This review updates and extends Gone & Trimble's (2012) prior review of American Indian (AI) and Alaska Native (AN) mental health. First, it defines AI/AN populations in the USA, with an explanation of the importance of political citizenship in semisovereign Tribal Nations as primary for categorizing this population. Second, it presents an updated summary of what is known about AI/AN mental health, with careful notation of recurrent findings concerning community inequities in addiction, trauma, and suicide. Third, this article reviews key literature about AI/AN community mental health services appearing since 2010, including six randomized controlled trials of recognizable mental health treatments. Finally, it reimagines the AI/AN mental health enterprise in response to an “alter-Native psy-ence,” which recasts prevalent mental health conditions as postcolonial pathologies and harnesses postcolonial meaning-making through Indigenized therapeutic interventions. Ultimately, AI/AN Tribal Nations must determine for themselves how to adopt, adapt, integrate, or refuse specific mental health treatments and services for wider community benefit.

中文翻译：

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美国印第安人和阿拉斯加原住民的社区心理健康服务：调和循证实践和改变原住民心理


这篇评论更新并扩展了Gone & Trimble（2012年）对美洲印第安人（AI）和阿拉斯加原住民（AN）心理健康的先前评论。首先，它定义了美国的 AI/AN 人群，并解释了政治公民身份在半主权部落国家中的重要性，这是对这一人群进行分类的主要因素。其次，它对 AI/AN 心理健康的已知情况进行了更新总结，并仔细标注了有关社区在成瘾、创伤和自杀方面的不平等的反复发现。第三，本文回顾了自 2010 年以来出现的有关 AI/AN 社区心理健康服务的关键文献，包括六项公认的心理健康治疗的随机对照试验。最后，它重新构想了 AI/AN 心理健康事业，以回应“另一种本土心理”，将普遍的心理健康状况重新塑造为后殖民病态，并通过本土化治疗干预利用后殖民意义建构。最终，AI/AN 部落国家必须自己决定如何采用、适应、整合或拒绝特定的心理健康治疗和服务，以造福更广泛的社区。