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

2014 ◽  
Vol 13 (4) ◽  
pp. 175-178 ◽  
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.

scholarly journals National Overview of Medication-Assisted Treatment for American Indians and Alaska Natives With Substance Use Disorders

2017 ◽  
Vol 68 (11) ◽  
pp. 1136-1143 ◽  
Author(s):  
Traci Rieckmann ◽  
Laurie Moore ◽  
Calvin Croy ◽  
Gregory A. Aarons ◽  
Douglas K. Novins
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
American Indians ◽  
Alaska Natives ◽  
Medication Assisted Treatment

scholarly journals Utilizing Drumming for American Indians/Alaska Natives with Substance Use Disorders: A Focus Group Study

2012 ◽  
Vol 38 (5) ◽  
pp. 505-510 ◽  
Author(s):  
Daniel Dickerson ◽  
Francis Robichaud ◽  
Cheryl Teruya ◽  
Kathleen Nagaran ◽  
Yih-Ing Hser
Keyword(s):  
Substance Use ◽  
Focus Group ◽  
Substance Use Disorders ◽  
American Indians ◽  
Alaska Natives ◽  
Focus Group Study

scholarly journals Acceptability of a Web-Based Community Reinforcement Approach for Substance Use Disorders with Treatment-Seeking American Indians/Alaska Natives

2014 ◽  
Vol 51 (4) ◽  
pp. 393-403 ◽  
Author(s):  
Aimee N. C. Campbell ◽  
Eva Turrigiano ◽  
Michelle Moore ◽  
Gloria M. Miele ◽  
Traci Rieckmann ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
American Indians ◽  
Alaska Natives ◽  
Treatment Seeking ◽  
Web Based ◽  
Community Reinforcement Approach

What affects substance abuse treatment outcome among American Indians/Alaska Natives?

2013 ◽  
Author(s):  
S. E. Spear ◽  
D. Crevecoeur-MacPhail ◽  
L. Denering ◽  
D. Dickerson ◽  
M. -L. Brecht
Keyword(s):  
Substance Abuse ◽  
Treatment Outcome ◽  
Substance Abuse Treatment ◽  
American Indians ◽  
Alaska Natives ◽  
Abuse Treatment

scholarly journals Quality of life and its related factors in women with substance use disorders referring to substance abuse treatment centers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Majid Barati ◽  
Khadijeh Bandehelahi ◽  
Tahereh Nopasandasil ◽  
Hanieh Jormand ◽  
Amir Keshavarzi
Keyword(s):  
Quality Of Life ◽  
Substance Abuse ◽  
Substance Use ◽  
Substance Abuse Treatment ◽  
Substance Use Disorders ◽  
Related Factors ◽  
Substance Abuse Treatment Centers ◽  
The Mean ◽  
Abuse Treatment

Abstract Background Substance-Related Disorders are among the most common social problems caused by using legal and illegal substances. Therefore, this study aimed at determining the quality of life (QoL) and its related factors among women with substance use disorders referring to substance abuse treatment centers in Hamadan, west of Iran. Methods This cross-sectional study was carried out on 120 Iranian female substance users recruited through the census sampling method in 2018. Data collection tools consisted of demographic characteristics and QoL assessment (SF-36). Data were analyzed using SPSS-16 via one-way analysis of variance (ANOVA) and chi-square tests. Results The mean age of the participants was 33.2 ± 12.1 years and the mean score of their total QoL was 35.35 ± 13.5. The results of multiple linear regression analysis indicated that using methamphetamine (β =  − 6.62) was the predictor of QoL in women. Moreover, there was a significant association between QoL and age (p < 0.001), educational level (p = 0.011), and age at first use (p < 0.001). Conclusion According to the results, the participants’ QoL was found to be at an unsatisfactory level. So, it is essential to implement educational help-seeking behavior for treatment and effectiveness educational, as well as holding mental health intervention, school-based substance abuse prevention, and harm reduction programs of substance use. This is especially important in adolescents, young, low-educated, early drug use, and methamphetamine user women, as it may increase the QoL

Risk classes of patients diagnosed with substance use disorders in Dutch forensic psychiatric centers

2021 ◽  
Vol 23 (1) ◽  
pp. 39-52
Author(s):  
Michele Schmitter ◽  
Jeroen Vermunt ◽  
Eric Blaauw ◽  
Stefan Bogaerts
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Latent Class ◽  
Mental Health Problems ◽  
Treatment Approach ◽  
Future Research ◽  
Content Type ◽  
Forensic Patients ◽  
Axis I ◽  
Forensic Psychiatric

Purpose Given the complex association between substance use disorders (SUD), comorbid mental health problems and criminal recidivism in forensic patients, homogenous patient classes can contribute to a refined treatment. This paper aims to construct those classes in forensic patients (N = 286) diagnosed with SUD, unconditionally released between 2004 and 2013 of one of ten Dutch forensic psychiatric centers. Design/methodology/approach Retrospective data were derived from electronic patient files. Classes were based on the Dutch risk assessment tool, the Historisch Klinisch Toekomst-Revisie (Historical Clinical Future–Revised [HKT-R]) and identified by means of explorative Latent Class Analysis in Latent Gold version 5.1. In a three-step approach, posterior class memberships were related to external variables (i.e. diagnoses, type of drug and type of offence). Findings Four classes were identified that differ in the risk of recidivism, as well as Axis I and II diagnoses and type of drug consumption. Practical implications This study informed on the heterogeneity of forensic patients with SUD and identified four homogenous classes that differ in important variables for the treatment approach. Based on these classes, a more refined treatment approach can be developed. Possible treatment approaches are discussed, but future research is needed to provide evidence. Originality/value This study is the first to identify classes within forensic patients with SUD and, therefore, sets the first step to develop a tailored treatment approach based on characteristics informative for treatment.

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