3. Importance is placed on harmony with the environment Each person is seen as part of a larger system Elders and other community leaders are respected for their knowledge and wisdom

4. Children are the future and are to be protected and supported Helping others is more important than helping oneself. A community approach to healing is emphasized in most cases Prayer and traditions are important facets of life and are sacred and must be protected

15. A single event (a disaster, car accident, rape, suicide of a loved one Prolonged traumatic experiences (e.g., forced assimilation, historical events such as removal from homes and homelands Cumulative effects (high rates of and exposure to violence, such as domestic violence and community violence

16. Personal events that impact several generations (forced relocation – both in general and to boarding schools - massacres Youth suicides and multiple suicides Violent deaths (homicide, suicide, unintentional injuries) and accidents Multiple experiences of victimization

20. “American Indians and Alaskan Natives need proprietary behavioral health care” American Journal of Public Health Volume 94, Issue 1

21. Bonnie Duran, DrPH Margaret Sanders, PhD Betty Skipper, PhD Howard Waitzkin, MD, PhD Lorraine Halinka Malcoe, PhD Susan Paine, MPH Joel Yager, MD ”There is a need for culturally appropriate mental health treatments and preventive services”

23. Richard Martel (720) 985-5100 richard@sparrowhawkconsulting.org