TY - JOUR
T1 - Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities
T2 - Contributions from a National Collaborative Board
AU - The CTN-0096 Collaborative Board
AU - Hirchak, Katherine A.
AU - Nadeau, Melanie
AU - Vasquez, Angel
AU - Hernandez-Vallant, Alexandra
AU - Smith, Kyle
AU - Pham, Cuong
AU - Oliver, Karen Anderson
AU - Baukol, Paulette
AU - Lizzy, Karen
AU - Shaffer, Racquel
AU - Herron, Jalene
AU - Campbell, Aimee N.C.
AU - Venner, Kamilla L.
N1 - Publisher Copyright:
© 2022 The Authors. American Journal of Community Psychology published by Wiley Periodicals LLC on behalf of Society for Community Research and Action.
PY - 2023/3
Y1 - 2023/3
N2 - American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.
AB - American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.
KW - American Indian and Alaska Native adults
KW - community-based participatory research
KW - dissemination and implementation science
KW - medication for opioid use disorder
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U2 - 10.1002/ajcp.12620
DO - 10.1002/ajcp.12620
M3 - Article
C2 - 35997562
AN - SCOPUS:85136475696
SN - 0091-0562
VL - 71
SP - 174
EP - 183
JO - American Journal of Community Psychology
JF - American Journal of Community Psychology
IS - 1-2
ER -