; it must be discarded in favour of the principle of participation. It is vital for Canada to be seen as legitimate by all its inhabitants. The strength of a geographically vast and culturally diverse country like Canada rests on the commitment and mutual respect of its peoples. The true vision of Canada is that of a multinational country, strengthened by the commitment of individuals to their natural and historical ties and to a federal union that promotes the equal security and development of all its partners. Federal policy toward Aboriginal people has its roots in a power set out in the constitution of 1867. Since early British colonial times a legislative power has been reserved to the central government to protect the interests of Aboriginal peoples, first from local settler interests and, since 1867, from provincial interests. This unique feature of Canadian federalism has continuing significance today, since it includes the means to carry out positive obligations owed to Aboriginal peoples. In this report we explain that constitutional, legal, and political obligations proscribe the unilateral and arbitrary exercise of this federal power. It must be exercised in furtherance of the interests of Aboriginal peoples and not in derogation of those interests. This is a basic principle of the constitution supplemental to the principle of participation. Contemporary Canadians reject the paternalism of yesterday and recognize that Aboriginal people know best how to define and promote their own interests. This report makes a number of recommendations to ensure that the principle of participation is the basis of future federal policy. The courts have also begun to probe the nature of Aboriginal peoples' rights, including the relationship between Aboriginal individuals and groups and Canadian institutions. Commissioners believe that the door to Aboriginal group participation in Canada has been opened by recognition of an inherent right of self-government in the common law of Aboriginal rights and in the treaties. This right of peoples to be self-governing affords a solid legal foundation on which governments in Canada can enter into agreements with Aboriginal peoples to establish appropriate working relationships. There is no further need, if indeed there ever was a need, for unilateral government action. The treaty is still Aboriginal peoples' preferred model. Where treaties have already been made, they establish a unique legal and political relationship that the federal government is bound to preserve and maintain. New and renewed treaties can serve the same purpose. The role of the courts is limited in significant ways. They develop the law of Aboriginal and treaty rights on the basis of a particular set of facts before them in each case. They cannot design an entire legislative scheme to implement self-government. Courts must function within the parameters of existing constitutional structures; they cannot innovate or accommodate outside these structures. They are also bound by the doctrine of precedent to apply principles enunciated in earlier cases in which Aboriginal peoples had no representation and their voices were not heard. For these reasons courts can become unwitting instruments of division rather than instruments of reconciliation. We learned from our hearings and from the research we commissioned that Aboriginal peoples share strongly held views of the relationship between their nations, their lands, and their obligations to the Creator. The concept of Aboriginal title as developed in English and Canadian courts is at sharp variance with these views, as are the courts' interpretations of some of the historical treaties. It is crucial that judicial decisions on such fundamental issues be made on the basis of full knowledge and understanding of Aboriginal cultures and spiritual beliefs. To do otherwise is to attribute to people perceptions and intentions that are repugnant to the very essence of their being. Participation in the courts requires Aboriginal people to plead their cases as petitioners in a forum of adversaries established under Canadian law. There is a certain irony in this, since in many instances the adversary they face is also the fiduciary that is obligated to protect their interests. The situation is, to say the least, anomalous, and it would appear that the courts cannot really substitute for a political forum where Aboriginal representatives can develop their own visions of political autonomy within Canada. There are other, broader considerations to assess in considering the nature of Aboriginal participation in the institutions of Canada. In 1982 the constitution was amended to recognize and affirm the Aboriginal and treaty rights of the Aboriginal peoples of Canada. Those amendments contained a promise to amend the constitution further to determine the nature and scope of those rights. The constitutional promise was not fulfilled in the first ministers conferences conducted for that purpose, and the basic constitutional promise of 1982 is still outstanding. There have been important changes in recent years in the nature of Aboriginal peoples' participation in statecraft in Canada. Since the white paper proposal to eliminate the distinct status of 'Indians' and the prime minister's refusal in 1969 to recognize the treaties, Canadian society has developed a greater willingness to include Aboriginal peoples as partners in the Canadian enterprise. This has been shown by the participation of Aboriginal representatives in first ministers meetings on constitutional reform, among other changes. With increased participation, Aboriginal peoples anticipate that they, and their voices, will matter more in the Canada of the future. In a sense, participation in the Canadian polity has created a more just image of Canadian society, but that image will remain what it is an image until participation succeeds in achieving a full measure of justice for Canada's First Peoples. Table of Contents (with links):  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sg1_e.html" \l "0" Volume 1 - Looking Forward Looking Back  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm1_e.html" 1 - Getting Started  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm2_e.html" 2 - From Time Immemorial: A Demographic Profile Part One: The Relationship in Historical Perspective  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm3_e.html" 3 - Conceptions of History  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm4_e.html" 4 - Stage One: Separate Worlds  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm5_e.html" 5 - Stage Two: Contact and Co-operation  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm6_e.html" 6 - Stage Three: Displacement and Assimilation  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm7_e.html" 7 - Stage Four: Negotiation and Renewal Part Two: False Assumptions and a Failed Relationship  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm8_e.html" 8 - Introduction  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm9_e.html" 9 - The Indian Act  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm10_e.html" 10 - Residential Schools  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm11_e.html" 11 - Relocation of Aboriginal Communities  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm12_e.html" 12 - Veterans  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm13_e.html" 13 - Conclusions Part Three: Building the Foundations of a Renewed Relationship  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm14_e.html" 14 - The Turning Point  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm15_e.html" 15 - Rekindling the Fire  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sgm16_e.html" 16 - The Principles of a Renewed Relationship  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sga1_e.html" Appendix A The Commissions Terms of Reference  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sga2_e.html" Appendix B Biographical Notes on Commissioners  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sga3_e.html" Appendix C Abridged Tables of Contents, Volumes 2-5  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sga4_e.html" Appendix D The Royal Proclamation of 1763  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sga5_e.html" Appendix E Summary of Recommendations in Volume 1  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sh1_e.html" \l "Volume%202" Volume 2 - Restructuring the Relationship Part One  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/shm1_e.html" 1 - Introduction  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/shm2_e.html" 2 - Treaties  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/shm3_e.html" 3 - Governance Part Two  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/shm4_e.html" 4 - Lands and Resources  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/shm5_e.html" 5 - Economic Development  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/shm6_e.html" 6 - Conclusion  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sha6a_e.html" Appendix A: Summary of Recommendations in Volume 2, Parts One and Two  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sha6b_e.html" Appendix B: Abridged Tables of Contents  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/si1_e.html" \l "Volume%203" Volume 3 - Gathering Strength  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sim1_e.html" 1- New Directions in Social Policy  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sim2_e.html" 2 - The Family  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sim3_e.html" 3 - Health and Healing  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sim4_e.html" 4 - Housing  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sim5_e.html" 5 - Education  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sim6_e.html" 6 - Arts and Heritage  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sim7_e.html" 7 - Conclusion  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sia7a1_e.html" Appendix A: Summary of Recommendations in Volume 3  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sia7b_e.html" Appendix B: Abridged Tables of Contents, Volumes 1, 2, 4 and 5  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sj1_e.html" \l "Volume%204" Volume 4 -  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sj1_e.html" \l "Perspectives%20and%20Realities" Perspectives and Realities  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sjm1_e.html" 1 - Introduction  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sjm2_e.html" 2 - Women's Perspectives  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sjm3_e.html" 3 - Elders' Perspectives  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sjm4_e.html" 4 - The Search for Belonging: Perspectives of Youth  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sjm5_e.html" 5 - Mtis Perspectives  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sjm6_e.html" 6 - The North  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sjm7_e.html" 7 - Urban Perspectives  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sja7a_e.html" \l "Appendix%20A:%20Summary%20of%20Recommendations,%20Volume%204" Appendix A: Summary of Recommendations, Volume 4  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sja7b_e.html" \l "Appendix%20B:%20Abridged%20Tables%20of%20Contents%20Volumes%201-3%20and%20Volume%205" Appendix B: Abridged Tables of Contents Volumes 1-3 and Volume 5  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sk1_e.html" \l "Volume%205" Volume 5 -  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/sk1_e.html" \l "Renewal:%20A%20Twenty-Year%20Commitment" Renewal: A Twenty-Year Commitment  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/skm1_e.html" 1 - Laying the Foundations of a Renewed Relationship  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/skm2_e.html" 2 -Economic Disparities, Government Expenditures and the Cost of the Status Quo  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/skm3_e.html" 3 - The Commission's Strategy as a Good Investment  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/skm4_e.html" 4 - Public Education: Building Awareness and Understanding  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/skm5_e.html" 5 - Constitutional Amendment: The Ultimate Challenge  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/ska5a1_e.html" \l "Appendix%20A:%20Summary%20of%20Recommendations,%20Volumes%201-5" Appendix A: Summary of Recommendations, Volumes 1-5  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/ska5b_e.html" \l "Appendix%20B:%20Tables%20of%20Contents,%20Volumes%201-5" Appendix B: Tables of Contents, Volumes 1-5  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/skma3_e.html" Appendix C: How We Fulfilled Our Mandate  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/ska5d_e.html" Appendix D: Research Studies Prepared for the Commission  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/ska5e_e.html" \l "Appendix%20E:%20Ethical%20Guidelines%20for%20Research" Appendix E: Ethical Guidelines for Research  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/ska5f_e.html" \l "Appendix%20F:%20Research%20Advisory%20Committee%20Members" Appendix F: Research Advisory Committee Members  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/ska5g_e.html" \l "Appendix%20G:%20Commission%20Publications" Appendix G: Commission Publications  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/ska5h_e.html" \l "Appendix%20H:%20Commission%20Staff%20and%20Advisers" Appendix H: Commission Staff and Advisers  HYPERLINK "http://www.ainc-inac.gc.ca/ch/rcap/sg/ska5i_e.html" \l "Appendix%20I:%20%20About%20the%20Logo" Appendix I: About the Logo Note: Vol. 1, Looking Forward, Looking Back, may be the most relevant history published to date of the First Nations peoples of Canada, providing a thought provoking examination of the relationship between the First Nations peoples and their colonizers. >>>>> " Cultural proficiency, Cultural, Clinical Practice, Child & Family  Native American Children: A Review of the Literature Healing the Wakanheja2: Evidence Based, Promising, and Culturally Appropriate Practices for American Indian/Alaska Native Children with Mental Health Needs Author(s): Contributors: Susan Yellow Horse, MSW, LCSW, CACII Maria Yellow Horse Brave Heart, PhD The Takini Network University of Denver Release Date: No. Pages: Type: Literature Review with Overview of Issues Source:  HYPERLINK "http://www1.dshs.wa.gov/pdf/hrsa/mh/nativebestpract.pdf" http://www1.dshs.wa.gov/pdf/hrsa/mh/nativebestpract.pdf (Note: Wakanheja is a Lakota -Teton Sioux- word meaning children who are sacred beings) Excerpt from the Introduction: American Indian and Alaska Native (AI/AN) children experience a myriad of risk factors for developing psychopathology, yet there is a paucity of evidence based prevention and intervention practices specifically addressing their needs. There is a dichotomy between evidence based models alleged to be effective with AI/AN, which are not culturally grounded nor sufficiently tested with the population, and culturally grounded AI/AN models whose efficacy have not been demonstrated. There are a number of evidence-based practices assumed effective for AI/AN children because they were utilized with diverse ethnic groups. These practices are then applied to AI/AN children with minimal, superficial and often stereotypical cultural adaptation including such things as substituting Native names or themes in the curriculum content and serving fry bread at a meal. The result in this first scenario is that the practice remains inherently based upon the culture of the non-Native developers with Indian window-dressing so that the model appears AI on the outside but is internally flawed and culturally irrelevant on a deeper more meaningful and more profoundly important level. This is akin to a non-Native person dressing up in an Indian costume for Halloween. The opposite scenario is the culturally based, culturally congruent, and culturally grounded practice that emerges from traditional AI/AN worldviews. Native philosophies, behavioral norms, relationships and attributes are included and Natives develop the program for their own population. Such practices often have never been evaluated or adequately replicated. Claims of success are based upon observations and anecdotal information. While these observations plausibly reflect participant experience of the Native model as effective, the model has not advanced to the level of being promising or evidence based. We are proposing some solutions to this dichotomous dilemma: (a) one must facilitate culturally congruent research and evaluation of Native-driven practices. Ideally, AI/AN evaluators lead the efforts utilizing empowerment and participatory action research or other evaluation approaches that promote AI/AN involvement and ownership. These methods would incorporate the needs of and consideration for the AI/AN community; (b) Native developed and designed practice models should be encouraged and fostered, rather than simply applying practices developed with other populations; (c) culturally appropriate and Native-developed models should be chronicled and then resources should be devoted to conduct evaluations that lead to declaration of promising or evidence based practices.; d) evidence based and promising practices, with potential to be effective with AI/AN population, should be adapted and evaluated. Program fidelity could be maintained while augmenting components that suit AN/AI children. Evaluation methods would incorporate culturally appropriate research instruments and methods and utilize focus groups of AI/AN community members, key informants, and consultants. First is a review of the evidence based and promising practices that have reported use with American Indians, without noting cultural adaptation. Second are evidence-based practices that may show promise for cultural adaptation for AI/AN communities because of the issues they address and their relevance for the risk factors AI/AN children face. Third, are culturally appropriate practices that AI/AN communities are using, whether or not these are deemed promising practices. We conclude with recommendations for further research and development of best practices for AI/AN children. Because of the diverse tribal AI/AN groups represented in the Washington State, we also present diverse models, which can potentially be adapted and tailored to meet the needs of AI/AN groups in the state. In keeping with the same format used in a previous literature review that examined measurement with American Indians (Moran & Yellow Horse, 2000), we first sought out best practice programs in NIMH, NIH, SAMHSA, OJJDP, NIDA, Office of Education, and NCAP Web Sites and found 34 programs listed. We also attempted a backdoor approach by seeking information about best practices through Indian research literature. Using the PsycINFO, Social Work Abstracts and Social Science Index databases, we identified approximately six programs that specifically addressed the mental health needs of American Indian children and families. We then proceeded to narrow this list to research based best practices, promising practices, and promising alternatives. The outcome produced approximately 40 practices related to mental health needs of American Indian children. The authors reviewed the program for their relevance to mental health needs for American Indian/Alaska Native children, which and entered them into the attached resource guide. >>>>> " Mental Health, Clinical Practice, Access to Care Cultural Diversity Series: Meeting the Mental Health Needs of American Indians and Alaska Natives (2004) National Technical Assistance Center for State Mental Health Planning (NTAC), National Association of State Mental Health Program Directors (NASMHPD) Full Report:  HYPERLINK "http://www.nasmhpd.org/general_files/publications/ntac_pubs/reports/native%20american%20FINAL-04.pdf" http://www.nasmhpd.org/general_files/publications/ntac_pubs/reports/native%20american%20FINAL-04.pdf >Table of Contents Acknowledgments Introduction to the Cultural Diversity Series Executive Summary Introduction Fundamental Transformations in the Landscape of Native Communities: The New Morbidities Demographic and Epidemiologic Transitions Indian Country Today Critical Historical Events Mental Health Needs Suicide Vulnerable Segments of This Population The Local Service Ecology: Private, Tribal, State and Federal Sectors Indian Health Service Bureau of Indian Affairs Department of Veterans Affairs Tribal Health Programs Urban Indian Health Programs State and Private Service Agencies Traditional Healing Resources Access to and Use of Mental Health Care Native Views on Mental Health and Illness: Beyond Mind-Body Dualism and the Individual Promising Directions, Lessons Learned Innovative Approaches to Mental Health Care in Indian Communities A Roadmap for Action Conclusion References >>>>> " Culture  Traditional Teachings Credits: Mike (Kanentakeron) Mitchell, Director of Research; Barbara (Kawenehe) Barnes, Editing; Joyce (Konwahwihon) Thompson, Research; Richard (Aroniateka) Mitchell, Consultant; Jalce (Hadagehgrenhta) Thomas, Consultant; Roy (Tsadegarohyade) Buck, Consultant; James Gray, Artwork; Becky Francis, Typsetting, Layout and Design; Lyon Francis, Photography Date:1984 No. Pages: 101 Type: Book (Paperback) Source: c/o North American Indian Travelling College, RR #3, Cornwall Island, Ontario K6H 5R7 Comment: A foundational reading on beginning your journey to understand the Haudenosaunee people. >>>>> Culture, Cultural Proficiency, Traditional Indigenous Healing Practices  White Roots of Peace: The Iroquois Book of Life Author(s): Paul A.W. Wallace, Illustrated by John Kahionhes Fadden, Forward by Chief Leon Shenandoah, Message from Chief Sidney I. Hill, Epilogue by John Mohawk Date:1986 No. Pages: 156 Type: Book (Paperback) Source: Clear Light Publications, Sante Fe, New Mexico ISBN: 0-940666-36-7 Comment: A foundational reading on beginning your journey to understand the Haudenosaunee people. >>>>> Intergenerational Trauma  The Indian Industrial School: Carlisle, Pennsylvania 1879-1916 Author(s): Linda F. Witmer Date:1993 and 2000 No. Pages: 166 Type: Book (Paperback) Source: Cumberland County Historical Society, 21 N. Pitt Street, PO Box 628, Carlisle, PA 17013 (www.historicalsociety.com) ISBN: 0-9638923-0-4 Comment: A foundational reading on beginning your journey to understand the indigenous people of North America >>>>> Addiction  The Red Road to Wellbriety: In the Native American Way Author(s): Many anonymous contributors Date:2002 No. Pages: 278 Type: Book (Paperback) Source: White Bison, Inc. (www.whitebison.org) ISBN: 0-9719904-0-9 Comment: This book on recovery from addiction incorporates many of the teachings of the Haudenosaunee people and is dedicated to one of their prophets, a Seneca man named Handsome Lake. This book incorporates the teachings of many Nations with the 12 Steps of Alcoholic Anonymous (and Al-Anon). (Note: Medicine Wheel teachings are also available for download at no charge through the Four Worlds International Institute at  HYPERLINK "http://www.4Worlds.org" www.4Worlds.org). >>>>>  The Sacred Tree Author(s): Collaborative production by Judie Bopp, Michael Bopp, Lee Brown, and Phil Lane, Jr. Date:1984, 1985 No. Pages: 86 Type: Book (Paperback) Source: Four Worlds International Institute For Human and Community Development, Lethbridge, Alberta, Canada Published in U.S.: 3rd Edition, 1989: Lotus Light Publications, Twin Lakes, WI ISBN: 0-941524-58-2 Comment: This is an excellent book for beginners to understand the Medicine Wheel teachings and holistic thinking. (Note: Additional Medicine Wheel teachings are also available for download at no charge through the Four Worlds Development Institute at  HYPERLINK "http://www.4Worlds.org" www.4Worlds.org). >>>>> Culture, Cultural Proficiency, Intergenerational Trauma, Traditional Indigenous Healing Practices  Red Earth, White Lies: Native Americans and the Myth of Scientific Fact Author(s): Vine DeLoria, Jr. Date:1997 No. Pages: 271 Type: Book (Paperback) Source: Fulcrum Publishing, Golden, Colorado ISBN: 1-55591-388-1 Other books by DeLoria: Custer Died for Your Sins; We Talk, You Listen; Of Utmost Good Faith; God is Red; Behind the Trail of Broken Treaties; The Indian Affair; Indians of the Pacific Northwest; The Metaphysics of Modern Existence; American Indians, American Justice (with Clifford Lytle); A Sender of Words (edited); The Nations Within (with Clifford Lytle); The Aggressions of Civilization (edited with Sandra Cadwalader); American Indian Policy in the Twentieth Century (edited); Frank Waters, Man, and Mystic (edited) >>>>>> Intergenerational Trauma, Addiction, Nation Building, Clinical Practice The Historical Trauma Response Among Natives and Its Relationship with Substance Abuse: A Lakota Illustration Maria Yellow Horse Brave Heart Journal of Psychoactive Drugs; Jan-Mar 2003; 35, 1; ProQuest Psychology Journals, pg. 7 Access Article at:  HYPERLINK "http://usd.edu/dmhi/gr/historical_trauma.pdf" http://usd.edu/dmhi/gr/historical_trauma.pdf Abstract: Historical Trauma (HT) is cumulative emotional and psychological wounding over the lifespan and across generations, emanating from massive group trauma experiences; the historical trauma response (HTR) is the constellation of features in reaction to this trauma. The HTR often includes depression, self-destructive behavior, suicidal thoughts and gestures, anxiety, low self-esteem, anger, and difficulty recognizing and expressing emotions. It may include substance abuse, often an attempt to avoid painful feelings through self-medication. Historical unresolved trauma is the associated affect that accompanies HTR; this grief may be considered fixated, impaired, delayed, and/or disenfranchised. This article will explain HT theory and the HTR, delineate the features of the HTR and its grounding in the literature, offer specific examples of HT and HTR, and will suggest ways to incorporate HT theory in treatment, research and evaluation. This article will conclude with implications for all massively traumatized populations.  Lakota Dakota Bibliography Managed by  HYPERLINK "http://puffin.creighton.edu/bucko/bucko_biography.html" Rev. Raymond A. Bucko, S.J. of the  HYPERLINK "http://puffin.creighton.edu/soc/soc.htm" Department of Sociology and Anthropology at  HYPERLINK "http://www.creighton.edu/" Creighton University E-Mail: HYPERLINK "mailto:bucko@creighton.edu"  bucko@creighton.edu Introduction Page:  HYPERLINK "http://puffin.creighton.edu/lakota/biblio.html" http://puffin.creighton.edu/lakota/biblio.html A L:  HYPERLINK "http://puffin.creighton.edu/lakota/biblio_al.html" http://puffin.creighton.edu/lakota/biblio_al.html M Z:  HYPERLINK "http://puffin.creighton.edu/lakota/biblio_mz.html" http://puffin.creighton.edu/lakota/biblio_mz.html Thanks to all who have sent in additions and corrections to this document. I am grateful to the people who have contributed to this ongoing project. My only motivation in creating this bibliography is to make a return to Native and other interested parties by making this material more known and freely accessible. I do not act as a censor for this material nor do I judge its worth -- basically if the material in on the Lakota or Dakota I list it in the bibliography. The bibliography stands now at 3,886 references (formerly 3,852). I have divided the bibliography into two pages for easier downloading. Until we can hook a decent search engine to the site please use the search function on your browser. Remember that browser search engines will not search across pages-- you need to search each page (A-L and M-Z) one at a time. Be aware that some of this material is controversial in certain circles and that this material represents but one of many sources of cultural understanding. >>>>> " " Intergenerational Trauma, Cultural Proficiency, Clinical Practice Culturally Specific Addiction Recovery for Native Americans Coyhis, D. (2000) In: Kristen, J. Ed., Bridges to Recovery. New York: The Free Press, pp. 77-114. The book, Bridges to Recovery: Addiction, Family Therapy, and Multicultural Treatment, is an excellent resource for understanding the dynamics at the cross-cultural intersects for the following ethnic populations: Native Americans, Jewish Americans, African Americans, West Indians, Asian/Pacific Americans, Mexican Americans, Puerto Ricans, and those of European Origin. It incorporates the work of Elaine Pinderhughes from her book, Understanding Race, Ethnicity, and Power: The Key to Efficacy on Clinical Practice.  Note: The writings of Pinderhughes significantly influenced the early work of NACASA and continues to be the one source of material recommended to understand relational dynamics, not only between people of different cultures, but among people of the same culture, within their families, communities, organizations. See resources by Elaine Pinderhughes contained in this listing. >>>>> Culture, HIV/AIDS, Abuse (Intimate Partner)  Healing the American Indian Soul Wound Duran, E., Duran, B., Yellow Horse, M., & Yellow Horse, S. (1998) In Y. Danieli (Ed.), International Handbook of Multigenerational Legacies of Trauma (pp. 341-354). New York: Plenum Press (See full Table of Contents of this book below) (See contact links for more articles by these authors listed below) Authors have written extensively on the impact of historical trauma on Native people. In this book, they summarize the history of the Indigenous peoples of Turtle Island and the impact of having gone through one of the worst holocaust experiences in the history of humankind. The genocide of the past (physical, emotional, cultural, and spiritual) resulted in a massive trauma experience, the symptoms of which were passed from one generation to the next. An examination of this historical trauma is offered as a paradigm for understanding the physical, social, economic, and behavioral problems impacting Native communities for generations. The authors propose strategies to ameliorate the effects of the trauma suffered by generations in the past and in the present.  International Handbook of Multigenerational Legacies of Trauma >Table of contents Introduction: History and Conceptual Foundations Yael Danieli PART I. THE NAZI HOLOCAUST Intergenerational Memory of the Holocaust Nanette C. Auerhahn, Dori Laub Transgenerational Transmission of Effects of the Holocaust: The North American Research Perspective Irit Felsen Transgenerational Effects of the Holocaust: The Israeli Research Perspective Zahava Solomon Children of Nazis: A Psychodynamic Perspective Gertrud Hardtmann Who Am I in Relation to My Past, in Relation to the Other?'' German and Israeli Students Confront the Holocaust and Each Other Dan Bar-On. Dal Ostrovsky, Dafna Fromer PART II. WORLD WAR II Conflicts in Adjustment: World War II Prisoners of War and Their Families Marray M. Bernstein Intergenerational Effects of the Japanese American Internment Donna K. Nagata The Second Generation of Hibakusha, Atomic Bomb Survivors: A Psychologist's View Mikihachiro Tatara Children of Dutch War Sailors and Civilian Resistance Veterans Wybrand Op den Velde Children of Collaborators: From Isolation toward Integration Martijn W. J. Lindt Intergenerational Effects in Families of World War II Survivors from the Dutch East Indies: Aftermath of Another Dutch War Petra G. H. Aarts PART III. GENOCIDE The Turkish Genocide of the Armenians: Continuing Effects on Survivors and Their Families Eight Decades after Massive Trauma Diane Kupelian. Anie Sanentz Kalayjian, Alice Kassabian The Effects of Massive Trauma on Cambodian Parents and Children J. David Kinzie, J. Boehnlein, William H. Sack PART IV. THE VIETNAM WAR Warrior Fathers and Warrior Sons: Intergenerational Aspects of Trauma Robert Rosenheck. Alan Fontana Children of Military Personnel Missing in Action in Southeast Asia Edna J. Hunter-King The Legacy of Combat Trauma: Clinical Implications of Intergenerational Transmission Michelle R. Ancharoff, James F. Munroe, Lisa Fisher PART V. INTERGENERATIONAL EFFECTS REVEALED AFTER THE FALL OF COMMUNISM Intergenerational Aspects of the Conflict in the Former Yugoslavia Eduard Klain Three Generations within Jewish and non-Jewish German Families after the Unification of Germany Gabriele Rosenthal, Bettina Volter Intergenerational Responses to Social and Political Changes: Transformation of Jewish Identity in Hungary Ferenc Eros, Julia Vajda, Eva Kovacs PART VI. INDIGENOUS PEOPLES Intergenerational Aspects of Trauma for Australian Aboriginal People Beverley Raphael, Pat Swan, Nada Martinek Healing the American Indian Soul Wound Eduardo Duran, Bonnie Duran, Maria Yellow Horse Brave Heart, Susan Yellow Horse-Davis The Role of Dependency and Colonialism in Generating Trauma in First Nations Citizens: The James Bay Cree Marie-Anik Gagne Intergenerational Aspects of Ethnic Conflicts in Africa: The Nigerian Experience Adebayo Olabisi Odejide, Akinade Olumuyiwa Sanda, Abiola I. Odejida Black Psychological Functioning and the Legacy of Slavery: Myths and Realities William E. Cross Jr. PART VII. REPRESSIVE REGIMES Stalin's Purge and Its Impact on Russian Families Katharine G. Baker, Julia B. Gippenreiter The Social Process and the Transgenerational Transmission of Trauma in Chile David Becker, Margarita Diaz Transmission of Trauma: The Argentine Case Lucila Edelman, Diana Kordon, Dario Lagos The Impact of Culture on the Transmission of Trauma: Refugees' Stories and Silence Embodied in Their Children's Lives Cecile Rousseau, Aline Drapeau The Second Bullet: Transgenerational Impacts of the Trauma of Conflict within a South African and World Context Michael A. Simpson Intergenerational Responses to the Persecution of the Baha'is of Iran Abdu'l-Missagh Ghadirian PART VIII. DOMESTIC VIOLENCE AND CRIME Intergenerational Child Maltreatment Ann Buchanan An Examination of Competing Explanations for the Intergenerational Transmission of Domestic Violence Ronald L. Simons, Christine Johnson Violence: Effects of Parents' Previous Trauma on Currently Traumatized Children Kathleen Olympia Nader PART IX. INFECTIOUS AND LIFE-THREATENING DISEASES AIDS and Its Traumatic Effects on Families Barbara Draimin, Carol Levine, Lockhart McKelvy Daughters of Breast Cancer Patients: Genetic Legacies and Traumas David K. Wellisch, Alisa Hoffman PART X. THE EMERGING BIOLOGY OF INTERGENERATIONAL TRAUMA Psychobiology of Intergenerational Effects of Trauma: Evidence from Animal Studies Stephen J. Suomi, Seymour Levine Phenomenology and Psychobiology of the Intergenerational Response to Trauma Rachel Yehuda, Jim Schmeidler, Abbie Elkin, George Skye Wilson, Larry Siever, Karen Binder-Brynes, Milton Wainberg, Dan Aferiot Initial Clinical Evidence of Genetic Contributions to Posttraumatic Stress Disorder John H. Krystal, Linda M. Nagy, Ann Rasmusson, Andrew Morgan, Cheryl Cottrol, Steven M. Southwick, Dennis S. Charney Conclusions and Future Directions Yael Danieli LINKS to Authors and listings of their work:  Bonnie Duran, MPH, Dr.PH:  HYPERLINK "http://hsc.unm.edu/som/fcm/mph/Faculty/webpages/duran/publications.html" http://hsc.unm.edu/som/fcm/mph/Faculty/webpages/duran/publications.html Eduardo Duran (Tewa/Apache/Lakota), PhD Director of Behavioral Health, Santa Fe Indian Hospital Santa Fe, NM Maria Yellow Horse Brave Heart:  HYPERLINK "http://www.du.edu/gssw/faculty/braveheart-wp.htm" http://www.du.edu/gssw/faculty/braveheart-wp.htm >>>>> Criminal Justice (HTWC, Sexual Abuse, Elders), Culture (Elders, HTR, Justice, Healing)  Biidaaban: The Mnjikaning Community Healing Model (Breaking the Cycle of Sexual Abuse) Author(s): Written and Researched by: Dr. Joe Couture and Ruth Couture, Native Counselling Services of Alberta Release Date:2003 No. Pages: 128 Type: Report Source: Aboriginal Peoples Collection Aboriginal Corrections Policy Unit Public Safety & Emergency Preparedness Canada 340 Laurier Avenue West Ottawa, Ontario K1A 0P8 For single copies: send request to above address: Cat. No.: JS42-106/2002E-HTML ISBN No.: 0-662-35797-3 Downloads available at:  HYPERLINK "http://www.psepc-sppcc.gc.ca" http://www.psepc-sppcc.gc.ca Html version:  HYPERLINK "http://ww2.psepc-sppcc.gc.ca/publications/abor_corrections/biidaaban_e.asp" http://ww2.psepc-sppcc.gc.ca/publications/abor_corrections/biidaaban_e.asp PDF version:  HYPERLINK "http://ww2.psepc-sppcc.gc.ca/publications/abor_corrections/pdf/biidaaban_e.pdf" http://ww2.psepc-sppcc.gc.ca/publications/abor_corrections/pdf/biidaaban_e.pdf Abstract: Biidaaban is about promoting community wellness, breaking the cycle of abuse within families and within the community, respecting individuals not only for their personalities, but also their beliefs and values. At the core of the process is the concept of healing rather than punishment. To become involved, persons who have harmed others (offenders) need to take responsibility for their actions and commit to making amends. In addition, those who have been harmed (victims) must consent to the offender participating in the program even if the people who were harmed are not yet ready to go through the process themselves. How it works: The core of the healing model is the Biidaaban Protocol, a detailed process that provides explicit procedures to follow when there is a disclosure of sexual abuse. Individuals are assigned to support the victim, the offender and their associated families. The police are notified and charges are laid at the outset. The community, as a whole, then works toward healing through extensive counselling sessions. Should there not be willingness on the part of the victim or the offender to participate, the case is handled by the mainstream justice system. Once the offender accepts responsibility, the community will work with all affected individuals to develop a treatment plan that it will submit to the mainstream courts. This plan focuses on the offender working with the Biidaaban team towards the healthy resolution of the victimization, in other words, towards a restorative solution. The protocol has been signed by the community, police and the Government of Ontario, signifying the importance of the process and validating it in the eyes of the court. >>>>> Intergenerational Trauma Native American Postcolonial Psychology Author(s): Contributors: Eduardo Duran and Bonnie Duran, Albany, NY: State University of New York Release Date:April 1995 No. Pages: Type: Paperback Source: >>>>> Addiction (Binge Drinking, Social Networks, Women), Child & Family  American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2005 No. Pages: 89 Type: Journal Source: The Journal of the National Center, The National Center for American Indian and Alaska Native Mental Health Research Aurora, Colorado Volume 12, Number 1, 2005 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/12(1).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/12(1).pdf Index: Culturally Competent Research with American Indians and Alaska Natives: Findings and Recommendations of the First Symposium of the Work Group on American Indian Research and Program Evaluation Methodology Joyce Y. Caldwell, B.S., Jamie D. Davis, Ph.D., Barbara Du Bois, Ph.D., Holly Echo-Hawk, M.S., Jill Shephard Erickson, M.S.W., A.C.S.W., R. Turner Goins, Ph.D., Calvin Hill, B.S., Walter Hillabrant, Ph.D., Sharon R. Johnson, M.A., Elizabeth Kendall, Ph.D., Kelly Keemer, B.S., Spero M. Manson, Ph.D., Catherine A. Marshall, Ph.D., Paulette Running Wolf, Ph.D., Rolando L. Santiago, Ph.D., Robert Schacht, Ph.D., and Joseph B. Stone, Ph.D. Indian Family Adjustment to Children with Disabilities Lee Anne Nichols, Ph.D., R.N. and Bette Keltner, Ph.D, F.A.A.N. An Exploratory Study of Binge Drinking in the Aboriginal Population Dennis Wardman, M.D., F.R.C.P., M.C.M and Darryl Quantz, M.Sc. Social Networks, Support, and Psychosocial Functioning among American Indian Women in Treatment Jenny Chong, Ph.D. and Darlene Lopez, M.S. >>>>> Clinical Practice, COD, Abuse (Intimate Partner, Domestic Violence), Mental Health American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2004 No. Pages: 73 Type: Journal Source: The Journal of the National Center, The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 11, Number 3, 2004 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/11(3).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/11(3).pdf Index: Factors Associated with American Indian Teens' Self-Rated Health Tassy Parker, Ph.D., R.N. Comparing Three Measures of Depressive Symptoms among American Indian Adolescents Lisa E. Thrane, Ph.D., Les B. Whitbeck, Ph.D., Danny R. Hoyt, Ph.D., and Mack C. Shelley, Ph.D. Antidepressant Medication Use Among First Nations Peoples Residing Within British Columbia Dennis Wardman, M.D. and Nadia Khan, M.D. Intimate Partner Violence in American Indian and/or Alaska Native Communities: A Social Ecological Framework of Determinants and Interventions John Oetzel, Ph.D. and Bonnie Duran, Dr. PH. >>>>> Circles of Care, Mental Health, Child & Family American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2004 No. Pages: 173 Type: Journal Source: The Journal of the National Center, The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 11, Number 2, 2004 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/11(2).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/11(2).pdf Index: Preface Jill Shepard Erickson, MSW, ACSW. Editorial Pamela B. Deters, Ph.D., Douglas K. Novins, M.D., and Spero M. Manson, Ph.D. Contextual Issues for Strategic Planning and Evaluation of Systems of Care for American Indian and Alaska Native Communities: An Introduction to Circles of Care Brenda Freeman, Ph.D., Ethleen Iron Cloud-Two Dogs, M.S., Douglas K. Novins, M. D., and Pamela L. LeMaster, Ph.D. The Evaluation Life Cycle: A Retrospective Assessment of Stages and Phases of The Circles of Care Initiative Gary Bess, Ph.D., James Allen, Ph.D., and Pamela B. Deters, Ph.D. Describing Community Needs: Examples From The Circles of Care Initiative Douglas Novins, M.D., Pamela LeMaster, Ph.D., Pamela Jumper Thurman, Ph.D., and Barbara Plested, Ph.D. Words Have Power: (Re)-Defining Serious Emotional Disturbance for American Indian and Alaska Native Children and Their Families Teisha M. Simmons, B.A., Douglas K. Novins, M.D., and James Allen, Ph.D. Mapping Pathways to Services: Description of Local Service Systems for American Indian and Alaska Native Children by Circles of Care James Allen, Ph.D., Pamela L. LeMaster, Ph.D., and Pamela B. Deters, Ph.D. Developing a Plan for Measuring Outcomes in Model Systems of Care for American Indian and Alaska Native Children and Youth Douglas K. Novins, M.D., Michele King, and Linda Son Stone Feasibility Assessment of the Service Delivery Model Kenneth M. Coll, Ph.D., Gerald Mohatt, Ed.D., and Pamela L. LeMaster, Ph.D. Process Evaluation: How it Works Gary Bess, Ph.D., Michele King, and Pamela L. LeMaster, Ph.D. Outcomes and Accomplishments of the Circles of Care Planning Efforts Christine W. Duclos, Ph.D., Mary Phillips, B.A., and Pamela L. LeMaster, Ph.D. The Circles of Care Evaluation: Doing Participatory Evaluation with American Indian and Alaska Native Communities Pamela Jumper Thurman, Ph.D., James Allen, Ph.D., and Pamela B. Deters, Ph.D. >>>>> Addiction, Nation Building (Community Healing), Mental Health, Traditional Indigenous Healing Practice American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2003 No. Pages: 87 Type: Journal Source: The Journal of the National Center, The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 11, Number 1, 2003 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/11(1).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/11(1).pdf Index: Qualitative Study of the Use of Traditional Healing by Asthmatic Navajo Families David Van Sickle, M.A., Frank Morgan, and Anne L. Wright, Ph.D. Psychological Effects of Technological/Human-Caused Environmental Disasters: Examination of the Navajo and Uranium Carol A. Markstrom, Ph.D. and Perry H. Charley The Implications of Cultural Orientation for Substance Use Among American Indians Mindy Herman-Stahl, Ph.D., Donna L. Spencer, M.A., and Jessica E. Duncan, M.P.H. Aspects of Community Healing: Experiences of the Sault Sainte Marie Tribe of Chippewa Indians Beverly A. McBride, M.A. >>>>> Addiction, Mental Health, Child & Family  American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2002 No. Pages: 78 Type: Journal Source: The Journal of the National Center, The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 10, Number 3, 2002 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/10(3).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/10(3).pdf Index: Substance Abuse Prevalence and Treatment Utilization Among American Indians Residing On-Reservation Mindy Herman-Stahl, Ph.D. and Jenny Chong, Ph.D. Self-Destructive Behaviors in American Indian and Alaska Native High School Youth Michael L. Frank, Ph.D. and David Lester, Ph.D. A Measure of Traditionalism for American Indian Children and Families: Psychometric Properties and Factor Structure Christopher H. Morris, Ph.D., Susan L. Crowley, Ph.D., and Carolyn Thomas Morris, Ph.D. Project Eagle: Techniques for Multi-Family Psycho-Educational Group Therapy With Gifted American Indian Adolescents and Their Parents Rockey Robbins, Ph.D., Stuart Tonemah, M.Ed., and Sharla Robbins, Ph.D. >>>>> Addiction, COD, Cultural Proficiency  American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2001 No. Pages: 113 Type: Journal Source: The Journal of the National Center, The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 10, Number 2, 2001 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/10(2).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/10(2).pdf Index: Editorial - Addressing Psychosocial Issues and Problems of Co-Morbidity for Native American Clients with Substance Abuse Problems: A Conference Proceedings R. S. Young, Ph.D., Jennie R. Joe, Ph.D., M.P.H., Jeanette Hassin, Ph.D., and Douglas St.Clair, Ph.D. New Data on the Epidemiology of Adult Drinking and Substance Use Among American Indians of the Northern States: Male and Female Data on Prevalence, Patterns, and Consequences Philip A. May, Ph.D. and J. Phillip Gossage, Ph.D. Alcoholism and Co-Morbid Psychiatric Disorders Among American Indians Joseph Westermeyer, M.D., M.P.H., Ph.D. Diagnostic Criteria in Clinical Settings: DSM-IV and Cultural Competence Michelle Christensen, Ph.D. American Indian and Alaska Native Substance Abuse: Co-Morbidity and Cultural Issues Norma Gray, Ph.D. and Patricia S. Nye, M.D., CSAC Making Connections That Work: Partnerships Between Vocational Rehabilitation and Chemical Dependency Treatment Programs Sheila R. Hitchen, M.A. >>>>> Mental Health, Traditional Indigenous Healing Practices, Addiction American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2001 No. Pages: 69 Type: Journal Source: The Journal of the National Center, The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 10, Number 1, 2001 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/10(1).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/10(1).pdf Index: The Aberdeen Indian Health Service Infant Mortality Study: Design, Methodology, and Implementation Leslie L. Randall, R.N., M.P.H., Christopher Krogh, M.D., MP.H., Thomas K. Welty, M.D., M.P.H., Marian Willinger, Ph.D, and Solomon Iyasu, M.B.B.S., M.P.H. Application of the Cross Battery Approach in the Assessment of American Indian Children: A Viable Alternative Gary A. Plank, Ph.D. Applying a Cultural Models Approach to American Indian Substance Dependency Research Linda K. Watts, Ph.D. The Dream Catcher Meditation: A Therapeutic Technique Used With American Indian Adolescents Rockey Robbins, Ph.D. >>>>> Mental Health, Addiction (Alcohol and Tobacco), FASD American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2000 No. Pages: 74 Type: Journal Source: The Journal of the National Center, The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 9, Number 3, 2000 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/9(3).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/9(3).pdf Index:  >>>>> Mental Health, HIV/AIDS American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2000 No. Pages: 69 Type: Journal Source: The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 9, Number 2, 2000 A compilation of articles by noted Native American authors on HIV/AIDS in Indian Country. Curtis Harris was an advisor to NACASA during our formative stage, providing insight, expertise, and training on HIV/AIDS in Native communities and on homosexuality in Native communities. NACASA co-sponsored a conference in Buffalo, NY at which Terry Tafoya shared his expertise, wisdom, and humor. Full Report:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/journal/9(2).pdf" http://www.uchsc.edu/ai/ncaianmhr/journal/9(2).pdf Index:  >>>>> Mental Health, HIV/AIDS American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:2000 No. Pages: 66 Type: Journal Source: The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 9, Number 1, 2000 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/9(1).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/9(1).pdf Index: Editorial: HIV and AIDS Among American Indians and Alaska Natives Sally J. Stevens, Ph.D. and Antonio L. Estrada, Ph.D. Alcohol as a Risk Factor for HIV Transmission Among American Indian and Alaska Native Drug Users Julie A. Baldwin, Ph.D., Carol J. C. Maxwell, Ph.D., Andrea M. Fenaughty, Ph.D., Robert T. Trotter, Ph.D., and Sally J. Stevens, Ph.D. Unemployment, Drug Use, and HIV Risk Among American Indian and Alaska Native Drug Users Grace L. Reynolds, M.P.A., Dennis G. Fisher, Ph.D., Antonio L. Estrada, Ph.D., and Robert Trotter, Ph.D. HIV Drug and Sex Risk Behaviors Among American Indian and Alaska Native Drug Users: Gender and Site Differences Sally J. Stevens, Ph.D., Antonio L. Estrada, Ph.D., and Barbara D. Estrada, M.S. Alaska Native Drug Users and Sexually Transmitted Disease: Results of a Five-Year Study Dennis G. Fisher, Ph.D., Andrea M. Fenaughty, Ph.D., David M. Paschane, M.S., and Henry H. Cagle, B.S. >>>>> Mental Health  American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:1999 No. Pages: 71 Type: Journal Source: The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 8, Number 3, 1999 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/8(3).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/8(3).pdf Index:  >>>>> Mental Health, Intergenerational Trauma, Clinical Practice, Traditional Indigenous Healing Practices  American Indian and Alaska Native Mental Health Research Author(s): Multiple Contributors Release Date:1998 No. Pages: 104 Type: Journal Source: The National Center for American Indian and Alaska Native Mental Health Research, Denver Colorado Volume 8, Number 2, 1998 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/8(2).pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/8(2).pdf Index: Teacher, Parent, and Youth Report of Problem Behaviors Among Rural American Indian and Caucasian Adolescents Philip A. Fisher, Ph.D., Jan G. Bacon, Ph.D., and Michael Storck, M.D. Boarding and Public Schools: Navajo Educational Attainment, Conduct Disorder, and Alcohol Dependency Eric Henderson, Ph.D., J.D., Stephen J. Kunitz, Ph.D., M.D., K. Ruben Gabriel, Ph.D., Aaron McCright, B.A., and Jerrold E. Levy, Ph.D. Factors Influencing the Pursuit of Educational Opportunities in American Indian Students Chris L. Fore, Ph.D. and John M. Chaney, Ph.D. The American Indian Holocaust: Healing Historical Unresolved Grief Maria Yellow Horse Brave Heart, Ph.D. and Lemyra M. DeBruyn, Ph.D. Looking For "A Good Doctor": A Cultural Formulation of the Treatment of a First Nations Woman Using Western and First Nations Method Gerald V. Mohatt, Ed.D. and Sverre Varvin, M.D. >>>>> Circles of Care, Traditional Indigenous Healing Practices, Nation Building, Mental Health, Addiction, Clinical Practice  The People Who Give More: Health and Mental Health Among the Contemporary Puyallup Indian Tribal Community Author(s): George M. Guilmet and David L. Whited Release Date:1998 No. Pages: 135 Type: Monograph Source: The Journal of the National Center Monograph Series, The National Center for American Indian and Alaska Native Mental Health Research, University of Colorado Health Sciences Center, Department of Psychiatry, Denver Colorado 80262 Volume 2, Monograph 2, Winter 1998 Full Report, PDF version:  HYPERLINK "http://www.uchsc.edu/ai/ncaianmhr/pdf_files/mono2.pdf" http://www.uchsc.edu/ai/ncaianmhr/pdf_files/mono2.pdf >>>>> " Culture, Circles of Care, Traditional Indigenous Healing Practices, Cultural Proficiency Haudenosaunee Well-Being Author(s): Release Date:Fall, 2000 No. Pages: Type: Website Source: Haudenosaunee Runner, Special Edition, Fall 2000 Website Access:  HYPERLINK "http://www.hetfonline.org/pages/whole_health.htm" http://www.hetfonline.org/pages/whole_health.htm Excerpt: "It is the Creators way that all are taught to direct their energies towards the well-being of the unborn generations. This is part of the natural way which all are encouraged to follow. The unborn generations faces come toward us from our Mother Earth, still part of her flesh and spirit. They are the community of human beings whose welfare our actions today affects, and it is they who will judge the life which we who are living now leave them." Sotsowah, The Creators Way, AKWESASNE NOTES, Late Summer, 1975. Well-being of the unborn generations? Just what does that mean. It is true that we have a responsibility to think of the future, to assure that the future generations have a happy and healthy life. However, that future is dependent upon what we do today. It is our way of being that will determine the kind of future the Haudenosaunee will have. Some things will always need to remain the same because we still live on the same Mother Earth that our ancestors lived. The basic patterns of nature have not changed. We still live in the same areas as our ancestors, so we understand how nature works in our territories. The Original Instructions that we received still apply to our lives. We are to keep the basic traditions of Thanksgiving alive. Yet, we must recognize that the life in our communities has changed dramatically over the generations. Change is inevitable, but our culture is a mechanism that can be used to make sure that the changes are not detrimental to the social, ceremonial, economic, educational, and political life of our communities, now and the future. Our culture is a problem-solving tradition by which our values are turned into real actions to benefit the people and the community, while not jeopardizing our true responsibilities to other living things. The underlying values of our culture are in the collective conclusions reached by the Haudenosaunee as a society. We must help people learn our way of life, and not just criticize them for they dont know or what they may be struggling with. Generosity is an expression of friendship and sharing essential aspects of our lives with others. Reciprocity is important. The Haudenosaunee is launching a series of events, forums and resource materials to help us improve the way we live. The focus of this initiative will be on improving our mental, spiritual, physical and social well being. >>>>> Addiction (Recovery Management), Cultural proficiency, Clinical Practice What Is Behavioral Health Recovery Management? A Brief Primer Author(s): William L. White, MA Michael G. Boyle, MA David L. Loveland, Ph.D. Patrick W. Corrington, Psy.D. Release Date: No. Pages: Type: Article Source: The Behavioral Health Recovery Management project Fayette Companies, Peoria, IL Chestnut Health Systems, Bloomington, IL The University of Chicago Center for Psychiatric Rehabilitation Email to:  HYPERLINK "mailto:bwhite@chestnut.org" bwhite@chestnut.org PDF version:  HYPERLINK "http://www.bhrm.org/papers/BHRM%20primer.pdf" http://www.bhrm.org/papers/BHRM%20primer.pdf Excerpt: Behavioral Health Recovery Management (BHRM) is the stewardship of personal, family and community resources to achieve the highest level of global health and functioning of individuals and families impacted by severe behavioral health disorders. It is a time-sustained, recovery focused collaboration between service consumers and traditional and non-traditional service providers toward the goal of stabilizing, and then actively managing the ebb and flow of severe behavioral health disorders until full remission and recovery has been achieved, or until they can be effectively self-managed by the individual and his or her family. BHRM draws its principles from the biopsychosocial model of treatment, the health care consumer movement, and the strengths-based model of service delivery.   HYPERLINK "mailto:bwhite@chestnut.org" William L. White, M.A., a Senior Research Consultant at Chestnut Health Systems/Lighthouse Institute, has authored more than 80 articles and monographs and 10 books, including Slaying the Dragon: The History of Addiction Treatment and Recovery in America. He has worked in the addiction's field for more than 30 years and has been conducting training in psychiatric and addiction treatment settings on the topics of dual diagnosis and multiple-problem clients/families for the past 16 years.  Public Domain Articles by William White, MA: Website Access to Public Domain Articles:  HYPERLINK "http://www.bhrm.org/index.htm" http://www.bhrm.org/index.htm   HYPERLINK "http://www.bhrm.org/papers/peopleofcolor.pdf" Recovery Management and People of Color: Redesigning Addiction Treatment for Historically Disempowered Communities (PDF 121K) William L White, MA and Mark Sanders, LCSW, CADC (February 2004)  HYPERLINK "http://www.bhrm.org/advocacy/hero.pdf" Recovery as a Heroic Journey (PDF, 27K) William L. White, M.A. (2001)  HYPERLINK "http://www.bhrm.org/advocacy/Family.pdf" All in the Family: Addiction, Recovery, Advocacy (PDF, 06K) William L. White, M.A. and Bob Savage, Director of the Connecticut Community of Addiction Recovery (2003)  HYPERLINK "http://www.bhrm.org/advocacy/RadicalRecovery10-04.pdf" Radical Recovery (PDF 56K) William L. White, MA (2004)  HYPERLINK "http://www.bhrm.org/advocacy/TreatmentWorks.pdf" Treatment Works (PDF 202K) William L. White, MA (2004)  HYPERLINK "http://www.bhrm.org/advocacy/Recoveryfrontier.pdf" Recovery: The Next Frontier (PDF, 44K) William L. White, M.A. (January 2004)  HYPERLINK "http://www.bhrm.org/advocacy/add-rec-glossary.pdf" An Addiction Recovery Glossary (PDF, 187K) William L. White, M.A. (2002)  HYPERLINK "http://www.bhrm.org/P-BRSSConcPaper.pdf" History & Future of Peer-based Addiction Recovery Support Services (PDF) William L. White, M.A. (2004) Prepared for SAMHSA, Consumer and Family Direction Initiative, 2004 Summit, March 2223, Washington, DC  Journal & Magazine Articles  A Model to Transcend the Limitations of Addiction Treatment The acute model of intervention is being challenged by models that wrap episodes of professional treatment within a continuum of recovery-support services White, W., Boyle, M., & Loveland, D. (2003) Behavioral Health Management, 23(3):38-44 Access Archived Article from Behavioral Health Management Magazine:  HYPERLINK "http://www.behavioral.net/Past_Issues.htm?ID=1637" http://www.behavioral.net/Past_Issues.htm?ID=1637 Link to article:  HYPERLINK "http://www.behavioral.net" www.behavioral.net Archive, May/June 2003 issue Addiction and Recovery in Native America: Lost History, Enduring Lessons Don Coyhis and William White (Sept/Oct 2002) Counselor, 3 (5): 16-20. (ADAI) Link to article online through Counselor Magazine:  HYPERLINK "http://www.counselormagazine.com/display_article.asp?aid=Native%20America%20OCTOBER.htm" http://www.counselormagazine.com/display_article.asp?aid=Native%20America%20OCTOBER.htm (Note: Permission granted by Fred Courtright for use on the NeATTC Resource Disc, as well as for NACASA to link to the online article) The Permissions Company 47 Seneca Road P. O. Box 604 Mount Pocono, PA 18344 Phone: 570.839.7477 Fax: 570-839-7448 Email:  HYPERLINK "mailto:permdude@eclipse.net" permdude@eclipse.net Alcohol Problems in Native America: Changing Paradigms and Clinical Practices Journal: Alcoholism Treatment Quarterly, Volume: 20 Issue: 3/4 Copyright Year: 2002 Page Range: 157 - 165 DOI: 10.1300/J020v20n03_10 Contributors: Don Coyhis BA, William L White MA Abstract: Views about the sources and solutions to alcohol problems among Native Americans have undergone dramatic changes over the past quarter century. This brief article summarizes the nature of these changes, with particular emphasis on emerging principles and practices that underlie the resolution of alcohol problems among Native peoples. (Note: permission being sought to use this article on the NeATTC Resource Disc and to link on NACASA website) >>>>> " " " Addiction, Circles of Care, Clinical Practice, Mental Health, Nation Building The Community Reinforcement Approach: A Guideline developed for the Behavioral Health Recovery Management project Author(s): Robert J. Meyers and Daniel D. Squires, University of New Mexico Center on Alcoholism, Substance Abuse and Addictions Albuquerque, New Mexico Release Date:September, 2001 No. Pages: 29 Type: Manual/Guideline Source: The Behavioral Health Recovery Management project is an initiative of Fayette Companies, Peoria, IL; Chestnut Health Systems, Bloomington, IL; and the University of Chicago Center for Psychiatric Rehabilitation Full Report, PDF version:  HYPERLINK "http://www.bhrm.org/guidelines/CRAmanual.pdf" http://www.bhrm.org/guidelines/CRAmanual.pdf >>>>> " Addiction, Nation Building, Clinical Practice, Circles of Care, Mental Health Guidelines for Linking Addiction Treatment with Primary Healthcare Developed for the Behavioral Health Recovery Management project Author(s): Michael G. Boyle, MA, Thomas P. Murphy, D. Min., Fayette Companies, Peoria, IL Release Date:October, 2005 No. Pages: 40 Type: Manual/Guideline Source: The Behavioral Health Recovery Management project, Fayette Companies, Peoria, IL; Chestnut Health Systems, Bloomington, IL; and the University of Chicago Center for Psychiatric Rehabilitation Full Report, PDF version:  HYPERLINK "http://www.bhrm.org/guidelines/BHRM%20Primary%20Care%20Integration.pdf" http://www.bhrm.org/guidelines/BHRM%20Primary%20Care%20Integration.pdf >>>>> " Cultural Proficiency, Clinical Care Planning for Cultural and Linguistic Competence in Systems of Care& for children & youth with social-emotional and behavioral disorders and their families National Center for Cultural Competence Georgetown University Center for Child and Human Development 3307 M Street, NW, Suite 401% Washington, DC 20007-3935 Voice: 800.788.2066 or 202.687.5387 Fax: 202.687.8899 E-mail: cultural @georgetown.edu  HYPERLINK "URL:http://gucchd.georgetown.edu/nccc" URL:http://gucchd.georgetown.edu/nccc The checklist can be downloaded from:  HYPERLINK "http://gucchd.georgetown.edu/files/products_publications/SOC_Checklist.pdf" http://gucchd.georgetown.edu/files/products_publications/SOC_Checklist.pdf This checklist, one in a series, designed to assist organizations and systems of care to develop policies, structures and practices that support cultural and linguistic competence. Some of the content is adapted from the noteworthy work of Cross T. et al., 1989. Excerpt: A system of care incorporates a broad array of services and supports that is organized into a coordinated network, integrates care planning and management across multiple levels, is culturally and linguistically competent, and builds meaningful partnerships with families and youth at service delivery and policy levels(Pires, 2002). Systems of care develop formal structures and processes to provide a range of services and supports based on a defined set of values and principles. Systems of care embrace the values that services and supports are community based, child-centered and family focused and culturally and linguistically competent. The NCCC developed this checklist to assist in: (1) conducting strategic planning, (2) designing and delivering interventions, services and supports, and (3) evaluating and assuring quality within the system of care. The National Center for Cultural Competence includes other downloads of material pertinent to cultural competence. >>>>> " Cultural proficiency Building Culturally & Linguistically Competent Services to Support Young Children, Their Families and School Readiness (2004) The Annie E. Casey Foundation 701 St. Paul Street, Baltimore, MD 21202 ph: 410-547-6600 This tool kit and other resources are available for download at:  HYPERLINK "http://www.aecf.org/publications/browse.php?filter=5" http://www.aecf.org/publications/browse.php?filter=5 Abstract: Developed by Kathy Hepburn of Georgetown University Center for Child and Human Development for Casey to help promote early childhood development and school readiness, this tool kit defines cultural and linguistic competence and its priority for communities, with attention to: Diversity and the cultural context of the family and community Understanding the impact of culture on child development Planning and implementing culturally and linguistically competent services Implications for early childhood services and school readiness Strategies for preparing personnel and implementing culturally and linguistically competent services and supports The intent is to support a holistic approach and encourage cultural and linguistic competence across all systems that serve young children and their families and help young children grow up healthy, develop well, and enter school ready to learn. Throughout the tool kit, effort has been made to be inclusive of health, mental health, early intervention, and other services systems. Although there may be extra emphasis on the early care and education settings where children spend much of their time growing, learning, and getting ready for school, the concepts and practices relevant to cultural and linguistic competence can be taken in by all those who serve children and their families in the communities where they live. >>>>> " Nation Building (community development, research) Participatory Research with Native Community of Kahnawake Creates Innovative Code of Research Ethics Macaulay AC, Delormier T, McComber AM, Cross EJ, Potvin LP, Paradis G, Kirby RL, Saad-Haddad C, Desrosiers S. Kateri Memorial Hospital Center, Kahnawake, QC  HYPERLINK "mailto:mcnn@musica.mcgill.ca" mcnn@musica.mcgill.ca Participatory research requires ethical guidelines to incorporate the needs of the partners, i.e., the researchers and the community. This paper describes the background, development and implementation of an innovative Code of Research Ethics developed for a participatory research project with a Native community in Canada. The document ensures that both researchers and community throughout the project including joint publication of the results will share responsibility and control. It defines community control of data, means of resolving dissension at time of publication, incorporation of new researchers and the differences between community-based and academic researchers. Bibliography:  HYPERLINK "http://www.researchethics.org/uploads/pdf/cbpr.pdf" http://www.researchethics.org/uploads/pdf/cbpr.pdf >>>>> Abuse (Domestic Violence), Systems of Care, Justice (Drug Courts, Restorative Justice) Violence in America: A Public Health Approach Author(s): Edited by: Mark L. Rosenberg and Mary Ann Fenley Release Date:1991 No. Pages: Type: Hardcover Source: New York: Oxford University Press Foreword: C. Everett Koop: Throughout our history, Americans have remained committed to a social contract that respects the rule of law, that promotes peaceful intercourse among citizens, and that has as its highest value the protection of human life. We are often characterized as being a "violent nation" and clearly we have had some unpleasant chapters in our long history of nation building. Yet the values passed down to us through the years have consistently been the values of people devoted to peace and the veneration of life. Our citizens want to live in peace, but each year many thousands of them become the victims of violence. Some are infants, others are elderly and frail. They are abused, beaten, raped, assaulted, and killed. Society has somehow failed them. But such an admission must not be the end of the matter; for those of us in the health professions, that failure signaled the need for a new beginning. The Surgeon General's Workshop on Violence and Public Health, conducted in October 1985, represented that new beginning and encouraged all health professional to respond constructively to the ugly facts of interpersonal violence. Identifying violence as a public health issue is a relatively new idea. Traditionally, when confronted by the circumstances of violence, [we] . . . have deferred to the criminal justice system. Over the years we have tacitly and, I believe, mistakenly agreed that violence was the exclusive province of the police, the courts, and the penal system. To be sure, those agents of public safety and justice have served us well. But when we ask them to concentrate more on the prevention of violence and to provide additional services for victims, we may begin to burden the criminal justice system beyond reason. At that point, the professions of medicine, nursing and the health-related social services must come forward and recognize violence as their issue and one that profoundly affects the public health. This is an awesome challenge to the health [and legal] profession[s], but it is not totally uncharted. For some time, a number of people around the country have been doing the research and conducting pilot demonstrations to further engage the health professions in this issue of interpersonal violence. From the time of the workshop in 1985 to now, the exploration of effective means of public health intervention into elder abuse and child abuse, rape and sexual assault, spouse abuse, child sexual abuse and assault and homicide has continued to grow. I look forward to continued progress in this area that is of such great significance for the health and well-being of all Americans and of our society as a whole. It will be a major contribution toward the strengthening of our nation's social contract. >>>>> Justice (Child Welfare, Family Court), Cultural Proficiency, Child & Family (child welfare)  The Challenge of Permanency Planning in a Multicultural Society by Authors: Anderson, Gary R., ed.; Ryan, Angela Shen, ed.; Leashore, Bogart R., ed. Issued: 1/1/97 Type: Journal Journal of Multicultural Social Work, 5(1-2), 3-4 (Note: An excellent book with contributions by Elaine Pinderhughes) Abstract: Recognizing the need for child welfare workers to appreciate the role of culture in a family s life, this book emphasizes the importance of the need for cultural knowledge, sensitivity, and skill on the part of caseworkers and policy makers for putting permanency and stability into the lives of at-risk children. The articles in the book are: (1) Introduction: Achieving Permanency for All Children in the Child Welfare System (Gary R. Anderson); (2) Personal Reflections on Permanency Planning and Cultural Competency (Carol W. Williams); (3) Developing Diversity Competence in Child Welfare and Permanency Planning (Elaine Pinderhughes); (4) African American Men, Child Welfare, and Permanency Planning (Bogart R. Leashore);(5) Machismo, Fatherhood and the Latino Family: Understanding the Concept (Yolanda Mayo); (6) Cultural Diversity and Help-Seeking Behavior: Sources of Help and Obstacles to Support for Parents (JoDee Keller and Katherine McDade); (7) Preventing Substance Abuse from Undermining Permanency Planning: Competencies at the Intersection of Culture, Chemical Dependency, and Child Welfare (Irene R. Bush and Anthony Sainz); (8) Broadening Our View: Lessons from Kinship Foster Care (Faith Johnson Bonecutter and James P. Gleeson); (9) Grandmother Caregivers in Inner-City Latino Families: A Descriptive Profile and Informal Social Supports (Denise Burnette); (10) Guide for Effectively Recruiting African American Adoptive Families (Wilfred Hamm); (11) Training Child Welfare Workers to Meet the Requirements of the Indian Child Welfare Act (Raymond L. Bending); (12) Why the Need for the Indian Child Welfare >>>>> Justice (Child Welfare), Child & Family (Indian Child Welfare) A Familys Guide to the Child Welfare System Authors: a collaborative effort among: National Technical Assistance Center for Childrens Mental Health at Georgetown University, Center for Child and Human Development, Technical Assistance Partnership for Child and Family Mental Health at American Institutes for Research, Federation of Families for Childrens Mental Health, Child Welfare League of America, National Indian Child Welfare Association Publisher: Georgetown University Center for Child and Human Development 3307 M Street, NW, Suite 401% Washington, DC 20007-3935 Issued: Type: Guide Full Guide:  HYPERLINK "http://gucchd.georgetown.edu/files/products_publications/AFamilysGuide.pdf" http://gucchd.georgetown.edu/files/products_publications/AFamilysGuide.pdf Abstract: A Familys Guide to the Child Welfare System is a comprehensive resource that answers many of the questions families face when they become involved with the child welfare system. Written in a simple, question and answer format and grounded in the experiences of families and child welfare professionals from across the country, A Familys Guide is meant to be a tool to help families learn about: Experiences other families have had with the child welfare systems Child welfare laws and policies that influence the actions and decisions of child welfare workers and courts People families will meet, the service systems they work in, and their roles with families Ways to advocate for their familys rights (their own and their childrens) Responsibilities of parents involved with the child welfare system, and Practical tips from other parents The Guide is intended to help families, the many other players in the child welfare system, and other community agencies work together collaboratively. It is a product of the efforts of several national organizations. Parts of the Guide were written by families with personal experience in the child welfare system. >>>>> Recovery from the Heart: A Journey through the Twelve Steps: A Workbook for Native Americans (Workbook and audio tapes) Coyhis, D. (1990) Center City, Minnesota: Hazelden A workbook and teaching audio tapes that appears to draw on the teachings from the Gathering of Elders in 1982 and the work of the Four Worlds Development group (see  HYPERLINK "http://www.4Worlds.org" www.4Worlds.org) and the use of the Medicine Wheel, ancestral wisdom, Indigenous knowledge, holistic healing, use of traditional concepts of wellness and healing, and prophecy. >>>>>> Funding, Addiction (Prevention, Model Programs) Grants to Develop, Deliver, Document, and Evaluate Peer-Driven Recovery Support Programs (Part I: Programmatic Guidance: Appendices) (2002) Also known as: Recovery Community Services Program (RCSPII) Appendices SAMHSA, Center for Substance Abuse Treatment (CSAT)  HYPERLINK "http://alt.samhsa.gov/grants/content/2003/printer_friendly/ti03005p_appen.PDF" http://alt.samhsa.gov/grants/content/2003/printer_friendly/ti03005p_appen.PDF These Appendices include an excellent summary of possible programs, various models, including Native American models, hyperlinks to various organizations and initiatives, a summary of the National Treatment Plan Initiative, and a bibliography. Appendix A: Listing of Examples of Recovery Support Services Appendix B: Peer Support Models and References Appendix C: The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatments (CSAT) Changing the Conversation: The National Treatment Plan Initiative (NTP) Appendix D: References for Background Section of Program Announcement Appendix E: Preliminary Guidelines for Recovery Support Services Manual Appendix F: GPRA Forms Appendix G: CSATs GPRA Strategy Appendix H: Chart Summarizing Reporting Requirements for RCSP II >>>>>PD = Public Domain PG = Permission Granted Resource Listing: Indigenous Healing & Well-Being  DATE \@ "MM/dd/yyyy" 03/24/2006 Native American Council on Alcoholism & Substance Abuse, Inc. (NACASA)  PAGE 45 B> ? 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