Enduring Legacies Native Case Studies

Case Study

Systems of Care in Tribal Communities

Author:Amanda Cross-Hemmer


This case explores the complexity of serving Native American children with severe emotional disturbances (SED). Part I examines the prevalence of mental health problems in Native American children and adolescents and the availability of appropriate mental health services in American Indian communities. The movement toward a system of care model for treatment of SED, where fractured services are weaved together to more effectively serve children with serious mental health needs in resource-challenged environments, is also described. Part I tells the story of the development and implementation of the Circles of Care program, which allowed tribes and tribal organizations to create plans for culturally appropriate systems of care. In Part II, the case concludes with two fictional examples of what life is like for a family with a child experiencing a SED.

Updated: January 17, 2012