Mental Health, Physical Health, and Cultural Characteristics Among American Indians/Alaska Natives Seeking Substance Use Treatment in an Urban Setting: A Descriptive Study

Objectives: To examine age differences in the association between discrimination and depressive symptoms among urban American Indians and Alaska Natives (AI/AN). Methods: A sample of 303 urban AI/AN (18–78 years old) reported on lifetime and past-week experiences of racial discrimination and depressive symptoms. Depressive symptoms were regressed on racial discrimination, age, and their interaction, adjusting for demographic factors and other life stressors. Results: Lifetime and past-week discrimination were significantly associated with depressive symptoms, and these associations were stronger among younger than older adult AI/AN. Discussion: The results are consistent with prior reports in other populations, but this is the first such study to focus on AI/AN, and it highlights the importance of considering life course perspectives. Conclusions are limited by the cross-sectional nature of the data. Longitudinal and qualitative work is needed to understand why discrimination may have a stronger effect on mental health for younger than older AI/AN.

Download Full-text

Clinical trials and American Indians/Alaska Natives with substance use disorders: identifying potential strategies for a new cultural-based intervention

Journal of Public Mental Health ◽

10.1108/jpmh-01-2014-0003 ◽

2014 ◽

Vol 13 (4) ◽

pp. 175-178 ◽

Cited By ~ 1

Author(s):

Daniel L. Dickerson ◽

Kamilla L. Venner ◽

Bonnie Duran

Keyword(s):

Clinical Trial ◽

Substance Abuse ◽

Clinical Trials ◽

Substance Use ◽

Focus Groups ◽

Substance Use Disorders ◽

American Indians ◽

Alaska Natives ◽

Treatment Setting ◽

Content Type

Purpose – The purpose of this paper is to address a significant public mental health disparity affecting American Indians/Alaska Natives (AI/ANs): the shortage of clinical trials research analyzing the benefits of AI/AN traditional-based treatments, e.g. drumming. Design/methodology/approach – A total of four focus groups were conducted among outpatient and inpatient AI/AN substance abuse patients and providers serving AI/ANs. The purpose of these focus groups was to obtain insights relating to the recent challenges of conducting a clinical trial within the outpatient treatment setting seeking to analyze the benefits of a new substance abuse treatment intervention utilizing drumming for AI/ANs [Drum-assisted Recovery Therapy for Native Americans (DARTNA)] and to obtain recommendations to successfully conduct a similar study within an inpatient treatment setting. Findings – The most prevalent barriers to conducting a clinical trial within an outpatient setting were transportation and child care issues. Recommendations were obtained with regard to optimizing recruitment and retention for a future study within an inpatient setting. Originality/value – This research offers the field rare information that helps toward identifying strategies to successfully conduct clinical trials investigating the benefits of culturally-appropriate treatments for AI/ANs with substance use disorders.

Download Full-text

Financing Mental Health and Substance Use Disorder Care Within Physical Health: A Look to the Future

Psychiatric Clinics of North America ◽

10.1016/j.psc.2007.11.001 ◽

2008 ◽

Vol 31 (1) ◽

pp. 11-25 ◽

Cited By ~ 9

Author(s):

Roger G. Kathol ◽

Steve Melek ◽

Byron Bair ◽

Susan Sargent

Keyword(s):

Mental Health ◽

Substance Use ◽

Physical Health ◽

Substance Use Disorder ◽

The Future

Download Full-text

Caregiving Stress Among American Indians With Type 2 Diabetes: The Importance of Awareness of Connectedness and Family Support

Journal of Family Nursing ◽

10.1177/1074840718810550 ◽

2018 ◽

Vol 24 (4) ◽

pp. 621-639 ◽

Cited By ~ 2

Author(s):

Ashleigh Coser ◽

Kelley J. Sittner ◽

Melissa L. Walls ◽

Tina Handeland

Keyword(s):

Mental Health ◽

Type 2 Diabetes ◽

Physical Health ◽

Family Support ◽

American Indians ◽

Diabetes Management ◽

Cumulative Exposure ◽

Physical And Mental Health ◽

Community Connectedness

American Indian (AI) communities experience a disproportionate rate of Type 2 diabetes (T2D) and cumulative exposure to stress. Although this link is well researched among various populations, it has not been examined among AI communities. Path analysis was used to examine a multiple-mediator model to explain how caregiver stress influences self-reported mental and physical health among 100 AI participants with T2D. Caregiver stress was negatively associated with physical and mental health. Physical health was positively associated with family/community connectedness and mental health was positively associated with both family support and connectedness. The relationship between caregiver stress and mental health was partially mediated by family/community connectedness; caregiver stress had no indirect effects on physical health via either hypothesized mediator. Findings demonstrate the importance of integrating individuals’ connection to family and community and its influence on caregiver stress and mental health in intervention programs targeting diabetes management and care among AI communities.

Download Full-text

The impact of online group counselling programs on substance use, mental health, and physical health among adults: A systematic review protocol

10.21203/rs.3.rs-37015/v1 ◽

2020 ◽

Author(s):

Cheryl L Currie ◽

Richard Larouche ◽

M. L. Voss ◽

Erin K. Higa ◽

Rae Spiwak ◽

...

Keyword(s):

Mental Health ◽

Systematic Review ◽

Substance Use ◽

Physical Health ◽

Primary Objective ◽

Risk Of Bias ◽

Controlled Trials ◽

Group Counselling ◽

The Impact ◽

Online Group

Abstract Background: COVID-19 has resulted in an increased demand for online mental health services globally. There is emerging evidence for the efficacy for group online interventions that support population-based mental health, but a systematic review is lacking. The primary objective of this rapid systematic review is to summarize the evidence for online group counselling programs for adults. A second objective is to assess, within studies selected for our primary objective, the impact of online group counselling programs that encourage PA on outcomes compared to those that do not.Methods and Design: Randomized controlled trials that assess the impact of online group counselling programs on substance use, mental health, or physical health among community dwelling adults will be searched in MEDLINE, PsycInfo, CINHAL, and the Central Register of Controlled Trials. The review will be structured using PRISMA guidelines. Studies will be synthesized using the Cochrane Handbook and Synthesis Without Meta-Analysis (SWiM) reporting guideline. Quality will be evaluated using GRADE. Risk of bias will be assessed using the Cochrane Risk of Bias tool; with higher quality studies prioritized when drawing conclusions. The role of sex and gender will be considered as well as possible gender biases at all stages of the review.Discussion: This review will examine the effectiveness of online counselling programs that can be delivered to populations in a group format, and thus in a potentially cost-effective way. Findings will inform the decisions of governments, communities, and health care organizations responding to the COVID-19 pandemic in Canada. Systematic review registration: The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO: CRD42020187551).

Download Full-text

Addressing Trauma in Mental Health and Substance Use Treatment

The Journal of Behavioral Health Services & Research ◽

10.1007/s11414-011-9256-9 ◽

2011 ◽

Vol 38 (4) ◽

pp. 428-431 ◽

Cited By ~ 23

Author(s):

Linda Rosenberg

Keyword(s):

Mental Health ◽

Substance Use ◽

Substance Use Treatment

Download Full-text

A national study of the availability of law enforcement agency wellness programming for officers: A latent class analysis

International Journal of Police Science & Management ◽

10.1177/14613557211064050 ◽

2021 ◽

pp. 146135572110640

Author(s):

Bruce G Taylor ◽

Weiwei Liu ◽

Elizabeth A. Mumford

Keyword(s):

Mental Health ◽

United States ◽

Substance Use ◽

Law Enforcement ◽

Latent Class Analysis ◽

Latent Class ◽

Wellness Programs ◽

The United States ◽

Substance Use Treatment ◽

Class Analysis

The purpose of this study is to understand the availability of employee wellness programs within law enforcement agencies (LEAs) across the United States, including physical fitness, resilience/wellness, coping skills, nutrition, mental health treatment, and substance use treatment. The research team investigated whether patterns of LEA wellness programming are identifiable and, if so, what characteristics describe these patterns. We assess using latent class analysis whether there are distinct profiles of agencies with similar patterns offering different types of wellness programs and explore what characteristics distinguish agencies with certain profiles of wellness programming. Data were from a nationally representative sample of 1135 LEAs: 80.1% municipal, 18.6% county and 1.3% other agencies (state-level and Bureau of Indian Affairs LEAs). We found that many agencies (62%) offer no wellness programming. We also found that 23% have comprehensive wellness programming, and that another group of agencies specialize in specific wellness programming. About 14% of the agencies have a high probability of providing resilience coping skill education, mental health and/or substance use treatment services programming. About 1% of the agencies in the United States limit their programming to fitness and nutrition, indicating that fitness and nutrition programs are more likely to be offered in concert with other types of wellness programs. The analyses revealed that agencies offering broad program support are more likely to be large, municipal LEAs located in either the West, Midwest or Northeast (compared with the southern United States), and not experiencing a recent budget cut that impacted wellness programming.

Download Full-text