AUTHORED BY: MARY S GARCIA
Cerno, Noelle "Last-First Day" 17, August 2025.
Garcia, Monica "Senior Portrait" 23, January 2026.
Garcia, Monica "Traveling Home" 2008.
Over the years, I observed family members struggle with ASD (Autism Spectrum Disorder), ADHD (Attention Deficit Hyperactivity Disorder) as well as Depression and Anxiety. However, growing up in a traditional household on the reservation I did not understand what the terms Neurodiversity and Psychological well-being meant. Subsequently, I personally began struggling with anxiety and did not want to accept it due to fear of what my family would have thought of me.
Photos By: Henderson, Genice. “Traditional Attire,” 2 August, 2024.
Jeannette Armstrong, an author from the Okanagan tribe elaborates the importance of her people and their connection to the ancestral land. Armstrong emphasizes the Okanagan's relationship with the land through the concept of the "4 Self's" on the physical self, emotional self, thinking self and spiritual self. These traditions, suggest that the body consists of many psychological variations that shape our actions and personality. The relationship with the 4 Selves can assist in feeling grounded, whereas a lack of this tradition can lead to a feeling of being disconnected and resulting in a lost sense of identity.
Armstrong, Jeannette. "Sharing One Skin: Okanagan Community." The Case Against the Global Economy: And for a Turn Toward the local, edited by Jerry Mander and Edward Goldsmith, Sierra Club books, 1996, pp. 460-470.
Photo By: Feliciotti, Andy "Bandeleier Monument" 28, October 2023.
Author B. Toastie highlights how ironic it is to name most spiritual lands after military figures and colonists. The names we give these pieces of land are not labels but however, a narrative that tells a story about the history and identity as indigenous people and our ancestors. Toastie argues that continued usage of colonial settler names is keeping the history and stories hidden. "A lot of places are attached to a story, and those stories are important for us to remember because they're really telling us something about ourselves" Toastie says. This significantly changed our perspectives of landmarks that influence our connection and way of viewing the environment.
Oaster, B. ‘Toastie,’ and B. ‘Toastie’ Oaster. “How Place Names Impact the Way We See Landscape.” High Country News, 24 Jan. 2024.
Garcia, Cece "Kewa Feast" 4 August, 2009.
Joseph (Joe) Suina, a male author from Cochiti Pueblo recalls his experiences from growing up in a traditional household. In comparison to starting a new journey in an american boarding school and his transition. This article significantly highlights the harsh effects of culture shock and hardships he faced. Thus including forgetting his traditional ways, not being able to speak his native language and the impacts this transition had on his mental being. Through the american school system, it had caused an identity crisis for Suina Therefore, Suina educates many people of the native american community to not give up on their traditions and ways of life while being present in a modern world.
Rethinking Schools. “‘And Then I Went to School’ - Rethinking Schools.” Rethinking Schools, 22 June 2021.
Smith, Emery "Traditional Zuni Dance" 2025.
Cultural diversity across the world has various impacts of the way mental illness and neurodiverse children are perceived. This article significantly expresses the perspective on how mentally challenged and neurodiverse children are treated. "The cultural aspects of health and illness have "Real consequences". In terms of whether people are motivated to seek treatment, how they cope with their symptoms, how supportive their families and communities are and where they seek help" says Golpalkrishnan. Most individuals of the indigenous communities were heavily impacted through historical trauma, substance abuse, suicide and most times ptsd. Golpalkrishnan suggests a demand in diverse nurses to help treat the challenged individuals in terms of seeking treatment that does not interfere with cultural practices or beliefs.
Gopalkrishnan, Narayan. “Cultural Diversity and Mental Health: Considerations for Policy and Practice” Frontiers, 25 October 2025
Smith, Julian " Traditional Graduation Photos" 7, April 2024.
Female author Sharada Krishnan emphasizes in her article how mental illness and neurodiversity has always been a hard field of study. Focusing on historical perceptions, most mentally challenged were viewed as "mad" or "possessed". Treatment methods included trepanation. This was begun by Hippocrates in 460-370 Bc. This method included the drilling of a hole into the brain, exorcism and sometimes confinement in mental asylums. Due to lack of hygiene, most individuals who went through trepanation lost their lives through infection. Thus, most challenged individuals struggled due to the lack of scientific knowledge which meant the approach to the ideology of mental health was prevented by superstition and church views.
Krishnan, Sharada G., and Gael I. Orsmond. “Advancing the Understanding of Mental Health in Autistic Youth: Implications From Developmental Psychopathology and Neurodiversity Perspectives.” Advancing the Understanding of Mental Health in Autistic Youth: Implications From Developmental Psychopathology and Neurodiversity Perspectives, vol. 128, Sept. 2025, p. 202717.
Garcia, Mary "Fishing Trip" May 25, 2025.
In this article, Author Walls M spoke up about the prevalence of Mental illness amongst native youth. “Native youth experience depression, PTSD, substance use disorder, suicidal ideation, and other mental health conditions due to not being seen/heard.” Based on statistics of the National Library of Medicine, youth amongst the ages of 10-19 struggle silently, have/had contemplated suicide due to cultural factors and family appearance that interfere with getting assistance for their mental needs. Walls M, descriptively highlighted the significant amount of youth who turned to substances for a "coping" mechanism. This article demonstrated the example of why children struggle and turn to negative coping mechanisms over cultural factors, family presentation and the fear of appearing weak.
Walls, M., Sittner, K. J., Whitbeck, L. B., Herman, K., Gonzalez, M., Elm, J. H. L., Hautala, D., Dertinger, M., & Hoyt, D. R. (2020b). Prevalence of Mental Disorders from Adolescence Through Early Adulthood in American Indian and First Nations Communities. International Journal of Mental Health and Addiction, 19(6), 2116–2130.
Martinez, Vanessa “Between the Plays." October, 2025.
In this article, Author Shaw K discusses the spike in autism throughout the United States based on research amongst 16 different states. It was shown that prevalence is most common in children of the Male gender of the American Indian/Alaskan Native ethnic group (49.2 in 1000 for Male and 14.3 in 1000 for females). Based on the testing of these states, it was shown that the increase in ASD ranged from 1 in 150 as of the 2000's statistics and currently 1 in 31 based on diagnostic testing. Most diagnostic testing during 2020 was interrupted as to the Coronavirus Pandemic. Not only was the pandemic an interruption but many cultural factors played into various communities not receiving diagnostic testing or support for youth on the spectrum.
Shaw, K. A., Williams, S., Patrick, M. E., Valencia-Prado, M., Durkin, M. S., Howerton, E. M., Ladd-Acosta, C. M., Pas, E. T., Bakian, A. V., Bartholomew, P., Nieves-Muñoz, N., Sidwell, K., Alford, A., Bilder, D. A., DiRienzo, M., Fitzgerald, R. T., Furnier, S. M., Hudson, A. E., Pokoski, O. M., . . . Maenner, M. J. (2025c). Prevalence and early identification of autism spectrum disorder among children aged 4 and 8 years — Autism and Developmental Disabilities Monitoring Network, 16 sites, United States, 2022. MMWR Surveillance Summaries, 74(2), 1–22.
CHAPTER 4: GLOBAL CONNECTION
Busse, Hultgren "Better education for Chinese Children with Disabilities" 2023.
Author Zhingsong Zang highlights the challenges neurodiverse and psychologically ill face today. Research in this article was based on stigma amongst the Asian ethnic groups ranging from six different countries; China, Hong Kong, Singapore, Japan, Korea and Thailand. Many individuals who struggle with psychiatric illnesses face discrimination that leads them into low self-esteem. According to reports from Asian Countries, most parents tend to "stow" away their children due to fear of judgement. As these children grow up, most turned to suicide within the factors of not being accepted for who they are. Studies within the Center of Disease Control (CDC) prove that peers who are educated or informed on psychiatric illnesses will reduce most amounts of stigma. Research showed that educated peers tend to advocate for the struggling.
Zhang, Z., Sun, K., Jatchavala, C., Koh, J., Chia, Y., Bose, J., Li, Z., Tan, W., Wang, S., Chu, W., Wang, J., Tran, B., & Ho, R. (2019). Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies. International Journal of Environmental Research and Public Health, 17(1), 280. https://doi.org/10.3390/ijerph17010280
Mondelli, Fabio "Two children in an Ethiopian village" 2023..
Challenges and Opportunities to Improve Autism Services in low-income Countries: Lessons from a Situational Analysis in Ethiopia
- B. Tekola
Written by B. Tekola, this article emphasizes the challenges faced by struggling youth in low income countries. This article focused on East Africa in a country called Ethiopia. Research based in this Ethiopia showed that there is a prevalence of 500,000 cases of Autism. Due to being one of the most low-income countries in the world, assistance is only accessible to those who deem "wealthy". Patients are required to pay a minimum of $75 for ASD diagnosis testing within a government funded clinic. There were about 6 clinical professionals who were stationed in different towns of Ethiopia. Most people of Ethiopia avoided receiving help for their children due to these stations being located in foreign areas. Reports based on those of the ASD quantity who are assisted by professionals say that they are not actually professionals. This was elaborated by the clinical professionals not fully educated on Children's Psychiatry.
Tekola, B., Baheretibeb, Y., Roth, I., Tilahun, D., Fekadu, A., Hanlon, C., & Hoekstra, R. A. (2016). Challenges and opportunities to improve autism services in low-income countries: lessons from a situational analysis in Ethiopia. Cambridge Prisms Global Mental Health, 3, e21. https://doi.org/10.1017/gmh.2016.17
Vivanco, Maria "Children of Shelter Home" 2019.
Irene J Park highlights the impacts of parental discrimination amongst 269 Hispanic/Latino adolescents. Amongst these youth, it was shown that discrimination coming from the father caused more impact on children's health. Such impacts include; harsh parenting practices, parent-child hostility, cultural context and religion. It was recorded that 17.9 million Hispanic/Latino youth under 18 compromised the largest minority group of the U.S. Amongst this minority, this ethnic group is the 2nd largest to face mental health disparities. A "ripple-effect" is an ongoing cycle as to why most parents don't get their children's assistance. Parents of the 269 diagnosed youth expressed their feelings towards testing and wanted to avoid it believing their child is "normal". All diagnostics, comprehension was reported between ages 12 to 17.
Park, I. J., Du, H., Wang, L., Williams, D. R., & Alegría, M. (2017). Racial/Ethnic Discrimination and Mental Health in Mexican-Origin Youths and their Parents: Testing the “Linked Lives” hypothesis. Journal of Adolescent Health, 62(4), 480–487. https://doi.org/10.1016/j.jadohealth.2017.10.010
ACTION PLANS
Works Cited
Armstrong, Jeanette. 1996 “Sharing One Skin: The Okanagan Community” Pp. 460-470 in Jerry Mander and Edward Goldsmith (eds.) The Case Against the Global Economy, San Francisco, CA: Sierra Club Books.
Brayboy, Bryan McKinley Jones, and Elizabeth Sumida Huaman. “Indigenous Innovations in Higher Education.” Sense Publishers eBooks, 2017, https://doi.org/10.1007/978-94-6351-014-1.
Chosa, C.T. (2017). Attaching Your Heart. In: Huaman, E.S., Brayboy, B.M.J. (eds) Indigenous Innovations in Higher Education. Advances in Innovation Education. SensePublishers, Rotterdam. https://doi.org/10.1007/978-94-6351-014-1_9
Gopalkrishnan N. Cultural Diversity and Mental Health: Considerations for Policy and Practice. Front Public Health. 2018 Jun 19;6:179. https://doi.org/10.3389/fpubh.2018.00179
Krishnan, Sharada G., and Gael I. Orsmond. “Advancing the Understanding of Mental Health in Autistic Youth: Implications From Developmental Psychopathology and Neurodiversity Perspectives.” Advancing the Understanding of Mental Health in Autistic Youth: Implications From Developmental Psychopathology and Neurodiversity Perspectives, vol. 128, Sept. 2025, p. 202717. https://doi.org/10.1016/j.reia.2025.202717.
Oaster, B. ‘Toastie,’ and B. ‘Toastie’ Oaster. “How Place Names Impact the Way We See Landscape.” High Country News, 24 Jan. 2024, www.hcn.org/issues/54-5/people-places-how-place-names-impact-the-way-we-see-landscape.
Park, I. J., Du, H., Wang, L., Williams, D. R., & Alegría, M. (2017). Racial/Ethnic Discrimination and Mental Health in Mexican-Origin Youths and their Parents: Testing the “Linked Lives” hypothesis. Journal of Adolescent Health, 62(4), 480–487. https://doi.org/10.1016/j.jadohealth.2017.10.010
Quintanilla, Beatriz, MD PhD. “Witchcraft or Mental Illness?” Psychiatric Times - Mental Health News, Clinical Insights, 16 Nov. 2020, www.psychiatrictimes.com/view/witchcraft-or-mental-illness.
Rethinking Schools. “‘And Then I Went to School’ - Rethinking Schools.” Rethinking Schools, 22 June 2021, rethinkingschools.org/articles/and-then-i-went-to-school
Shaw, K. A., Williams, S., Patrick, M. E., Valencia-Prado, M., Durkin, M. S., Howerton, E. M., Ladd-Acosta, C. M., Pas, E. T., Bakian, A. V., Bartholomew, P., Nieves-Muñoz, N., Sidwell, K., Alford, A., Bilder, D. A., DiRienzo, M., Fitzgerald, R. T., Furnier, S. M., Hudson, A. E., Pokoski, O. M., . . . Maenner, M. J. (2025c). Prevalence and early identification of autism spectrum disorder among children aged 4 and 8 years — Autism and Developmental Disabilities Monitoring Network, 16 sites, United States, 2022. MMWR Surveillance Summaries, 74(2), 1–22. https://doi.org/10.15585/mmwr.ss7402a1
Tekola, B., Baheretibeb, Y., Roth, I., Tilahun, D., Fekadu, A., Hanlon, C., & Hoekstra, R. A. (2016). Challenges and opportunities to improve autism services in low-income countries: lessons from a situational analysis in Ethiopia. Cambridge Prisms Global Mental Health, 3, e21. https://doi.org/10.1017/gmh.2016.17
Understanding Native American Mental Health. 1 Oct. 2025, deconstructingstigma.org/guides/native-american-mh.
Walls, M., Sittner, K. J., Whitbeck, L. B., Herman, K., Gonzalez, M., Elm, J. H. L., Hautala, D., Dertinger, M., & Hoyt, D. R. (2020b). Prevalence of Mental Disorders from Adolescence Through Early Adulthood in American Indian and First Nations Communities. International Journal of Mental Health and Addiction, 19(6), 2116–2130.
Yordanova, Lilyana. “Bloomsbury encyclopedia of the Global Middle Ages” Bloomsbury publishing, eBooks, 2019.
Zhang, Z., Sun, K., Jatchavala, C., Koh, J., Chia, Y., Bose, J., Li, Z., Tan, W., Wang, S., Chu, W., Wang, J., Tran, B., & Ho, R. (2019). Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies. International Journal of Environmental Research and Public Health, 17(1), 280. https://doi.org/10.3390/ijerph17010280
Santo Domingo Pueblo. (2025, December 1). Home – Santo Domingo Pueblo. https://santodomingopueblo.com/
Seal of the Navajo Nation | The Tony Hillerman Portal. (n.d.). https://ehillerman.unm.edu/2019
Pueblo of Jemez. (n.d.). https://www.jemezpueblo.org/
Cerno, Noelle "Last-First Day." 17, August 2025.
Santa Fe Indian School "Senior Portraits." 23, January 2026.
Garcia, Monica "Traveling Home." 2008.
Henderson, Genice. “Traditional Attire,” 2 August, 2024.
Feliciotti, Andy "Bandelier Monument" 28, October 2023.
Garcia, Cece "Star's First Feast Day Dance." 4, August 2009.
Smith, Emery "Traditional Zuni Dance." 2024.
Smith, Julian " Traditional Graduation Photos" 7, April 2024.
Garcia, Mary "Fishing Trip" May 25, 2025.
Martinez, Vanessa “Between the Plays." October, 2025.
Busse, Hultgren "Better Education for Chinese with Disabilities." 2023.
Mondelli, Fabio "Two Children in an Ethiopian Village." 2023.
Vivanco, Maria "Children of a Shelter Home." 2019.
Garcia, Mary “Fall Action Plan” 4 December 2025.
Garcia, Mary “Spring Action Plan” 4 March 2026.