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This entry provides an overview of historical and current demographics, diversity, and cultural expressions of American Indian and Alaskan native communities in the United States. It discusses challenges related to historical traumas, colonial impacts, and current health risks and suggests some ways in which current theories and practices developed by theorists and communities can be utilized to address those challenges and promote healing. It also summarizes cultural and ethical concerns that practitioners working in and with native communities need to be aware of in order to work effectively and responsibly.