The role of culture in substance abuse treatment programs for American Indian and Alaska Native communities

Psychiatric Services : a Journal of the American Psychiatric Association
Rupinder Kaur Legha, Douglas K Novins

Abstract

Culture figures prominently in discussions regarding the etiology of alcohol and substance abuse in American Indian and Alaska Native (AI/AN) communities, and a substantial body of literature suggests that it is critical to developing meaningful treatment interventions. However, no study has characterized how programs integrate culture into their services. Furthermore, reports regarding the associated challenges are limited. Twenty key informant interviews with administrators and 15 focus groups with clinicians were conducted in 18 alcohol and substance abuse treatment programs serving AI/AN communities. Transcripts were coded to identify relevant themes. Substance abuse treatment programs for AI/AN communities are integrating culture into their services in two discrete ways: by implementing specific cultural practices and by adapting Western treatment models. More important, however, are the fundamental principles that shape these programs and their interactions with the people and communities they serve. These foundational beliefs and values, defined in this study as the core cultural constructs that validate and incorporate AI/AN experience and world view, include an emphasis on community and family, meaningful relationships...Continue Reading

Citations

Dec 9, 2015·Journal of Ethnicity in Substance Abuse·Zoe DurandClaudio Nigg
Mar 11, 2015·Journal of Cellular Biochemistry·Tingting ShenDaling Zhu
Jul 13, 2016·Journal of Ethnicity in Substance Abuse·Sandra L MomperAmelia C Mueller-Williams
Mar 31, 2015·American Journal of Men's Health·Arieahn Matamonasa-Bennett
Mar 27, 2018·Substance Use & Misuse·Katie SchultzCynthia Pearson
Jul 11, 2019·American Journal of Community Psychology·Monica C SkewesPaula FireMoon
Feb 27, 2017·The Journal of Behavioral Health Services & Research·Daniel DickersonDouglas K Novins

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