Behavioral and mental health challenges for indigenous youth: research and clinical perspectives for primary care.
After first discussing historical, community and epidemiologic perspectives pertaining to mental health problems of Indigenous youth and families, this article reviews available research data on behavioral and mental health interventions and the roles that Native and Indigenous research programs are serving. Given the legacy of transgenerational trauma experienced by Indigenous peoples, community-based research and treatment methods are essential for solving these problems. The primary care provider stands in a unique position within the community to offer a "coinvestigator spirit" to youth and families in the pursuit of improving behavioral health. Strategies are presented for using the research literature, and collaborating with communities and families to help solve behavioral and mental health problems.
Storck
Michael
M
Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, P.O. Box 359300, Seattle, WA 98195, USA. storck@u.washington.edu
Beal
Timothy
T
Bacon
Jan Garver
JG
Olsen
Polly
P
D000293:Adolescent; D000294:Adolescent Behavior; D000437:Alcoholism / Q000209:etiology / Q000517:prevention & control; D002648:Child; D002652:Child Behavior; D002653:Child Behavior Disorders / Q000517:prevention & control*; D019955:Conduct Disorder / Q000517:prevention & control; D003466:Cultural Characteristics; D006303:Health Services, Indigenous / Q000458:organization & administration / Q000592:standards / Q000639:trends; D049673:History, 20th Century; D006801:Humans; D007198:Indians, North American / Q000266:history / Q000523:psychology; D008603:Mental Health; D033262:Narration; D044468:Native Hawaiian or Pacific Islander / Q000266:history / Q000523:psychology; D044382:Population Groups / Q000266:history / Q000523:psychology; D011320:Primary Health Care / Q000458:organization & administration / Q000592:standards / Q000639:trends; D012106:Research; D012931:Social Environment; D035502:Trust; D014481:United States