Presents an ethnographic analysis of the Puyallup Indian urban tribal health care system with emphasis on mental health issues. Merges anthropological theories and perspectives with the practical experience of providing culturally sensitive care within a multifaceted bureaucratic environment. Contains 146 references. (SV)

Epidemiological estimates indicate that up to 20% of people under the age of 20 present emotional and behavioral disorders serious enough to warrant intervention. At the same time, the current mental health/social services system for children and adolescents has been described as fragmented, inaccessible, duplicative, and often ineffectual. This…