Disparities in Functional Outcomes during Inpatient Rehabilitation between American Indian/Alaska Native and White Children

2016 ◽  
Vol 27 (3) ◽  
pp. 1080-1096 ◽  
Author(s):  
Molly M. Fuentes ◽  
Kristie Bjornson ◽  
Ana Christensen ◽  
Rachel Harmon ◽  
Susan D. Apkon
PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S169-S169
Author(s):  
Molly Fuentes ◽  
Rachel Harmon ◽  
Kristie Bjornson ◽  
Ana Christensen ◽  
Susan Apkon

2021 ◽  
Author(s):  
Frank Edwards ◽  
Theresa Rocha Beardall

American Indian and Alaska Native children are separated from their families by state child welfare agencies at exceptionally high rates. This study connects contemporary trends in Native family separation to histories of Indian child removal, and provides insights into the geographies and institutional sites where inequalities emerge. We find that the total number of AIAN children in foster care or adoptive homes in states with large Native populations has increased since the passage of the Indian Child Welfare Act (1978). We find that risks of child welfare system contact are highest for AIAN infants, and that risk is highly variable across states. Our estimates show that in high risk states at 2014 - 2018 levels of risk, more than half of AIAN children will ever be investigated by a child welfare agency, more than one in five will experience a substantiated maltreatment case, and more than one in five will ever enter foster care. We further find that child welfare agency case processing exacerbates inequality. AIAN children are more likely than white children to enter foster care, conditional on experiencing a substantiated maltreatment case, than are white children. These exceptionally high levels of risk indicate that the crisis of Indian family separation is ongoing. For AIAN children in states like Minnesota, Alaska, South Dakota, North Dakota, and Oklahoma, contact with the child welfare system is a routine part of growing up.


2017 ◽  
Vol 2 (14) ◽  
pp. 29-40 ◽  
Author(s):  
Christine Vining ◽  
Edgarita Long ◽  
Ella Inglebret ◽  
Megan Brendal

The overrepresentation of American Indian and Alaska Native (AI/AN) children in special education, including children who are dual language learners (DLLs), is a major concern. Speech-language pathologists (SLPs) can play a critical role in reducing this overrepresentation. Using a holistic assessment process that is responsive to the communication patterns of home and community contexts provides a framework for distinguishing actual language disorders from differences associated with cultural and linguistic diversity. This article presents current trends in Native communities that may impact the speech-language assessment process, including a shift from indigenous languages to English and/or Native language revitalization efforts. It also provides a framework for guiding assessment in a manner that considers cultural and linguistic factors in speech-language assessment for AI/AN children who are DLLs.


2010 ◽  
Vol 1 (S) ◽  
pp. 53-67 ◽  
Author(s):  
Keren Lehavot ◽  
Karina L. Walters ◽  
Jane M. Simoni

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