Substance Abuse Prevention in American Indian and Alaska Native Communities
Abstract
In this article we review three categories of American Indian/Alaska Native (AIAN) substance abuse prevention programs: (1) published empirical trials; (2) promising programs published and unpublished that are in the process of development and that have the potential for empirical trials; and (3) examples of innovative grassroots programs that originate at the local level and may have promise for further development. AIAN communities are taking more and more independent control of substance abuse prevention. We point out that European American prevention scientists are largely unaware of the numerous grassroots prevention work going on in AIAN communities and urge a paradigm shift from adapting European American prevention science "best practices" to creating cultural "best practices" by working from inside AIAN communities.
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Cultural practices such as storytelling to enhance resilience are protective, as they often remind AIANs of their ancestors, their resilience, and the value of their practices.
“Additionally, cultural practices such as storytelling to enhance resilience are also protective, as they often remind AIANs of their ancestors, their resilience, and the value of their practices [74,75].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [74]
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Goldstein, S. C., Weiss, N. H., Yang, M., Ewing, S. W. F., & Collins, S. E. (2025) · Addiction · doi:10.1111/add.70251 · Cited by 1 · see citing works
Cotton, J.-C., Laventure, M., & Joly, J. (2017) · Drogues santé et société · doi:10.7202/1038631ar · Cited by 1 · see citing works
Harley, D. A. (2017) · Springer eBooks · doi:10.1007/978-3-319-64786-9_13 · Cited by 1 · see citing works
Native American Resiliency Resources and Educational Goal Achievement
Sharp, D. E. (2019) · Digital Commons (Liberty University)
COVID-19-related effects on alcohol and other Drug use among indigenous peoples
Knipp, H., Ka’apu, K., O’Connor, C. E., & Blume, A. W. (2025) · Journal of Ethnicity in Substance Abuse · doi:10.1080/15332640.2025.2493142
Cultural approaches to promote Indigenous mental health: weaving healthy families
O’Connor, C. E., & Theall, K. P. (2025) · Journal of Ethnic & Cultural Diversity in Social Work · doi:10.1080/15313204.2025.2510218
- Authors
- Whitbeck, L. B., Walls, M. L., & Welch, M. L.
- Affiliations
- University of Nebraska–Lincoln (US)
- University of Minnesota (US)
- Corresponding author
- Whitbeck, Les B.
- Venue
- The American Journal of Drug and Alcohol Abuse
- Publisher
- Informa UK Limited
- Published
- 2012-08-29
- Volume
- 38
- Issue
- 5
- Pages
- 428-435
- ISSN
- 0095-2990 (ISSN-L)
- 1097-9891
- OpenAlex
- W2028972335
- Cited by
- 65
- References
- 55
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 7 · 2022: 3 · 2021: 1 · 2020: 5 · 2019: 5 · 2017: 8 · 2016: 7 · 2015: 12 · 2014: 6 · 2013: 2 · 2012: 1
- FWCI
- 7.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Drug and Alcohol Abuse (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Robert Wood Johnson Foundation
- National Institutes of Health
- National Institute of Mental Health (MH67281, R01MH067281)
- National Institute on Drug Abuse (DA 13580, R01DA013580)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Education › Indigenous and Place-Based Education
- Keywords
- substance use prevention, American Indian and Alaska Native communities, prevention programs, Indigenous self-determination, prevention program design
- MeSH terms
- Alaska, Clinical Trials as Topic, Community Mental Health Services, Cultural Characteristics, Humans, Indians, North American, Substance-Related Disorders
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