Addressing Historical Trauma Through Culturally Integrated Care

Thursday, June 12, 2025, 12:00 AM - Sunday, June 11, 2028, 11:59 PM

A Continuing Medical Education activity presented by the Stanford Center for Youth Mental Health and Wellbeing. This Native American Youth Mental Health ECHO didactic session features a presentation by Maegan Rides At The Door, PhD, LCPC, and Kiana Maillet, Ed.D, LCSW as they explore the impact of generational and historical trauma on Native youth mental health.

The information provided will help learners gain a broader understanding of how to mitigate the impact of trauma using Western and Indigenous approaches, learn how to enhance the quality of clinical interviewing about historical trauma with Indigenous clients, and develop approaches to recognize and address the effects of intergenerational trauma among Native youth, incorporating both Western and Indigenous healing practices.

Release Date: June 12, 2025

Expiration Date: June 11, 2028

Estimated Time to Complete: 43 minutes

Registration Fee: FREE

Activity and Learning Materials
Click Begin (at the top) to launch the activity. This session is part of The Native American Youth Mental Health ECHO Project. To learn more about this project and find additional resources, please visit the NAYMH ECHO Project Website.

AMA PRA Category 1 Credits™ (0.75 hours), AAPA Category 1 CME credits (0.75 hours), ACPE Contact Hours (0.75 hours), ANCC Contact Hours (0.75 hours), APA Continuing Education credits (0.75 hours), ASWB Continuing Education (ACE) credits (0.75 hours), Non-Physician Participation Credit (0.75 hours)

1. Develop strategies to mitigate the impact of trauma using Western and Indigenous approaches
2. Improve skills in clinical interviewing about historical trauma with Indigenous clients
3. Design approaches to recognize and address the effects of intergenerational trauma among Native youth, incorporating both Western and Indigenous healing practices

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 0.75 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Accreditation Council of Pharmacy Education (ACPE) 
Stanford Medicine designates this knowledge-based activity for a maximum of 0.75 hours. Credit will be provided to NABP CPE Monitor within 60 days after the activity completion. UAN:

American Nurses Credentialing Center (ANCC) 
Stanford Medicine designates this Enduring Material for a maximum of 0.75 ANCC contact hours.  

ASWB Approved Continuing Education Credit (ACE) – Social Work Credit 
As a Jointly Accredited Organization, Stanford Medicine is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this activity receive 0.75 continuing education credits.

American Academy of Physician Associates (AAPA) - Enduring Materials 
Stanford Medicine has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This enduring activity is designated for 0.75 AAPA Category 1 CME credits. Approval is valid until 06.11.28. PAs should only claim credit commensurate with the extent of their participation. 

American Psychological Association (APA) 
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs. 

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require special accommodations, including dietary concerns, please contact the CME.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References
Rides At The Door M, Shaw S. The Other Side of the ACEs Pyramid: A Healing Framework for Indigenous Communities. Int J Environ Res Public Health. 2023 Feb 25;20(5):4108. doi: 10.3390/ijerph20054108. PMID: 36901119; PMCID: PMC10001615.?

Clinical Interviewing, 7th Edition | Wiley

Cultural Formulation Interview Adaptation for Historical Trauma Link: higheredbcs.wiley.com/legacy/college/sommers-flanagan/1119981980/vids/9781119981985_Videos.html?newwindow=true

“Infographic: 6 Guiding Principles To A Trauma-Informed Approach.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 9 July 2018, www.cdc.gov/cpr/infographics/6_principles_trauma_info.htm

“Understanding the Effects of Trauma on Health.” Center for Health Care Strategies, Inc., Center for Health Care Strategies, Inc., June 2017

Administration for Children And Families (n.d.). What is historical trauma. https://www.acf.hhs.gov/trauma-toolkit/trauma-concept

For Native American Youth Mental Health ECHO Project Team question, please contact
     Email: [email protected]

For CME general questions, please contact 
     Email: [email protected]

Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education.

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.