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Integrating motivational interviewing and traditional practices to address alcohol and drug use among urban American Indian/Alaska Native youth

Date Added to Library: 
Friday, August 30, 2019 - 16:50
Digital Object Identifier (DOI): 
10.1016/j.jsat.2015.06.023
Priority: 
normal
Individual Author: 
Dickerson, Daniel L.
Brown, Ryan A.
Johnson, Carrie L.
Schweigman, Kurt
D'Amico, Elizabeth J.
Reference Type: 
Research Methodology: 
Published Date: 
June 2016
Published Date (Text): 
June 2016
Publication: 
Journal of Substance Abuse and Treatment
Volume: 
65
Page Range: 
26-35
Year: 
2017
Language(s): 
Abstract: 

American Indians/Alaska Natives (AI/AN) exhibit high levels of alcohol and drug (AOD) use and problems. Although approximately 70% of AI/ANs reside in urban areas, few culturally relevant AOD use programs targeting urban AI/AN youth exist. Furthermore, federally-funded studies focused on the integration of evidence-based treatments with AI/AN traditional practices are limited. The current study addresses a critical gap in the delivery of culturally appropriate AOD use programs for urban AI/AN youth, and outlines the development of a culturally tailored AOD program for urban AI/AN youth called Motivational Interviewing and Culture for Urban Native American Youth (MICUNAY). We conducted focus groups among urban AI/AN youth, providers, parents, and elders in two urban communities in northern and southern California aimed at 1) identifying challenges confronting urban AI/AN youth and 2) obtaining feedback on MICUNAY program content. Qualitative data were analyzed using Dedoose, a team-based qualitative and mixed methods analysis software platform. Findings highlight various challenges, including community stressors (e.g., gangs, violence), shortage of resources, cultural identity issues, and a high prevalence of AOD use within these urban communities. Regarding MICUNAY, urban AI/AN youth liked the collaborative nature of the motivational interviewing (MI) approach, especially with regard to eliciting their opinions and expressing their thoughts. Based on feedback from the youth, three AI/AN traditional practices (beading, AI/AN cooking, and prayer/sage ceremony) were chosen for the workshops. MICUNAY is the first AOD use prevention intervention program for urban AI/AN youth that integrates evidence-based treatment with traditional practices. This program addresses an important gap in services for this underserved population. (Author abstract)

Geographic Focus: 
Page Count: 
12
Topical Area: 
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