APA Expert Opinion

Ask a Psychiatrist: An APA expert answers common questions about the mental health of American Indian and Alaska Natives.

This month’s expert: Daniel Dickerson, D.O., chair of the APA Committee of American Indian, Alaska Native and Native Hawaiian Psychiatrists

1.) How are American Indian and Native Alaskan populations affected by mental health issues?

Behavioral health and substance abuse issues continue to be very prominent issues in American Indian and Native Alaskan populations. Our populations have the highest rates of suicide. More recently, methamphetamine use has increased significantly, which has created very challenging social issues.

2.) How do American Indian and Native Alaskan populations deal with mental illnesses? Do they seek out medical care or use traditional healing techniques?

American Indian and Native Alaskan populations utilize both westernized and traditional healing techniques. It is important to realize that both urban and rural American Indian and Native Alaskan populations highly value the use of traditional medicine. The integration of these two types of services in American Indian and Native Alaskan mental health clinics can help Native Americans fell more comfortable seeking mental health serivces.

3.) As an Alaskan Native, I would like to know if there are mental health professionals that specifically can help with and understand my needs?

Yes. There are many mental health providers that are highly valued by Native American communities. However, more providers who are of American Indian or Native Alaskan descent are needed. Although not absolutely necessary, individuals who are from the community are better able to understand the culture, history, and needs of patients. The most important thing is for you to seek the help you need.

4.) How do Native Americans and Alaskan Natives compare to other ethnic groups in mental health needs?

Native Americans continue to experience significant mental health disparities. Many barriers impede Native Americans from obtaining mental health care. These barriers include issues related to access to care, stigma and mistrust of treatment, and funding. We must be vigilant in advocating for a better mental health system for all people.

5.) Where can I get more information on American Indian and Native Alaskan health issues?

Many sources are available. The One Sky Center’s Web site offers the Native American community up-to-date information regarding mental health and substance abuse issues. The National Center for American Indian and Alaska Native Mental Health Research at the University of Colorado is another source of relevant information.

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