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Developing mental health services for Native American children

A Barlow1, J T Walkup

  • 1Center for American Indian and Alaskan Native Health, Johns Hopkins School of Public Health, Baltimore, Maryland, USA. abarlow@ihsph.edu

Child and Adolescent Psychiatric Clinics of North America
|January 20, 1999
PubMed
Summary

Cultural differences impact Native American children's mental health care. Innovative, culturally sensitive models are needed, with child psychiatrists consulting to native workers for better outcomes.

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Area of Science:

  • Indigenous Studies
  • Child Psychiatry
  • Mental Health Services Research

Background:

  • Native American reservations exhibit significant cultural, linguistic, traditional, and spiritual diversity.
  • These differences are often overlooked, negatively affecting mental health interventions for children.

Observation:

  • Cultural factors influence how Native American children express psychiatric distress.
  • Diverse care-seeking behaviors are observed among these children.
  • Existing mental health systems may not be fully acceptable or effective for Native American children.

Findings:

  • Culturally specific mental health care models are essential for Native American children.
  • Innovative approaches must integrate contemporary Native American culture.

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  • Child psychiatrists can be more effective in consultative and supervisory roles for native outreach workers.

    • Implications:

    • Developing culturally congruent mental health services is crucial for Native American youth.
    • Collaboration between child psychiatrists and indigenous mental health workers can improve care delivery.
    • Addressing cultural nuances enhances the acceptability and efficacy of mental health interventions for Native American children.