Community Perspectives on Drug/Alcohol Use, Concerns, Needs, and Resources in Four Washington State Tribal Communities

Community-university teams investigated substance use, abuse, and dependence (SUAD) and related concerns, needs, strengths, and resources in four Washington State Tribal communities. A total of 153 key community members shared their perspectives through 43 semi-structured interviews and 19 semi-stru...

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Bibliographic Details
Published in:Journal of ethnicity in substance abuse 2015-01, Vol.14 (1), p.29-58
Main Authors: Radin, Sandra M., Kutz, Stephen H., La Marr, June, Vendiola, Diane, Vendiola, Michael, Wilbur, Brian, Thomas, Lisa Rey, Donovan, Dennis M.
Format: Article
Language:English
Subjects:
Alaska Native
Alcohol-Related Disorders - ethnology
Alcoholism
American Indian
Attitude to Health - ethnology
Drug abuse
Emotional disorders
Female
Focus Groups
Health Services Accessibility - statistics & numerical data
Health Services Needs and Demand - statistics & numerical data
Humans
Indians, North American - statistics & numerical data
Male
Native American
Native North Americans
Opioid-Related Disorders - ethnology
participatory research
Prescription Drug Misuse - statistics & numerical data
Risk factors
Substance abuse treatment
substance use
Substance-Related Disorders - ethnology
Substance-Related Disorders - prevention & control
tribal
Washington - epidemiology
Washington State
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Summary:Community-university teams investigated substance use, abuse, and dependence (SUAD) and related concerns, needs, strengths, and resources in four Washington State Tribal communities. A total of 153 key community members shared their perspectives through 43 semi-structured interviews and 19 semi-structured focus groups. Qualitative data analysis revealed robust themes: prescription medications and alcohol were perceived as most prevalent and concerning; family and peer influences and emotional distress were prominent perceived risk factors; and SUAD intervention resources varied across communities. Findings may guide future research and the development of much needed strength-based, culturally appropriate, and effective SUAD interventions for American Indians, Alaska Natives, and their communities.
ISSN:1533-2640
1533-2659
DOI:10.1080/15332640.2014.947459