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An Indian-controlled mental health program

D Ostendorf, C A Hammerschlag

    Hospital & Community Psychiatry
    |September 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Tribal control of American Indian health care programs is increasing. An Apache-run mental health center faced challenges due to sociocultural factors and negative expectations, leading to leadership changes.

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    Area of Science:

    • Public Health
    • Sociology
    • Health Services Research

    Background:

    • Federal health care programs for American Indians are gradually transferring to tribal control.
    • The Apache tribe in northeastern Arizona established a community mental health center in 1971.

    Purpose of the Study:

    • To examine the sociocultural factors influencing the development of an American Indian community mental health center.
    • To identify reasons for challenges encountered by the tribal-operated health center.

    Main Methods:

    • Case study analysis of a community mental health center operated by the Apache tribe.
    • Examination of tribal governance, staffing, and operational challenges.

    Main Results:

    • The center had a tribal board with a majority of Apache members and predominantly Native American staff.

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  • Despite tribal administration, an non-Indian director was hired.
  • The tribal council disbanded the board and fired the director in 1976, though the clinic continued.

    • Conclusions:

    • Sociocultural factors significantly impacted the mental health center's operations.
    • Negative societal expectations regarding tribal-run agencies contributed to the center's difficulties.
    • The case highlights complexities in tribal health care program transitions.