Statewide Collaborative Partnerships among American Indian and Alaska Native (AI/AN) Communities in California to Target the Opioid Epidemic: Preliminary Results of the Tribal Medication Assisted Treatment (MAT) Key Informant Needs Assessment

Zeledon, Ingrid; West, Amy; Antony, Valentine; Telles, Victoria; Begay, Cynthia; Henderson, Bryce; Unger, Jennifer B.; Soto, Claradina

doi:10.1016/j.jsat.2019.04.003

Cited by 50Opioid Use Disorder TreatmentIndigenous Health, Education, and RightsSubstance Abuse Treatment and Outcomes

Statewide Collaborative Partnerships among American Indian and Alaska Native (AI/AN) Communities in California to Target the Opioid Epidemic: Preliminary Results of the Tribal Medication Assisted Treatment (MAT) Key Informant Needs Assessment

Zeledon, Ingrid, West, Amy, Antony, Valentine, Telles, Victoria, Begay, Cynthia, Henderson, Bryce, Unger, Jennifer B., Soto, Claradina·2020·Journal of Substance Abuse Treatment

DOI 10.1016/j.jsat.2019.04.003

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Abstract

American Indian and Alaska Native (AI/AN) communities have disproportionately been impacted by the opioid epidemic with the second highest opioid-related overdose death rates compared to other ethnic groups. The diversity among California AI/AN tribes, including regional differences in economic opportunities, tribal affiliation and organization, resources and infrastructure, requires a strong community-based partnership approach to assess global statewide patterns in service availability, acceptability, and utilization, as well as capturing the unique challenges and service needs within each region. This article describes a statewide community-based needs assessment of strengths and weakness among key informants in CA to identify facilitators and barriers to treatment of substance use disorders (SUD) and opioid use disorders (OUD). We conducted structured interviews of 21 healthcare professionals from Urban Indian Health Programs, Tribal clinics and community-based organizations throughout California. The interview assessed (1) barriers to accessing services; (2) risk factors; (3) protective factors; (4) community substance use description; (5) SUD and OUD services available; and (6) service system needs. Findings indicate an overall increase in SUD and OUD in AI/AN communities. Key informants discussed the importance of comprehensive and culturally centered care, wrap-around services, such as treatment of mental health issues alongside substance abuse, and the need for AI/AN…

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These programs have provided clients opportunities to reconnect with their culture and their community.
“These programs have also provided clients opportunities to reconnect with their culture and their community [110].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [110]

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Note
Ukockis, G. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197585207.002.0006
The role of criminal justice in the opioid crisis
Ukockis, G. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197585207.003.0008
The causes of the opioid crisis
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Advocacy and the opioid crisis
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The political context of the opioid crisis
Ukockis, G. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197585207.003.0003
The importance of policy in the opioid crisis
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Ongoing challenges
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Women and OUD
Ukockis, G. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197585207.003.0006
Preface
Ukockis, G. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197585207.002.0005
Copyright Page
Ukockis, G. (2024) · Oxford University Press eBooks · doi:10.1093/oso/9780197585207.002.0003
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Exploring Culturally Based Treatment Options for Opioid Use Disorders Among American Indian and Alaska Native Adults in California
Zeledon, I., Telles, V. M., Dickerson, D. L., Johnson, C. L., Schweigman, K., West, A. E., & Soto, C. (2022) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2022.83.613 · Cited by 5 · see citing works
Self-citation
Future directions for medication assisted treatment for opioid use disorder with American Indian/Alaska Natives
Venner, K. L., Donovan, D. M., Campbell, A. N. C., Wendt, D. C., Rieckmann, T. R., Radin, S. M., Momper, S. L., & Rosa, C. L. (2018) · Addictive Behaviors · doi:10.1016/j.addbeh.2018.05.017 · Cited by 100 · see citing works
Trending the evidence on opioid use disorder (OUD) continuum of care among rural American Indian/Alaskan Native (AI/AN) tribes: A systematic scoping review
Mpofu, E., Ingman, S. R., Matthews-Juarez, P., Rivera-Torres, S., & Juárez, P. D. (2020) · Addictive Behaviors · doi:10.1016/j.addbeh.2020.106743 · Cited by 25 · see citing works
Enhancing access to medication-assisted treatment in tribally-operated health and behavioral health systems: A qualitative study
Quintana, S., Aarons, G. A., Coser, A. D., Kominsky, T. K., Martin, L., Tsurnos, S., & Novins, D. K. (2025) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2025.209635 · Cited by 2 · see citing works
Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board
Hirchak, K. A., Nadeau, M., Vásquez, Á., Hernandez‐Vallant, A., Smith, K., Pham, C., Oliver, K. A., Baukol, P., Lizzy, K., Shaffer, R., et al. (2022) · American Journal of Community Psychology · doi:10.1002/ajcp.12620 · Cited by 22 · see citing works

Authors: Zeledon, I., West, A., Antony, V., Telles, V., Begay, C., Henderson, B., Unger, J. B., & Soto, C.
Affiliations: University of Southern California (US)
Claremont Graduate University (US)
Corresponding author: Soto, Claradina
ORCID: Zeledon, Ingrid
West, Amy
Telles, Victoria
Begay, Cynthia
Unger, Jennifer B.
Soto, Claradina
Venue: Journal of Substance Abuse Treatment
Publisher: Elsevier BV
Published: 2020-01
Volume: 108
Pages: 9-19
ISSN: 0740-5472 (ISSN-L)
DOI: 10.1016/j.jsat.2019.04.003
OpenAlex: W2939389333
Cited by: 50
References: 43
Citations by year: 2025: 4 · 2024: 19 · 2023: 9 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 1
FWCI: 4.14
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Substance Abuse Treatment (publishedVersion)
PubMed (publishedVersion)
Funders: Department of Health Care Services (17-94722)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Social Sciences › Health › Indigenous Health, Education, and Rights
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: opioid epidemic, American Indian and Alaska Native communities, opioid use disorder, substance use disorders, barriers to treatment access, wraparound services, mental health integration, California tribes
MeSH terms: Opioid Epidemic, California, Cooperative Behavior, Humans, Interviews as Topic, Opioid-Related Disorders, Needs Assessment, American Indian or Alaska Native, Culturally Competent Care

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Statewide Collaborative Partnerships among American Indian and Alaska Native (AI/AN) Communities in California to Target the Opioid Epidemic: Preliminary Results of the Tribal Medication Assisted Treatment (MAT) Key Informant Needs Assessment

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