American Indian and Alaska Native (AI/AN) people experience trauma at disproportional rates compared to the general U.S. population. Despite highly supported evidence-based trauma treatments among majority groups, questions remain regarding whether they address culturally-based attitudes, values, and behaviors necessary to promote change and recovery within AI/AN communities. Minimal data exists on practitioner attitudes towards existing standards of care and areas for continued development. This study details the results of a national online survey of mental health practitioners (N = 103 providers) working with AI/AN trauma-impacted populations from a diverse range of clinical settings, theoretical orientations, and years of training through a mixed methods design. Results indicated that practitioner training characteristics (e.g., level of education, clinical experience, and confidence in using evidence-based practices) and cultural characteristics (e.g., ethnicity, identification with Western values) were significant predictors of evidence-based practice (EBP) attitudes. Additionally, overall attitudes toward EBPs were found to be a significant predictor of perceived need for culturally-informed EBPs, with 88% of practitioners reporting a lack of cultural sensitivity in current standards of care. These findings are presented within the context of efforts to increase the development of culturally-grounded models of healing for AI/AN communities and implications for clinical training, research, and dissemination of findings to help facilitate necessary policy change.
Knowlton, Charlie N. Ph.D. and Lafavor, Theresa Ph.D.
"Attitudes Toward Evidence-Based Practices for Trauma-Impacted American Indian/Alaska Native Populations: Does the Role of Culture Even Matter?,"
Journal of Indigenous Research: Vol. 9:
2021, Article 2.
Available at: https://digitalcommons.usu.edu/kicjir/vol9/iss2021/2