Background Adults with intellectual and/or developmental disabilities (IDD) experience health inequities, and those who also identify as a member of an ethnic minority group face additional health inequities. In the United States, a majority of adults with IDD continue to be supported by family caregivers making their health equity also important. The purpose of this study was to explore how Native American adults with IDD and their family caregivers experience health and wellness. Method This community‐engaged research was guided by a Community Advisory Board (CAB) with study participants completing a Photovoice project. Results Participants identified individual, family and community level influences on health and wellness including the importance of participation in meaningful activities and connection to culture. Conclusions In order to address health inequities, more research is needed to understand health and wellness from the unique perspectives of individuals with IDD and those from racial and ethnic minority groups.

Purpose This article examines the concept and use of the term cultural safety in Canada and the United States. Design To examine the uptake of cultural awareness, cultural sensitivity, cultural competence, and cultural safety between health organizations in Canada and the United States, we reviewed position statements/policies of health care associations. Findings The majority of selected health associations in Canada include cultural safety within position statements or organizational policies; however, comparable U.S. organizations focused on cultural sensitivity and cultural competence. Discussion Through the work of the Center for American Indian Resilience, we demonstrate that U.S. researchers engage with the tenets of cultural safety—despite not using the language. Conclusions We recommend that health care providers and health researchers consider the tenets of cultural safety. Implications for Practice To address health disparities between American Indian populations and non–American Indians, we urge the adoption of the term and tenets of cultural safety in the United States.

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Adults living with an intellectual and/or developmental disability (IDD) experience poorer health outcomes than individuals without disabilities (Reichard et al., 2019;Scott & Havercamp, 2014). The American Association on Intel-lectual and Developmental Disabilities (2020) defines IDD as a disability occurring before the age of 18 years in which the individual has difficulty with intellectual functioning and everyday practical and social skills.