Disaster Response for Native Americans Complicated by History, Money
Poor disaster preparedness, a lack of resources for rebuilding, and a legacy of “collective grief” make disaster recovery especially difficult for American Indians.
That was the message delivered by Marilyn Shigetani, M.A., M.P.H., to attendees at a session on the cultural aspects of disaster mental health at APA’s 2003 Institute on Psychiatric Services in Boston in October.
Shigetani, an American Indian, is a Federal Emergency Management Agency (FEMA) liaison to Region IX, which encompasses California, Hawaii, and the U.S. Pacific islands.
When a levee broke near the small town of Wakpala, S.D., in 1997, there were no sirens and no emergency broadcasting system to warn members of the Standing Rock Sioux tribe to evacuate ahead of the impending flood, Shigetani said. Instead, a town crier of sorts walked through the reservation telling people to evacuate.
“In Indian country, there are no shelters in place when disaster strikes,” she said, “so evacuating an entire community becomes problematic.”
Tribal government officials guided the displaced families to a village that was miles away. When they returned, 27 families discovered that the flood had destroyed their homes.
Disaster struck again two years later. In 1999 tornadoes tore through southwestern South Dakota, causing significant damage to the Pine Ridge Indian Reservation. This time, as many as 200 Sioux families lost their homes, Shigetani said.
The Pine Ridge reservation depended on money from FEMA to rebuild, she added, because “there were no funds set aside for disaster recovery.” A shortage of funds is only one of many obstacles to disaster recovery for American Indians, she said.
The numerous tribulations of American Indians over the past couple of centuries make recovery from disasters such as floods and tornadoes in the present seem like an uphill battle.
“We have collective grief of many treaties broken and many sad memories. We lack trust in outsiders and even other Indians. We are a race that has been separated, and we feel disempowered. Then we further victimize ourselves—we don’t need floods or tornadoes to feel like victims,” Shigetani said.
In addition, admitting the need for mental health services is especially problematic for American Indians, such as members of the Standing Rock Sioux tribe. “By seeking help for the white man’s understanding of mental health problems,” she said, tribal members would believe this “shows a weakness in the community. . . .What we have done is fail each other by not meeting the needs of our people.”
Shigetani dispensed the following advice to attendees about assisting American Indians in disaster recovery: One must first seek an invitation from the tribal government before one can help, she said. Introductions are important, too. Many times, she observed, people introduce themselves by stating their names and the agency they represent.
“Now you are an institution—not a person—coming to help,” she observed. “We’ve had some experiences with institutions, and there are some issues there. . . . To us, it’s not who you represent that is important, but who you are.”
In addition, American Indians want to know how committed outsiders are to helping them cope with disaster. “How long are you going to be around?” Shigetani asked. “Are you going to assist us through the transition to recovery, or are you going to spend a couple of weeks and then get out of town?”
She advised attendees that they should be “committed for the long haul,” or at least work with staff from local mental health or disaster-relief organizations or both to ensure that their efforts are carried out. ▪
Information & Authors
Information
Published In
History
Published online: 19 December 2003
Published in print: December 19, 2003
Notes
Understanding the cultural backgrounds of American Indians is essential to helping them recover after disaster strikes.
Authors
Metrics & Citations
Metrics
Citations
Export Citations
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.
For more information or tips please see 'Downloading to a citation manager' in the Help menu.
View Options
View options
PDF/EPUB
View PDF/EPUBGet Access
Login options
Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.
Personal login Institutional Login Open Athens loginNot a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).