Indigenous individual communities experience significant health and mental health challenges, but are also capable of incredible resilience. Meanwhile, many indigenous people live in urban centers, rather than on reservations, making it important that psychiatrists are equipped to provide culturally competent care to this population. This module will review historical perspectives of Indigenous peoples, identify common diagnoses, and walk the learner through the cultural formulation, indigenous and non-indigenous interventions, and potential sources of strength resilience. Finally, the learner will apply the concepts through a case study using cultural formulation as a framework.

Educational Objectives

• Explain the historical framework and trauma which contextualizes the treatment of many Indigenous patients
• Identify common diagnoses which affect indigenous patients
• Apply the Cultural Formulation and traditional interventions to treat Indigenous patients, when appropriate

Target Audience

Psychiatrists

Estimated Time to Complete

Estimated Duration: 1 hour
Start Date: June 30, 2016
Review Date: June 30, 2019
End Date: June 30, 2022

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit ™ or a certificate of participation may do so by completing all sections of the course. A multiple choice quiz is provided based on the content. A passing score of 60% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the date of completion and hours earned.

Continuing Education Credit

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.  The APA designates this enduring CME activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Presenters

• Puneet Sahota, M.D., PhD, Resident Physician, Department of Psychiatry, Hospital of the University of Pennsylvania. Reports no financial relationships with commercial interests.
• Daniel Dickerson, M.D., MPH, Assistant Research Psychiatrist, UCLA, Integrated Substance Abuse Programs. Disclosures: Grant/Research: National Institute on Alcohol Abuse and Alcoholism.
• Edward Joseph Neidhardt, M.D., American Board of Integrative Holistic Medicine. Reports no financial relationships with commercial interests.
• Linda B. Nahulu, M.D., University of Hawaii. Reports no financial relationships with commercial interests.

Program Planners

• Mary Hasbah Roessel, M.D., APA Council on Minority Health and Mental Health Disparities, APA Assembly Deputy Representative in the American Indian, Alaska Native and Native Hawaiian Caucus. Reports no financial relationships with commercial interests.
• Ranna Parekh, M.D., Director, Division of Diversity and Health Equity, American Psychiatric Association. Reports no financial relationships with commercial interests
• Stephanie Auditore, Director, Member Product Development and Engagement. Reports no financial relationships with commercial interests.
• Sejal Patel, Program Manager, American Psychiatric Association. Reports no financial relationships with commercial interests.

Program Reviewers

• Mary Hasbah Roessel, M.D., APA Council on Minority Health and Mental Health Disparities, APA Assembly Deputy Representative in the American Indian, Alaska Native and Native Hawaiian Caucus. Reports no financial relationships with commercial interests.
• Sejal Patel, Program Manager, American Psychiatric Association. Reports no financial relationships with commercial interests.

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Technical Requirements

This internet-based CME activity is best experienced using any of the following:

• The latest and 2nd latest public versions of Google Chrome, Mozilla Firefox, or Safari
• Internet Explorer 11+

This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat Reader, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration:

• Browser: Google Chrome (latest and 2nd latest version), Safari (latest and 2nd latest version), Internet Explorer 11.0+, Firefox (latest and 2nd latest version), or Microsoft Edge (latest and 2nd latest version)
• Operating System: Windows versions 8.1+, Mac OS X 10.5 (Leopard) +, Android (latest and 2nd latest version), or iOS/iPad OS (latest and 2nd latest version)
• Internet Connection: 1 Mbps or higher

Minimum Requirements:

• Windows PC: Windows 8.1 or higher; 1 GB (for 32-bit)/2 GB (for 64-bit) or higher RAM; Microsoft DirectX 9 graphics device with WDDM driver; audio playback with speakers for programs with video content
• Macintosh: Mac OS X 10.5 or higher with latest updates installed; Intel, PowerPC G5, or PowerPC G4 (867MHz or faster) processor; 512 MB or higher RAM; audio playback with speakers for programs with video content

For assistance: Contact educme@psych.org for questions about this activity | Contact learningcenter@psych.org for technical assistance