Clinical Domains

Ethnogeriatric Assessment Domains: Client Background

(See Cohort Analysis in previous section)

World view, life experience, and current status are affected by:

  • Geographic location of birth (on-reservation, off-reservation, urban)
  • Childhood experience
  • Boarding school experience
  • Tribal affiliation
  • Exposure to traditional Indian beliefs and practices
  • Level of acculturation
  • Inter-Tribal marriages
  • Military service
  • Specific land issues of Tribe/Nation with US Government
  • Treaty issues
  • Status of health care benefits (IHS, Tribal contract/compact, Medicare, Medicaid, HMO)