Hecel Oyate Kin Nipi Kte -- So That The People May Live · and Tribal Managed Service Units, to provide health care to approximately 122,000 Native Americans located in North Dakota,

"Hecel Oyate Kin Nipi Kte -- So That The People May Live"

Protocols for collecting sensitive data from Native Americans

November 18, 2016

CURRENT HEALTH CARE SERVICES FOR GREAT PLAINS REGION

INDIAN HEALTH SERVICE (IHS)

• Cheyenne River Sioux Tribe

• Flandreau Santee Sioux Tribe

• Oglala Lakota Nation

• Spirit Lake Dakota Nation

• Mandan, Hidatsa and Arikara Nation

• Yankton Sioux Tribe

• Crow Creek Sioux Tribe

• Lower Brule Sioux Tribe

• Rosebud Sioux Tribe

• Sisseton-Wahpeton Sioux Tribe

• Standing Rock Sioux Tribe

• Turtle Mountain Band of Chippewa

The Great Plains Area Office in Aberdeen, South Dakota works in conjunction with its 19 Indian Health Service Units and Tribal Managed Service Units, to provide health care to approximately 122,000 Native Americans located in North

Dakota, South Dakota, Nebraska and Iowa. The Area Office’s service units include seven hospitals, eight health centers, and several smaller health stations and satellite clinics.

Tribes of North Dakota & South Dakota:

Great Plains Region

• Traditional medicine model: Important to understand holistic healing approach:

• Physical: Health, strength

• Emotional: Inner peace

• Mental: Self-concept, attitude

• Spiritual: balance and harmony

Traditional Values: Praying, Honesty, Generosity, Wisdom, Compassion, Respect, Humility

Protocols: Do’s and Don’ts

• Avoid Stereotyping

• Cultural issues; Spirituality – Belief system maybe traditional or Christian or mixture of both

• Language – May speak fluently or know some or none of the language

• Skin color – Dark skin (full-blood), lighter skin-color (half-mixed blood) may or may not know culture

• Healthcare – Prefer traditional healing ceremonies to Western medical practices or practice both

Strategy: Cultural Assessment for each client; basic questions regarding their cultural beliefs, values, lifestyle, etc.

Protocols Do’s and Don’ts Continued

• Religion and Spirituality

• Traditional Healing practices may include a medicine man/women, traditional ceremonies, traditional medicines

• Spiritual belief system: Traditional belief is tied to cultural awareness and practices on a daily basis.

• Bi-Cultural belief system is tied to both Traditional and Christian beliefs, values and lifestyle (ex. Ceremonies 1-2 times a year)

• Assimilated belief system is only with Christian belief or other

• Strategy – Don’t assume, when in doubt ask. (ex. Do you participate in traditional healing practices?)

Protocols Do’s and Don’ts Continued• Communication

Verbal: Rude to talk in a loud voice; Patients are listening even if they seem quiet or inattentive

Declarative statements work best when working with patients

Careful how use Positive or Negative (“Your test results were positive…”)

Non-Verbal Direct eye contact inappropriate (elders)

Need for personal space (ex. Interviewing, assessments)

Inappropriate to touch patient ( ex: Hair, hugs)

Pain management: Stoic disposition, won’t verbalize they’re in pain

Protocols-Continued

Assessments that have sensitive questions:

• Allow patient to read through questionnaire first to prepare to answer

• Ask if more comfortable with a family member or support person be with them. (ex. Language, belief system, values)

• Guide conversation: Adults; explain how and why collecting data and reassure patient will have access to the test results

• Youth: Confidentiality issues explain process for consent and release of information forms: (Exception birth control)

• Be confident and comfortable with asking the questions

Strategies

1. Take your time

2. Build rapport

3. Develop Trust

4. Incentives compliment cultural practices (gift cards, swag bags, snacks, water)

5. Be patient

6. Learn more about the culture in your area

Indian Health Service (IHS)

Tribal Health Programs

Urban Indian Health Programs

MedicineMen/Women

VeteransAdministration

HEALTH CARE

HEALTH CARE PROVIDERS FOR NATIVE AMERICAN POPULATIONS

QUESTION & ANSWERS

GREAT PLAINS TRIBAL CHAIRMEN’S HEALTH BOARD (GPTCHB)1770 Rand Road

Rapid City, SD 57702

Phone: 605.721.1922 ext. 111Toll Free: 1.800.745.3466

Fax: 605.721.1932Dee Le [email protected]

Email: [email protected]

Thank you