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American Indians and Alaska Natives have consistently experienced disparities in access to healthcare services, funding, and resources; quality and quantity of services; treatment outcomes; and health education and prevention services. Availability, accessibility, and acceptability of behavioral health services are major barriers to recovery for American Indians and Alaska Natives. Common factors that infuence engagement and participation in services include availability of transportation and child care, treatment infrastructure, level of social support, perceived provider effectiveness, cultural responsiveness of services, treatment settings, geographic locations, and tribal affliations.
"Barbara Mora's (Paiute/Diné) mother, who passed away from diabetes complications, struggled to confront the reality of the disease. "My mother would not deal with diabetes; it was a big scary topic," Mora says. "She only saw the horrible things: amputations, dialysis and death." When Mora was diagnosed with diabetes 14 years ago, she chose to deal with the disease differently. As the fourth generation on her mother's side to suffer from diabetes, many of Mora's family members did not want her to talk about it. "I thought no, I'm not going to go quietly," Mora says. "I'm going to find out everything I need to know about diabetes." After her mother's death, and her father's subsequent passing, Mora felt herself slipping into depression. Rather than falling victim to diabetes and depression, Mora relied on the Diné tradition of praying each morning to restore her spirit. Then she channeled her emotional and spiritual journey with diabetes from denial to depression to staying active and healthy with the disease in the book Using Our Wit and Wisdom to Live Well with Diabetes." from ://indiancountrytodaymedianetwork.com/2011/05/14/native-life-provides-online-health-support-network-34013.
Disease processes among American Indians and Alaska Natives often have distinct manifestations that need to be considered by clinicians and health policy makers involved with these populations. Equally important, all aspects of Indian life—including health—are governed by the special relationship between Indian tribes and the U.S. federal government. For American Indian Health, Everett R. Rhoades has gathered a distinguished group of scholars and practitioners to present a comprehensive assessment of the health of American Indian peoples today and the delivery of health services to them.
Suicide prevention initiatives are part of much broader systems connected to activities such as the diagnosis of mental illness, the recognition of clinical risk, improving access to care, and coordinating with a broad range of outside agencies and entities around both prevention and public health efforts. Yet suicide is also an intensely personal issue that continues to be surrounded by stigma. On September 11-12, 2018, the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, to discuss preventing suicide among people with serious mental illness. The workshop was designed to illustrate and discuss what is known, what is currently being done, and what needs to be done to identify and reduce suicide risk. Improving Care to Prevent Suicide Among People with Serious Mental Illness summarizes presentations and discussions of the workshop.
After introductory remarks on nutrition for Native cancer survivors, lists traditional food sources such as moose, porcupine, bird eggs, sea lion, salmon, berries, seaweed, and more, each with notes about preparation and nutritional information. Includes a short recipe section.