论文信息 - Holistic System of Care: Evidence of Effectiveness

Holistic System of Care: Evidence of Effectiveness

The Native American Health Center provides substance use and mental health services for urban American Indians and Alaska Natives (AIs/ANs) utilizing a culturally based holistic system of care (HSOC). Substance use prevention, treatment, and recovery services emphasize traditional AI/AN healing practices alongside evidence-based practices. This article describes the HSOC approach and provides preliminary findings from an outcome evaluation. Participants in outpatient and residential treatment were interviewed at baseline and 6-month follow-up with a standardized assessment tool (n = 490). The sample we composed of 86% AI/AN, 70% females, 30% males, and was entirely urban. Decreases in substance use and its related consequences were evident in both modalities but were most pronounced in residential treatment. Study's limitations and implications are included.

[1] Melonie P. Heron,et al. Deaths: leading causes for 2004. , 2007, National vital statistics reports : from the Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital Statistics System.

[2] J. W. Wood,et al. Native Americans and Alcohol: Past, Present, and Future , 2006, The Journal of general psychology.

[3] A. V. Plasencia,et al. Culturally Appropriate HIV/AIDS and Substance Abuse Prevention Programs for Urban Native Youth , 2005, Journal of psychoactive drugs.

[4] E. Nebelkopf,et al. Holistic Native Network: Integrated HIV/AIDS, Substance Abuse, and Mental Health Services for Native Americans in San Francisco , 2005, Journal of psychoactive drugs.

[5] Janet L King,et al. A Holistic System of Care for Native Americans in an Urban Environment , 2003, Journal of psychoactive drugs.

[6] H. Weaver. Perspectives on Wellness: Journeys on the Red Road , 2002, The Journal of Sociology & Social Welfare.

[7] L. Thomas,et al. Using Reasons for Living to Connect to American Indian Healing Traditions , 2002 .

[8] H. Weaver. Indigenous people and the social work profession: defining culturally competent services. , 1999, Social work.

[9] Terry L. Cross,et al. Cultural Strengths and Challenges in Implementing a System of Care Model in American Indian Communities. Systems of Care: Promising Practices in Children's Mental Health, 2000 Series. , 2000 .