Living Resilience August 7, 2013 John Molina, MD, JD President Molina Healthcare Consulting

Considerations Historical Perspective Native American Culture Western Culture Challenges Harmonizing cultures

Historical Trauma

Integration of Two Cultures

Historical Overview: Multi-Generational Trauma Great-Grandma Grandma Mother Daughter New Born/Child Identity Confusion Relocation Cultural Disconnect Physical Abuse Behavioral Health Issues arise Loss of Language Assimilation Neglect/ Abuse Loss of Parenting Loss of Traditions Loss of Kinship System Alcohol & Drug Abuse Co-Dependency Confusion Loss of Spirituality Loss of Identity ? ? ? Behavioral & Health Issues worsen ? Oppression Poor Nutrition Anger/Resentment towards Parents Risky Sexual Behaviors Suicidal Lack of Parenting Skills “Who am I?” “Where do I belong?” Stephanie Ohitika Win Big Crow, Oglala Lakota

6

Universal Principles Pride Spirituality Humility Bravery Generosity Fortitude Kinship Respect Hope Wisdom Stephanie Ohitika Win Big Crow, Oglala Lakota

1 Holistic Integrative Model Mental Emotional Spiritual Cycle of Life Physical

Western Culture Core Values Core Values Individualism Individualism Rights Rights Capitalism Capitalism Science and Technology Science and Technology Western Culture Global at:

OSTRACIZED RESENTMENTSCONFUSION MISUNDERSTANDING Challenges

Protective Factors Traditional Cultural and Spiritual Practices Community Family Extended interpersonal relationships Humor Annjeanette E. Belcourt-Dinloff, Resiliency and Risk in Native American Communities, 2006

Harmonizing Cultures Strengthen your spiritual connection Live universal principles Integrate the world into your cultural beliefs Be yourself... and be proud

Nadine Heckman Nelson Tribal Elder 2003 “The Elders said to the children, go children, go forward in this changing world, study, learn so that you can become, teachers, lawyers and one day even a chief. Help yourselves and your people, but always remember who you are and be proud.” “The Elders said to the children, go children, go forward in this changing world, study, learn so that you can become doctors, teachers, lawyers and one day even a chief. Help yourselves and your people, but always remember who you are and be proud.”

The Soul of The Indian: Charles Alexander Eastman (Ohiyesa) “ The religion of the Indian is the last thing about him that the man of another race will ever understand…silence, love and reverence.” ( ) ( )

An Indian’s Prayer O Father, Whose voice I hear in the winds and Whose breath gives life to the world, hear me. I am a man before you, one of your many children, I am small and weak. I need your strength and wisdom. Let me walk in beauty and Make my eyes ever behold the red and purple sunsets. Make my hands respect the things you have made, my ears sharp to hear your voice. Make me wise so that I may know the things You have taught my people The lessons you have hidden in every leaf and rock. I seek strength, Father, not to be superior to my brothers, But to able to fight my worst enemy, Myself. Make me ever ready to come to you with clean hands and straight eyes, So that when life fades as the fading sunset, My spirit may come to your without shame. Tom Whitecloud II, M.D. Chippewa ( )

Wopila mi’tiwahe’ John Molina, MD, JD (Yaqui/San Carlos Apache)