TY - JOUR
T1 - ADDRESSING SUBSTANCE-USE PROBLEMS IN TRIBAL HOME VISITING
AU - Novins, Douglas K.
AU - Ferron, Cathy
AU - Abramson, Lisa
AU - Barlow, Allison
N1 - Funding Information:
RESUMEN: Dado el alto índice de uso de sustancias entre mujeres y hombres en edad reproductiva, los programas de visitas a casa perinatales y de temprana niñez que les sirven a comunidades tribales deben considerar cómo manejarán los problemas de uso de sustancias entre las familias a quienes les prestan apoyo. En este estudio, exploramos los acercamientos para identificar y manejar los problemas de uso de sustancias con base en la familia, los cuales fueron implementados por 9 programas de visitas a casa que les prestaban el servicio a comunidades AI/AN que reciben fondos a través del Programa Tribal de Visitas a Casa de apoyo Maternal, Infantil y la Temprana Niñez (MIECHV). Estos programas demostraron un alto conocimiento de problemas de uso de sustancias y llevaron a cabo una acción concreta para manejarlos por encima y más allá de lo incluido en el modelo de visitas a casa usado por ellos. Todos los 9 programas reportaron que habían prestados servicios preventivos de uso de sustancias y que buscaron problemas de uso de sustancias. Mientras que todos los programas refirieron a programas de tratamiento de uso de sustancias cuando fue necesario, en seis de los programas el visitador a casa ofreció los servicios de ayuda en caso de uso de sustancias. Por medio del MIECHV Tribal, la intensa necesidad de educación en los casos de uso de sustancias, la evaluación, la prestación del servicio y la referencia en muchas comunidades AI/AN empuja hacia
Funding Information:
The author′s work in the conceptualization, design, and drafting of this paper were supported by Administration for Children and Families cooperative agreements to the University of Colorado Denver (90PH0017), Lake County Tribal Health (90TH0003), and the Inter-Tribal Council of Michigan (90TH0025) as well as a Grant from the Health Resources and Services Administration to the Inter-Tribal Council of Michigan (H49MC00131), The views expressed in this publication do not necessarily reflect the views or policies of the Office of Planning, Research and Evaluation, the Administration for Children and Families, or the U.S. Department of Health and Human Services. The authors acknowledge the contributions of Jennifer Boulley to the conceptualization of this paper and the development of our program survey.
Publisher Copyright:
© 2018 Michigan Association for Infant Mental Health
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Given the high rates for substance use among women and men of childbearing age, perinatal and early childhood home-visiting programs serving tribal communities must consider how they will address substance-use problems among the families they support. In this study, we explored the approaches to identifying and addressing family-based substance-use problems that were implemented by nine home-visiting programs serving American Indian/Alaska Native (AI/AN) communities that are funded through the federal Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV). These programs demonstrated a high awareness of substance-use problems and took concrete action to address them above and beyond that included in the home-visiting model they used. All nine programs reported that they provided substance-use preventive services and screened for substance-use problems. While all programs referred to substance-use treatment programs when needed, in six programs the home visitor provided substance-use services. Through Tribal MIECHV, the intense need for substance-use education, assessment, service delivery, and referral in many AI/AN communities is pushing the home-visiting field forward to address this increasingly critical issue for low-income families across the United States and the world.
AB - Given the high rates for substance use among women and men of childbearing age, perinatal and early childhood home-visiting programs serving tribal communities must consider how they will address substance-use problems among the families they support. In this study, we explored the approaches to identifying and addressing family-based substance-use problems that were implemented by nine home-visiting programs serving American Indian/Alaska Native (AI/AN) communities that are funded through the federal Tribal Maternal, Infant, and Early Childhood Home Visiting Program (Tribal MIECHV). These programs demonstrated a high awareness of substance-use problems and took concrete action to address them above and beyond that included in the home-visiting model they used. All nine programs reported that they provided substance-use preventive services and screened for substance-use problems. While all programs referred to substance-use treatment programs when needed, in six programs the home visitor provided substance-use services. Through Tribal MIECHV, the intense need for substance-use education, assessment, service delivery, and referral in many AI/AN communities is pushing the home-visiting field forward to address this increasingly critical issue for low-income families across the United States and the world.
KW - American Indian and Alaska Natives
KW - Hausbesuche
KW - Indianer und Ureinwohner Alaskas
KW - Substanzkonsumprobleme
KW - amérindiens et autochtones d'Alaska
KW - home visiting
KW - indígena norteamericano y nativos de Alaska
KW - problemas de uso de sustancias
KW - problèmes d'abus de substance
KW - substance-use problems
KW - visitas a casa
KW - visite à domicile
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U2 - 10.1002/imhj.21706
DO - 10.1002/imhj.21706
M3 - Article
C2 - 29722426
AN - SCOPUS:85046375221
SN - 0163-9641
VL - 39
SP - 287
EP - 294
JO - Infant Mental Health Journal
JF - Infant Mental Health Journal
IS - 3
ER -