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Native american indian substance abuse

Daniel Dickerson, Laurie A Moore, Traci Rieckmann, Calvin D Croy, Kamilla Venner, Jacquelene Moghaddam, Rebekah Gueco, Douglas K Novins
Motivational interviewing (MI) offers a treatment modality that can help meet the treatment needs of American Indians/Alaska Natives (AI/ANs) with substance use disorders. This report presents results from a national survey of 192 AI/AN substance abuse treatment programs with regard to their use of MI and factors related to its implementation, including program characteristics, workforce issues, clinician perceptions of MI, and how clinicians learned about MI. Sixty-six percent of programs reported having implemented the use of MI in their programs...
February 24, 2017: Journal of Behavioral Health Services & Research
Hannah E Payne, Michalyn Steele, Jennie L Bingham, Chantel D Sloan
The purpose of this paper was to investigate disparities in mental healthcare delivery in American Indian/Alaska Native populations from three perspectives: public health, legal policy and mental healthcare and provide evidence-based recommendations toward reducing those disparities. Data on mental health funding to tribes were obtained from the Substance Abuse and Mental Health Services Administration. As a result of analysis of these data, vital statistics and current literature, we propose three recommendations to reduce mental health disparities...
January 31, 2017: Administration and Policy in Mental Health
Carrie E Holliday, Melodi Wynne, Janet Katz, Chanel Ford, Celestina Barbosa-Leiker
PURPOSE: To improve health and reduce health disparities, research partnerships with American Indian and Alaska Native communities should build on existing traditions and strengths. The overall goal of this pilot project was to clarify the needs of tribal community members and determine strengths and resources available to the community. DESIGN: Community-based participatory research was the approach used to obtain community input. Data collection methods included, Photovoice (n = 16), digital storytelling (n = 4), and community capacity surveys (n = 128)...
November 25, 2016: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
Margaret L Walsh-Buhi
Many current theories guiding substance abuse prevention (SAP) programs stem from Western ideologies, leading to a scarcity of research on theories from, and a disconnect with, Indigenous perspectives. This qualitative research study explored perceptions of theory by SAP researchers (N = 22) working with American Indian and Alaska Native communities. In-depth interviews identified components of Indigenous theoretical perspectives, including cultural elements such as balance, social cohesion, and belonging as being particularly significant and currently absent from many SAP programs...
January 2017: Family & Community Health
Lori L Jervis, William Sconzert-Hall, The Shielding American Indian Elders Project Team
The problem of how to conceptualize elder mistreatment goes back several decades, and is especially important for ethnic minority populations, who may have perspectives that differ from the dominant society. This community-based participatory research study, which examined perceptions of mistreatment by family among 100 urban and rural older American Indians, permits a rare glimpse into how Native elders themselves understand this issue. Here, good treatment was conceptualized in terms of being taken care of, having one's needs met, and being respected...
January 2017: Journal of Elder Abuse & Neglect
Bridget H Lyons, Katherine A Fowler, Shane P D Jack, Carter J Betz, Janet M Blair
PROBLEM/CONDITION: In 2013, more than 57,000 persons died in the United States as a result of violence-related injuries. This report summarizes data from CDC's National Violent Death Reporting System (NVDRS) regarding violent deaths from 17 U.S. states for 2013. Results are reported by sex, age group, race/ethnicity, marital status, location of injury, method of injury, circumstances of injury, and other selected characteristics. REPORTING PERIOD COVERED: 2013. DESCRIPTION OF SYSTEM: NVDRS collects data from participating states regarding violent deaths obtained from death certificates, coroner/medical examiner reports, law enforcement reports, and secondary sources (e...
August 19, 2016: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
Traci Rieckmann, Laurie A Moore, Calvin D Croy, Douglas K Novins, Gregory Aarons
American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n=50) and rural (n=142) communities...
September 2016: Journal of Substance Abuse Treatment
C L Ehlers, I R Gizer, C Bizon, W Slutske, Q Peng, N J Schork, K C Wilhelmsen
Impulsivity is a multi-faceted construct that, while characterized by a set of correlated dimensions, is centered around a core definition that involves acting suddenly in an unplanned manner without consideration for the consequences of such behavior. Several psychiatric disorders include impulsivity as a criterion, and thus it has been suggested that it may link a number of different behavioral disorders, including substance abuse. Native Americans (NA) experience some of the highest rates of substance abuse of all the US ethnic groups...
July 2016: Genes, Brain, and Behavior
Douglas K Novins, Calvin D Croy, Laurie A Moore, Traci Rieckmann
BACKGROUND: Research and health surveillance activities continue to document the substantial disparities in the impacts of substance abuse on the health of American Indian and Alaska Native (AI/AN) people. While Evidence-Based Treatments (EBTs) hold substantial promise for improving treatment for AI/ANs with substance use problems (as they do for non-AI/ANs), anecdotal reports suggest that their use is limited. In this study, we examine the awareness of, attitudes toward, and use of EBTs in substance abuse treatment programs serving AI/AN communities...
April 1, 2016: Drug and Alcohol Dependence
Raymond P Tucker, LaRicka R Wingate, Victoria M O'Keefe
OBJECTIVE: Recent research has indicated that historical loss may play an important role in the experience of depression symptoms in American Indian/Alaska Native people. Increased frequency of historical loss thinking has been related to symptoms of depression and other pervasive psychological outcomes (i.e., substance abuse) in American Indian and Canadian First Nations communities. The current study investigated how aspects of ethnic minority experience relate to the incidence of historical loss thinking and symptoms of depression in American Indian adults...
July 2016: Cultural Diversity & Ethnic Minority Psychology
Beverly A Patchell, Leslie K Robbins, John A Lowe, Mary M Hoke
PURPOSE: To examine the effects of incorporating tribal specific cultural beliefs into a tailored substance abuse prevention intervention for at risk rural Oklahoma Native American Indian (NAI) Plains adolescents. RESEARCH DESIGN: The 10 hour Native American Talking Circle Intervention, a school-based, group substance abuse prevention program, was implemented over a 8.5 week period and evaluated using a one group, pretest-posttest design. Measurements were from the Native Self-Reliance Questionnaire and the Substance Problems Scale from Global Appraisal of Individual Needs-Quick (GAIN-Q)...
2015: Journal of Cultural Diversity
Margaret L Walsh, Julie A Baldwin
The purpose of the review was to assess substance abuse prevention (SAP) efforts in American Indian and Alaska Native (AI/AN) communities from 2003-2013. In the past, many SAP programs were unable to meet the unique cultural needs of AI/AN communities adequately. It has been suggested that a disconnect may exist between the theories that are used to guide development of prevention programs in AI/AN communities and culturally appropriate theoretical constructs of AI/AN worldviews. To explore this possible disconnect further, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used to assess a total of 18 articles (N = 31 programs) on program location and method, participant characteristics, described program cultural elements, use of theory, program outcomes, program measures, and future recommendations...
2015: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
Jenny Chong, Yvonne Fortier, Traci L Morris
The purpose of this study is to develop an instrument that can be used to identify clients' readiness for spiritual development and its relationship with their participation in American Indian/Alaskan Native practices. Female clients and staff from Guiding Star, the female residential substance abuse program at Native American Connections in Phoenix, Arizona, participated in the study. Two focus groups (8 Native and 5 non-Native clients) were conducted to determine the clients' attitudes toward cultural practices...
2009: Journal of Ethnicity in Substance Abuse
Robert S Young, Jennie R Joe
Researchers have established that rates of alcohol and illicit drug use among American Indians/Alaska Natives vary by tribe, gender, and age group, making it difficult to get an accurate estimate of the actual extent of the problem of substance abuse within this population group. Although percentage rates of alcohol consumption are higher in non-Hispanic Whites, American Indians/Alaska Natives nevertheless have the highest alcohol-related mortality rates and rates of substance use and dependence of all ethnic groups...
2009: Journal of Ethnicity in Substance Abuse
Scott C Carvajal, Robert S Young
No abstract text is available yet for this article.
2009: Journal of Ethnicity in Substance Abuse
Laurie A Moore, Gregory A Aarons, Jordan H Davis, Douglas K Novins
Rates of substance abuse remain high in American Indian and Alaska Native (AI/AN) populations. While there are many evidence-based treatments (EBTs) for substance use problems, no studies exist describing how directors of treatment programs serving AI/ANs perceive and use EBTs. Twenty-one key informant interviews with program administrators and 10 focus groups with clinicians were conducted at 18 treatment programs for AI/ANs with substance use problems. Demographic data were not collected to protect participant privacy...
May 2015: Psychological Services
Sandra M Radin, Stephen H Kutz, June LaMarr, Diane Vendiola, Michael Vendiola, Brian Wilbur, Lisa Rey Thomas, Dennis M Donovan
Community-university teams investigated substance use, abuse, and dependence (SUAD) and related concerns, needs, strengths, and resources in four Washington State Tribal communities. A total of 153 key community members shared their perspectives through 43 semi-structured interviews and 19 semi-structured focus groups. Qualitative data analysis revealed robust themes: prescription medications and alcohol were perceived as most prevalent and concerning; family and peer influences and emotional distress were prominent perceived risk factors; and SUAD intervention resources varied across communities...
2015: Journal of Ethnicity in Substance Abuse
Darryl S Wood, Zachary R Hays
Arrestee Drug Abuse Monitoring program data were used to consider the effects of two methods of racial classification upon estimates of illicit drug use and alcohol abuse among American Indian/Alaska Native (AI/AN) arrestees. Overall, compared to arrestees who self-identified as Black, White, Asian/Pacific Islander, or Hispanic, arrestees self-identifying as AI/AN were most likely to be identified administratively as something other than AI/AN. Results of 'difference of difference' analyses indicate that differences in estimates of AI/AN versus non-AI/AN arrestees' illicit drug use and alcohol abuse were much more extreme when identification was based on administrative records than when based upon arrestees' self-reports...
2014: American Indian and Alaska Native Mental Health Research: the Journal of the National Center
Aimee N C Campbell, Eva Turrigiano, Michelle Moore, Gloria M Miele, Traci Rieckmann, Mei-Chen Hu, Frankie Kropp, Roz Ringor-Carty, Edward V Nunes
Longstanding disparities in substance use disorders and treatment access exist among American Indians/Alaska Natives (AI/AN). Computerized, web-delivered interventions have potential to increase access to quality treatment and improve patient outcomes. Prior research supports the efficacy of a web-based version [therapeutic education system (TES)] of the community reinforcement approach to improve outcomes among outpatients in substance abuse treatment; however, TES has not been tested among AI/AN. The results from this mixed method acceptability study among a diverse sample of urban AI/AN (N = 40) show that TES was acceptable across seven indices (range 7...
May 2015: Community Mental Health Journal
Rupinder Legha, Ashley Raleigh-Cohn, Alexandra Fickenscher, Douglas Novins
BACKGROUND: Substance abuse continues to exact a significant toll, despite promising advancements in treatment, and American Indian and Alaska Native (AI/AN) communities remain disproportionately impacted. Understanding the challenges to providing quality substance abuse treatment to AI/AN communities could ultimately result in more effective treatment interventions, but no multi-site studies have examined this important issue. METHODS: This qualitative study examined the challenges of providing substance abuse treatment services for American Indian and Alaska Native (AI/AN) communities...
2014: BMC Psychiatry
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