Research Article

Clinical Wisdom and Cultural Foundations: Implementing the Sweetgrass Method in Indigenous Psychiatry

Authors: Baez Mark Standing Eagle, Baez C Allison, Velez Nathan.

DOI: 10.33425/2641-4317.1236

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Abstract

American Indian and Alaska Native communities face disproportionate mental health challenges caused by historical trauma, cultural disruption, and systemic inequities. Traditional psychiatric models often overlook these realities, resulting in care that lacks cultural relevance and effectiveness. This study introduces the Sweetgrass Method, a culturally responsive framework that incorporates Indigenous knowledge systems into mental health practice. The method is built on three interconnected principles: Introspection, which encourages clinician self-reflection and cultural humility and weaving in the best of both Western and Indigenous methodologies; Communication, which emphasizes meaningful relational accountability through collaboration with clients, families, and communities; and Continuation, offering ongoing, action-oriented, culturally intentional care across different settings and over time. Using historical analysis, composite case vignettes, and community-based applications, findings demonstrate that integrating Indigenous healing practices—such as ceremonies, storytelling, and land-based interventions— alongside adapted evidence-based therapies improves therapeutic relationships, enhances resilience, and restores cultural identity. Case examples show significant progress in substance use recovery and adolescent mental health when interventions are rooted in cultural values and spiritual traditions. The Sweetgrass Method shifts the focus from symptom-centered treatment to a holistic, relational approach to healing. Centering Indigenous epistemologies within psychiatric care enables clinicians and systems to promote equity, cultural safety, and long-term wellness. This framework offers a way to decolonize mental health services and reconnect with the sacred aspects of clinical practice.

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