Organization and Financing of Alcohol and Substance Abuse Programs for American Indians and Alaska Natives

Bibliographic Data

ID11023398
AuthorsBentson H Mcfarland (0000-0001-9149-5616, All authors are with the One Sky Center (the American Indian/Alaska Native National Resource Center for Substance Abuse), Center for American Indian Health Education and Research, Oregon Health and Science University, Portland. Bentson McFarland, Douglas Bigelow, and Dale Walker are also with the Department of Psychiatry, Oregon Health and Science University, and Roy Gabriel is also with RMC Research, Portland, Oregon.), Roy M Gabriel (All authors are with the One Sky Center (the American Indian/Alaska Native National Resource Center for Substance Abuse), Center for American Indian Health Education and Research, Oregon Health and Science University, Portland. Bentson McFarland, Douglas Bigelow, and Dale Walker are also with the Department of Psychiatry, Oregon Health and Science University, and Roy Gabriel is also with RMC Research, Portland, Oregon.), Douglas A Bigelow (All authors are with the One Sky Center (the American Indian/Alaska Native National Resource Center for Substance Abuse), Center for American Indian Health Education and Research, Oregon Health and Science University, Portland. Bentson McFarland, Douglas Bigelow, and Dale Walker are also with the Department of Psychiatry, Oregon Health and Science University, and Roy Gabriel is also with RMC Research, Portland, Oregon.), R Dale Walker (All authors are with the One Sky Center (the American Indian/Alaska Native National Resource Center for Substance Abuse), Center for American Indian Health Education and Research, Oregon Health and Science University, Portland. Bentson McFarland, Douglas Bigelow, and Dale Walker are also with the Department of Psychiatry, Oregon Health and Science University, and Roy Gabriel is also with RMC Research, Portland, Oregon.), Robert Walker (0000-0002-7763-3784, American Indian Center)
Year2006
Volume96
Issue8
Pages1469-1477
Publication date2006-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2004.050575
PMID16809606
PMCIDPMC1522117
OpenAlexW2099303705
LanguageEN
Citations received9
References cited41

Objectives. Although American Indians and Alaska Natives have high rates of substance abuse, few data about treatment services for this population are available. We used national data from 1997–2002 to describe recent trends in organizational and financial arrangements. Methods. Using data from the Indian Health Service (IHS), the Substance Abuse and Mental Health Services Administration, the National Institute on Alcohol Abuse and Alcoholism, the Henry J. Kaiser Family Foundation, and the Census Bureau, we estimated the number of American Indians served by substance abuse treatment programs that apparently are unaffiliated with either the IHS or tribal governments. We compared expected and observed IHS expenditures. Results. Half of the American Indians and Alaska Natives treated for substance abuse were served by programs (chiefly in urban areas) apparently unaffiliated with the IHS or tribal governments. IHS substance abuse expenditures were roughly what we expected. Medicaid participation by tribal programs was not universal. Conclusions. Many Native people with substance abuse problems are served by programs unaffiliated with the IHS. Medicaid may be key to expanding needed resources

Alcohol abuse · Census · Criminology · Environmental health · Health care · Medicaid · Mental health · Political science · Population · Psychiatry · Substance abuse · Substance abuse prevention · Substance abuse treatment · Substance use · HIV, Drug Use, Sexual Risk · Law · Medicine · Opioid Use Disorder Treatment · Psychology · Substance Abuse Treatment and Outcomes · Gerontology

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