Statewide collaborative partnerships among American Indian and Alaska Native (AI/AN) communities in California to target the opioid epidemic: Preliminary results of the Tribal Medication Assisted Treatment (MAT) key informant needs assessment

Zeledon, Ingrid; West, Amy E.; Antony, Valentine; Telles, Victoria; Begay, Cynthia; Henderson, Bryce; Unger, Jennifer B.; Soto, Claradina

doi:10.1016/j.jsat.2019.04.003

Cited by 31 publications

(29 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A community-tailored approach to tackling such a problem is likely to be effective because of the continuous review of processes and data-driven strategies [21][22]. Given the high LOS, number of diagnoses (NDX), mean charges, severity at presentation, and significant access constraints among Native American populations [23][24][25], an outpatient communitybased approach could be vital in mitigating the trends.…”

Section: Discussionmentioning

confidence: 99%

Inpatient Opioid Use Disorder and Social Determinants of Health: A Nationwide Analysis of the National Inpatient Sample (2012-2014 and 2016-2017)

Sulley

Ndanga

2020

Cureus

View full text Add to dashboard Cite

To evaluate the trends and relationship of inpatient presentations of Social Determinant of Health (SDOH) with superimposed Opioid Use Disorder (OUD), comparing 2012-2014 (ICD-9) and 2016-2017(ICD-10). MethodsWe used the Nationwide Inpatient Sample (NIS) from the Healthcare Cost and Utilization Project (HCUP). We identified OUD among patients with any record of SDOH as the primary or secondary diagnosis using the International Classification of Diseases (ICD)-9/10 codes. A weighted SDOH sample size of 3,002,558 (2.8%) and 1,254,899(1.8%) was included for 2012-2014 and 2016-2017, respectively. The main predictors include census division, race, gender, and covariates, including age, income, disposition, payer, rural-urban classification, and combined SDOH indicator, which was used as a control variable in the regression analysis. The study provides a descriptive analysis of the social determinant of health in relation to OUD. We also evaluated the rate of the presentation by age group and race. ResultsA sample of 367,960 (12%) and 153,535 (12%) OUD presentations with SDOH indicators were identified for 2012-2014 and 2016-2017, respectively. An increase in housing difficulties between 2016-2017 (45%) as compared to 2012-2014 (20%) was observed. A statistically significant higher odds of presentation among black and other races were observed. There was significant variance in the presentation by region with

show abstract

Section: Discussionmentioning

confidence: 99%

Inpatient Opioid Use Disorder and Social Determinants of Health: A Nationwide Analysis of the National Inpatient Sample (2012-2014 and 2016-2017)

Sulley

Ndanga

2020

Cureus

View full text Add to dashboard Cite

show abstract

“…Attendees of such programs have shown higher levels of spiritual connectedness and significant reductions in depression and anxiety [ 106 ]. These programs have also provided clients opportunities to reconnect with their culture and their community [ 110 ]. These indigenous approaches are based on indigenous centered priorities that include AIANs to develop frameworks based on community values and perspective.…”

Section: Discussionmentioning

confidence: 99%

Substance and Behavioral Addictions among American Indian and Alaska Native Populations

Soto

West

Ramos

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Objective: This paper examines substance and behavioral addictions among American Indian and Alaska Natives (AIAN) to identify the structural and psychosocial risk and cultural protective factors that are associated with substance use and behavioral addictions. Methods: Five databases were used to search for peer reviewed articles through December 2021 that examined substance and behavioral addictions among AIANs. Results: The literature search identified 69 articles. Numerous risk factors (i.e., life stressors, severe trauma, family history of alcohol use) and protective factors (i.e., ethnic identity, family support) influence multiple substance (i.e., commercial tobacco, alcohol, opioid, stimulants) and behavioral (e.g., gambling) addictions. Conclusions: There is a dearth of research on behavioral addictions among AIANs. Unique risk factors in AIAN communities such as historical trauma and socioeconomic challenges have interfered with traditional cultural resilience factors and have increased the risk of behavioral addictions. Future research on resilience factors and effective prevention and treatment interventions could help AIANs avoid behavioral addictions.

show abstract

“…OUD/SUD prevalence and service utilization disparities point to a potential critical aspect of the development of services for AIAN youth—the importance of grounding prevention and treatment approaches in culturally relevant and community-based systems of beliefs and practices. Several previous qualitative studies in tribal communities, as well as numerous papers describing the research experiences of experts in the field—such as the network of investigators affiliated with the National Institutes of Health (NIH) Intervention Research to Improve Native American Health (IRINAH) initiative—indicate that culturally informed interventions are perceived by communities as critical to effective OUD/SUD prevention and treatment (Allen et al, 2012; Blue Bird Jernigan et al, 2020; Brown et al, 2016; Crump et al, 2020; Dickerson et al, 2020; Dickerson & Johnson, 2011; Trimble et al, 1987; West et al, 2012; Whitesell et al, 2020; Zeledon et al, 2019). Moreover, previous studies on OUD/SUD prevention programs have demonstrated preference and potential effectiveness for culturally informed intervention approaches or adaptations to evidence-based approaches for AIAN youth or adults.…”

Section: Opioid Use Disorder and Substance Use Disorder Risk In Aian ...mentioning

confidence: 99%

An opioid and substance use disorder needs assessment study for American Indian and Alaska Native youth in California.

West¹,

Telles²,

Antony³

et al. 2022

Psychology of Addictive Behaviors

Self Cite

View full text Add to dashboard Cite

Objective: American Indian and Alaska Native (AIAN) youth demonstrate significant substance use and mental health disparities and represent a highly underserved population with regard to effective services. A community-based needs assessment study of urban and rural AIAN youth throughout California was conducted to inform the development of community-based, culturally relevant opioid and substance use services. This study examined AIAN youth experiences with opioid and other substance use disorders (OUD/SUD) in their communities, utilization of existing programs, and service system recommendations. Method: Fifteen focus groups were conducted in partnership with urban and rural/reservation health programs, and AIAN serving community-based organizations throughout California with youth ranging from 13 to 18 years of age. Focus groups were recorded and professionally transcribed, then coded using NVivo qualitative data analysis software. An a priori coding structure was refined through a data-informed, iterative process until a final coding structure was agreed upon to characterize data. Results: Findings demonstrate the need for OUD/SUD services that integrate cultural beliefs and practices, incorporate attention to family and community risk and resiliency factors, provide effective outreach and education, and focus on the development of holistic wellness and positive development for AIAN youth. This study also provides a model for conducting a needs assessment using community-based participatory methods to inform effective service development that more directly responds to community-identified needs. Conclusion: Findings indicate that future services and interventions should incorporate a focus on promoting overall wellness and positive youth development in order to prevent or promote recovery from opioid or other substance abuse. Public Health Significance StatementThis needs assessment study of California American Indian/Alaska Native (AIAN) youth highlights the importance of community-based services with integrated cultural traditions in enhancing positive wellbeing, positive development, and prevention services to reduce initiation and use of opioids and other substances.

show abstract

Statewide collaborative partnerships among American Indian and Alaska Native (AI/AN) communities in California to target the opioid epidemic: Preliminary results of the Tribal Medication Assisted Treatment (MAT) key informant needs assessment

Cited by 31 publications

References 38 publications

Inpatient Opioid Use Disorder and Social Determinants of Health: A Nationwide Analysis of the National Inpatient Sample (2012-2014 and 2016-2017)

Inpatient Opioid Use Disorder and Social Determinants of Health: A Nationwide Analysis of the National Inpatient Sample (2012-2014 and 2016-2017)

Substance and Behavioral Addictions among American Indian and Alaska Native Populations

An opioid and substance use disorder needs assessment study for American Indian and Alaska Native youth in California.

Contact Info

Product

Resources

About