The Multicultural Wellbriety Peer Recovery Support Program: Two Decades of Community-Based Recovery

Moore, David; Coyhis, Don

doi:10.1080/07347324.2010.488530

Cited by 13 publications

(7 citation statements)

References 11 publications

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“…The FHORT is congruent with some Indigenous perspectives of how historical oppression, including trauma, has undermined whole communities, families, and peoples (Coyhis & Simonelli, 2005; Moore & Coyhis, 2010). The FHORT has its theoretical roots in the critical framework of Paulo Freire and was developed from over 10 years of research with the focal tribes, resulting in a multitude of empirical support (see Burnette & Figley, 2017, for a summary of the FHORT and preliminary supporting research).…”

Section: Historical Oppressionsupporting

confidence: 53%

The Historical Oppression Scale: Preliminary conceptualization and measurement of historical oppression among Indigenous peoples of the United States

McKinley

Boel-Studt

Renner

et al. 2020

Transcult Psychiatry

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Indigenous peoples of the United States are distinct from other ethnic minorities because they have experienced colonization as the original inhabitants. Social and health disparities are connected to a context of historical oppression—the chronic, pervasive, and intergenerational experiences of oppression that, over time, may be normalized, imposed, and internalized into the daily lives of many Indigenous peoples (including individuals, families, and communities). As part of the critical Framework of Historical Oppression, Resilience, and Transcendence (FHORT), in this article, we introduce the Historical Oppression Scale (HOS), a scale assessing internalized and externalized oppression. Our study reports on survey data ( N = 127) from a larger convergent mixed-methodology study with scale items derived from thematic analysis of qualitative data ( N = 436), which informed the resultant 10-item scale. After six cases were removed from the 127 participants who participated in the quantitative component to the study due to missing data across two tribes, the sample size for analysis was 121. Confirmatory factor analysis testing of the hypothesized unidimensional construct indicated acceptable model fit ( X2 = 58.10, [Formula: see text] 1.94, CFI = .98, TLI = .97, RMSEA = .088, 90% CI = .05, .12). Reliability of the 10-item scale was excellent (α = .97) and convergent and discriminant validity were established. The HOS explicates complex associations between historical oppression and health and social disparities and may be an important clinical and research tool in an understudied area.

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Section: Historical Oppressionsupporting

confidence: 53%

The Historical Oppression Scale: Preliminary conceptualization and measurement of historical oppression among Indigenous peoples of the United States

McKinley

Boel-Studt

Renner

et al. 2020

Transcult Psychiatry

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“…From sweat lodges [ 1 , 2 ] to traditional teachings [ 3 , 4 ], these regionally diverse interventions are commonly located within the context of Indigenous treatment programs and integrated into existing treatment practices [ 5 ]. They are led by individuals who are sanctioned and recognized by traditional teachers, community members, and spiritual beings to facilitate cultural activities [ 6 , 7 ]. For example, in Canada, the 56 National Native Alcohol and Drug Abuse Programs and nine Youth Solvent Addiction Program treatment centres emphasize that Indigenous traditional culture is vital for client healing and wellness [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Cultural interventions to treat addictions in Indigenous populations: findings from a scoping study

Rowan

Poole

Shea

et al. 2014

Subst Abuse Treat Prev Policy

141

121

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BackgroundCultural interventions offer the hope and promise of healing from addictions for Indigenous people.a However, there are few published studies specifically examining the type and impact of these interventions. Positioned within the Honouring Our Strengths: Culture as Intervention project, a scoping study was conducted to describe what is known about the characteristics of culture-based programs and to examine the outcomes collected and effects of these interventions on wellness.MethodsThis review followed established methods for scoping studies, including a final stage of consultation with stakeholders. The data search and extraction were also guided by the “PICO” (Patient/population, Intervention, Comparison, and Outcome) method, for which we defined each element, but did not require direct comparisons between treatment and control groups. Twelve databases from the scientific literature and 13 databases from the grey literature were searched up to October 26, 2012.ResultsThe search strategy yielded 4,518 articles. Nineteen studies were included from the United States (58%) and Canada (42%), that involved residential programs (58%), and all (100%) integrated Western and culture-based treatment services. Seventeen types of cultural interventions were found, with sweat lodge ceremonies the most commonly (68%) enacted. Study samples ranged from 11 to 2,685 clients. Just over half of studies involved quasi-experimental designs (53%). Most articles (90%) measured physical wellness, with fewer (37%) examining spiritual health. Results show benefits in all areas of wellness, particularly by reducing or eliminating substance use problems in 74% of studies.ConclusionsEvidence from this scoping study suggests that the culture-based interventions used in addictions treatment for Indigenous people are beneficial to help improve client functioning in all areas of wellness. There is a need for well-designed studies to address the question of best relational or contextual fit of cultural practices given a particular place, time, and population group. Addiction researchers and treatment providers are encouraged to work together to make further inroads into expanding the study of culture-based interventions from multiple perspectives and locations.

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“…Healing practices build spiritual identity and promote health behaviors [ 72 ]. For instance, Wellbriety is a peer-led, effective intervention for SUD and other emotional disorders that incorporates various protective factors including connecting to and enhancing individuals’ spirituality, building on ancestors’ resilience, and involving emotional, mental, physical, and spiritual dimensions in all aspects of health [ 73 ]. The focus on culturally sensitive beliefs and practices have made Wellbriety a particularly fitting and widely-used intervention that holds promise for addressing AIANs’ SUD needs [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

Substance and Behavioral Addictions among American Indian and Alaska Native Populations

Soto

West

Ramos

et al. 2022

IJERPH

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Objective: This paper examines substance and behavioral addictions among American Indian and Alaska Natives (AIAN) to identify the structural and psychosocial risk and cultural protective factors that are associated with substance use and behavioral addictions. Methods: Five databases were used to search for peer reviewed articles through December 2021 that examined substance and behavioral addictions among AIANs. Results: The literature search identified 69 articles. Numerous risk factors (i.e., life stressors, severe trauma, family history of alcohol use) and protective factors (i.e., ethnic identity, family support) influence multiple substance (i.e., commercial tobacco, alcohol, opioid, stimulants) and behavioral (e.g., gambling) addictions. Conclusions: There is a dearth of research on behavioral addictions among AIANs. Unique risk factors in AIAN communities such as historical trauma and socioeconomic challenges have interfered with traditional cultural resilience factors and have increased the risk of behavioral addictions. Future research on resilience factors and effective prevention and treatment interventions could help AIANs avoid behavioral addictions.

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The Multicultural Wellbriety Peer Recovery Support Program: Two Decades of Community-Based Recovery

Cited by 13 publications

References 11 publications

The Historical Oppression Scale: Preliminary conceptualization and measurement of historical oppression among Indigenous peoples of the United States

The Historical Oppression Scale: Preliminary conceptualization and measurement of historical oppression among Indigenous peoples of the United States

Cultural interventions to treat addictions in Indigenous populations: findings from a scoping study

Substance and Behavioral Addictions among American Indian and Alaska Native Populations

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