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Course Article Questions The answer to Question 1 is found in Section 1 of the Course Content. The Answer to Question 2 is found in Section 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.


1. Suicide prevention efforts have focused on five targeted approaches:
2. The Office of Minority Health reports that AI/ANs experience higher rates than all races in the following areas:
3. What is Alaska Tribal Health System (ATHS)?
4. What is Traditional AI/AN healing systems?
5. What is Indian Nation?
6. How to ensure protection and exercise of tribal treaty and other federally recognized rights?
7. What is included in the Departmental consultation?
8. What does the Secretary of Energy do during the Annual Tribal Leaders Summit?
9. What are cultural differences between Alaska Native cultures and the dominant mainstream culture?
10. What are recommendations to improve current treatment programs?
11. What aspects of the whole person does the Medicine Wheel focus on?
12. What are approaches to moving beyond stereotypes in multicultural counseling?
13. What are the common approaches to multi-cultural training?
14. What are the cultural adaptation methods?
15. What are the factors that regulate the relationship between acculturation and stress?
16. According to Blair, what decreases in response to counterstereotypic mental imagery increasing the accessibility of counterstereotypic associations?
17. According to Walker and Staton, what is often incorporated in the literature on cultural diversity and multiculturalism and is equally difficult, if not impossible to objectively measure and cannot be "tested empirically?  
18. According to Nelson-Jones, what cultural counseling issues are grouped under reconciliation? 
19. According to Steenbarger, what is a cause of multicultural client complaints? 
20. What do clinicians need to be aware of and feel positive about to feel as comfortable as possible in cross-cultural work?


A. Serious psychological distress; feelings of sadness, hopelessness, and worthlessness; feelings of nervousness or restlessness; and suicide.
B. A voluntary affiliation of over 30 Tribes, Tribal organizations, and regional health corporations providing health services to AI/ANs in Alaska through a self-governance compact ($574 million in FY 2010) with IHS.
C. 1) assisting IHS, Tribal, and Urban Indian health programs and communities in addressing suicide utilizing community level cultural approaches; 2) identifying and sharing information on best and promising practices; 3) improving access to behavioral health services; 4) strengthening and enhancing the IHS‘ epidemiological capabilities; and 5) promoting collaboration between Tribal and Urban Indian communities with Federal, State, national, and local community agencies.
D. Any American Indian or Alaska Native Tribe, Band, Nation, Pueblo, or other organized group or community, including any Alaska Native village [as defined or established pursuant to the Alaska Native Claims Settlement Act (43 U.S.C. 1601 et seq.)], which is acknowledged by the Federal government to constitute a tribe with a government to government relationship with the United States and eligible for the programs, services, and other relationships established by the United States for indigenous peoples because of their status as American Indian and Alaska Native tribes, Bands, Nations, Pueblos or communities.
E. The prompt exchange of information regarding identification, evaluation and protection of cultural resources. To the extent allowed by law, consultation will defer to tribal policies on confidentiality and management of cultural resources.
F. The DOE will implement a proactive outreach effort of notice and consultation regarding current and proposed actions affecting tribes, including appropriate fiscal year budget matters.
G. Values, Communication, Cultural sanctions and restrictions, and Health related beliefs and practices.
H. engage tribal leaders in an annual dialogue, to discuss the Department’s implementation of the American Indian and Alaska Native Policy. The dialogue will provide an opportunity for tribal leaders to assess policy implementation, program delivery, and discuss outreach and communication efforts, and other issues.
I. Focus on balancing mind, body, and spirit within the community context. Many American Indian groups have long practiced a holistic approach to healing involving a sense of connectedness with place and land, and contrary to the Western approach, generally don’t try to isolate one part of the person and healing it, but rather look at the whole person.
J. Intercultural Versus Intracultural Differences, Transculturalism, and a Tridimensional Approach.
K. Full continuum of care that is culture-based as well as age and gender focused, more treatment slots available throughout the statem culturally-competent staff, and Institutions for Mental Diseases (IMD) waiver that allows the utilization of tribal Chemical Dependency (CD) facilities.
L. Assimilation, Integration, Alternation, Rejection, and Marginalization.
M. Spirituality, physical, mental/emotional, and social/cultural.
N. Mode, phase, nature of the subculture, characteristics of the adapting group, and characteristics of the individual.
O. Universal, Ubiquitous, Traditional, Race-Based.
P. their own ethnic and cultural identity.
Q. Automatic stereotypes 
R. The lack of fit between the minority client and the dominant culture.
S. The many issues of respecting indigenous populations, prizing their difference, dealing with their special counselling needs and yet working towards an accommodation between indigenous and settler populations
T. Ethnicity

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