The document discusses issues related to counseling American Indian and Alaska Native populations. It covers their history of oppression, current demographics, cultural values, and challenges. Some key points are:
- American Indians faced massive population declines in the 18th-19th centuries due to war and disease and were forced onto reservations.
- They have high rates of poverty, low education levels, substance abuse, domestic violence, and suicide compared to other groups.
- Effective counseling considers their cultural strengths like spirituality, family, and connection to nature. It's important to understand acculturation levels and impacts of historical trauma.
- Counselors need culturally-appropriate techniques like using silence and working from a holistic, wellness