Effective Substance Abuse Treatment Programs for American Indians and Alaska Natives
Course Description:
This course is based upon material published in the journal Implementation Science and is available as an open access article on their website.
Abstract
Background: A variety of forces are now shaping a passionate debate regarding the optimal approaches to improving the quality of substance abuse services for American Indian and Alaska Native communities. While there have been some highly successful efforts to meld the traditions of American Indian and Alaska Native tribes with that of 12-step approaches, some American Indian and Alaska Natives remain profoundly uncomfortable with the dominance of this Euro-American approach to substance abuse treatment in their communities. This longstanding tension has now been complicated by the emergence of a number of evidence-based treatments that, while holding promise for improving treatment for American Indian and Alaska Natives with substance use problems, may conflict with both American Indian and Alaska Native and 12-step healing traditions.
Discussion: We convened a panel of experts from American Indian and Alaska Native communities, substance abuse treatment programs serving these communities, and researchers to discuss and analyze these controversies in preparation for a national study of American Indian and Alaska Native substance abuse services. While the panel identified programs that are using evidence-based treatments, members still voiced concerns about the cultural appropriateness of many evidence-based treatments as well as the lack of guidance on how to adapt them for use with American Indians and Alaska Natives. The panel concluded that the efforts of federal and state policymakers to promote the use of evidence-based treatments are further complicating an already-contentious debate within American Indian and Alaska Native communities on how to provide effective substance abuse services. This external pressure to utilize evidence-based treatments is particularly problematic given American Indian and Alaska Native communities’ concerns about protecting their sovereign status.
Summary: Broadening this conversation beyond its primary focus on the use of evidence-based treatments to other salient issues such as building the necessary research evidence (including incorporating American Indian and Alaska Native cultural values into clinical practice) and developing the human and infrastructural resources to support the use of this evidence may be far more effective for advancing efforts to improve substance abuse services for American Indian and Alaska Native communities.
This course on the use of evidence based treatment practices within the American Indian and Alaska native community for the treatment of substance abuse disorder is valuable for psychologists, nurses, social workers, professional counselors, and chemical dependency counselors who work with clients and need continuing education. This course is appropriate for beginning, intermediate and advanced level practitioners who wish to develop their understanding of cross cultural competency and substance abuse treatment.
It may also be useful for licensed clinicians who require cross cultural competency course credits and are interested in learning more about effective substance abuse treatment for Native Americans.
Authors: Novins et al for Centers for American Indian and Alaska Native Healths Substance Abuse Treatment Advisory Board
Learning Objectives: This course will provide the practitioner with detailed information regarding evidence based practice for the treatment of substance abuse in American Indian and Alaska native clients. Specifically, a professional will:
· Describe cultural issues for American Indian and Alaska native clients that may impact treatment.
· Identify areas of concern regarding the use of 12 step treatment programs for American Indian and Alaska native clients.
· Identify ways of adapting evidence based practice of substance abuse treatment for American Indian and Alaska native clients.
Citation: Novins, Aarons, Conti, Dahlke, Daw, Fickenscher, Fleming, Love, Masis and Spicer. (2011). Use of the evidence base in substance abuse treatment programs for American Indians and Alaska natives: pursing equality in the crucible of practice and policy. Implementation Science, 6:63. Reviewed by TM DiDona, PhD
2018 and found to be current. For a full list of current references, please Click Here and Here This course content is based on a publication that has been peer-reviewed, the scientific standard for evaluating academic work. All studies and scientifically derived evidence have limitations that should be considered. If you have any questions about the accuracy or limitations of the content, please contact us at
support@ce-classes.com and we will get back to you.
This Ce-Classes.com course is approved for CE credit by:
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- The American Psychological Association (APA) Ce-Classes.com is approved by the American Psychological Association to sponsor continuing education for psychologists. Ce-Classes.com maintains responsibility for this program and its content.
- Association of Social Work Boards (ASWB) Ce-Classes.com, Provider #1142, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Ce-Classes.com maintains responsibility for this course. ACE provider approval Period: 1/5/2029
Social workers participating in this course will receive 2 Clinical continuing education clock hours.
- California Board of Behavioral Sciences. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by nationally recognized certifying bodies, such as APA, to satisfy renewal requirements.
- California Board of Registered Nursing. CEP 15647 Expires 11/30/2026.
- California Association of DUI Treatment Programs (CADTP) Provider Number 231
- California Consortium of Addiction Programs and Professionals (CCAPP) Provider Number OS-12-174-0627 Expires 6-2027
- Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP-Expires 3/31/2027
- Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2028 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.
- Illinois – CE-Classes.com is a registered social work CE sponsor by the State of Illinois. License 159.001607 Expires 11/30/2027
- Massachusetts Authorization Number: 1081%2Feffective-substance-abuse-treatment-programs-for-american-indians-and-alaska-natives
- New York Social Work Board – Ce-Classes.com is recognized by the New York State Education
Department’s State Board for Social Work as an approved provider of
continuing education for licensed social workers #SW-0120.
- Ohio Counselor, Social Worker and Marriage and Family Therapist Board – Approval from a state licensing board for counselors, social workers, marriage and family therapists is accepted by the OH CSWMFTB.
- Oklahoma Board of Behavioral Health Licensure (LPCs, LMFTs and LBCs)
- South Carolina – CE-Classes.com is approved by the S.C. Board of Examiners for Licensure of Professional Counselors, Marriage & Family Therapist, Addiction Counselors, and Psycho-Educational Specialists (#4696).
- Texas Board of Marriage & Family Therapists CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
- Texas Board of Professional Counselors – CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
- Texas Board of Social Work Examiners – CE-Classes.com meets the requirements for acceptable continuing education. Effective 1/1/24, at least half of the 30 hours must be obtained from a provider listed in 801.261(f). This course meets that requirement.
- This course is NOT available for NBCC credit.
