Indian Country

Child Trauma Center



ICCTC Webinar Presentations

Childhood Trauma in Indian Country- American Indian and Alaska Native children are the recipients of exceptionally high levels of trauma and stress creating for many of these children an inability to manage trauma responses and being overwhelmed by trauma reminders. Post Traumatic Stress Disorder and other stress-related conditions have been recognized as contributing to the inability of children to function well in home or in school. This webinar will discuss the different kinds of traumas that children are exposed to and the reactions that may evolve.


The ACE (Adverse Childhood Experiences) Study and American Indians and Alaska Native Children - The Adverse Childhood Experiences Study findings suggest that certain experiences are major risk factors for the leading causes of poor mental health in adolescents and young adulthood, increase illnesses in adulthood and early death as well as poor quality of life. Progress in preventing and recovering from the nation's worst health and social problems is likely to benefit from understanding that many of these problems arise as a consequence of adverse childhood experiences. This webinar will present the ACES in comparing those specific conditions with American Indian and Alaska Native children.

ICCTC Publications

Honoring Children, Mending the Circle: Cultural Adaptation of Trauma-Focused Cognitive Behavioral Therapy for American Indian and Alaska Native Children by Dolores Subia BigFoot, PhD, and Susan R. Schmidt, PhD.

Adapting Evidence-Based Treatments for Use with American Indian and Native Alaskan Children and Youth by Dolores Subia BigFoot, PhD and Janie Braden. Page 19 of the Focal Point Research, Policy and Practice in Children's Mental Health newletter.

Honoring Children, Making Relatives: The Cultural Translation of Parent-Child Interaction Therapy for American Indian and Alaska Native Families by Dolores Subia BigFoot, PhD and Beverly W. Funderburk, PhD.

The State of Best Practices in Indian Country by Jami Bartgis, PhD, and Dolores Subia BigFoot, PhD, published in the Health Indian Country Initiative Promising Prevention Practices Guide, 2010.

Is a Structured, Manualized, Evidence-Based Treatment Protocol Culturally Competent and Equivalently Effective Among American Indian Parents in Child Welfare? by Mark Chaffin, PhD, David Bard, PhD, Dolores Subia BigFoot, PhD, and Erin J. Maher, PhD. Published in the Journal of Child Maltreatment, August, 2012.

The Interrelationship Between the Society of Indian Psychologists and Counseling Psychology by Jacqueline Gray, PhD, Paula Carter, PhD, Teresa LaFromboise, PhD, and Dolores Subia BigFoot, PhD. Published in the Counseling Psychologist, 2012.

Elements of Healing, a visual chart developed by Dolores Subia BigFoot, PhD.

Circle of Healing, by Dolores Subia BigFoot, PhD.


See new Trauma Factsheets for Parents from the Children's Bureau.


A Road Map for Collaborative and Effective Evaluation in Tribal Communities

Many Tribal communities feel the impact of intergenerational trauma as a result of the experiences of prior generations exposed to adverse and devastating events and conditions. Tribal communities can recount negative experiences that have created a distrust of research and evaluation. Evaluation activities have generally been imposed on Native communities by funding agencies that view evaluation from the dominant cultural paradigm. These approaches often failed to recognize the sovereignty of Tribes and to take advantage of long traditions of successful evaluation strategies that draw on indigenous practice. Research was often invasive and offered little benefit to the community. In some cases, research actually harmed and exploited Native culture and ignored community rights.

To address these challenges with respect to child welfare, the Children’s Bureau formed a workgroup comprising representatives from Tribal child welfare programs, evaluators, university researchers, technical assistance providers, and Federal program partners. The workgroup developed this Roadmap for Co-Creating Collaborative & Effective Evaluation To Improve Tribal Child Welfare Programs. This tool can be used to create a shared vision for the future of Tribal child welfare evaluation and provide a common language for Tribal communities and evaluators as they improve evaluation practice