Principle of Sovereign Nation Status Systems of health care for Native Americans who are members of sovereign nations must acknowledge the right of those sovereign nations to participate in the process of defining cultural competent managed care. Principle of Cultural Competence Cultural competence includes the attainment of knowledge, skills, and attitudes to enable administrators and practitioners within systems of care to provide effective care for diverse populations, i.e., to work within the person's values and reality conditions. Whenever possible and appropriate, the services adapt self-help concepts from the minority culture, taking into account the significant role that mothers and fathers play in the life of the Native American consumer. Care A community-based system of care includes a full continuum of care. The costs of a managed care health care delivery system are best maintained through the delivery of effective, quality services, not by cutting or limited services.
Effective systems provide individualized and tailor-made services.
They emphasize outcome-driven systems and positive results. The system includes an emphasis on managing care, not dollars. It recognizes that dollars will manage themselves if overall care is well managed. It recognizes Native American and other group-specific variables which have significant implications for individualized assessment and treatment. Principle of Natural Support Natural community support and culturally competent practices are viewed as an integral part of a system of care which contributes to desired outcomes in a managed care environment.