This study described trauma-informed care at a rural Indian health clinic where clients are impacted by historical trauma. Qualitative data were gathered through convenience sampling from a client focus group and staff key informant interviews. The total sample size of 11 consisted of 7 Native clients, 2 Native staff members, and 2 non-Native staff members.
Client themes identified were: stolen identity, smoldering ashes; internalized colonization and shame; reconnection, community, and cultural reawakening; the Indian health clinic as home; and community is medicine. Staff themes identified were: bearing witness to the legacy of trauma; right amount, right time; relationship-based care; a safe container; empowerment through choice; walking the battlefield and the soul wound; and culture is intervention.
Future research recommendations include a quantitative study of the effects of trauma-informed interventions for historical trauma. Implications for practice include highlighting the importance of culturally-based interventions. Trauma-informed treatment for this population should focus on both historical and intergenerational trauma. Policy changes in Indian health funding and service delivery are also indicated.
|Commitee:||Wilson, Steve, Pasztor, Eileen Mayers|
|School:||California State University, Long Beach|
|Department:||Social Work, School of|
|School Location:||United States -- California|
|Source:||MAI 81/1(E), Masters Abstracts International|
|Subjects:||Social work, Public health|
|Keywords:||Rural Indian health clinic, Historical trauma, Trauma-informed treatment|
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