Professor of pharmaceutical sciences and administration as well as the director of Interprofessional Practice and Education at Concordia University Wisconsin in Mequon.
Licensed professional counselor in Shorewood, Wisconsin.
AMA J Ethics. 2021 Jun 1;23(6):E446-455. doi: 10.1001/amajethics.2021.446.
Addressing intergenerational trauma remains a public health priority in Native American (NA) communities. Clinicians working with NA patients must express humility, understand local culture, collaborate, and develop an insider's perspective on NA past and present life in order to earn trust. This case considers an NA adolescent suffering from mental distress, possible substance use, and multiple traumas. The commentary argues that trauma-informed therapies are lacking in some current psychiatric and primary care practices in the Indian Health Service and that an interprofessional, trauma-informed approach that considers the interplay between relevant somatic and psychological factors can better motivate patient-centered care. Cultivating safe environments in which interventions are pursued within the patient-clinician therapeutic alliance is key to generating optimal outcomes and healing among NA patients.
解决代际创伤仍然是美国原住民（NA）社区的公共卫生重点。与 NA 患者合作的临床医生必须表现出谦逊、了解当地文化、协作，并对 NA 的过去和现在的生活有内部人士的视角，以赢得信任。本案例考虑了一位患有精神困扰、可能有物质使用问题和多重创伤的 NA 青少年。评论认为，印第安卫生服务中心的一些当前精神病学和初级保健实践中缺乏创伤知情治疗，并且一种跨专业的、创伤知情的方法，考虑相关躯体和心理因素的相互作用，可以更好地激发以患者为中心的护理。在医患治疗联盟中，营造安全的环境以进行干预是产生 NA 患者最佳结果和康复的关键。
