TY - JOUR
T1 - Demonstrating the process of community innovation
T2 - The Indian Country Methamphetamine Initiative
AU - Dale Walker, R.
AU - Bigelow, Douglas A.
AU - Le, Jessica Hope Pak
AU - Singer, Michelle J.
N1 - Funding Information:
Elevated rates of crime, violence, suicide, home contamination, land pollution, and neglected and maltreated children throughout Indian Country have been attributed to methamphetamine abuse. Discussion of the MA epidemic in Indian Country dominated the National Congress of American Indians (NCAI) Executive Council Winter Session of February 2006. NCAI President Joe Garcia issued a “call to action” requesting White House and Congressional support. Committee Chairman Senator John McCain held an Oversight Hearing in April of 2006 at which NCAI First Vice-President Jefferson Keel stated that services needed to integrate traditional values (i.e., be culture-based). In the fall of 2006, the U.S. Department of Health and Human Resources announced the first one million dollars toward addressing the meth epidemic and the Indian Country Methamphetamine Initiative (ICMI) was proposed. The ICMI was planned in the summer of 2006, funded in late 2006, implemented in 2007, and concluded in 2010. Ten tribes and five national organizations participated in the four-year project. The project was funded by the Office of Minority Health and administered under a cooperative agreement by the American Association of Indian Physicians (AAIP). Participant and other information is available on the AAIP webpage (http://www.aaip.org/?page=ICMI). Descriptions of participant projects are presented in PowerPoint (ICMI 2009).
Funding Information:
Keywords — best practices, culture-based interventions, methamphetamine, Indian Country Methamphetamine Initiative, nationwide initiatives in Indian Country The authors greatly appreciated the participation and cooperation of the ten tribes and four other national organizations involved in the Indian Country Methamphetamine Initiative. The authors acknowledge the Association of American Indian Physicians, which under cooperative agreement with the Department of Human and Health Services, Office of Minority Health, provided partial financial assistance for this work.
PY - 2011/10
Y1 - 2011/10
N2 - In 2007 the federal Department of Health and Human Services, Office forMinority Health, collaborating with other federal agencies, sponsored the Indian Country Methamphetamine Initiative (ICMI). ICMI was undertaken to create community-driven, culture-based best practices in methamphetamine prevention and treatment which could then be disseminated throughout Indian Country. The ICMI ultimately involved ten tribes and five national organizations. Each tribe established a coalition of community government, nongovernment agencies, and elements of civic society to develop a comprehensive assessment, plan, and then to implement the plan. Each tribal coalition planned a complex array of activities including treatment programs, public education and mobilization, law enforcement strategies, and other intervention strategies, each intervention described within a logic model. These interventions focused on logic modeling; coalitions; capacity development and service system optimization; law enforcement and justice; individual and family treatment; public information, awareness, and education; community mobilization; and a very popular ICMI strategy, cultural renaissance. It was concluded that worthwhile activities were conducted under ICMI sponsorship, but that the specific aim of demonstrating community-driven, culture-based innovations in a manner suitable for dissemination was achieved only to a limited extent. Based on this outcome together with similar experiences, recommendations for future initiatives are suggested.
AB - In 2007 the federal Department of Health and Human Services, Office forMinority Health, collaborating with other federal agencies, sponsored the Indian Country Methamphetamine Initiative (ICMI). ICMI was undertaken to create community-driven, culture-based best practices in methamphetamine prevention and treatment which could then be disseminated throughout Indian Country. The ICMI ultimately involved ten tribes and five national organizations. Each tribe established a coalition of community government, nongovernment agencies, and elements of civic society to develop a comprehensive assessment, plan, and then to implement the plan. Each tribal coalition planned a complex array of activities including treatment programs, public education and mobilization, law enforcement strategies, and other intervention strategies, each intervention described within a logic model. These interventions focused on logic modeling; coalitions; capacity development and service system optimization; law enforcement and justice; individual and family treatment; public information, awareness, and education; community mobilization; and a very popular ICMI strategy, cultural renaissance. It was concluded that worthwhile activities were conducted under ICMI sponsorship, but that the specific aim of demonstrating community-driven, culture-based innovations in a manner suitable for dissemination was achieved only to a limited extent. Based on this outcome together with similar experiences, recommendations for future initiatives are suggested.
KW - Best practices
KW - Culture-based interventions
KW - Indian Country Methamphetamine Initiative
KW - Methamphetamine
KW - Nationwide initiatives in Indian Country
UR - http://www.scopus.com/inward/record.url?scp=84858825882&partnerID=8YFLogxK
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U2 - 10.1080/02791072.2011.629140
DO - 10.1080/02791072.2011.629140
M3 - Article
C2 - 22400464
AN - SCOPUS:84858825882
SN - 0279-1072
VL - 43
SP - 325
EP - 330
JO - Journal of Psychoactive Drugs
JF - Journal of Psychoactive Drugs
IS - 4
ER -