Healing the community to heal the individual: literature review of aboriginal community-based alcohol and substance abuse programs.

Ashifa Jiwa · Len Kelly · Natalie St Pierre-Hansen

47 citations0/0 files storedEurope PMC (PubMed Central)

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Indigenous Health, Education, and Rights Substance Abuse Treatment and Outcomes Homelessness and Social Issues

Abstract

OBJECTIVE: To understand the development of culturally based and community-based alcohol and substance abuse treatment programs for aboriginal patients in an international context. SOURCES OF INFORMATION: MEDLINE, HealthSTAR, and PsycINFO databases and government documents were searched from 1975 to 2007. MeSH headings included the following: Indians, North American, Pacific ancestry group, aboriginal, substance-related disorders, alcoholism, addictive behaviour, community health service, and indigenous health. The search produced 150 articles, 34 of which were relevant; most of the literature comprised opinion pieces and program descriptions (level III evidence). MAIN MESSAGE: Substance abuse in some aboriginal communities is a complex problem requiring culturally appropriate, multidimensional approaches. One promising perspective supports community-based programs or community mobile treatment. These programs ideally cover prevention, harm reduction, treatment, and aftercare. They often eliminate the need for people to leave their remote communities. They become focuses of community development, as the communities become the treatment facilities. Success requires solutions developed within communities, strong community interest and engagement, leadership, and sustainable funding. CONCLUSION: Community-based addictions programs are appropriate alternatives to treatment at distant residential addictions facilities. The key components of success appear to be strong leadership in this area; strong community-member engagement; funding for programming and organizing; and the ability to develop infrastructure for longterm program sustainability. Programs require increased documentation of their inroads in this developing field.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 47 citations exist upstream.

References

1998Cultural Continuity as a Hedge against Suicide in Canada's First Nations 1996Aboriginal Health in Canada: Historical, Cultural, and Epidemiological Perspectives 2004Unheard Alaska: Culturally Anchored Participatory Action Research on Sobriety with Alaska Natives 2006Pacific healthcare workers and their treatment interventions for Pacific clients with alcohol and drug issues in New Zealand.1998Traditional and Western Healing Practices for Alcoholism in American Indians and Alaska Natives

Cited by

2018Transformative Consciousness of Health Inequities: Oppression Is a Virus and Critical Consciousness Is the Antidote 2012The Role of Culture in Substance Abuse Treatment Programs for American Indian and Alaska Native Communities 2009Treatment Issues for Aboriginal Mothers with Substance Use Problems and Their Children 2013Creating a Culturally Appropriate Web-based Behavioral Intervention for American Indian/Alaska Native Women in Southern California: The Healthy Women Healthy Native Nation Study 2022Community‐based models of alcohol and other drug support for First Nations peoples in Australia: A systematic review 2020Culturally Safe, Strengths-Based Parenting Programs Supporting Indigenous Families Impacted by Substance Use—a Scoping Review

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.