Recommendations for improving adolescent addiction recovery support in six northwest tribal communities.

Autor: Whelshula MM; Independent Consultant, Colville Tribal Member, The Healing Lodge of the Seven Nations, Spokane Valley, Washington, USA., LaPlante DA; Division on Addiction, Cambridge Health Alliance, Harvard Medical School, Boston, Massachusetts, USA., Nelson SE; Division on Addiction, Cambridge Health Alliance, Harvard Medical School, Boston, Massachusetts, USA., Gray HM; Division on Addiction, Cambridge Health Alliance, Harvard Medical School, Boston, Massachusetts, USA.
Jazyk: angličtina
Zdroj: Journal of community psychology [J Community Psychol] 2021 Sep; Vol. 49 (7), pp. 2922-2937. Date of Electronic Publication: 2021 Jul 21.
DOI: 10.1002/jcop.22665
Abstrakt: American Indian and Alaska Native (AI/AN) communities offer tangible and intangible resources, including centuries of indigenous wisdom and resiliency, to support their young people in recovery from substance use disorders. At the same time, tribal youth returning home from residential or inpatient treatment are vulnerable to relapse, especially if they encounter the same environmental triggers in which their substance misuse developed. This study endeavored to learn about community stakeholder perceptions of existing strengths and needs for supporting recovering adolescents among six tribal communities of the Inland Northwest. Using a Tribal Participatory Research approach, we conducted Group Level Assessments with key stakeholders representing educators/coaches, medical and behavioral health providers, social service providers, cultural leaders/elders, and legal professionals among each participating tribe (N = 166). We used content analysis to identify emergent themes among participants' recommendations for improving recovery support. The five emergent themes were (1) Communication, Collaboration, and Accountability among Tribal Departments and Agencies; (2) Community-wide Education; (3) The Importance of Providing Wraparound/Supportive Services; (4) Youth-focused Education, Services, and Events; and (5) Recovery Coaching Model. AI/AN culture was infused within nearly all recommendations for improving recovery support that composed these themes. We discuss specific ways to implement these recommendations, including the forthcoming development of a culturally-grounded community-wide mental health training program developed specifically for, and with, these tribes.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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