Despite dramatic increases in the number of Indian Health Service alcoholism programs and total expenditures, alcoholism mortality for American Indians and Alaska Natives increased 40%, 1986-90. Data analysis reveals little relationship of mortality rate with allocations, number of service components available, or per capita expenditures. Includes…

The Indian Health Care Improvement Act authorizes 612 positions and $208,797,000 for fiscal year 1978. Title I augments the inadequate number of health professionals serving Indians, and with such aid as grants and scholarships removes barriers to health professionals' entry into the Indian Health Service (IHS) and private practice for Indians.…

Historical, structural, cross-cultural, and communication problems within four federally funded Indian drug abuse treatment programs caused conflict between federal agencies and Indians and within the Indian communities themselves. Many of the problems duplicated those encountered in dealing with alcohol abuse among Indians. (SB)

Prepared by the National Institute of Mental Health staff and grantees, this report gives not only the quantitative research data, but also demonstrations of community mental health efforts that serve as excellent models for other communities to follow. Chapter I presents An Introduction: The Setting and an Overview; Chapter II, Studies of Rural…