This study builds on the existing knowledge of risk factors for lethal intimate partner violence (IPV) and typologies of IPV abusers by exploring patterns of abusive partners' behaviors among known risk factors for intimate partner femicide (i.e., murder of women) and determines if groups of survivors with similar patterns of abusive behaviors…

Perspectives and challenges in doing alcohol and drug abuse prevention in rural Alaska are described through a fictionalized narrative of two consultants to a Native village and one person's development as village prevention specialist. Highlights include innovative programs and approaches to training and intervention that draw on indigenous…

This study examined the risk for alcoholism, diabetes, and depression (triADD) in American Indian/Alaska Native (AI/AN) populations in the U.S. Using the Behavioral Risk Factor Surveillance System, a series of descriptive statistics and regression models were used to examine the interrelationships among these disorders in AI/AN populations.…

American Indians experience many problems related to alcohol misuse. However, there are prevention approaches that work to reduce risk of alcohol misuse among American Indians. With regard to the way prevention workers carry out their work in American Indian communities, programs must emerge from the community, prevention workers must demonstrate…

The effects of alcohol and other drug abuse are recognized as a serious problem in U.S. communities. Policy efforts and increased law enforcement have only a minimal impact if prevention strategies are not consistent with the community's level of readiness, are not culturally relevant, and are not community-specific. A model has been developed for…

Begun in 1993, a 5-year project examined treatment modalities and outcomes and counselor and client attitudes related to American Indian or Alaska Native vocational rehabilitation (VR) clients with alcoholism or substance abuse problems. Specifically, surveys and focus groups examined elements of successful substance abuse treatment and VR…

Diversity of geography, climate, and culture dictate the nature of the service delivery systems in Alaska, including the provision of prevention programming in substance abuse, alcoholism, health, and behavioral health. Described here are training programs, conferences and symposia, health fairs, and culturally derived interventions that meet the…

School-based drug abuse prevention programs have been a standard approach in American Indian communities for three decades, but the evidence for their effectiveness is meager. However, it is unreasonable to expect that schools alone could have a major impact on a behavior that has multiple and interactive social causes. It would be folly to…

This chapter reviews the literature on substance abuse and prevention efforts in Native communities. The first section describes demographic characteristics of America's indigenous people, including tribal and government definitions, interaction and validation styles, and rural-urban differences. It concludes by warning that use of broad ethnic…