Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment

Bonnie Duran; John Oetzel; Julie Lucero; Yizhou Jiang; Douglas K. Novins; Spero Manson; Janette Beals; Cecelia K.Big Crow; Dedra Buchwald; Buck Chambers; Michelle L. Christensen; Denise A. Dillard; Karen DuBray; Paula A. Espinoza; Candace M. Fleming; Ann Wilson Frederick; Joseph Gone; Diana Gurley; Lori L. Jerwis; Shirlene M. Jim; Carol E. Kaufman; Ellen M. Keane; Suzell A. Klein; Denise Lee; Monica C. McNulty; Denise L. Middlebrook; Laurie A. Moore; Christina M. Mitchell; Tilda A. Nez; Ilena M. Norton; Theresa O'Neill; Heather D. Orton; Paul Spicer; Carlette J. Randall; Angela Sam; James H. Shore; Sylvia G. Simpson; Lorette L. Yazzie

doi:10.1037/0022-006X.73.5.819

Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment

Bonnie Duran, John Oetzel, Julie Lucero, Yizhou Jiang, Douglas K. Novins, Spero Manson, Janette Beals, Cecelia K.Big Crow, Dedra Buchwald, Buck Chambers, Michelle L. Christensen, Denise A. Dillard, Karen DuBray, Paula A. Espinoza, Candace M. Fleming, Ann Wilson Frederick, Joseph Gone, Diana Gurley, Lori L. Jerwis, Shirlene M. JimCarol E. Kaufman, Ellen M. Keane, Suzell A. Klein, Denise Lee, Monica C. McNulty, Denise L. Middlebrook, Laurie A. Moore, Christina M. Mitchell, Tilda A. Nez, Ilena M. Norton, Theresa O'Neill, Heather D. Orton, Paul Spicer, Carlette J. Randall, Angela Sam, James H. Shore, Sylvia G. Simpson, Lorette L. Yazzie

School of Medicine

Research output: Contribution to journal › Article › peer-review

48 Scopus citations

Abstract

The purpose of this study was to identify factors associated with 4 clusters of obstacles (self-reliance, privacy issues, quality of care, and communication and trust) to mental health and substance abuse treatment in 3 treatment sectors for residents of 3 reservations in the United States. Participants (N = 3,084) disclosed whether they had sought treatment for emotional, drug, or alcohol problems in the past year and, if so, whether they had faced obstacles in obtaining care from Indian Health Services, tribal services, and other public or private systems. Correlates of these obstacles included negative social support, instrumental social support, utility of counselors, utility of family doctors, treatment sector, treatment type, diagnosis of an anxiety disorder, and tribe.

Original language	English (US)
Pages (from-to)	819-829
Number of pages	11
Journal	Journal of Consulting and Clinical Psychology
Volume	73
Issue number	5
DOIs	https://doi.org/10.1037/0022-006X.73.5.819
State	Published - Oct 2005

Keywords

American Indians
Mental health services
Obstacles to care

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

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10.1037/0022-006X.73.5.819

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Duran, B., Oetzel, J., Lucero, J., Jiang, Y., Novins, D. K., Manson, S., Beals, J., Crow, C. K. B., Buchwald, D., Chambers, B., Christensen, M. L., Dillard, D. A., DuBray, K., Espinoza, P. A., Fleming, C. M., Frederick, A. W., Gone, J., Gurley, D., Jerwis, L. L., ... Yazzie, L. L. (2005). Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment. Journal of Consulting and Clinical Psychology, 73(5), 819-829. https://doi.org/10.1037/0022-006X.73.5.819

Duran, B, Oetzel, J, Lucero, J, Jiang, Y, Novins, DK, Manson, S, Beals, J, Crow, CKB, Buchwald, D, Chambers, B, Christensen, ML, Dillard, DA, DuBray, K, Espinoza, PA, Fleming, CM, Frederick, AW, Gone, J, Gurley, D, Jerwis, LL, Jim, SM, Kaufman, CE, Keane, EM, Klein, SA, Lee, D, McNulty, MC, Middlebrook, DL, Moore, LA, Mitchell, CM, Nez, TA, Norton, IM, O'Neill, T, Orton, HD, Spicer, P, Randall, CJ, Sam, A, Shore, JH, Simpson, SG & Yazzie, LL 2005, 'Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment', Journal of Consulting and Clinical Psychology, vol. 73, no. 5, pp. 819-829. https://doi.org/10.1037/0022-006X.73.5.819

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AU - Manson, Spero

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AU - Crow, Cecelia K.Big

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AU - Klein, Suzell A.

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AU - Moore, Laurie A.

AU - Mitchell, Christina M.

AU - Nez, Tilda A.

AU - Norton, Ilena M.

AU - O'Neill, Theresa

AU - Orton, Heather D.

AU - Spicer, Paul

AU - Randall, Carlette J.

AU - Sam, Angela

AU - Shore, James H.

AU - Simpson, Sylvia G.

AU - Yazzie, Lorette L.

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Obstacles for rural American Indians seeking alcohol, drug, or mental health treatment

Abstract

Keywords

ASJC Scopus subject areas

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