Dialectical Behavior Therapy with American Indian/Alaska Native Adolescents Diagnosed with Substance Use Disorders: Combining an Evidence Based Treatment with Cultural, Traditional, and Spiritual Beliefs
Abstract
This pilot study examined pre to post-change of patients in a substance use residential treatment center that incorporated Dialectical Behavior Therapy with specific cultural, traditional and spiritual practices for American Indian/Alaska Native adolescents. Specifically, the incorporation of cultural, spiritual and traditional practices was done while still maintaining fidelity to the evidence based treatment (DBT). 229 adolescents participated in the study and were given the Youth Outcome Questionnaire-Self-Report version at pre-treatment and post-treatment and the total scores were compared. The results of the research study showed that 96% of adolescents were either "recovered" or "improved" using clinical significant change criteria. Additionally, differences between the group's pre-test scores and post-test scores were statistically significant using a matched standard T-test comparison. Finally, the effect size that was calculated using Cohen's criteria was found to be large. The results are discussed in terms of the implication for integrating western and traditional based methods of care in addressing substance use disorders and other mental health disorders with American Indian/Alaska Native adolescents.
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Psychosis, personality, and other mood disorders (e.g., posttraumatic stress disorder) are intricately linked with substance use and dependence among AIANs.
“Psychosis, personality, and other mood disorders (e.g., posttraumatic stress disorder) are intricately linked with substance use and dependence as well [49,50,51].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [49]
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“As can be determined from this table, 11 of the 14 studies were from the USA (Apsche et al., 2006; Beckstead et al., 2015; Fox et al., 2020; McCredie et al., 2017; McDonell et al., 2010; Saito et al., 2020; Shelton et al., 2011; Sunseri, 2004; Tebbett-Mock et al., 2020; Trupin et al., 2002; Wasser…”
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- Authors
- Beckstead, D. J., Lambert, M. J., DuBose, A. P., & Linehan, M.
- Affiliations
- Brigham Young University (US)
- Behavioral Tech (US)
- University of Washington (US)
- Corresponding author
- Beckstead, D. Joel
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2015-12
- Volume
- 51
- Pages
- 84-87
- ISSN
- 0306-4603 (ISSN-L)
- OpenAlex
- W1591639762
- Cited by
- 85
- References
- 0
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 5 · 2023: 9 · 2022: 13 · 2021: 9 · 2020: 11 · 2019: 6 · 2018: 11 · 2017: 6 · 2016: 3 · 2015: 1
- FWCI
- 8.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- dialectical behavior therapy, substance use disorders, residential treatment, traditional healing, intervention fidelity, substance use disorder recovery
- MeSH terms
- Adolescent, Adolescent Behavior, Alaska, Behavior Therapy, Child, Inuit, Female, Health Services, Indigenous, Humans, Indians, North American, Male, Pilot Projects, Residential Treatment, Spiritualism, Evidence-Based Medicine, Substance-Related Disorders, Cultural Competency, Culturally Competent Care
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