“Chaotic soup of politics:” a Native American Indian mental health perspective

Through a grounded theory process, tribal politics emerged as a core theme from interviews with mental health providers (MHPs) and Native American Indian people experiencing persistent mental illness (PMI). Interviews were conducted over a four-year period with 13 Indian MHPs and administrators, and 18 persons experiencing PMI. Symbolic Interactionism was the informing framework. Findings indicate that reservation life promotes a high immersion in Eurocentric politics, which negatively affects the person with PMI in their maintenance of a healthy spirit balance. To be effective, MHPs need immersion in; the oneness of culture, spirituality, and politics of the community; knowledge of the tribal history; and communication with elders/spiritual leaders. This personal growth could facilitate provision of culturally responsive care needed for a client's navigation of intergovernmental regulations. MHPs should work for adequate funding policies of human service centers while supporting the establishment of indigenous governing practices through tribal sovereignty.     

Measuring Intrinsic Religiosity: scales for use in mental health studies in China – a research report

While Hoge Intrinsic Religiosity Scale and the Duke University Religion Index have gained popularity in the field of religion and mental health, it remains unknown whether these scales are optimal measures of religiosity in the Chinese culture. This study is to provide some evidence to support the use of the Chinese versions of Hoge Intrinsic Religiosity Scale and the Duke University Religion Index. The data were from a community-based sample of 1039 Chinese women, 18–34 years old, in rural China. Reliability tests were performed on the two religiosity scales. Internal consistency analysis showed excellent correlation coefficients for most of the items. In addition, factor analysis produced two factors for the Hoge Intrinsic Religiosity Scale, a result consistent with previous findings in the Western, predominantly Christian cultures and societies. Moreover, our findings showed statistically significant correlations between the two religiosity scales and mental health outcomes, even though the strength of correlation between the Hoge Intrinsic Religiosity Scale and mental health outcomes appeared to be stronger. In sum, this study suggests that both the Hoge Intrinsic Religiosity Scale and the Duke University Religion Index should be appropriate instruments for detecting and measuring religiosity in the Chinese context.