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Identifying effective mental health interventions for American Indians and Alaska Natives: a review of the literature
Abstract
The pursuit of evidence-based practice (EBP) within the mental health professions has contributed to efficacious clinical intervention for individuals struggling with mental health problems. Within the context of the EBP movement, this article reviews the treatment outcome literature for mental health interventions directed specifically toward American Indians and Alaska Natives experiencing psychological distress. Fifty-six articles and chapters pertaining to the treatment of Native Americans with mental health problems were identified, though the vast majority of these did not systematically assess outcomes of specified treatments for Native American clients under scientifically controlled conditions. Of just nine studies assessing intervention outcomes, only two were controlled studies with adequate sample sizes and interpretable results relative to the identification of EBP among American Indians and Alaska Natives. The advantages and limitations of EBP for treatment of Native American mental health problems are discussed.
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Cultural wounding is physically and emotionally destructive, manifesting in problems such as depression, anxiety, shared posttraumatic stress, and substance use that lead to adverse health outcomes such as diabetes, suicide, and cancer.
“It is physically and emotionally destructive, manifesting in problems such as depression, anxiety, shared posttraumatic stress, and substance use (Brave Heart et al., 2011; Gone and Alcántara, 2007; Whitbeck et al., 2004) that lead to adverse health outcomes (e.g., diabetes, suicide, cancer) (Bezo and Maggi, 2018; Goodkind et al., 2012; Shrira et al., 2011).”
From Cultural trauma as a fundamental cause of health disparities (2022) · cites this paper as Gone and Alcántara, 2007
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References 52 · Cited by 205
Metadata
- Authors
- Gone, J. P., & Alcántara, C.
- Affiliations
- University of Michigan (US)
- Venue
- Cultural Diversity & Ethnic Minority Psychology
- Published
- 2007-10
- Volume
- 13
- Issue
- 4
- Pages
- 356-363
- ISSN
- 1077-341X (ISSN-L)
- 1939-0106
- 1099-9809
- OpenAlex
- W2142120894
- Cited by
- 205
- References
- 52
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 9 · 2022: 8 · 2021: 11 · 2020: 51 · 2019: 8 · 2018: 7 · 2017: 4 · 2016: 9 · 2015: 14 · 2014: 9 · 2013: 21 · 2012: 11
- FWCI
- 9.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cultural Diversity & Ethnic Minority Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- US Department of Health and Human Services
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- Native Americans, Alaska Natives, mental health interventions, evidence-based practice, treatment outcomes, psychological distress, Native American mental health, controlled studies
- MeSH terms
- Alaska, Mental Disorders, Humans, Indians, North American, Mental Health Services, United States, Treatment Outcome
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