Tag Archive for: Substance Use

Benefits of Native Traditional Healing

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Authors: Alicia Evan

Publication Year: 2023

Keywords: Cultural Sensitivity and Appropriateness; Diabetes; Ethnicity; Hypertension; Injury and Trauma; Mental and Behavioral Health; Nutrition; Social Determinants of Health; Substance Use; Suicide and Suicide Prevention; Traditional Healing

 

Short Abstract: This infographic details five common traditional healing interventions offered at Urban Indian Organizations.

 

Abstract: This infographic details five common traditional healing interventions offered at Urban Indian Organizations. The information described is pulled from NCUIH’s report on “Recent Trends in Third-Party Billing at Urban Indian Organizations: Thematic Analysis of Traditional Healing Programs at Urban Indian Organizations and Meta-Analysis of Health Outcomes.” To learn more, view the whole report here. Disclaimer: The mentioned report associated with this infographic was commissioned by the Centers for Medicare & Medicaid Services (CMS) through a contract with NORC at the University of Chicago. This project supports evidence-based Medicaid reimbursement policymaking through rigorous research on the implementation and efficacy of traditional healing at Urban Indian Organizations. The views, opinions, and data analysis published in this report are those of the National Council of Urban Indian Health and do not reflect the policies or positions of the federal government.

 

Source: Link to Original Article.

Source: https://ncuih.org/wp-content/uploads/NCUIH-Traditional-Healing-Benefits-09.21.23-1.pdf

Type of Resource: Best Practices Newsletter

 

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Understanding Disabilities in American Indian & Alaska Native Communities Toolkit Guide

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Authors: National Indian Council on Aging, Inc. and National Council on Disability

Publication Year: 2023

Last Updated:

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Keywords: Aging; Awareness; Cultural Sensitivity and Appropriateness; Diabetes; Health Care Access; Health Disparities; Medicare; Medicaid; Mental and Behavioral Health; Population Information; Substance Use; Visual Impairment; Disability; Historical Trauma

 

Short Abstract: This resource is divided into dedicated sections for healthy living, education, independent living, vocational rehabilitation and employment resources, assistive technology, housing and facilities, and transportation.

 

Abstract: This resource is divided into dedicated sections for healthy living, education, independent living, vocational rehabilitation and employment resources, assistive technology, housing and facilities, and transportation. Additional information provides overviews on federal disabilities laws, initiatives, agencies, and organizations that support work with Native individuals with disabilities and communities.

 

Source: Link to Original Article.

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Source: https://www.nicoa.org/wp-content/uploads/2023/03/NCD_Understanding_Disabilities_in_American_Indian_508.pdf

Type of Resource: Toolkit

A Cultural-Based approach to address substance use among urban Native American young adults

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Authors: Melessa Kelley et al.

Publication Year: 2023

Last Updated: April 07, 2023

Journal: Journal of Community Psychology

Keywords: Cultural Sensitivity and Appropriateness; Substance Use; Cultural-Based Interventions; Young Adults; Talking Circles

 

Short Abstract: Native American young adults residing in urban communities are particularly vulnerable to substance use. After leaving high school, the pressures and stress of continuing education, finding employment, and the responsibilities related to family and tribal community obligations predispose these young adults to substance use.

 

Abstract: Native American young adults residing in urban communities are particularly vulnerable to substance use. After leaving high school, the pressures and stress of continuing education, finding employment, and the responsibilities related to family and tribal community obligations predispose these young adults to substance use. This study used a pre/post test design to evaluate a cultural-based Talking Circle intervention for the prevention of substance use among urban Native American young adults, ages 18–24. Three measures were used that included the Native-Reliance Questionnaire, the Indigenous-Global Assessment of Individual Needs (I-GAIN) Substance Use Scale, and the Patient Health Questionnaire (PHQ-9) measure for severity of depression. Findings revealed that participants demonstrated a higher sense of Native-Reliance, decrease in substance use, and a decrease in the PHQ-9 depressions scores from baseline to 6-month postintervention. These findings validate the importance of cultural-based interventions for the prevention of substance use among urban Native American young adults.

 

Source: Link to Original Article.

Source: https://onlinelibrary.wiley.com/doi/10.1002/jcop.23044

Type of Resource: Peer-reviewed scientific article

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Prevalence of Adverse Childhood Experiences Among U.S. Adults — Behavioral Risk Factor Surveillance System, 2011–2020

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Authors: Elizabeth A. Swedo, MD1; Maria V. Aslam, PhD2; Linda L. Dahlberg, PhD1; Phyllis Holditch Niolon, PhD1; Angie S. Guinn, MPH; Thomas R. Simon, PhD; James A. Mercy, PhD

Publication Year: 2023

Last Updated: June 30, 2023

Journal: Morbidity and Mortality Weekly Report

Keywords: Awareness; Health Disparities; Injury and Trauma; Mental and Behavioral Health; Population Information; Psychology; Social Determinants of Health; Socio-Economic Disparities; Sexual Abuse; Substance Use; Youth; Adverse Childhood Experiences (ACEs)

 

Short Abstract: What is already known about this topic? Adverse childhood experiences (ACEs) are associated with numerous negative outcomes. Previous data from 25 states indicated that ACEs are common among U.S. adults.

 

Abstract: What is already known about this topic? Adverse childhood experiences (ACEs) are associated with numerous negative outcomes. Previous data from 25 states indicated that ACEs are common among U.S. adults. What is added by this report? Among U.S. adults from all 50 states and the District of Columbia surveyed during 2011–2020, approximately two thirds reported at least one ACE; one in six reported four or more ACEs. ACEs were highest among women, persons aged 25–34 years, non-Hispanic American Indian or Alaska Native adults, non-Hispanic multiracial adults, adults with less than a high school education, and adults who were unemployed or unable to work. Prevalence of individual and total number of ACEs varied across jurisdictions. What are the implications for public health practice? CDC’s Preventing Adverse Childhood Experiences: Leveraging the Best Available Evidence provides strategies for preventing and mitigating ACEs, particularly among disproportionately affected populations.

 

Source: Link to Original Article.

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Source: https://www.cdc.gov/mmwr/volumes/72/wr/pdfs/mm7226a2-H.pdf

Type of Resource: Peer-reviewed scientific article

Alcoholics Anonymous-Related Benefit for Urban Native Americans: Does Urban Native American Gender Moderate AA Engagement and Outcomes?

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Authors: Rosa E. Munoz and J. Scott Tonigan

Publication Year: 2017

Last Updated:

Journal: Alcoholism Treatment Quarterly

Keywords: Gender Identity; Substance Use; Alcoholics Anonymous; Addiction; Moderation

 

Short Abstract: Alcoholics Anonymous (AA) is one of the most commonly accessed resources for individuals seeking to reduce their drinking.

 

Abstract: Alcoholics Anonymous (AA) is one of the most commonly accessed resources for individuals seeking to reduce their drinking. How urban Native Americans fare in AA is only beginning to be investigated in spite of circumstantial evidence suggesting that a majority of treatment-seeking urban Native Americans will receive 12-step treatment. Even less is known about Native American gender differences with regard to AA-related benefit. The current study addressed this gap by investigating urban Native American gender differences in AA attendance rates and outcomes. To this end, as part of two larger NIH-funded studies we recruited 63 Native American men and women and followed them for 9 months in this naturalistic study (n= 35 males, n = 28 females). Urban Native Americans significantly reduced their drinking over the study period, and AA attendance explained, in part, increased abstinence of study participants. No significant differences in AA attendance and drinking outcomes were observed between Native American men and women; however, descriptively men reported greater reductions in hazardous drinking relative to women. Clinical implications and future directions are discussed.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731782/

Type of Resource: Peer-reviewed scientific article

Integrating traditional practices and social network visualization to prevent substance use: study protocol for a randomized controlled trial among urban Native American emerging adults

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Authors: Elizabeth J. D'Amico et al.

Publication Year: 2021

Last Updated:

Journal: Addiction Science & Clinical Practice

Keywords: Cultural Sensitivity and Appropriateness; Substance Use; Emerging Adults; Resiliency; TACUNA; Opioids

 

Short Abstract: Nonmedical use of prescription opioids (defined as taking opioid medications for hedonic effects or in a manner other than prescribed) and the use of heroin have emerged in recent years as major public health concerns in the United States. Of particular concern is the prevalence of opioid use among emerging adults (ages 18–25), as this is a developmental period of heightened vulnerability and critical social, neurological, and psychological development.

 

Abstract: Background Nonmedical use of prescription opioids (defined as taking opioid medications for hedonic effects or in a manner other than prescribed) and the use of heroin have emerged in recent years as major public health concerns in the United States. Of particular concern is the prevalence of opioid use among emerging adults (ages 18–25), as this is a developmental period of heightened vulnerability and critical social, neurological, and psychological development. Data from 2015 show that American Indian/Alaska Native (AI/AN) people have the highest rates of diagnosis for opioid use disorders (OUDs). One recent study found that the overdose death rate among urban-dwelling AI/AN individuals was 1.4 times higher compared to those living in rural areas. To date, there are no evidence-based prevention programs addressing opioid use among urban AI/AN emerging adults that integrate culturally-appropriate strategies with evidence-based treatment. Traditions and Connections for Urban Native Americans (TACUNA) builds on our prior work with AI/AN communities across California to develop and evaluate culturally appropriate programming to address opioid, alcohol, and cannabis use among urban AI/AN emerging adults. Methods/design In a randomized controlled trial, 18–25 year old urban AI/AN emerging adults will receive either TACUNA (n = 185), which comprises three virtual workshops utilizing motivational interviewing, social network visualization, and integrating traditional practices and a wellness circle, or one virtual culturally sensitive opioid education workshop (n = 185). We will evaluate intervention effects on primary outcomes of frequency of opioid, alcohol, and cannabis use, as well as secondary outcomes of social network characteristics and cultural connectedness, over a 12-month period. Discussion This project has the potential to expand the range and effectiveness of opioid, alcohol, and cannabis services for urban AI/AN emerging adults by addressing the opioid epidemic and use of other substances at both the community and individual level. In addition, it provides important culturally grounded conceptual and practical information to advance the field of substance use interventions and enhance resiliency among this population.

 

Source: Link to Original Article.

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Source: https://link.springer.com/article/10.1186/s13722-021-00265-3

Type of Resource: Peer-reviewed scientific article

Motivational interviewing and culture for urban Native American youth (MICUNAY): A randomized controlled trial

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Authors: Elizabeth J. D'Amico et al.

Publication Year: 2020

Last Updated:

Journal: Journal of Substance Abuse Treatment

Keywords: Cultural Sensitivity and Appropriateness; Substance Use; Adolescents; Motivational Interviewing; Intervention; Traditional Practices

 

Short Abstract: To date, few programs that integrate traditional practices with evidence-based practices have been developed, implemented, and evaluated with urban American Indians/Alaska Natives (AI/ANs) using a strong research design.

 

Abstract: To date, few programs that integrate traditional practices with evidence-based practices have been developed, implemented, and evaluated with urban American Indians/Alaska Natives (AI/ANs) using a strong research design. The current study recruited urban AI/AN teens across northern, central, and southern California during 2014–2017 to participate in a randomized controlled trial testing two cultural interventions that addressed alcohol and other drug (AOD) use. Adolescents were 14–18 years old (inclusive), and either verbally self-identified as AI/AN or were identified as AI/AN by a parent or community member. We tested the added benefit of MICUNAY (Motivational Interviewing and Culture for Urban Native American Youth) to a CWG (Community Wellness Gathering). MICUNAY was a group intervention with three workshops that integrated traditional practices with motivational interviewing. CWGs were cultural events held monthly in each city. AI/AN urban adolescents (N = 185) completed a baseline survey, were randomized to MICUNAY + CWG or CWG only, and then completed a three- and six-month follow-up. We compared outcomes on AOD use, spirituality, and cultural identification. Overall, AOD use remained stable over the course of the study, and we did not find significant differences between these two groups over time. It may be that connecting urban AI/AN adolescents to culturally centered activities and resources is protective, which has been shown in other work with this population. Given that little work has been conducted in this area, longer term studies of AOD interventions with urban AI/AN youth throughout the U.S. are suggested to test the potential benefits of culturally centered interventions.

 

Source: Link to Original Article.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7477923/

Type of Resource: Peer-reviewed scientific article