Native Research Network 2011 Annual Conference Frankie Kropp & Michelle Moore
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Transcript of Native Research Network 2011 Annual Conference Frankie Kropp & Michelle Moore
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An investigation of substance use An investigation of substance use patterns and associated issues in patterns and associated issues in
urban treatment-seeking urban treatment-seeking Northern Plains American IndiansNorthern Plains American Indians
Native Research NetworkNative Research Network
2011 Annual Conference2011 Annual Conference
Frankie Kropp & Michelle MooreFrankie Kropp & Michelle Moore
This work was supported by NIDA grant: U10-DA013732 to the University of Cincinnati 11
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Study DescriptionStudy Description
• Information was collected from 3 samples of American Indians seeking treatment at an urban, non-tribal substance use treatment program in the Northern Plains.
• ~1/2 referred through criminal justice system
143 - standard intake questionnaire (de-identified) 77 - ASI-NAV 9 - focus group (client)
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Study ParticipantsStudy ParticipantsASI-NAV
(N=77)CCADP Intakes
(N=143)Ct. Focus Groups (N=9)
Males 62% 65% 44%
Females 38% 35% 56%
Average Age 38 30 -
% Grad HS/GED 68% 67% -
Currently living on-reservation 12% - 0%
“-” indicates not asked
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Substance Use PatternsSubstance Use Patterns(ranked by % clients reporting use, all samples)(ranked by % clients reporting use, all samples)
1st - Alcohol– Average age onset = 15 yo (ASI)– Average age onset use to intox = 17 yo (ASI) – Females use to intox younger than males (15 yo – ASI)
2nd - Marijuana– Average age onset = 15 yo* (ASI)
3rd - Stimulants (Cocaine and/or Meth)– Focus group females reported greater meth use than focus group
males
4th - Opioids– Greater proportion of Rx opioids than heroin
• Females begin using >1 substance/day earlier than males (14 yo vs 18 yo – ASI)
• Over half of the clients identified themselves as cigarette smokers (58% - ASI)
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PsychosocialPsychosocial
• Relationships– Majority indicated friends/family supportive of recovery
(92% intake, 62% ASI)
• Employment/Economic– One-third employed full time (30% intake, 36% ASI)
– Majority unemployed (56% intake, 69% ASI)
– $617 income past 30 days (those with income only - ASI)
• Abuse Victimization– Physical (25% intake, 57% ASI)– Sexual (14% intake, 26% ASI)– Females report abuse more than males (79% vs 44% physical,
48% vs 13% sexual - ASI)
• Mental Health (ASI)
– Depression 80%– Anxiety 70%– Past Suicide Attempt 32%
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Culture/SpiritualityCulture/Spirituality• Cultural Engagement
– 30% raised on reservation (intake)
– 68% rated cultural identification “important” (intake)
• More likely to see as important if born in one environment but raised in another
• Approximately 1/3 did not consider cultural identification important
– 56% indicated cultural elements helpful in recovery (ASI)
– 69% indicated regular participation in cultural activities (ASI)
– Focus group males typically more engaged in culture than focus group females
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Treatment ConsiderationsTreatment Considerations(Focus Groups)(Focus Groups)
• Recognize value of both native-focused and non-native treatment
• Importance of prayer in recovery
• Social support critical– Females more interested in same-gender
relationships– Males more interested in relationships with other
Natives
• Accessibility to traditional activities would enhance treatment
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ConclusionsConclusions• Alcohol is most frequent presenting problem for
Treatment-Seeking Urban American Indians in the Northern Plains
• These clients face numerous economic and health disparities
• The importance of elements of Native culture may differ for some American Indians seeking treatment for substance abuse problems in urban settings.
• Urban treatment providers must consider health and economic disparities as well as cultural identification when developing individual treatment and referral plans.
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THANK YOU!THANK YOU!
Please feel free to contact us:
Frankie Kropp
Michelle Moore
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Clinical Trials Network ∙ Dissemination LibraryClinical Trials Network ∙ Dissemination Library
National Drug Abuse Treatment
A copy of this presentation will be available
electronically after the meeting from the:
http://ctndisseminationlibrary.org
CTN Dissemination Library
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