title: Barriers to providing effective mental health services to American Indians.
abstract: Like most indigenous populations throughout the world who have undergone innumerable cultural changes, the mental health care needs of American Indians are great. Some surveys conducted by the Indian Health Service show high rates of suicide, mortality, depression and substance abuse. Little is known about effective mental health care among American Indians due, in part, to the lack of culturally appropriate models of mental health in American Indians. This article presents a cultural framework in order to understand the mental health care needs of American Indians and discusses barriers to providing effective mental health services to American Indians.
authors.affiliation: School of Social Work, University at Buffalo, New York 14260-1050, USA. jj44@acsu.buffalo.edu
authors.forename: J L
authors.initials: JL
authors.lastname: Johnson
authors.forename: M C
authors.initials: MC
authors.lastname: Cameron
mesh_terms: D001294:Attitude to Health / Q000208:ethnology*; D003469:Culture; D006297:Health Services Accessibility; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D001523:Mental Disorders / Q000208:ethnology* / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D011287:Prejudice; D014481:United States / Q000453:epidemiology