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Modified NCI-DSM IV “Telling the Story of our Client-Relatives”
Demographic InfoMen n=25 Women n=16 Number TX’s 2.1 0.6 Education 9.5 8 Married 12% 38% Divorced 41% 0% Two Spirit 0% 0% Widowed 0% 75% Major Family Problems 6% 25% No Family Support 82% 50% Good Family Support 18% 13% Employed (self-employed) 41% 38% not accurate Unemployed 47% 35% not accurate 80% likely
Cultural Preference Traditional Dine’ 29% 63% Big City Dine’ 12% 13% Both Trad. and City 59% 25% Dine’ language prefer. 12% 25% English Prefer 18% 13% Both Language 71% 63% Dine’ Practices 24% 13% Native American Church 6% 13% Christian Practice 41% 38% All Practices 41% 63% None 12% 0%
Modified NCI-DSM IV “Telling the Story of our Client-Relatives” page two
Axis I Mood Disorders Men Women
Depression 59% 88% Hopelessness 41% 88% Anxiety 18% 38% Fears (death, people, etc) 82% 25% PTSD 6% 63% Sleep Disorder 12% 25% Eating Disorder (confusion) 18% 0% Alcohol dependency 94% 100% Alcohol Abuse 6% 0% Dementia 29% 38% Cognitive Disorder 24% 50% Stress 59% 50% Chronic Fatigue 6% 38% Self-Esteem 88% 100% Axis I Traumas Childhood Abuse 18% 50% Adult Abuse 18% 100% Significant Grief 88% 100% Family Trauma 41% 63% Cultural Trauma 24% 13% Spiritual Trauma 12% 50% Witchcraft Trauma 41% 63%
Modified
NCI-DSM IV “Telling the Story of our Client-Relatives” page three
Axis II Personality and
Mental Disorders
Anti-social PD 0% 0% not accurate Dependent PD 0% 0% not accurate Axis III Medical Condition
This population has not been thoroughly “medically” diagnosed,
these self-reported symptoms are very understated.
Head Injury 59% 63% Seizures 18% 0% Diabetes 0% 13% not accurate Malnutrition 29% 25% Chronic pain 0% 0% not accurate Liver (no evaluation) 0% 0% not accurate High Blood Pressure 0% 0% not accurate Heart 0% 0% not accurate Hearing Problems 0% 0% not accurate Sexual Dysfunction 0% 0% not accurate Modified
NCI-DSM IV
“Telling the Story of our Client Relatives” Page four Axis IV
Psych/Social/Environment
No
real job
88%
63%
Poverty
88%
88%
No
Family Support
65%
100%
No
Primary Support
41%
13%
No
Housing
35%
63%
Lack
of Education
65%
88%
Legal
problems
0%
0% not accurate
Bad
Peer Influence
47%
63%
Marginal
health care
0%
0% not accurate
Environmental
Stressors
88%
75%
Cultural
Dissonance
24%
38%
Social
Hypocrisy
24%
25%
Warrior
Toughminded
47%
50%
No
Survival Concern
0%
13%
Institutional
Dependency
65%
25%
Drinking Patterns and
Dynamics
Steady 12% 38% Binge 82% 50% Drink to Black Out 65% 25% Medicator 100% 100% Ocean User 47% 38% Party Animal 0% 0% Street Grouper 12% 38% Loner 53% 38% $ from Plasma 0% 0% not accurate $ from Govt. 35% 13% $ from other people 59% 38% $ earned by self 18% 75% Modified
NCI-DSM IV “Telling the Story of the Client Relative” page five Axis IV
Global Assessment of Functioning
70 6% 0% 60 53% 50% 50 35% 50% 40 6% 0% 30 0% 0% 20 0% 0% Primary Causality of
Drinking (Summary)
Family Crises 59% 88% No Family 41% 75% Cultural Dissonance 24% 38% Personality Problems 0% 0% not accurate Medical Problems 12% 13% Mental Problems 35% 25% Spiritual Conflict 24% 50% Lack coping/social skills 64% 75% Nothing to loose 12% 0% not accurate Chronic Stress 4&% 63% Lack of self-worth 24% 13% Childhood Traumas 48% 50% Adult Traumas 18% 75% Significant Grief 88% 100% Institutionally Dependant 65% 13% Modified
NCI-DSM IV “Telling the Story of the Client Relative” page six Therapist’s Opinion of Relative Antagonistic 6% 0% Happy with situation 6% 0% Not quite but soon 76% 100% Treatment possible 47% 38% Native American Healing 53% 50% Family healing possb. 6% 0% Medical Intervention 0% 0% not accurate Mental Health 18% 50% Home Support 29% 25% Long term care 12% 0% Beyond Change 0% 0% not accurate Death Wish 18% 0% Likely grow out of it 25% 0%
Motivation
Motivated 56% 100% Sitting on fence 6% 0% not motivated but unhappy 24% 13% not motivated but happy 12% 0% Warrior Tough Minded 53% 63% Death Wish 18% 25% Nothing to Loose 0% 0% not accurate Has purpose or goals 100% 100% Family motivation & |