Holistic System of Care: Evidence of Effectiveness
Abstract
The Native American Health Center provides substance use and mental health services for urban American Indians and Alaska Natives (AIs/ANs) utilizing a culturally based holistic system of care (HSOC). Substance use prevention, treatment, and recovery services emphasize traditional AI/AN healing practices alongside evidence-based practices. This article describes the HSOC approach and provides preliminary findings from an outcome evaluation. Participants in outpatient and residential treatment were interviewed at baseline and 6-month follow-up with a standardized assessment tool (n = 490). The sample we composed of 86% AI/AN, 70% females, 30% males, and was entirely urban. Decreases in substance use and its related consequences were evident in both modalities but were most pronounced in residential treatment. Study's limitations and implications are included.
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Integration with the surrounding community is critical to the success of treatment.
“This level of integration with the surrounding community is critical to the success of treatment”
From Culturally tailored substance use interventions for Indigenous people of North America: a systematic review (2023) · cites this paper as Wright et al., 2011
One article was a feasibility study (Hanson and Pourier, 2015) and one is a program evaluation (Wright et al., 2011).
“It may be important to note that one article was a feasibility study (Hanson and Pourier, 2015) and one is a program evaluation (Wright et al., 2011), as these types of study designs are less appropriate for this particular quality assessment.”
From Culturally tailored substance use interventions for Indigenous people of North America: a systematic review (2023) · cites this paper as Wright et al., 2011
Of the nine nonrandomized studies, three (33.33%) were rated a bias rating of 4 (adequate bias).
“Three (33.33%) were rated a bias rating of 4 (adequate bias) (Kelley et al., 2017, 2018; Wright et al., 2011).”
From Culturally tailored substance use interventions for Indigenous people of North America: a systematic review (2023) · cites this paper as Wright et al., 2011
Increased cultural specificity may lead to better health and wellness outcomes.
“which may lead to better health and wellness outcomes (Wright et al., 2011)”
From Culturally tailored substance use interventions for Indigenous people of North America: a systematic review (2023) · cites this paper as Wright et al., 2011
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References 16 · Cited by 40
- Authors
- Wright, S., Nebelkopf, E., King, J., Maas, M., Patel, C., & Samuel, S.
- Affiliations
- Native American Health Center (US)
- Corresponding author
- Wright, Serena
- ORCID
- King, Janet
- Venue
- Substance Use & Misuse
- Publisher
- Informa UK Limited
- Published
- 2011-07-29
- Volume
- 46
- Issue
- 11
- Pages
- 1420-1430
- ISSN
- 1082-6084 (ISSN-L)
- 1532-2491
- OpenAlex
- W1968938917
- Cited by
- 40
- References
- 16
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 2 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 4
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Substance Use & Misuse (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Center for Substance Abuse Prevention
- 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 American health, American Indians and Alaska Natives, substance use disorders, mental health services, traditional healing, substance use prevention, residential treatment, outpatient care, treatment outcomes, urban Native Americans
- MeSH terms
- Adult, Female, Holistic Health, Humans, Indians, North American, Male, Mental Health Services, Treatment Outcome, Substance-Related Disorders
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