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Identifying and Reducing Disparities in Mental Health Outcomes Among American Indians and Alaskan Natives Using Public Health, Mental Healthcare and Legal Perspectives

机译:使用公共卫生,心理医疗保健和法律视角识别和减少美洲印第安人和阿拉斯加坦人的心理健康成果的差异

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Abstract The purpose of this paper was to investigate disparities in mental healthcare delivery in American Indian/ Alaska Native populations from three perspectives: public health, legal policy and mental healthcare and provide evidence-based recommendations toward reducing those disparities. Data on mental health funding to tribes were obtained from the Substance Abuse and Mental Health Services Administration. As a result of analysis of these data, vital statistics and current literature, we propose three recommendations to reduce mental health disparities. First, where possible, increase mental health funding opportunities for federally-recognized tribes. Second, model funding practices on principles of tribal self-determination. Finally, support diverse interventions that are culturally-based and culturally-appropriate.
机译:摘要本文的目的是从三个视角调查美洲印第安人/阿拉斯加本土人口的心理医疗保健交付的差异:公共卫生,法律政策和心理医疗保健,并为减少这些差距提供基于证据的建议。 对部落的心理健康资助数据是从药物滥用和心理健康服务管理中获得的。 由于对这些数据的分析,重要统计和当前文献,我们提出了三项建议,以减少精神卫生障碍。 首先,在可能的情况下,增加心理健康融资机会对联邦政府承认的部落。 其次,模型资金措施对部落自决原则。 最后,支持在文化和文化上的不同干预措施。

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