Correlates of Motivational Interviewing Use Among Substance Use Treatment Programs Serving American Indians/Alaska Natives

Motivational interviewing (MI) offers a treatment modality that can help meet the treatment needs of American Indians/Alaska Natives (AI/ANs) with substance use disorders. This report presents results from a national survey of 192 AI/AN substance abuse treatment programs with regard to their use of MI and factors related to its implementation, including program characteristics, workforce issues, clinician perceptions of MI, and how clinicians learned about MI. Sixty-six percent of programs reported having implemented the use of MI in their programs. In the final logistic regression model, the odds of implementing MI were significantly higher when programs were tribally owned (OR = 2.946; CI95 1.014, 8.564), where more than 50% of staff were Certified Alcohol and Drug Counselors (CADCs) (OR = 5.469; CI951.330, 22.487), and in programs in which the survey respondent perceived that MI fit well with their staff\u27s expertise and training (OR = 3.321; CI95 1.287, 8.569)

Social Epidemiology of Trauma Among 2 American Indian Reservation Populations

Objectives. We examined the prevalence of trauma in 2 large American Indian communities in an attempt to describe demographic correlates and to compare findings with a representative sample of the US population. Methods. We determined differences in exposure to each of 16 types of trauma among 3084 tribal members aged 15 to 57 years through structured interviews. We compared prevalence rates of trauma, by gender, across the 2 tribes and with a sample of the US general population. We used logistic regression analyses to examine the relationships of demographic correlates to trauma exposure. Results. Lifetime exposure rates to at least 1 trauma (62.4%–67.2% among male participants, 66.2%–69.8% among female participants) fell at the upper limits of the range reported by other researchers. Unlike the US general population, female and male American Indians exhibited equivalent levels of overall trauma exposure. Members of both tribes more often witnessed traumatic events, experienced traumas to loved ones, and were victims of physical attacks than their counterparts in the overall US population. Conclusions. American Indians live in adverse environments that place them at high risk for exposure to trauma and harmful health sequelae

Young Adult Migration from a Northern Plains Indian Reservation: Who Stays and Who Leaves

American Indian, Reservation population, Young adult, Migration, Mobility, Movement, Residence, Goals and ambitions, Education, Alcohol consumption, Tribal policy,