Future directions for medication assisted treatment for opioid use disorder with American Indian/Alaska Natives

Kamilla L. Venner, Dennis M. Donovan, Aimee N.C. Campbell, Dennis C. Wendt, Traci Rieckmann, Sandra M. Radin, Sandra L. Momper, Carmen L. Rosa

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

The U.S. is experiencing an alarming opioid epidemic, and although American Indians and Alaska Natives (AI/ANs) are especially hard hit, there is a paucity of opioid-related treatment research with these communities. AI/ANs are second only to Whites in the U.S. for overdose mortality. Thus, the National Institute on Drug Abuse convened a meeting of key stakeholders to elicit feedback on the acceptability and uptake of medication assisted treatment (MAT) for opioid use disorders (OUDs) among AI/ANs. Five themes from this one-day meeting emerged: 1) the mismatch between Western secular and reductionistic medicine and the AI/AN holistic healing tradition; 2) the need to integrate MAT into AI/AN traditional healing; 3) the conflict between standardized MAT delivery and the traditional AI/AN desire for healing to include being medicine free; 4) systemic barriers; and 5) the need to improve research with AI/ANs using culturally relevant methods. Discussion is organized around key implementation strategies informed by these themes and necessary for the successful adoption of MAT in AI/AN communities: 1) type of medication; 2) educational interventions; 3) coordination of care; and 4) adjunctive psychosocial counseling. Using a community-based participatory research approach is consistent with a “two eyed seeing” approach that integrates Western and Indigenous worldviews. Such an approach is needed to develop impactful research in collaboration with AI/AN communities to address OUD health disparities.

Original languageEnglish (US)
JournalAddictive Behaviors
DOIs
StateAccepted/In press - Jan 1 2018

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Keywords

  • American Indians/Alaska Natives
  • Implementation
  • Indigenous
  • Medication-assisted treatment
  • Opioid use disorder
  • Two-eyed seeing

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Venner, K. L., Donovan, D. M., Campbell, A. N. C., Wendt, D. C., Rieckmann, T., Radin, S. M., Momper, S. L., & Rosa, C. L. (Accepted/In press). Future directions for medication assisted treatment for opioid use disorder with American Indian/Alaska Natives. Addictive Behaviors. https://doi.org/10.1016/j.addbeh.2018.05.017