This study examines predictors of alcohol use disorders (AUDs) among an urban American Indian cohort who were followed from approximately age 11 to age 20. Approximately 27% of the sample had a lifetime diagnosis of alcohol abuse or dependence. The results indicated that externalizing, but not internalizing, behaviors, family conflict, and school…

The Northwest Indian Treatment Center runs a 45-day inpatient treatment program in Elma, Washington. The Squaxin Island Tribe created the program to address an unmet need for culturally based drug and alcohol treatment centers for Indian people who grew up on reservations. The program specializes in treating people with chronic relapse patterns…

Describes a successful K-12 alcohol/drug prevention program in Burlington, Washington, involving strong superintendent leadership and a close school-community partnership. The program boasts a mission to develop an alcohol- and drug-free environment, long-range planning, reliance on local data, a strong adult influence, appropriate funding, and…

Examines various correlates of drinking consistent with the hypothesis that 'problem' drinking is frequently tied to withdrawal from the success stream through high school and involvement in patterns of peer rebellion in which physical aggression, immediate gratification, and peer loyalty are strongly emphasized; 545 male and 513 female senior…

Many adolescent clients of the Division of Alcohol and Substance Abuse (DASA) in Washington come also with psychiatric problems, are involved with the legal system, live with someone who abuses drugs or alcohol, have poor social support networks, or live in poverty. This report describes a sample of adolescent clients who received treatment and/or…

This study was designed to compare outcomes for two groups of alcohol and substance abuse clients (N=230): a control group assigned to regular 90 days of outpatient treatment, and an experimental group assigned to 180 days of extended outpatient care. Outcomes were compared in the following nine categories: (1) relapse, measured as reported…

This report provides a cost-benefit analysis of a program that provides publicly-funded treatment and support for persons who are addicted to alcohol or other drugs and who are judged to be indigent, unemployable, and incapacitated due to their addiction. The study focused on two client outcomes: (1) determine employment outcomes during an 18…

This guide introduces concerns and problems resulting from the use and abuse of alcohol and drugs among American Indian youth and addresses intergenerational substance abuse effects. Alcohol abuse among American Indians and Alaska Natives is the most visible effect of their cultural disruption and disorganization. Alcoholism among Native Americans…