Leveraging Culture to Address Health Inequalities: Examples from Native Communities is the summary of a workshop convened in November 2012 by the Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities of the Institute of Medicine. The workshop brought together more than 100 health care providers, policy makers, program administrators, researchers, and Native advocates to discuss the sizable health inequities affecting Native American, Alaska Native, First Nation, and Pacific Islander populations and the potential role of culture in helping to reduce those inequities. This report summarizes the presentations and discussion of the workshop and includes case studies that examine programs aimed at diabetes prevention and management and cancer prevention and treatment programs. In Native American tradition, the medicine wheel encompasses four different components of health: physical, emotional, mental, and spiritual. Health and well-being require balance within and among all four components. Thus, whether someone remains healthy depends as much on what happens around that person as on what happens within. Leveraging Culture to Address Health Inequalities addresses the broad role of culture in contributing to and ameliorating health inequities.

Since the passage of the Affordable Care Act, the field of population health has evolved and matured considerably. Improving quality and health outcomes along with lowering costs has become an ongoing focus in delivery of health care. The new Third Edition of Population Health reflects this focus and evolution in today's dynamic healthcare landscape by conveying the key concepts of population health management and examining strategies for creating a culture of health and wellness in the context of health care reform. Offering a comprehensive, forward-looking approach to population health, the Third Edition's streamlined organization features 14 chapters divided among 3 major sections: Part I – Population Health in the U.S.; Part 2 –The Population Health Ecosystem: and Part 3 – Creating Culture Change.

Empathy is essential to effectively engaging patients as partners in care. Clinicians’ empathy is increasingly understood as a professional competency, a mode and process of relating that can be learned and taught. Communication and empathy training are penetrating healthcare professions curricula as knowledge about the most effective modalities to train, maintain, and deepen empathy grows. This book draws on a wide range of contributors across many disciplines, and takes an evidence-based and longitudinal approach to clinical empathy education. It takes the reader on an engaging journey from understanding what empathy is (and how it can be measured), to approaches to empathy education informed by those understandings. It elaborates the benefits of embedding empathy training in graduate and post-graduate curricula and the importance of teaching empathy in accord with the clinician’s stage of professional development. Finally, it examines systemic perspectives on empathy and empathy education in the clinical setting, addressing issues such as equity, stigma, and law. Each section is full of the latest evidence-based research, including, notably, the advances that have been made over recent decades in the neurobiology of empathy. Perspectives among the interdisciplinary chapters include: Neurobiology of empathy Measuring empathy in healthcare Teaching clinicians about affect Teaching cultural humility: Understanding the core of others by reflecting on ours Empathy and implicit bias: Can empathy training improve equity? Teaching Empathy in Healthcare: Building a New Core Competency takes an innovative and comprehensive approach towards a developed understanding of empathy in the clinical context. This evidence-based book is set to become a classic text on the topic of empathy in healthcare settings, and will appeal to a broad readership of clinicians, educators, and researchers in clinical medicine, neuroscience, behavioral health, and the social sciences, leaders in educational and professional organizations, and anyone interested in the healthcare services they utilize.

This fully updated new edition of The Oxford Handbook of Infant, Toddler, and Preschool Mental Health Assessment remains the leading reference for those seeking to understand and assess mental health in infants and young children. Detailing the latest empirical research on measures and methods of infant and young child assessment and providing clinically applicable information for practitioners, this handbook takes a closer look at current developmentally based conceptualizations of mental health function and dysfunction in infants and young children as well as current and new diagnostic criteria in specific disorders such as sensory modulation dysfunction, autism spectrum disorders, affective disorders, and post-traumatic stress disorder. Presented in four sections, chapters correspond to four broad themes: contextual factors in early assessment; temperament and regulation in assessment of young children; early problems and disorders; and translation and varied applied settings for assessment. Each chapter presents state of the science information on valid, developmentally based clinical assessment and makes recommendations based on developmental theory, empirical findings, and clinical experience. Chapters have been added to this second edition covering family assessment, early care and educational environments, new approaches for distinguishing temperament from psychopathology, assessing language, and implementing second stage screening and referral. The volume recognizes and highlights the important role of developmental, social, and cultural contexts in approaching the challenge of assessing early problems and disorders. This new, updated volume will be an ideal resource for teachers, researchers, and a wide variety of clinicians and trainees including child psychologists and psychiatrists, early interventionists, and early special educators.

More than 2 million Americans below age 24 self-identify as being of American Indian or Alaska Native descent. Many of the serious behavioral, emotional, and physical health concerns facing young people today are especially prevalent with Native youth (e.g., depression, violence, and substance abuse). Adolescent Native Americans have death rates two to five times the rate of whites in the same age group because of higher levels of suicide and a variety of risky behaviors (e.g., drug and alcohol use, inconsistent school attendance). Violence, including intentional injuries, homicide, and suicide, accounts for three-quarters of deaths for Native American youth ages 12 to 20. Suicide is the second leading cause of deathâ€"and 2.5 times the national rateâ€"for Native youth ages 15 to 24. Arrayed against these health problems are vital cultural strengths on which Native Americans can draw. At a workshop held in 2012, by the National Academies of Sciences, Engineering, and Medicine, presenters described many of these strengths, including community traditions and beliefs, social support networks, close-knit families, and individual resilience. In May 2014, the Academies held a follow-up workshop titled Advancing Health Equity for Native American Youth. Participants discussed issues related to (1) the visibility of racial and ethnic disparities in health and health care as a national problem, (2) the development of programs and strategies by and for Native and Indigenous communities to reduce disparities and build resilience, and (3) the emergence of supporting Native expertise and leadership. This report summarizes the presentations and discussions from the workshop.

This book offers new insight into how individuals utilize resilience in the face of structural and social injustice. By drawing on qualitative research methods to foreground the voices of Holocaust survivors and Latinx immigrants to the United States, Critical Resilience and Thriving in Response to Systematic Oppression illustrates the role of cultural values, spirituality, and perseverance in the face of severe institutionalized oppression. Using this to extend current understandings of resilience, the text posits critical resilience as a response to embedded social inequalities and goes on to offer a nuanced reconceptualization of overcoming such hardship, not only as overcoming adversity but as recognizing strengths despite ongoing injustice. It synthesizes feminist and critical theories to elaborate on the framework of critical resilience and thriving. Highlighting the importance of qualitative research on the strengths and resources of oppressed groups, this volume will be of interest to students, scholars, and researchers with an interest in trauma studies, qualitative methods, and personal development, as well as in mental health research.

The definitive guide to CBPR concepts and practice, updated and expanded Community-Based Participatory Research for Health: Advancing Health and Social Equity provides a comprehensive reference for this rapidly growing field in participatory and community-engaged research. Hailed as effective by the Centers for Disease Control and Prevention, CBPR and CEnR represent the link between researchers and community and lead to improved public health outcomes. This book provides practitioner-focused guidance on CBPR and CEnR to help public health professionals, students, and practitioners from multiple other clinical, planning, education, social work, and social science fields to successfully work towards social and health equity. With a majority of new chapters, the book provides a thorough overview of CBPR history, theories of action and participatory research, emerging trends of knowledge democracy, and promising practices. Drawn from a ten-year research effort, this new material is organized around the CBPR Conceptual Model, illustrating the importance of social context, promising partnering practices, and the added value of community and other stakeholder engagement for intervention development and research design. Partnership evaluation, measures, and outcomes are highlighted, with a revised section on policy outcomes, including global health case studies. For the first time, this updated edition also includes access to the companion website, featuring lecture slides of conceptual and partnership evaluation-focused chapters, with resources from appendices to help bring CBPR concepts and practices directly into the classroom. Proven effective year after year, CBPR has become a critically important framework for public health, and this book provides clear reference for all aspects of the practice. Readers will: Examine the latest research on CPBR, and incorporate new insights into practice Understand the history and theoretical basis of CPBR, and why it has been so effective Reflect on critical issues of racism, power, and privilege; trust development; ethical practice within and beyond IRBs; and cultural humility Learn new partnership evaluation and collective reflection strategies, including measures and metrics, to enhance their own practice for improved health and social equity outcomes