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)