Rethinking the systems of care definition: an indigenous perspective.
This paper will describe systems of care as a cultural phenomenon by highlighting western versus indigenous models of thinking. Inherent within the system of care definition are biases and assumptions that result in a highly linear and culturally bound process for understanding a "reality" that is not necessarily shared by all. Overarching concerns include value-laden language, the development of the systems of care principles, and the conceptualization of the changing definitions over time. Within the definition of systems of care presented, there are biases and embedded assumptions that continue to cause disparities in health for culturally diverse communities. The paper will examine these cultural biases and assumptions and their link to access, availability, and acceptability of services.
Cross
Terry
T
National Indian Child Welfare Association (NICWA), 5100 S.W. Macadam Avenue, Suite 300, Portland, OR 97239, USA.
Bartgis
Jami
J
Fox
Kathleen
K
D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D019058:Community Networks / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration*; D006285:Health Planning / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006303:Health Services, Indigenous / Q000458:organization & administration*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D009937:Organizational Objectives; D011785:Quality Assurance, Health Care; D012922:Social Change