scholarly journals Tribal child welfare practice in the United States

Social Work ◽  
2020 ◽  
Author(s):  
Lisa Byers ◽  
Dallas Pettigrew

Tribal child welfare in what is now the United States encompasses hundreds of tribal nations engaged in a government-to-government relationship with the United States. Please note that tribal, native, American Indian and Alaska Native, and Native American are used interchangeably. Each tribe has distinct languages and customs. Within this diversity the factors that bind tribal nations to make a discussion of tribal child welfare meaningful are communal childrearing, colonization, trauma, contemporary disparities, sovereign status, and detrimental federal policies. Communal cultures provide children with multiple caregivers that assure the youngest are cared for daily. This web of relations combined with high levels of respect for children within the life cycle guarded against abuse and neglect prior to colonization. The establishment of the United States, and federal-level assimilation policies created immense trauma and cultural disruption for tribal nations and child welfare. Government-funded boarding schools and the practice of placing tribal children in non-native homes are two specific assimilation practices that explicitly targeted children. The ability of tribal nations to protect their children and maintain their cultures has been strengthened by a federal law designed to give tribal nation’s a stake in child welfare proceedings. Many tribes now have their own child welfare programs, courts, and other services. State compliance with the law is an ongoing issue. Increased collaboration, respect for the sovereign status of tribes, and evaluation with clear implications for noncompliance needs to ensue are necessary to fully empower tribal child welfare. In addition, truth and reconciliation related to the separation of children from family and culture based on past federal policy practices is necessary to foster communal and generational healing for American Indian and Alaska Native peoples.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 37-37
Author(s):  
Sadie Giles

Abstract Racial health disparities in old age are well established, and new conceptualizations and methodologies continue to advance our understanding of health inequality across the life course. One group that is overlooked in many of these analyses, however, is the aging American Indian/Native Alaskan (AI/NA) population. While scholars have attended to the unique health inequities faced by the AI/NA population as a whole due to its discordant political history with the US government, little attention has been paid to unique patterns of disparity that might exist in old age. I propose to draw critical gerontology into the conversation in order to establish a framework through which we can uncover barriers to health, both from the political context of the AI/NA people as well as the political history of old age policy in the United States. Health disparities in old age are often described through a cumulative (dis)advantage framework that offers the benefit of appreciating that different groups enter old age with different resources and health statuses as a result of cumulative inequalities across the life course. Adding a framework of age relations, appreciating age as a system of inequality where people also gain or lose access to resources and status upon entering old age offers a path for understanding the intersection of race and old age. This paper will show how policy history for this group in particular as well as old age policy in the United States all create a unique and unequal circumstance for the aging AI/NA population.


2019 ◽  
Vol 26 (8-9) ◽  
pp. 891-894 ◽  
Author(s):  
Theresa Cullen ◽  
Jan Flowers ◽  
Thomas D Sequist ◽  
Howard Hays ◽  
Paul Biondich ◽  
...  

Abstract The Indian Health Service provides care to remote and under-resourced communities in the United States. American Indian/Alaska Native patients have some of the highest morbidity and mortality among any ethnic group in the United States. Starting in the 1980s, the IHS implemented the Resource and Patient Management System health information technology (HIT) platform to improve efficiency and quality to address these disparities. The IHS is currently assessing the Resource and Patient Management System to ensure that changing health information needs are met. HIT assessments have traditionally focused on cost, reimbursement opportunities, infrastructure, required or desired functionality, and the ability to meet provider needs. Little information exists on frameworks that assess HIT legacy systems to determine solutions for an integrated rural healthcare system whose end goal is health equity. This search for a next-generation HIT solution for a historically underserved population presents a unique opportunity to envision and redefine HIT that supports health equity as its core mission.


2020 ◽  
pp. 146144482091312
Author(s):  
Sarita Schoenebeck ◽  
Oliver L Haimson ◽  
Lisa Nakamura

Most content moderation approaches in the United States rely on criminal justice models that sanction offenders via content removal or user bans. However, these models write the online harassment targets out of the justice-seeking process. Via an online survey with US participants ( N = 573), this research draws from justice theories to investigate approaches for supporting targets of online harassment. We uncover preferences for banning offenders, removing content, and apologies, but aversion to mediation and adjusting targets’ audiences. Preferences vary by identities (e.g. transgender participants on average find more exposure to be undesirable; American Indian or Alaska Native participants on average find payment to be unfair) and by social media behaviors (e.g. Instagram users report payment as just and fair). Our results suggest that a one-size-fits-all approach will fail some users while privileging others. We propose a broader theoretical and empirical landscape for supporting online harassment targets.


2016 ◽  
Vol 32 (2) ◽  
pp. 274-281 ◽  
Author(s):  
Nicolette I. Teufel-Shone ◽  
Julie A. Tippens ◽  
Hilary C. McCrary ◽  
John E. Ehiri ◽  
Priscilla R. Sanderson

Objective: To conduct a systematic literature review to assess the conceptualization, application, and measurement of resilience in American Indian and Alaska Native (AIAN) health promotion. Data Sources: We searched 9 literature databases to document how resilience is discussed, fostered, and evaluated in studies of AIAN health promotion in the United States. Study Inclusion and Exclusion Criteria: The article had to (1) be in English; (2) peer reviewed, published from January 1, 1980, to July 31, 2015; (3) identify the target population as predominantly AIANs in the United States; (4) describe a nonclinical intervention or original research that identified resilience as an outcome or resource; and (5) discuss resilience as related to cultural, social, and/or collective strengths. Data Extraction: Sixty full texts were retrieved and assessed for inclusion by 3 reviewers. Data were extracted by 2 reviewers and verified for relevance to inclusion criteria by the third reviewer. Data Synthesis: Attributes of resilience that appeared repeatedly in the literature were identified. Findings were categorized across the lifespan (age group of participants), divided by attributes, and further defined by specific domains within each attribute. Results: Nine articles (8 studies) met the criteria. Currently, resilience research in AIAN populations is limited to the identification of attributes and pilot interventions focused on individual resilience. Resilience models are not used to guide health promotion programming; collective resilience is not explored. Conclusion: Attributes of AIAN resilience should be considered in the development of health interventions. Attention to collective resilience is recommended to leverage existing assets in AIAN communities.


2020 ◽  
Vol 115 (12) ◽  
pp. 1989-1997
Author(s):  
Stephanie C. Melkonian ◽  
Dornell Pete ◽  
Melissa A. Jim ◽  
Donald Haverkamp ◽  
Charles L. Wiggins ◽  
...  

2021 ◽  
Author(s):  
Molly Feder ◽  
Amanda Winters ◽  
Whitney Essex ◽  
Jorge Mera

Abstract Background: Injection drug use is an important public health issue in the United States, and estimates indicate that American Indian and Alaska Native people are disproportionately affected. Injection drug use is also the leading cause of Hepatitis C virus (HCV) infection in the United States, attributable to over half of all cases, and contributes to 44% of human immunodeficiency virus (HIV) acquisition in American Indian and Alaska Native females. Existing estimates of American Indian and Alaska Native people who inject drugs are limited. We aimed to estimate the number of people who inject drugs in Cherokee Nation.Methods: A two-sample, capture-recapture approach was used. The first data source was an abstraction of Cherokee Nation Health Services electronic medical records from February 2017 through December 2018. The second data source was an abstraction from Cherokee Nation’s HCV Elimination Program Database from August 2015 through December 2018. Individuals were included in the abstractions if they were asked if they had injected drugs in the past six months during their health visit. The indirect prevalence estimate of people who inject drugs was calculated in accordance with the UNAIDS/WHO Guidelines on Estimating the Size of Populations Most at Risk to HIV.Results: In total, 198 individuals across both data sources reported that they had injected drugs within the past six months. This included 123 unique individuals from the first source, 69 individuals from the second source, and six individuals who were included in both sources. Capture-recapture calculations indicated an estimate of 1,613 people who inject drugs (95% CI: 404, 2,821). Conclusions: This study was the first attempt at estimating the number of people who inject drugs in Cherokee Nation, and one of the few existing studies to estimate the number of American Indian/Alaska Native people who inject drugs in the United States. Gaining knowledge about the prevalence of people who inject drugs in Cherokee Nation will inform strategies to support addiction care and treatment among people who inject drugs living in Indian Country.


2020 ◽  
Vol 22 (5) ◽  
pp. 1101-1104
Author(s):  
Jessica Leung ◽  
Jordan L. Kennedy ◽  
Dana L. Haberling ◽  
Andria Apostolou ◽  
Tatiana M. Lanzieri

2016 ◽  
Vol 77 (2) ◽  
pp. 125-135 ◽  
Author(s):  
Elizabeth Mertz ◽  
Cynthia Wides ◽  
Paul Gates

2017 ◽  
Vol 41 (3) ◽  
pp. 31-70 ◽  
Author(s):  
Elizabeth Hoover

Within the context of the broader food sovereignty literature, and with a specific focus on notions of America Indian sovereignty, this article explores how members of thirty-nine different Native American community farming and gardening projects in the United States describe and define food sovereignty, as both concept and method. This article further distinguishes how principles of food sovereignty are being operationalized in the broader goals of promoting community health, sustainability, and local economic systems, and of reclaiming and maintaining tribal culture.


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