MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking pot and says he drinks to help himself too. He tells you he is afraid that he will not get into heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism. Hello Professor and class, I was assigned the case study of MR, a 23-year-old Native American male who has come in for anxiety and wants something to help him. Western medicine is comprised of its own history, jargon, codes of conduct, expectations, methods, technologies, and scientific interventions, which are helpful in the pursuit of living healthier lives. However, this does not mean that other forms of medicine (e.g. complementary and alternative medicines) are wrong or contradict the end goal of western medical practices. Cultural competence is a determinant in reducing health disparities among African Americans, Hispanic Americans, Native Americans (Indigenous peoples), Asian Americans, Alaska Natives, and Pacific Islanders, as compared with the Caucasian population as a whole (CDC, 2015). In particular, practicing cultural competence when providing healthcare services to Native Americans begins with health care providers having an accurate history of the colonization of the Americas and the genocidal practices that were pervasive against Native Americans in the settlement of North and South America (Roessel, 2019). Native American people as a whole have struggled to maintain their identity, as many of their ceremonial practices, preferred foods, and activities are considered by Western trained health care providers to be detrimental to health (Roessel, 2019). The information gathered from a cultural formulation interview (CFI), which can be found atfile:///C:/Users/Owner/Downloads/APA_DSM5_Cultural-Formulation- Interview.pdf, will aid in implementing culturally sensitive best practices and health interventions for Native Americans (Indigenous peoples) (Roessel, 2019). Cultural
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- Summer '15
- Native Americans in the United States