Behavioral health services in Urban American Indian Health Programs: Results from six site visits

Author:

Pomerville Andrew1,Wilbur Rachel E.2ORCID,Pham Tony V3,King Cheryl A.4ORCID,Gone Joseph P.25ORCID

Affiliation:

1. Department of Psychology University of Michigan Ann Arbor Michigan USA

2. Department of Global Health and Social Medicine Harvard Medical School Boston Massachusetts USA

3. Department of Psychiatry Massachusetts General Hospital Boston Massachusetts USA

4. Department of Psychiatry University of Michigan Medical School Ann Arbor Michigan USA

5. Department of Anthropology Harvard University Cambridge Massachusetts USA

Abstract

AbstractThis study explores behavioral health services for American Indians and Alaska Natives (AIANs) at six Urban Indian Health Programs (UIHPs). Interviews and focus groups with clinicians and staff inquired about behavioral health treatment available, service needs, client population, and financial and staffing challenges. Resulting site profiles were created based on focused coding and integrative memoing of site visit field notes and respondent transcripts. These six UIHPs evidenced diversity across multiple facets of service delivery even as they were united in their missions to provide accessible and effective behavioral health treatment to urban AIAN clients. Primary challenges to service provision included heterogenous client populations, low insurance coverage, limited provider knowledge, lack of resources, and incorporation of traditional healing. Collaborative research with UIHPs harbors the potential to recognize challenges, identify solutions, and share best practices across this crucial network of health care sites for improving urban AIAN well‐being.

Funder

John Simon Guggenheim Memorial Foundation

Publisher

Wiley

Subject

Social Psychology

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