Health care is a relationship among individuals that affects payors, providers, and patients. Health law is an integral part of the health care system and provides the rules that govern care. Rules and regulations can be found in statutes, standards of practice, manuals, contracts, by-laws, and policies, procedures, and protocols. Understanding the various rules and laws affecting psychiatric home care and providing guidelines for implementation to maintain compliance and provide for management of risk is critical for a quality behavioral health home care program.
In 1584, Baltasar de Obregón described the people he met in the Casas Grandes Valley (CGV), Northwest Chihuahua, Mexico. He juxtaposed these “rustic” people with the sophistication of the ancient builders of Paquimé who had lived in the CGV. Seventy years later, the Spanish missionaries called the people in the CGV “Suma” and enlisted them to build Mission San Antonio de Padua de Casas Grandes. Scholars have examined Obregón's and later administrators’ accounts to argue that the Suma were a small-scale society and unrelated to the ancient people of Paquimé (~AD 1200–1430). We reevaluate this interpretation. First, we contextualize the documentary evidence within contemporary frameworks. Second, using data from the 1958–1961 Joint Casas Grandes Expedition, we compare Paquimé and Suma material culture. We argue that the Suma were likely long-term residents of the Valley, organized into horticulture villages, and exhibiting cultural practices linked to Paquimé. After critiquing previous arguments about Suma origins, we consider how this criticism relates broadly to exploring Native Americans’ reactions to colonial settings.
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