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Modified NCI-DSM IV

 

“Telling the Story of our Client-Relatives

                                               

 

Demographic Info       

                   Men  n=25              Women n=16

  Age                                          44.8                                                44.4

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                         &