This review updates and extends Gone & Trimble's (2012) prior review of American Indian (AI) and Alaska Native (AN) mental health. First, it defines AI/AN populations in the USA, with an explanation of the importance of political citizenship in semisovereign Tribal Nations as primary for categorizing this population. Second, it presents an updated summary of what is known about AI/AN mental health, with careful notation of recurrent findings concerning community inequities in addiction, trauma, and suicide. Third, this article reviews key literature about AI/AN community mental health services appearing since 2010, including six randomized controlled trials of recognizable mental health treatments. Finally, it reimagines the AI/AN mental health enterprise in response to an “alter-Native psy-ence,” which recasts prevalent mental health conditions as postcolonial pathologies and harnesses postcolonial meaning-making through Indigenized therapeutic interventions. Ultimately, AI/AN Tribal Nations must determine for themselves how to adopt, adapt, integrate, or refuse specific mental health treatments and services for wider community benefit.

中文翻译：

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美洲印第安人和阿拉斯加原住民的社区心理健康服务：调和循证实践与另类原住民心理


这篇评论更新并扩展了 Gone & Trimble (2012) 先前对美洲印第安人 (AI) 和阿拉斯加原住民 (AN) 心理健康的评论。首先，它定义了美国的 AI/AN 人口，并解释了半主权部落国家中政治公民身份的重要性，作为对这一人口进行分类的主要因素。其次，它对人工智能/人工智能心理健康的已知情况进行了更新总结，并仔细记录了有关成瘾、创伤和自杀方面社区不平等的反复发现。第三，本文回顾了 2010 年以来出现的有关 AI/AN 社区心理健康服务的重要文献，包括六项公认的心理健康治疗的随机对照试验。最后，它重新构想了 AI/AN 心理健康事业，以应对“另类本土心理”，它将普遍的心理健康状况重塑为后殖民病理学，并通过本土化的治疗干预来利用后殖民的意义建构。最终，AI/AN 部落国家必须自行决定如何采用、适应、整合或拒绝特定的心理健康治疗和服务，以实现更广泛的社区利益。