Chapter 7: Indigenous Elders in Rural America

SUMMARY Using figures from the most recent census as well as available literature, this chapter considers the status of Indigenous elders in rural areas of the United States. Following a review of basic demographic indicators, we examine history of forced assimilation and colonization, and the impact of that history on Indigenous elders. We note the common belief that the status of Indigenous elders is less than historical and contemporary cultural norms would dictate. Discussion at a public meeting about the return of artifacts is offered as an illustrative example. We then consider service approaches that can both empower elders and improve their quality of life-suggesting that the pursuit of culturally appropriate interventions should begin with the employment of Indigenous service providers.