Abstract
American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n = 50) and rural (n = 142) communities. We explored the correlates of openness toward using evidence-based treatments (EBTs). Programs located in rural areas were significantly less likely to have nurses, traditional healing consultants, or ceremonial providers on staff, to consult outside evaluators, to use strategic planning to improve program quality, to offer pharmacotherapies, pipe ceremonies, and cultural activities among their services, and to participate in research or program evaluation studies. They were significantly more likely to employ elders among their traditional healers, offer AA-open group recovery services, and collect data on treatment outcomes. Greater openness toward EBTs was related to a larger clinical staff, having addiction providers, being led by directors who perceived a gap in access to EBTs, and working with key stakeholders to improve access to services. Programs that provided early intervention services (American Society of Addiction Medicine level 0.5) reported less openness. This research provides baseline workforce and program level data that can be used to better understand changes in access and quality for AIAN over time.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 46-56 |
| Number of pages | 11 |
| Journal | Journal of Substance Abuse Treatment |
| Volume | 68 |
| DOIs | |
| State | Published - Sep 1 2016 |
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Keywords
- American Indian/Alaska Native
- EBPAS
- Evidence-based treatment
- Organizational characteristics
- Substance use disorder
- Workforce
ASJC Scopus subject areas
- Psychiatry and Mental health
- Clinical Psychology
- Phychiatric Mental Health
- Medicine (miscellaneous)
Cite this
A national study of American Indian and Alaska Native substance abuse treatment : provider and program characteristics. / Rieckmann, Traci; Moore, Laurie A.; Croy, Calvin D.; Novins, Douglas K.; Aarons, Gregory.
In: Journal of Substance Abuse Treatment, Vol. 68, 01.09.2016, p. 46-56.Research output: Contribution to journal › Article
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TY - JOUR
T1 - A national study of American Indian and Alaska Native substance abuse treatment
T2 - provider and program characteristics
AU - Rieckmann, Traci
AU - Moore, Laurie A.
AU - Croy, Calvin D.
AU - Novins, Douglas K.
AU - Aarons, Gregory
PY - 2016/9/1
Y1 - 2016/9/1
N2 - American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n = 50) and rural (n = 142) communities. We explored the correlates of openness toward using evidence-based treatments (EBTs). Programs located in rural areas were significantly less likely to have nurses, traditional healing consultants, or ceremonial providers on staff, to consult outside evaluators, to use strategic planning to improve program quality, to offer pharmacotherapies, pipe ceremonies, and cultural activities among their services, and to participate in research or program evaluation studies. They were significantly more likely to employ elders among their traditional healers, offer AA-open group recovery services, and collect data on treatment outcomes. Greater openness toward EBTs was related to a larger clinical staff, having addiction providers, being led by directors who perceived a gap in access to EBTs, and working with key stakeholders to improve access to services. Programs that provided early intervention services (American Society of Addiction Medicine level 0.5) reported less openness. This research provides baseline workforce and program level data that can be used to better understand changes in access and quality for AIAN over time.
AB - American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n = 50) and rural (n = 142) communities. We explored the correlates of openness toward using evidence-based treatments (EBTs). Programs located in rural areas were significantly less likely to have nurses, traditional healing consultants, or ceremonial providers on staff, to consult outside evaluators, to use strategic planning to improve program quality, to offer pharmacotherapies, pipe ceremonies, and cultural activities among their services, and to participate in research or program evaluation studies. They were significantly more likely to employ elders among their traditional healers, offer AA-open group recovery services, and collect data on treatment outcomes. Greater openness toward EBTs was related to a larger clinical staff, having addiction providers, being led by directors who perceived a gap in access to EBTs, and working with key stakeholders to improve access to services. Programs that provided early intervention services (American Society of Addiction Medicine level 0.5) reported less openness. This research provides baseline workforce and program level data that can be used to better understand changes in access and quality for AIAN over time.
KW - American Indian/Alaska Native
KW - EBPAS
KW - Evidence-based treatment
KW - Organizational characteristics
KW - Substance use disorder
KW - Workforce
UR - http://www.scopus.com/inward/record.url?scp=84975796011&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84975796011&partnerID=8YFLogxK
U2 - 10.1016/j.jsat.2016.05.007
DO - 10.1016/j.jsat.2016.05.007
M3 - Article
C2 - 27431046
AN - SCOPUS:84975796011
VL - 68
SP - 46
EP - 56
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
SN - 0740-5472
ER -