Statistics show that two thirds of American Indians and Alaska Natives (AIs/ANs) live outside of tribal areas, and 50% of those individuals who seek counseling services will not use tribal resources. There is a strong likelihood that counselors will have the opportunity to provide services to AI/AN clients. The review of the academic literature focused on counseling services for AIs/ANs revealed three primary themes. These themes include issues regarding cultural competency, awareness of different levels of acculturation, and the appropriateness of utilizing Eurocentric counseling theories with AIs/ANs. Perhaps more importantly, these themes often emerge within the context of family and tribal unity. These issues, as well as some general guidelines for counseling indigenous families, are addressed within this article.
Counselors frequently use storytelling as a therapeutic technique.Stories allow people to find meaning and form connections by expressing the thoughts and feelings that are sometimes difficult to articulate. The film, Dreamkeeper, presents a series of American Indian legends woven throughout the main story of a journey undertaken by a young man and his grandfather. These legends, coupled with the beautiful cinematography, make this film a powerful tool for use within the counseling relationship. A synopsis of the legends and their meanings are included.
A strong correlation between mental health issues, substance abuse issues, and diabetes has been found within the American Indian (AI) community. This multimorbidity exists at higher rates than any other population within the United States. As research shows that more AI are living outside of tribal statistical areas and opting to receive services from the general mental health community, knowledge of the possible interplay between physical and mental health for AI clients and the possible treatment issues they could represent has become increasingly important. Strategies and resources for referral and advocacy are also discussed.
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