The Circles of Care evaluation: doing participatory evaluation with American Indian and Alaska Native communities

Am Indian Alsk Native Ment Health Res. 2004 Aug 12;11(2):139-54. doi: 10.5820/aian.1102.2004.139.


Little information exists regarding mental health and special needs related to American Indian and Alaska Native (AI-AN) families. In this paper we emphasize the use of oral tradition during the Circles of Care initiative, which was essential in understanding cultural history and historical trauma of AI-ANs while giving a greater understanding of an AI-AN-based definition of severe emotional disturbance (SED). The success of these methods serves as a template for improving systems of care and may be useful in evaluation among a wide range of ethnic communities.

MeSH terms

  • Adolescent
  • Adult
  • Affective Symptoms / diagnosis
  • Affective Symptoms / psychology
  • Affective Symptoms / therapy
  • Community Health Services / organization & administration
  • Community Health Services / standards*
  • Cultural Characteristics
  • Delivery of Health Care / legislation & jurisprudence
  • Delivery of Health Care / organization & administration
  • Health Planning Support
  • Health Services Research / legislation & jurisprudence
  • Health Services Research / methods*
  • Health Services Research / organization & administration
  • Health Services, Indigenous / organization & administration
  • Humans
  • Indians, South American / statistics & numerical data*
  • Inuits / statistics & numerical data*
  • Terminology as Topic
  • United States