Native Americans are more likely than other groups to be treated for alcohol-only diagnoses (Substance Abuse and Mental Health Services Administration, 2001b). The Indian Health Service is primarily responsible for the federal government's substance abuse programs for Native Americans and Alaska Natives, but tribal groups now run many of the programs ( Beauvais , 1998).
A growing sobriety movement among Native Americans encourages Indian pride (Simonelli, 2000). Many tribal groups' programs to promote sobriety (Office of Justice Programs, 2000) utilize Indian concepts like healing circles (Van Steele et al., 1998). Programs run by Native Americans are important for those wishing to connect or reconnect to their tribe's cultural values and practices (Beauvais, 1998; Coyhis, 2000; Moran & May, 1997; Weaver, 2001).
Traditional spiritual practices (sweat lodges, vision quests, dances, medicine men) may help Indians recover from alcohol and drug problems (Abbott, 1998; Nofz, 1988).
Native Americans and Alaska Natives should make their own determination about whether they prefer traditional healing approaches or other approaches.
Because of mutual obligations and interdependence (Red Horse, 1980), including extended family and tribal networks in treatment is often advised (Ramsperger, 1989).
Native Americans have successfully used Alcoholics Anonymous and have adapted it to their culture (Coyhis, 2000).
Treatment seeking may be inhibited by a lack of shame, personal responsibility, or sanctions attached to drunkenness (Littman, 1970; Nofz, 1988; Office of Justice Programs, 2000; Rhoades et al., 1988).
Native Americans may refrain from giving others direct advice to enter treatment (Hill, 1989; Littman, 1970; Rhoades et al., 1988).
Indirect communication like storytelling may be useful in treatment (Nofz, 1988).
Improving socioeconomic conditions through employment and other meaningful activity may be key to addressing alcohol and drug problems (Abbott, 1998; May, 1982).
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Prevention & Treatment