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Rural Health
Resources by Topic: Culture and cultural competency

Healing Tool - Pocket Guide for Addressing Behavioral Health Goals in Native Communities
Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Type: Document
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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CHWs At Work: Making a Difference for Oklahoma's Marshallese Community
Highlights an Oklahoma program that uses community health workers (CHWs) for outreach to the Marshallese community in a three-county area. Provides a brief history and overview of the Marshallese population and discusses the health concerns the CHWs address.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Critical Access Hospital in Oregon Uses Advisory Council and Trainings to Improve Cultural Competency
Features St. Charles Madras, a Critical Access Hospital in Oregon. Highlights how it improved care for American Indian and Latino patients by creating a Patient Family Advisory Council, implementing cultural competency trainings, and installing new artwork representing its community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Eat Healthy, Be Active Community Workshops Implemented with Rural Hispanic Women
Describes a pilot study investigating whether delivering Eat Healthy, Be Active (EHBA) workshops through promotoras is a practical and culturally relevant method for encouraging healthy lifestyle behaviors and reducing obesity among Hispanic women in rural areas of Washington state. Includes data and statistics, with information on changes in nutrition label literacy, food insecurity, health behaviors, and health status among participants.
Author(s): Janeth I. Sanchez, Katherine J. Briant, Samantha Wu-Georges, et al.
Citation: BMC Women's Health, 21(24)
Date: 01/2021
Type: Document
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Chickaloon Native Village Preserves Sovereignty and Culture for an Expansive Vision of Health
Highlights the work of the Chickaloon Native Village in Alaska, a recipient of the 2020-2021 Robert Wood Johnson Foundation Culture of Health Prize, to provide education and health services through a tribally owned school and various initiatives that support families and population health.
Date: 2021
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Lessons from the Fields: Farmworker Communities Confronting COVID-19
Describes the impact of COVID-19 on farmworker communities. Discusses barriers to preventive measures and healthcare, including lack of workplace prevention measures, testing and vaccines, and inadequate access to accurate and culturally appropriate information. Highlights cross-sector partnerships and best practices to support workers and their families during the pandemic.
Date: 2021
Type: Document
Sponsoring organization: Farmworker Justice Fund, Inc.
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Thunder Valley Forges a Pathway to Healing, Hope, and Liberation
Describes the Thunder Valley Community Development Corporation's efforts to implement Lakota-centric wellness, healing, and community development practices, for which they were awarded the 2020-2021 Robert Wood Johnson Foundation Culture of Health Prize.
Date: 2021
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Communication With American Indians and Alaska Natives About Cardiovascular Disease
Examines strategies for successfully conveying information about cardiovascular disease (CVD) to American Indians and Alaska Natives to reduce CVD morbidity and mortality among those populations. Features data and statistics on survey respondents' sources of information about CVD as well as their perception of CVD risk and perceived information sufficiency, with information broken down by location of residence, including reservations, rural areas or towns, and metropolitan areas.
Author(s): Amanda D. Boyd, Amber L. Fyfe-Johnson, Carolyn Noonan, Clemma Muller, Dedra Buchwald
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Models of Tribal Promising Practices: Tribal Opioid Overdose Prevention Care Coordination and Data Systems
Presents models of tribal care coordination promising practices that address opioid use disorder (OUD) in American Indian and Alaska Native (AI/AN) communities. Discusses barriers to treatment and the need for culturally competent healthcare for AI/AN persons with OUD.
Author(s): Maya Magarati, Raquel Aviles, Christina E. Oré, et al.
Date: 11/2020
Type: Document
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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