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Tribal Community Resources

Cover page of a guidebookResearch shows that American Indian/Alaska Native (AI/AN) children are over-represented in the child welfare system, and AI/AN individuals have higher rates of substance use disorders compared to other racial/ethnic groups. The current AI/AN generation’s experience of trauma and substance use disorders may be heightened by the intergenerational transmission of historical trauma, of cultural traumatic experiences, and by the cumulative effects of harmful policies. Thus, it is crucial for both child welfare and treatment agencies to be culturally responsive to the needs of AI/AN families. Treatment programs should recognize the impacts of historical trauma and contemporary issues, accept differences in expression of identity and cultural connectedness, incorporate a relational approach that acknowledges the family’s current context and its vision for its future, and include traditional healing and cultural practices defined by each family. On a policy level, federal, state, and local partnerships should build relationships with tribal communities, ensure tribal voices within collaborative efforts, recognize tribal sovereignty, support funding to tribal entities, build cultural responsiveness into programs, and support research and evaluation of tribal programs.

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    • Tapping Tribal Wisdom: Providing Collaborative Care for Native Pregnant Women With Substance Use Disorders and Their Infants
      Tapping Tribal Wisdom: Providing Collaborative Care for Native Pregnant Women With Substance Use Disorders and Their Infants(PDF 1 MB)

      National Center on Substance Abuse and Child Welfare, 2018

      This document provides information from listening sessions conducted with five tribes, which received funding from the Minnesota Health Care Administration’s Integrated Care for High Risk Pregnant Women grant program, on the collaborative care models these tribes implemented for working with pregnant Native American women and their families. This report describes what worked well when developing and sustaining collaborative approaches, offers recommendations for next steps in achieving improved outcomes, and details what support or resources are most useful to tribes.

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