TY - JOUR
T1 - American Indians with substance use disorders
T2 - Treatment needs and comorbid conditions
AU - Rieckmann, Traci
AU - McCarty, Dennis
AU - Kovas, Anne
AU - Spicer, Paul
AU - Bray, Joe
AU - Gilbert, Steve
AU - Mercer, Jacqueline
N1 - Funding Information:
This work was supported by the National Institute on Drug Abuse, Award #5K23DA021225 (Rieckmann, principal investigator) and the National Institutes on Drug Abuse Treatment Clinical Trials Network Oregon/ Hawaii Node (U10 DA13036) and Western States Node (U10 DA015815). The authors acknowledge their consultants and colleagues Dr. Daniel Dickerson (United American Indian Involvement/University of California-Los Angeles) and Dr. John Spence (NW Indian Training Associates).
PY - 2012/9
Y1 - 2012/9
N2 - Background: American Indians and Alaska Natives (AI/ANs) experience significant disparities in health status and access to care. Furthermore, only limited data are available on substance use, mental health disorders, and treatment needs for this population. Addressing such disparities and developing culturally relevant, effective interventions for AI/AN communities require participatory research. Objectives and Methods: The Western States Node of the National Institute on Drug Abuse Clinical Trials Network partnered with two American Indian substance abuse treatment programs: an urban health center and a reservation-based program to assess client characteristics, drug use patterns, and treatment needs. Data collected by staff members at the respective programs from urban (n 74) and reservation (n 121) clients were compared. Additional sub-analysis examined patients reporting regular opioid use and mood disorders. Results: Findings indicate that urban clients were more likely to report employment problems, polysubstance use, and a history of abuse. Reservation-based clients reported having more severe medical problems and a greater prevalence of psychiatric problems. Clients who were regular opioid users were more likely to report having a chronic medical condition, suicidal thoughts, suicide attempts, polysubstance abuse, and IV drug use. Clients who reported a history of depression had twice as many lifetime hospitalizations and more than five times as many days with medical problems. Conclusions: Findings from this project provide information about the patterns of substance abuse and the importance of comprehensive assessments of trauma and comorbid conditions. Results point to the need for integrative coordinated care and auxiliary services for AI/AN clients seeking treatment for substance use disorders.
AB - Background: American Indians and Alaska Natives (AI/ANs) experience significant disparities in health status and access to care. Furthermore, only limited data are available on substance use, mental health disorders, and treatment needs for this population. Addressing such disparities and developing culturally relevant, effective interventions for AI/AN communities require participatory research. Objectives and Methods: The Western States Node of the National Institute on Drug Abuse Clinical Trials Network partnered with two American Indian substance abuse treatment programs: an urban health center and a reservation-based program to assess client characteristics, drug use patterns, and treatment needs. Data collected by staff members at the respective programs from urban (n 74) and reservation (n 121) clients were compared. Additional sub-analysis examined patients reporting regular opioid use and mood disorders. Results: Findings indicate that urban clients were more likely to report employment problems, polysubstance use, and a history of abuse. Reservation-based clients reported having more severe medical problems and a greater prevalence of psychiatric problems. Clients who were regular opioid users were more likely to report having a chronic medical condition, suicidal thoughts, suicide attempts, polysubstance abuse, and IV drug use. Clients who reported a history of depression had twice as many lifetime hospitalizations and more than five times as many days with medical problems. Conclusions: Findings from this project provide information about the patterns of substance abuse and the importance of comprehensive assessments of trauma and comorbid conditions. Results point to the need for integrative coordinated care and auxiliary services for AI/AN clients seeking treatment for substance use disorders.
KW - Indians
KW - North American
KW - Substance abuse treatment
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U2 - 10.3109/00952990.2012.694530
DO - 10.3109/00952990.2012.694530
M3 - Article
C2 - 22931085
AN - SCOPUS:84865662137
SN - 0095-2990
VL - 38
SP - 498
EP - 504
JO - American Journal of Drug and Alcohol Abuse
JF - American Journal of Drug and Alcohol Abuse
IS - 5
ER -