Cultural Strengths and Challenges in Implementing a System of Care Model in American Indian Communities
Total Page：16
File Type：pdf, Size：1020Kb
DOCUMENT RESUME ED 467 100 CG 031 679 AUTHOR Cross, Terry L.; Earle, Kathleen; Solie, Holly Echo-Hawk; Manness, Kathryn TITLE Cultural Strengths and Challenges in Implementing a System of Care Model in American Indian Communities. Systems of Care: Promising Practices in Children's Mental Health, 2000 Series. INSTITUTION National Indian Child Welfare Association, Portland, OR.; American Institutes for Research, Washington, DC. Center for Effective Collaboration and Practice. SPONS AGENCY Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Mental Health Services.; Special Education Programs (ED/OSERS), Washington, DC . REPORT NO VOl-I PUB DATE 2000-00-00 NOTE 103p.; For the 1998 series, see ED 429 421-423. CONTRACT 6-URI-SM51807-04;H237T60005 AVAILABLE FROM For full text: http://cecp.air.org/promisingpractices/ PUB TYPE Reports - Research (143) EDRS PRICE EDRS Price MFOl/PC05 Plus Postage. DESCRIPTORS *American Indian Culture; *Child Health; Children; *Community Programs; Cultural Influences; Family Life; Mental Health; *Mental Health Programs; Models; Program Descriptions ABSTRACT Reports show that mental health services for Indian children are inadequate, despite the fact that Indian children are known to have more serious mental health problems than all other ethnic groups in the United States. This monograph examines five American Indian children's mental health projects funded by the Center for Mental Health Services (CMHS). These projects have developed extraordinarily creative and effective systems of care largely based in their own cultures and on the strengths of their families. The goal of this work is to examine promising practices that implement traditional American Indian helping and healing methods that are rooted in their culture. This monograph presents the strengths and challenges of community-based service designs that draw on culture as a primary resource. The pertinent literature is reviewed here, and it suggests that the American Indian sites described here are not alone in their pursuit of culturally-based mental health methods. Two appendixes present parent and provider questions. (Contains 56 references.) (GCP) Reproductions supplied by EDRS are the best that can be made from the original document. 0 0, Coinprehensive Community Mental Health Services for Children and Their Families Program P \D* !3w VOLUME I CULTURALSTRENGTHS AND CHALLENGESIN IMPLEMENTINGA SYSTEM OF CAREMODEL IN AMERICANINDIAN COMMUNITIES National Indian Child Welfare Association I Authors: Terry L. Cross, Seneca, MSW, National Indian Child Welfare Association Kathleen Earle, Ph.D., National Indian Child Welfare Association Holly Echo-Hawk Solie, Pawnee/Otoe, M.S., National Indian Child Welfare Association U.S. DEPARTMENT OF EDUCATION Kathryn Manness, Huron, LCSW, National Indian Office of Educational Research and Improvement EDUCATIONAL RESOURCES INFORMATION Child Welfare Association CENTER (ERIC) 0 This document has been reproduced as received from the person or organization originating it. 0 Minor changes have been made to improve reproduction quality. Points of view or opinions staled in this documenl do no1 necessarily represent official OERi position or policy. Child, Adolescent, and Family Branch Division of Knowledge Development and Systems Change Center for Mental Health Services Substance Abuse and Mental Health Services Administration US. Department of Health and Human Services Comprehensive Community Mental Health Services for Children and Their Families Program 2 US. Department of Health and Human Services Donna Shalala Secretary Substance Abuse and Mental Health Services Administration Nelba Chavez Administrator Center for Mental Health Services Bernard S. Arons, Director Division of Knowledge Development and Systems Change Michael English, Director Child, Adolescent, and Family Branch Gary De Carolis, Chief Suggested citation : Cross, T., Earle, K., Echo-Hawk Solie, H., & Manness, K. (2000). Cultural strengths and challenges in implementing a system of care model in American Indian communities. Systems of Care: Promising Practices in Children b Mental Health, 2000 Series, Volume I. Washington, DC: Center for Effective Collaboration and Practice, American Institutes for Research. The writing of all Volumes in the 2000 Promising Practices series was funded by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, United States Department of Health and Human Services. This Volume was written by the National Indian Child Health Welfare Association, through a subcontract with the Center for Mental Health Services-sponsored National Resource Network for Child and Family Mental Health Services (grant number 6 URI SM5 1807-04). Production of the document was coordinated by the Center for Effective Collaboration and Practice at the American Institutes for Research, funded under a cooperative agreement with the Office of Special Education Programs, Office of Special Education and Rehabilitative Services, United States Department of Education, with additional support from the Child, Adolescent, and Family Branch, Center for Mental Health Services, Substance Abuse and Mental Health Administration, United States Department of Health and Human Services (grant number H237T60005). The content of this publication does not necessarily reflect the views or policies of the funding agencies and should not be regarded as such. 3 Promising Practices in Children ’s Mental Health Systems of Care .2000 Series Table of Contents FOREWORD ...................................................................................................................... 5 ACKNOWLEDGMENTS ................................................................................................... 7 EXECUTIVE SUMMARY .................................................................................................. 9 CHAPTER I-INTRODUCTION ....................................................................................... 13 Background .................................................................................................................. 13 Traditional Methods as Promising Practices ................................................................... 16 CHAPTER 11-MAKING SENSE OF CULTURALLY SPECIFIC PROMISING PRACTICES: AN AMERICAN INDIAN MODEL .......................................................... 19 Introduction .................................................................................................................. 19 Relational Worldview as an Organizing Model ............................................................... 20 A Relational Model ....................................................................................................... 20 CHAPTER ITI-LITERATURE REVIEW MENTAL HEALTH CARE FORNATIVE AMERICANYOUTH ....................................................................................................... 27 Conceptual Framework ................................................................................................ 27 Promising Practices That Work ..................................................................................... 31 summary ...................................................................................................................... 37 CHAPTER IV-METHODOLOGY ................................................................................... 41 Procedures ................................................................................................................... 41 CHAPTER V-PROJECT DESCRJPTIONS ...................................................................... 43 K’e Project .................................................................................................................. 43 Kmihqitahasultipon“We Remember’’............................................................................. 45 Sacred Child Project .................................................................................................... 47 With Eagle’s Wings ....................................................................................................... 53 Mno Bmaadzid Endaad “Be in Good Health at His House” ............................................ 56 CHAPTER VI-FINDINGS AND DISCUSSION ............................................................. 59 Introduction .................................................................................................................. 59 CI-IAPTER VII-IMPLICATIONS ..................................................................................... 89 Introduction .................................................................................................................. 89 REFERENCES .................................................................................................................. 97 APPENDICES Appendix A-Parent Questions .................................................................................... 103 Appendix B-Provider Questions ................................................................................. 105 Volume I: Cultural Strengths and Challenges 3 a Promising Practices in Children 's Mental Health Systems of Care - 2000 Series 4 Volume I: Cultural Strengths and Challenges 5 Promising Practices in Children S Mental Health Systems of Care - 2000 Series Foreword It is with great pleasure that we present the second collection of monographs of the Promising Practices Initiative of the Comprehensive Community Mental Health