The Native American Healing Experience

Coyhis, Don; Simonelli, Richard

doi:10.1080/10826080802292584

Cited by 62 publications

(54 citation statements)

References 1 publication

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“…While researchers and communities must be realistic about the high rates of substance abuse in some AI/AN communities, it is equally important to not lose sight of the assets and underlying culturally based strengths that are evident in the AI/ AN population. AI/AN communities, particularly the leaders of these nations, and culturally sensitive substance use researchers have long noted the importance of employing strength-based, resiliency frameworks for prevention and intervention science (14,15). These strengths include the high value placed on family, clan, tribal affiliation, and spirituality, as well as engagement with and support from the community, and respect and appreciation for elders and their wisdom.…”

Section: Etiology and Strength-based Approachesmentioning

confidence: 98%

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: Etiology and Strength-based Approachesmentioning

confidence: 98%

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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“…While both aim to improve health, Western treatment is commonly secular while AI/AN healing focuses on spirituality and holistic wellness. For example, most Indigenous peoples utilize circle-based teachings of traditional knowledge for healing (29), such as the medicine wheel. The medicine wheel is an Indigenous view of the person as equal parts mental, physical, emotional and spiritual (30) with the health of a person depending on the balance and integration of these dimensions (31).…”

Section: Western Science and Indigenous Ways Of Knowingmentioning

confidence: 99%

Future directions for medication assisted treatment for opioid use disorder with American Indian/Alaska Natives

Venner

Donovan

Campbell

et al. 2018

Addictive Behaviors

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The U.S. is experiencing an alarming opioid epidemic, and although American Indians and Alaska Natives (AI/AN) are especially hard hit, there is a paucity of opioid-related treatment research with these communities. AI/ANs are second only to Whites in the U.S. for overdose mortality. Thus, the National Institute on Drug Abuse convened a meeting of key stakeholders to elicit feedback on the acceptability and uptake of medication assisted treatment (MAT) for opioid use disorders (OUDs) among AI/ANs. Five themes from this one-day meeting emerged: (1) the mismatch between Western secular and reductionistic medicine and the AI/AN holistic healing tradition; (2) the need to integrate MAT into AI/AN traditional healing; (3) the conflict between standardized MAT delivery and the traditional AI/AN desire for healing to include being medicine free; (4) systemic barriers; and (5) the need to improve research with AI/ANs using culturally relevant methods. Discussion is organized around key implementation strategies informed by these themes and necessary for the successful adoption of MAT in AI/AN communities: (1) type of medication; (2) educational interventions; (3) coordination of care; and (4) adjunctive psychosocial counseling. Using a community-based participatory research approach is consistent with a “two eyed seeing” approach that integrates Western and Indigenous worldviews. Such an approach is needed to develop impactful research in collaboration with AI/AN communities to address OUD health disparities.

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“…Kinney and Copans (1989), for instance, stated that the confessional aspect of sharing personal stories in AA meetings was inconsistent with American Indian customs regarding public self-disclosure. Alternatively, the autonomy of local AA groups to structure and conduct meetings as they choose has been seen as offering suffi cient fl exibility to include Native customs such as talking circles, the medicine wheel, and sweat lodges (Coyhis and Simonelli, 2008;White Bison, 2002).…”

mentioning

confidence: 99%

Longitudinal Study of Urban American Indian 12-Step Attendance, Attrition, and Outcome

Tonigan¹,

Martinez-Papponi²,

Hagler³

et al. 2013

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Strong opinions have been voiced about the "fi t" between 12-step treatment, community-based 12-step practices, and American Indian beliefs and values. Little is known, however, about the relative benefi t of 12-step programs for urban American Indians, although they are the most widely accessed type of treatment by American Indians. This study investigated rates of 12-step attendance, attrition, and substance use outcomes for American Indians for 9 months relative to non-Hispanic White participants. Method: This study compared urban American Indian (n = 63) and non-Hispanic White (n = 133) 12-step attendance, attrition, and substance use over 9 months. The sample was formed by merging data from two prospective single-group longitudinal studies investigating behavior change in community-based 12-step programs. Participants were interviewed at baseline and at 3-, 6-, and 9-month follow-ups. No intervention was provided. Participants were recruited from Alcoholics Anonymous meetings in the community and as they presented for outpatient substance use disorder treatment.Substance use and patterns of 12-step attendance were measured using the Form 90 calendar-based interview, and the General Alcoholics Anonymous Tools of Recovery was administered to assess the adoption of prescribed 12-step practices and beliefs. Results: Trajectories in 12-step meeting attendance over 9 months did not differ between American Indian and non-Hispanic White participants. However, American Indian participants discontinued 12-step attendance signifi cantly less often than non-Hispanic White participants. Higher rates of 12-step attendance predicted increased alcohol abstinence and decreased drinking intensity for both American Indian and non-Hispanic White participants. Twelve-step attendance was unrelated to later illicit drug use for both American Indian and non-Hispanic White participants. Conclusions: Community-based 12-step program attendance is associated with drinking reductions among urban American Indians. (J. Stud. Alcohol Drugs, 74, 514-520, 2013)

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The Native American Healing Experience

Cited by 62 publications

References 1 publication

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

Future directions for medication assisted treatment for opioid use disorder with American Indian/Alaska Natives

Longitudinal Study of Urban American Indian 12-Step Attendance, Attrition, and Outcome

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