messaging: medicine wheel suicide prevention for native youth · for evidence-based practice. jp...
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Medicine Wheel Messaging: Suicide Prevention for Native Youth
LorenAshley Buford - Yamassee of FLProgram Manager, Wellness WarriorsUnited National Indian Tribal Youth Inc. [email protected]
Objectives
To better our understanding of how the traditional teachings in the medicine wheel relate to native youth risk and protective factors
To gain a better understanding of effective suicide prevention messaging
Examine examples of Native Youth Suicide Prevention Campaigns and how they relate to medicine wheel values
Medicine Wheel
7 DirectionsUNITY Fire
Traditional Approaches to Mental Health and Balanced Wellness
Goal: BalanceI AM A WELLNESS WARRIOR
www.unityinc.org
Safe & Effective Messaging for Native Youth Suicide Prevention
Safe and Effective Messaging Guidelines The Do’s
● Help-seeking:● Where to Find Help ● Prevention:● Warning Signs ● Risk Factors ● Protective Factors ● Treatment Options
The Don’ts
● Glorify Suicide ● Normalize Suicide ● Events A Result of Stress● Suicide being Inexplicable ● Details of Suicide, Details of
Victims or Methods
Safe and Effective Messaging for Suicide Prevention Suicide Prevention
Resource Center (SPRC)
Risk Factors
● Mental Illness ● Alcohol and/or Substance
Abuse ● History of trauma or abuse ● Family history of suicide ● Previous attempt● Feelings of hopelessness ● Major physical illnesses
•Impulsive or aggressive tendencies •Isolation or lack of social support •Easy access to lethal means •Exposure to suicide/clusters •Barriers to mental health treatment •Loss (Job, Financial, Relational, Social) •Stigma associated with help seeking •Certain cultural and religious beliefs
Arizona Suicide Prevention Coalition, Inc.
Protective Factors
● Effective clinical care for mental, physical and substance use disorders ● Easy access to a variety of clinical interventions and support for help
seeking ● Restricted access to highly lethal means of suicide● Strong connections to family and community support ● Support through ongoing medical and mental health care relationships ● Skills in problem solving, conflict resolution and nonviolent handling of
disputes ● Cultural and religious beliefs that discourage suicide and support self
preservation
Arizona Suicide Prevention Coalition, Inc.
Belonging
Belonging
https://www.samhsa.gov/sites/default/files/gona-goan-curriculum-facilitator-guide.pdf
Belonging on the Medicine Wheel represents infancy and childhood, a time when we need to know “how we belong”
“Call it a clan, call it a network, call it a tribe, call it a family…whatever you call it, whoever you are, you need one.” Jane Howard (1935–1996) American writer and educator
Belonging
Six Phases of Historical Unresolved Grief – Dr. Maria Yellow Horse Braveheart
Boarding School Period 1870s-1934
• Destroyed family system
• “Kill the Indian Save the Man”• Outlaw of their cultures
Belonging
What does Prevention Science say about Belonging?
Connectedness and suicide prevention in adolescents: Pathways and implicationsJ Whitlock, PA Wyman, SR Moore - Suicide and life-threatening …, 2014 - Wiley Online Library
Need for belonging, relationship satisfaction, loneliness, and life satisfactionD Mellor, M Stokes, L Firth, Y Hayashi… - Personality and individual …, 2008 - Elsevier
Resilience among men farmers: the protective roles of social support and sense of belonging in the depression-suicidal ideation relationS McLaren, C Challis - Death Studies, 2009 - Taylor & Francis
Social relationships as predictors of depression and suicidal ideation in older adults
RK Vanderhorst, S McLaren - Aging & mental health, 2005 - Taylor & Francis
Belonging
REFLECTION - Next Steps
What Risk Factors Could be Associated with a lack of belonging?
What Protective Factors Could be liked to a Strong Connection to Belonging?
What Are Current Examples of Belonging in Native American still practiced today?
UNITY #IWillLiveLife Connections
BELONGING
https://unityinc.org/i-will-live/
UNITY #IWillLiveLife Connections
BELONGING
https://unityinc.org/i-will-live/
Mastery
Mastery
https://www.samhsa.gov/sites/default/files/gona-goan-curriculum-facilitator-guide.pdf
Mastery of and dealing with what holds us back
Part of grieving cycle A Time and Season for everything
“Trauma is a tree with many roots.”
Dolores Subia BigFoot, Ph.D.
Mastery
Six Phases of Historical Unresolved Grief – Dr. Maria Yellow Horse Braveheart
Removal, Relocation & Reservations1820s-1870s
● Horrific violence forced removal● Land as sacred “place based
identity”● Wards of federal government as
“domestic dependent nations”● Reservations then and now
What does the past have to do with me?
Great-Grandma
Grandma
Mother
Daughter
Newborn/Child
Boarding Schools
Relocation
Assimilation
Loss of Traditions
Loss of Language
Sexual AbuseAlcoholism
Diabetes
Domestic Violence
Identity Confusion
Drug Use
Child Abuse/Neglect
Confusion?Confusion?
Confusion?
Confusion?
Confusion?
Confusion?
? ??
??
Mastery
What does Prevention Science say about Mastery?
Identity formation and cultural resilience in Aboriginal communitiesCE Lalonde - Promoting resilience in child welfare, 2006 - books.google.com
Resilience and indigenous spirituality: A literature reviewJ Fleming, RJ Ledogar - Pimatisiwin, 2008 - ncbi.nlm.nih.gov
Low resilience in suicide attemptersA Roy, M Sarchiapone, V Carli - Archives of Suicide Research, 2007 - Taylor & Francis
Resilience as positive coping appraisals: Testing the schematic appraisals model of suicide (SAMS)
J Johnson, PA Gooding, AM Wood, N Tarrier - Behaviour Research and …, 2010 - ElsevierAssociations between attempted suicide, violent life events, depressive symptoms, and resilience in adolescents and young adultsL Nrugham, A Holen, AM Sund - The Journal of nervous and …, 2010 - journals.lww.com
MASTERY
REFLECTION - Next Steps
What Risk Factors Could be Associated with a lack of Mastery?
What Protective Factors Could be liked to a Strong Connection to Mastery?
What Are Current Examples of Mastery in Native American still practiced today?
#WarriorSpiritWe Shall Remain
MASTERY
Much like fire, this pain can either be devastatingly destructive or wisely harnessed to become fuel that helps us to rise up and move forward in life with joy, purpose and dignity.
Youtube: The StyleHorse Collectivehttps://youtu.be/Gs0iwY6YjSk
Interdependence
Interdependence
https://www.samhsa.gov/sites/default/files/gona-goan-curriculum-facilitator-guide.pdf
Even when people are strong and committed
to healing themselves and others, it is no
match for the power of the community.
“Humankind has not woven the web of life.
We are but one thread within it.
Whatever we do to the web,
we do to ourselves.
All things are bound together.
All things connect.” Chief Seattle, 1854
Interdependence
Six Phases of Historical Unresolved Grief – Dr. Maria Yellow Horse Braveheart
TERMINATION & RELOCATION II1945-1961
Over 100 tribes seen to be “civilized enough”
not to be considered a tribe anymore.
Relocates over 100,000 Native people to
urban areas away from reservations to
supposed job training and placement
programs; reservation poverty deepens
Pan-Indian identity and activist movement
Interdependence
What does Prevention Science say about Interdependence?
Poor social integration and suicide: fact or artifact? A case-control studyPR Duberstein, Y Conwell, KR Conner… - Psychological …, 2004 - cambridge.org
Inupiat youth suicide and culture loss: Changing community conversations for prevention
LM Wexler - Social Science & Medicine, 2006 - Elsevier
American Indians and suicide: A neglected area of researchLM Olson, S Wahab - Trauma, Violence, & Abuse, 2006 - journals.sagepub.com
Interdependence
REFLECTION - Next Steps
What Risk Factors Could be Associated with a lack of Interdependence?
What Protective Factors Could be liked to a Strong Connection to Interdependence?
What Are Current Examples of Interdependence in Native American still practiced today?
#Community#Family #Thrive
INTERDEPENDENCE https://www.sprc.org/resources-programs/thrive-media-campaign-suicide-prevention-materials
Generosity
Generosity
https://www.samhsa.gov/sites/default/files/gona-goan-curriculum-facilitator-guide.pdf
Recognize as one of the highest values of many AI/AN cultures the importance of giving back to others and to the community
Recognize the many resources residing within the community that contribute to the overall wellness of the community.
“If we bring a basket of food and share it, together we have a feast.” Maori saying
Generosity
Six Phases of Historical Unresolved Grief – Dr. Maria Yellow Horse Braveheart
ALLOTMENT Era 1870s-1934
Through “checkerboard” land reform (Dawes
Act), forced reeducation, outlaw of their
cultures; results in widespread poverty, loss
of lands/resources, abuse and neglect
Potlatch Ceremony or GiveAways
Self-Determination Period (1960s-Present)
● Indian Civil Rights Act of 1968
● Indian Self-Determination and
Education Assistance Act of 1975
● Indian Child Welfare Act of 1978
Generosity
What does Prevention Science say about Generosity?
… a job was viewed as an important way to contribute to the family and community and validate the sense of self-worth
Healing fractured families: Parents' and elders' perspectives on the impact of colonization and youth suicide prevention in a Pacific Northwest American Indian tribeCJ Strickland, E Walsh… - Journal of Transcultural …, 2006 - journals.sagepub.com
GENEROSITY
REFLECTION - Next Steps
What Risk Factors Could be Associated with a lack of Generosity?
What Protective Factors Could be liked to a Strong Connection to Generosity?
What Are Current Examples of Generosity in Native American still practiced today?
#WeNeedYouHere#WeRNative
GENEROSITY
https://www.wernative.org/
REFLECTION
Belonging, Mastery, Independence, & Generosity
In what ways can your community improve their prevention messaging?
What examples of the Medicine Wheel teachings resonated with you most?
What other examples of Native youth Suicide Prevention or Awareness Campaigns have you seen?
QUESTIONS? COMMENTS
References & Suggested ReadingsExamining two facets of American Indian identity: Exposure to other cultures and the influence of historical trauma
HN Weaver, MYHB Heartz - Journal of Human Behavior in the …, 1999 - Taylor & Francis
The American Indian holocaust: Healing historical unresolved grief
MYHB Heart, LM DeBruyn - American Indian and Alaska …, 1998 - search.proquest.com
So she may walk in balance: Integrating the impact of historical trauma in the treatment of Native American Indian women.
M Braveheart-Jordan, L DeBruyn - 1995 - psycnet.apa.org
Historical trauma in American Indian/Native Alaska communities: A multilevel framework for exploring impacts on individuals, families, and communities
T Evans-Campbell - Journal of interpersonal violence, 2008 - journals.sagepub.comA college suicide prevention model for American Indian students.
JJ Muehlenkamp, S Marrone, JS Gray… - … : Research and Practice, 2009 - psycnet.apa.org
A community-based treatment for Native American historical trauma: Prospects for evidence-based practice.
JP Gone - 2013 - psycnet.apa.org
Culturally responsive suicide prevention in indigenous communities: Unexamined assumptions and new possibilities
LM Wexler, JP Gone - American Journal of Public Health, 2012 - ajph.aphapublications.org
Advancing prevention research on the role of culture in suicide prevention
S Joe, SS Canetto, D Romer - Suicide and Life-Threatening …, 2008 - Wiley Online Library
Healing fractured families: Parents' and elders' perspectives on the impact of colonization and youth suicide prevention in a Pacific Northwest American Indian tribe
CJ Strickland, E Walsh… - Journal of Transcultural …, 2006 - journals.sagepub.com
References & Suggested ReadingsSuicide prevention in Aboriginal communities: application of community gatekeeper training
K Capp, FP Deane, G Lambert - Australian and New Zealand …, 2001 - Wiley Online Library
Historical trauma among indigenous peoples of the Americas: Concepts, research, and clinical considerations
MYH Brave Heart, J Chase, J Elkins… - Journal of psychoactive …, 2011 - Taylor & FrancisThe historical trauma response among natives and its relationship with substance abuse: A Lakota illustration
MYHB Heart - Journal of psychoactive drugs, 2003 - Taylor & FrancisA conceptual model of historical trauma: Implications for public health practice and research
M Sotero - 2006 - papers.ssrn.com
Struggling against suicide: The need for an integrative approach.
D De Leo - Crisis: The Journal of Crisis Intervention and Suicide …, 2002 - psycnet.apa.org
Suicide prevention and social capital: A Samoan perspective
RR Stewart-Withers, AP O'Brien - Health Sociology Review, 2006 - Taylor & FrancisSuicide survivors and the suicidology academe: Reconciliation and reciprocity
J Cutcliffe, PB Ball - Crisis, 2009 - econtent.hogrefe.comStress buffering effects of social support on depressive symptoms in middle age: Reciprocity and community mental health
T Takizawa, T Kondo, S Sakihara… - Psychiatry and …, 2006 - Wiley Online LibraryCultural and cognitive considerations in the prevention of American Indian adolescent suicide
TD LaFromboise, DS Bigfoot - Journal of Adolescence, 1988 - Elsevier
Working in the midst of ideological and cultural differences: Critically reflecting on youth suicide prevention in Indigenous communities
J White - Canadian Journal of Counselling, 2007 - search.proquest.com
Linear Timeline of Six Federal Indian Policy Eras for Reference
1776-1810s
EARLY INDIAN & US RELATIONS
Commerce Clause added to the U.S. Constitution (1789)
U.S. government treats some Indians as sovereign nations establishes federal jurisdiction in dealings with Indian people
Removal, Relocation & Reservations
◻ Horrific violence forced removal
◻ Land as sacred “place based identity”
◻ Wards of federal government as “domestic dependent nations”
◻ Reservations then and now
1820s-1870s
1870s-1934ALLOTMENT and ASSIMILATION
Cultural GenocideLarge-scale attempts are made to dismantle tribes and assimilate Indian people into the “mainstream”through land reform (Dawes Act), forced reeducation, outlaw of their cultures; results in widespread poverty, loss of lands/resources, abuse and neglectBoarding Schools: “Kill the Indian: Save the Man”
Reform and Reorganization 1920s-1945
◻ Indian Citizenship (1924)
◻ Miriam Report (1928) ⬜ Poverty recognized ⬜ Health disparities
◻ Indian Reorganization Act (1934)⬜ Western style constitutional forms of
government
1945-1961 TERMINATION & RELOCATION
Over 100 tribes seen to be “civilized enough” not to be considered a tribe anymore.
Relocates over 100,000 Native people to urban areas away from reservations to supposed job training and placement programs; reservation poverty deepens
Pan-Indian identity and activist movement
Self-Determination Period (1960s-Present)
◻ Indian Civil Rights Act of 1968
◻ Indian Self-Determination and Education Assistance Act of 1975
◻ Indian Child Welfare Act of 1978
◻ National Congress of American Indians
◻ Tribal Policy ◻ Government to
Government Relationships