Review of Substance Use Disorder Treatment Research in Indian Country: Future Directions to Strive toward Health Equity

Greenfield, Brenna L.; Venner, K

doi:10.3109/00952990.2012.702170

Cited by 60 publications

(62 citation statements)

References 50 publications

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“…Depending on the level of acculturation of the participants, some measures may continue to be useful without revision while others will require adaptation (19). In addition, few assessment tools have been developed that capture the unique cultural experiences and/or strengths of AI/ AN people, such as cultural identification, engagement in traditional activities, and experiences such as forced removal to boarding schools (26,27).…”

Section: Methodological and Design Challengesmentioning

confidence: 99%

“…AI/AN intervention science is in a nascent stage, and much remains to be learned (16,19). For example, one review indicates that only a handful of treatment studies have been conducted with AI/AN populations and that culturally appropriate treatment is lacking (19).…”

Section: Intervention Researchmentioning

confidence: 99%

“…For example, one review indicates that only a handful of treatment studies have been conducted with AI/AN populations and that culturally appropriate treatment is lacking (19). At this point, it is unclear whether interventions designed for, and tested with, mainstream populations are efficacious when employed with AI/ANs.…”

Section: Intervention Researchmentioning

confidence: 99%

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Advancing American Indian and Alaska Native Substance Abuse Research: Current Science and Future Directions

Etz

Arroyo

Crump

et al. 2012

The American Journal of Drug and Alcohol Abuse

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American Indians and Alaska Natives (AI/AN) have disproportionately high rates of substance abuse yet there is little empirical research addressing this significant public health problem. This paper is an introduction to a special issue that includes cutting edge science in this research area. We identify several areas that require consideration in this field and indicate how the papers in the special issue address these gaps. These overarching areas of need, which should be considered in any substantive research, include attention to heterogeneity within the population, research that has tangible health benefits, continued work on research methods and strategies, increased focus on strength based and community oriented approaches, and the need for strong research partnerships. The special issue marks a major step forward for AI/AN substance abuse research. However, articles also highlight where more work is need to improve public health in AI/AN communities by addressing identified gap areas.

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Section: Methodological and Design Challengesmentioning

confidence: 99%

Section: Intervention Researchmentioning

confidence: 99%

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Advancing American Indian and Alaska Native Substance Abuse Research: Current Science and Future Directions

Etz

Arroyo

Crump

et al. 2012

The American Journal of Drug and Alcohol Abuse

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“…American Indians/Alaska Natives (AI/AN) face disproportionately greater and persistent health disparities (Beals, Manson, Whitesell, Spicer, Novins, Mitchell et al, 2005; Thomas, 2009; National Center for Health Statistics, 2012), including higher rates of substance use disorders as compared to the U.S. general population (Compton, Thomas, Stinson & Grant, 2007; Hasin, Stinson, Ogburn & Grant, 2007; Gone & Trimble, 2012; Greenfield & Venner, 2012; SAMHSA, 2010; SAMHSA, 2012). In 2010, 16% of individuals that identified as AI/AN met criteria for a substance use disorder, compared to 10% of the general population (SAMHSA, 2012).…”

Section: Introductionmentioning

confidence: 99%

“…More specifically, there is a significant shortage of culturally relevant interventions that can be integrated into treatment program curricula (Dickerson, 2011; Greenfield & Venner, 2012). However, local, state, and national funding streams have recently become predicated on programs offering evidenced-based practices.…”

Section: Introductionmentioning

confidence: 99%

Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives

Campbell

Turrigiano

Moore

et al. 2014

Community Ment Health J

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Longstanding disparities in substance use disorders and treatment access exist among American Indian/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=7.8 to 9.4 on 0 to 10 scales with 10 indicating highest acceptability). Qualitative interviews suggest adaptation specific to AI/AN culture could improve adoption. Additional efforts to adapt TES and conduct a larger effectiveness study are warranted.

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Partnering with Native Communities to Develop a Culturally Grounded Intervention for Substance Use Disorder

Skewes

Hallum-Montes

Gardner

et al. 2019

American J of Comm Psychol

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Highlights• Our academic-community partnership was formed to address health disparities in rural Montana.• We conducted in-depth interviews with key informants from a rural American Indian reservation.• Participants desired a holistic, multi-level intervention that involves culture and spirituality. • Next, we will culturally adapt relapse prevention for American Indians with substance use disorder.Abstract Studies have documented serious disparities in drug and alcohol-related morbidity and mortality among American Indians and Alaska Natives (AI/ANs) compared to other ethnic groups in the U.S. despite high rates of abstinence in these groups. Further complicating these health disparities are barriers to accessing evidence-based treatments that are culturally appropriate and acceptable. As part of a research program to promote health equity in rural communities, we developed an academic-community partnership to create a culturally grounded intervention for adults with substance use disorder (SUD) residing on a rural AI reservation. We describe the early phases of our long-term Community Based Participatory Research project and report findings from the first study we conducted. This key informant interview study consisted of in-depth qualitative interviews with 25 tribal members knowledgeable about substance use and recovery on the reservation. The goal was to understand social norms and cultural conceptualizations of substance use to inform the development of a sustainable, community-driven intervention. Participants reported that a holistic approach to recovery that emphasizes spiritual, cultural, and interpersonal harmony and connectedness was important to the community and would be necessary for the intervention to succeed. They also emphasized the need for a multi-level intervention targeting individuals, families, and the community as a whole. Through this initial study, we not only gained valuable information that will be used to guide future research and treatment efforts, but we also strengthened our partnership and built trust with the community. In this manuscript we tell the story of the development of our project and describe our shared vision for future directions.

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Review of Substance Use Disorder Treatment Research in Indian Country: Future Directions to Strive toward Health Equity

Abstract: AI/ANs experience SUD-related health disparities. Understanding what factors contribute to positive treatment outcomes can help to address these disparities.

Cited by 60 publications

References 50 publications

Advancing American Indian and Alaska Native Substance Abuse Research: Current Science and Future Directions

Advancing American Indian and Alaska Native Substance Abuse Research: Current Science and Future Directions

Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives

Partnering with Native Communities to Develop a Culturally Grounded Intervention for Substance Use Disorder

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