indian health.pdf

Native American Health Native Americans Native American, American Indians, Indian Peoples Are all acceptable terms, but it is most appropriate to use the name of the specific Tribe of people These terms encompass 573 different, federally recognized, Tribes across 5 Cultural Bands of people Indian He...

Native American Health Native Americans Native American, American Indians, Indian Peoples Are all acceptable terms, but it is most appropriate to use the name of the specific Tribe of people These terms encompass 573 different, federally recognized, Tribes across 5 Cultural Bands of people Indian Health Service (IHS) Is the federal health program for federallyrecognized tribes of American Indians and Alaska Natives and grew from the government-to-government relationship between the federal government and the Tribes This relationship was initially established in 1787, and is based on Article I, Section 8 of the Constitution IHS is an agency within the Department of Health and Human Services IHS: continued Mission To raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level Vision Healthy communities and quality health care systems through strong partnerships and culturally responsive practices IHS: continued Strategic goals To ensure that comprehensive, culturally appropriate personal and public health services are available and accessible to American Indian and Alaska Native people; To promote excellence and quality through innovation of the Indian health system into an optimally performing organization; and To strengthen IHS program management and operations IHS coverage IHS provides healthcare to approximately 2.56 million of the estimated 5.2 million American Indians and Alaska Natives in the US Most people live on the western US Mississippi Band of Choctaw Indians https://www.choctaw.org/index.html The only Federally-recognized American Indian tribe in MS 11,000 members across 35,000acres, in 10 different counties Tribe provides jobs for 5,000 Tribal-members and non-Indian employees Culturally relevant best practices The Medicine Wheel and 12 Step interpretations were developed by White Bison, based on the Teachings of the Medicine Wheel, the Cycle of Life and the Four Laws of Change. The basic premises are: All native cultures believe in a Supreme Being. We believe in the Elders as a guiding force. We believe all tribal nations are different from each other. We believe that alcohol is destroying us and we want to recover. We believe there is a natural order running the Universe. We believe our traditional ways were knowledgeable about the natural order. A spiritual person is one who screws up every day and keeps coming back to the Creator. Those who walk this road will find that our thoughts must change to the way Warriors think. Discrimination and stress Immediate effects Hypervigilance/stress Impaired working memory Impaired self-regulation Long-term effects Withdrawal and avoidance behaviours Approximately 22% of Native Americans live on tribal lands according to the 2010 census Environment 90,000 people are homeless or underhoused 30% of housing is overcrowded 40% of on-reservation housing is considered inadequate Less than 50% of houses are connected to public sewer systems Many houses also lack access to running water, telephone lines, electricity Food insecurity USDA defines food insecurity as a lack of consistent access to enough food for an active, healthy life Households with low food security are those which report reduced quality, variety, or desirability of diet (does not necessarily equate to reduced intake of food) Households with very low food security are those which report multiple indications of disrupted eating patterns and reduced food intake Food insecurity Availability Insufficient quantities available over time Food deserts Areas that are void of fresh foods Food swamp Areas where there is an abundance of fast and junk food options, without corresponding healthy and affordable options (https://www.theatlantic.com/ health/archive/2017/12/food-swamps/ 549275/? fbclid=IwAR29ZfbTAmEnqUJMxHnuiB_C OicJANpr7SXqUr4ekpPz8px0ZMchecVQ FTc) Food security Access Insufficient resources to access food Poverty Federal poverty guidelines Family of 1 - $12, 760 Family of 4 - $26, 200 In 2016 12.7% of the general population was below these levels Compare this to 28.6% of Native Americans Adverse childhood experiences Abuse Physical, emotional, sexual Neglect Physical, emotional Household dysfunction Mental illness, incarcerated relative, mother treated violently, substance abuse, divorce When compared to people with no adverse childhood experiences people with six or more die an average of 20 years earlier