Abstract:
:In Montana, American Indians with chronic illnesses (CIs) die 20 years earlier than their White counterparts highlighting an urgent need to develop culturally consonant CI self-management programs. Historical and current trauma places Indigenous peoples at increased health risk relative to others, and negatively influences CI self-management. The Apsáalooke Nation and Montana State University worked together to develop and implement a trauma-informed CI self-management program to improve the Apsáalooke community's health. This paper describes the origins and development of the trauma-informed components of the program. Using community stories and a literature review of trauma-informed interventions, partners co-developed culturally consonant trauma materials and activities grounded in community values and spirituality. Trauma-informed content was woven throughout three intervention gatherings and was the central focus of the gathering, Daasachchuchik ('Strong Heart'). Apsáalooke ancestors survived because of their cultural strengths and resilience; these cultural roots continue to be essential to healing from historical and current trauma.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Schure M,Allen S,Trottier C,McCormick A,Medicine LO,Castille D,Held Sdoi
10.1353/hpu.2020.0073subject
Has Abstractpub_date
2020-01-01 00:00:00pages
992-1006issue
2eissn
1049-2089issn
1548-6869pii
S154868692020037Xjournal_volume
31pub_type
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