Healthy Nations: Reducing Substance Abuse in American Indian and Alaska Native Communities

Tim D. Noe · Candace M. Fleming · Spero M. Manson

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Indigenous Health, Education, and Rights Substance Abuse Treatment and Outcomes Indigenous and Place-Based Education

Abstract

Since 1993, 14 American Indian and Alaska Native (AIAN) communities have worked diligently to reduce the harm due to substance abuse in their communities. Funded by the Robert Wood Johnson Foundation's Healthy Nations Initiative I, these communities implemented creative strategies that span the continuum from community-wide prevention, early identification and treatment to aftercare. Drawing upon the unique strengths of their own cultural traditions to find solutions to local substance abuse problems, these efforts have identified important and useful lessons for not only other AIAN communities, but also for sponsors of substance abuse programming in Indian country and elsewhere. Described here are successful strategies for developing and sustaining substance abuse programs in AIAN communities and an assessment of their impacts and accomplishments.

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References

2006Journal of Community Psychology 1984American Indian Myths and Legends 1993Boozing, Sniffing, and Toking: An Overview of the Past, Present, and Future of Substance Use by American Indians 1997Toward a framework for bridging the gap between science and practice in prevention: A focus on evaluator and practitioner perspectives 1985Drug and Alcohol Abuse Intervention in American Indian Communities 1987Current status and future directions of research on the American Indian child 1989American Indians, Stress, and Alcohol 1998Conducting Drug Abuse Prevention Research in Partnership with Native American Communities: Meeting Challenges Through Collaborative Approaches

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2013Creating a Culturally Appropriate Web-based Behavioral Intervention for American Indian/Alaska Native Women in Southern California: The Healthy Women Healthy Native Nation Study 2015American Indian Substance Abuse Prevention Efforts: A Review of Programs, 2003-2013

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