“…American Indian and Alaska Native (AI/AN) adults are less likely than Non-Hispanic Whites to use alcohol in their lifetime, equally as likely to have had five or more drinks on one occasion in the past month, and more likely to have a diagnosis related to alcohol dependence (Center for Behavioral Health Statistics and Quality, 2018; Cunningham et al, 2016; Grant et al, 2015). AI/AN communities experience high rates of alcohol-related negative consequences and child out-of-home placements compared to Non-Hispanic White communities (Baldwin et al, 2000; Barlow et al, 2012; Carter, 2011; Delker et al, 2016; Grinnell Davis et al, 2022).…”