Am Indian Alsk Native Ment Health Res. 2004 Aug 12;11(2):139-54.

The Circles of Care evaluation: doing participatory evaluation with American Indian and Alaska Native communities.

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Tri Ethnic Center for Prevention Research, Colorado State University, Ft. Collins 80523, USA. pjthurman@aol.com

Abstract

Little information exists regarding mental health and special needs related to American Indian and Alaska Native (AI-AN) families. In this paper we emphasize the use of oral tradition during the Circles of Care initiative, which was essential in understanding cultural history and historical trauma of AI-ANs while giving a greater understanding of an AI-AN-based definition of severe emotional disturbance (SED). The success of these methods serves as a template for improving systems of care and may be useful in evaluation among a wide range of ethnic communities.

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