Characteristics of Northern Plains American Indians seeking substance abuse treatment in an urban, non-tribal clinic: a descriptive study
Open accessAbstract
Because few data exist on substance abuse rates in American Indian (AI) communities, the Methamphetamine and Other Drug project was developed and implemented by five nodes within the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN). This article presents findings from AI clients in a Northern Plains urban non-Native substance abuse treatment setting. Alcohol and marijuana were used earlier, longer, and by more clients, followed by stimulants and prescription opioids. Most regularly smoked tobacco. Differences in substance use patterns were associated with age of onset and victimization. Age of onset was correlated with victimization, gender, cognitive impairment, and suicidal behavior. Despite considerable health and economic disparities, most clients found support for recovery in relationships and elements of Native culture.
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Earlier age of onset for drug use has been associated with increased rates of victimization, cognitive challenges, and suicidal behavior.
“Moreover, the earlier age of onset for drug use has been associated with increased rates of victimization, cognitive challenges, and suicidal behavior (Kropp et al., 2013).”
From Assessment of culture and environment in the Adolescent Brain and Cognitive Development Study: Rationale, description of measures, and early data (2018) · cites this paper as Kropp et al., 2013
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“Moreover, the earlier age of onset for drug use has been associated with increased rates of victimization, cognitive challenges, and suicidal behavior (Kropp et al., 2013).”
Background
- Authors
- Kropp, F., Somoza, E., Lilleskov, M., Moccasin, M. G.-B., Moore, M., Lewis, D., Boetel, B., Smith, C., & Winhusen, T.
- Affiliations
- University of Cincinnati (US)
- Veterans Health Administration (US)
- Great Plains Tribal Chairmen’s Health Board (US)
- Corresponding author
- Kropp, Frankie
- Venue
- Community Mental Health Journal
- Published
- 2012-07-28
- Volume
- 49
- Issue
- 6
- Pages
- 714-721
- ISSN
- 0010-3853 (ISSN-L)
- 1573-2789
- PMC
- PMC3505220
- OpenAlex
- W1986102036
- Cited by
- 17
- References
- 36
- Citations by year
- 2026: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 3 · 2016: 2 · 2014: 3
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Community Mental Health Journal (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (U10DA013732)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- Native Americans, addiction treatment, Northern Plains, alcohol consumption, cannabis use, stimulants, prescription opioids, smoking, age of onset, victimization, suicidal behavior, cognitive impairment, indigenous culture, recovery support, health disparities
- MeSH terms
- Adolescent, Adult, Female, Humans, Indians, North American, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Psychology, United States, Urban Health Services, Substance-Related Disorders, Young Adult
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