Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board.
American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2‐day...
| Publicado en: | American Journal of Community Psychology Vol. 71; no. 1/2; pp. 174 - 184 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Mar2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=162397240&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 162397240 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00910562 CMP jtl: American Journal of Community Psychology issn: 00910562 maglogo: N pubinfo: dt: Mar2023 vid: 71 iid: 1/2 pid: 480 pub: Wiley-Blackwell artinfo: ui: 162397240 10.1002/ajcp.12620 ppf: 174 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P size: 1.3MB tig: atl: Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board. aug: au: Hirchak, Katherine A. Nadeau, Melanie Vasquez, Angel Hernandez‐Vallant, Alexandra Smith, Kyle Pham, Cuong Oliver, Karen Anderson Baukol, Paulette Lizzy, Karen Shaffer, Racquel Herron, Jalene Campbell, Aimee N. C. Venner, Kamilla L. affil: PRISM, Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane Washington,, USA Indigenous Health, University of North Dakota, Grand Forks North Dakota,, USA Center on Alcohol, Substance use and Addictions, University of New Mexico, Albuquerque New Mexico,, USA Department of Psychology, University of New Mexico, Albuquerque New Mexico,, USA Medical School, University of Minnesota, Minneapolis Minnesota,, USA Keao Consulting, Seattle Washington,, USA INDiGO Solutions, Minneapolis Minnesota,, USA Cowlitz Tribal Health, Tukwila Washington,, USA Division on Substance Use Disorders, New York State Psychiatric Institute & Department of Psychiatry, Columbia University Irving Medical Center and New York State Psychiatric Institute, New York New York,, USA su: Epidemics Healers Indigenous peoples Opioid abuse Drug overdose sug: subj: Epidemics Healers Indigenous peoples Opioid abuse Drug overdose keyword: American Indian and Alaska Native adults community‐based participatory research dissemination and implementation science medication for opioid use disorder American Indian and Alaska Native adults community‐based participatory research dissemination and implementation science medication for opioid use disorder ab: American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2‐day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio‐recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program‐level implementation intervention using a strength‐based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention. Highlights: Findings inform the future integration of a holistic approach to opioid treatment for Indigenous people. Integration of traditional healing practices, ceremonies, and other practices was recommended. Guidance was provided for implementation studies conducted in partnership with Indigenous communities. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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