Citation

Payne HE, Steele M, Bingham JL, Sloan CD. Adm. Policy Ment. Health 2018; 45(1): 5-14.

Affiliation

Department of Health Science, Brigham Young University, 2048 Life Sciences Building, Provo, UT, 84602, USA. chantel.sloan@byu.edu.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10488-016-0777-7

PMID

28144762

Abstract

The purpose of this paper was to investigate disparities in mental healthcare delivery in American Indian/Alaska Native populations from three perspectives: public health, legal policy and mental healthcare and provide evidence-based recommendations toward reducing those disparities. Data on mental health funding to tribes were obtained from the Substance Abuse and Mental Health Services Administration. As a result of analysis of these data, vital statistics and current literature, we propose three recommendations to reduce mental health disparities. First, where possible, increase mental health funding opportunities for federally-recognized tribes. Second, model funding practices on principles of tribal self-determination. Finally, support diverse interventions that are culturally-based and culturally-appropriate.

Language: en

Keywords

Depression; Disparities; Federal grants; SAMHSA; Suicide