1. Cultural Competency in Training and Workforce Development Working with the Native American/American Indian Population Jan Wrolstad, M.Div., Associate Director Mid-America ATTC

2. The Obvious “Not about us without us.”—NAMI
Symbols and words have different meanings
Tribes: different language, dress, practices, culture
Some tribes require members to be enrolled or registered
High regard for elders and veterans
Skeptical of research, best practices, surveys, forms

3. The Not-So-Obvious
Inadequate inclusion of American Indians in study samples
Lack of analyses on impact of ethnic, linguistic or cultural factors in using best practices
Best practices not tested with American Indians may not work
Limited resources devoted to research on culturally specific practices and thus there is an absence of culturally relevant treatment outcomes
Sometimes it is the unspoken messages received from American Indians that are most important to pay attention to

4. Levels of Acculturation
Traditional –retain native language and place high priority on tribal ceremonial and cultural practices
Bi-cultural—some knowledge of tribal language and participate in tribal practices and modern activities
Cultural multiplicity—integrated into and practice tribal culture and ceremonies and value and participate in modern activities
Contemporary—no knowledge of tribal language; no desire to participate in tribal culture
Credit to: Gene Thin Elk, Lakota Sioux Medicine Man

5. Areas and Levels of Acculturation
Traditional T
Mental
Emotional TT
Cultural Multiplicity
Bi-cultural
Spiritual
Physical
Contemporary
Credit to: Gene Thin Elk, Lakota Sioux Medicine Man

6. Two strategies to utilize in training health care providers who work with American Indians:
Contract with an American Indian to conduct the training
Providers need to become aware of and comfortable with American Indian communication styles

7. Three approaches for developing culturally competent trainings and resources:
Develop relationships with key American Indian stakeholders
Become aware of and comfortable with American Indian communication styles
Keep in mind you are providing TA in creating something that they need to feel is their own

8. Questions?
Jan Wrolstad, M.Div. Associate Director Mid-America ATTC