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CTN-0033-Ot-4
Results Article

Characteristics of Northern Plains American Indians Seeking Substance Abuse Treatment in an Urban, Non-Tribal Clinic: A Descriptive Study.

Community Mental Health Journal 2013;49:714-721. [doi: 10.1007/s10597-012-9537-7]

Frankie B. Kropp, MS, LICDC (University of Cincinnati/CinARC, OV Node), Eugene C. Somoza, MD, PhD (University of Cincinnati/CinARC, OV Node), Maurine Lilleskov, PhD (Xcel Research Consulting, Inc.), Mabel Granados-Bad Moccasin (Growing Up Together Program, OV Node), Michelle Moore (City/County Alcohol and Drug Programs, OV Node), Daniel F. Lewis (University of Cincinnati/CinARC, OV Node), Brenda Boetel (City/County Alcohol and Drug Programs, OV Node), Corey Smith, PhD (Nothern Plains Tribal Epidemiology Center, OV Node), Theresa M. Winhusen, PhD (University of Cincinnati/CinARC, OV Node).

This is the Results Article for CTN-0033-Ot-4. Because few data exist on substance abuse rates in American Indian (AI) communities, the Methamphetamine and Other Drug project (CTN-0033) was developed and implemented by five nodes with NIDA'S National Drug Abuse Treatment Clinical Trials Network (CTN). This article presents findings from AI clients in a Northern Plains, urban, non-Native substance abuse treatment setting, who were surveyed about their current and past substance use using the Addiction Severity Index - Native American Version (ASI-NAV). Alcohol and marijuana were used earlier, longer, and by more clients, followed by stimulants and presecription opioids. Most patients regularly smoked tobacco. Differences in substance use patterns were associated with age of onset and victimization. Age of onset was correlated with victimization, gender, cognitive impairment, and suicidal behavior. Despite considerable health and economic disparities, most clients found support for recovery in relationships and elements of Native culture, however no correlation was found between cultural engagement and substance use patterns or age of first use. The finding that age of substance use initiation was lower for clients using alcohol plus illicit drugs than for alcohol-only clients helps to inform prevention efforts for AI adolescents in the Aberdeen area. Based on this finding, it appears that such efforts should start prior to age 13 and should target both alcohol and illicit drug use. (Article (Peer-Reviewed), PDF, English, 2012)

Keywords: Adolescents | Alcohol | CTN platform/ancillary study | CTN platform/ancillary study results | Marijuana | Methamphetamine | Minority groups | Native Americans | Prescription-type opiates | Stimulant abuse | Community Mental Health Journal (journal)

Document No: 889, PMID: 22843125, PMCID: PMC3505220.

Submitted by CTN Dissemination Librarians, 8/6/2012.

AUTHORS SEARCH LINK
Boetel, Brenda search mail
Kropp, Frankie B. search mail
Lewis, Daniel F. search mail
Lilleskov, Maurine search
Moccasin, Mabel Granados-Bad search
Moore, Michelle search
Smith, Corey search
Somoza, Eugene C. search mail
Winhusen, Theresa M. search mail
PROTOCOLS
NIDA-CTN-0033-Ot-4 search www
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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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